RIP to my BIL

[naynay]

thanks man

[Craizie]

I know we say terrible things to each other here, but I'm pulling for you.

[davbrucas]

that is the case here

an update as i was going off of information that was basically a game of telephone. here is the updated group text i received last night, maybe Dr. Dave can chime in and explain it. they basically put him into an induced hypothermia to prevent his organs from shutting down, which is what was happening when we last spoke. today all i received was they are "checking his heart to see when they can check for brain activity."

as of know he is still on life support and the parents wont be here for another few hours.

If he was down for 18 minutes then no amount of hypothermia will bring back the damaged brain cells. Is he an organ donor? Sounds like he was in diabetic ketoacidosis which caused his blood pH to drop really low which, along with his elevated potassium, caused cardiac arrest. I have taken care of several patients that have suffered the same fate. The only one I have seen survive this was an 18yr old Univ of Florida student.

Diabetes is bad news if not properly managed. Hope for the best, but expect the worst.

A little info on diabetic ketoacidosis...

Your body needs insulin to get glucose inside your cells in your body to be used for energy. When insulin is not present, your cells sense the low glucose and initially upregulate glucose synthesis and glycogen breakdown which further exacerbates the condition. The elevated blood sugar causes osmotic diuresis and dehydration. Your body starts using fats as a secondary energy source. The byproduct of this is ketone formation which causes acidosis which your natural buffer system cannot overcome. If not corrected in time, cardiac arrest will happen from the severe acidosis and hyperkalemia.

[davbrucas]

If it is any consolation, Michelle's uncle who was a terminal cancer patient fell over stone cold dead in my living room floor, we did CPR on him for about six minutes until the firemen got here. They took him to the hospital right around the corner and they put him in that hyper therapy state. We got all the horror stories of brain damage and organ failure, it took a few days for him to come around. After about a week he was back to normal. He lived for another two years after that before the cancer finally took him down. He died in his living room in his easy chair one day, no complications, he just shut off.

The difference is he had immediate CPR...Rodney's BIL was down without bloodflow to his brain for several minutes.

[Sean88gt]

Sorry to hear that Rodney.

[Jose]

Sorry for your loss Rodney. Reminds me of the shit I went through last year.

[blandnuts]

I hope he pulls through mate.

[Whiteboy]

You can drink beer with diabetes. It will lower your blood sugar so eating something while you drink will help keep it from getting to lower.

You cant be out getting pie candy and drinking cokes or mixed drinks

The day I found out that I had it my blood sugar was close to 500 I had just ate a zebra cake and a coke my weight was down to 190 I had dropped 100lbs in a year only thing I had don't when this started was quit drinking 6 pack to 12 a night

my Ac1 test are always good only drink unsweet tea and nothing with sugar
I have fucked up nerve damage and lost most my strength But no biggie there are people out there way worse off! so I cant complain

[mustang_revival]

Condolences for your family's loss.

[davbrucas]

You can drink beer with diabetes. It will lower your blood sugar so eating something while you drink will help keep it from getting to lower.



You cant be out getting pie candy and drinking cokes or mixed drinks



The day I found out that I had it my blood sugar was close to 500 I had just ate a zebra cake and a coke my weight was down to 190 I had dropped 100lbs in a year only thing I had don't when this started was quit drinking 6 pack to 12 a night



my Ac1 test are always good only drink unsweet tea and nothing with sugar

I have fucked up nerve damage and lost most my strength But no biggie there are people out there way worse off! so I cant complain

Actually, drinking beer and wine will cause your blood sugar to rise because they contain carbs. Now drinking excessively can cause hypoglycemia because your liver works harder to metabolize the alcohol than it does to regulate your blood sugar. This is especially true for people taking insulin.


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[naynay]

He is out of hypothermia, so I guess now is the waiting game. I am not sure what the family has decided but I am getting one line texts to get the baby up there.

[Juiced4v]

My dad passed away on March 8th from diabetes, he was diagnosed about 7 years ago, kept on smoking and slowly died away (he didn't drink). He's been despondent since right before Christmas and finally succumbed to the disease.

I am trying to eat healthy but its hard, I did quit drinking like I used to, I only drink a couple of times a month these days and I don't get drunk anymore. I've been lucky, but I've partied with the best of them and I have nothing else to prove, I don't want to go out like that so I have to take care of myself the best I can...

Sorry to hear H!

[yellowstang]

Actually, drinking beer and wine will cause your blood sugar to rise because they contain carbs. Now drinking excessively can cause hypoglycemia because your liver works harder to metabolize the alcohol than it does to regulate your blood sugar. This is especially true for people taking insulin.


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That's why I drink crap like Michilob Ultra, low carbs!

[naynay]

got back from the hospital a bit ago. it is as expected, he is gone, no reaction, there is just no way he will make any sort of functional recovery. having dealt with long term disability and care, knowing who skylar was i hope they will do they right thing.

dr dave, last night his 'liver level' was 1300(0?), but they were able to get it cut in half after a while. he is still peeing but not much, does that mean anything? from what i have read the standard is to wait 3 days and check for any brain activity, is that right?

they have done all the response test as far as eyes etc pokes voice etc and he is completely unresponsive.

[davbrucas]

They dont need to wait 3days as long as he is back to normal core temp. They check brain stem reflexes and then check to see if the patient has any spontaneous breaths. If there is any doubt then an EEG can be performed to verify the lack of brain activity.