OK, the long, relaxing weekend that we had envisioned unfortunately didn’t happen for us. On Saturday Keith complained of a headache and when we checked his temperature it was elevated a bit. Over the course of the next hour it climbed to 100.7º which for you or me isn’t really a big deal but for a high risk patient just coming off a bone marrow transplant it was cause for real concern. So we phoned the on-call physician at Stanford who directed us to head over to the emergency department at Children’s Oakland where Keith was checked over and subsequently checked in for a two night stay (with a view of the bay). He was pretty disappointed as were we all. It's a 48 hour stay minimum while antibiotics are administered and cultures from his central line are evaluated.
In the end, the cultures came back negative and it seemed to resolved by itself. Keith was released mid-day on Monday much to his relief and delight (he even was discharged several hours early). Not interested in hanging around too long lest they change their minds, we raced home to enjoy the remaining half day of the holiday weekend. I suppose the good news in all of this is that whatever bug he had he was able to fight it off pretty much on his own, suggesting that his nascent immune system is at least semi-functional now.
An interesting side-note: Keith has developed into such a ‘foodie’ of late which is both good and bad. The good side is that he really appreciates good food, analyzing it and savoring it. The bad side is he will not consume anything unless one of four simple benchmarks is met: 1: great taste, 2: good texture, 3: interesting, even strong seasonings or, 4: anything Pam makes. Unfortunately that means that a lot of food doesn't measure up and the food at Children’s misses on all four counts so he didn’t really eat much at all for 48 hours. Fortunately dinner at home was more appealing and he wolfed it down, commenting how good it was several times. Josie and I were happy that he was happy but also relieved to see him send some real calories down the hatch.
If we could just keep him home for a while I know we could expand his waistline a bit.