After a second fluid bolus Emerson’s blood pressure is up – that’s good!  She’s not looking any better otherwise, though.  The neurologist was here & said she’s “severely septic”.  He said he doesn’t care about what is (or more accurately isn’t) growing on the cultures.  He thinks it just hasn’t shown up yet.  She is sweating and clammy, her temps have been low, & her white blood count is not elevated.  He said that’s all very bad news.  It means she’s tired and not able to fight this.  He said if this was post seizure activity she’d be getting better, not worse, & if it was continuing seizure activity her blood pressures would be high.  Moreover, he said you would know.  There’d be no question…

He was rather upset (that’s putting it nicely) that she’s not on antibiotics & called infectious disease to express his opinion and concern.  ID is talking to Transplant.  In the interim, they’ve drawn more labs. I’m trying to sleep whenever possible because when I’m awake I feel like I’m going to vomit.  I’ll let you know what transpires this evening.  Until then I’m curling up in my little red recliner & praying these labs tell us something…