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First Year- Chapter 29
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In rounds that morning I presented my cases but the one that created the biggest stir was my most interesting admission, Juan Vargas, a 30 year old, undocumented Mexican migrant farm worker who developed acute onset on pain in the right upper abdomen, fever, weight loss, nausea, vomiting and diarrhea. His ultrasound showed a mass in the right side of the liver. We had a hearty and lengthy discussion over the differential diagnosis and the plan for evaluation given the differential. Papi was a graduate of medical school in Mexico and was convinced this was an amebic liver abscess. Dr Harper concurred this was a likely diagnosis, but being like most of the attending we had around here, she did not want to immediately dismiss all the other possibilities.
As much as Papi flirted with me, she really brown-nosed Dr Harper. The compliments she received the first morning on rounds just set her up to be putty in Dr Harper’s hands. In return, Papi gushed and dripped with compliments for Dr Harper, about how sharp she dressed, how pretty she was, how sexy her Trinidadian accent was. It was fairly pathetic to watch Papi be so sappy with compliments, all-be-it very respectful. The love fest between Papi and Dr Harper triggered Bette’s ongoing antagonism for both and made them practically intolerable for her.
I had already placed Mr. Vargas on broad-spectrum antibiotics for a potential infection cause of his mass and the decision was made to aspirate the mass for diagnostic and potentially therapeutic purposes. Mark, my medical student, was excitedly all over this case like a blanket and had several articles on the chart covering the various potential diagnoses. I stepped back from the case and began to work through my other patients. Later that day, Mr. Vargas, with Mark in tow, went down to interventional radiology for the aspiration of his mass. About an hour later, I received a stat page from the radiology department and heard the voice of an extremely angry interventional radiology resident. She ranted and raved about me not checking coagulation studies on the patient before he was sent down to have a needle put in his liver.
I looked at the labs and she was right. I was an oversight since at the time of admission it was not necessary but certainly once the decision was made to biopsy the mass it became warranted. I didn’t know the resident but she lit into me like I had committed some high crime of treason. Our argument escalated to a loud shouting match with me taking a stance that it was ultimately her responsibility to ensure it was done since she was the one putting the needle in his body. She took the stance, and let me know in with very strong and crude words, that it was the intern’s responsibility to make sure the patient was adequately prepped for the procedure including any appropriate labs. I suppose she was right but her tone was so antagonistic and rude that I stood the grounds on my position.
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Nice update. Could that be Dylan on the other line?
Great chapter. I hope it’s Bette on the phone.
Great chapter as always. I bet it’s Dylan on the phone, but I really want it to be Tina even though I’m pretty sure I want this to be a Belena story.
Huzzah! I was so happy to see a post from you Squirl, I danced a happy jig. Well despite the Henry confusion – which didn’t actually confuse me for some reason – I was drawn to a couple of things. What’s this I read? Helena was okay with spending the night alone after her outrageously fun birthday party? Hmmm…that sounds like growth to me…particularly since she was willing to bypass on fun with Carmen for the sake of their friendship. Secondly, I can’t believe you ended the chapter there!@!@!@! OMG – I swear I wanted to jump through my computer screen as I kept looking to hit the next page button. Anyhow, I have a feeling it’s Dylan calling – this is going to throw a real obstacle into my Belena fantasy. And just when things were starting to look up I might add… I’ll continue to look forward to weekly Belena posts…I mean chapter updates.
As usual loved he update and can’t wait for their run!!!
Great update! lol! “Peabody, there is nothing more wrong than being loud and wrong”. Man, I could hear those women barking at each other…The threat of harming someone or malpractice suits is the great debate eliminator. Bette’s jealousy…Helena’s jealousy…intense moments and now soon a workout session?! Getting interesting, indeed…but who the L is on the phone? Oui! I love the fact that Helena is thinking before she acts and is cool with not bringing drama to bed…lol! Although, she may want to consider setting up one more annoying interlude with Papi to get Bette’s attention…or perhaps that will make her keep running. Ok…my vote then is no games, just sports or whatever you have planned for them! The Dr. H’s didn’t stick out to me at all. Thanks for posting…PPS!
