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My life is a sitcom version of House [Aug. 24th, 2010|04:59 pm]
nepenthes59
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I was admitted into Chez Beauz on 8/17 - due to a pesky partial bowel instruction that has been leaving me nauseous & unable to eat for days at a time. The medical marijuana definitely is a big help - but sometimes internal plumbing has a mind of its own.
Anyhoo - a Picc line was inserted so I could get IV nutrition. An e-coli infection was discovered in the Picc line (which still has me baffled) & the Picc was removed. No Picc line = no IV nutrition.
I had a 'temporary' IV inserted in my neck so I could receive antibiotics/pain meds. Since my admittance, I've been NPO - no food or drink by mouth.

Yesterday, I went back to Interventional Radiology to have another Picc inserted & the staff said I needed to have another day of antibiotics before placing another Picc line. I asked the Dr how was it possible to have ecoli in the Picc line & he didn't know either.
They were unable to put in a tunnel Picc, & a single line Picc was inserted.

So I am thinking I'm finally on easy street with IV access - I have the 'temporary' IV + the Single line Picc.. To my dismay, a Dr on the vascular team came to tell me that neither the Picc line or IV is suitable for TPN. 0_o ! They are considering putting in a Picc line in the groin area (because my veins are completely fried)
Since I have an NG tube & unable to eat or drink my nutritional status is getting worse. Well, the day wasn't a total loss, I'm allowed to have the odd popsicle here and there.

ahh Chez Beaumont... good times XD



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Comments:
[User Picture]From: tsuki_626
2010-08-29 08:20 am (UTC)
late again, but with a possible answer. e coli is a persistent rascal. we usually think staph or mrsa as the most common causes of Nosocomial or hospital acquired infections, but when one is dealing with a bowel problem, you have to add e coli to the mix as one of the most common bacteria in that region.

if at any time someone had "mistakenly" not washed up properly or used correct sterile technique when preparing the TPN, any meds or other fluids given via the PICC, flushing the port or ports or accessing the site for any reason-there could be a chance of contamination. same as someone getting staph in the OR. our own bodies are covered with bacteria and they get transmitted to every surface we touch or any area our bodies come in contact with.

i know it shouldn't happen, but it does. any type of intravenous line equipment is supposed to start sterile, but once the body's first line of defense, the skin, is punctured, the outside is no longer sterile. it just takes one person not being careful in the care really.

the need for a different line may have to do with the catheter size inserted maybe? i think tpn, like blood, may require a larger diameter catheter size than just fluids or meds. though i can't remember if picc catheters are different sized like regular IV catheters, even the fancier multi-port ones they do in the subclavian area i think. too long since i did this stuff. 10 years now.


i hope things get better soon. you're in my thoughts and prayers. <3333
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[User Picture]From: hydeistflower
2010-09-09 07:02 pm (UTC)
If a nurse like that came to me in the hospital, whatever I was feeling, I'd have the faith I'd recover because she'd/ he'd be the best omen ever. Hyde nurse rocks~~*
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[User Picture]From: nepenthes59
2010-09-09 07:39 pm (UTC)
I told the docs that all I have to do is WALK IN A ROOM WHERE A PICC LINE IS and I will get infected.

The first one was yanked for e coli and I was sent to ICU because I have a blood/yeast infection from .. yes a Picc line

Last year I had a septic blood clot from a Picc Line
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[User Picture]From: tsuki_626
2010-09-10 03:27 am (UTC)
sweet lady, you have an immune system much like my own. when i had my last surgery in Feb, i came home with cellulitis, which as you might recall was inconvenient since my daughter was taking care of me IN ANOTHER STATE! hello dudes in white lab coats!! let's pay attention when people say this doesn't look or feel right! once i got over all of the little infections related to being in the hospital, i was ok. but it has made me become more of a shut-in than ever. D;

i do so understand. i hope you can get over this one soon. without picking up something else. ha! your surgical incision will be completely healed before the 2ndary infections at this rate! hang in there!
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