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There was a feller here once by the name of Jim Smily, in the winter of '49 - or maybe it was the spring of ' 50 - I don't recollect exactly, somehow, though what makes me think it was one or the other is because I remember the big flume wasn't finished when he first come to the camp; but anyway, he was the curiosest man about always betting on anything that turned up you ever see, if he could get anybody to bet on the other side, and if he couldn't he'd change sides - any way that suited the other man would suit him - any way just so's he got a bet, he was satisfied. But still, he was lucky - uncommon lucky; he most always come out winner. He was always ready and laying for a chance; there couldn't be no solitary thing mentioned but what that feller'd offer to bet on it - and take any side you please, as I was just telling you; if there was a horse race, you'd find him flush or you'd find him busted at the end of it; if there was a dog-fight, he'd bet on it; if there was a cat-fight, he'd bet on it; if there was a chicken-fight, he'd bet on it; why if there was two birds setting on a fence, he would bet you which one would fly first - or if there was a camp-meeting he would be there regular to bet on Parson Walker, which he judged to be the best exhorter about here, and so he was, too, and a good man; if he even see a straddle-bug start to go anywheres, he would bet you how long it would take him to get wherever he was going to, and if you took him up he would follow that straddle-bug to Mexico but what he would find out where he was bound for and how long he was on the road. Lots of the boys here has seen that Smily and can tell you about him. Why, it never made no difference to him - he would bet on anything - the dangdest feller. Parson Walker's wife laid very sick, once, for a good while, and it seemed as if they weren't going to save her; but one morning he come in and Smily asked him how she was, and he said blessing of Providence she'd that she don't, anyway.
On January 17, 2028, you are caring for a 49-year-old female patient named Juanita Sanchez. Her birth date is 04 / 19 / 1979, and her ID number is 364972. She is in room 302. She was admitted January 13, 2028, for a hypertensive crisis. Her blood pressure was brought under control, and she will be discharged on valsartan (Diovan) 160 mg once daily and hydrochlorothiazide 25 mg once daily. During her hospital stay, her cholesterol level was found to be mildly elevated at 217 mg / dL. She is 5 feet, 3 inches tall and weighs 181 lbs. She works from home doing data entry so she can be home for her three children, ages 3, 6, and 12 years. She is to go home on a healthy-heart diet and with orders to walk for 30 minutes a day, 5 days per week. Her mother also lives with the family, but she is on hospice care related to end-stage breast cancer. Mrs. Sanchez is anxious to get home to care for her mother and children. Mr. Sanchez works the night shift. You meet with Mr. and Mrs. Sanchez at 10:15 a.m. and perform discharge teaching. When you return at 10:50 a.m., Mrs. Sanchez states that her 12-year-old daughter is having trouble dealing with the impending death of her grandmother. Mrs. Sanchez is also upset knowing that her mother has only a few more months to live. She says she thinks her blood pressure was up as a result of the stress of caring for her mother and from her diet and lack of exercise. She begins to cry, stating that she feels overwhelmed with her mother's care. You discuss the hospice services she is receiving and bring up the possibility of additional help. Mr. Sanchez says that he would be willing to pay for help but does not know how to hire trained, reliable nursing assistants. You offer to arrange a consultation with their current hospice agency regarding more assistance for them. You make the call after leaving the room, at 11:15 a.m.