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Sounds like I need to keep an eye out for her, Alex thought. Although chest pain was one of the most common presentations to the Emergency Department, it didn’t mean this one couldn’t take a turn for the worse-I’ll have to let the lab know about those Troponin lab orders. Let’s see ... first one was at 2 pm ... so 6 and 10 should be fine ... and the overnight float gets here at 7, so I’ll have the EKG ordered at the same time as the second Troponin.Past Medical History: Hypertension, Ovarian Cancer (remission), Anxiety, Depression, Obsessive Compulsive Disorder...Well, the psych history would lean me towards a noncardiac source for chest pain, Alex wondered, but then again I’m only a lowly nurse, what do I know.Past Surgical History: Tonsillectomy 1985, Appendectomy 2002, Salpingo-oophorectomy (bilateral) 2010, Breast augmentation 2015Medication list: amlodipine 10 mg po daily, clonazepam 1 mg po q12h prn anxiety, diphenhydramine 25 mg po daily prn breasts, fluoxetine 40 mg po daily,. I have to admit being quite jealous of the two of them, especially Olivia. She had four children and I would never have any. She had a powerfully fertile husband and I didn't.Marta is Derrick and Danny's mother and she figures into all of this by sponsoring a huge family gathering at the family estate up in the Cascades outside of Seattle every summer. So last summer, July 2003, we all gathered for the traditional two weeks and had our usual wonderful time. Olivia shared her wonderful tales of motherhood with me and I'd laugh with her as she told them and then cry about them later each night. Derrick was wonderful, of course, but he'd just never understand what I truly wanted from him. One early evening, after dinner, Olivia and I were up on the "Widow's Walk" (if you don't know what it is, go look it up!) and I was freely swigging a nice port from the family cellar while pregnant (again!) Olivia looked on. I don't recall the whole conversation, but I do recall that I spilled my guts.
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