Homecoming III

Hopefully this will the last installment for today. The ID physician covering for Dr. Mayer is Dr. Butero and he has just returned to our room from reviewing Phil's chart and finishing his busy afternoon clinic. He feels that the decision to keep Phil here overnight can be looked at as a philosophical one, or as a matter of medical practice management style. In this instance being very cautious has it's benefits and will hopefully keep Phil out of the hospital longer.

SO, having said all that, here's what he's recommended: Phil's antifungal dose will be held tonight. He will have his creatinine level rechecked in the morning and adjustments to his medication dosing will be made accordingly. He will be sent home in the morning with orders for a few hours of IV saline per day to ensure adequate fluid intake. He will have VERY close monitoring of his kidney function as well as a multitude of other labs every other day.
Last but certainly not least, he will be following up in leapfrog fashion weekly with each of his new BFFs, Dr. Mayer (infectious disease), Dr. Ghosh (neurosurgery), and Dr. Kossman (oncology). If we get that HBO covered he'll be going there as well. Quite the social butterfly my man will be. Oh, and he's got a nine year old's birthday party to go to on Friday :)