Conundrum...
Primary Issue:
Infection, 50% chance the bacterium still remains in her new hip joint, no sign of it now but may still exist. 50% chance it does not. It's a little bug with a serious bite should it latch on to other areas via blood stream.
Concern:
a: could spread to her other hardware which are already compromised and needs replaced.
b: could settle in heart - already compromised with elevated murmur.
Both are high risks - Angela could have serious repercussions if the bacteria is still in her body...no way of knowing for sure. 50%?
Solution: Treat with Antibiotics (anti = against, biotics=a mode of living)
Issue Two:
Angela's body built up anti-bodies to the antibiotics.
Two opposing forces at war, her body the battle ground. It's as if a heated (fever) battle were being fought in an environmentally sensitive area. That area being one which control all the sensitive balances of nature. If any one region is effected, all the others could be effected as well.
Utmost importance: protect, serve and heal her body - her fragile body is doing its best to recover from the stress already incurred.
Possible Solution : Administer new types (2 options) of antibiotics - both are experimental. Daptomycin is next choice, second is unknown to me. The first is naturally found in the soil...perhaps Angela's joy of gardening has a deeper meaning.
Concern:
a: Experimental drugs could be the solution - as Cellcept has been in saving her kidneys in past battles...yea team.
b: Suggested options could have issues - her fragile body may not have what it takes to recover and/or her body reacts to the treatment in a more serious manner than what we recently witnessed.
Issue three:
Will need to start treatment next week. It's a 4-6 week program. Hospital environment not good, she needs to be home. With hip replacement, now the infection, Angela requires constant monitoring and nurturing. In-home nursing can do only so much. They can watch her vitals as the treatment is started. Angel's reaction time could be weeks away - in either direction; a positive reaction or a negative...time will tell.
Concern:
a: Experimental therapy runs amuck.
b: I am unable to provide for her care during this most sensitive time. I have to work out of town to provide for the space and means for her to heal.
c: If we refuse Infectious Disease's choice of course of action (experimental antibiotics) Angela's insurance can drop her...
Conundrum:
a: Do I watch from a distance while others go through the learning curves of how and when to do what while Angela contends to new treatments?
b: Do I give up on making a living out of town and focus solely on creating income from home at risk of loosing our home?
Metaphorical thought:
Is the opposing team actually the 'Wolve (Lupus)-rines' at the U of M and our team actually being the 'hOMe' team?
Possibilities to quire:
U of M Infectious Disease sponsor and support an experimental therapy program using 'Natural antibiotics' [UM study, UC study] found to combat/kill bacteria - what about garlic, sulfur rather than chemicals? Maybe Daptomycin is the golden bullet. It's a shot in the dark.
Solution: Pull the word 'conundrum' out of the dictionary and win the lottery.
Conundrum...
