So sorry to hear that Bill is having problems again. I am no where near an expert but if it were my husband, I would push to get an antibiotic for the infection along with a regimen for treating and dressing the bed sore. A bedsore left untreated with or without an infection will get worse and sepsis is a real worry but as well, they can become extremely painful.
I am not sure whether or not this would be considered aggressive treatment but in my book would not only make sense but also be competent medical care. It has been some time since I have nursed but even back when we worked on geriatrics you treated a bed sore and or an infection with whatever was necessary.
Just my thoughts,
[size=67]Husband 61 years old, rarely ever sick, had occasional cough treated as asthma
Jan 30/07 Chest x-ray tangerine sized mass in LUL, smoked since age 11, quit that day
Feb14/07 CT Scan shows 5cm X 5.6cm mass in upper left lung
Diagnosis - Primary lung cancer with ipsilateral and mediastinal lymphodenopathy.
Bronchoscopy- Squamous NSCLC Stage 3A, non-resectable due to proximity to pulmonary artery and mediastinal involvement.
Bone Scan and MRI of Brain Clear and has good performance level
7 weeks of daily radiation (2 beams) & two cycles of Cisplatin/Etoposide
Last week of Radiation, Booster doses, 3 beams instead of 2
Evolving Skin rashes throughout treatment - steroidal topical creams and benadryl.
Post treatment fatigue and shortness of breath
Post Treatment CT Scan-tumor reduced 40% in dimensions, 60% in volume& no significant mediastinal adenopathy seen. Small non-target nodule left lower lobe.
Chest x-ray post radiation scarring, atelectasis, mild degenerative changes thoracic spine
Cleared for Start Trial, One time dose of Cyclophosphamide or placebo by IV
August 07-First of 8 weekly injections of Stimuvax Vaccine (or placebo), four needles, one in each arm and one in each side of the belly
High Uric Acid, constant aching pain in knees, worse in left knee, possible gout
Oct 07 Maintenance Arm Stimuvax Trial, Vaccine every six weeks unless progression
Dec 07 CT Scan shows small left-sided pleural fluid and mixed interstitial and airspace disease in left upper lope and superior portion of left lower lobe and in right upper lobe. Previous identified mass shows markedly decreased, now 1.8 X 2.3cm. Small non-calcified nodule, nonspecific in appearance, within left lower lobe, 4mm in size warrants short term follow up.
Feb 08 Chest Infection cough, SOB, Levaquin antibiotic & Hycodan Syrup
Mar 08 Started physiotherapy twice weekly as part of an integrated gradual return to work program
April 08 CT Scan Radiation changes sharply defined, component of pneumonitis has improved. Resultant volume loss and traction bronchiectasis. Mass LUL has decreased in size, 1.6 X 1.5cm. 4mm nodule LLL and a small left pleural effusion are stable. There is a small pericardial effusion, which has increased in size from prior exam. No auxiliary, hilar, or mediastinal adenopathy! Nothing abnormal in abdominal part of CT scan other than a fatty liver and gallstones and no evidence of abdominal metastases, Continue with Start Trial
May Chest Infection symptoms, 7 day of Biaxin antibiotic and Salbutamol Inhaler
June 22/08 officially back to work full time.
Aug 08 Chest x-ray Arthritis both knees, right shoulder rotator cuff, upper third of spine
Sept 08 CT Scan Stable, minor continued shrinkage of original tumor, 4mm nodule and small pericardial effusion stable Continue with Start Trial.
Sept 08 Chest x-ray unable to measure any remaining original tumor.
Dec 08 Chest x-ray volume loss left upper lobe related to radiation therapy, lungs otherwise clear. Cardiac silhouette mildly enlarged. No Evidence of recurrent Tumor
May 12/09 CT Scan - No enlarged mediastinal or hilar lymph nodes, Progressive volume loss left upper lung, traction bronchiectasis, post radiation fibrosis, 3mm left lower lobe nodule stable since July 2007, small stable pericardial effusion.
No Evidence of Recurrent Disease.
Oct 6/09 Ear Specialist for advanced hearing loss – hearing aid prescribed.
Oct 20/09 Dermatologist to monitor skin & mole changes radiated areas-
Ultra sound finds a 3.5cm lipoma (non-cancerous lump) on left upper chest
Continue Start (Stimuvax) Trial maintainance
Jan 5/10 Virus with secondary bronchitis, off work 3 weeks
Feb 1/10 X-rays, blood work, stable disease
Mar 23/10 Start Trial temporarily suspended (I hope!)[/size]
June 17/10 Start Trial will resume subject to local ethics