exactly.â
âElodie,â he said, still trying to smile, âhave you ever heard of Raynaudâs phenomenon?â
I asked him, âWhatâs the treatment?â
âSo youâve heard of it.â
âNo, but I can tell I have it from the way youâre approaching the subject.â
The doctor pulled over his rolling stool and took a seat. He placed the clipboard on his lap, which told me that he was getting down to business.
âWhat Raynaudâs is, basically, in simplest terms, is an abnormal reduction of blood flow to the peripheral arteries and arterioles. This is usually brought on by stress, or cold weatherââ
âIâm following,â I said.
âAnd I think, fundamentally, what happened today was that your exposure to the weather caused vasospasms in those parts of your body that went through the color changes, and the changes in sensationââ
âRight.â
âAnd this would make sense because the disease most often affects women and shows itself between puberty and middle age. A little earlier, actually, but youâre right in that bracket. But tell me this: have you ever had symptoms like this during the winter before? Even to a lesser degree? Maybe just a slight tingling in your fingers, and you suspected it was just a temporary circulation problem?â
âIâve never felt anything like that before,â I replied, âbut Iâve also never been outside during the winter.â
I watched the doctorâs eyebrows dive together. âWhat do you mean?â
âIâve been in bed through every winter Iâve spent in Providence,â I said. âFreshman year I was out for the spring, but the temperature was already in the sixties then. Iâve been out in the beginning of fall and during various points of the summer, but Iâve never spent time outside during the winter. Today was the first time Iâve walked in snow since I was small. Once my parents took me on a vacation to Lake Arrowhead.â
âSo itâs possible,â the doctor thought out loud, âthat youâve been a Raynaudâs sufferer for a while, but, because youâd never been exposed to your particular catalyst, the phenomenon never revealed itself before now.â
âThat seems like it could be true.â
âWell, weâll do some tests. I think itâs smart if we also check you out thoroughly and make sure you havenât exacerbated any of your other conditions.â Looking down at my history, the doctor asked, âThe TB was on its way out, wasnât it?â
âI was out of the infectious stage.â
âAnd how do you feel right now?
âThis instant?â
âYes.â
âPhysically, the same as usual. Doctor Wainscott, how do you treat the Raynaudâs? Drugs?â
He stood up from the stool and wouldnât even look at me. âThere are some drugs I can give you, but I donât necessarily know that Iâm going to prescribe anything since the side effects can give patients more trouble than the Raynaudâs itself.â
âCan you give me an idea of recovery time?â
He turned his back to me while I changed into a hospital gown. âWell, Elodie, Raynaudâs isnât really a disease you recover from.â
I started to get naked. I envision you thinking that this was a sexy moment, but it really wasnât. The ER is very unsexy.
âIf this is Raynaudâs, youâre just going to have to watch yourself carefully in cold climates. It might affect where you decide to settle down after college, but I donât think it will ever be as debilitating for you asââ
My jeans fell onto the floor, and they made the sound my remaining enthusiasm wouldâve made if it werenât trapped inside my body. My thoughts went to you then, back in the infirmary. I remember thinking something like âI am always going to be
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