#I took a test and it came back negative tho so..... I hope I don't have it again.

[zylphiacrowley]

bad news: am sick

good news: not too sick to gpose. :) (yet)

[medical-gal]

HYPER, a case report

20 something years old man of Asian descent presented with a history of 1 week of temperatures, retrosternal chest pains and just not doing that hot. COVID test was negative.

During his physical, I could tell he was sick, pale, sweaty, tachypneic and tachycardic. His pressure was normal. Meningeal signs are negative. Neuro negative. Abdomen negative. No peripheral signs of emboli or rashes. There was a bit of a weird chest sound (listed I have been doing ID for some years but for the life of me sometimes I can't tell which one it is...I just know it's not supposed to be there)) and I think I heard a heart mummer.

His labs: high white cell count, elevated CRP and procalcitonin. In the differential, neutrophils took the prize. Lactate thru the roof. Liver enzymes were elevated (transaminases).

He got a chest x-ray which was clear. Ultrasonography of the abdomen was negative.

His history was insignificant, he doesn't have any preexisting medical conditions, and he is updated on all his vaccinations. He is straight, married for a few years. He likes to play football with his friends who are all of Asian descent. They don't have kids but they have a dog. He is a teacher, he teaches English. He hasn't been to his country of origin since he was a child and nobody around him has travelled anywhere lately. He doesn't travel, he hates flying.

I admitted him and started him on co-amoxicillin with metronidazole bc all I had was tachypnoea and fevers. Tho his chest x-ray was negative, we decided to order a chest and abdomen CT scan, his ddimeres were elevated so I wanted to make sure he doesn't have a PE, which he did not. However, what the CT scan described - was 2 small abscesses peripherally liver approximately 3cm each.

Meanwhile, his blood cultures came back positive for...

GIF by thegalaxyrailways



Klebsiella pneumoniae, the hypervirulent kind

lol

ok. I wanted to prescribe cefta+avibactam. My boss laughed and laughed and laughed and asked from which pocket that will go so...

In the end, we did a CT navigated drainage and gave him colistin.

He did well.

But I think it's something he got from the community. At least it's what the lit says.

Do u have any experience with hypervirulent Klebsiella pneumonia infection? Drop a msg in my inbox I wanna hear all your tips and tricks!

Also, I hope all my ID folks are having the best time at ID week. I hope I will be able to go one day!

[kris-p-banana-bread]

Here DOAFP fandom, have some organic, locally-sourced, home-grown pain. This is basically just me, a scarred older sibling, projecting on Bobby, another scarred older sibling. I really reached into my post-loss psyche for this, so I hope you enjoy the headcanons and meta (AKA I hope you shed at least one tear).

It won’t let me link it here so the post that inspired this is under the read more at the bottom ✨

- When I first watched doafp, I couldn't understand Elena's aversion to Sam becoming a prominent figure in her mom's and her life. Now I understand it almost too perfectly. There was never supposed to be someone after Robert. He and Gabi were deeply in love and happy. Robert was it; he was the first and true love of Gabi's life. Sam showing up probably felt like a huge and utterly disrespectful slap in the face of Robert's memory, because he wasn't even supposed to be there. I don't know if that's as eloquent as I wish it was, or if it makes sense, and it probably sounds really mean to Sam, but it's not even really about him. It was always supposed to be Robert; Sam hasn’t earned the right to be apart of or associated with her family

- After Robert dies, Gabi and Bobby make it a habit to find and keep photos and recordings/videos of Robert, even if the latter only has him saying one sentence. They won't make Elena join them for the search, but after they find some of those old audios of Robert, they'll sometimes play them back for little Elena

- Bobby put up the keep out sign (I credit this to a few other blogs for discussing this tho) because that's where he would cry sometimes. He actually used to be pretty close with Elena, but after he put up that sign and started distancing himself from them a bit so they wouldn't see the times he cracked, he got a little more short and jaded with her. It's that, plus just growing into a teenager and stuff. And I'm not saying that he and Elena have a bad relationship, but he's become more snappy and has more walls up than he used to

- Sometimes Elena feels bad because she doesn't always remember her dad's voice. She was pretty young when he died, so even though she recalls it a bit, and the recordings help, it's been a while since she's talked to him in person, so of course she doesn't quite remember what it's like to actually talk to Robert and she's forgotten some of his mannerisms. She likes to think she's all done (she marked the stages down in her grief journal after all) but grief isn't linear or all that rational, so it hits her hard sometimes

- I keep reading as an action close to my heart because that's a strong bond me and my mom shared. She would rec books to me, and we would joke and talk about them, or she would hint to some future event and then refuse to tell me until I caught up to that part. So Elena and Bobby do something similar in their grief. Elena has writing and words, because that's something Robert loved if I remember correctly (but if I’m not and that’s not canon, then I now declare it so) and Bobby has tennis. But besides tennis (I sent a couple anons to @freshlybakedfandoms about it but I'm not sure where she went) Bobby also was taught to play guitar by Robert (I liken it to Devi Vishwakumar and her harp) so when he misses his dad or is just sad, he'll take out his dad's old acoustic and strum

