EFTA01617454.pdf

Platform: iMessage Timezone: UTC+0000 • [email protected] 2017/01/31 Sometimes also having something to "control" can be helpful • So for example a decision or a timeline or an if/then scenario 02:33:06 am like how long it will take for you to fuck bill? :) 02:33:23 am • is she medically capable? Sound mind for decisions or is she delirious? 02:33:33 am half 02:33:44 am You may be able to Commit against her will if you think danger to self or others and not clearly thinking Temporary and her husband or next of kin can help 02:34:19 am Bill different. He can't Wife vicious • I scared 02:34:37 am EFTA01617454  she also has ovaries 02:34:54 am • I don't 02:35:01 am I still scared 02:35:13 am • She prob has more testosterone than most large males 02:35:33 am yechh 02:36:06 am • If you think Eva in danger commit her 02:36:13 am Don't think twice • MRSA not friendly 02:36:29 am I'm getting more info. 02:36:56 am can i commit you and bill to the same ward • If her kidneys aren't working she could have sodium issues making her a little crazy 02:37:05 am • YES 02:37:12 am EFTA01617455  why is vancomycin hard on kidneys 02:37:29 am Not always nephrotixic but in some folks just is 02:37:53 am Not known mechanism but it is dose related 02:38:38 am So if toxic you just back off aNd stuff is usually ok 02:38:54 am But if she doesn't have a line you can't tell vanc peak/trough (how it's being metabolized) and you also don't know electrolytes 02:39:38 am Double whammy 02:39:43 am understood 02:39:53 am ✓ Sent https://www.hopkinsguides.com/hopkins/view/johns_Hopkins_ABX_Guide/540518/all/Staphylococcus_aureus EFTA01617456 02:41:16 am Read this might help 02:41:16 am Scroll down maybe there are some oral meds to bridge in short term and while majorly suboptimal are better than zero 02:45:34 am 7;. 02:47:33 am Read EFTA01617457