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Update: The patient has done well since extubation. Cultures confirmed strep pneumo, which was sensitive to the antibiotics he was given. He is alert and oriented and apparently behaving normally. Family and friends confirm that he is back to his normal mental status. He will undergo a battery of neuropsychological testing to look for any subtle sequelae.
Further questioning of family and friends revealed that he had been suffering from symptoms of sinusitis in the days before he presented to the ER. The previous day, he had some nausea, vomiting, and diarrhea, which was thought by family and the patient to be due to gastroenteritis at the time.
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You may find me one day dead in a ditch somewhere. But by God, you'll find me in a pile of brass. -Tpr. M. Padgett
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