19 April 2013

Catastrophes and how to save a life.

Medicine:

Catastrophic event occurred yesterday. One of my patients, who underwent a a heart cath had one of the more severe complications associated with the procedure: a retro-peritoneal bleed. We were called to bedside for a rapidly dropping blood pressure. After some well placed phone calls and bullying, we rushed this patient to the CT scanner ( which showed a massice bleed) pressures still dropping, even after 3 liters of fluid and maxed Levophed. Rushing them up to the ICU, we eventually got blood running, 4 units in 30 minutes.

Continuing the blood, I called for massive transfusion protocol, did my best to keep the patient awake. The OR and heart surgeon were notified. We lost pulse twice awaiting the OR,  Epi brought recovery, thankfully. I held off calling a code during this, as the only way to save the patient was getting them to the OR. On the way down, we lost pulse again, and CPR was started... And continued throughout the procedure repairing their femoral/iliac artery. Eventually we regained a pulse... During this, I believe they received a total of 16 units of blood.

Saved a life. But the prognosis is still... Unclear.


Lifting:
Week 2 lower 2: tempo/hypertrophy

Superset pairs

Deficit DEadlifts 6x5 @ 275 slow damn eccentric
Hamstring curls

Romanian deadlifts 5x6
Glute bridges

Back squats 5x8@. 225 slow decent, with long pause in the hole.
Step ups 5x12@25

Prowler pushes
Prowler drags. Both at 225

I was in a heap of burning leg pain at the end... I love/hate that damn prowler...




Diet:
Medium carb: going strong. (Slipped a bit today: 2 oz Gouda cheese on my post workout sammich)



Didn't weigh in today...

Additionally, I tried hydroxycut hardcore elite or extreme? It was a sample sent with my last order from bb.com...   Crazy strong. I'm well conditioned to caffeine, 600-800mg easily/day. This is on another level. It took a solid 1-2 hrs to fully kick in. It was intense. I was dizzy and seeing stars... I totally ordered a bottle, with plans on half doses... :).

I'm considering running clomid at 25mg every other day, considering the low long term risk and documented natural increase (roughly double) in testosterone in men... Hmmm...






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