Vorige week kwamen we met een rot gevoel en geschrokken thuis. Bijna een half jaar onderweg na de stamceltransplantatie, geen enkel verschijnsel van afstoting en dan ineens Graft versus Host aan mijn huid. En gelijk graad 3 (max is 4). Op de terugweg
van het ziekenhuis langs de apotheek voor de prednison zodat ik er gelijk mee kan beginnen. We zijn zo bang dat het overslaat naar darmen/lever of longen. Hele week aan het anti-afstoringsmedicijn Neoral (2x300ml per dag) en 70mg prednison per dag. Dat is niet alleen nuttig om de afstoting te voorkomen, het geeft me ook meer energie. Ik loop meer en verder door het huis, over de parkeerplaats en gelukkig merk ik dat mijn spieren weer een beetje terug komen. Voordeel bij een nadeel, zeg maar.
Gisteren extra controle bij de hematoloog. Natuurlijk spannend. Het lijkt erop dat de uitslag aanzienlijk minder is geworden. Maar wat zal mijn Hb.doen? Die Neoral werkt ook een beetje als een rem op de productie van bloedcellen. Een verlaging van de 6.2 naar ergens in de 5 ligt voor de hand.
In het ziekenhuis word ik nog door Marjolein (en dit keer ook door mijn dochter Karin) rondgereden in de rolstoel. Die grote afstanden naar lab. en hematologie kan ik zeker nog niet lopen. Wel laten we voor het eerst (!) de rolstoel in de wachtkamer staan en wandel ik trots de spreekkamer in. Wat moet dat ook voor de hematoloog, die zo gevochten heeft om mijn leven te redden, een fantastisch gezicht zijn.
Hij bekijkt de uitslag (voornamelijk nog op mijn rug) en doet redelijk laconiek. Prima, ziet er goed uit en het lijkt onder controle. Dit komt vaker voor bij het afbouwen van de medicatie. Pffff. Dat is goed nieuws. En de waarde van het Hb (rode cellen) dan? 6.5. Wow zo hoog is hij in 3 jaar misschien 1 maal geweest.
Trombocyten (bloedplaatjes) 174. Moet tussen 150-450 zijn. (op de IC heb ik 5 gehad)
Leucocyten (wit = weerstand) 4,5. Moet tussen 4 en 10 zijn.
En nog meer goed nieuws. Nierfunctie is prima, leverfunctie is iets verbeterd.
Het beenmerg maakt altijd als eerste hele jonge cellen aan. Die heten reticulocyten. Het zijn cellen die zich later omvormen naar rode bloedlichaampjes. Het aantal van deze jonge cellen bepaalt de toekomstige hoeveelheid rode bloedcellen. Dit aantal wordt al maanden in de gaten gehouden en is de afgelopen week enorm gestegen naar 248. Mede hierdoor verwacht de hematoloog dat ik (voorlopig) geen bloedtransfusies meer nodig heb en dat ook mijn Hb. nog verder zal stijgen.
We besluiten om eerst de prednison af te bouwen. Deze week over op een dagelijkse hoeveelheid van 40mg. Pas als de prednison is gestopt, gaan we weer proberen de Neoral af te bouwen en dan maar hopen dat de afstoting weg blijft.
Tenslotte geeft de hematoloog wel aan dat de stijging van de waarden deels is ontstaan door het gebruik van de medicijnen, met name de prednison/ De trend is wel dat het heel duidelijk de goede kant op gaat.
Griepprik.
Omdat ik in de doelgroep (kwetsbare mensen) val, heb ik een oproep gekregen voor de griepprik. Al 3 jaar raadt de hematoloog mij (en de rest van ons gezin) aan om deze te halen. Nu geeft hij wel aan dat door het gebruik van alle medicijnen er enige twijfel is over de werking van het vaccin bij mij. Desondanks benadrukt hij het belang van de inenting. Wederom wordt ook inenting van de huisgenoten aangeraden. We hadden al besloten de prik te laten zetten. Morgen gaat het gebeuren.
You have so many beautiful shots here! The musket firing is amazing, but so are the cannons and fence and barrels. I think people would want to buy framed prints as souvenirs when they visit the fort. Coaountrlatigns on your nomination! It’s well deserved.
Meeen jag var inte långt ifrån, rättare sagt i Lima. Hade jag vetat skulle jag spana in och säga hej! Hoppas det gick bra för dig, eftersom det blåste rejält denna dag.
Very true! Makes a change to see someone spell it out like that. 🙂
Kimk….just DIED!!! that’s exactly what I want to see him do lol. I know he’s got it in him . He’s just gotta remember to keep the smoking sexy look on his face and not break down giggling rotfl….omg my heart just skipped numerous beats!!
