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It was a air-conditioned April day in 2016 aback Michael Champion’s wife, Leah, noticed that her husband’s forehead was decrepit in sweat. She took his temperature and couldn’t accept the number: 102.4 degrees Fahrenheit. He had been lying in bed added often, and as she watched him over the antecedent weekend, she’d hoped he would improve. But aback Michael became so anemic he couldn’t alike authority up his head, she knew this couldn’t delay any best and she alleged an ambulance.

When a accommodating with a circuitous medical history like Michael arrives beneath my care, it’s like aperture a book to folio 200 and actuality asked to address folio 201.

I was a first-year citizen alive at the Palo Alto veterans’ hospital aback I got a alarm to appraise an aged vet with fevers. Michael was not able to acquaint me his symptoms. From his chart, I accumulated that he was a longstanding diabetic. He’d additionally suffered a achievement several years beforehand that larboard him with a anemic appropriate side, slurred speech, and agitation swallowing. He had a abiding agriculture tube and appropriate float catheter insertions several times every day. Stripped of the adeptness to collaborate the way he could afore his stroke, he spent best of his time in bed or in his wheelchair. Leah was his primary caregiver.

Now she sat

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