1 result for (book:tps7 AND heading:"delet session may 22 1982" AND stemmed:test)
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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.
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(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.
(When I arrived at Jane’s room at 1 PM on Friday, I was quite surprised to learn that she was going home that afternoon. Things shut down over the weekend, more or less, and no blood-test results were available yet. The nurse, Joyce, who was head of the treatment for decubiti at the hospital spent a lot of time going over the proper treatment with us, and gave us a quantity of sterile water, Silvadene, sponges, saline solution, etc. We could tell she was enamored of her work and very sincere in all of her suggestions. Our own ideas were that treatment was all the better the simpler it was.
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(As of now her finger is maintaining its somewhat improved look, but it’s obviously not cleared up. The blueness seems to vary in intensity, but never leaves entirely. We’re hoping the tests do not show that vasculitis is involved. I suggested to Jane that she cut her cigarette consumption in half, but she refused, even if this would be a form of natural therapy.
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