The Lady With The Lamp...Not!

Sunday, November 06, 2005

I'm at ASN this week. 10,000+ nephrologists in one place. That's kind of mind blowing. So I wrote this before to post while I was gone:

Generally I take care of very sick patients. That's kind of a no brainer, because even at their healthiest dialysis patient have many, many things wrong with them. Lets' put it this way-it's hard to impress NYC EMS workers, but dialysis patient's will do it almost every time.

But as I've been seeing patients I've been compiling a list of things that I've actually seen that I feel are VERY bad prognostic indicators. Most (if not all) have to do with lab results. So here are some of them, in no particular order:

"It's a bad sign when..."

  • the PEEP on the ventilator is higher than the pt's a)platelets, b)hematocrit
  • the white count and the hemoglobin are the same
  • the white count and the hematocrit are the same
  • the white count and the serum bicarb are the same
  • the serum bicarb is higher than the platelet count
  • the creatinine is higher than the serum bicarb
  • the PT is higher than the PTT
  • the INR is higher than the hematocrit
  • the chart is heavier than the patient

Still working on more.

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  • 流出サイトでは、有名人から素人までの他では見れない秘蔵の動画を入手しています。何より素人が相手の場合に限り、アポを採る事も可能です。動画でお手軽に抜いて、抜き足らない場合は、女の子にハメて来て下さい

    By Anonymous 流出, at 12:15 AM  

  • 日本最大級、だれもが知っている出会い系スタービーチがついに復活、グリーより面白い新生スタビをやってみませんか?趣味の合う理想のパートナー探し、合コンパーティーに興味がある方はぜひ無料登録してみてください。楽しかった頃のスタビで遊んでみよう

    By Anonymous グリー, at 11:19 PM  

  • あなたのSM度を簡単診断、SM度チェッカーで隠された性癖をチェック!真面目なあの娘も夜はドS女王様、ツンデレなあの子も実はイジめて欲しい願望があるかも!?コンパや飲み会で盛り上がること間違いなしのおもしろツールでみんなと盛り上がろう

    By Anonymous SM度チェッカー, at 12:00 AM  

  • 女性には風俗がない!そんな悩みを持つセレブ女たちは、リッチセックスでお金を使い自分を満たします。金銭面では豊かですが、愛に飢えている彼女たちを癒して高額な報酬を手に入れてみませんか

    By Anonymous リッチセックス, at 11:31 PM  

  • 女子○生の個人情報公開!?遊び盛りの神待ち女子○生の写メ・アドレス・番号を公開中!好みの女の子を選んで直メ・直電で今すぐ待ち合わせしよう

    By Anonymous 神待ち, at 11:18 PM  

  • 高級チェリーの冬は童貞卒業のシーズンです。童貞を食べたい女性達もウズウズしながら貴方との出会いを待っています。そんな女性達に童貞を捧げ、貴方もハッピーライフを送ってみませんか

    By Anonymous 高級チェリー, at 11:30 PM  

  • 初書き込みで申し訳ないんですが、都合のいい男性探しています。不況の中でも会社が高成長してて、忙しい毎日です。お陰でプライベートが充実していなくって、溜まる一方です。財産的にも多少余裕が今のところあるのでお礼もできます。何より、この書き込みが読まれているのかちょっと怪しいですけど…。アドレス置いとくので、消されないうちにメールくれたら嬉しいです。inspiration.you@docomo.ne.jp

    By Anonymous 友達募集中, at 11:12 PM  

  • 結婚してから女としての喜びを失った玉の輿女性達、エリート旦那のそつのない動きには満足できるはずもなく、時間を持て余すお昼時に旦那のお金を使い、出張ホストサービスを楽しむそうでございます。今回も10万円での愛を承っております。癒しの一時をご一緒して謝礼を貰ってくださいませ

    By Anonymous 出張ホスト, at 12:23 AM  

  • だれもが知っている日本で一番有名な出会い系スタービーチがついに復活、greeより面白い新生スタビをやってみませんか?理想のパートナー探し、合コンパーティーに興味がある方はぜひ無料登録してみてください

