“If it walks like a duck and quacks like a duck, it is probably a duck. ”
At 62 years old, Roberta had been healthy. She walked three miles a day, stayed up late and enjoyed events with her three grandchildren. She had no history of significant surgery, and took only a single pill for blood pressure. The only health tragedy in her life was the death of her last child, an 8-year-old daughter, of a sudden infection.
Nonetheless, Roberta was deteriorating. Severely fatigued and short of breath, she could only walk around her house. She was swollen around her ankles. Friends and family, seeing her weakened state, noted Roberta was “as pale as a sheet.” They begged her to see a doctor.
Her primary MD examined her. Her heart and lungs seemed fine. Belly was soft. There was no sign of neurological disease, such as a stroke. She was indeed pale. The doc did a blood test. Roberta was very anemic. She was referred to me.
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