Lush bomb of the day: Fly Me To The Moon This is one of the seasonals, and has a Gimmick: it's hollow and filled with powder you can shake into your bath Sadly, it being hollow means that mine didn't survive shipping in one piece. It came apart where the hollow halfs joined. Now, it was packaged well enough to stay together enough that the powered was still inside, but still, not the experience i was promised. The powder is nice, and it's a bubble bath, so if you're not into that, skip these. Afterwards i dumped in my three pieces (two halfs + the lid) and it's...okay. It's shiny but not as much as i hoped for (less than Chris The Camel). I think part of that is because there's a fairly big amount of titanium dioxide in this, taking sone of the shine out. The water goes a powdery-soft magenta and smells like citrus and myrrh, which is comfy and enjoyable. Overall: nice, but Gimmick didn't work for me, and generally didn't live up to my expectations. Prolly won't buy again.
so it's the last day of the year, and I guess time for some reviews of things I accomplished this year, to make my brain goblins shut up: - Sewed several plushies (3xSoundwave, 5xRavage, 1xKO) and some backpaneling for my bed - took up embroidery and enjoying myself - first transatlantic flight! - saw Sparkles, loved the time there, love Sparkles - WHALESHARK SWIM - wrote four fics, one of which is now my longest work. This was the first fic writing + publish i did in literal years - started on my retirement fund - some minor home repairs but I proved to myself that I can do them! - successful plant owning continues. Good orchid is in bloom again,windowsill planter now has stonegarden plants, hanging planters doing okay too, marimo doing okay. - tried out a bunch of new recipes - made a proper recipe folder I can flip through I also tried to adopt some habits that'll be good for me: - duolingo: this one is going really well, 469 days and counting! successful acquired habit, I think - mouthwash: used to hate this. Still dislike it. But I found one with a taste i can stand and I usually remember using it too. Mostly acquired by now, I think. - one a day stretching/yoga/10 minute work out routine: that one's the most wobbly. I don't always feel like doing anything, and I usually move a lot a work but I wanna try getting at least a short thing in each day and not be a complete couch potato on my days off Things I wanna be doing next year (not new year's resolution because I don't wanna frame it like that): - VISIT KAS!! This one is currently in the works with flight bookage some time next month - keep up the habit development and get better about the mini exercise thing. I can do this damn it - go out more. Maybe get the Kurhaus newsletter, they offer music and stage acts on the regular. and such and also regular 'dinner in the dark' and I wanna be trying that
Lush review! This time: Frozen, another seasonal. Makes the water go a lovely oceanic turquoise, with loooots of shine in it, which is how i like it. Smells like roses, but with enough citrus not to be cloying. Generally pretty favourable, nothing outstanding, but a very servicable bathbomb which looks nice and smells nice
Today on 'hiw are you even still alive??' Patient with blood sugar of 893 mg/dl and an HbA1C of 160 mmol/mol I think at that point you officially classify as a soft drink for vampires
They got the Patient oft a drip of two units insuline/hour, and now, 5h after initial presenation, blood sugar's down to 700. The ICU's machine doesn't even go that high.
That HbA1C is the highest I've ever seen, but if my conversion magic on the internet is right that is still only a blood sugar of 49 mmol/L. The highest I ever saw was 75mmol/L, or 1351,35 mg/dl. When your blood sugar is this high, the osmolarity of your blood is also really high (depending on Na en K and Ureum levels) and it's not actually allowed to drop more than 1mosmol/L per hour. Otherwise you get such fun as oedema of the brain. Are you thinking the patient needs more or less?
@Emma I'm just astounded at the small decrease relative to the overall blood sugar and the amount of insulin given. I'm pretty much never going to express an opinion about a patient's treatment unless I have the full spread of numbers in front of me and I've been invited to, much less from a different continent, lol.
Yeah, perhaps I didn't word my comment quite right (my brain is still a bit on the fritz from working 16 hours yesterday), I get what you mean now. I just wasn't sure what you were astounded at just from that comment. The human body is amazingly adaptable if stuff happens slowly over time. In this case the patient had become more and more thirsty over time (common symptom of high blood sugars) and instead of drinking water they'd drank more and more soda. Not exactly a good plan :P
as a diabetic holy shit that has to feel uh awful didnt know the part about brain oedema from bg dropping too fast tho, wow
Apparently the answer to my nebulous food cravings thus morning was 'iron' because i saw a box of ready made liver dumplings at the store and nearly started salivating So guess that's for lunch today
It has mostly to do with the osmolarity shift, and we're usually only worried about that when the blood glucose levels are higher than 30mmol/L (approximately 540 mg/dl). And even then it's a rare complication, but also the reason that osmolarity levels need to be monitored. I've never personally seen it, and in the past I have brought a patient down from 32 to 16 pretty quickly before.
Legion for science Buddy, we'd have a great time Lalli for elevator trap. It's a safe spot, if we can't get out trolls can't get in, would probably go straight to sleep Asher for mcd Trainer because he can customer service face with the best