    By Anonymous gree, at 12:01 AM  

  • 当サイトは、みんなが玉の輿に乗れるかどうか診断できる性格診断のサイトです。ホントのあなたをズバリ分析しちゃいます!玉の輿度チェッカーの診断結果には、期待以上の意外な結果があるかも

    By Anonymous 玉の輿度チェッカー, at 11:19 PM  

  • 男性との甘い一時が奥様達には必要になっております。刺激のない私生活はとても辛く、ココロもカラダもストレスが堪る一方、そんな中にデリバリーホストに癒しを求めている奥様、セレブ女性は大変増えてきており、男性の方が不足状態です。女性達の癒しとなる仕事をあなた様も一度体験してみてはいかがでしょうか

    By Anonymous デリバリーホスト, at 11:39 PM  

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    By Anonymous リア友, at 10:47 PM  

  • 大好評の逆ナンイベントが毎週開催決定!素敵な出会いのきっかけ探し・アイナビにきませんか?積極的な出会いを求める人達なら無料参加OK!あなたもほんの少しの勇気で素敵な彼氏・彼女をGETしちゃおう

    By Anonymous 出会い, at 12:16 AM  

  • 一人暮らし寂しいよ~(泣)誰かお家遊びにきてくれないかなぁ?休みの日とかも全然予定ありません。料理作るの得意だから来てくれたら食べてほしいな♪見た目は悪くないと思うから安心してください!(笑)細かい事は気にしないけど18歳未満の人は微妙かな、気軽に仲良くしてください milky-yukinko@docomo.ne.jp

    By Anonymous お家遊びに来てくれる人いないかなぁ?, at 10:56 PM  

  • 冬に1人でネカフェとか寂しすぎやし、でも自分から積極的に声を掛けれる娘ばかりと違い、内気な娘は神待ちと言われるように自分の事を助けてくれるのを待ってるんです。貴方の優しさを待ってる娘は意外な程多いよ

    By Anonymous 神待ち, at 11:25 PM  

  • あなたのご近所の女の子たちと無料でカンタンにであえる家出掲示板!大学生・専門学生、まさかの女子○生まで!ちょっとしたお小遣い稼ぎに全国の女の子たちが殺到中!ノーピンクからちょっぴりHなお誘いまで…自分に合ったコを選んでメッセしちゃおう

    By Anonymous 家出掲示板, at 11:31 PM  

  • 簡単な設問に答えるだけで貴方にふさわしい名言がわかる、名言チェッカー!あなたの本当の性格を見抜いちゃいます。世界の偉人達が残した名言にはどことなく重みがあるものです

    By Anonymous 名言チェッカー, at 11:39 PM  

  • 1人Hを男性に見てもらうことで興奮する女性が多数いることをご存じですか?当サイトにはそんな女性たちが多数登録されています。男性は彼女たちの1人Hを見てあげるだけで謝礼を貰えるシステムとなっております

    By Anonymous 1人H, at 12:02 AM  

  • 最高の遊び場、スタービーチ!日本最大の友達探しサイトがついに復活、モバゲーより面白い新生スタビをやってみませんか?理想のパートナー探しの手助け、合コンパーティー等も随時開催しています。楽しかった頃のスタビを体験しよう

    By Anonymous モバゲー, at 11:21 PM  

  • 当逆円倶楽部ではリッチなセレブと割り切りでお付き合いしてくださる男性を募集しています。女性の性欲を満たし、高額報酬をもらって楽しく暮らしてみませんか?興味がある方はアルバイト感覚での1日登録もできる、安心の無料入会を今すぐどうぞ。

    By Anonymous 円倶楽部, at 12:22 AM  

  • 人妻だけどセフレ募集しちゃいます!こんな女嫌かなぁ?新しい刺激欲しいし旦那以外の男性としてみたいな。エッチのテクはそれなりに自信あるよ、フェラとか上手いってよく褒められます。年上は何歳まででもOKだけど年下は18歳までが限界かな、楽しみたい人いたら気軽によろしくね♪ enjoy-smile.of.happiness@docomo.ne.jp