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Walking in the presence of giants here. Cool thinking all around!
You at a loss for words? Not hardly. “We made history, we did not erase it.” With that one statement you said just about all that need be said. Now, put those words on a t-shirt with Obama’s picture above them, print up a bunch, find yourself a corner to hawk ‘em and see if you don’t make yourself some Christmas money (LOL).
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Secondo me le scritte in simil-italiano dell'Alto Adige andrebbero in un concorso a parte. Non ho mai trovato un posto (albergo, ristorante, ufficio) in Alto Adige in cui non ci fosse almeno un errore di italiano. E alcuni se ne vantavano pure.Mandi
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Bellissimo post Giovanna.L'immagine più bella della morte me l'ha sempre regalata Rilke (che mette in poesia l'eredità di Heidegger): morte come pienezza totale, frutto finale, maturo, che cade dall'albero e si dona. Ma una morte così non è per tutti. Una morte così bisogna coltivarla giorno per giorno senza sonnecchiare (compito mostruosamente arduo). "Essere per la morte" significa esattamente questo.
el alcalde esta bien en traje, con polo con camisa y hasta con camiseta sin lamparas claro esta impecable como siempre va.Puntúa este comentario 5 21
Bonjour Pralong,Oui c’est la période idéale pour repiquer votre clématite.Il vous faut afin de bien la repiquer, la palisser. J’entends par là , la faire tenir sur un treillis par exemple. Veillez à planter le pied à l’ombre et la tête au soleil. (Si les deux sont au soleil, vous pouvez par exemple cacher le pied à l’aide d’une tuile).A bientôt !Laurent.
Now I know who the brainy one is, I’ll keep looking for your posts.
I really felt this practice, Tanya. I worked with fear and courage. When I ignore my self-worth, I become afraid to shine on and hold myself back. Thanks for a great start to 2012!
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Davvero dei bei tagli di Madrid.Quando andai io, tornai a casa con tutt'altre foto, non più brutte o più belle, semplicemente molto diverse da queste.Questo ci suggerisce quanto la realtà oggettiva, probabilmente, non esiste ma è tutto filtrato dai nostri occhi. 😉
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One or two to remember, that is.
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You are doing a great service by placing these songs.I wonder if you have the following song by Mukesh:Mane Yaad Phari Phari Aawe film Nasibdar (1950)It is one of the old favorites sung by him.Thanks.
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Na, én az áfonyás variációt készÃteném el a közeljövÅ‘ben. Mit ajánlanál az áfonya alá, hogy a rÃzs ne szÃnezÅ‘djön el tÅ‘le, ne feketedjen meg a levétÅ‘l? Vagy nem fog?tündi néni
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I might be beating a dead horse, but thank you for posting this!
You Sir/Madam are the enemy of confusion everywhere!
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Ugh.“I’ve always been a KU basketball and an MU football fan…”Lame.“Winning a 9th straight Big 12 title ”Factually incorrect.“Does the KU-MU series really matter?HELL YES, IT MATTERS. ”Agreed.
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Dzisiejszy twórca malarz przez swoje interpretuje otaczający go świat. Namalowane są śladem rozterek immanentnych artysty który szuka odpowiedzi na przeróżnego rodzaju pytania.
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Si seulement il y avait moins de racisme en France, des milliers de mères courages telles que Célestine ne seraient pas obligées de vivre dans des conditions terribles, et cela alors qu’elles sont Françaises comme vous et moi !
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Oj, Jozek, Jozek! Panienka nAJÅšWIĘTSZA ciÄ™ pokochaÅ‚a, bo sam archanioÅ‚ Gabtiel jej to obwieÅ›ciÅ‚, a ty tu sprzeniewierzasz siÄ™ Jemu samemu i jego naukom. Nie czyÅ„ drugiemu, co tobie nie miÅ‚e. JeÅ›li ktoÅ› ciÄ™ w jeden policzek, ty nadstaw mu drugi. OczywiÅ›cie do walniÄ™cia!. Ale, że jesteÅ› b. poetycki ( „tysiÄ…cgÅ‚owa hydra zapchana strawÄ… spod okrÄ…gÅ‚ego stolu zÅ‚agodnieje, a jej potomstwo zapomni skÄ…D SIĘ WZIĘÅY srebra na stole.”) no to powodzenia.Tylu gÅ‚upków dookoÅ‚a…
Mr Jain: Sir as I had mentioned in the post, applicants may want multiple claim sets for many reasons-including litigation/licensing.If one set is found "invalid", then the entire file history of that application suffers including continuations/divisionals/continuations-in-part. It may happen that the claims may be found to be valid and not infringed. It is then, that the other claim set may be asserted. Usually, the patentee does her homework in this regard (which claim set to assert) before approaching litigation or licensing negotiations.
