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Take furosemide exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Take each dose with a full glass of water. To reduce nighttime urination, take furosemide early in the day unless otherwise directed by your doctor. It is important to take furosemide regularly to get the most benefit. Do not stop taking furosemide suddenly even if you feel better. Stopping suddenly could make your condition worse.

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Patients allergic to sulfa may also be allergic to furosemide because of a similarity in the chemical structure of the medications. Furosemide should be avoided in kidney failure. Even though furosemide is important in treating excess fluid accumulation in patients with cirrhosis, sudden loss of fluid and electrolytes in these patients can worsen kidney function and even cause the patient to go into a coma. Furosemide can cause lowering of blood potassium, sodium, and magnesium levels. Low potassium and magnesium levels can lead to heart rhythm abnormalities, especially in patients already taking digoxin (Lanoxin). Please visit the digoxin (Lanoxin) site for further information. Blood uric acid levels can increase during furosemide treatment, but precipitation of acute gout is rare. Furosemide may increase the toxic effect of aminoglycoside antibiotics on the ear, especially in patients with kidney dysfunction. Furosemide reduces the kidney excretion of lithium and can lead to lithium toxicity. Furosemide may impair kidney function when administered together with aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs). Periodic blood tests are performed to monitor kidney function and electrolytes during treatment with furosemide.

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Mongol Saga Episode X – Surfing the river wave in Munich, Germany

By Will Parson ⋅ September 9, 2009 ⋅ Category: Mongol Saga

Surfers ride the Eisbach wave in Munich, Germany. Photos by Will Parson

With the Mongol Rally a week and a half behind me and already feeling so far away, it’s time to fill in the gaps of the story I wasn’t able to fill in on the road, due to the limitations of being on said road.

On day three of the rally, we hit Munich on foot. After craning our necks upward at the turn of six o’clock just to watch the famous Glockenspiel tick silently away (the figurines danced at five), we walked the pathways through the vast grass of Englischer Garten. Meandering until we hit the Eisbach, a frigid man-made tributary of the Isar River, we eagerly laid eyes on the standing wave that has beckoned German surfers since the 70s. Basically, a fluke of engineering has seeded in Munich a unique landlocked surf scene.

Crowds of pedestrians press against the railing to watch the surfers hop onto the wave, one after another pinging from edge to edge of the small channel on the churning water for about a minute until the current overcomes them. They climb out of the freezing shallow water and trot back to get in line for another go.

After sunset, at a nearby beer garden, I pondered the one-of-a-kind surf spot over a giant liter mug of somerbier. When we made the long walk back to our friend’s apartment we passed the Eisbach again, and even past 10 o’clock at night there were a few surfers taking turns.

The next day Ryan, who had so dutifully held onto the surfboard he had brought as a novelty item from San Diego, decided he had to put it to good use. He borrowed our friend’s wetsuit, and I jumped at the chance to document his first attempt at riding the river wave. With a video camera in my left hand and my 5d to my eye I was trained on Ryan as he waited in line, approached the concrete at the edge of the water, hopped on his board, and promptly swept out of my viewfinder and down the Eisbach with the swift current.

A handful of tries later, Ryan had still not gotten control of his board. Not ready to give up, he tried and finally succeeded in riding the wave…for two seconds. It was then that his board snapped in half underneath his feet and he was swept away yet again.

Ryan snapped his board in the strong current.

Duct tape fixed a variety of things on our trip, eventually adorning the inside and outside of our vehicle, but it just wasn’t meant to solidify a surfboard that had been ripped almost into two pieces. Nevertheless, Ryan was heartened by several layers of the trusty tape and gave the wave yet another go. This time his board actually did snap into two pieces. Downstream his head breached the surface as he lifted half his board in the air like a starched white flag of surrender. He found the other half still tumbling in the wave where he had fallen.

Surfer Gerry Schlegel is an Eisbach regular.

Waiting for Ryan to change back into his clothes, I watched the locals, including Gerry Schlegel, whom our friend pointed out has gained renown outside the Munich scene. Not without an expensive water housing would I get to document surfing from such a close vantage, and coming from San Diego where I can watch the surfers any time I want, I still felt extremely lucky. And when Ryan emerged, carrying his folded board like a giant club sandwich, I could tell that even he had no regrets.

Surfers are active at Eisbach even late at night, with the only light from the nearby street.

Filed Under Mongol Rally, Mongol Saga, photography, surfing, Travel

Mongol Saga Episode X – Surfing the river wave in Munich, Germany

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