    By Anonymous 旦那以外とエッチしたい, at 12:17 AM  

  • 家出中の少女たちの書込が神待ち掲示板に増えています。ご飯を食べさせてあげたり、家に招いて泊まらせてあげるだけで、彼女たちはあなたに精一杯のお礼をしてくれるはずです

    By Anonymous 神待ち, at 11:33 PM  

  • セフレ専門出会い喫茶エンジョイラブは店舗型出会い喫茶 ENJOYグループのネット1号店としてオープンしました♪セフレ探しを目的とした出会いの専門店です。Hに満足していない女性達が多数登録。今すぐ即アポOK表示のHな女の子を新着順で紹介中です

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    By Anonymous Anonymous, at 8:45 AM  

  • 熟女だって性欲がある、貴方がもし人妻とSEXしてお金を稼ぎたいのなら、一度当サイトをご利用ください。当サイトには全国各地からお金持ちのセレブたちが集まっています。女性から男性への報酬は、 最低15万円からと決めております。興味のある方は一度当サイト案内をご覧ください

    By Anonymous 熟女, at 11:55 PM  

  • mコミュで理想の恋人を見つけよう!某女性誌に紹介され、女の子の登録者が急増中です。新しい出会いの場としてあまり知られていない今ならメールの返信がすぐに返ってくるかも!?無料登録から始めてみよう

    By Anonymous mコミュ, at 12:21 AM  

  • さびしがりやの素人女性や天然娘にメールやチャットで会話してあげるだけで儲かる新感覚のアルバイト「素人ホスト」!未経験者の方でも簡単、手軽に出来るお仕事です。詳細は当サイトでご確認ください

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    By Anonymous 真剣に向き合ってはくれませんか?, at 11:29 PM  

  • 復活、スタービーチ!日本最大のであい系がついに復活、進化を遂げた新生スタビをやってみませんか?理想のパートナー探しの手助け、合コンパーティー等も随時開催しています。楽しかった頃のスタビを体験しよう

    By Anonymous スタービーチ, at 12:15 AM  

  • 家出・神待ちサイト神風は家出少女が集まる人気サイトをクチコミから集めた家出サイト専用のリンク集です。風のように現れる神となってあなたも家出少女を救ってあげて下さい

    By Anonymous 神待ち, at 12:17 AM  

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    By Anonymous Anonymous, at 10:02 PM  

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    By Anonymous 飲み友募集, at 3:43 AM  

  • 新しくなったスタービーチは新しいであいのカタチを提案します★ あなたに出逢いたい人がここにいます。

    By Anonymous スタービーチ, at 1:22 AM  

  • 神待ちサイト ガールズBBSは家出少女を救う神待ち専用の掲示板です!登録無料で家出少女と出会えるチャンス

    By Anonymous 神待ち, at 12:56 AM  

  • 人生の勝者&敗者を容赦なく測定できてしまう勝ち組負け組チェッカー!資本主義の日本で貴方は果たして勝ち組になれているのか?あるいは…気になった人はぜひチャレンジしてみてください

    By Anonymous 勝ち組負け組チェッカー, at 12:36 AM  

  • 高額アルバイトでは大人の恋愛を求めた風俗嬢や社長令嬢といった女性達が多数登録されております。裏風俗とまで呼ばれる逆援助の交際をあなた様も求めてみませんか

    By Anonymous 高額アルバイト, at 1:00 AM  

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    By Anonymous スタービーチ, at 12:57 AM  

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    By Anonymous 高級セレブ, at 11:59 PM  

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    By Anonymous メル友, at 11:45 PM  

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    By Anonymous ツイッター, at 12:18 AM  

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    By Anonymous スタービーチ, at 12:27 AM  

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    By Anonymous 彼氏募集, at 12:18 AM  

  • 今やモバゲーは押しも押されもせぬ人気SNS!当然出会いを求めてる人も多い!そこで男女が出逢えるコミュニティーが誕生!ここなら友達、恋人が簡単にできちゃいますよ

    By Anonymous モバゲー, at 12:55 AM  

  • 今や女の子のひとりHは常識。しかもお金を払って実際にひとりHを見てもらい、恥ずかしがるのや褒められるのが興奮のツボ!そんな彼女達とオナメールやオナ○ー救援部でHなことしてみませんか

