Renal Quotes

Feminine delicacy was carried to excess in Mme de Renal.

Inside, the doctor filled an eyedropper with goat milk and began to drip it into the back of the marten's throat. It filled him with immense medical satisfaction when eventually it urinated on the knee of his trousers. This indicated healthy renal functioning.

The best way to deal with 'Change' is to lead it!

Has he written to you?' 'He writes frequently.' 'Shew me his letters this instant, I order you'; and M. de Renal added six feet to his stature.

Prepare to evacuate soul in ten, in nine, eight. Chloe's splashing through the ankle-deep back-up of renal fluid from her failed kidneys. Death will commence in five. Five, four. Around her, a parasitic life spray paints her heart. Four, three. Three, two. Chloe climbs hand-over-hand up the curled lining of her own throat. Death to commence in three, two. Moonlight shines in through the open mout... h. Prepare for the last breath, now. Evacuate. Now. Soul clear of body. Death commences. Now.

A small soul’s going. By floodlight through the universe’s renal regions. Pale phagocytes drifting over, shadows and shapes through the tubes like the miscellany in a waterdrop. The eye at the end of the glass would be God’s.

Love,' Fringilla said slowly, 'is like renal colic. Until you have an attack, you can't even imagine what it's like. And when people tell you about it you don't believe them.

A hammock is like a steady drip of morphine, without the danger of renal failure.

Madame de Renal seemed to be a woman of thirty, but was still very pretty.

Today, I’m asked to review a twenty-year-old patient whose blood tests show abnormal renal function. Both his arms are in full plaster casts, like a Scooby Doo villain. 

Love,’ Fringilla said slowly, ‘is like renal colic. Until you have an attack, you can’t even imagine what it’s like. And when people tell you about it you don’t believe them.

In Paris, Julien’s position with regard to Madame de Renal would very soon have been simplified; but in Paris love is the child of the novels. The young tutor and his timid mistress would have found in three or four novels, and even in the lyrics of the Gymnase, a clear statement of their situation. The novels would have outlined for them the part to be played, shown them the model to copy; and this model, sooner or later, albeit without the slightest pleasure, and perhaps with reluctance, vanity would have compelled Julien to follow. In a small town of the Aveyron or the Pyrenees, the slightest incident would have been made decisive by the ardour of the climate. Beneath our more sombre skies, a penniless young man, who is ambitious only because the refinement of his nature puts him in need of some of those pleasures which money provides, is in daily contact with a woman of thirty who is sincerely virtuous, occupied with her children, and never looks to novels for examples of conduct. Everything goes slowly, everything happens by degrees in the provinces: life is more natural.

In spite of himself, and although he often replied to what Mathilde was saying, he could not tear his soul away from the thought of the bedroom at Verrieres. He saw the Besancon Gazette on the orange taffeta counterpane. He saw the pure white hands clutching it convulsively; he saw Mme de Renal crying... He traced the course of each tear drop as it ran down her lovely face.

The most popular game is Cholesterol Canasta, where the plague patients, vivisection victims, and ambulant biohazard bags try to one-up each other with their hellish blood panels and urine tests. For a long time, the undisputed winner was a two-hundred-and-fifty-kilo diabetic with renal insufficiency, fatty liver disease, and food poisoning. The only infection he didn’t have was HIV..

To be effective for anything, cordyceps must be dosed appropriately. That means a minimum dose of 3 grams daily but the best results occur with 6 grams daily as the baseline, especially in acute conditions. The renal studies usually used from 3 to 4.5 grams. This dose range can also work for lung problems, except in truly acute conditions when it should be 6 to 9 grams (in mycoplasma treatment as well).

My female friends have all coupled with men who are feeding off their organs and whose organs they are feeding off of, a symbiotic process that will continue until they break up or one of them dies. If and when they return to me, single again, they'll be diminished in body and spirit - feet swollen from renal failure, or eyes jaundiced, or breath coming short, a piece of their lung or liver or kidney on a shelf in some man's house.

Cordyceps sinensis (CS) was used in the long-term treatment of renal transplant patients. Long-term survival was no different in the treated and untreated groups, however the incidence of complication was significantly lower in the CS group. The CS group needed much lower doses of cyclosporine A and serum levels of IL-10 in the CS group were much higher. Another renal transplant study with 200 transplant patients showed the same outcomes.

