when a transvestite federal judge from Massachusetts has to go all the way to New Hampshire to get arrested for DWI while in drag…
Residents in Cambria County are upset that the Amish are dumping Outhouse waste onto their property, and causing a potential for well contamination. Story here.
Here’s a professional explanation of the John Ritter case.
Still bottoming out my BP; consistently 90′s to 100′s over 50′s-60′s. My ending BP (after my saline “rinse back”) was 105/59. The Nephrology fellow, Dr. P, was in today and bumped up my dry weight again (now 89.5 kg), and said that he’ll continue this as long as I’m having lightheadedness and low bp’s. I guess they don’t have a Crit Line.
My machine ran at 450 ml/minute, which is the upper limit I have so far been able to reach; no infiltrate at that speed, and the dialysis is more efficient the higher the rate. Due to the weather, I was set to end 30 minutes early, but then, my dialyzer clotted, and they stopped another 22 minutes early, rather than losing 200 cc or so of blood. So my treatment was cut short 52 minutes, but they were only short 200 cc of fluid to be removed. Beginning wt: 91.1 kg. End wt: 89.3 kg.
Late start at dialysis yesterday. They had 2 nurses off, which made it busier for the ones who worked. I didn’t get on until after 12:00, and out at around 4:35. I did have some bleeding issues afterwards, but after a dressing change, it stopped, and my clothes were spared. The lady in the next chair wasn’t so lucky. She had the clamp over the puncture site, and the force of the blood blew the clamp off and she bled all over her chair, and her back was soaked with blood. Other than that, I had some occasional cramps, but nothing major. My BP was a bit low at the end: 98/60, and that was after the saline rinse (150 cc).
Beginning wt: 92.7kg. End wt: 88.1 kg.
Last night, I was lightheaded and weak. They didn’t adjust my dry weight again, because prior to dialysis, I was fine. However, today I almost blacked out a couple of times when I stood up, so maybe I do need another adjustment.
Can you find the glaring error in this article?
I had a decent day today. Prior to leaving work, I ate a sandwich, since it’s a long time between breakfast and supper without eating. I ate half of it and it promptly came up. I don’t think it was a stomach virus; it was more a gastric bypass puke (there is a big difference; the gbp is when something doesn’t agree and promptly comes back up). I can tell the difference, because once it comes back up, I’m OK to eat again as long as it’s not the same thing.
Dr. H was in to see me today, and increased my dry weight again to 88.5 kg. I’ve had it increased by 2 kg since starting dialysis (roughly 5 lbs), which can be attributed to me feeling better and eating better. I don’t think that’s a lot of weight, considering I was somewhat anorexic (not to be confused with anorexia nervosa) prior to dialysis. My BP is still low (105/58 at end of dialysis today), which supports the need to increase my dry weight. If I’m still having lightheadedness Saturday, he’ll go up another 1/2 kg.
I met with the dietician today, and she was very pleased with my labs. Even though 5 is high for phosphorous in NORMAL people, for someone with kidney failure, it’s still considered normal. I asked about my PTH; that will be done in April. It’s done quarterly, unless it’s too high or low, or if other labs which affect it are off (Phosphorous and Calcium). I also asked about my Vitamin D. They took me off the Zemplar, which is activated Vitamin D (dose determined by PTH level), but added oral inactivated Vitamin D (Ergocalciferol). The reason is that there are other parts of the body which use the inactive form. This won’t affect my PTH, because my kidneys aren’t working to “activate” it. Time to break out the old Physiology text to study all of this.
Beginning wt: 91.4 kg. End wt: 88.1 kg.