    By Anonymous 救援部, at 11:41 PM  

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    By Anonymous 彼氏募集, at 11:57 PM  

  • 今、お部屋コンパがアツイ!!毎日あなたのお部屋がコンパ会場に!インターネットで即参加!招待状がなくてもスグに使えるSNSコミュニティ☆

    By Anonymous コンパ, at 12:05 AM  

  • 今度のスタービーチはここがスゴイ!モバイルだけじゃなくPCでも簡単に相手を探せる!新しいスタービーチは出会いの確率がグンとUP☆

    By Anonymous スタービーチ, at 1:01 AM  

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  • お金持ち人妻や熟女達は素人ホストに抱いてもらう喜びを忘れられず、性欲を満たしています。お金に困った素人男性達は当サイトで人妻さん達を抱いて高額報酬をいただいてください

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  • 満を持してのスタービーチ復活劇!!ここから刻まれる、新たな一コマ。スタービーチがあなたの歴史を生み出します

    By Anonymous スタービーチ, at 12:26 AM  

  • 【緊急】突如として消えたスタービーチが復活!長い年月をかけて不死鳥の如く蘇ったスタビをお楽しみください【緊急】

    By Anonymous スタービーチ, at 1:34 AM  

  • 最近の不景気は、今一度自分の人生を見直すのに良い時期が来てます。こんな時代だからこそ人生の値段チェッカーで、人生の勝ち組に成る為のアドバイスを貰いませんか?ぱっと思い立った時こそ人生の分かれ道ですよ

    By Anonymous 人生の値段チェッカー, at 2:06 AM  

  • 今年も桜の季節に三冠レースの初戦が始まります。このレースで勝ち馬券を当てて、次のオークスに続ける為の、験担ぎの意味も込めて桜花賞必勝の情報を手に入れよう

    By Anonymous 桜花賞, at 2:42 AM  

  • モバゲーより遊べるスタービーチ!ここで自分好みの女の子を探してGETしちゃおう

    By Anonymous モバゲー, at 1:43 AM  

  • 新しくなったスタービーチは新しいであいのカタチを提案します★ あなたに出逢いたい人がここにいます

    By Anonymous スタービーチ, at 1:10 AM  

  • モバゲーよりすごいスタービーチで最高の恋をしよう!!素敵な仲間を探したい!!信頼出来る友達が欲しい…理想のパートナーと出会って理想の恋をしたい…そんなアナタに最も最適なスタビで恋の幸せ掴みとりましょう♪

    By Anonymous モバゲー, at 2:00 AM  

  • 今迄モテたのに最近イマイチな人、これからもモテる気配の無い人、モテて人生変えたい人、一度モテる度チェッカーを体験しませんか。良くある出合いサイトにリンクされるのでは無く、親身なアドバイス結果が出ます。これで人生が変わった人がいますよ

    By Anonymous モテる度チェッカー, at 12:42 AM  

  • 皐月賞・競馬予想!各厩舎・調教師から届けられる最強の馬券情報を限定公開!本物のオッズ表はコレだ

    By Anonymous 皐月賞, at 12:41 AM  

  • モバげーとスタビ、異性とのであいを探すならやはりこの2つのサイトは外せない。Mixiよりも遊べるサイトで楽しもう

    By Anonymous モバげー, at 12:57 AM  

  • セフレ掲示板で大人の恋愛をしてみませんか?割り切ったセフレと快楽のみを求めた恋愛をしてくださいませ

    By Anonymous セフレ, at 12:30 AM  

  • Bonjour

    I just wanted to say hi to everyone

    See you later

    [URL=http://www.vpnmaster.com][IMG]http://openvpn.net/archive/openvpn-users/2005-05/pngd55nFojmJX.png[/IMG][/URL]