The great evil in little French towns, as well as in other communities ruled by popular vote, as in New York, is that people cannot forget that there exist such men in the world as M. De Renal. In a town of twenty thousand inhabitants, such men as he form public opinion, and public opinion is a terrible thing in countries that have a constitution. Your friend, a noble, generous spirit, living a hundred leagues away, judges you by the public opinion of your town, formed by the fools or knaves whom chance has given the means of floating on the surface. Woe to him that is in any way distinguished!

Wild horses wouldn't have made Daniel admit that his wife, Anna, would have lectured him for an hour if she'd known what he was up to.Daniel considered it basic strategy not to tell her until it was done. "Since she's been moping and sighing around here," he lied without qualm, "I thought I'd bury my pride and call you myself.It's time you took a weekend and came to see your mother." Alan lifted a wry brow, knowing his father all too well. "I'd think she'd be all wrapped up in her first prospective granchild. How is Rena?" "You can see for yourself this weekend," Daniel informed him. "I-that is, Rena and Justin have decided they want to spend a weekend with the family. Caine and Diana are coming too." "You've been busy," Alan murmured. "What was that? Don't mumble, boy." "I said you'll be busy," Alan amended prudently. "For your mother's sake, I can sacrifice my peace and quiet.She worries about all of you-you especially since you're still without wife and family.The firstborn," he added, working himself up, "and both your brother and sister settled before you. The eldest son,my own father's namesake, and too busy flitting around to do his duty to the MacGregor line." Alan thought about his grueling morning and nearly smiled. "The MacGregor line seems to be moving along nicely. Maybe Rena'll have twins.

As I write this, I am still waiting for Steve to walk through the door. His sarong still hangs on the bed. His toothbrush is in the bathroom. Reality is sinking in more and more. Bindi and I have a lot of heart-to-heart talks. These seem to help her, just like when she was younger and lost a special koala named Wilson. Wilson died of renal failure and is buried in our backyard. I felt thankful that over the years, I had set the foundation of faith with Bindi. “As hard as it is to understand, there was a reason for all of this,” I told her. “One day it will be clear.” Robert is like a pitiful puppy, and he still waits patiently for his daddy to come home from heaven. I hadn’t been prepared for how devastated Robert would be. Some nights he sits in the bathtub and cries. “I want my daddy,” he says, over and over. It absolutely tears my heart out.

More than one thousand people in excess of the July norm were admitted to inpatient units in local hospitals because of heatstroke, dehydration, heat exhaustion, renal failure, and electrolytic imbalances. Those who developed heatstroke suffered permanent damage, such as loss of independent function and multisystem organ failures. Thousands of other stricken by heat-related illnesses were treated in emergency rooms.

Una baja concentración de ácidos grasos omega-3 contribuye a muchas disfunciones patógenas, como un mayor índice de cardiopatías,[202] inestabilidad de la función hepática [203] y renal,[204] así como perturbaciones mentales en general,[205] específicamente las que llevan al suicidio.[206

They summarize several extra-articular manifestations of RD including epithelial (skin), ocular, oral, gastrointestinal , pulmonary, cardiac, renal , neurological, and hematological.

Over the years, I have cared for loved ones with advanced Alzheimer, late stage cardiovascular and renal disease and Stage 4 cancer. But none of those experiences prepared me for being a carer for a Severe or Very Severe ME patient. The breadth, severity and unprediciability of the symptoms and dysfunction from one person ro the next and from one day to the next can be hard to comprehend and mainstream medical education doesn't help.

A bit of me agreed with the medical student who was spending a month on renal service and said with a smile, “Oh, no. The kidney is smarter than me,” when asked if she was interested in a career in nephrology.

The only procedures that African-Americans receive at higher rates than whites, Williams said, are shunts for renal disease, the removal of stomach tissue for ulcers, leg amputation, and the removal of testicles.