I’m really sorry that you’ve had such a rough year, but I know how brilliant you are and I’m looking forward to all the cool stuff you’ll be doing in the future. Stay strong Dan! We love you!
Kudos! What a neat way of thinking about it.
Nydeleg innlegg, Petunia:0)Veit du at det er frostkonkurranse inne hos Anne pÃ¥ Moseplassen??Her har du mange flotte bidrag Ã¥ velge mellom!!Ha ein fin dag…Klem
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So much info in so few words. Tolstoy could learn a lot.
“Out popped the mondoweiss tee – a beautiful garment by the way.”It is indeed, but it needs to come in big/tall sizes, as well.And while we’re talking about the T-shirt, why doesn’t “Mondoweiss” have a “dot net” after it?
Earlier this summer I heard Lars Vilks, the artist behind the mohammeddogs on local tv also taking a pc stance towards islam. I don’t remember his words exactly but it was definetively pc.
Your post has moved the debate forward. Thanks for sharing!
Superior thinking demonstrated above. Thanks!
Brilliance for free; your parents must be a sweetheart and a certified genius.
Wow, that’s a really clever way of thinking about it!
I’m waiting with baited breath! So excited for you! it won’t matter if it’s a boy or girl when you first hold that little one in your arms – he/she will be perfect – just what you wanted!
Sharp thinking! Thanks for the answer.
ramai yang bangun awal hari ni. mesti tak sabar nak membahan JJCM jap lagi, atau tengok melodi. typical…Hot debate. What do you think? 8 5
Free info like this is an apple from the tree of knowledge. Sinful?
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Superb information here, ol’e chap; keep burning the midnight oil.
Gotta back you up man. Had this done on my inspire and I’m really really happy with it. Chris hung in there with me until 3am on a Friday night because my dinosaur computer took forever to download the files. The options you have after rooting your phone are well worth the money. Chris did an awesome job.
Thanks for the link Kishnevi!The reproductions are very good. Maybe I won’t have to replace my more-than-30 year old Dover Books copy after all.
“Flame exploits vulnerabilities in the Windows operating system.â€I have read things which lead me to believe that the CIA supported Microsoft when it started out because they allowed a trap door in their software for clandestine access. The full extent of covert machinations is likely high. I suspect that “Flame†is a collaborative venture. Third World countries would be well advised to avoid Windows and develop their own. Israel has a long history of intellectual thievery and cyber crime and is not to be trusted. Ever.
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The ability to think like that shows you’re an expert
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Just yes. Yes. I think there are times even in a relationship that we need a heartwash. Our children need a heartwash, our homes sometimes need a heartwash.Thank you for this gem.
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Why is she creating a false equivalence between STEM careers and blue-collar workers? This post is so poorly laid out that I’m having a hard time getting what her point was. STEM careers are scary because bad smells and heavy lifting?
Japan cannot defend herself on her home islands. It is a peaceful document, not a pacifist one. To not make war means, I do believe, that Japan shall never aggressively make war outside of her national boundaries. In fact Japan has a very powerful home defense force fully capable of defending the home islands. Behind the scenes the U.S. and Japanese governments are maneuvering to make Article Nine obsolete so Japan will have a military presence beyond her borders. Fear is the motivating force and in today's nuclear world fear is a prescription for global suicide.
So excited I found this article as it made things much quicker!
hejIh det ser da lækkert ud.Her i Jylland har der nu desværre ikkeværet sÃ¥ meget sol.Ser frem til snart 3 ugers ferie og hÃ¥ber…….solskinGod sommerA
ene29a25 Pues casualmente anuncia un champu para eso mismo, a lo qu eyo me pregunto: ¿Habran sacado una amplia gama? ¿Para cabello seco, graso, problemas de caida… del cabello claro, etc…?
Enlightening the world, one helpful article at a time.
De apariencia, divinas. En mi opinión probablemente hubiera ido mejor con azúcar glass, probablemente menos granulosas y más finas, pero en todo caso, me parecen buenÃsimas, y menuda cantidad, tendras paciencias para todo un regimiento con esas doscientas unidades.un beso
I am forever indebted to you for this information.
Pessoal, realmente foi lamentavel o que aconteceu no referido programa. Poreeeeemmmm informo a voces que conheço varias pessoas que estao interessadas em conhecer o zouk e fiquei muito mais feliz com isso. Acho q essa gafe pode e deve ser vista de outra forma. A dança é maravilhosa e tem gente por ai babando de vontade de aprender. Super bj.