- (This next one is something I also think a lot about so this is pretty much 98% projection) Bobby thinks sometimes about the fact that he was never able to come out to his dad. He hadn't really started growing into that part of himself yet, and he never got to show it to his father. He wonders what he would have thought of him. Would he be angry? Would he dismiss him and say it was just a phase? Bobby didn't think so, but a little part of him insisted that you could never be too sure. After he comes out, Gabi and Cami assure him that Robert would've been so proud of him and would've loved him regardless (Since we know virtually nothing about him, I maintain that Robert was one of those dads who teases their kid relentlessly about their crushes and I think he would've done that with Bobby and eventually Elena)

- When Elena's quince rolls around (if she chooses to have one of course), Sam dances with her during the father-daughter dance. A part of her still hurts, still aches and wishes that Robert were dancing with her too; still knows on some fundamental level that he and Gabi had planned for this day, but he had simply never made it. But she's known Sam long enough that she feels comfortable here. Nobody can replace Robert, but Sam is her family, and it feels right like this.

- I might do some more research and deliberate, but for the moment I'm saying that Robert had cancer, I’m thinking along the lines of colon. My mom was terminal, but idk if I should make Robert terminal? Maybe towards the end. Or maybe he was diagnosed as incurable early on but Gabi kept it from the kids because, tbh, being told your parent is balancing on that kind of edge is traumatic for them. So anyways, I’m going on that assumption for this last point, and I’ll see if I can recover some of my old knowledge and talk about technical stuff later if anybody would like to hear it

- Elena and Bobby were both pretty young. Bobby understood about PET scans and tests somewhat, and knew generally what different answers from doctors meant. Elena mainly just understood what was happening by reading her parents' and brother's expressions when getting lab results in from the doctor. They both remember on some level what it was like when Gabi would leave the kids with Cami and take Robert out to the car (later she would have to help him) and they would all feel like they were holding their breath until they got back and confirmed that everything was ok (and later, the little shocks of fear when the answers were no longer as positive and there was more apprehension and risks. After all, cancer doesn’t deal in absolutes)

- Bobby can still remember Robert when he had to stop walking around a lot. He still remembers the phone call that Cami got from his mom, saying that something had gone wrong, and if this last treatment didn’t work, he wouldn’t have much time before he passed. Still remembers Cami rushing into a room when she got that call, and trying to hide what was happening until Gabi could get home and explain it; but Bobby was a sharp kid believe it or not. He heard about the treatment, heard Cami crying. He still had hope... but when Robert came home in a gurney, when he could barely stay awake sometimes, when his voice was quiet and his skin was a little jaundiced, Bobby felt incredibly empty. But Robert always had a smile for his wife and his beautiful kids, even if it was small and very tired, his eyes still crinkled the same. He always had a smile; right up until they had to say goodnight and get some sleep one night. And then... he passed.

- After he passed, the Cañero-Reeds needed help, and a lot of Gabi’s coworkers would bring food or materials if they were running low. Cami and Danielle would babysit and would distract the kids when Gabi needed a good cry.

- Like you’d imagine, and because of what is sort of implied in canon and in my own head, the kids dealt with it in different ways. Bobby put up that sign, and withdrew. He wasn’t awful, but his patience with certain people got a bit shorter and he was a bit quieter. And he was a really good helper when he had the energy and he cared deeply, but he would sometimes get physically and emotionally exhausted after helping Gabi/Elena/Cami/anybody else with something and would go into his room or mentally tap out to recharge. He took comfort in things that seemed natural and that he sometimes took for granted before, like video games and skateboarding (hehe bobby skateboards. Anybody second me on this?) and clothes etc... and other stuff. A lot of materialistic things or experiences that he would skip out on before. But they bring normalcy back to his life now so he loves them for that.

- Bobby doesn’t wanna think about big themes or anything anymore, which I can’t remember but I think it was Vi (freshlybakedfandoms, again, idk where she is and I hope she’s ok) who said he was a math and science person and I think that as much as that could transfer over to those subjects as well, it’s much harder to avoid existential and emotional themes in English and History class and Bobby doesn’t like it as much as Elena does for that reason. He had to live with the back and forth of his dad’s treatments and tests, so math and science is comforting because it’s more concrete (There could be a million arguments for why he would distrust math and science because of his dad’s passing though, I realize) Ultimately, though, it reminds him of Robert too much.