Enfermedad de Parkinson. Cardiopatía isquémica con infarto agudo de miocardio anteroseptal y de cara diafragmática. Ulceras digestivas agudas recidivantes con hemorragias masivas reiteradas. Peritonitis bacteriana. Fracaso renal agudo. Tromboflebitis ileo-femoral izquierda. Bronconeumonía bilateral aspirativa. Choque endotóxico. Parada cardíaca. Madrid a las 7:30 horas de día 20 de noviembre de 1975. Firmado: El equipo médico habitual.

levels of albumin and renal epithelial cells. These are clear signs of damage somewhere in the kidneys, bladder, or urinary tract. Most of the time it signals what is called clear cell renal cell carcinoma. This man likely had a tumor in one or possibly both kidneys, but of course we can’t be sure, since we don’t have him to examine.” “Would he have known he had cancer?” Ballard asked.

constrict cutaneous muscle and splanchnic vasculature and promote salt and water retention. h e synthesis of vasodilating prostaglandins (prostacyclin and PGE 2 ) and nitric oxide in the kidneys and the intrarenal action of angiotensin II recurrent angina signals the need for angiography, if it has not already been performed. Intraaortic balloon counterpulsation is usually reserved for hemodynamically compromised patients with refractory ischemia. Temporary pacing following AMI is indicated for Mobitz type II and complete heart block, a new bifascicular block, and bradycardia with hypotension. Emergency treatment of arrhythmias constantly evolves and we recommend that the guidelines for Advanced Cardiac Life Support be followed. In general, ventricular tachycardia, if treated medically is best managed with amiodarone (150 mg intravenous bolus over 10 min). Synchronized cardioversion may be used in patients with ventricular tachycardia and with a pulse. Patients with a stable narrow-complex supraventricular tachycardia should be treated with amiodarone. Patients with paroxysmal supraventricular tachycardia, whose ejection fraction is preserved, should be treated with a calcium channel blocker, a β blocker, or DC cardioversion. Medically unstable hypotensive patients should receive cardioversion. Patients with ectopic or multifocal atrial tachycardia should not receive DC cardioversion; instead they should be treated with calcium channel blockers, a β blocker, or amiodarone. Acute Kidney Injury & Failure Acute kidney injury (AKI) is a rapid deterioration in renal function that is not immediately reversible by altering factors such as blood pressure, intravascular volume, cardiac output, or urinary l ow. h e hallmark of AKI is azotemia and frequently oliguria. Azotemia may be classii ed as prerenal, renal, and postrenal.Moreover, the diagnosis of renal azotemia is one of exclusion; thus, prerenal and postrenal causes must always be excluded.However, not all patients with acute azotemia have kidney failure.Likewise, urine output of more than 500 mL/d does not imply that renal function is normal. Basing the diagnosis of AKI on creatinine levels or an increase in blood urea nitrogen (BUN) is also problematic because creatinine clearance is not always a good measure of glomerular i ltration 12 r a t e . h e criteria developed by the Acute Kidney Injury Network are now most ot en used

orrore all’idea di aggiungere i miei lamenti ai piagnistei dell’umanità, per lungo tempo non avrei saputo dire cosa mi avesse resa capace di sopportare tutto ciò. Se la Storia è l’inferno, la vita è il paradiso. La felicità non ci è data: è una cosa che si fa, si inventa. L’ho imparato da poco, leggendo dietro consiglio della signora Mandonato i filosofi della gioia, che hanno scritto nero su bianco tutto quanto ho sempre pensato, senza averlo mai saputo esprimere. Epicuro, capace di parlare così bene del piacere della contemplazione e morto per un blocco renale dopo aver sopportato i dolori di terribili calcoli. Spinoza, cantore della felicità, proscritto e maledetto dalla comunità a cui apparteneva. Infine Nietzsche, che ha celebrato la vita e sosteneva di provare un’indicibile allegria mentre soffriva martiri in tutto il corpo, divorato com’era da un mostruoso herpes genitale e da una sifilide all’ultimo stadio, oltre che da una cecità crescente e un’ipersensibilità uditiva. Per non parlare degli attacchi di vomito ed emicrania. «Nietzsche chiamava il dolore la sua cagna» ha precisato Jacky, che è una persona colta. «Lo considerava fedele come un cagnolone su cui sfogare il suo cattivo umore.» Dopo cena, ormai sbronza, mi sono alzata e ho sproloquiato un po’: «Un discorso è come un vestito da donna. Dev’essere abbastanza lungo da coprire e abbastanza corto da suscitare interesse. Il mio si comporrà di un’unica frase: ognuno ha solo la vita che si merita».

sputter, add

elevated blood pressure   muscle cramps   Most of these symptoms are easily felt by people without impending renal failure. However, an understanding of why these symptoms appear can lead to a simple diagnosis. But the one thing is certain, when any of the symptoms above present itself, it is necessary to visit a doctor for further evaluation.

