Lost and concerned

Ketoacidosis without hyperglycemia

lostandunconcerned — Sat, 26 Dec 2009 12:12:53 +0000

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.

lostandunconcerned — Mon, 14 Dec 2009 21:01:34 +0000

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.

lostandunconcerned — Mon, 14 Dec 2009 20:57:20 +0000

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.

lostandunconcerned — Wed, 09 Dec 2009 20:36:56 +0000

***

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.

lostandunconcerned — Sun, 06 Dec 2009 20:24:31 +0000

It is snowing. I dream of laces.

Was it me or was it you?

I want a bucket of tulips.

Or roses.