Another Dark Little Corner

moon phases

Started this before change to "New Blogger", as backup in case of trouble with digiphoto blog "In a Small Dark Room", or rants & links blog "Hello Cruel World" . Useful - at one stage Dark Room was there, but like the astrophysical Dark Matter, we could't see it ... better now, but kept Just In Case.

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There is nothing. There is no God and no universe, there is only empty space, and in it a lost and homeless and wandering and companionless and indestructible Thought. And I am that thought. And God, and the Universe, and Time, and Life, and Death, and Joy and Sorrow and Pain only a grotesque and brutal dream, evolved from the frantic imagination of that same Thought.
Mark Twain (letter to Joseph Twichell after his wife's death)
[me, on a bad day]

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Febrile Neutropenia (2) June 2006  
Febrile Neutropenia (2) June 2006
Second cycle of chemotherapy, second multi-day stay in hospital. Dammit.

Na 143, K 4.5, U 4.7, Cr 84, Hb 98, Plt 94, WBC 4.3, Neut 2.9
Finger swab - mixed growth

Patient presented 8/7 post 2nd cycle of chemotherapy. She had a 1/7 history of fever & painful fifth digit on (R) finger, graze 3/7 prior. Swelling, erythrema - wound not open. Her bloods revealed neutropenia and she was treated with IV gentamicin + cafepime. Her blood results responded and was changed to oral Augmentin Duo Forte + Ciprofloxacin.
Augmentin Duo Forte pillThe Augmentin Duo Forte is slightly alarming, but not outrageously large. There is a strict thing about taking it with a bite of food or between bites. This has to be co-ordinated with the restrictions on the other antibiotic.

There are three bright fluoro warnings on the Ciprofloxacin box: one common one about drowsiness & driving or operating machinery; one about photo-sensitivity (i.e. avoiding exposure to sun & using sunblock — lucky it's midwinter); and one alarming one about avoiding a bunch of types of food within two hours (that's 4 hrs each dose, twice a day), and the Augmentin has to be taken with food.

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