Some were strutting around in teddies and baby dolls while others wore string bikinis with wraps. They had just had a body painting contest so several women wore what looked like flowered tops at first glance. But a second glance revealed erect nipples barely disguised with paint.After dinner Sally changed into one of her negligees and we headed to the beach for a beach party around a bonfire. As newbies we were just taking things in so nothing happened that evening. Except, of course, our own evening activities back in the room.The following morning we slept in and then took an excursion around Negril. By the time we got back, it was time for dinner. After dinner the resort had a musical review and dancing. By the time it was over, we were tired and went right to bed.The next day we got acquainted with the resort, hanging out around the nude side, playing volleyball, soaking in the pools, lying on the beach and chatting with folks. Everyone was very relaxed and very friendly. That. Javed has taken charge and everything he is doing and saying makesperfect sense to me. I feel a rising wave of optimism. We are goingto correct her metabolic errors and we are going to save her.My first night in charge won't be marred by the death of a younggirl and I won't be forever haunted by her.As we work, determined, frenzied, the ventilator keeps her breathingand the Lucas continues to thump down on her chest.One by one we give the 'antidotes' and run off serial ECGs expectingher cardiac QRS complexes to narrow.Each ECG is held with anticipation as we give more insulin, morecalcium, more Ventolin.But there is no change.As the horror of our failure sinks in the resident's phone rings.It's biochem lab on the other end of the line. They have the bloodgas results. The resident shouts out the numbers."pH 7.1," he begins.She is, as predicted and unsurprisingly acidotic. Normal serum pH is7.4. But this number, 7.1, is very survivable and correctable. It isonly when blood pH falls.
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