Mom update - 1-28-2013

Both mom's doctor's called me today about mom's condition.  They both wanted to discharge her to go
back to her nursing home.  Her WBC was 13 this morning which means she still has an infection.  She is
not on any antibiotics.  I thought she might have a UTI and they sent out a sample.  The lab returned with
enough bacteria that I thought the ID doctor would start her on at least a mild UTI antibiotic before sending
her back to the nursing home.  Not so.  She says if we just keep giving her antibiotics she will become immune to more of them.  While this is true it doesn't seem like a good idea to send her back with it unresolved.  Since she wouldn't change her mind in a day or 2 it is wise to send her back I guess.  They can treat a UTI at the nursing home.  The strangest part of this is that most of these labs take 72 hours to return the full result that they prescribe the right antibiotics from.  The test tells them which will work.  It has been less than 48 hours since they took the sample so how she knows that she wouldn't want to prescribe antibiotics I don't know.  Now the nursing home will have to test her urine and start the whole process all over again or wait & obtain the labs at 72 hours from the hospital.  Like I say though if the facility can treat it when they want to what is the point of keeping her in the hospital longer & have the ID specialist say no we won't give antibiotics for it.  When I asked if the colonization was over 100,000 she said yes but it was a mix of different bacterias.  Don't know what that means but she is a little less responsive like she is when she has
a UTI.