As the doctors became so fond of telling me, they don't usually see 'osteo' like this. Usually is is a small abscess or maybe two, nothing spread out over this much bone. But staph is an aggressive bug, and is good at hiding in bone. No wonder my boy was in so much pain. I hardly had time to think, if only they had seen this Tuesday! Maybe it would have been less severe.
I can't find an MRI image online that compares to Toly's.
We were admitted and IV antibiotics- Vancomycin- were administered. They explained that Vancomycin was their big guns, and that they hoped to get a culture of the bone eventually to see if they could tailor the drugs. Turns out that 'eventually' would be very soon, because the bone doctors came in right away to tell me that Toly was scheduled for surgery in the morning.
The surgery would be investigative/ They planned to aspirate the bone in 3 or 4 places to see if they could get anything out of the pockets of infection. They chose the best locations based on accessibility. I signed consent forms which said that if they chose they would also drill into locations and remove infected bone and marrow. All of this would be done under general anesthesia.
|The morning of the surgery. Toly insisted on holding the infected arm up above his head during the worst part of the infection.|
Toly was really concerned about the mask, so we asked them not to use it. I wish I had discussed their methods more because this time the anesthesia went off without a hitch. Toly fell asleep in my arms and they took him away. The doctor's name was Pandya.
|Doctor Pandya put his initials on the arm. Toly was in a lot of pain here.|
I will continue the story soon. Right now I need sleep.