Friday, January 16, 2009

Bashir calls to tell me we can do a scope in 4 days at St. Mary’s I say it’s waiting too long, I am fearful for Coleman. We admit Coleman to Chippenham Medical Center to get tests done. Bronchoscope shows big nodules (cobble stoning) on the back of his tongue, swollen vocal chords, red esophagus with rings, inflamed, trachea has a white “film” or slime around it and white spots. Dr. Bashir was able to suck out the white film but the white spots would not move. They were very clear in the photo and plenty of them. He showed us the photos and felt we were clearly and logically dealing with a fungal infection. He took cultures, lavage (?) and put Coleman on 100 mg. of Diflucan per day. He took him off foods for almost two days. TB test negative, pertussis swab negative. Added Pulmozyme and a different bronchodilator (?). Coughing was so much better right away – episodes cut in half and then practically gone. Even the first night in the hospital had very little coughing. Coughing stayed improved – he ate a small amount of solid food on Sunday evening before being discharged. Dr. Bashir said to stay on a reflux diet, which we have. Coleman and Spencer both came off all meds except reflux medicine, antifungal for Coleman and Pulmozyme for Coleman.

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