Transcript of Telephone Conversation between Charles Balis, M.D., Ms.Sylvia Bows, and Ms. Rene Wolff-Bernstein, Sunday, September 8th, 1996 at10 AM.

Dr. Balis: Good Morning. May I please have Sylvia Bows' room?
Operator: Maternity ward.
Dr. Balis: This is Dr. Charles Balis. I'm a treating physician to Ms. Sylvia Bows. Will you connect me please?
Operator: One moment Doctor.
Ms. Bows: Hello?
Dr. Balis: Sylvia?
Ms. Bows: Hello Doctor.
Dr. Balis: Hello Sylvia. How are you feeling this morning?
Ms. Bows: I'm tired.
Dr. Balis: That's to be expected. It was quite a scare you gave everyone.
Ms. Bows: Yeah.
Dr. Balis: Did Dr. Malleson come to see you yet?
Ms. Bows: He was here earlier.
Dr. Balis: Did he talk to you about a new medication we were going to give you?
Ms. Bows: Doctor, I'm very tired and I'm having troubles even answering your questions. Do you mind if I give you to Rene? She knows everything.
Dr. Balis: No problem. I'd be happy to talk to her.
Ms. Wolff: Hello Charles. Thank you for checking up on us.
Dr. Balis: I'm glad to. So what's going on? Sylvia sounds exhausted.
Ms. Wolff: You know how hospitals are--they give you something to relax and to make you sleep better and then they come in and wake you every two hours to check if you're sleeping okay and to take your blood pressure because they're worried about how you might react to the sedative they gave you. Hospitals are the worst place to be when you are not feeling well. I don't think Sylvia slept more than four hours in the last two days. Poor thing, I can't wait to take her home.
Dr. Balis: How is she feeling otherwise?
Ms. Wolff: She wasn't able to keep any food down yesterday and this morning. She said that she is feeling incredibly anxious and she's complaining of stomach problems. They gave her Valium and that seemed to control the shakiness somewhat and she is a bit calmer. I would say on the scale from one to ten she is about a five. But she is much better then when you saw her yesterday.
Dr. Balis: I'm happy to hear that. When is she scheduled for the next ultrasound?
Ms. Wolff: The specialist isn't available until tomorrow morning. But they made another ultrasound just after you left yesterday and the general consensus is that she is having twins.
Dr. Balis: Did they talk more about the differences in sizes of the fetuses?
Ms. Wolff: All the doctors seem to be very vague. But the ultrasound technician said that if you take each baby individually, they appear perfectly normal. She said that if it wasn't for the fact that there were two, there wouldn't be all this commotion.
Dr. Balis: So she thinks that the fetuses are normal but different size?
Ms. Wolff: She did not exactly say that. She said that it looked as if the babies were conceived at different times or something. She said that she would have identified one to be at about four to five week and the other at six to eight. She did say that all of this is strictly her opinion and that we have to wait for the doctors to really figure it out. But I did get a feeling that she knew what she was talking about.
Dr. Balis: I'll try to call Dr. Malleson again tonight. Maybe I can get more information. I would also like to talk to him about starting Sylvia on the new antidepressant--Sinequan. With the symptoms you are describing I think that the sooner Sylvia starts taking it the better.
Ms. Wolff: Will there be any adverse affects on the babies?
Dr. Balis: I don't think so. But obstetrics isn't my speciality so I'll clear any drugs with Dr. Malleson. So tomorrow Sylvia will be examined by a radiologist?
Ms. Wolff: Well, they didn't say that. They said it was an ultrasound expert. I could call you as soon as they are through if you like.
Dr. Balis: That would be nice. You are doing a terrific job taking care of Sylvia, Rene. She is very lucky to have you. By the way, does anyone else in your family know about this?
Ms. Wolff: I don't think it would be a good idea just yet. Tom thinks that Sylvia is spending this whole week with me. And Sylvia has had minimal contact with her parents for the last couple of months. I don't think anyone would notice or suspect that there is anything wrong. I would like to know for a fact that there is nothing wrong with Sylvia's babies before announcing this news to the world.
Dr. Balis: I understand. Okay, I'll hear from you sometime tomorrow afternoon?
Ms. Wolff: As soon as I know something. And I don't think that Sylvia will be up to seeing you on Tuesday for the therapy session.
Dr. Balis: Of course, I'll cancel the Tuesday session. But I'll keep in touch with you all through the week anyway. Thank you Rene. Please give my best to Sylvia.
Ms. Wolff: I will. Goodbye Charles.
Dr. Balis: Goodbye.
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Button to Dr. Balis' Notes Doctor Balis' Notes on this Telephone Call

Button to Sylvia Bows' Transcripts Transcripts of Sylvia Bows' Therapy Sessions
Button to Sylvia Bows' Patient File Sylvia Bows' Patient File

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