The current research points to "diet-microbiome interplay" as a cause of vascular disease and perhaps end-organ diseases like heart failure and renal failure and raises the prospect of interventions that "modulate" the microbiome for prevention of heart-failure development and progression.

mother was under virtual sentence of death, and Vicky flew to the bedside and knelt beside her. ‘Oh, Mama,’ she whispered, stricken with guilt. ‘I should have been here.’ Juba heated rounded river stones in the open fire and wrapped them in blankets. They packed them around Robyn’s body, and then covered her with four karosses of wild fur. She fought weakly to throw off the covers, but Mungo held her down. Despite the internal heat of the fever and the external temperature of the hot stones trapped under the furs, her skin was burning dry and her eyes had the flat blind glitter of water-worn rock crystal. Then as the sun touched the tree-tops and the light in the room turned to sombre orange, the fever broke and oozed from the pores of her marble pale skin like the juice of crushed sugar cane from the press. The sweat came up in fat shining beads across her forehead and chin, each drop joining with the others until they ran in thick oily snakes back into her hair, soaking it as though she had been held under water. It ran into her eyes, faster than Mungo could wipe it away. It poured down her neck and wetted and matted the fur of the kaross. It soaked through the thin mattress and pattered like rain on the hard dry floor below. The temperature of her body plunged dramatically, and when the sweat had passed, Juba and the twins sponged her naked body. She had dehydrated and wasted, so that the rack of her ribs stood out starkly, and her pelvis formed a bony hollowed basin. They handled her with exaggerated care, for any rough movement might rupture the delicate damaged walls of the renal blood vessels and bring on the torrential haemorrhage which so often ended this disease. When

We forget all the time. We forget very nearly every single impression that passes through our minds. What we ate for lunch: who our roommate was ten years ago: what we pid for a soda in 1982: what we just came from the living room to the kitchen for. It is constant and vital, and we only notice it if everyday useful things go missing. Every moment gets thrown out like so much garbage - which, in a sense, is what the past is. Memory is a toxin, and its overretention - the constant replaying of the past - is the hallmark of stress disorders and clinical depression. The elimination of memory is a bodily function, like the elimination of urine. Stop urinating and you have renal failure: stop forgetting and you go mad. And so it is that the details of nearly every single day that we have lived, nearly every single moment of each day, nearly every person that we have met and spoken to, the exact wording kf the paragraph that you have just read... gone.

It is clear that ethanol causes a direct renal leak of magnesium even during the first day of consumption.

safe upper limit for Vitamin D consumption is 10,000 IU per day (57); doses above this increase risk of renal calculi formation, especially

Hydrocortisone at doses >50 mg provide adequate mineralocorticoid coverage, dexamethasone does not – Fludrocortisone (oral only) can be given for isolated mineralocorticoid deficiency Volume expansion: – NS (0.9%) or D5NS at rate of 500–1,000 mL/hr for first 3–4 hr – Care should be taken to note patient’s age, volume, and cardiac and renal function

