Ian was impressed with the concise but thorough report. "I had heard that it was an awesome sight in the trauma room, the team…altogether that is. I wouldn’t know first hand, I wasn’t fast enough to even see the patient come through my E.R."

Garrett was unsure as to the exact nature of the statement. "Well, sir, I…"

"I guess I’ll just have to be a little faster than normal when I know you are on trauma call," McCormick chuckled. "Never saw a first day trauma team move so fast. I understand that there are rumors that you have been secretly rehearsing for the last few years."

"Every day is a rehearsal for the day after it. So, yes, in that respect I have been working up to it."

"Well, Trivoli, it sounds like you did exactly the right things except let me see that patient. You know that it is my E.R. that you get to work out of on those traumas." The E.R. Physician stated in a serious tone of voice, "Next time you’re down in my E.R. make sure you introduce yourself to the staff. It seems that they don’t enjoy being ordered around by the voice of a higher being. You have a fan club with the two trauma nurses, but then again it was only a meager ten minutes of fame."

That last statement shocked the surgeon. "But sir, I wasn’t down there… What do you mean by a fan club?"

Ian had found a source of contention in her armor. She absolutely hated to be liked, perhaps seeing it as a weakness in one’s character. He thought about that for a moment before goading her. "Doc, don’t let it worry you. You did well in their eyes; today you’re the hero. Next time you could be the thorn in their side. It’s a day to day kind of thing," Ian forewarned the surgeon. "I’ll see you around."

"Humph!" Garrett said with disgust as the line went dead. She wasn’t here to cater to the whims of the nursing staff. If anything, it would be the nurses who catered to her.

‘Well, I can’t wait to see what a big hit I’m gonna be with the night crew,’ Garrett mused staring at the phone. The nursing staff had always been a puzzle to Trivoli, whether in the Navy or in the civilian sector. One nurse could accept you as a person and the next would merely look on you as an intruder in their domain. Funny how you never quite knew which way it would be until you were thick in the middle of some crisis. Hopefully, things will go just as well tonight as it had this morning. After all, they were all there for the same reason. The number one priority in the surgeon’s mind was always how successful her skills had been on her patient. Garrett could not see it any other way.

*************

Always put the patient before one’s self was the surgeon’s motto. Today was no exception to the rule as Dr. Trivoli stopped in the recovery area to check on Lucky Doe before she found the cafeteria. The patient now had a much better color than the bloodstained pallor of earlier. Checking the chart, one could see that the Chief Resident had only signed out several minutes before.

Garrett was pleased to see that the warning about how a patient was cared for had been heeded. Perhaps this would be a very enlightening year after all. Satisfied, the surgeon continued in the quest for nourishment.

‘Perhaps a meal might make me a bit more mellow for the next shift of nurses,’ pondered Trivoli. ‘I at least owe them that or they’ll think of me as some kind of dark ages warlord.’ It was going to be a long time until this night would be over and a hungry surgeon was not always the most tolerant of new surroundings or people.

The time was well after 1800 hours when Garrett was making her way to the cafeteria. The sight of her department head took her by surprise as he came down the hall toward her, still dressed in his lab coat. She would have thought him gone by now. His eyes lifted to settle on her striking figure and a spark of recognition came to his face. He quickly maneuvered the hallway, darting between its human obstacles until he was face to face with the tall surgeon.

"Ah, there you are Dr. Trivoli. I need to talk to you." His voice was calm and unwavering as he motioned toward his office down the hall. "Let’s go into my office, shall we?"

Nodding, the woman followed him into the office. The surgeon’s mind was racing with thoughts. She was sure that it had something to do with the trauma patient she had operated on all day. Had she done anything wrong? She reviewed her earlier actions, flying through them as she settled herself into the brisk pace of her superior. ‘Shit rolls down hill, well I guess I get it straight from the top now.’ She thought about the Navy and its ways, the chain of command and how the orders and discipline came down through the ranks. ‘Well, let’s see, the ball will start rolling with the Chief of the Service/Attending who will question the Fellow then pass it down to the Chief Resident who will ream out the Resident who in turn will yell at the Intern who will blame the Medical Student. Yeah, that seems right.’ It was all coming back to her, the civilian hospital chain of command.

"Dr. McMurray, I…" she started only to be interrupted.

"Have a seat, Dr. Trivoli," the older man pointed to a chair on the other side of his large desk as they entered the room.

The office was large, a symbol of his importance in the hospital setting. It was modestly furnished with several photos of the good doctor in his travels fashionably displayed among the bookcases and on the desk. Garrett’s eyes studied them as she sat down in the appointed chair. There was a common person in each of the photos next to the distinguished surgeon; it was a woman who always appeared at his right side, a gentle smile gracing her face.

Noticing her interest in the photo on his desk, he picked it up and began to reminisce. "This one was taken when I was in New Guinea," a smile crossed his face. "We spent two weeks there, my wife and I."

"She’s a beautiful woman, Sir." The tall surgeon leaned forward to get a better look. "You must have had some wonderful times traveling with your wife."

"Yes, we did. Heck! We still do." His index finger gently glided over her image under the glass. "Best thing I ever did," he grunted, "I’d do it again." He regretfully put the frame back on his desk, allowing his eyes to linger on it for a brief moment longer. "Well, enough about me. I want to talk about you." His voice was now all business as his brown eyes stared directly at her.

