another month of near continuous UTI antibiotics that make you feel like slitting your throat whic is marginally better than the horrendous spasms that make you feel like slitting your bladder.
A master plan evolved master minded by the infamous Jerome who is adding names to himself somewhat like others might add letters.
So the idea was to be admitted hit the IV and go home. The RMO announced somewhat conspiratorially that he thought I had an infection. no? Really? WHOOOO. He further suggested a course of wait for it… Antibiotics … And I was discharged home.
Jerome answered my perplexed and tearful texts and calls …
Here’s his summary of events ….
I have coined the phrase endoluminal Endourologist. So I am, de facto, the first in the country!
A like minded colleague has adopted the term in Sheffield… It means I don’t do anything than look inside organs with telescopes!
Hope plan 1-4 brings progress; if not, (5)
On 24 Feb 2015, at 22:24, Jacq <jemkes@gmail.com> wrote:
‘Fantastic. Thank you so much. I had to look up endo luminal!! ‘
Jacq
JE iPad
On 24 Feb 2015, at 21:45, Jerome wrote:
‘Dear all
Some thoughts from an endoluminal EndoUrologist regarding our mutual patient JE.
The plan for admission for inpatient assessment and treatment – including a bit of respite from the burdens of managing an almost continuously symptomatic UTI for months, despite equally continuous oral antibiotics was, I think, a good idea. JE / OJ – as you both know and have discussed together already, this was scuppered by the somewhat premature discharge back home today with the rather familiar plan of more oral antibios…. And a return trip from home back to London tomorrow . JE – as this is written in print it confirms that we are sorry that the plan was not executed more effectively.
So we need a clear strategy (and contingency) going forward as it is increasingly clear that oral antibiotics one after another have not improved, let alone solve, the problem.
Can we
admit (as per original plan for yesterday) UNDER MY CARE AT PG for 72 hours in patient assessment. Book dates according to tests needed, in patient consultations needed, and, if VG agrees, IV ANTIBIOTICS
JE has responded well to the prophylactic doses she has had IV when she has had procedures. Could there be an issue with oral absorption??? If IV abs worked, then maybe this could be an issue??
At least we (and especially JE) would know that she CAN be cleared of infections and symptoms even if it is relatively short lived.
6) VG / JO / JE suggestions for (6) warmly invited
BW all’
Daily Stent. I cannot cure you but I can make you laugh (citation Jerome) 