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Holmes was admitted in June for two weeks and although Neilson visited frequently, he said, the colonel wasn’t under his care but rather that of doctors on the ward. Neilson added that he kept up with tests and treatment "so 1 could take care of him properly at home.”
A liver biopsy showed cirrhosis, the probable cause of the fluid build-up in the colonel’s abdominal cavity and legs, according to Neilson. Low salt diet, diuretics and bed rest, treatment wTiich generally allows the body to clear excess fluids best, improved Holmes’ condition and left him able to walk around, the doctor testified. Liver and heart scans were both done without pinpointing a cause for the colonel's condition, Neilson said. Special slides and stains, part of liver tests, were sent out to other departments for analysis but the results weren’t received during the colonel’s two-week hospitalization in late June, the doctor reported. He described Holmes as "doing quite well” when he was released in July.
On a special low salt diet, the colonel was to keep a weight chart at home and in late August, Neilson recalled, his weight began to climb significantly and swelling returned. Driving out to the Flint Hill farm every weekend, the doctor testified, he first prescribed diuretics and antibiotics and when the treatment was unsuccessful. Holmes was re-admitted to Bethesda Hospital on October 9.
Results finally received from blood work in July showed rapid deterioration of the liver believed to be caused by an hereditary disorder which the colonel's father also had, according to Neilson.
Again on bed rest, duiretics and a low salt diet, the colonel’s fluid buildup began to fall back under control and he dropped 37 pounds in two weeks, the doctor reported. Holmes started to feel better and was able to resume walking around; "his spirits improved.” Neilson said. But a second liver biopsy was ordered on October 24 to determine the cause of the “dramatic change in his clinical condition.” Neilson reported. Preliminary results back the evening of October 26 were consistent with a tumor, he added.
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