The surgeon felt like she was being dissected right there in his office, his piercing gaze trying its best to cut deep into her soul. Her back stiffened and her shoulders squared in a mock attempt to ward off his insight into her being. She had a thick shell, one that had hardened over the years and she was sure that no one would be able to penetrate through it. It had been her survival tactic and allowed her to move from one station in life to another, never fearing the hurt that life brought with it. After all, it couldn’t hurt if it never got close enough to her to leave any impression.

Steel colored eyes locked onto brown as she asked, "What about me?" She leaned slightly forward as if to challenge the man.

They stayed there for what seemed to be an eternity, until McMurray blinked as he sucked on his teeth making a sharp noise. He sat down in his high-backed leather chair and swiveled it away from her, his mind gauging her boldness. ‘She may be a woman, but she’s got balls bigger than a lot of men I’ve known.’ His mind recounted his first day as a Fellow many years ago. He saw so much of himself in her that it was scary to think about. Right then and there he made his mind up. She was going to learn in the next year what had taken him so many years to realize. Her skills as a surgeon were by far more superior to the other two Fellows. He would teach her what she needed to know to enhance those skills and her life, not to mention the lives of all those around her.

He decided to take a hard line with her and his tone of voice showed it as he began speaking. "Every year I saddle one Fellow and make it their duty to establish a good working relationship with the E.R. staff." He swung the chair around to face her. "This year that person is you." His eyes squinted as he looked at her.

Her mouth opened abruptly. "What?" The puzzlement was written all over her face.

"You heard me. I want you to be the liaison between this department and the E.R., and that means starting immediately."

"Why me? Why not one of the other two?" She paused. "If it’s because I’m a woman…" shades of discrimination and sexual harassment ebbing at the edges of her mind.

He looked out of the corner of his eye and pointed directly at her with his right hand as he fished for something out of the drawer to his left. "I don’t ever want to hear that in my office again." He pulled three folders out of the drawer and threw them on the desk. "It’s all in here," he pointed to them. "Check for yourself if you’d like."

She looked down to see the name listed on each of the folders, Dr. Rene Chabot, Dr. Nathaniel Hostetler, and her own, Dr. Garrett Trivoli, was written on the outside. Her eyes looked up to his, pleading for some kind of answer.

"Dr. Chabot won’t have the time to invest with a family due to deliver in the next few months and Dr. Hostetler, although unmarried, will need to devote all of his time to honing his surgical skills. That leaves only you, Dr. Trivoli. You have no family, your surgical skills are refined and beyond reproach. I’ve got to teach you something in this program and this is what I have chosen for you. I suggest that you make it your business to be a part of the overall picture in that E.R. and that means spending time with the staff both inside these walls and outside in their private lives, too. I don’t care how you do it. Just do it."

The look on his face was one of no nonsense and she knew it. "But…" she grasped at thin air for words.

"No buts, Trivoli. I want to see you be a leader here, not just another blade in the system. I believe that you have a lot of untapped potential. You just haven’t figured it out yet." He shook his head as he thought of his recent discussion with several very irate O.R. staff members. "As a surgeon, your main goal is to heal through surgical intervention for the well-being of your patient." He glared at her, his face showing his anger. "Not through the use of confrontation and a demeaning attitude toward your staff. You keep this up, Trivoli, and no one will want to work with you. Then we’ll see just how perfect your little world will be when you’re all by yourself in that surgical theater."

His face softened and his voice mellowed as he reached out and touched the photo on his desk again. "Besides, you’re going to learn real fast that those nurses aren’t the enemy. One day that nurse that you threw your weight at today could very well save your butt and the patient’s, too." He glanced at the photo, then back to her. "Now go and think about what I’ve said."

She immediately jumped to her own defense. "But I’m a damn good surgeon. Why should I…"

"Because YOU," his forefinger shot out aimed right at her face. "You are a mere cog in this piece of machinery that we call a hospital. The last time I looked, Dr. Trivoli, I was the one writing your ticket in this program. Now, unless you are willing to give up this Trauma Fellowship, I must demand that you learn to become a part of the whole and not cause a hole in any part." He paused long enough for her to digest that last statement. "Did I make myself clear enough?"

Garrett rose from the seat and turned to leave. Reaching for the doorknob she paused and turned to face her new mentor. Before she could speak, she saw McMurray thumbing through her folder. "I’ll try not to let you down, Sir, but don’t expect me to change overnight. I’ve had a lot of practice at being as demanding of those that work with me as I have of myself."

"Good! Then you’ll learn to accept your own shortcomings at the same time as you do everybody else’s. Garrett, learn to get off of the high horse you’ve imagined yourself on and people may just start looking up to you for who you are, not what you are." His head never came up from out of its absorption in the folder.

"I’ll see what I can do." She exited the office and stopped dead just a few steps down the hall. This was going to be harder than she had anticipated. She shook her head and wondered what freight train had just run through and left a large gaping hole in her plan for the rest of her life. Seething to herself, she named it the "McMurray Special," vowing to never be caught in its path again. She would live with it this time, she had to, and nobody bailed out on the first day of a Fellowship Program. Besides, it was against her nature to give up.