醫生,到底之後我會點?
40多歲good past health,同媽媽一起住照顧年老媽媽的孝順仔,因為工作期間接觸了受感染的同事而感染。
確診後在家隔離中,Day 9突然呼吸愈來愈困難,送院進行再一步治療
Tachypnea, tachycardia, hypotension, high grade fever, profuse diarrhea
驗血、打豆落水、俾氧氣、CXR
Bilateral lower zone peripheral infiltrates
Deranged liver function test
Persistent desaturation despite oxygen
落dexamethasone、落remdesivir
「醫生,到底我之後會點,我好擔心」
「Had I known that it would feel this bad, I would have taken the stupid vaccine」
對此,我沒有答案,往後幾日將會是關鍵,只能寄望藥物、氧氣和免疫系統生生性性。
這是人類的特性,事後hindsight總是會覺得,早知就點點點
打了疫苗後不適的就會話早知不打
無打疫苗後重症的就會話早知就打
世上沒有早知,whatever happened happened
醫療選擇沒有絕對的對錯,當刻因應風險評估作了決定,這是當刻自己認為最適合自己的決定。回望過去總是可以找到避免的方法,但現實就是這樣,shit happens
廿幾歲、三十幾歲、四十幾歲、五十幾歲,每日都有個案需要high flow -> NIV -> ICU -> Intubate -> 嘗試downtitrate就desat->輪迴
No one is safe until everyone is safe
無論你對疫苗的看法如何,你決定打還是不打,祝願大家在2021餘下的日子都能平安渡過。
#天佑澳洲
persistent fever 在 Zoe Raymond Facebook 的最佳貼文
International Breastfeeding Week got me scrolling back to January 2020 and March 2018 for pictures of my first few skin to skin contact with my babies. Arielle and Aaron looked and behaved very similarly!
Same same but different, because it is still a challenge to nurse Aaron when we are out because is an easily distracted baby. Even at my parents’ place, he is very curious about his surroundings. He would rather go hungry!
But my biggest challenge came 3 weeks ago when I was down with dengue. Persistent high fever, aches, rashes, I was physically and mentally exhausted. My supply dipped on the 4th day of my fever as I only managed to pump 50ml for some feeds when Aaron takes at least 160ml. I was upset but determined to overcome this hurdle. Coincidentally, I had the same hurdle when Arielle was 6 months old. My beloved 阿公 passed on (It will be 2 years this month) and I had pneumonia right after the funeral wake. I thought to myself, I had pneumonia and was hospitalised then, if I could build back supply then, let me try my best again this time!
I latched as much as Aaron allowed me too, I say this because supply was so weak and slow, he was fussy, I could see him struggle and sucking hard for his milk. I told him to work hard with me as we could only do this together. Sometimes it was sufficient, sometimes it wasn’t, so we would give him a top up of bm from my extra pumps.
Besides the extra pumps I would do after latches - for 2 weeks, before I went to bed, I would prepare 2 slices of bread, 4 bottles of water for my MOTN feeds. I drank a lot more soup and water, in hopes to build supply. I recovered after 2 weeks and thankfully supply came back gradually.
Thank God! Thank you, Aaron and thank you my IG family for being so encouraging when my supply was weak and sharing my joy when supply returned. So here I am, 6.5 months into living life in 3-4 hourly blocks. Breastfeeding is easily one of the most challenging and time consuming thing a mama can do for her children. Low supply, just-nice, oversupply mamas, we all have our own fights - we can do this! 👊🏻 Happy International Breastfeeding Week!
persistent fever 在 Zoe Raymond Facebook 的精選貼文
A collection of photos from evening walks with my 2 children. I enjoyed having Aaron so close to me through babywearing and pushing Arielle in her car, talking and singing together. This is the best way to manage a walk with both of them by myself.
But ever since dengue cases rose to 50 about a month ago in our estate, I stopped taking them for walks. It’s 150 today and I never expected to have contributed to that number. So happy to finally recover after 2 weeks of dengue. It was such a horrible experience (of persistent high fever of 39-40 degrees and body aches) which I hope no one else would have to experience. Stay safe everyone ♥️