UMCU – Dag ” + 1 ” – Dipfase

 Op verzoek van Dolf zorg ik, Marjolein, voorlopig voor zijn blog.

Strenge controles

Gisteravond kreeg Dolf lichte verhoging, maar gelukkig zakte zijn temperatuur weer. Zijn polsslag was wel aan de hoge kant.
Ze hebben gisteravond 2x en vanochtend vroeg zijn bloed gecontroleerd, om te kijken, of er veel bloedcellen afgebroken werden. Dit viel mee. Wel is er extra vocht via het infuus toegevoegd, om de nieren te ondersteunen bij het afvoeren van de afvalstoffen.
Ook is de spiegel van de medicijnen tegen afstoting gemeten. De spiegel was iets te laag, dus de dosering hiervan wordt verhoogd.
Ook is zijn bloedsuiker gecontroleerd, ook ivm de sondevoeding. De waarde was prima, 6.6.


Om 1.00 uur vannacht moest Dolf toch weer overgeven. Gelukkig waren de pillen van 20.00 uur en van 22.00 uur al opgenomen. Nu is ook het tweede medicijn tegen afstotings-verschijnselen voorgeschreven.

Vandaag is toch weer sondevoeding aangesloten. TPV, totale parentale voeding (dit gaat buiten het maag-darm-kanaal om, via de bloedvaten). De helft van het benodigde aantal calorieën en voedingsstoffen komt nu via het infuus.  Dolf probeert zoveel mogelijk zelf te eten, maar door de misselijkheid lukt dit momenteel niet altijd even goed. Verder gewichtsverlies moet worden voorkomen.
Zijn gewicht was nu wel weer hoger, maar dat was weer door de grote hoeveelheid vocht die via het infuus is toegediend. Toch weer plasmedicatie nodig!


De bloedwaardes zijn zoals verwacht, het zijn geen spannende uitslagen.
Hb (rode bloedlichaampjes) 4,9
Leuko’s (witte bloedlich)      0,5
Trombo’s                                 54

Bloedtransfusie dus (2 zakken rode bloedlichaampjes).

Dipfase/hygiënische voedingsrichtlijn

Dolf zit de komende weken in de dipfase (zie ook toelichting 13 mei!!). Op de afdeling hematologie wordt de “hygiënische voedingsrichtlijn” aangehouden. Er zijn strenge regels met het oog op de voeding, omdat bacteriën uiteraard ook via voedsel binnen kunnen komen.

Deze richtlijnen gelden voor Dolf, tot het moment, dat hij geen medicijnen meer hoeft te slikken tegen afstotingsverschijnselen. Er zijn “verboden etenswaren” (bijv. geen vlees dat niet goed doorbakken is, of vleeswaren, zoals filet americain), strenge bereidingsvoorschriften (bijv. geen zacht gekookt ei). Daarnaast is gebruik van houten snijplanken en houten lepels verboden. Strenge voorschriften m.b.t. bewaren van voedsel (hoe bewaar je het, hoe lang mag een open verpakking in de koelkast bewaard worden). Uiteraard goed schoonhouden van de koelkast/het aanrecht etc. Vooral géén vaatdoekjes gebruiken, maar keukenpapier.

Jammer, geen afhaalmaaltijden meer de komende tijd. Een Turkse pizza ging er altijd wel in…

Gelukkig, Dolf lust geen vis, dus het verbod op vis doet hem niets!

174 gedachten over “UMCU – Dag ” + 1 ” – Dipfase

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  4. Blaming Duncan while ignoring Obama is naive in the extreme. Duncan is OBAMA’S pick, and he was picked because Obama AGREES with it. He said so even when he campaigned for president in 2008. He is a neoliberal, not a real Democrat, and, if you had paid attention at all in the debate last night, he trashed teachers’ unions.

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  18. Thanks Jetty, I get the whole social media issue, I’m not good with it either, but you can ask your friends to tweet and facebook for you. You can definitely do blog posts about the contest and put a link in there, ask people to share, you know what I mean?As for the feline, if the feline was in a photo with the dog that would probably be okay, but it it was just the feline it wouldn’t be a blogville dog and the name of the calendar is Blogville Dogs and Their Rescue Cause. Maybe the next time we did it we could modify the rules.

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  24. Its been a long time – I hope all is well with you. As always, I appreciate your comments. I’m trying to grow in this area and to be more positive … my hope is that by doing so, I’ll be happier personally and professionally by breaking the normal cycle of normal “problem solving” approaches to life.

  25. Janet — I loved Brassed Off! It’s a Veddy English Film.Happy Birthday, Stennie! I’ve been a little busy — by the time you record this, I may or may not be a homeowner again. I really want this townhouse, but at the same time, every house lost is one move I don’t have to make. I’m always okay with not moving.

  26. Brilhante a sua contextualização da fotografia na sua vida. Parabéns, gostei de conhecer o seu trabalho. Estou a caminho de me profissionalizar nesta gratificante arte que é a fotografia. Visite a minha galeria. Um abraço e sucesso.

