Visible Cracks

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it was a clinic day like all the rest
until it wasn’t
she was there with her son and granddaughter
winded
legs swollen “for a month”
afib, fast rate despite cardizem CD 300 mg daily, diabetic meds, norvasc.
EKG with LVH, RBBB, LAFB.
BP 178/84, HR 124
rales
meds to be started, but help?
EMR->no doctor
a nurse practitioner?
4:45 pm-> all gone
see you in two days
no appointments.

i wake too early