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The latest adventures of Louise Or, you have to watch medical facilities or they will

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Russell Williams

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The latest in the misadventures of Russell and Louise.

To the best of my kinowledge the following is correct and accurate. However I might be wrong about something.

Thursday at one o'clock Louise went to the hip replacement surgery Dr. after examining her records he set up a surgery date for (I believe) March 14, which will be just before he leaves to spend a week in Haiti providing medical treatment there. I asked one of his assistants what was the weight of the largest person the Dr. had ever operated on. The assistant said that the Dr. had operated on people over 300 pounds. I asked how much over 300 pounds. She said that the largest was somewhere around 370 or 390 pounds. I asked the assistant how long she had worked with the doctor and she said she had worked with him for 10 years. I asked her how many patients he had done that were over 300 pounds. She said that he operated on about one of those a week. I said that that made it about 52 a year and over a period of about 10 years about 500 people. As best I remember she agreed.

The Dr. said he did want a more recent x-ray of Louise and sent her to the x-ray facility located in the large medical facility we were in. Louise went into her x-ray and I waited in the waiting room. After a period of time a staff member of the x-ray department came out to explain that something had happened which was unique in his experience. Louise went in for her x-ray with both hands in good shape and she was coming out of the x-ray with one hand badly injured. We were escorted to the urgent care facility in the same building. The urgent care staff looked at Louise's mangled fingers and felt that this was beyond what they wanted to deal with. They told Louise that she needs to go to the emergency room in the local hospital. They talk back and forth about whether I should transport her in my van or whether she should be transported by a wheelchair lift transport vehicle. They told Louise that the wheel chair lift transport vehicle would not be available for about a half an hour. I said I was a little bit worried because to get in and out of the van Louise would have to push hard with both hands one of which was already rather badly injured. Louise pointed out that Robinwood medical center was about 400 feet from the hospital where the emergency room was and there was a level heated passageway connecting the two facilities. The urgent care person left to talk to someone else and came back and explained that it would be bad for Louise to use her motorized wheelchair to go from one facility to the other and that if she did it would be against medical advice. Someone else pointed out that Louise might have a heart attack going from Robinwood medical center to the hospital. By this time Louise was not a happy camper. They kept insisting that Louise could not go by the level heated passageway. I asked who would pay for the wheelchair lift transport vehicle. The staff did not know who would pay for it. Staff continued to insist that Louise must either use the wheelchair lift transport vehicle or go out, get into my automobile and have me drive her the 400 or 500 feet to the emergency room where she would then get out of my vehicle, back into her motorized wheelchair, and go into the emergency room.

Finally I asked what punishments we might get if Louise went, against medical advice, down the heated level hallway to the hospital. The person did not know what punishments we might receive but pointed out we would be going against medical advice. I asked how many people the person knew who had been jailed because they did something against medical advice. The person did not know of any. I asked how many persons did that person personally know who had received heavy fines because of doing something against medical advice. That person did not know of any. I asked if we got to the emergency room in a way that was against medical advice what were the possibilities that the emergency room would refuse to treat Louise. That person said that the emergency room would have to treat us whether or not we arrived against medical advice. The urgent care representative again pointed out that if we went we would be going against medical advice. Louise decided it was time to leave. The person asked if we were going to go to the car I said, "Oh yes, we will go to the car".

As we started to leave the urgent care representative realized that they had never gotten any vitals on Louise so they had her sign some forms and took her vitals. We were escorted to the car with Louise in the rear. As the person escorting us pushed the wheelchair I was in and me out the final door into the cold and wind Louise turned around on her motorized scooter and scooted through the hallways, through the heated level passageway and from thence straight to the emergency room. By the time the person who was helping me into the car started looking for Louise, Louise was long gone.

At the emergency room it was determined that one of Louise's to injured figures was broken and that both of them needed stitches so the hand was splinted and stitched and wrapped. I hope it does not get infected or have other damages which might cause the dated hip surgery to be changed.
 

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