Trained Obstetrician and Gynaecologist in Dubai Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience. Dr Elsa has focused her clinical work on maternal medicine and successfully achieved the RCOG Maternal Medicine Special Skills Module. She has acquired a vast amount of experience working with high risk obstetric patients and has worked jointly with other specialists to treat patients who have complex medical problems during pregnancy. During her training she gained experience in Gynaecological Oncology from her time working at St Bartholomew’s, Hammersmith and The Royal Marsden Hospitals in London. Dr Elsa is experienced in both open and laparoscopic surgery and has considerable clinical and operative experience in performing abdominal and vaginal hysterectomies and myomectomies. She is also proficient in the technique of hysteroscopy, both diagnostic and operative for resection of fibroids and the endometrium. The birth of your baby, whether it is your first or a happy addition to your family, is always a very personal experience and Dr Elsa has built a reputation on providing an experience that is positive and warmly remembered. She supports women’s choices surrounding birth and defines her role in the management of labour and delivery as the clinician who endeavours to achieve safe motherhood. She is a great supporter of vaginal delivery. Dr Elsa’s work has been published in medical journals and she is a member of the British Maternal and Fetal Medicine Society. She was awarded CCT (on the Specialist Register) in the UK. Dr Elsa strives to continue her professional development and has participated in a wide variety of courses in specialist areas, including renal diseases in pregnancy and medical complications in pregnancy.

BUSTER You may have heard the myth that higher-protein diets lead to kidney dysfunction. The data tell us otherwise. A meta-analysis conducted by prominent protein researcher Stu Philips looked at higher-protein (HP) diets (≥ 1.5 g/kg body weight or ≥ 20% energy intake or ≥ 100 g/day) and their effects on kidney function. The indicator known as glomerular filtration rate (GFR) reflects any change in the efficiency of kidney function. When compared with normal- or lower-protein (≥ 5% less energy intake from protein/day) diets, HP diet interventions did not significantly elevate GFR relative to diets containing lower amounts of protein. Researchers concluded that HP intake does not negatively influence renal function in healthy adults.2 A systematic review of randomized controlled trials and epidemiologic studies conducted by Van Elswyk et al. found that HP intake (≥ 20% but < 35% of energy or ≥ 10% higher than a comparison intake) had little to no effect on blood markers of kidney function (e.g., blood pressure) when compared with groups following US RDA recommendations (0.8 g/kg or 10–15% of energy).

Rabbit & Chicken Combo Ingredients: 3¾ pounds ground rabbit (ground rabbit typically includes the meat/bones/head which includes the heart, liver, and thyroid gland – check with your supplier) ¾ pound chicken thigh meat and skin (no bone) 14 oz chicken hearts (if not using – add 14 oz chicken meat/bones to recipe and add 4000 mg taurine) 0 or 7 oz chicken livers (if the ground rabbit contains liver – do not add) 2 cups water 4 egg yolks (raw egg whites contain avidin which depletes biotin in the body) 4000 mg wild salmon oil (never cod liver oil) 200 mg vitamin B complex 800 IU vitamin E 0 or 1.5 teaspoons lite iodized salt (if the ground rabbit contains the thyroid gland – do not add) 4000 mg taurine additionally, if freezing for more than a week Directions: 1. Rinse the meat, under cold running water, to remove surface bacteria. 2. Chunk up most of the chicken muscle meat with poultry shears. 3. Grind the rest of the chicken muscle meat, skin, liver (if using), and heart (if using) and add to ground rabbit. Stir well. 4. Measure two cups of water into a bowl and whisk in the egg yolks, salmon oil, vitamin B complex, vitamin E, lite iodized salt (if using), and added taurine (if using in place of hearts and/or adding because of freezing). 5. Mix the chunked meat, ground mixture and supplement mixture together. 6. Fill containers. Leave room in the containers for expansion from freezing. Mark the containers with the contents and date and freeze. Makes approximately 6¼ pounds (100 oz). Cats eat about 4-5 ounces per day. This recipe is not recommended for cats with chronic renal disease.

persons with a history of substance abuse, cognitive disorders, renal disease, hepatic disease, porphyria, central nervous system (CNS) depression, or myasthenia gravis.

In their zealous pursuit of weight loss, low-carb dieters risk “compromised vitamin and mineral intake, as well as potential cardiac, renal, bone, and liver abnormalities overall” (St Jeor, Howard, et al. 2001).

