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First Year- Chapter 13
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Our attending, Samvel Tymoshenko, Dr Tymo for short, was a very tall, rotund red-headed Russian man who always wore a bowtie. Dr Tymo was rumored to tip the vodka just a little too much at the yearly Christmas parties and hit on the female residents. Otherwise he was usually reclusive and worked long hours in his office reviewing papers or writing grants for some new studies. He was world-renowned in Pulmonary and Critical Care Medicine and had written chapters in several books and published several articles. He was notorious for his temper and apparently would hold a grudge for a long time. He would either make or break you. Tina loved working with him and it was said, she was one of the few residents he had much regard for. I didn’t know all my senior residents but I was very impressed by what I saw in Tina, so Dr Tymo and I already had one thing in common. Well, maybe two, if I drank too much I might hit on the female residents too…Just kidding…I think?
We went through the patients in the Unit and divided them out. The GI bleeder that Bette took care of was still in the unit. I took him on. After his initial bleed he had one cirrhosis related complication after another. Bette’s notes were lengthy and very meticulous, so it was very easy to follow the trail of his progress. The poor guy developed hepatic encephalopathy after his bleed. Basically a coma from all that blood that passed through his system and his liver was not able to handle all that digested protein. He developed fluid in his abdomen, that got infected. That didn’t help his encephalopathy either. His liver and kidney function began to decline. It frightened me to see the sequella of alcoholism and the affect on his body.
It made me think about Dylan and how she was doing with her drinking. I wondered if that was why she cried. I made it a point to call her that morning to check on her. She was on the liver transplant service that month. She dreaded it because the patients in general were very sick and the hours would be very long. On that service she had very little decision making to do. She would essentially function like a medical student and do the histories and physicals. Even her senior resident had little input into care. This was a very top heavy service. The transplant surgeons and hepatologists ran the show. She couldn’t even order Tylenol for the patients without calling them. Despite it being to top heavy, she was responsible for maintaining the a complex flow sheet of vitals, labs, when meds were started and ended, assessing the patients when they had fever, calling the attending with any blips on the flow sheets, writing very elaborate notes each day. Basically she and her senior resident’s were in charge of the scut. There were a few medical students floating around on the transplant service but they were there for window dressing. They just observed and read about liver diseases, maybe on occasion they would look up lab results or help with the flow sheets but in general, her medical students were background noise.
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I’m holding out for Tibette. After the recent scenes with Helena and Dylan I can’t imagine them with anyone but each other.
S I figured that Carmen really loved Helena but Helena was not ready and still in a relationship with Dylan. I say relationship cause IMO she was not as much in love with her as she was when she first arrived to California. I actually like the pairing of both Helena and Carmen and well since you being the writer I must go where you go,lol. No matter what I will read cause I really want to know where her heart really belongs too, Dylan,Carmen,Tina,Bette and who knows if anyone else will come into the picture, as long as it’s not with MAX,,,HAHAHAHA!!!
Patpez-Not only will it not be Max, but Max will not even make an appearance in this story.
Your writing is so confident which comes, I think, from having a complete understanding of the setting and the characters along with their relationships. Just outstanding.
I guess its true what they say, happiness is fleeting. It seems particularly true for these two. So the vulnerability expressed and shared led to a strained relationship and eventual withdrawal? Or was the realization of bad timing simply too great to overcome? I guess it will be revealed across the next several months. Thank goodness, a story without Max.
Nice update…hmm…the poor GI bleeder is still in the hospital and getting worse…waaa! Hmm…I’m thinking Helena and Carmen were getting too close for it to be casual…but both painfully knew that in this way..they couldn’t really go any further. This unfortunately doesn’t sound like an open door for Helena to ummm clear her plate and return heart, body and soul to Dylan… Dylan, in Helena’s mind has become somewhat like background noise…now that is truly sad…. So we know there is someone else “entering” Helena’s domain…NEXT!! Senior Resident Williams…keepin’ em scared, off balance and wielding a ten foot pole like no other. Will she stay around like Tina or be with us temporally..only through this rotation?
Ok, so this end to Carmen and Helena must signal thebeginning of Helena and Bette. Hip hip hooray!!!
Happy? Well, too brief and bittersweet to be exuberant about it, but you’re on the right track. Like I said, I have a dirty mind. But despite that, I appreciate the way you depict how relationships grow and fade along with the emotions involved. Now, how about having Helena hook up with somebody for some hot, reciprocal, hedonistic sex? Or hot, reciprocal, deeply committed sex? I think you know what I mean. And leave Henry out of it!
I bet you thought I had abandoned ship didnt you Squirl? Lmao I’ve been here trying to catch up. Helena has alot to deal with and so does Carmen. Although Carmen is not in a fully pledged relationship she is still seeing Shane on and off so that is an entanglement in itself. Then Helena is having this secret life away from Dylan, and yes it must be hard to want to feel somebody there…but she needs to be honest, are her and Dylan working out. In this time apart things have changed dramatically they are not the same people they once were when they started their internships. I do think deep down that Helena’s heart has in a way always kind of belonged to Carmen, but I know she loves Dylan maybe it’s just in a different way. PPVS
Hey Squirl, or is it “Spider” cause your sure weaving a tangled web. Looks like Helena is growning into herself, Carmen represents days gone by and comfort, Dylan represents what might have been if they were more mature and further along in their lives or relationship so it seems like Helens is going to go through some growning pains but will end up just taking steps forward but is sorting out her needs along the way, as it should be, hehehe IMO. Oh yes hindsight is a beautiful thing. Squirl you have spoiled us with these regular updates but I guess all good things slow down sometimes. Good luck w/ back to work, hope your feeling up to it. I’ll be looking forward to the next post. Thank you, Md aka Oma
Helena has reached a point in her life, where things are not as simple as she once thought. Life has no promises.
That’s sad. I really liked the idea of Helena and Carmen, but I also like the idea of Helena with Dylan, Bette or Tina. I’m fickle! PPS!!