SÃ¥ skjønn han er…sikkert glad i skibakken….jeg synes det er koselig Ã¥ være nedsnødd…da er det liksom lov til Ã¥ gÃ¥ i hi og kose seg glugg i hel med filmer og bøker…Det var IKKE sÃ¥ koselig Ã¥ kjøre i 20 km pÃ¥ motorveien i dag(helt sant)…turen til jobb tok 50 min….selv om det er en tur pÃ¥ 20min utenfor trafikkrush….Kjempesøtt bilde, elsker blÃ¥tt og hvitt!Ha en fin dag i morgen!! Kos deg med familien og vofsen, klem,M
I have read naked and all in, in just half of the day…It was soooooo good!!Totally in love with Ethan Blackstone!!!And i sooo love simba… He is so funny!!I love POV at the end..But then who is that unknown human being??Paranormal 4?? Hehehe…Cant wait for the third installment of the book…
Way of not differentiating between vegetarian and vegan. PCRM says it promotes a vegetarian diet; it’s really a vegan one. It’s a short cut. Plus, I get tired of typing them both out.
I had the same problem with my K75. I will try to make a survey to find out how common spline and clutch problem are with BMW MC’s. If you want to participate please contact me on regardless of whether you experience any problem or not, and I will mail you some questions.Remember that every vendor denies any problem as long as possible until a magazine or TV programs bring up the issue.
Don’t get me wrong the media exposure from the first Ghosthunt was great for the building,And I assume some of the ticket $ will go to the CTRC but to pay $250 to have these TAPS moron’s tell you a mouse fart was someone trying to contact us from beyond is a bunch of Bull! Maybe someone will run into Casper!
Posts like this brighten up my day. Thanks for taking the time.
noviembre 19, 2012 a las 4:00 pmquisiera saber si no pueden hacer un parche en el que añadan todas las ligas que estan en el pestricolor, asà solo tendrÃan que añadir los datos que ya crearon los que hicieron ese parche y poner esas ligas como opciones disponibles para elegir asà como lo está la liga argentina Responder
Until I found this I thought I’d have to spend the day inside.
Great hammer of Thor, that is powerfully helpful!
Hello!I am looking for a software exclusively for algorithmic music manipulation and composition (not audio synthesis and not in realtime).I can’t code but I am ready to learn.I have installed so far:AC ToolboxSuperColliderCalmus XXPureDataImpromptuCommonMusic/GraceSymbolicComposer (demo)Max/MSP (demo)PWGLOpenMusicAll this makes really confusion.Do you have any suggestion?Which of these are the real algorithmic software for making melodies, structures, harmonic progressions, scales etc… Which is easy to learn, which is the most powerful? I need the result in form of notes (MIDI, score or so).Any comment and directions are welcome! Thank you.
You make things so clear. Thanks for taking the time!
There is something about some of these works that have me thinking of Kandinsky. I wish I had extra dough to blow, prints of these are available for only $30.Thanks for continuing to expose me to great images.
to Katy “who in their right mind would want to go to the Browns game?” Now I know. Braylon should have bought the entire stadium beer, maybe that would make up for his 20 dropped passes.
Hi Amanda looks like the west end had better look out for the A bomb explosion. This fella then, i take it you don’t already have a fella on the go.Matty
Keep these articles coming as they’ve opened many new doors for me.
Rod Colon has become a true leader in the networking industry. He totally empowers all those who are blessed to work with him. I am a more productive business man and leader having worked with him.Frank BoughnerPresident, Cardinal Hayes Alumni AssociationSilver Executive Distributor, MonaVie
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I'm being honest when I say I'm a lil bit surprised when I see how much people appreciate music from my people despite not understanding our language. The music is "sweet" but it's pure bliss to understand and sing along. Obey especially was well known for the philosophical content of his music.
Übrigens tut es ganz gut, mal die Inhalte dieser Webpräsenz mit denen der BüSo zu vergleichen, denn da gibt es tatsächlich Ideen und Konzepte, um die Krise zu lösen und NRW nicht zu “stabilisieren” (was mehr danach klingt, ein Unfallopfer vor dem Tod zu bewahren), sondern zu entwickeln und aufzubauen.
Dear Adam,Thank you for taking the time to share your thoughts. We really appreciate it.Our board has handled this situation in the way they determined was best, and we’re moving forward with our work to end marijuana prohibition. We’d be sorry to lose your support and hope that you’ll consider returning to us at some point in the future.Sincerely,Leah Harris, Assistant Manager of Events, Grants, and OutreachMarijuana Policy Project236 Massachusetts Ave. NE, Suite 400, Washington, DC 20002202-462-5747, ext *2020 (phone), 202-552-0969 (fax)
That really captures the spirit of it. Thanks for posting.
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