- On the other hand, after a period of shock and confusion, Elena threw herself into new things. First it was a grief journal, to make sure she was going through the motions. Then she read a lot, and when she felt too alone or like she wasn’t doing enough, like she was stagnant, she’d just find something to focus and persevere on again. That feels like her personality type to me; something is wrong so let’s fix it right away. But that could also transfer sort of negatively into “Something feels off or I’m very sad, let’s get this thing done and be productive so we can put off having to confront that but at least we get work out of it” but I could be entirely wrong (this is based off some of my family members and how they dealt with the loss.) And Elena throws herself into history and english because her dad loved it, and she wants to remember more of him. Because she believes words have power and history is a lesson and that’s incredibly interesting for her

[tartagliaxx]

hi lei!! whatcha doing right now? i'm trying to organize my,,,, everything at this current moment i'm a lil sad T_T i've been wanting to dye my hair for the longest time and now that i just researched it the style i want is really high maintenance and its probably better to just not go through it 💔💔  i'll mourn now then get other it anyways i got my results for my covid test and it came back negative!! as a now confirmed healthy girl i'm sending you an air kith ^3^♡ mwah

also you seem like you'd use a catalyst it seems like the lightest and maybe geo? theres not a particular reason mostly just vibes and fatui because it means fool and you are the biggest fool i know!! booboo would be jealous!! you are not just a circus but the entire concept of clownary!! i'm almost sorry but i simply just saw a chance and took it :3

i've been meaning to ask you this, is your name a pseudonym? and if it is what made you choose it? if you don't feel comfortable telling its perfectly fine don't feel forced to i'm mostly asking cause i'm thinking of walking straight into hell and joining a subtwt i don't wanna use my actual name so i have came up with a list i like but hrhjghhh i'm indecisive and can't figure out which one- 🍰

hallooo!! i’m currently eating homemade udon rn! have you eaten? i’m sorry that you havent been feeling great… i hope you find a good setting of organization! hmmm…. well you know… if you want it, you should get it. it might need a little more attention but at least you feel good and look good right? i’ve been wanting to bleach my hair too but im too pussy lololol maybe next time? and man!!!! that’s such a great news!! sending you a kith back~!!

yeah i’m a fool… i’m a fool in love 😏 i dont settle for less. why be a clown if you could be so much more? actually… why be a circus on your own if you could be a circus together? with that said, childe…. come to mama 🤩✨

lei is my real nickname but not many use it lol… i once used pseudonyms when i was younger but that post abt being less creative w your screen names is true af. hmmm… i remember using ‘mashiro’ bc of an anime character i loved and ‘yue’ bc i had a v big moon lover phase. im sure one of those names resonate w you more than the rest. gl on deciding tho! being decisive w a name is v hard… i could relate to that struggle too much 😭

[by-zhi]

Birthday

Two weeks before my birthday my sis was sick. She had fever for several days but the lab result was just fine. Even until today she's on and off but we never really know why. I guess it's just the 2022 illness.

Then I, too, got sick. Similar symptoms with my sis and we both had PCR test which came back negative. It was the sickest I've been in two years. I couldn't even eat and keep vomiting what I ate. My lab result tho, was super bad nothing was normal except for my hemoglobin. Then I took the dengue test which showed I had it. Since my condition was so bad my parents took me to the hospital and I was hospitalized for a couple of nights. I soon felt better and was discharged.

I didn't get back to how I was, even today. I lost quite some weight (fyi I was already underweight before, I am now way more underweight) which I think cause me to feel tired and weak all the time. My hands were shaky everytime I try to lift them. The doctor encourage me to eat a lot, she even gave me supplements and vitamins to increase my appetite. Oh, my liver kinda got problem so I need to fix my eating habit. ALSO I haven't drunk coffee in like two weeks. My wrists and ankle feel crunchy (idk how to describe it, it hurts when I move and stretch them to some extent).

I was discharged a few days before my birthday. On my birthday I had to go see the doc and it took a whole freakin day. By the time I got home I was too exhausted to do anything. Also everyone got sick eventually. But, on the next day my friends sent me food (they're really sweet) tho I couldn't really eat them. They didn't know the problem with my liver that's why. But since they were generous enough to sent me those and I don't want them to go to waste so I ate some of them slowly (lol).

I also ordered a cake bcs I wanted it to still feel like a birthday whatsoever. I actually didn't care about the design but since I'm ordering I just picked the first thing came to mind; a carat cake (lol). Really appreciate the cake shop for taking my order last minute. I ordered at 9 pm on the 10th to have it on the 11th. It came pretty well.

I am now (trying to) eating a lot of food and by a lot it's in the frequency I didn't have before. I really need to get at least back to my previous weight and gain some more after that. I also need to finish my thesis, which I'm struggling to find the motivation to.

As I'm writing this I kinda feel not-so-good. Idk, everyone's sick and I'm trying to recover. It's been hard in this household, especially for mum who looks after literally everyone. I think it's a karma for me. I hope to recover soon and get back going.