UMCU – Dag 30 IC Uitslagen/stop slaapmedicatie

Cijfers:

Bloeddruk stabiel.
Ademhaling minder snel (ondanks minder medicijnen), dus dat is goed.
Bloedgas blijft in orde.

Bloedwaarden gaan beter;
Rode bloedlichaampjes 5.1 (was 4.7)
Witte bloedlichaampjes 4   (was 3)
Trombo’s  94           (was 70)
Infectiewaarde 48   (was 89)
Kalium te hoog 5.8 (later op de dag in orde dankzij insuline en glucose)
(in de avond weer te hoog).

Gesprek met hematoloog en intensivist 

Uitslagen onderzoeken:

CT-scan: longen zien er beter uit dan 2 weken terug.

Bronchoscopie: de kweken verklaren niet de oorzaak van de ademhalingsproblemen, de steeds terugkerende verhoging, het ziekzijn.

Darmonderzoek: er zijn kleine stukjes in de darmen die wijzen op afstoting, maar verder zijn er geen afstotingsverschijnselen. Dat zou te zien kunnen zijn aan vlekken op de huid en afwijkende leverwaarden, daar heeft Dolf gelukkig geen last van. De afstoting in de darmen hoeft nog niet behandeld te worden.

Het blijft een raadsel, waarom Dolf steeds opnieuw koorts krijgt. Zodra Dolf koorts krijgt, wordt hij heel ziek en gaan zijn ademhaling en hartslag ook weer verkeerd. Er zal nu ook getest worden op tuberculose, maar dan moet er al langere tijd geen antibiotica gegeven zijn, dus die test moet nog even wachten.

Wat kan er aan de hand zijn? Wat is de oorzaak van de steeds opnieuw optredende koorts? 

Er worden opnieuw vragen gesteld: hebben we huisdieren, contact met zieke mensen, die hem besmet kunnen hebben, is Dolf onlangs in een oerwoud geweest (tropische ziekten) ? We peinzen ons suf.

Voorlopig worden de antibiotica niet gestopt, om een volgende terugval te voorkomen…

Bloedwaarden daling

De grote daling van de bloedwaarden eerder deze week kan misschien verklaard worden door de werking van medicijnen. Hier is geen zekerheid over. Het is wel fijn, dat ze nu weer stijgen.

SLAAPMEDICATIE EERST GEMINDERD,  IN DE MIDDAG STOPGEZET

Dolf kan weer wakker worden. Hopelijk blijft de ademhaling dan net zo rustig als nu hij slaapt.
Het tempo is wel te regelen met medicijnen, maar het zou fijn zijn, als dat niet nodig is.

Vanavond heeft hij een aantal keer zijn ogen even opengedaan. Hij reageert als we hem aanspreken, maar kan zijn ogen niet lang openhouden. Er zit nog veel slaapmedicatie in zijn bloed. Zoals in eerdere perioden, vlak na het ontwaken op de IC, geeft hij door het ophalen van zijn “wenkbrauwen* ” aan, dat hij het ermee eens is. Ook kan hij in je hand knijpen. Fijn, dat hij weer een beetje wakker is. Hopelijk heeft hij niet te veel last van verwardheid.

*  We dachten, dat het niet (meer) zou gebeuren, maar de chemo heeft deze week alsnog Dolf’s    wenkbrauwen en wimpers laten uitvallen.

161 gedachten over “UMCU – Dag 30 IC Uitslagen/stop slaapmedicatie

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  16. I’ve worked on more than one stock control system as an analyst/developer, and all of them have a function to return stock to the supplier because it doesn’t match what was ordered. It’s one of the standard functions I’d expect to see in such a system. For that “last one in stock” situation there might be a business rule that the last item can only be issued for high-priority jobs or require management authorisation.Going back to the hotel reservations issue, that might just be a case of a situation that occurs rarely enough that a manual work-around (i.e. making the reservation by phone) is an acceptable solution.

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  22. Ray, thank you for the great review!I looked at a few random runs published at MovesCount.com. I noticed that it shows average and lap speed in km/hour everywhere. Do you know if the site can be configured to show the pace (min/mile) instead?Also I wonder if the FusedSpeed helps in any way to measure distance on mountain trails with a lot of switchbacks. My Garmin watch seems to be “cutting corners” on forested trails and ends up measuring less than the actual distance. I wonder if Ambit works better in this situation?Thanks, Stan.

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  30. RE motorcycles:They are dangerous toys. Save yourself and the environment and get yourself a Honda Fit. It gets 34 MPH highway can fit five, allows you to drive in the rain and is more reliable than my morning dump. Did I mention that you can get one for 14K?Twelve years ago, 14K is what I paid for my Civic hatchback (which has never needed repair outside of standard maintenance). This is essentially the same car with 10 more HP but 10 less MPG.

  31. Compreendo o valor da ciência na busca pelo desconhecido, pelo mistério. Mas será que um dia ela será capaz de vencer a morte? Sim, pois a morte é – bem possivelmente – o maior de todos os medos, o que gera todas as crenças, que nada mais são que desejos. Profundos desejos humanos de superá-la, de não encerrar definitivamente a nossa existência como indivíduos. Talvez nem mesmo a ciência seja capaz de gerar conhecimento que alivie esse medo, tão humano.

