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[quote=Anonymous]OP— Just came back to update. DS arrived at 1 am and after 8 hours (4 in waiting room) he’s back at apartment and fast asleep. He made sure his friends left the hospital after he was settled. They all wore n95 masks in waiting room. He has everything he needs because I sent a massive grocery delivery on Thursday for all 6 roommates in varying degrees of sick. He has a big single room with a full midi fridge, air purifier, meds/first aid, and a clean apartment because they’re all clean freaks. Didn’t help much since they’ve all gotten each other sick. He’s taken two of his roommates to ER in the past couple of months. He’s very responsible with medical stuff, good background knowledge, and he’s transparent about most things. He’s the go to solution guy.

Trust me, I would have been there many hours ago or I’d have dragged DH out of bed to go. DS just wanted to get some relief and sleep. His words: I don’t want to worry or wait for your arrival because I’ve been here for hours (spanning 2 ER doc shifts) and the IV drip is dinging and done. He also said we will inevitably lose cell service in certain spots while driving. He preferred I stay on FaceTime or audio in case doc came in, which he did. Said he’s too busy to come home. He just started as a paid TA for one of his professors. He also has an interview on Monday.

I was on FaceTime with him most of the duration and back at apartment. I haven’t slept so bear with me. I have the electronic discharge docs. Just gonna paste the important stuff. To the poster who mentioned epiglottis, you may be onto something. I’m now freaked out by Dr. Ty findings (morning shift ER doc)

Diagnosis: Acute sore throat

Imaging Tests: 
ECG 12 lead
XR chest 2 views
XR neck soft tissue

Medications ER:
acetaminophen (Tylenol) tablet 975 mg / Last given at 7:10 AM
ampicillin-sulbactam (Unasyn) 3 g in sodium chloride 0.9% 100 mL IVPB-MB+ /Stopped at 7:45 AM
dexAMETHasone (Decadron) injection / 10 mg Last given at 8:18 AM
ketorolac (Toradol) injection 15 mg Last given at 8:32 AM:
Lactated Ringer's bolus 1,000 mL

Medication at home: Amoxicillin 1 morning 1 evening plus ibuprofen as needed.

Stats at discharge:
Blood Pressure 133/78
Pulse 120
Temperature 99.4 °F (he never had a high fever)
Respiration 18
Oxygen Saturation 98%

Comprehensive metabolic panel TBD

XR neck soft tissue (Preliminary result)
? Of tracheal narrowing. No prevertebral space widening. Epiglottis hazy on lateral.
Recommend CT with contrast. Doc was somewhat adamant about it. At first he said there was a shadow that might have been due to position of neck or it could be a “boil” in which case he’d remove it with a needle procedure. Epiglottis “hazy”.

I’m not a doctor, but I politely said we’d follow up with our primary doctor and hospital. He said he’d discuss it with DS, not yet 21. I informed him that we are his legal delegates, medical proxies, and all the other stuff. I stayed on the phone and texted my son that it’s not happening at this hospital. DS replied, no shit!

Discussed and declined CT with contrast and requested all findings in discharge papers. Will send digital X-rays Monday to his primary doc.

His chest X-ray showed some things that I won’t get into here. ER doc didn’t mention it. I only found out from discharge notes. I used Google doctor to determine a pattern in findings. I hope I’m wrong. In a nutshell, it pointed to a previous illness not treated. This is the first time he’s had strep, if that’s what it is! He had Covid once and recovered without long term issues. He had undetermined freshman crud, used university health center with negative results. Picked him up to take to primary doc who prescribed a mega  antibiotic power pack which did the trick. Wonder if it was too late. :([/quote]

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