Brandon May 7,2012

Saturday night Brandon came to ER after landing flat on his back in a bike accident. He was scanned head to toe and his only injuries are to his back and buttocks muscles. When the muscles are traumatized they break apart and the protiens and enzymes are released into the blood. The only way to clear them is for the kidneys to flush them out. Some of the proteins can be very large and hard to flush out that is why he has to be hydrated and keep fluids going so that his kidneys have plenty of liquid going through to flush. Unfortunatly his labs have doubled since yesterday. He was normal when he came in, under 100, yesterday 600, today 1200. The most common possible complication is renal failure, although he had lots of fluid yesterday and urine looks good there is still the possibility of labs going up which would mean kidneys aren't able to flush system of proteins. If he were sent home today the possiblity of dehydration and kidney failure is very high. He will be checked again about 4:30 tomorrow morning and if his numbers level off or are going down he can go home. His pancreas is normal, they were watching lypase because a common occcurance with this kind of injury is the pancreas breaking in half due to the trauma. Thankfully his is fine.  Brandon is not good at staying down and is bored. Fortunately the only real casualty was his skinny jeans they had to cut off of him, He will be mourning them until he can find a suitable replacement.