1 result for (book:tps7 AND heading:"delet session may 22 1982" AND stemmed:capillari)
[... 4 paragraphs ...]
(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.
[... 6 paragraphs ...]
(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.
[... 20 paragraphs ...]