8.2Concept map of the association of renal function and cardiovascular mortality revealing more of the confounding influences Since many of these variables are rarely measured or quantified in large epidemiologic studies, significant residual confounding

Indigenous peoples' DNA is seen as a resource for use in medical, behavioral, anthropological, and genetic variation studies. Kanaka Maoli DNA has been sought for research at UH. For example, Dr. Charles Boyd, who was a researcher at UH's Pacific Biomedical Research Center, drafted a proposal for a Hawaiian Genome Project seeking $5–10 million to produce an annotated map of the entire genetic makeup of the Hawaiian people. Boyd stated, “There are many communities now with their own unique genetic history imprinted into their genomes and these include Asians, Europeans and the peoples of Oceania. The Hawaiian genome represents an important example of one of these communities of the Oceania people.”12 Boyd was hoping to target residents of the Hawaiian Homestead communities because they are seen as being the most purebred native Hawaiians. He hoped to find a genetic basis for the high rate of obesity, diabetes, renal disease, and hypertension in Kanaka Maoli.13 This type of research essentializes the role of genes, while devaluing key environmental and lifestyle factors, including the role dispossession of land has had in traditional diet and activities.

It is better to prevent kidney troubles than to allow affliction to rise against your kidneys, bloodstream and body. Whether you have kidney troubles or not, everyone should get this God-given healing, cleansing and protecting book of kidneys and be cleansed and protected all the days of your life. Keep your kidneys healthy and in good shape through the divine healing and cleansing, protecting power of God Almighty in the Name of Jesus Christ.

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God Almighty hears you...Whether you are on dialysis or not. Get this kidney healing book; Kidneys Restored to Good Health: Healed From Kidney/Renal Cancer, a book by Stellah Mupanduki. This is a good book for your kidney healing, bloodstream cleansing and kidney protection. Keep reading all the days of your life. You breakthrough, you live long..."Yeah, says the Lord God Almighty who heals you everlastingly.

I’ve been called introverted but this isn’t the correct term. I’m not shy and I don’t have a problem speaking to people. I just don’t feel the urge to express myself or expose my personal life online. Contrary to the modern movement, I actually enjoy privacy.

PROVISIONAL LIST OF WESTERN DISEASES Metabolic and cardiovascular: essential hypertension, obesity, diabetes mellitus (type II), cholesterol gallstones, cerebrovascular disease, peripheral vascular disease, coronary heart disease, varicose veins, deep vein thrombosis, and pulmonary embolism Colonic: constipation, appendicitis, diverticular disease, haemorrhoids; cancer and polyp of large bowel Other diseases: dental caries, renal stone, hyperuricaemia and gout, thyroidtoxicosis, pernicious anaemia, subacute combined degeneration, also other forms of cancer such as breast and lung HUGH TROWELL AND DENIS BURKITT, Western Diseases: Their Emergence and Prevention, 1981

Virtually all diseases of the human body are multifactorial. Consider cardiovascular disease. Family history, age, gender, smoking, high blood pressure and physical activity all influence, perhaps not equally, the development of heart disease. Cancer, stroke, Alzheimer’s disease and chronic renal failure are all multifactorial diseases.

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El botón de Lichtenberg no es un ejemplo insólito de elevar lo menospreciado a alturas filosóficas. Es un tributo a la normalidad de todo lo que nos preocupa desde siempre. Desde la Antigüedad, el feliz culto a la trivialidad tiene varios tomos de obras incompletas: Luciano de Samósata elogiando la inmortalidad del alma de las moscas, Sinesio de Cirene defendiendo la sabiduría lampiña de los calvos, Leonardo da Vinci preguntando por qué es tan larga la lengua de un pájaro carpintero, Francisco de Quevedo ponderando las gracias y desgracias del ojo del culo, sor Juana Inés de la Cruz señalando el engaño colorido de los retratos, Xavier de Maistre detallando un viaje de cuarenta y dos días alrededor de su cuarto, J. W. Goethe describiendo la morfología de las nubes, Montaigne confesando un terror crónico a sus cálculos renales, Charles Lamb admirando la melancolía de los sastres, Schopenhauer examinando la visión nocturna de fantasmas, Darwin dedicándole su último libro a las lombrices, Machado de Assis proponiendo reglas para comportarse en los tranvías, Nietzsche interrogándose sobre el valor de un fósforo por su eventual poder de destrucción, R. L. Stevenson meditando sobre los efectos meteorológicos de un paraguas, Proust babeando por los lujosos salones de princesas y condesas de París, Chesterton predicando la humildad del plomo, Rosa Luxemburgo llamando por teléfono a sus amigos para que escucharan con ella a un ruiseñor, Roberto Arlt calculando con cuántas mujeres estuvo un difunto que escribió setenta y dos mil cartas de amor, Lu Sin debatiendo sobre los senos fajados versus los senos naturales, Theodor Adorno acusando lo insoportables que son los signos de exclamación, Salvador Novo argumentado su rencor contra la letra h, Vladimir Nabokov alabando las alas de las mariposas, Hannah Arendt discutiendo sobre la banalidad del mal, Clarice Lispector dictando reglas de seducción para mujeres, Roland Barthes explicando la mitología del bistec y las papas fritas, Virginia Woolf contándonos la muerte de una polilla, Sylvia Plath revelando el placer de escarbarse la nariz, Italo Calvino estudiando la fenomenología del llanto en las novelas, Cioran blasfemando contra el tedio de los domingos por la tarde, García Márquez especulando sobre la inutilidad de los días jueves, Wisława Szymborska y su preocupación por la inexistencia de una historia de los botones.

