Dr Brims : Hello, welcome to the site!I will try to assist you with your medical question, and any medical information you seek
Dr Brims : I'm sorry to hear about this
Customer: hello. thank you. it's a terrible situation. Right now I'm so very worried about the pneumonia. It's very serious.
Dr Brims : Have they determined the strain of pneumonia yet?
Customer: no they did a broncoscopy yesterday and are waiting for the results
Customer: but it's in both lungs
Customer: and he wasn't able to breathe on his own
Customer: so they put him on the ventilator again
Customer: because his lungs were filled up
Customer: and they suctioned out a lot of the stuff from his lungs
Dr Brims : Okay, the type of pneumonia will play a large role in his treatment and possible recovery
Customer: ok. he's on industrial-strength antibiotics right now but the pneumonia seems to just stay the same
Dr Brims : If it is an opportunistic infection, it makes the chances of recovery worse
Customer: not get better or worse
Dr Brims : ok
Customer: well, here's the thing: he said he was taking medication for the HIV and got his blood checked every month
Customer: so we were all very surprised when we heard his t-cell and CD4 counts were so bad
Dr Brims : ok
Dr Brims : I understand
Customer: so now we're not sure whether he was taking his medication
Customer: but he had them on him in his bag when we looked
Dr Brims : Okay
Customer: but either way, i think they think its "just" hospital pneumonia
Customer: from being on the ventilator.
Customer: the doctor said considering his overdose and his condition it would be a medical first if he didn't develop pneumonia
Customer: which leads me to think that it's not an opportunistic infection
Dr Brims : I see, there are different types of pneumonia, so it depends on the type
Customer: ok, so basically everything including his prospects for recovery depend on the type of pneumonia?
Dr Brims : Yes, if it is an opportunistic infection, or a bad bacteria like pseudomonas then his chances are worse
Customer: can they put him on linezolid or quinupristin/dalfopristin or daptomycin?
Dr Brims : They can place him on any of those, it will do no good if it is the wrong bacteria, those drugs are good for treating MRSA bacteria
Customer: ok, well I guess the only thing to do is wait for the culture to get back.
Dr Brims : Yes, at this point, that is the only thing to do
Customer: so it's a waiting game: hoping the pneumonia doesn't get worse while we wait for the culture, then getting the right antibiotics given the results of the culture?
Dr Brims : Yes, that s exactly the correct course
Customer: ok, thank you for your help
Dr Brims : You're very welcome