UMCU – Dag ” + 1 ” – Dipfase

 Op verzoek van Dolf zorg ik, Marjolein, voorlopig voor zijn blog.

Strenge controles

Gisteravond kreeg Dolf lichte verhoging, maar gelukkig zakte zijn temperatuur weer. Zijn polsslag was wel aan de hoge kant.
Ze hebben gisteravond 2x en vanochtend vroeg zijn bloed gecontroleerd, om te kijken, of er veel bloedcellen afgebroken werden. Dit viel mee. Wel is er extra vocht via het infuus toegevoegd, om de nieren te ondersteunen bij het afvoeren van de afvalstoffen.
Ook is de spiegel van de medicijnen tegen afstoting gemeten. De spiegel was iets te laag, dus de dosering hiervan wordt verhoogd.
Ook is zijn bloedsuiker gecontroleerd, ook ivm de sondevoeding. De waarde was prima, 6.6.

Misselijkheid

Om 1.00 uur vannacht moest Dolf toch weer overgeven. Gelukkig waren de pillen van 20.00 uur en van 22.00 uur al opgenomen. Nu is ook het tweede medicijn tegen afstotings-verschijnselen voorgeschreven.

Vandaag is toch weer sondevoeding aangesloten. TPV, totale parentale voeding (dit gaat buiten het maag-darm-kanaal om, via de bloedvaten). De helft van het benodigde aantal calorieën en voedingsstoffen komt nu via het infuus.  Dolf probeert zoveel mogelijk zelf te eten, maar door de misselijkheid lukt dit momenteel niet altijd even goed. Verder gewichtsverlies moet worden voorkomen.
Zijn gewicht was nu wel weer hoger, maar dat was weer door de grote hoeveelheid vocht die via het infuus is toegediend. Toch weer plasmedicatie nodig!

Bloed

De bloedwaardes zijn zoals verwacht, het zijn geen spannende uitslagen.
Hb (rode bloedlichaampjes) 4,9
Leuko’s (witte bloedlich)      0,5
Trombo’s                                 54

Bloedtransfusie dus (2 zakken rode bloedlichaampjes).

Dipfase/hygiënische voedingsrichtlijn

Dolf zit de komende weken in de dipfase (zie ook toelichting 13 mei!!). Op de afdeling hematologie wordt de “hygiënische voedingsrichtlijn” aangehouden. Er zijn strenge regels met het oog op de voeding, omdat bacteriën uiteraard ook via voedsel binnen kunnen komen.

Deze richtlijnen gelden voor Dolf, tot het moment, dat hij geen medicijnen meer hoeft te slikken tegen afstotingsverschijnselen. Er zijn “verboden etenswaren” (bijv. geen vlees dat niet goed doorbakken is, of vleeswaren, zoals filet americain), strenge bereidingsvoorschriften (bijv. geen zacht gekookt ei). Daarnaast is gebruik van houten snijplanken en houten lepels verboden. Strenge voorschriften m.b.t. bewaren van voedsel (hoe bewaar je het, hoe lang mag een open verpakking in de koelkast bewaard worden). Uiteraard goed schoonhouden van de koelkast/het aanrecht etc. Vooral géén vaatdoekjes gebruiken, maar keukenpapier.

Jammer, geen afhaalmaaltijden meer de komende tijd. Een Turkse pizza ging er altijd wel in…

Gelukkig, Dolf lust geen vis, dus het verbod op vis doet hem niets!

174 gedachten over “UMCU – Dag ” + 1 ” – Dipfase

  1. Truly an impressive game. I’m just sorry that no home version has ever been able to recapture the excellent joystick /paddle knob combo that is really needed to play the game well. Great fliers!

  2. I love that small-headed Moore statue. Would it be vain of me to think I resemble it? Question: must art be big to be appreciated? I like how architecture used to integrate sculpture so brilliantly; not so much any more. Sad. We must have beauty to give us hope. Bring on the frivolity – and how well you do it with this frock. It's a burst of sunshine. I see you swinging down the street, tossing flowers to all who pass by.