  32. It is not a waste of money. The special effects and animation are well worth it and will blow your mind. You will actually forget at times that you are watching special effects. I disagree with some of Rawles points, but the plot does have its problems. Overall, the movie is very much like Dances with Wolves and/or The Last Samurai in a sci-fi setting.

  33. juti, also mein eintrag auf der seite sieht so aus:[yearly-month-archive columns=3,show_empty_months=1,show_post_count=1,use_container=div,sort_order=1]und ich nutze die deutsche version 2.7.1 und in der config wird auch aufs deutsche verwiesen: define (‘WPLANG’, ‘de_DE’);die zeitzone im wp ist utc + 1, die standardeinstellung.hast du ne idee?

  34. I’ve read the first two books of 50 Shades and the Hunger Games. I definitely prefer the Hunger Games – Those are a GREAT read. 50 Shades was interesting. I couldn’t keep going past the 2nd book, because I lost interest. I kept saying to myself, “Jeez… They’re going to do it AGAIN?” lol

  35. Funny how otherwise intelligent people weigh in with "I hate math" as if that's relevant somehow. Math is there, it's required for Physics and other science courses. The worst thing a parent can is sympathize and say is "I was bad at math too – " Hoo boy that's the end of it for most kids. Again, I'm with Tiger Mom on this one.

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  37. Dearest Vix, what a bloody nuisance about the boiler. I hope it's something simple.Love the the dress, how fabulous you look watering your plants.The shoes are gorgeous and so are the wall plaques.I wanted to do window boxes and pots last weekend but we ran out of time. Next weekend definitely.Speak very soon, much love, C xx

  38. You are too funny Kim. You do look beautiful and thanx for sharing some of your products. I had been using Bare Minerals for about 5 years up until recently. My face had started getting really oily which is why I started using it to begin with so I changed to an Ulta product and thus far its pretty good.

  39. Bonito look!sempre no topo camila!mas eu moro na França e os dias do namorados já passou:(mas mesmo assim,sempre me preparo toda para o meu gato!!!!beijo bem grande***[]Camila Coelho Respondeu:June 9th, 2011 em 4:34 pm, E tao gostoso ne, flor? hhe BJinhos amoree []

  40. I can agree with you that we can enter a rational., Socratic discourse of (moral) inquiry; because it is fundamental to my Western civilisation to do so. But I also reckon it will lead to a confession of ignorance. and doubt, not moral certainty.Being uncertain is the great achievement? Perhaps that is universal morality?

  41. hello P … like you I saved many of my books for my kids and now I have two boys the picture books are a treat for me to re-read to them. My mum often put who gave them to me in the cover and my age … it gave rise to my boys asking for stories of my own childhood …. now that was fun. I love your sharing with the world thing … its great to give i have sent things i love to others who I know would love them more and the feel good kickback is a wonderful thing, best le

  42. When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get several e-mails with the same comment. Is there any way you can remove me from that service? Cheers!

  43. I have never seen Avenue Q–but it sounds like something I would enjoy. You’re right, we can’t know all of the side effects of what we do. I’m sure we’re affecting people/nature right now without even realizing it. And yes, if it’s meaningful, then it’s a life purpose.

  44. Transacted with Benedict probably four times. All fast and easy transactions and VERY REASONABLY PRICED ORIGINAL products. Enjoying my iPad 3G + wifi and my daughter her iPhone 4G. My son and daughter also got their MacBook Pro from Benedict. Am sure these won’t be our last transactions with him and David. MERRY CHRISTMAS and many thanks.

  45. i love bread upma too.. why is it called bread poha? poha means aval right? ur pic looks soooo tempting. i love white bread.. but for health reasons, i buy whole grain wheat bread 🙁 ever since i started buying whole wheat, i started hating bread. lol… nothing like soft white bread toasted with ghee..

  46. I was sort of hoping the Large Hadron Collider would cause time to reverse itself, so we’d get do-overs on the last eight years. Well, do-overs on the entire span of human civilization, really. I suppose a ludicrous hope isn’t the same as a bad prediction.Looking back on 2008, it seems quite a bit of it took everyone by surprise. Hands down, Nov. 4 was my favorite day.

  47. I am so happy you were able to make the trip to see us! You are just as lovely in person as you are on your blog – perhaps even more! I have loved meeting so many girls through blogging, and I am so happy to say that they are my friends. You are no exception! I hope that we can see each other again soon! Whenever we head to the Austin area to visit my in-laws, we should definitely meet for dinner/lunch or something! Heart you, Jenn!

  48. The whole FEMA and NWO concept is not a new idea by any means. People have been fighting this for over a century now. It dates back to early 1900s when immigrants were protesting the capitalistic natures of the US government and how the people didn’t have a true say in how the country was being run. Bring in the BOI led by J Edgar Hoover, and mass deportations start taking place, as well a similiar tactic was used to generate fear in the american people with a bombing on wall street.

  49. Kjære vene, har Noah blitt sÃ¥ stor at han kan stÃ¥ ved bordet? Han var jo nettopp i magen, jo?! Ja, ja…tida flyr!! Det er pÃ¥ barna vi ser det!Fantastisk øy dere bor pÃ¥. Knallflott. Burde besøkt den øya forstÃ¥r jeg. Men forstÃ¥r jo at en del av de som bor der er smÃ¥gærne som driver med isbading!!Ha en flott dag! KLEM!

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