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  28. J’ai beaucoup aimé Ushuaia même si certains en disent beaucoup de mal. Cela reste une terre d’aventure, et un mythe pour les européens , particulièrement pour les français…Et on en rêve depuis si longtemps de traverser le détroit de Magellan… En ce qui me concerne, j’en rêvais depuis l’école primaire.Bien sûr, que c’est tentant de pousser jusqu’en Antarctique, il ne reste plus que 1000kms plein sud!!!!En tout cas, j’apprécie beaucoup votre reportage.A bientôt pour le ChiliBisesPierre

  29. We look at pictures all the time in our family, but I know your point about them being everywhere. I don’t have a ton of pictures from my activities growing up. Sometimes I wonder if I ever played little league or acted in plays, but I remember those experiences even if I can’t find an album to look through.

  30. Well it’s the solution to your example as you created a ridiculous scenario in the first place. That doesn’t necessarily translate to the real world. The effect of printing money depends on the economy you inject it into and how investors and consumers will react.

  31. 'Mexicans don't like conflict and confrontation'.An interesting theory, but what I've read about the sheer ruthlessness of the zetas (who simply must be the baddest-asseed criminal fraternity of all time), the murder rate and the piles of heads that pop up occasionally (left by the fairies I presume), tend to think otherwise.

  32. Caro Gaetano, sono io a ringraziare te per i preziosi e stimolanti contributi che sai offrirci. I miei ragazzi sono veramente in gamba e stanno dimostrando di essere molto maturi per la loro età.Anch'io lodo in particolare, Miriam, che ha saputo riassumere efficacemente alcuni concetti nodali.Bravi ragazzi e a presto Gaetano:)

  33. I could write a book about my views on global warming, but I wont. Instead, I would like to note that Al Gore isnÂ’t trying to become presidentÂ…. haha. Whoever read that obviously isnÂ’t following presidential politics in the least. I just canÂ’t stand when people blow up about something that they are completely uneducated about.

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  35. of all, I want express my appreciation for all that you have done attempting to dispose of the usurper.I do have a question regarding your statement regarding the rule of 4 becoming a rule of 3 if only 7 justices are present at the conference. My understanding is that the rule of four is a long standing tradition and not law. We do not really even know what happens at the conference aside from the orders listed after. I cannot find any reference to an application of the rule of 3 as you suggest. Can you make reference to a precedent where this rule of 3 was applied.Thanks again for all that you have done, Ken

  36. our EMR actually will turn the link to the labs red if there are any abnormals or flags – but because the doc is ultimately responsible and the lab will not dance to the EMRs programmers tune – there is a line between useability and function that requires creativity. We could make the abnormal results come up first but then some docs will say they want it logically by date – more options more visual confusion.check out Medscribbler – for sanity in design because we use handwriting as a key input

  37. You’re right, but HFL’s conclusion is probably false. The whole, “wondering what makes the Prilla so fast? It’s their proprietary traction control suite that’s ONLY available on a 20k bike!” should probably read “Liter bikes are wicked fast, this one’s easier to go fast on but even a cheap Honda will murder a GTR – even on a tight track”.I hate to be a stickler, I love the site and all, but it’s a tough pill to swallow. The site is supposed to be ad free and the closing statement sounds like a manu nudging an opinion.

  38. We actually noticed that when we give him sips throughout the meal, it helps fill him up more. On a similar note, we decided that if he really, really wants more food, we’ll offer him milk since he seems pretty happy with that too. Seems like having liquid in your system helps keep the hunger away!

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  41. the Bruins, as Stanley Cup Champs and few expiring contracts are mostly set. Recchi retiring means the final game 7 line up plus Horton is the opening day. The only questions are Ryder and Kaberle. I would replace Ryder with one of Caron,…and re-sign Kaberle. Team is done. Focus on defending.

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  44. I saw that trailer with the Hobbit last weekend. Holy shit it looks terrible. Holy shit. It’s like they saw that Snow White and the Huntsman made money, and thought, “Well, Humpty Dumpty is too stupid – how about The Brave Little Tailor?”

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  47. I’m sure I read somewhere that rats are prone to tumors. (doesn’t make a lot of sense since rats are known to be such a hardy species, does it?) Anyway, this video was impressive, and I appreciate it! I like rodents for the most part…as long as they’re not in my pantry, or running up my leg or something…heh!

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  49. Coming from a mother of only one child, your tips and musings really help me to stay present in my daughter’s life. And my husband’s! Especially your post about “these small hours” … I love it and read it often. Childhood is fleeting … 7 turns into 47 in the blink of any eye … just ask my Mom!

  50. Regarding the whole NCAA Violations matter, I truly think that the NCAA needs to either be more efficient – and thereby more of a martinet – or become more realistic in their evaluations. While I have absolutely no use for the likes of “Cal-the-Lip”, this current Bledsoe thingy is a waste of time, money, and newspaper ink … The NCAA ought to simply follow the olde adage of “Follow the Money” !!! No $$$, no violation … By $$$ I mean the disbursement of anything by anyone (school, booster, or supplier) to anyone associated with the kid !!!Seems pretty simple and realistic to me !!!

  51. Excellent read, I just passed this onto a colleague who was doing a little research on that. And he just bought me lunch as I found it for him smile Therefore let me rephrase that: Thank you for lunch! “Curiosity will conquer fear even more than bravery will.” by James Stephens.

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