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DR. CORNEL:
      But that didn't continue. The next day, the 21st, really the night of the 21st through to the 22nd of October she started to deteriorate again quite unexpectedly. The dialysis seemed to be going well and electrolytes were corrected. She was conscious, alert. She should have been getting better.
      What was happening was that she was becoming increasingly short of breath and the chest x-ray showed gross pulmonary edema and pleural effusion, so water in the lungs, water around the lungs.
      The intensive care staff put in drains to get the fluid away from the pleural cavities but she did not improve with that. The shortness of breath just got worse and worse. She was drowning, in fact. And they decided to go with artificial ventilation with an endotracheal tube.
      Her brain was really clear, in fact, Dr. Simons, the intensivist at this time, told me that as he was describing to her what he was going to do to put her on the ventilator, she suggested that instead of talking about it he should get on with it so that she could breathe!




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