Squirl- I know what you mean about getting what you wished for but I don’t see how Bette and Helena together can be wrong. I sure hope that it is Bette calling Helena in her drunken state and not someone who will ruin Helena’s night, like Dylan. Even with heavy training I don’t think Hels is ready to take on Bette Porter on anothe run. Pps.
I have to be honest and tell you that Henry confused me. Haha! Not until you explained it. Thanks for the chappy and I hope you can post soon.
Does that happen to you often?
i just want you to know that i have been periodically checking for an update on this story all weekend, and i had to look one more time, and lo and behold you finally updated it, so here i am at 2:30 am reading this, instead of going to bed, but as usual its so worth it!!!more updates please!!!
this could only be Bette on the other side, Yeeeeeeeeeeeeessss she is coming over hope so.
OMG Squirl you posting late in the night is going to have me late for work again. I will tell them I had a Dr. appointment, will you write me a note?The chapter was amazing, I laughed and held my breath a few times. I forget the new Dr.s name and don’t have time to reread right now but I want to know if her and Helena become friends. WHO IS ON THE PHONE at that time in the a.m. and are they coming over to Helena’s. Thank you, Md aka Oma
First off, great chapter as always! I’m also happy to see that Dana is feeling somewhat better. All in all the gang seemed to have had a good time. As for the early morning phone call could this be Dylan? Or how about Tina since lover boy maybe on the outs soon. Or could it be Bette? You know Papi did ruffle her feathers a little, by hitting on her future girlfriend. Maybe she should pick a liitle better who she have all nighters with. I wonder will they make each other pay when they have their little workout session. I can hardly wait to find out. PPS!
I did change Dr Henry to Dr Harper to take away the confusion over Henry’s…If I missed any Dr Henry to Harper change, please let me know.
Great posting, i’ve been waiting for this. Pleaaaase don’t disappoint, that has to be Bette on the phone. Anyway, great post as alway, please post soon. Loving this story.
This story and your writing are amazingly outstanding. Intriguing and interesting story. Keep going. It is so worth it.
I’m going to be moving to and decorating a new place soon. Have Peggy send me some art! I don’t need a Rembrandt, a nice, colorful poster or two would be great. Maybe she could get me an Eames lounge chair. Small potatoes to a Peabody. Anyway, who’s calling and are they going to be a wet blanket? Why does Bette think her life should be second to Merv’s and why does she have to make things up to him? And you know what? Too many doctors named Henry in this story-I can’t keep ’em all straight! OMG! Is Tina go from one Dr. Henry (first name, male) to the other Dr. “Hammer” Henry, (last name, female)? Maybe Tina’s confused by all the Doctor Henrys, too!
Funnyone: sorry for the Henry confusion..currently a senior resident, plannig to go the Cleveland Clinic for cardiology fellowship..The other Dr Sherry “Hammer” Henry, female, Trinidadian, GI attending…I think Tina can tell them apaart..Hopefully you will too. I guess I could have given her another name, but I suppose I was feeling pretty Henry that day.
Hey there S, sorry I am posting a comment late but got sidetracked, I am so glad that Helena had a great time at hre party and that Dana was able to make it along with the rest of the people she had invited except for that of her Bette. It’s ashame that she didnt get to hear her phone ring and her text so that Helena could at least tell Bette thank you. Now as for who called Helena my bet is on Dylan…….can’t wait and see what is next when Bette finds out Helena bought the new place!
I’m really happy to see that Dana is feeling better and out with her friends and having some fun. I think it’s Dylan on the phone calling to wish Helena a happy birthday. It does look like Helena is growing and not thinking with her libido. That’s a good sign. Hopefully she can continue that growth and also apply it to not getting too involved with the idea of her and Bette. Though it doesn’t seem like she’s doing a very good job of that. I know I’m in the minority here, but I think it’s a mistake for her to be pining away for someone who is already taken. Helena will end up like Carmen did when she was pining away for her, hoping for more and a relationship, and she’ll only get heartache and pain. She needs to do what I said in previous comments and focus on meeting people outside the hospital and going out by herself. This can only do her good. And she can actually meet people who are available. What a concept.