The Immortal Life of Henrietta Lacks by Rebecca Skloot Page A

white. According to Howard Jones, Henrietta got the same care any white patient would have; the biopsy, the radium treatment, and radiation were all standard for the day. But several studies have shown that black patients were treated and hospitalized at later stages of their illnesses than white patients. And once hospitalized, they got fewer pain medications, and had higher mortality rates.
    All we can know for sure are the facts of Henrietta’s medical records: a few weeks after the doctor told her she was fine, she went back to Hopkins saying that the “discomfort” she’d complained about last time was now an “ache” in both sides. But the doctor’s entry was identical to the one weeks earlier: “No evidence of recurrence. Return in one month.”
    Two and a half weeks later, Henrietta’s abdomen hurt, and she could barely urinate. The pain made it hard to walk. She went back to Hopkins, where a doctor passed a catheter to empty her bladder, then sent her home. Three days later, when she returned complaining once again of pain, a doctor pressed on her abdomen and felt a “stony hard” mass. An X-ray showed that it was attached to her pelvic wall, nearly blocking her urethra. The doctor on duty called for Jones and several others who’d treated Henrietta; they all examined her and looked at the X-ray. “Inoperable,” they said. Only weeks after a previous entry declared her healthy, one of the doctors wrote, “The patient looks chronically ill. She is obviously in pain.” He sent her home to bed.
    Sadie would later describe Henrietta’s decline like this: “Hennie didn’t fade away, you know, her looks, her body, it didn’t just fade. Like some peoples be sick in the bed with cancer and they look so bad . But she didn’t. The only thing you could tell was in her eyes. Her eyes were tellin you that she wasn’t gonna be alive no more.”
          U ntil that point, no one except Sadie, Margaret, and Day knew Henrietta was sick. Then, suddenly, everyone knew. When Day and the cousins walked home from Sparrows Point after each shift, they could hear Henrietta from a block away, wailing for the Lord to help her. When Day drove her back to Hopkins for X-rays the following week, stone-hard tumors filled the inside of her abdomen: one on her uterus, one on each kidney and on her urethra. Just a month after a note in her medical record said she was fine, another doctor wrote, “In view of the rapid extension of the disease process the outlook is quite poor.” The only option, he said, was “further irradiation in the hopes that we may at least relieve her pain.”
    Henrietta couldn’t walk from the house to the car, but either Day or one of the cousins managed to get her to Hopkins every day for radiation. They didn’t realize she was dying. They thought the doctors were still trying to cure her.
    Each day, Henrietta’s doctors increased her dose of radiation, hoping it would shrink the tumors and ease the pain until her death. Each day the skin on her abdomen burned blacker and blacker, and the pain grew worse.
    On August 8, just one week after her thirty-first birthday, Henrietta arrived at Hopkins for her treatment, but this time she said she wanted to stay. Her doctor wrote, “Patient has been complaining bitterly of pain and she seems genuinely miserable. She has to come in from a considerable distance and it is felt that she deserves to be in the hospital where she can be better cared for.”
    After Henrietta checked into the hospital, a nurse drew blood and labeled the vial COLORED , then stored it in case Henrietta needed transfusions later. A doctor put Henrietta’s feet in stirrups once again, to take a few more cells from her cervix at the request of George Gey, who wanted to see if a second batch would grow like the first. But Henrietta’s body had become so contaminated with toxins normally flushed from the system in urine, her cells died immediately in culture.
    During Henrietta’s