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dath ilan marian alt in atlas shrugged
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"She can come back to my house and my wife can help."

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"I think that's a good idea. The other thing is - I suspect she had a UTI going on for a few days, at least, for it to have gotten as bad as it did. It can be harder for older people to notice the symptoms, but she did say she was feeling unwell, so..." Merrin turns to Sherry. "Sherry, listen to me. It's very important that you tell your son if you're starting to feel poorly, okay? You need to make sure that you see a doctor as soon as it starts, so you can get your antibiotics before it starts to make you feel so unwell that you have a fall." 

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"Yes, Mom, please tell me if you start to feel sick again. Promise?"

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Sherry rolls her eyes. "Yes, dear, all right." 

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Merrin smiles at her. "Thank you. Sherry, I'm going to check your blood pressure one more time, all right? And then I'll go speak to the doctor and find out what's up next. I expect we'll need to take you down for an X-ray of that hip, to see what's going on." 

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Sherry makes a face. "Do you have to keep taking it so often? It squeezes." 

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"I'm sorry, I know. You were worrying me a bit, before, but if it's better now then I won't have to take it so often." 

She checks. 

"- Oh, good, you're at 95/60, that's much better." She smiles at Terrence. "Do you have any idea what her blood pressure is normally? I think she's on pills for it at home, but she shouldn't be taking anything right now to lower it, until she's doing better. Sherry, did you take your usual pills this morning?" 

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"Yes, of course, I take them with my tea every morning first thing!" 

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"It's normally too high, she takes something for that and something for cholesterol and I think one that brings her heart rate down? Should she stop taking all of those or just the blood pressure one? For how long?"

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"Hmm. The doctor will decide which of her medications she should take while in the hospital, and while she's here the nurses will give them to her." At least Merrin THINKS and HOPES this is the case here as well. "My guess is that the doctor will want her to keep taking the cholesterol medication and the one for her heart rate, but not the other blood pressure one, and then he would need to discuss with her regular doctor what to do when she goes home. I'll keep you updated as soon as I know more?" 

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"Okay, thank you. I guess I should--let you go do whatever the next thing is."

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Merrin smiles at him. "I need to go speak with the doctor about Sherry's case. Hopefully he'll have time to come chat with you in the next couple of hours." 

Actually, what Merrin wants more than anything is a BREAK, but she really does need to make sure things are moving on the X-ray first. 

 

She smiles at both of them again and pats Sherry's arm and then forges off to try to find the doctor. ...Or, on reflection, to check the patient's chart first, just in case he thought of the X-ray on his own and wrote in the order for it. (There is perhaps a degree of rationalized hope that she won't have to INTERACT with him again just yet.) 

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There is an order for an x-ray in the chart!

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Excellent! Finally, a display of competence and organization! Are there any other new orders in there? 

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Nope, blood test results aren't back yet.

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Merrin politely asks the clerk how long it usually takes for blood test results, and whether the X-ray department will alert her again when they're ready to take her patient. 

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Blood test should be back sometime in the next hour, but she'll have the best luck with the x-ray if she just takes the patient down there and waits for an opening.

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O.....kay then. This does NOT seem like the world's most efficient system, but...on the bright side it would give her some time to think? Sort of? 

"Thanks. Um, I'm going to make a pass around the unit first and make sure the other nurses are okay to have me gone for an unknown length of time." She feels, again, pretty disoriented to the comings-and-goings on the rest of the unit, or whether anyone else's patient is unstable right now. 

How are things looking? 

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Some of the patients who were here last time she looked around have left, and there's one new admit--a teenager who got pretty fucked up in a car crash. Nobody looks like they need her help immediately.

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Merrin stops by the nurse who's treating the teenager. "Hey - I'm taking bed twelve to get her X-ray done. My other patient's fine, he shouldn't need anything, but I wanted to let you know since I'm not sure how long to expect it to take. If you'd like help with anything first I can do that?" 

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"Can you get more IV tubing from the supply room on your way back? The last batch I opened were some kind of defective and leaked and now I'm running low." 

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"Oh no! Weird. Yes, of course, I'll be right over with that." 

She heads to the supply room, and peers closely at the IV tubing packages to check for any sign of defectiveness before bringing several over.  

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One packetful is a weird shade of off-yellow and, if she bends or squeezes it at all, unpleasantly stiff, but the rest of the ones in the pile are normal-looking.

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Weird and concerning! 

It's not her top priority right now, though. Probably her actual top priority is to pee, because she's apparently been holding it for a while and is just consciously noticing it now, oops. She's also hungry, but that can wait. 

She heads back to bed twelve. "All right, Mr Williams. I'm going to take her for her X-ray now. Probably simplest for you to wait here?" 

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"Okay. Hang in there, Mom."

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