T Is for Trespass
that requires a prescription because potassium supplementation can affect heart rhythm and damage the GI tract. Butazolidin is an anti-inflammatory, probably for treatment of osteoarthritis. Did he ever mention that?”
“I know he complains about his aches and pains. Osteoporosis, for sure. He’s just about bent double from bone loss.” I was looking over his shoulder, reading the list. “What’s that one?”
“Clofibrate is used to reduce cholesterol, and this last one, Tagamet, is for acid reflux. The only thing I see worth scrutiny are his potassium levels. Low blood potassium could cause him to be confused, weak, or sleepy. How old is he?”
“Eighty-nine.”
He nodded, tilting his head as he considered the implications. “Age plays a part. No doubt about that. Geriatric individuals don’t excrete drugs as promptly as healthy younger people. Liver and kidney functions are also substantially reduced. Coronary output starts declining after age thirty, and by ninety it’s down to thirty to forty percent of maximum. What you’re describing might be an unrelated medical condition nobody’s picked up on. He’d probably benefit from an evaluation by a geriatric specialist if he hasn’t seen one.”
“He’s under doctor’s care. He dislocated his shoulder in a fall a month ago and just went in for a recheck. I expected a quicker recovery rate, but he doesn’t seem much improved.”
“That may well be. Striated muscle also declines with age, so it’s quite possible his shoulder repair has been impeded by torn musculature, the osteoporosis, undiagnosed diabetes, or an impaired immune system. Have you talked to his doctor?”
“No, and I doubt it would be productive, given current privacy laws. His office wouldn’t acknowledge his being a patient, let alone put his doctor on the phone to chat with some stranger about his care. I’m not even a family member; he’s just a neighbor of mine. I’m assuming his caregiver’s conveyed all the information to his doctor, but I have no way of knowing.”
Joe Brooks thought about that, weighing the possibilities. “If he was given pain pills for the shoulder, he might be abusing his meds. I don’t see reference to anything of the sort, but he might have a supply on hand. Alcohol consumption’s another consideration.”
“I hadn’t thought of that. I suppose either one is possible. I’ve never seen him take a drink, but what do I know?”
“Tell you what: I’d be happy to call his doctor and pass along your concerns. I know this guy socially and I think he’d listen to me.”
“Let’s hold off on that. His caregiver lives on the premises and she’s already hypersensitive. I don’t want to step on her toes unless it’s absolutely necessary.”
“Understood,” he said.
I left the office at noon that day, thinking to make myself a quick lunch at home. When I rounded the studio and reached the back patio, I saw Solana knocking frantically on Henry’s kitchen door. She’d thrown a coat over her shoulders like a shawl and she was clearly upset.
I paused on my doorstep. “Is something wrong?”
“Do you know when Mr. Pitts is getting home? I’ve knocked and knocked, but he must be out.”
“I don’t know where he is. Can I help you?”
I could see the conflict in her face. I was probably the last person on earth she’d be appealing to, but her problem must have been pressing because she clutched the edges of her coat with one hand and crossed the patio. “I need a hand with Mr. Vronsky. I put him in the shower and I can’t get him out. Yesterday he fell and hurt himself again so he’s afraid of slipping on the tile.”
“Can we manage him between us?”
“I hope so. Please.”
We walked double-time to Gus’s front door, which she’d left ajar. I followed her into the house, dropping my bag on the couch in the living room as we passed. She was talking over her shoulder, saying, “I didn’t know what else to do. I was getting him cleaned up before supper. He’s had trouble with his balance, but I thought I could handle him. He’s in here.”
She led me through Gus’s bedroom and into the bathroom, which smelled of soap and steam. The bathroom floor had a slippery cast to it and I could see how difficult it would be to maneuver. Gus was huddled on a plastic stool in one corner of the shower. The water had been turned off and it looked like Solana had done what she could to dry him off before she left. He was
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