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AMCATWTDAYSGHOLTLY&R


Friday, November 20, 2009
by Isaac Mayo

At Paradise Cove, Stephanie insisted that Ann stay at Taylor's. As Stephanie, Ann, and Pam began walking to the car, Ann doubled over in pain. Ann insisted that she was fine, and the three women sat down on a bench. Pam asked Ann if she had any pain medication. Ann said that she had taken it all. Stephanie asked her mother how she thought she was going to manage her pain while in Los Angeles. Ann asked if Stephanie could get her some medical marijuana.

At Taylor's, Taylor told Steffy that she didn't know what Ann's plans were, or how long she would be staying. Steffy said that she could make lamb for dinner -- but wondered if Ann was a vegetarian. Taylor said that she didn't know Ann that well. Steffy told Taylor that she was going to return to work, where she would ask Ridge to join them for dinner.

Stephanie called Taylor to inform her that Ann had arrived and had suffered some sort of attack. Stephanie said that she wanted to drive Ann to Taylor's house, put her in the guest room, and have Taylor take a look at Ann. Taylor said that was fine.

In the guest room at Taylor's, Ann told Taylor that she didn't want to be any trouble -- then sternly told Pam to adjust the blinds. Stephanie insisted that Ann, who was sitting on the side of the bed, lie down and close her eyes. When Ann refused, Stephanie lifted her mother's legs and forced her to lie down. Taylor asked Ann what medications she had been taking in Chicago. Ann said that the medications made her sick to her stomach. Stephanie asked Ann how she knew that her medications, as opposed to her cancer, made Ann sick to her stomach. Ann snapped, "Because I know!"

Taylor told Ann that she was going to the pharmacy to prescribe the top-of-the-line pain medication. Stephanie, clearly wanting a break from her mother, immediately said that she would drive Taylor to the pharmacy. When Stephanie asked Pam if Pam and Ann would be okay, Pam said that it would be just like old times.

In the hallway outside Ann's room, Taylor told Stephanie that Ann should be in a hospital. Stephanie said that her mother didn't want to go to a hospital, and had made Pam and Stephanie promise not to take her to one. Taylor said that considering Ann's age and disease, she probably didn't have a lot of time left. When Taylor told Stephanie that she was sorry, Stephanie said that it wasn't as if she and Ann were close.

At Forrester, Steffy ran into Brooke. Steffy said that she was looking for Ridge to invite him for dinner, because Ann was in town. Brooke said that a surprise visit from Ann was very unusual, and asked Steffy if she had any further information on why Ann had flown to Los Angeles. Steffy said that she didn't, but told Brooke that she hoped that Ridge could join Stephanie, Pam, Taylor, Ann, and herself for dinner. Steffy was surprised when Brooke said the dinner was a good idea, and that it was important to maintain family connections.

Later, Steffy stopped by Brooke's office to find out whether Brooke had heard from Ridge. Brooke hadn't, and said that Stephanie's relationship with Ann was complicated. Brooke hoped that Ann and Stephanie could get past some of the hurts of their past.

Back at Taylor's, Pam looked at Ann's nails and was surprised that Ann hadn't been polishing them. Pam had nail polish in her purse, and she began doing her mother's nails. Ann said that Pam looked the same as the last time Ann had seen her. Ann remembered that Pam had gone to Los Angeles because she was looking for something -- possibly a man, and asked Pam if she had found one. A teary-eyed Pam said that she preferred to be on her own and live a low-key life.

Ann said that Pam had wasted her youth taking care of her mother, and that Pam had a right to resent her. Pam said that if she had been in Chicago, perhaps Ann's cancer might have been caught before it became terminal. Ann said that Pam's presence wouldn't have made any difference. Ann suddenly began screaming in pain.

As Ann continued to scream, Pam called Stephanie, who was with Taylor at the pharmacy. Stephanie's phone was on vibrate and she missed Pam's call. The pharmacist was concerned that Taylor, a psychiatrist, was prescribing a potent narcotic -- fentanyl. Taylor admitted that fentanyl wasn't a drug that she usually prescribed. When the pharmacist questioned why the patient's home address was the same as Taylor's, Stephanie said that the patient was her mother, who was dying of cancer, and asked if it would help if the pharmacist spoke to Ann's doctor in Chicago. The pharmacist seemed happy with that solution, as she would also be able to get Ann's Medicare information.

Back at Taylor's, Ann continued to cry out in pain. Pam, not knowing what to do, became hysterical. Pam ended up calling 9-1-1 for an ambulance. When the paramedics arrived, they gave Ann morphine for the pain. One of the paramedics said that it appeared as if Ann was suffering from a potentially fatal pulmonary embolism, unrelated to her cancer. The paramedic told Pam that Ann would need to be transported to the hospital immediately.

Pam begged the paramedic not to take Ann to the hospital. The paramedic insisted that they transport Ann so that the doctors could treat the embolism. After the paramedics took Ann, Pam remembered Ann's revelation that she was terminally ill, as well as Ann's wish not to go to a hospital.

Taylor and Stephanie returned from the pharmacy. Stephanie went upstairs to see how Ann was doing. Stephanie found a despondent Pam, who said, "You didn't answer your phone." Stephanie asked what had happened -- then opened the door to the guest room, where she saw the empty bed. Pam told Stephanie that their mother had a clot in her lungs, and the paramedics had promised that it could be fixed. When Stephanie learned that Pam had called an ambulance, she became irate and asked Pam why she hadn't honored Ann's wish.

Taylor, Pam, and Stephanie rushed to the hospital. An emergency room doctor approached them to discuss Ann's condition. Stephanie said that Ann's being at the hospital was a terrible mistake. When Stephanie told the doctor that Ann had stage IV pancreatic cancer, the doctor said that she already knew that, and that Ann's medical records had been electronically sent to the hospital. Stephanie asked if there was anything in Ann's records that indicated that Ann didn't want to be hospitalized.

The doctor said that the records contained an advanced directive and a do not resuscitate order. Stephanie assumed that meant that they could take Ann home. The doctor said that Ann was being hospitalized for a possible pulmonary embolism -- not for cancer treatment. Stephanie said that Ann didn't want to be hospitalized under any circumstances. The doctor said that releasing Ann was out of the question, adding that they could treat the embolism and release Ann in a few days.

Steffy went home and was surprised that no one was there. She opened the door to the guest room and saw evidence that paramedics had been there.

An unconscious Ann was hooked up to IVs and monitors. Crying, Pam hoped that Ann might get better. Stephanie told her sister that Ann was not going to get better. When Pam said that they had to do what the doctors told them, Stephanie disagreed, saying that they had to do what their consciences told them. Ann slowly regained consciousness and was furious that she was in a hospital. Stephanie said that Ann's being in the hospital was a mistake. Ann begged her daughters not to let her die there. Stephanie told Ann that the doctor refused to release Ann. Ann looked at Stephanie and said, "Get me out."



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