Transcript of Telephone Conversation between Charles Balis, M.D. and Dr. Brian Malleson, Friday, October 4th, 1996 at 4:30 PM.

Dr. Malleson: Hello Dr. Balis? This is Brian Malleson, Sylvia Bows' obstetrician. We spoke the other week.
Dr. Balis: Hello Doctor. It's nice to hear from you. How is our patient?
Dr. Malleson: Well I would like your opinion.
Dr. Balis: I'll be happy to...what can I do?
Dr. Malleson: I have a situation here Doctor. Sylvia came in for her ultrasound today.
Dr. Balis: I thought that was on Monday?
Dr. Malleson: I'm going out of town for a long weekend so I rescheduled. My receptionist apparently called and left a message with the new date and time on the Wolffs' answering machine. So I'm examining Sylvia and her husband walks in. I know Tom so I just motion for him to come in as I'm talking to Sylvia about her twins. They are doing fine, by the way.
Dr. Balis: The twins? That's good.
Dr. Malleson: He looks a bit shaken but then most men facing twins would be. I told them after Sylvia's surgery a few years back that it would be very dangerous for her to have children but they just went for it anyway. And twins none the less! So I tell him to come closer and take a look at his children. All of a sudden Sylvia starts to scream for him to get out. I've known women who got really hysterical during their pregnancy, but this? She turned white, started to shake, hyperventilate. So Tom tells me he'll wait for me in my office and I try to calm Sylvia down. I asked her what the problem was--most couples do these visits together. Frankly, I was surprised that Tom didn't come last time but I figured he was out of town or something. During Sylvia's cancer scare, Tom came with her during every visit.
Dr. Balis: So how is Sylvia now?
Dr. Malleson: I finally had to give her a Valium and she is still resting in the examination room. I don't think the medication you gave her, Doctor, is doing her any good. I've never seen Sylvia in such a state. I just finished speaking with Tom and he said that Sylvia has been having a lot emotional difficulties for the last couple for months and he is not really surprised by her reaction. He said that he thought that her antidepressant wasn't working well either. I told him that they should have contacted you as soon as they noticed something. It's not good for the babies you know.
Dr. Balis: What would you like me to do Dr. Malleson?
Dr. Malleson: I told Tom and will tell Sylvia that they should really talk to you and straighten out Sylvia's medication situation. She should be taking it easy and not going into fits like she did in my office. Perhaps you can see both of them--I have bad feeling about their relationship and they are such a nice couple. It would be a shame with twins and all on the way.
Dr. Balis: Well Sylvia is currently on 75 milligrams of Sinequan once a day. I'd like to give that more of a chance. How about if I increase the dosage?
Dr. Malleson: Okay, I'll go along with your recommendation. With your permission Doctor, I will write her a prescription right now. This way she can switch to the new dosage as soon as possible.
Dr. Balis: That's a good idea. Write it for Sinequan 100 milligrams once a day at bedtime. And tell Sylvia that I'm at my office if she wants to talk to me.
Dr. Malleson: Will do. Talk to you later Doctor.
Dr. Balis: Goodbye Doctor.
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