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First Year- Chapter 12
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His response surprised me, “Bring it to the call room.”
I went to the senior resident call room and knocked on the door. I expected him to open the door but instead he asked me to slide it under the door. I thought, what the fuck? But I quickly concluded he was not alone. I was curious to know who he was entertaining but that wasn’t my primary focus, sorting out this patient was. I slid the ECG under the door and after a few minutes he slid it back under with some scribbled interpretation and instructions. As best as I could interpret his scribble, I ordered a STAT chest x-ray and waited for results. I went back to his bedside to reassess him. He looked pale, sweaty and extremely anxious. I thought Henry would come, but he didn’t.
I continued my evaluation but still could not understand his pain. The chest x-ray came back showing a slightly enlarged heart. There was really nothing to help me sort it out. I went back to his bedside and examined him again. He breathing was more labored, the blood vessels in his neck were becoming more prominent. I repeated the ECG and found a very odd alternating pattern of his heart complex. I took it to Henry again, who didn’t seem to have any plans on coming out from his call room to help me. I knocked on his door and again he had me slide the ECG under. I could hear some mumbling in his room and waited for his response. This time I insisted he come out and see the patient. I just didn’t feel comfortable with the way he was looking.
Just as I was waiting for his response, I got the STAT page to CCU. I could hear his page going off too. I knew it was my patient coding. I rushed back in and the nurses had already started CPR. Henry quickly followed trying to tuck his scrub top in, and tie up his bottoms to make himself presentable. The nurses ran through the protocol for PEA, pulseless electrical activity. We adhered to the protocol but with no response. Shortly into the code, Tina came in and started reviewing the ECG’s. She pointed something out to Henry and he asked the nurses for a periocardiocentesis kit. They quickly brought the kit to the bedside and Henry proceeded to pass a needle into his chest. He aspirated back and returned a large quantity of non-clotting bloody fluid. The patient began to improve almost immediately. Tina smiled and patted Henry on the ass. I rolled my eyes at the sight. He instructed me to call thoracic surgery service. They responded very quickly and he was whisked off to the OR to have a permanent “window” placed to prevent recurrence of the buildup of fluid around his heart.
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Red Alert on Skype, Squirl just posted, end message
Noooo not Dana…please Squirl, tell us that we will not have to say goodbye to her again! Please tell me that this is straight forward…completely curable and is not a case fit for the craziness of Dr. House! This day at Drama Central was definitely action packed…and Dr. Peabody seems to be settling into the complication that is her life…of course it would be extremely ugly for her to use the wrong name with Dylan….and now when are they gonna have that little heart to heart? Tomorrow? lol! Oohh, Tina is seems to be quite competent but a little predatory and omnivorous andddd Carmen just uttered the L word…oui! Alright,here we go! PPS
Shame on Henry not catching the tamponade because of restricted blood flow to his brain. Or something. When it came to PEA, he was a pea-brain. Good thing Blondie had her wits about her. Naughty residents! (Know anybody back here to help me get hired?)I’m glad YOUR Dana had the sense to seek medical attention.
Ooh, remind me not to piss Carmen off. She bites when she gets angry.
Oohhh…wow…fantastic inclusion of Dana’s illness in the story, Squirl. The portrayal is certainly accurate. Helena seems to be overly generous of her time these days — I wonder how that will end up affecting her performance as a resident. I was shocked to learn about her name confusion — I probably would have done a little bit more than bite her lip if I were in Carmen’s shoes. So Carmen was the first to state her love; I’m expecting Helena to be in a lot of emotional pain in the upcoming chapters as she realizes that Carmen isn’t just a friend for her either. Helena is really on a rollercoaster ride. I’m so lovin’ Tina’s flirting with Helena — and Henry has got to go — not only did he leave his woman unsatisfied, he botched the diagnosis! Ewwww….
S once again an excellent chapter, going to Dana first because how could you let her get sick,,,,LOL I see that Helena’s heart is changing about Dylan as is her thought’s IMO. Very good chapter S!
Awesome chapter. If I were that heart patient that almost died because my dr. was off screwing behind closed doors and didn’t want to take the time to see me, I would be pissed beyond words. At least he had Helena on his side trying to figure out the problem. I love sexy, flirty, Tina. Carmen’s in love, love with Helena, I think. What it must be like to have all these beautiful women falling at your feet. Sigh! And I would really hate to see Dana die, again. PPS!!
Oh no….please don’t let anything happen to Dana…not again…whoa…H and C are heating up ‘eh…cute…but you know this should be a BeLena…okay…can we agree (big smile)!!!