Thursday, May 17, 2007
Remember the sunbirds? The ones that flew away?
Well, mommy's back home. =) She's been sleeping in the nest every night - I'm not sure if she just wanna camp there, or if there's a second cluth of eggs. I'm going for the former. Whichever it is, I'm just glad that there's once again some company right outside the window.
The mantid eggs are due to hatch in a few days' time I think. Now the problem is getting food for the babies, which are really tiny. We obviously do not have access to wingless fruitflies here, so perhaps I'll leave some fruit out to putrify and trap the horrid things.
And, I watched Spiderman 3 tonight! Rare indulgence, I know. It's a very long show, but pretty good. Some parts are quite redundant (especially those with long music interludes) though. Nice show in any case.
Last of all, something a little bigger coming my way this Saturday.
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Medical r/v noted with thanks!
Suggested:
- bloods: FBC, RP#1, CRP, Ca panel, Mg, phosphate, ACS + ECG x3
- kiv septic work up if TW, CRP elevated
- kiv refer psy cm.
FBC:
TW 20.0 Hb 8.0 CRP 30
RP#1:
Na 140 K 4.5 Cr 200 Urea 18
Ca panel normal
Mg, PO4 normal
ACS screen:
CK 420 CKMB 634 Trop T 10.4
ECG: ST depression in all leads, IMP: Massive infarction
Blood C/S: Fungi of all sorts, including portabello and shitake.
Urine C/S: no growth
CXR: Multiple patchy consolidations.
CT head: Multiple subarachnoid haemorrhages seen in bilateral temporal lobes and frontal lobe, most likely due to uncontrolled hypertension. Massive midline shift and significant mass effect noted with interval cerebral oedema. Some blood seen in lateral ventricles, suggest a 4-vessel angiogram to rule out anterior communicating aneurysm.
Psy has kindly reviewed, and REFUSED to take over. (Psy consultant raved about this point repeatedly for 10 whole minutes with bulging eyes) IMP: Gone case. Suggest: IV K+ 200mmol stat. To S/T pt re: end of life issues.
Wenky
11:20 PM
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