It may seem obvious but for the most part, it isn't, and fevers are produced by infections. And in many ongoing cases unidentified infections. In some cases, the infection hides in one part of the body, and the body never can or will identify it willingly, at first anyhow; like a tick hidden some place on the body, the problem comes when the infection seeps into the bloodstream, now we may encounter bacteria, and a fever with a rise in temperature throughout the body.
Now by taking this one step further we have the case at hand-an infection in the person's body with sporadic out bursting of bacteria into the blood and a fever jumping here and there, to and fro, like a kangaroo. Meaning it can go deadly high and suddenly comfortingly low: perhaps a conflict in therapy for a medical doctor or student.
A similar, but lesser example might be some one with MS, who has 20/20 vision one day, and 20/40 vision the next, and in 9 out of 10 cases, the doctor would most likely not give the right reason for the rapid change, actually I think a nurse would be more apt in identifying the change without long term investigation.
In some cases a wrong diagnosis (or judgment) may be given for or to the fever influenced by a prognosis (or preventive view) by one staff member to another, to place his or her therapeutic concerns on. So we predict a care for an illness, which cannot be influenced by the medicine offered. Sometimes the prognosis matters more than the diagnosis, or a judgment is made too quickly: which involves the prestige of the physician.
Another example might be, a diagnosis for shock treatment, because a patient's heart is beating at two-hundred beats a minute. This can change in a matter of minutes or hours, or days. Assuming it doesn't change for days, the prognosis is shock treatment, and thus the physician reads the chart, not the apparatus by his bed, that shows his pulse rate, and so forth, and now his heartbeat is sixty-two beats per minute, for an older person this is fine, while at rest, but he doesn't check anything, he has the diagnosis, and prognosis, and is going to town on this guy, and he's warming up the machine to place those two round disks on his chest, and give him voltage, hoping to lower the heart rate. Lucky the patient said "Hay, look at this machine, not that one."
"Oh," says the doctor, "why didn't someone tell me?"
Anyhow, Chris Christianson has a fever, he's eighty years old, it is caused by some infection that cannot be found, but it went from 106 to 100, by the usage of several antibiotics. Assuming if they didn't find the source, all those antibiotics will kill anything inside the body, along with penicillin. Thus, he was given a host of drugs without finding the nature of the infection, not known, and not knowing the location of it, annoying to say the least. Although, I repeat the fever was lowered.
So what took place here? Someone decided to precede with a specific remedy, unknowing the cause. The temperature was reduced. He was given oxygen by a face mask. The mask had come off in the middle of the night; he was not checked until the following morning. He died. Where did this happen? In a St. Paul, Minnesota Hospital, the wife was going to sue for negligence, but to my understanding didn't at the time I talked to her.
The elevation of enzymes, a sign of insufficient oxygen was present to my understanding. Although somewhat unexplained, and one doctor suggested food poisoning, which was all too late. In reality, what took place was clear: brainstorming.
((What they didn't do-by the looks of thinks-was oxygenating the patient's bloodstream. Drying the lungs out, encouraging coughing; checking on the patient more often.)(Consequently, he lay in bed that fatal night, eyes closed, unable for some reason to push the alarm button, or pull the string, and the nurses failed to respond.))
No: 791 (4/7/2011)
Inspired by actual events, but semi-fictionalized by the author, because no one came up with the answers.
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