Potassium /Κ?λιο: 2.8 mEq/L (L)
Creatinine /Κρεατιν?νη: 2.1 mg/dL (H)
BUN /Ουρ?α: 68 mg/dL (H)
Glucose /Γλυκ?ζη: 52 mg/dL (L)
WBC /Λευκ?: 16,000/μL (H)—suggesting infection/υποδηλ?νειλο?μωξη
Hgb /Αιμοσφαιρ?νη: 9.2 g/dL (L)
TREATMENT INITIATED /ΘΕΡΑΠΕΙΑΠΟΥΞΕΚΙΝΗΣΕ:
IV fluid resuscitation—0.9% NS 200ml/hr
Antibiotics: Ceftriaxone 2g IV
Wound debridement and suturing /Χειρουργικ?ςκαθαρισμ?ςκαισυρραφ?τραυμ?των
Right ankle immobilization pending orthopedic consultation /Ακινητοπο?ησηποδοκνημικ?ς
PSYCHOLOGICAL EVALUATION /ΨΥΧΟΛΟΓΙΚΗΕΚΤΙΜΗΣΗ:
Patient repeatedly asking for “François,” believed to be romantic partner. States she was “meeting him at the hotel.” No person by this name has presented at hospital. Patient becomes agitated when informed she has been missing for multiple days. Exhibits signs of emotional trauma. Psychiatric consultation requested.
Ηασθεν?ςζητ?επανειλημμ?νατον“François”—πιστε?εται?τιε?ναιερωτικ?ςσ?ντροφος.Δηλ?νει?τι“συναντο?σε τον στο ξενοδοχε?ο.”Καν?να?τομομεαυτ?το?νομαδεν?χειπαρουσιαστε?στονοσοκομε?ο.Ηασθεν?ςγ?νεταιαν?συχη?τανπληροφορε?ται?τιαγνοο?ντανγιαημ?ρες.Εμφαν?ζεισημε?ασυναισθηματικο?τρα?ματος.Ζητ?θηκεψυχιατρικ?εκτ?μηση.
PROGNOSIS /ΠΡΟΓΝΩΣΗ:
Guarded. Patient requires continued IV hydration, nutritional support, and wound care. Risk of acute kidney injury due to severe dehydration. Psychological support essential. Full recovery expected with appropriate treatment, though rehabilitation may be prolonged.
Επιφυλακτικ?.Ηασθεν?ςχρει?ζεταισυνεχ?ενδοφλ?βιαενυδ?τωση,διατροφικ?υποστ?ριξηκαιφροντ?δατραυμ?των.Κ?νδυνοςοξε?αςνεφρικ?ςβλ?βηςλ?γωσοβαρ?ςαφυδ?τωσης.Ηψυχολογικ?υποστ?ριξηε?ναιαπαρα?τητη.Αναμ?νεταιπλ?ρηςαν?ρρωσημεκατ?λληληθεραπε?α,ανκαιηαποκατ?στασημπορε?ναε?ναιπαρατεταμ?νη.
Attending Physician /Θερ?πωνΙατρ?ς:Dr. Evangelia Kostas/Δρ.Ευαγγελ?αΚ?στας
License /Αριθμ?ςΑδε?ας:45789-GR
Signature /Υπογραφ?:E. Kostas
62
Lee
In the taxi to thehospital, Lee rehearsed what she would say to her sister. There was no room for anger or recriminations. Lee would playconcerned. She would actloving. She’d once portrayed a spurned wife on a police procedural and the director had told her toexude lovewhen she reunited with the man playing her philandering ex who’d been beaten senseless on a New York street. (Might have been Long Island City.)
Would Regan be—as the actor playing her philandering ex-husband had been—struck with admiration? Would she be grateful? Would she cry and say,Lee, I don’t know what I would do without you!
Hospital light had a way of making everyone look sick. Regan, sweet Regan, was conscious, propped against pillows, her face gaunt beneath her bruises. A bandage wrapped her right ankle, and an IV dripped fluids into her arm. The doctors said she was lucky—dehydrated, malnourished—but alive. During her coma, she’d lost twenty pounds. She had been completely disoriented when she woke up, but the doctors said she now seemed to be functioning at full capacity.
Lee moved to the chair beside the bed. She’d rehearsed her role, and was ready to hide her fury and bewilderment and say,You’re alive, Regan. That’s all that matters….(She would pause here, lean toward her little sister, then whisper,All that matters.)
“Thank you for coming,” said Regan, her voice weak. She pressed her hospital blanket between her fingers, pleating and unpleating the thin fabric.
“Of course I came,” Lee said, arranging her face into the expression she’d practiced—concerned but capable, the sister who could handle anything. “You’re alive, Regan,” she began.
Regan’s hands stilled on the blanket. “I hate myself,” she said.
Lee leaned forward. “Your girls are incredible. Flora’s been really strong. But they need their mom.”
