"Ma’am, I’m sorry, I don’t even know your name."
The patient smiled slightly and offered her hand. "Marie…Marie Remhouse, and you are?"
"Danni Bossard." The nurse smiled back. "I’ve made arrangements for someone to come and take care of the cut on your face."
"Thank you." Marie’s eyes narrowed as she formulated the question in her head. "Chris, is…is she here?" The patient closed her eyes when she realized that she had slipped, not wanting to see the disgusted look on the nurse’s face. ‘What will this nurse think of me…us…now?’
Danni reached out to comfort the woman, her hand coming to rest on top of the patient’s. "I know what it’s like to love a woman that deeply." Her words were whispered and her eyes conveyed the intent. "Gar…I mean…Dr. Trivoli and I will see that she’s well taken care of. I’ve made arrangements for us to treat her like we did you. No one else will need to know."
The tears flowed freely down Marie’s face. Their secret would be kept and no one would be any the wiser. "Thank you." The words were caught up with sobs of relief.
The surgeon had been standing in the doorway, watching the actions of her friend for few moments before she spoke out. "Danni!" Garrett stood looking into the room. "Our patient…Chris is arriving now. They’ve just pulled up outside."
The nurse wondered how long and how much of the conversation Garrett had heard. ‘Too late now, if she doesn’t know already. Guess that I just outed myself.’ Danni nodded in affirmation. "Be right there, Doc."
Marie watched the pained look on the nurse’s face. "She’s the one, isn’t she?"
"That obvious, eh?" Danni sighed. "Seems like everyone knows but her." The nurse turned to view the now empty doorway.
It was time for the patient to comfort the nurse. "Don’t give up. She’ll see it and soon enough." Marie now patted the small hand that was clamped onto the bed rail. "It makes a world of difference in life to be loved."
"I’ve got to go. I’ll tell Chris that you are…" Danni’s eyes twinkled, "THINKING…of her." With that, the nurse walked out of the room.
The sound of the overhead alert announced the next wave of incoming wounded to the busy E.R. personnel. "Trauma in the Department. Trauma in the Department."
Danni stood in the hallway making sure to direct the patient known only as Chris into the right room. The burly looking Medics with the balding man passed her by and turned in the direction of Trauma Room One. Next in through the doors was a face that seemed familiar to her. She studied the Medic and realized that it was the young man from her famed ambulance trip with Garrett from the annual softball game.
‘Gosh, I hope he doesn’t recognize me dressed like this.’ Her mind thought back to the upset stomach and surprised look on his face when she opened the door to the bathroom. ‘I didn’t know anyone was in there. The door wasn’t locked.’
The next stretcher in the line was upon her. "Where to?" The young Medic said, not recognizing her.
"Is this Chris?" Danni peered at the face of the patient.
"Chris…is…my name. How do you know…"
Danni pointed the way. "Trauma Room Three." She let them go first, then fell in line next to the patient’s head. "Marie told us that you’d be coming." She winked and followed along. The nurse looked at the patient’s wildly curled short locks of gray hair and smiled involuntarily. It reminded her of a pre-school stick figure drawing, especially since the patient had the body to match it.
The patient nodded as best she could being in a protective collar and strapped onto a backboard. "That’s Marie, always watching out for me," she muttered as her face showed the pain that she was in.
The group whisked into the room where they were met by the tall surgeon. Her blue eyes looked directly into the patient’s eyes as she greeted her. "Chris, I’m Dr. Trivoli. I’m here to help you. Can you tell me where you hurt?"
"My belly, Doc. It hurts like hell."
The advancement of the stretcher stopped and each member of the team grabbed on to the backboard.
"Ready, on my count. One, two, three." The strong voice of the surgeon directed the movement. "Airway clear, respiration’s good. No obvious signs of external bleeding." The surgeon cast her eyes over the woman’s clothed body. "We’re going to be cutting your clothing off and examining you more closely. Just tell us if we are hurting you at any time."
The soft sound of a resigned voice was heard coming from the patient. "Okay."
Danni quickly cut up the sleeve of the shirt and exposed her side of the woman’s chest. Shoving the trauma shears into her leg pocket on her Flight Suit, she grabbed the wires and connected them to the already placed electrode discs on the patient’s chest. When the last one was in place, she turned to view the monitor on the wall behind her, studying the tracing.
"Heart Rate 122 and showing a regular rhythm." Now she turned her attention back to the patient, placing a blood pressure cuff around the woman’s arm and a clip onto her finger to measure the concentration of oxygen in her blood. Once again she turned to the electronic monitor readouts and voiced their numbers for all in the room to hear. "BP 94 over 48, Respiration’s 28, Oxygen Saturation 90 per cent."
By this time, the surgeon had cut off her side of the shirt, then moved to the skirt and removed the pantyhose from the woman, leaving her body exposed for a better visual examination. The systematic laying of hands by the Fellow began with the shoulders, then the ribs and worked its way down the bony frame looking for any signs of deformity. Seeing and feeling none, Garrett now concentrated on the abdominal area, first feeling for femoral pulses. They were present but not as strong as she would have liked them to be.
The surgeon let her fingers gingerly press into Chris’s midsection. "Does this hurt at all?"
The scrunched up face was her only answer initially, and then the agony in the voice could be heard. "Yes!"
