What is says about you: You are an intelligent person. You appreciate beauty and craftsmanship. You are patient and will keep trying to understand something until you've mastered it. Others are amazed at how you don't give up.
Find the colors of your rainbow at spacefem.com.
13 comments:
http://www.clairediterzi.fr/
Or Blonde Redhead?
I first thought of the centurion scenes from Fellini's Satyricon (the marching, burning front of the Empire with steady drum cadence)...and then I thought that this "musique" would be perfect for a stage drama of Henry Darger's life in art (his b-day is April 12).
March of the Vivian Girls:
http://www.saraayers.com/darger.htm
http://publicdomainreview.org/collections/the-nitrous-oxide-experiments-of-humphry-davy/?utm_content=bufferc3d7d&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer
Nitrous oxide. I thought of this, today, in a patient room where the promo for SuperBeets played on loop. Powdered beet root allegedly raises endovascular NO.
Reading this now:
https://books.google.com/books?id=B-cuEAAAQBAJ&pg=PT41&dq=gargano+miocene+halliday&hl=en&newbks=1&newbks_redir=0&source=gb_mobile_search&sa=X&ved=2ahUKEwj_9cnZwKeCAxV8v4kEHUadDQAQ6AF6BAgJEAM#v=onepage&q=gargano%20miocene%20halliday&f=false
"Absorption: Inhaled nitrous oxide is rapidly absorbed through alveoli. The onset of action is within 2 to 5 mins.[5][6]"
https://www.ncbi.nlm.nih.gov/books/NBK532922/
I liked Halliday's book so much that I will eventually get the paper pack to reread, since I first read it from the library.
This Tim Halliday died of T-cell lymphoma in 2019.
Here is his work:
http://hallidayfarndon.co.uk/about-me.html
https://press.uchicago.edu/ucp/books/book/chicago/B/bo22541327.html
https://books.google.com/books?id=mN9V7XLVw64C&pg=PT162&dq=Oracle+Night+Auster+%22we+fall+in+love+with+each+other%22&hl=en&newbks=1&newbks_redir=0&source=gb_mobile_search&sa=X&ved=2ahUKEwj-9JrbnJ-GAxWev4kEHfKHCCUQ6AF6BAgIEAM#v=onepage&q=Oracle%20Night%20Auster%20%22we%20fall%20in%20love%20with%20each%20other%22&f=false
https://www.lhsc.on.ca/critical-care-trauma-centre/central-venous/mixed-venous-oxygen-saturation
https://www.renalfellow.org/2021/06/28/skeleton-key-group-case-20-slow-down-use-the-desmopressin-brakes/
"Nausea itself is also a potent stimulus for ADH." Antidiuretic hormone (ADH) promotes the syndrome of inappropriate antidiuretic hormone (SIADH) secretion as the body tries to minimize volume loss with aquaporin insertion in the renal collection ducts. This has a dilution effect on body sodium, and the brain cannot tolerate rapid changes in serum sodium.
I tried to explain that changing this quadriplegic's vent settings may not resolve her acidosis. She was hyperventilating from an abscess on CT with reduced enteral intake over months and nausea/vomiting. She also had a chronic left hydronephrosis.
The changes were made, and I spent all evening trying to call someone because the patient reported persistent air hunger, and her family was upset because the pulmonologist had signed out for Memorial Day. The on-call wrote for an anxiolytic in the presence of a normal ABG and stable vital signs. I did not communicate my suspicion to the family that she was getting septic, least of which was demonstrated by the failure to compensate for the small changes made to her ventilator.
I had given her desmopressin to correct her hyponatremia that day.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380358/
Critical care is upsetting because multiple consultants try to correct problems from their respective lenses. At times, missing the global view. I am not the arbiter here, just the witness.
I mention this here, as I floated to a high acuity unit instead of a pregnant girl. The questions I had studied about SvO2 were illustrated that day in this patient, where the standard is to assess changes in mechanical ventilation with repeat venous blood gases.
https://www.globalpointofcare.abbott/us/en/product-details/apoc/istat-cg8plus-test-cartridge.html#overview
These are very expensive to use as a point of care device. You click the cartridge in and it reads in two minutes. Abbott makes tube-feeding formulas. Abbott stock is a diamond hands hold. Like HODL, I think about that as an end word.
Sunday, Sally, who assumed care of the above case called a rapid response after I left. She came and found me that evening to debrief. The provider shrugged, and she was upgraded to the faculty med icu, a place where mistakes are hidden.
A question on the exam regarded end-tidal CO2, which I correctly answered rise with hyperventilation or increasing demand from metabolic acidosis, as in her case.
The unit is 8 South Radius, where "victims of medical mistakes go to die."
One getting report from a notorious longterm care facility shudders at the of the specimen being transferred from "Salem Hit-and-Run."
Sunday, I had a medicine patient (sepsis alert) occupying a surgery bed with a livid lower extremity doubled in circumference, and the hospitalist refused to order a venous duplex scan.
He had small cell lung cancer (a hypercoaguble state), but dopplerable dorsalis pedis artery (dpa) and posterior popliteal artery (pta) pulses. So? Isn't a dvt in the venous system?
Under the note, there were no cardiac or vascular studies ordered, yet he was very ungeneralizably sick. Hopefully, he will be there Thursday, and a new hospitalist will see this with fresh eyes and consult a vascular surgeon.
Related to last post:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10348628/
About the deep vein thrombosis:
https://www.mountsinai.org/health-library/diseases-conditions/deep-vein-thrombosis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550339/#:~:text=A%20hypercoagulable%20or%20prothrombotic%20state,and%20morbidity%20in%20cancer%20patients.
*at the thought
Did the celadonized skeleton of Gnatalie browse on Gnetales, of which Welwitchia mirabilis is the most notable specimen, and growing millimeters a century in the Namib desert?
https://phys.org/news/2024-07-gnatalie-green-boned-dinosaur-planet.html
https://www.conifers.org/zz/gnetales.php
Gimel (3). Faire le pont entre deux choses [Gnetales et Gnatalie]
https://books.google.com/books?id=Lbv7gJ5lrFMC&pg=PA329&dq=yerek+sukkot&hl=en&newbks=1&newbks_redir=0&source=gb_mobile_search&sa=X&ved=2ahUKEwj4yIeo-amHAxXXMlkFHVpDB1w4FBDoAXoECAYQAw#v=onepage&q=yerek%20sukkot&f=false
https://akhlah.com/hebrew/hebrew-word-of-the-day/gimmel-words/bridge/
https://www.frenchalafolie.com/learn-french/expressions/faire-le-pont/
I cannot work on this, this bank holiday la quinzaine d'août 2024 because I have a test the 20th. Perhaps, le jour d'Armistice 2024. Dinosaurs and speculative overreach span this time period. For a secular country, France celebrates a lot of RC holidays, at least where prolonged weekends are concerned.
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