"I'm going to have the nurse come in and give you a few vaccines. And according to your chart you're also behind on some of your regular immunizations. We'll have her administer those too. It's important that you stay on top of those from now on. After a splenectomny, it's much more likely to contract infections. You're at a much greater risk now."
James nodded again.
"And we need to discuss your blood pressure."
"What about it?"
"I have your most recent checkup information from your primary care physician. Which was from six years ago. Your blood pressure was already borderline then. And he had recommended you come in the next year for a follow up. Which you did not."
"It's hard for me to get time off work."
The doctor gave him a stern stare. "Well, James, it's not borderline anymor
