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She then watched as Ismoothed the skirt of my dress and set my purse aside in a type of actionthat was reflex after all of her prior instruction. She seemed more thanpleased now!"You've been a perfect little lady all afternoon Melissa. You did very wellon your first day out," she said. "You'll get used to wearing dresses everyday in no time dear. And over time and with the hormones you will begin tolook more and more like a proper little lady and then you'll start to thinklike a lady. You'll see!" she said as she continued driving and lookingover from time to time to see the results of what she had started. "I thinkwe can go home now, don't you?" she asked as I nodded my head and gaspedonce again. "I think a little lunch and a nice afternoon nap after all theexcitement will do you a world of good," she said as we continued drivingback to her house.Back at Madge's house I hung the dresses up then put on my pink full lengthnylon nightgown and robe over the lingerie Ruth and Madge had. We arrived back in the hospital early that afternoon just as he was finishing up his exam of Ryan, and he said the ominous words which ring today with infamy for us: ‘We have to talk.’ He said that Ryan had some severe cardiac anomalies. He had multiple cardiac septal defects, or holes between the left and right sides of the heart. He had a large Atrial septal defect, which wasn’t that huge a concern – at least for now, and 3 separate Ventricular septal defects. This in itself was very highly unusual, because in the vast majority of cases where ventricular septal defects occur, there is only one. The position of his ventricular septal defects was also very unusual, occurring towards the top, bottom, and rotated around somewhat towards the rear part of the heart, rather than in the middle of the septum as is much more typically seen. He used the palm of his curved hand to illustrate this to us, tracing on his palm where normal ventricular defects are seen (between the ring in middle.
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