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And the penalties start the next day.’ I’ve been dealing with contractors since I’ve been in short pants, it seems, the universal language of ‘money’ always talks louder than words. Okay, I know. ‘Where did the money come from for this kind of place?’ Everyone asks me the same question. Some of it was from my former mother-in-law, a world traveler before she married the father-in-law who was a retailer and tighter than a horse’s asshole in fly season. When she finally stopped bugging the wife and me, i.e. ‘went to her reward’, I decided to take what she left us and do something that would shock and disgust all the rest of the relatives. And at the same time fill a niche here that was untouched by anyone else in town. If the MIL was imitating a hamster wheel in her coffin, so much the better. The only sad thing was that she took my wife with her when she missed that curve. The first problem came with the building inspector, of course. He noticed what the blueprints called ‘decorative. Although she was cantankerous and not people-friendly, she was still Alex’s boss.“Patty’s full right now, and Yvonne has a student. Here ya go” she said, plopping the clipboard on the counter top. Alex took it and gave it a glance-38 year old female presented with chest pain that started 5 hours prior to admission. Seen in the ER by Dr. Manu, and given aspirin, morphine, and nitroglycerin for chest pain. EKG given to cardiologist, who read it as ‘nonspecific t wave changes’”. Cardiologist recommended observation, with possible stress test for cardiomyopathy on discharge. Troponin negative x1, but patient will need serial Troponins x2 every few hours and another EKG tonight to watch for ST-elevation.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 ....
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