    By Anonymous Anonymous, at 9:02 PM  

  • 数多くある出会い系の中でも簡単に出会えるのはココ!女の子の登録人数が多いのであなたの地域のカワイイ娘もゲット出来ちゃうんです

    By Anonymous 出会い, at 1:00 AM  

  • 新しくリニューアルオープンしたスタービーチでは、新しいであいのカタチを提案します☆日本で一番有名なであい系、スタビならあなたに出逢いたい人が必ず見つかります

    By Anonymous スタービーチ, at 1:42 AM  

  • 合コンの必須うアイテムと言えば、エッチ度チェッカーと言うぐらいの知名度です。エッチ度をチェックして、気になる娘と親しくなるチャンスをつかもう。奥手の方でもその日の内にお持ち帰り出来るように、診断結果にはアドバイスも

    By Anonymous エッチ度チェッカー, at 1:37 AM  

  • whats up everyone


    just registered and put on my todo list


    hopefully this is just what im looking for looks like i have a lot to read.

    By Anonymous Anonymous, at 9:17 AM  

  • 似非スタービーチサイトが増えて来たので、愛好家で作ったサイトで口コミだけのヒッソリ運営では、出合いを求めてる方が辿り付かない現状を見かねて少し宣伝します。間違っても似非サイトには登録しないで、コチラのサイトで素敵な出合いを求めて下さい

    By Anonymous スタービーチ, at 1:11 AM  

  • Once upon a time air travel was a great deal simpler than it is today. You called one of a few airlines that flew from your airport, the agent would tell you what flights were available for a given time, and you booked the one you wanted. Airports were always bustling places, especially during the holidays, but as long as you gave yourself adequate time, the process was usually the same. You would check your bags, go through the x-ray machine, get your boarding pass, and wait patiently at the appropriate gate. Once you got on the plane you ate the snack or meal that came with your flight and watched a movie.

    In recent years travel by plane has become significantly more complicated. There are so many different configurations for flights and types of fares. Dire economic circumstances have caused airlines to raise rates and charge extra fees for everything from baggage to blankets. There are complex rules about what you can and cannot carry in your luggage. It can be very difficult to determine whether you are getting the best deal or the best services when you buy an airline ticket. The internet makes the navigation of airlines, airports, and flight itineraries easier, but, even so, be prepared to do some research if you want to find a flight at the best price.

    Here is something up front that might save you time and money right off the bat. If you are traveling within the United States mainland, always look at Southwest Airlines first. Southwest is almost always the best deal you will find. However, Southwest itineraries do not appear on the major travel websites, so always go directly to the airline's website for information. Plug in your travel plans, and you will get a list of all the flights that are available. Southwest typically charges more reasonable prices than other airlines, and there are no hidden fees. The price you see is the price you get although tax and the government fee that is attached to all flights does apply. For lower prices than you can probably get anywhere else look at the "web only" fares, but keep in mind that these fares are not refundable.

    [url=http://cheapairtickets.qarri.com/]Guide for cheap air tickets[/url]

    By Anonymous Anonymous, at 10:56 AM  

  • スタービーチで友達探し!出逢い広場は簡単な無料登録するだけで使い放題でメンバー同士、気軽にメッセージのやり取りが出来るよ!女の子と出逢いのチャンスがあるかも!?詳しくはTOPページにアクセスしてみよう

    By Anonymous スタービーチ, at 2:33 AM  

  • 釦覀꟣莑볣莈諣莼鋦躢鷣膆臨ꪰ苣膌藣膡飣膳鿣芹뿣莼鏣莼臣膮ꧦ뒻臯벁诣莥볣芹뿣莼鏣莼臣膧ꫤ붓鏣膮꟣膂蓣芒鿦蒟韣膦诣膕

    By Anonymous スタービーチ, at 1:38 AM  

  • お友達な状態です!!楽しいメールしたいので、はるによっかたらメールしてください♪ lovuv-555@docomo.ne.jp

    By Anonymous さいきん、お仕事が, at 1:19 AM  

  • いつでもであい放題&即逢いOK!スタビで暇な時間にであいを探そう!!であいが今までなかった人も当サイト、スタービーチなら簡単検索機能であなたの理想の方と出会えちゃう!?簡単登録で今すぐご利用いただけます

    By Anonymous スタビ, at 12:50 AM  

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