Most commonly, hypertensive emergencies occur in the setting of uncontrolled or unknown chronic hypertension. Hypertensive emergencies also may develop as secondary hypertension in association with such diverse etiologies as renal vascular disease, sleep apnea, hyperaldosteronism, pheochromocytoma, and pregnancy (preeclampsia).

I sat, eyes closed, and traced the path of my blood, from the secret, thick-walled chambers of my heart, blue-purple through the pulmonary artery, reddening swiftly as the sacs of the lungs dumped their burden of oxygen. Then out in a bursting surge through the arch of the aorta, and the tumbling race upward and down and out, through carotids, renals, subclavians. To the smallest capillaries, blooming beneath the surface of the skin, I traced the path of my blood through the systems of my body, remembering the feel of perfection, of health. Of peace.

Neutrophils Neutrophilia • Infection: bacterial, fungal • Trauma: surgery, burns • Infarction: myocardial infarct, pulmonary embolus, sickle-cell crisis • Inflammation: gout, rheumatoid arthritis, ulcerative colitis, Crohn’s disease • Malignancy: solid tumours, Hodgkin lymphoma • Myeloproliferative disease: polycythaemia, chronic myeloid leukaemia • Physiological: exercise, pregnancy Neutropenia • Infection: viral, bacterial (e.g. Salmonella), protozoal (e.g. malaria) • Drugs: see Box 24.11 • Autoimmune: connective tissue disease • Alcohol • Bone marrow infiltration: leukaemia, myelodysplasia • Congenital: Kostmann’s syndrome Eosinophils Eosinophilia • Allergy: hay fever, asthma, eczema • Infection: parasitic • Drug hypersensitivity: e.g. gold, sulphonamides • Skin disease • Connective tissue disease: polyarteritis nodosa • Malignancy: solid tumours, lymphomas • Primary bone marrow disorders: myeloproliferative disorders, hypereosinophilia syndrome (HES), acute myeloid leukaemia Basophils Basophilia • Myeloproliferative disease: polycythaemia, chronic myeloid leukaemia • Inflammation: acute hypersensitivity, ulcerative colitis, Crohn’s disease • Iron deficiency Monocytes Monocytosis • Infection: bacterial (e.g. tuberculosis) • Inflammation: connective tissue disease, ulcerative colitis, Crohn’s disease • Malignancy: solid tumours Lymphocytes Lymphocytosis • Infection: viral, bacterial (e.g. Bordetella pertussis) • Lymphoproliferative disease: chronic lymphocytic leukaemia, lymphoma • Post-splenectomy Lymphopenia • Inflammation: connective tissue disease • Lymphoma • Renal failure • Sarcoidosis • Drugs: corticosteroids, cytotoxics • Congenital: severe combined

A cascade of stress-related hormones floods the body in response to the sustained exertion. Blood tests after ultras have shown elevated cardiac enzymes, renal injury, and very high levels of the stress hormone cortisol, the proinflammatory compound interleukin-6, and creatine kinase, a toxic byproduct of muscle breakdown. That’s a lot for the immune system to handle. Approximately one in four runners at the Western States gets a cold after the race, and this is in the height of summer! Most