1 result for (book:tps7 AND heading:"delet session may 22 1982" AND stemmed:dr)
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(I called the doctor not long after Peggy left. Dr. K. said, “I think I’d better take a look at that.” She’d been out of her office, but returned my call to her nurse almost at once. She was at the house by 6 PM, examined the finger and gave Jane a quick general checkup. She talked about a possible blood clot, “other causes,” and mentioned vasculitis, a condition that results in restricted capillary blood flow to the extremities, and can accompany arthritis. She’d suspected vasculitis when Jane had been first admitted to Arnot Ogden early in February, but tests had ruled it out. Dr. K. went home to call Dr. Sobel in Ithaca, and Dr. Wilwerth at St. Joe’s. The former is a rheumatologist who examined Jane at the Arnot, the latter is a specialist in circulatory matters. She soon called to say that Dr. Sobel was out of town for at least a week, and that Dr. W. didn’t think a clot was involved from the description she’d given him.
(The finger was turning darker, though. Massaging Jane’s lower arm helped. “If you were anyone else I’d have you at the emergency room at St. Joe’s for more blood tests,” Dr. K had told Jane at the house. She was obviously concerned, as were we. On her call, we asked her what she’d do on her own. She suggested we go to the emergency room for blood tests, and we agreed. A few minutes later, as I was hurriedly throwing a few things into a bag, Dr. K. called again, to say that we could save the emergency room fee if she had Jane admitted directly into a room. We agreed. Jane cried briefly. I turned the car around in the driveway, wheeled her out in her office chair, and managed to get her up onto the front seat, awkwardly and with discomfort. I’d called the Bumbalos, our neighbors across the street, for help, but they were away.
(I made only one false turn driving to the emergency room at St. Joe’s, since we’d never been there before, but found the entrance easily. A hefty security guard lifted Jane out of the car into a wheelchair. They were waiting for us in the emergency room. While someone took Jane up to her room, #456—in pediatrics, by the way —I found my way to admissions, after getting lost in the hallways once. Since Jane still wasn’t covered by insurance, I could get her only a semiprivate room. The black girl at the typewriter had the papers all made out, from the information Dr K. had given last February when she’d talked of transferring Jane from the Arnot.
(Very kindly nurses quickly helped settle Jane in the room, which was very pleasant. Two of them were taking blood for some nine separate tests almost before we knew what was happening. Two of the blood cultures would take at least 48 hours, we were told, so I envisioned Jane being in the hospital for at least a few days. The nurses awkwardly put Jane in bed after sitting her on the commode. A thick foam rubber pad had been placed on the bed beforehand, however, and Jane found it to be very comfortable. Then at close to 10 PM a technician wheeled in a portable X-ray machine to shoot Jane’s chest. I placed the cold film holder under Jane’s back as she lay propped up on the mattress, but the whole task went quickly. Evidently Dr. K wanted the picture to check on blood clots perhaps breaking loose near the heart.
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(Early the next morning Jane had more blood taken for more tests. Dr K. saw her, and Dr. Wilwerth, who stayed only a few minutes and didn’t think a clot was involved. Dr. K. was fairly sure it was vasculitis, “which never gets better,” etc., from her point of view. Jane still felt the finger’s condition was the result of other muscular events in her body. When we’d described those to Dr. K. at the house her reaction had been “Do you mean cramps?” —meaning that she saw nothing positive or healing in all of that muscular activity, only something meaning more trouble. We’ve learned that Dr. K. is an extremely conscientious person, but our way of thinking is quite outside of hers. The nurses told us she’d called several times the night Jane was admitted, and that she had the reputation of being very caring and conscientious—qualities we can certainly admire and respect.
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(Dr K., being still concerned about Jane’s finger—which had improved somewhat, but was still markedly bluish in cast—decided to prescribe a drug to dilute the clotting ability of blood somewhat: Persantine, in tiny pill-like form, to be taken three times a day. Dr. K. said this treatment had to be balanced against the added risk of infection of Jane’s one open bedsore on her coccyx, for the Persantine reduced the body’s ability to fight infection to some degree. This at once set up barriers in our thinking, but especially in Jane’s. Jane had also learned that everyone at the hospital was against her smoking, and had been told that nicotine helped restrict the blood flow in the tiny capillaries. In other words, one would be better off not smoking. When Jane said that Dr. K had said her lungs were okay while she was at the Arnot, Dr K. defended that analysis by reminding Jane that she’d said her heart was good, but that through the stethoscope she’d heard various “wheezings and gurglings” in Jane’s lungs. Not that the lungs didn’t look okay via X-rays.
(Jane had to have an EKG before she left, though, so we waited for that. The results of the tracings on graph paper were excellent, Dr. K said, going over them with me. They looked like three lines of beautifully fluctuating, regular tracings. I asked for the graph, but Dr. K needed it for reference and record. The results made Jane feel good, though.
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(Jane said she’d heard that some of the blood work was to be done in Rochester, New York: the results will take a while in coming. As of today when I’m typing this, Sunday, we’ve heard no word at all about any results. Dr. K hasn’t called, either yesterday or today. I had the prescriptions for the 100 Mcg of Synthroid, and the Persantine, filled at Gerould’s yesterday. Dr. K. said Jane could begin the 100 mcg of Synthroid Monday instead of waiting until Wednesday as we’d originally planned. And Jane announced that she didn’t want to start taking the Persantine—that she feels she knows what caused the finger difficulty and wants to get information on it in sessions, either hers or Seth’s.
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(Today, Sunday, Jane’s finger looks slightly improved, but far from cleared up. In this session I haven’t written about the negative suggestions Dr. K. gave Jane in the hospital concerning the finger: ulceration, losing the joint, etc.)