Color Blind (BWWM Interracial Billionaire Single Mom Steamy Romance Novel) by Vivian Ward Page A
Authors: Vivian Ward
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don’t understand? What does that mean?” I was frightened at the words, although I had no clue as to what they meant, but it sounded terrifying.
“ Ankylosing spondylitis is a condition that affects children by presenting signs and symptoms of arthritis. Since Nevaeh tested negative for any pathogenic organisms, it ruled out various types of infections. The only symptoms that seemed to fit were those of arthritis; mainly due to her chief complaint of swollen, stiff knees, ankles, toes, fingers, and back pain. Typically, those are all common ailments of those who have arthritis, which prompted me to request a variety of labs that would indicate arthritic diseases.”
“ I still don’t understand. What’s causing the fever? I thought a temperature meant your body was fighting some sort of infection.”
“ Not always. Fever can present during a sudden onset of symptoms, including those when the body’s autoimmune system is on the defense. It’s her body’s way of fighting itself. With the highly elevated levels of white blood cells and CRP, it makes perfect sense.”
“ How do we fix it and why is she so weak and tired? Does arthritis cause that?”
“ Ankylosing spondylitis, or AS, isn’t just arthritis. It can affect other organ systems such as her bowels, skin and eyes. Her lethargy and weakness are occurring because her body’s fighting the disease. It 's a hell of a battle for anyone to deal with, especially a little girl as small as her.”
“ What do we do now?”
“ Now, you’ve been giving her ibuprofen, correct?” he asked, looking through the chart.
“ Yes. I’ve been giving it to her as directed on the label, according to her weight and age.”
“ Good, the ibuprofen will help reduce the inflammation and ease the pain she’s experiencing, but due to the progressiveness it has taken on Nevaeh, I think we need to ensure she’s physically active. Physical activity will help keep her joints mobile and decrease the stiffening.”
“ But she’s been so tired and weak that she doesn’t want to get out of bed. I’ve been carrying her around the house because she doesn’t have the strength or energy to go about the day.”
“ Stop, make her get up and walk; it’s good for her. You’re only helping the condition worsen its effects on her. I recommend physical therapy. Another thing you might want to try is hot and cold packs. This will also help ease the inflammation by relaxing the muscles and reducing joint pain.”
“ So your answer is to force her to exercise, feed her a strong diet of ibuprofen and give her hot/cold packs?”
“ Based on what you’ve told me, it seems her symptoms have become progressively worse since she came in last week. I’d like to prescribe a prescription-strength nonsteroidal anti- inflammatory drug, or NSAID, and a biologic DMARD.”
“ A what?” I asked. All of these words were beginning to make my head spin. How in the hell was I supposed to relay this information to everyone else? I wouldn’t be able to remember how to pronounce everything.
“ DMARD stands for disease modifying anti-rheumatic drug. The biologic DMARDs contain a TNF-alpha factor which helps treat people with AS. Basically, it’s used to help slow, and sometimes halt, the progression of symptoms associated with the disease.” He began taking out his prescription pad. “She’ll take this once per week, but I must warn you it may take weeks or months until you see some improvement.”
“ Weeks or months!?” I was outraged.
“ Yes, it may take that long. Of course, she may begin to see relief sooner and there may be some complications with taking this type of drug. I’m going to prescribe methotrexate. Side effects can include a sore mouth and upset stomach. It’s critical if she begins to experience stomach or bowel problems, you report them immediately.”
“
“ Ankylosing spondylitis is a condition that affects children by presenting signs and symptoms of arthritis. Since Nevaeh tested negative for any pathogenic organisms, it ruled out various types of infections. The only symptoms that seemed to fit were those of arthritis; mainly due to her chief complaint of swollen, stiff knees, ankles, toes, fingers, and back pain. Typically, those are all common ailments of those who have arthritis, which prompted me to request a variety of labs that would indicate arthritic diseases.”
“ I still don’t understand. What’s causing the fever? I thought a temperature meant your body was fighting some sort of infection.”
“ Not always. Fever can present during a sudden onset of symptoms, including those when the body’s autoimmune system is on the defense. It’s her body’s way of fighting itself. With the highly elevated levels of white blood cells and CRP, it makes perfect sense.”
“ How do we fix it and why is she so weak and tired? Does arthritis cause that?”
“ Ankylosing spondylitis, or AS, isn’t just arthritis. It can affect other organ systems such as her bowels, skin and eyes. Her lethargy and weakness are occurring because her body’s fighting the disease. It 's a hell of a battle for anyone to deal with, especially a little girl as small as her.”
“ What do we do now?”
“ Now, you’ve been giving her ibuprofen, correct?” he asked, looking through the chart.
“ Yes. I’ve been giving it to her as directed on the label, according to her weight and age.”
“ Good, the ibuprofen will help reduce the inflammation and ease the pain she’s experiencing, but due to the progressiveness it has taken on Nevaeh, I think we need to ensure she’s physically active. Physical activity will help keep her joints mobile and decrease the stiffening.”
“ But she’s been so tired and weak that she doesn’t want to get out of bed. I’ve been carrying her around the house because she doesn’t have the strength or energy to go about the day.”
“ Stop, make her get up and walk; it’s good for her. You’re only helping the condition worsen its effects on her. I recommend physical therapy. Another thing you might want to try is hot and cold packs. This will also help ease the inflammation by relaxing the muscles and reducing joint pain.”
“ So your answer is to force her to exercise, feed her a strong diet of ibuprofen and give her hot/cold packs?”
“ Based on what you’ve told me, it seems her symptoms have become progressively worse since she came in last week. I’d like to prescribe a prescription-strength nonsteroidal anti- inflammatory drug, or NSAID, and a biologic DMARD.”
“ A what?” I asked. All of these words were beginning to make my head spin. How in the hell was I supposed to relay this information to everyone else? I wouldn’t be able to remember how to pronounce everything.
“ DMARD stands for disease modifying anti-rheumatic drug. The biologic DMARDs contain a TNF-alpha factor which helps treat people with AS. Basically, it’s used to help slow, and sometimes halt, the progression of symptoms associated with the disease.” He began taking out his prescription pad. “She’ll take this once per week, but I must warn you it may take weeks or months until you see some improvement.”
“ Weeks or months!?” I was outraged.
“ Yes, it may take that long. Of course, she may begin to see relief sooner and there may be some complications with taking this type of drug. I’m going to prescribe methotrexate. Side effects can include a sore mouth and upset stomach. It’s critical if she begins to experience stomach or bowel problems, you report them immediately.”
“
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