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jtownbeerfest.com springhurstdentistry.com 36 LOUISVILLE MAGAZINE 6.17 THE BIT e woman wrings her hands as she tells a translator that sometimes she drops things. "at's a red flag," Robertson says under her breath. It turns out that in the woman's native Mexico, she worked in a factory, pulling plastic tops off some kind of assembly-line product for hours on end. Now she grips reins with that same hand. "I think she has carpal tunnel," Robertson concludes, writing a referral for a nerve study. Perhaps the biggest challenge for nurses here is that if their patients don't work, they don't get paid. Few want to take time off. "Sometimes they can take a couple of days off. Most of the time people don't want to take off. We can give them a disability letter but it's really for us," Rob- ertson explains. "Even if they can't work, they can keep their medical through us. Sometimes trainers are a little more sym- pathetic if (a worker) has a note from us. Sometimes, they're not sympathetic at all." Mary Servin, a 38-year-old with wavy dark hair that reaches her shoulder blades, nervously smiles in the exam room. Her sister, Rocio Servin Castellanos, sits nearby for support. For weeks, Servin suffered stomach pain that she described as "lime or alcohol in a wound, raw." So a nurse practitioner ordered a CT scan. Today, the results. Dedra Hayden, a longtime nurse practitioner with a blond bob haircut, says the results show no problem in her stomach. She pauses as a translator relays the information. "But they found a nodule in the lower part of the left lung," Hayden continues. "Like a cyst?" Servin asks in Spanish, looking at the translator, then Hayden, concern crinkling her brow. "It doesn't look like cancer," Hayden says. "I had bronchitis in Louisiana," Servin says. "It was bad. I didn't go to the doctor." Servin and her sister spent the winter as hotwalkers at a track in Louisiana. A doctor volunteered some hours on Sun- days, but there was nothing as comprehen- sive as this clinic. In fact, no other track they've worked at has had anything close. (Turfway Park in Northern Kentucky has a