UMCU Dag “+ 9 ” Intensive Care

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


Er zijn gisteren 2 zakken trombo’s gegeven en 2 zakken rode bloedlichaampjes (hb was gezakt tot 4,5).
Door de lage aantallen bloedplaatjes krijgt Dolf over zijn hele lichaam puntbloedinkjes.
Vandaag volgt weer een zak trombo’s. Waarde is nu 8.  

Metingen 11.15 uur

hartslag 80
bloeddruk 138-62
saturatie 98%
temperatuur 36,5
Gelukkig geen koorts of verhoging meer! Er wordt nu alleen nog het preventieve antibioticum gegeven, dat op basis van het stamceltransplantatie schema gegeven moet worden.


Er is weer plasmedicatie gegeven om het vocht achter zijn longen weg te krijgen. Het vocht bemoeilijkt het ademhalen.


Dolf krijgt weer morfine, want de beademingsbuis zorgt wel voor pijnklachten.


Dolf is steeds vaker een beetje wakker. Zijn ogen gaan af en toe open. Hij begrijpt ons, maar voor ons is het moeilijk om hem te begrijpen. Door de beademing is praten onmogelijk. We moeten dus gerichte vragen stellen, waarop hij met kleine bewegingen antwoordt. Hij steekt nu zijn duim omhoog, als we iets goed geraden hebben.

Tijdens de opname voor de streptokokkeninfectie kon hij, toen hij wakker werd, enkele dagen alleen zijn oogleden bewegen. Ogen lang dicht betekende “ja”, knipperen met oogleden betekende “nee”. Een letterbord erbij, kolommen aanwijzen, letters aanwijzen. Het is enorm frustrerend, als na een lange poging het woord nog steeds niet begrepen wordt door de “gesprekspartner”.
Dit is nu dus weer het geval…


Met de intensivist gesproken: als je puur naar alle metingen kijkt, zou de beademing misschien stopgezet kunnen worden. Dan zou de buis, waar Dolf zo’n last van heeft, verwijderd kunnen worden. Alleen als het te vroeg blijkt te zijn en de buis zou opnieuw geplaatst moeten worden, speelt het probleem van de lage waarde van de bloedplaatjes… (een bloeding nu brengt levensgevaar met zich mee). Waarschijnlijk is het verstandiger de buis voor de zekerheid een dag langer te laten zitten. Intensivist en hematoloog overleggen regelmatig, wat te doen.

Laat het traject alsjeblieft wat gemakkelijker en minder angstig worden….. 

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  14. Thanks for the amazingly thorough review, AJ! I mean, I like to eat, but that’s taking one for the team. The potato leek soup looks good, but so does the French Onion. It’s hard for me to resist that cheese. Though I’m a carnivore, the ratatouille actually sounds pretty yummy.And, of course you said, “wrastled.” You are becoming more and more Texan (I also love to hear you say, “y’all” on the podcast!). Can’t wait to experience Be Our Guest in April. I’ll be asking for the West Wing, methinks.

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  32. I first came across the term plot moppet on a review – I think that’s a sort of overarching name for all children that show up because the plot asks for it and don’t come across as characters for their own sakes. I find it a particularly apt word ^^.

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  34. The constellation of your family life might change, but it seems there is an interesting symmetry.  Your eldest had his first 7-10 years at home as a one and only.  Your youngest will have his last 7-10 years at home as a one and only.  In your  household, that does not mean lonely and abandoned.  It means relished, supported, enjoyed.

  35. I quite like how in their desperation to make fun or say something subversive about Christianity, people like Minchin often get things slightly wrong. There is so much more in the Christian religion to make fun of if they really want to, I don't see why they stick to popular misinformation. For example, as far as I know, it isn't Jesus who has a penchant for drinking blood per se, but us Christians. Get it right!

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  39. Happy blogaversary!I love many kinds of quilts, but I have never finished a big quilt yet (although I have started 2 quilts for my daughters). I prefer minis, they are faster to make.I have never used a pattern entirely, nor used ‘designer’ fabrics as they are not available where I live (in France patchwork fabric ishard to find and very expensive)I just love everything you do and I admire your fastness (and taste)Thank you for the giveaway.

  40. ولكنه انحف ويعمل فيه تجويف من الداخلبطوله ويقص قطع على حسب الحاجه ويستخدم لوضع الطلاسموأوراق الكتابة فى داخله وسده من كلا الجانبين بالشمع العسلى

  41. politishuns play for green beans. gibbedly gobbldy goo. wite people be stupid. bush put white panthers in my bedroom so now i sleeps in the refrigerator. everybody knows what i know is everybody an what you know is wrong. regenery peccary and calvin coolidge too. sarey palin would and did. common sense makes me dizzy. shoes? ha retarded christians wish. hate.Mildew

  42. I just saw a version of this flyer in my local Wally World last night. Among many other things, it was advertising Colt, DPMS, and the SIG AR shown above. My store does not carry rifles, but there was a web URL to find the nearest store where they are available.Money talks…

  43. You’re right about the Old Town markets. My grandson especially enjoys the petting animals. My favorite for shopping, however, is the one at Nam.Miru–more compact and quieter. There’s also a french pastry shop down the street from there with wonderful treats!

  44. Visite tardive (merci insomnie^^) mais je vois que ton programme est bien rempli, tes lectures m'impressionnent ! Ce tableau est superbe, je ne connaissais pas ! Toutes mes amitiés à Moustachu et une meilleure santé ! Je vais t'appeler Florence NigHtingale à ce rythme !!! ;D

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