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    First Year- Chapter 14/15

    Chapter 14

     

    Dana quickly began her evaluation of her lymphoma with plans to start treatment as soon as possible. She went through all the prodding and poking and scanning needed to stage her and her tumor. She was pretty tight lipped about the full details of her illness. For her own privacy, her name was changed within the system, so inquiring minds could not know. The entire year’s schedule had to be rearranged because of Dana’s illness. She wanted to work as much as she could and she was placed in relatively easy rotations. She was scheduled to work the ER for limited hours during the day time. That was usually pretty easy. Most of the LA’s nuts and fruits came out at night. Alternatively, she was in the outpatient clinics and electives. She was place anywhere that did not require her to take call or if she missed a day for treatment, she wouldn’t be missed in the workflow. The plans were great but realistically once she started chemo she was too fatigued to work.

    Several of the resident who worked with her, Carmen and I would go visit with her when we could. We would bring her little puzzle books and other really corny games and other things to play with while she was at home. She loved getting those. She really resented her disease and wondered what she had done to deserve this. In the back of my mind, all I could think about was what my uncle said to me after Jimmy “the light” died, “Shit happens”. This was really pretty nasty fucking shit.

    Once chemo started, she lost her hair and became thin and pale. She frequently had nausea and vomiting. She had to be admitted several times with neutropenic fevers and required big guns antibiotics. Fortunately, she was able to go home after a few days when her white blood cell count increase when she got injections to boost her bone marrow production. Bette was on the Oncology service and would sometimes be the admitting intern for Dana. I tried to get information about Dana from Bette but she was pretty tight lipped too. I was beginning to feel like this was worse than we thought. Carmen was able to get some information from some of the nurses that she befriended during her rotation. We found that her tumor she did not have a particular marker that made for a better outcome. With the marker her outcome for 5 year survival, was 70-80%, without the marker 30-50%.

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    Comments

    1. S, don’t know how you do it, but you can make me see what Helena remembers and I like that very much. Helena loved Carmen but she didn’t know how much and how, like a friend, lover, or the woman who completes her. I can understand because she was still with Dylan even though she was cheating on her. And to break up on the phone,email really sucks bigtime…lol. She was right to tell Carmen what she felt even though she would get hurt. Carmen fell into her own trap IMO, and Helena didnt see it, or just didnt want to becuase it would make her more guilty that she already felt. But I say later on as she recalls that she did indeed love Carmen but will it be too late or will she have found a real love later on? Great chapter once again S!

    2. I am continually blown away by the authenticity of the story lines. I love the dialogue and the reading the characters thought processes. Real life can be interesting and dramatic.

    3. I hope you’re not teasing me and my dirty mind. I could use a vacation with some hedonistic sex, but I’ll have to settle for fiction. Which is why I hope you’re not teasing me. And my dirty mind. Hmmm…Helena didn’t see that coming. Maybe when she grows up a little more (or maybe has a less stressed and busy life) she’ll be better equipped to pick up on these things. And when she grows up a little more she might realize that blaming Peggy for whatever might go down, even IF she arraigned the distant residencies, isn’t fair. Now on to some serious R and R in Parrot Cay! Don’t let me down.

    4. Oh poor Carmen, she always seems to get the shity end of the deal, oh well she knew going in. I would have liked to have seen Helena get some kind of kuddos for her call on the woman who got to pee. It’s good to have faith in yourself but in a teaching enviorment, gee, maybe at least Tina could have said something. So, Parrot Cay, full staff, go girls, have fun, details Squirl, full details please. Thank you, Md aka Oma

    5. With Helena’s libido in hibernation until Parrot Cay, I have a feeling her mind will become very active. By the time she reaches the Caribbean, her guilt level should be just above topping off. My hunch is Dylan is drinking again to cope with the stress of her residency and being away from Helena. Maybe the two will swap sins–so to speak–and once the dust settles, move forward. So if Dana isn’t able to recuperate, doesn’t the slot need to be filled by a new resident? Any chance Peggy (with Helena’s urging) would pull a few strings and allow Dylan the chance to come to L.A.? Hmmm…

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