deterioration

Over the week, Ethan has progressively worsened. The RSV was still causing coughing, followed by vomiting. His weight issue also became a bigger problem with him now at 9.7Kg. On tuesday afternoons, the oncology doctors, social workers, pharmacy, dietician, physio, nurses and day chemo staff all meet and discuss the plan. They decided to start a top up feed plan that goes straight into his veins (TPN). This has to be metabolised by the liver which creates more side effects issues, but he needs to be beefed up so there isn't much choice.

He had been dehydrated, so fluids were commenced, and his next weigh in was 10.4Kg. Unfortunately this was all retained fluid. He was starting to look flat again, so antibiotics were commenced. They were hoping to stop any bugs brewing, but the next day the fevers began. This made him even more flat and miserable as he had increased heart rate and respiration and low sats. The oncologist got the respiratory doctors to look at him to see if it was still just RSV. They believe it is RSV, right lower lobe pneumonia and asthma. They started an asthma plan and are going to review him today. If he is still getting temps they are considering a bronchoscopy to test for a rare bug that chemo kids are more likely to get.