Friday Morning

It turns out the MRCP did not happen last night.  CT scans and MRCPs have a procedural requirement that the patient be admitted and not from Emergency.  So the CT folks scanned Mary on her way to her room because, technically, she had been admitted. At that point the MRCP folks couldn't find her because she had been kidnapped by CT.  So, they'll run the MRCP scan this morning.  

Here are some MRCP links. 

1. Really Technical
   
2. Less Technical
3. MRCP for Dummies

Or, do what I did and put "MRCP MRI" into your google search window and read on! 

I did talk with Mary this morning. She had sleep like a log which is the first good sleep she has had since Tuesday's ERCP.  They have rewritten her orders to put her back on fentanyl--again a protocol issue between what the ED was giving her and standing orders in the surgical bed wing.  She has asked for her iPod so she can listen to books on tape.  Mary's son Tim left an iPod Touch loaded with movies for her and she has asked for that too.  She is feeling better, obviously. She did not ask for the crossword puzzles and refused them when I asked so she is not near her normal functioning level. I mean, the day doesn't start without a good crossword puzzle. 

I'll be there about 10AM and provide an update thereafter.   The day's plan is the MRCP first and they have reserved another ERCP slot this afternoon.  Recall, one possible source of the current problem is that the stent has slipped out of place since Dr. Banerjee placed it on Tuesday morning.  The MRCP should show if it has moved. 

Please, please feel free to sent emails if you have questions. I'll either answer directly or on the blog.  Email to "pat - mary [ a ] lamey - hughes . com" by removing all spaces and replacing [ a ] with @ symbol.

That is all for now. 

Pat