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DEaVF1 Essay 9 Monday, May 31, 1982 2/39 (5%) essay Mandali aspirin thyroid April
– Dreams, "Evolution", and Value Fulfillment: Volume One
– © 2012 Laurel Davies-Butts
– Introductory Essays by Robert F. Butts
– Essay 9 Monday, May 31, 1982

[... 24 paragraphs ...]

At the request of Dr. Mandali, a few days ago Jane underwent her routine phlebotomy, or bloodletting, here at the house. Today (on June 18), the doctor informed us by telephone that as one result of the test we can increase Jane’s thyroid hormone dosage from 100 to 125 micrograms—a most welcome development, for we hope it will add to her daily energy. Yet there was unwelcome news, too—for the test also showed that the level of liquid salicylate medication (the aspirin substitute) in Jane’s blood is too low. She’s been taking that product four times a day for almost 16 weeks (see the first essay). Dr. Mandali instructed us to put Jane back on aspirin, to keep any arthritic pain and inflammation under control: “You can take up to sixteen tablets a day.”

Jane rejected that total at once, feeling it’s far too high, and announced that she’ll probably go back to her old routine of eight to ten aspirin a day. We’re angry and dismayed. It’s very unsettling for us to learn that the prescribed medication isn’t doing its job after all. It is, I remarked somewhat bitterly, another sign of the frustrating, mixed results one must learn to expect, at least in some instances, from the imperfect practice of medicine. To treat rheumatoid arthritis with aspirin? We’d always found that incredible. Yet it’s still the best way to go, Dr. Mandali said, even with the new anti-inflammatory, nonsteroidal drugs that the FDA (the U.S. Food and Drug Administration) has released to the marketplace recently, for often they produce more side effects than aspirin. And her advice is reinforced by published material I’ve collected lately for our files.

[... 12 paragraphs ...]

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