  3. Blaming Duncan while ignoring Obama is naive in the extreme. Duncan is OBAMA’S pick, and he was picked because Obama AGREES with it. He said so even when he campaigned for president in 2008. He is a neoliberal, not a real Democrat, and, if you had paid attention at all in the debate last night, he trashed teachers’ unions.

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  16. Thanks Jetty, I get the whole social media issue, I’m not good with it either, but you can ask your friends to tweet and facebook for you. You can definitely do blog posts about the contest and put a link in there, ask people to share, you know what I mean?As for the feline, if the feline was in a photo with the dog that would probably be okay, but it it was just the feline it wouldn’t be a blogville dog and the name of the calendar is Blogville Dogs and Their Rescue Cause. Maybe the next time we did it we could modify the rules.

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  22. Its been a long time – I hope all is well with you. As always, I appreciate your comments. I’m trying to grow in this area and to be more positive … my hope is that by doing so, I’ll be happier personally and professionally by breaking the normal cycle of normal “problem solving” approaches to life.

  23. Janet — I loved Brassed Off! It’s a Veddy English Film.Happy Birthday, Stennie! I’ve been a little busy — by the time you record this, I may or may not be a homeowner again. I really want this townhouse, but at the same time, every house lost is one move I don’t have to make. I’m always okay with not moving.

  24. Brilhante a sua contextualização da fotografia na sua vida. Parabéns, gostei de conhecer o seu trabalho. Estou a caminho de me profissionalizar nesta gratificante arte que é a fotografia. Visite a minha galeria. Um abraço e sucesso.

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  27. We look at pictures all the time in our family, but I know your point about them being everywhere. I don’t have a ton of pictures from my activities growing up. Sometimes I wonder if I ever played little league or acted in plays, but I remember those experiences even if I can’t find an album to look through.

  28. Well it’s the solution to your example as you created a ridiculous scenario in the first place. That doesn’t necessarily translate to the real world. The effect of printing money depends on the economy you inject it into and how investors and consumers will react.

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  30. Caro Gaetano, sono io a ringraziare te per i preziosi e stimolanti contributi che sai offrirci. I miei ragazzi sono veramente in gamba e stanno dimostrando di essere molto maturi per la loro età.Anch'io lodo in particolare, Miriam, che ha saputo riassumere efficacemente alcuni concetti nodali.Bravi ragazzi e a presto Gaetano:)

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  37. the Bruins, as Stanley Cup Champs and few expiring contracts are mostly set. Recchi retiring means the final game 7 line up plus Horton is the opening day. The only questions are Ryder and Kaberle. I would replace Ryder with one of Caron,…and re-sign Kaberle. Team is done. Focus on defending.

  38. HEY! I am not 6 decades YET. Well, I guess technically I am in my 6th decade but I still have a year to go before the big 6-0. And I’m having a great bday month, thank you very much…..Burger fest with Pat, “Ah Wilderness” with Janis, and looking forward to Laschetts on Friday night…..

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  40. I saw that trailer with the Hobbit last weekend. Holy shit it looks terrible. Holy shit. It’s like they saw that Snow White and the Huntsman made money, and thought, “Well, Humpty Dumpty is too stupid – how about The Brave Little Tailor?”

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  45. Coming from a mother of only one child, your tips and musings really help me to stay present in my daughter’s life. And my husband’s! Especially your post about “these small hours” … I love it and read it often. Childhood is fleeting … 7 turns into 47 in the blink of any eye … just ask my Mom!

  46. Regarding the whole NCAA Violations matter, I truly think that the NCAA needs to either be more efficient – and thereby more of a martinet – or become more realistic in their evaluations. While I have absolutely no use for the likes of “Cal-the-Lip”, this current Bledsoe thingy is a waste of time, money, and newspaper ink … The NCAA ought to simply follow the olde adage of “Follow the Money” !!! No $$$, no violation … By $$$ I mean the disbursement of anything by anyone (school, booster, or supplier) to anyone associated with the kid !!!Seems pretty simple and realistic to me !!!

  47. Excellent read, I just passed this onto a colleague who was doing a little research on that. And he just bought me lunch as I found it for him smile Therefore let me rephrase that: Thank you for lunch! “Curiosity will conquer fear even more than bravery will.” by James Stephens.

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