Audra update...

Yesterday's events:
I took Audra to the pediatrician yesterday morning.  She had fevers of 105 Monday evening and through the night into Tuesday morning.  Terrible fevers...with shaking, moaning, and gagging.  Just like 6 months ago.  Because her pediatrician didn't like the way she looked, and because of her complicated medical history, he told us to take her to the local hospital's ER.  There is a CHOP doctor on staff at that hospital and he called to let them know we were on our way.  Audra had her bloodwork drawn which showed that she has a significant infection going on somewhere.  Her inflammatory markers were very elevated...just like 6 months ago.  She had an ultrasound that was concerning for something going on in her left kidney again.  The ER doctor contacted the specialists at CHOP and they said Audra should be transported downtown.  After a long day at the pediatrician and ER, we left for CHOP at 6:15pm.  Audra had her first ambulance ride.  It would be nice if that was also her last!

I almost feels like we never left CHOP.  But this time I have my mind set on not getting "settled in". 
Audra is really making the rounds on the units here at CHOP.  She's seen 7west, 5east, 4south...and this time 9south. 

Some things are the same (as her other admissions)...
~Audra captures the hearts of everyone here.  She is pleasant, cooperative, and so stinkin' cute!  (Not my words, but yes, I would say I agree!)
~She continue to "perplex" the doctors. 
~Audra's PICU fan club has jumped right into action again...filling in for me at work, stopping in to check on us, bringing snacks and other essentials.
~She is receiving the best care possible in the best possible place.

And some things are very different (from her last admission)...
~not only can Audra order food whenever she wants...she also has snack trays delivered to her room three times a day.  The food never stops arriving, all day long!
~and I don't have to eat in the bathroom :)

Today's update:
Audra had another ultrasound done today.  This ultrasound didn't show the "area of concern" that was seen on yesterday's ultrasound.  Her last fever was at 2pm.  She is still on IV antibiotics until we have the results of the urine culture done yesterday.  The preliminary results show that something is growing.

The Infectious Disease team came to see her...they would like to do another urine culture after 48 hours of antibiotics to make sure things are improving. 

Urology was consulted since this is her second pyelonephritis (kidney infection) in 6 months.  There is nothing they would like to do urgently.  Once Audra has finished this course of antibiotics, they want her to remain on prophylactic antibiotics until they can do further testing. 

Immunology will be by tomorrow.  I am anxious to hear there thoughts. 

She is in a better place today than I thought she would be.  Her fevers have spaced out a bit, thankfully!  She looks and feels good in between fevers (just like 6 months ago).

If this is just pyelonephritis, we could be out of her on Friday.