Chapter 388
SALEM UNIVERSITY HOSPITAL
Belle and Claire sat in one of the exam rooms at the hospital. A small bowl sat next to Claire that, thankfully, had not been used yet. After they had waited a few minutes, a doctor who looked to be in his late 40s, with a pleasant smile walked in.
BELLE: Dr. Kirshner.
KIRSHNER: Good morning, Mrs. Brady, Claire.
CLAIRE: Hi.
KIRSHNER: So, Claire, how are you feeling?
CLAIRE: Horrible. Kinda like I have the flu, but worse.
KIRSHNER: How so?
CLAIRE: For the last couple of days, my stomach's been hurting really bad, and I can barely keep anything down. My back hurts, too. And I've just been feeling really weak and I get dizzy when I stand.
KIRSHNER: I see. You say this started a few days ago?
CLAIRE: My stomach started hurting on Friday, but I thought it was just cramps because I was on my period. Then, Tuesday morning I started throwing up and my back started hurting.
KIRSHNER: And when did the dizziness start?
CLAIRE: The same day. Tuesday.
Dr. Kirshner started checking Claire's vitals.
KIRSHER: Okay. Have you been under a lot of stress lately?
CLAIRE: Not really. Not more than I would guess most high school seniors are.
KIRSHNER: Good. Next up, have you been taking all your medications as prescribed?
CLAIRE: Yes. Twice a day, with food.
KIRSHNER: Excellent. Please open your mouth and say “Ah”.
Claire opened her mouth while Dr. Kirshner shone a light in it. Next, he looked at Claire's eyes.
KIRSHNER: Claie, have either you, or you Mrs. Brady, noticed any yellowing around Claire's eyes?
BELLE: No, I haven't.
CLAIRE: Neither have I.
KIRSHNER: All right, because I'm noticing a little bit, which means you're a bit jaundiced.
CLAIRE: Is that what's wrong with me?
KIRSHNER: Well, it's definitely part of it. Though, it's likely more than that. Jaundicing is a sign of a potential number of things.
Dr. Kirshner took out his stethoscope.
KIRSHNER: Take a few deep breaths, please, Claire.
Claire took a few deep breaths as Dr. Kirshner listened through his stethoscope. Then, he placed it on her back and listened more.
KIRSHNER: Okay. You say your stomach has been bothering you the longest. Is it in one specific area, or your whole stomach?
CLAIRE: My whole stomach.
Dr. Kirshner nodded. He put the stethoscope down by Claire's stomach and listened. After a moment, he took off the stethoscope.
KIRSHNER: Have you been around any animals for a prolonged period of time?
CLAIRE: Not that I'm aware of.
Claire scratched her shoulder slightly.
KIRSHNER: Okay.
BELLE: Claire, try not to scratch, honey.
Claire stopped.
KIRSHNER: Have you felt itchy the last few days?
CLAIRE: Every now and then.
KIRSHNER: Any particular place?
CLAIRE: Not really, my skin just kind of itches at times.
Throughout the examination, Dr. Kirshner had been writing things down on a pad of paper. He set the pad down.
KIRSHNER: I see. So, here's what I'm thinking. I've definitely narrowed it down, but before I can give you a definitive diagnosis, I would like to run a few tests. Namely a blood test, a urine test, and I'd also like a biopsy of your liver.
Claire gulped and put the bucket between her legs.
CLAIRE: My liver?
KIRSHNER: Just to be safe, and so I can give you a proper diagnosis, yes. I'll have Nurse Maxine give you the tests and prep you for the biopsy in a moment.
BELLE: Thank you, Dr. Kirshner.
Dr. Kirshner nodded and walked out. Belle sat down next to Claire and put an arm around her.
BELLE: Hey, it's gonna be okay.
CLAIRE: I don't feel so good.
Belle held Claire's hair back as she was sick into the bucket. Then, Belle gently rubbed her daughter's back as Claire leaned into her.