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Nieuw schema

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Nieuw schema

Nieuw schema

Gisteren de laatste wekelijkse controle gehad. Vanaf volgende week wordt het twee wekelijks.

Duidelijk waarneembaar was nu, dat de medewerkers op Hematologie de nieuwe systemen onder de knie hadden. De ‘groene shirts’ waren niet meer te zien en het was niet meer zoeken in de sfeer van ‘hoe werkt het ook weer’.  Tijdens mijn wachtpauze zag ik Henk Lokhorst en heb hem als hoofd van de afdeling een compliment gegeven voor de afdeling. Ik heb er aardig oog voor, hoe in een organisatie gewerkt wordt. De medewerkers van Hematologie slagen er goed in, om de beeldvorming naar hun klanten goed te houden.  Vriendelijk en klantgericht en niet de klanten lastig vallen, als er intern iets niet naar hun zin gaat of anders. Dit laatste gebeurt in elke bedrijf in meer of mindere mate, maar dat laat je nooit aan je klanten merken. Dus een compliment mag ook een keer gegeven worden.

Met Evelien het medicijnschema doorgenomen. De Trombocyten waren nu gestegen van 21 naar 104, dus gaan weer goed.
Volgende week gaan we als week 1 beschouwen en dan worden de controles 1 x per twee weken. Op die dagen dan ook Velcade met Dexametason. Betekent dus een halvering tov het vorige schema.
De Lenalidomide (Revlimid) omlaag van 25 mg naar 10 mg en de Endoxan (chemopillen) van 100 mg naar 50 mg.
Het totaal beeld is nog steeds stabiel, M-proteinen blijven op 6 staan. Totaal eiwitten van 66 naar 65, Nu kijken of met dit schema de stabiliteit blijft om daarna nieuwe strategie toe te passen. Vermoedelijk zal dat in de sfeer van Bendamustine worden, want uiteindelijk willen naar de nul-situatie.
Mocht er toch stijging komen, dan wordt het plan van de Genmab opgepakt.


72 Reacties op "Nieuw schema"

 
Anneke
zei dit op 01 Jul 2011 8:59:30 PM CEST
Zo dat zijn weer mooie berichten Joop.

Altijd fijn om te lezen. Gr. Anneke

 
Mike
zei dit op 09 Oct 2012 7:14:02 PM CEST
Beste Pien,Zowel komkommers als ook auekgurn worden inderdaad redelijk snel wat slapper. Reden dus om de augurkjes direct te verwerken. Ik denk dat er snel vocht uit de groente verdampt, net als bij andere groente. Ook worteltjes, sla, boontjes enz. worden snel slapper na liggen. Het helpt om ze afgesloten in de koelkast te bewaren, maar vruchtgroente, zoals o.a. komkommer, tomaten en courgettes houden daar niet van.Om ze ook na bereiding lekker knapperig te houden is het zaak om het geheel snel af te koelen. Zet daarvoor de ingemaakte goed afgesloten potten in een grote bak met koud water. Het potten moeten wel goed tegen grote temperatuurwisselingen kunnen uiteraard.succes ermee,groet Trudelies Schouten

 
Tanny
zei dit op 11 Dec 2015 10:15:50 PM CEST
Hi Joel>>Lately, though, it seems I’m getnitg sucked into its junk food grip and sliding a little on the health-food human connections I value more.Maybe that's why I wrote this. I was a Twitter cynic but now a fan. Maybe I'm going to spend some proper time on Facebook one day and REALLY love it!!Seriously, it is about the balance of all these things. Looking forward to the feedback (with fries!)

 
zei dit op 14 Dec 2015 7:16:09 AM CEST
Hats off to whoever wrote this up and posted it.

 
zei dit op 14 Dec 2015 9:38:44 AM CEST
At last, someone comes up with the "right" answer!

 
zei dit op 14 Dec 2015 11:17:54 AM CEST
Super excited to see more of this kind of stuff online.

 
zei dit op 15 Dec 2015 11:45:28 AM CEST
I'm not worthy to be in the same forum. ROTFL

 
zei dit op 16 Dec 2015 6:06:45 PM CEST
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zei dit op 20 Dec 2015 1:37:15 AM CEST
That's a smart answer to a difficult question.

 
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zei dit op 20 Dec 2015 6:26:04 AM CEST
Normally I'm against killing but this article slaughtered my ignorance.

 
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zei dit op 20 Dec 2015 4:24:34 PM CEST
It's good to see someone thinking it through.

 
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zei dit op 25 Dec 2015 1:15:14 AM CEST
Great article, thank you again for writing.

 
zei dit op 25 Dec 2015 12:27:16 PM CEST
If information were soccer, this would be a goooooal!

 
zei dit op 28 Dec 2015 9:02:41 AM CEST
Full of salient points. Don't stop believing or writing!

 
zei dit op 29 Dec 2015 7:53:13 PM CEST
If I were a Teenage Mutant Ninja Turtle, now I'd say "Kowabunga, dude!"

