At this point it is likely affecting his heart. The patient has supposedly been taking iron supplements for months, but the anemia has worsened a grea... deal. He is at high risk for falling and fainting. Given his horrifically low bone density, this also puts him at a very great risk for fractures. An immediate transfusion is necessary. The patient will also need to start coming in for iron injections at least once a week. Thorough testing must be done to determine why the supplements have not. "Debbie, what are you doing? Cigars! What the fuck? Is this some kind of role playing or are these ladies corrupting you?" The last half of that sentence was only partly a joke. She didn't smile."Sit down," she said coldly. As I sat, a new look came over her face. No, it wasn't exactly new--I had seen the look more and more over the last several weeks. The look said "I'm in charge now--and if you don't like it, too bad." "We need to get something straight, Jay. I've learned a lot about myself. More

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