Ketoacidosis without hyperglycemia
December 26, 2009
Girl, 24, type I diabetes.
Intoxicated, vomiting, tachycardic (108 beats per minute).
Glucose 9,1 mmol/L; Na, K, Cl, urea, creatinine – normal. pH – 7,22, HCO3 – 10. Ketones in the urine.
Damn, it is.
Antithymocite globuline
December 14, 2009
Boy, 18.
His first day of antithymocite globuline.
Premedication done.
Arterial pressure 210/110mmHg.
Strange, it usually drops.
Furosemide, captopril.
Better aftewards.
Then bad again. Cough and vomiting.
Ondansetron and dexamethasone.
Better.
If it can be better.
Propofol
December 14, 2009
Moly, mandragora, milk of oblivion:
I said to Doctor Day, “You bring on night.”
“But then,” he said, “I bring day back again,”
and smiled; except his smile was thin and slight.
Style
December 9, 2009
***
style is knowing who you are,
what you want to say
and not giving a damn.
— gore vidal
***
I don’t have style.
I do not know who I am, I doubt constantly and I give a damn.
Sunday
December 6, 2009
It is snowing. I dream of laces.
Was it me or was it you?
I want a bucket of tulips.
Or roses.