Garrett’s eyes looked up to the monitoring devices as she moved her hands around the abdominal area. ‘Pain on palpation, heart rate tachycardia, and blood pressure down. She’s got something going on in that belly.’
The sound of her voice commanded the urgency of the orders she rattled off. "Give me a Chest, Pelvis and Lateral C-Spine X-ray, now! Danni call Radiology for a CT Scan of the Abdomen, then get another I.V. started. I’ll draw the blood for gases and add a type and cross for some blood."
The room became a flurry of activity as each professional went to the business of their jobs. Each one realizing that it was going to be a fight against time with the spiraling downward spin of the patient‘s condition.
It was times like this that Garrett Trivoli had trained for. Her skills had been honed to as near perfection as humanly possible and then some, to meet her own lofty expectations for herself. The surgeon wondered how she would feel if this patient was Danni. Could she be holding up like Chris’s lover, Marie, or would she be even worse? She glanced across the hall at the form lying on the stretcher draped and being sutured. She knew then what she had to do, and that was to save another from the clutches of her elite group.
"Scans are backed up at least 45 minutes." The words tumbled out of Danni’s mouth. "Do you want to do an Ultrasound or DPL?"
Garrett fixed the last of the test tubes with the blood samplings. "Ultrasound! Call the O.R. and tell them to get a room ready for an acute traumatic abdomen."
Danni placed a warmed sheet over the lower half of the patient as the surgeon pulled the ultrasound machine out of the corner of the room. ‘I know that you’re bleeding. I just need some hint from where.’ She quickly typed in the patient’s name and squeezed out the cold gel onto Chris’s abdomen, spotting it here and there in the most strategic places. Placing the probe into the first mound of gel, Garrett rocked her hand as she scanned for any visible defect in the organs underneath it. "There’s blood in the pericolic gutter." The surgeon moved the probe to the next heaped up mound of gel, repeating the same motions. With each visual screen that showed on the unit’s monitor, it was evident that Chris was bleeding from several sources in her belly. There would be only one prudent thing to do.
"Danni, call the O.R. and tell them that we’re on our way." She wiped off the probe of gel and pushed the machine out of the way. "Chris, you got some damage to the organs in your belly. I’m going to need to get in there and fix them."
Chris blinked back a tear. "Okay, I understand." She paused then reached out to Danni getting her attention. "Marie…you’ll tell her?"
Danni nodded then moved closer to Chris. "Anything that you want." Their eyes met and the compassion was evident.
"Tell her I love her..." Chris whispered as though it were her dying wish, "Then, now and forever." She grabbed the nurse’s gloved hand and clutched it upward toward her mouth then kissed it. "Give her that from me."
Danni nodded in understanding. She kept silent fearing her voice to waver from the emotions she was feeling inside her own body. The tears were now forming in her eyes and she blinked several times to halt their motion. Finally she took in a breath and spoke. "You’ll be able to tell her all those things yourself. We’re not giving up on you yet." She looked over to Garrett and then back to the patient. "You’re in good hands with her. I’d trust her with my own life." Danni reached out and wiped the lone tear that cascaded down Chris’s cheek.
The surgeon mindlessly disrobed from the trauma room apparel as she studied the X-rays of her patient on the viewer. Satisfied that nothing else would be of any concern, she stepped back into the room. "Okay, let’s package up and get up to the O.R. now!" The words were out before she realized it. She, Garrett Trivoli was going to operate!
The evening hours had now slipped into the darkness of night when Danni was finally able to get a free minute to find where Marie had been given a bed on the 23 hour observation unit. The efficiency with which Dr. Jamie Potter had been clearing out the E.R. was amazing. There seemed to be none of the usual time delays in getting patients out of the E.R. and to their assigned rooms.
Now, finally after five hours of adrenaline filled activity in the E.R., Danni was standing outside of Marie’s room. She collected her thoughts before entering and wished that she had more to say. The last time she had called into the O.R., she was told that there had been some liver lacerations and that the spleen was removed. They were closing now.
The nurse could hear the sound of restless movements and guessed that sleep would be an elusive thing for Marie tonight. Danni knew that it would be the last thing on her mind if she were worried about someone she loved. ‘Garrett, when are you going to wake up and see?’
The sound of muffled crying became evident, tugging at Danni’s heart. She couldn’t leave knowing the state of Marie’s emotions. At least not until they knew for sure from Garrett what Chris’s outcome would be. The nurse had every confidence in the world in the surgeon, but there was always the possibility of something going wrong. ‘By the gods, don’t let it come to that.’
Danni silently offered up a prayer for both the women in the O.R. right now. Chris, for the obvious reasons and Garrett, so that her skills as a surgeon would keep another potential member of the lone survivors group from feeling the same way she had for most of her life, alone.
The nurse stood in the doorway, waiting for a pause in the sound of the crying. It didn’t stop, but instead only grew in its intensity. Danni raised her hand and knocked gently against the opened door.
It was a moment before Marie realized that the sound she heard was not of her making. Somewhat startled, she quickly dabbed at her eyes with a tissue and sniffed in the remainder of her tears. It would have to wait until she was by herself. Clearing her throat from its hoarseness, she croaked out the words. "Come in." Gathering up the spent tissues in her hand she hurriedly tried to hide them from sight. ‘Gosh, don’t let this be bad news.’ Marie’s brow furrowed with her growing fear of the unknown.
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