Text 19560, 116 rader
Skriven 2014-11-17 22:06:00 av MICHAEL LOO (1:123/140)
     Kommentar till en text av NANCY BACKUS
Ärende: hospitals 312
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 ML> In retrospect I should have ordered extra salt, butter, and
 ML> gravy with every meal. One strange omission from my sheet was
 ML> that there was no salt substitute listed. And then they
 ML> persisted in giving me IV potassium.
 NB> Sometimes there's just no fathoming what they are thinking... or if...
 NB> maybe they thought you'd need the sodium with the blood loss...?  But
 NB> then needed to balance things...?

The Ringer's is one of several solutions that is meant to
approximate the pH and electrolyte profile of blood. But
neither it nor its counterparts balances things quite right,
and magnesium (which I unaccountably kept losing) is not
included in the ions. But then they quit giving that and
started with saline and dextrose. Why they couldn't have
done Ringer's and dextrose I don't know.

 ML> Oh, of course. They wouldn't make that same mistake that
 ML> they did with the first discharge, Activity: No Restrictions
 ML> - but to be fair it wasn't any activity on my part that
 ML> landed me back in the joint.
 NB> Quite true.  But I don't blame them for hedging the instructions
 NB> after, either...  :)

I don't blame them; not guaranteeing that I will totally
obey, either.

 NB>> Those at least do allow for a little time to convelesce.. and make
 NB>> sure that things are working properly innardly...
 ML> There will be a couple shorter trips - to Washington
 ML> and back, for example, that will test things out.
 NB> Wise.  

And until May all the trips will keep me within a few hours
of first-rate medical care. Even during the transpacific leg
I will be within 4 or 5 hours of modern hospitals at all times.

 NB>> Maybe by then everything will have settled properly and things not be
 NB>> quite so edgy...  :)
 ML> Or maybe the offending member will be removed by then.
 NB> Might be a good thing.  :)

Did it come out here that all Australians who plan to go to
Antarctica for whatever reason must have their appendix
removed no matter what their and its condition?

=
 
 ML>> Try this place sometime. Massachusetts General Hospital.
 NB>> With any luck, I won't be close enough to need to... ;0
 ML> Just go online and check out diagrams of the place and
 ML> be thankful you'll not be close enough to need it.
 NB> Just from your hints, I'm very thankful already... :)
 
For a while MGH hovered at a manageable 999 beds, though
with a new facility that caters to the odd combo of oncology
and neurology patients, the magic 1000 has been broken (and,
I'm told, this new ward consists of all singles. It was one
of the phlebotomists who informed me of this fact - her gripe
was that she had to do twice as much walking as the patient
density was half. Also troublesome is that the facility "just
growed," which means that the path between one building and
the next is not necessarily straightforward.

Caramel Apple Cheesecake Bars
categories: dessert, dairy, poison
Yield: 16-24 servings

24 oz (3 pk) cream cheese, softened
7 oz sugar, divided
3 lg eggs
1 1/2 ts vanilla extract
3 Granny Smith apples, peeled, cored
- and finely chopped (can sub other fruit)
1/2 ts ground cinnamon
1/4 ts ground nutmeg
h - CRUST
2 c all-purpose flour
1/2 c firmly packed light brown sugar
1 c butter, softened
h - TOPPING
1 c packed light brown sugar
1 c all-purpose flour
1/2 c quick-cooking oats
1/2 c butter, softened
1/2 c prepared caramel topping, for drizzling

Preheat oven to 350F. Line a 13-x-9" baking pan with
heavy-duty aluminum foil.

Prepare the crust. In a medium bowl, combine flour
and brown sugar. Cut in butter with a pastry blender
(or 2 forks) until the mixture is crumbly. Press
evenly into the pan. Bake for 15 min, or until
lightly browned.

In a large bowl, beat cream cheese with 3/4 c sugar
with an electric mixer at medium speed until smooth.
Beat in eggs one at a time, then vanilla. Pour over
the warm crust.

In a small bowl, stir together chopped apples,
remainig sugar, cinnamon and nutmeg. Spoon evenly
over the cream cheese mixture.

Prepare the topping. In a small bowl, combine brown
sugar, flour, oats and butter. Sprinkle over apples.

Bake for 40-60 min, or until the filling is set.
Drizzle with caramel topping and let cool. Serve
chilled. 

source: wegmans.com

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