 
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zei dit op 30 Dec 2015 4:20:11 AM CEST
You have shed a ray of sunshine into the forum. Thanks!

 
zei dit op 30 Dec 2015 9:40:17 AM CEST
If you're reading this, you're all set, pardner!

 
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zei dit op 30 Dec 2015 5:03:32 PM CEST
I never thought I would find such an everyday topic so enthralling!

 
zei dit op 02 Jan 2016 9:13:44 AM CEST
That insight would have saved us a lot of effort early on.

 
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zei dit op 03 Jan 2016 3:11:53 PM CEST
One or two to remember, that is.

 
zei dit op 03 Jan 2016 5:54:05 PM CEST
Yup, that'll do it. You have my appreciation.

 
zei dit op 04 Jan 2016 2:54:24 PM CEST
Call me wind because I am absolutely blown away.

 
zei dit op 07 Jan 2016 5:19:05 AM CEST
Mighty useful. Make no mistake, I appreciate it.

 
zei dit op 08 Jan 2016 2:44:27 AM CEST
Awesome you should think of something like that

 
zei dit op 08 Jan 2016 4:02:09 AM CEST
Always the best content from these prodigious writers.

 
zei dit op 08 Jan 2016 8:56:21 AM CEST
I'm so glad I found my solution online.

 
zei dit op 08 Jan 2016 1:38:15 PM CEST
Your article was excellent and erudite.

 
zei dit op 09 Jan 2016 12:35:11 AM CEST
With the bases loaded you struck us out with that answer!

 
zei dit op 09 Jan 2016 11:47:48 PM CEST
Just cause it's simple doesn't mean it's not super helpful.

 
zei dit op 11 Jan 2016 4:51:13 PM CEST
Way to go on this essay, helped a ton.

 
zei dit op 12 Jan 2016 1:58:52 AM CEST
You get a lot of respect from me for writing these helpful articles.

 
zei dit op 12 Jan 2016 11:03:28 AM CEST
Keep on writing and chugging away!

 
zei dit op 12 Jan 2016 11:27:06 PM CEST
Learning a ton from these neat articles.

 
zei dit op 13 Jan 2016 9:03:14 AM CEST
Well macadamia nuts, how about that.

 
zei dit op 13 Jan 2016 4:04:43 PM CEST
I guess finding useful, reliable information on the internet isn't hopeless after all.

 
zei dit op 13 Jan 2016 10:44:49 PM CEST
Information is power and now I'm a !@#$ing dictator.

 
zei dit op 16 Jan 2016 10:21:28 PM CEST
Finding this post has solved my problem

 
zei dit op 17 Jan 2016 2:00:17 PM CEST
Cool! That's a clever way of looking at it!

 
zei dit op 18 Jan 2016 1:45:00 PM CEST
Essays like this are so important to broadening people's horizons.

 
zei dit op 19 Jan 2016 3:38:24 PM CEST
You are so awesome for helping me solve this mystery.

 
zei dit op 19 Jan 2016 5:28:26 PM CEST
Your cranium must be protecting some very valuable brains.

 
zei dit op 21 Jan 2016 1:27:24 AM CEST
I had no idea how to approach this before-now I'm locked and loaded.

 
zei dit op 21 Jan 2016 10:18:58 PM CEST
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zei dit op 23 Jan 2016 9:45:31 PM CEST
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zei dit op 27 Jan 2016 6:17:58 AM CEST
That's not just the best answer. It's the bestest answer!

 
zei dit op 28 Jan 2016 9:40:54 AM CEST
At last some rationality in our little debate.

 
zei dit op 30 Jan 2016 3:45:59 AM CEST
We need a lot more insights like this!

 
zei dit op 31 Jan 2016 9:32:39 AM CEST
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zei dit op 31 Jan 2016 5:07:41 PM CEST
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zei dit op 31 Jan 2016 10:05:33 PM CEST
That's the perfect insight in a thread like this.

 
zei dit op 07 Feb 2016 2:39:24 AM CEST
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zei dit op 07 Feb 2016 10:51:34 PM CEST
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zei dit op 09 Feb 2016 4:26:43 AM CEST
When you think about it, that's got to be the right answer.

 
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You really found a way to make this whole process easier.

 
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zei dit op 16 Feb 2016 10:23:30 PM CEST
Stands back from the keyboard in amazement! Thanks!

 
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zei dit op 22 Feb 2016 12:37:41 PM CEST
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zei dit op 23 Feb 2016 11:12:23 PM CEST
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zei dit op 24 Feb 2016 8:24:01 AM CEST
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Frankly I think that's absolutely good stuff.

 
zei dit op 25 Feb 2016 2:06:06 AM CEST
I think you've just captured the answer perfectly

 
zei dit op 01 Mar 2016 2:02:08 PM CEST
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zei dit op 01 Mar 2016 9:38:27 PM CEST
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zei dit op 02 Mar 2016 3:47:59 AM CEST
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zei dit op 02 Mar 2016 10:36:49 AM CEST
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