“Okay,” Paul said. He wasn’t going to force the issue, at least not yet. He wanted, at a minimum, to listen to the man’s chest, but he decided to wait until the man was more amenable. “We need to take some blood,” said Paul. “Maybe I should do that.”
Pia glanced at him. The patient had not let Paul do anything. Why did he think he could draw blood, a far more invasive activity than taking a temperature or attaching EKG leads? “Maybe I should try.”
“But you’re not insured,” Paul said.
Pia looked at him questioningly. Paul’s comment seemed like such a non sequitur.
Paul laughed at Pia’s expression of confusion. “I’m just teasing. Obviously the guy’s not going to let me near him. For sure you’ll have to do it.”
Pia smiled. It seemed that Paul had a sense of humor, too. “I’ll give it a try, but I’m not very experienced. Although he does seem to trust me.”
“So I’ve noticed.” Paul handed Pia a needle used to take blood samples along with a vacuum tube. He held two more tubes in his hand. He wanted to do a whole battery of tests.
Pia made a point of showing the needle to the man and made a motion as if taking blood from herself. The man watched her but didn’t respond. Pia went ahead with the process of pushing up the man’s left sleeve. In plain sight were a number of other relatively recent puncture wounds over various veins. Pia looked over at Paul standing on the opposite side of the patient. “Do you see these?” she questioned, trying not to be too obvious about what she was referring to. The thought went through her mind that the man was probably a drug addict.
“I do indeed,” Paul said. He didn’t elaborate.
Pia applied the tourniquet and went ahead with the venipuncture. The man flinched but otherwise didn’t complain, as if he were accustomed to the process.
After filling the first vacuum tube, Pia pulled it out and pocketed it so she could take the next two from Paul. She was pleased with herself as the process was going smoothly. Of course it helped that the man was thin, with good veins that stood out like fat cigars.
“Good job,” Paul said as Pia slipped off the tourniquet and then withdrew the needle. She handed off the filled tubes and the blood-drawing paraphernalia to one of the male nurses standing by. They had remained in the room in case they were needed. It had quickly gotten around the ER that the patient might be a physical challenge.
Taking out his stethoscope, Paul was about to go back to trying to listen to the patient’s chest. He motioned to the man that he was going to pull up the man’s sweatshirt, but before the man could respond, the sounds of doors crashing open and raised voices could be heard just beyond their curtained-off area.
“What the…?” Paul questioned. He pulled the stethoscope from his ears and reached out to pull back the curtain, but it was flung back sharply. The runner yelled in fear and grabbed Pia’s arm as two uniformed men stormed in and positioned themselves on either side of the bed. Pia could see that the men were carrying side arms. She recognized the uniforms. They were Nano security people.
“This him?” one of them called out to someone who had yet to arrive.
“Yes, it is,” a familiar voice said.
Pia turned and saw Mariel Spallek come through the parted curtain. Behind her appeared two Chinese men in suits and dark glasses. One of them said something to the runner in Mandarin and the man cowered.
“Who’s in charge here?” Mariel demanded. She didn’t even bother to acknowledge Pia.
“I am,” said Paul. “My name is Dr. Caldwell. What the hell is going on? You can’t come in here like this. This man is a patient.” Paul reached out and pressed a red call button on the wall. A wall speaker crackled to life. “Nurse, we need security in here on the double!” Paul barked.
“Dr. Caldwell,” said Mariel, speaking authoritatively. “We’ve come here to take charge of this patient. Without even examining him, I can assure you he is fine. With whatever minor setback he had, he will be looked after properly. As you can see, he is very keen to leave.”
The runner had immediately heaved his legs over the side of the bed and was talking to the Chinese suit who’d addressed him, but in a way that suggested he was acknowledging a superior. The patient was still visibly agitated, but at the same time he seemed relieved to see people he apparently knew.
“Mariel,” said Pia. “What’s going on? This man works at Nano? Be that as it may, I don’t think he should leave here. He needs to be observed at the very least. We believe he had a cardiac arrest, Mariel, why are Nano security people here? And why are they armed?”
Mariel studiously ignored Pia. The Chinese man who hadn’t been talking to the runner reached out and snatched the two tubes of blood from the nurse’s hand before the nurse knew what was happening. The nurse stepped forward with the intent to grab them back, but Paul restrained him.
“Dr. Caldwell,” Mariel continued, “please have the man’s discharge papers prepared. He has already told his colleague he would like to leave. Mr. Wang, confirm again that the patient wants to leave the hospital, please!”
The Chinese man Mariel had addressed spoke with the runner, and the runner nodded his head in reply and seemed to acquiesce verbally at the same time.
“Wait a second!” Paul said, not about to be so easily duped. “How do I know that’s what this gentleman asked? He could have asked the patient anything. Let me get someone from hospital administration down here.”
Paul exited from the room out into the hall but was immediately confronted by two more sizable, uniformed Nano security men. They blocked his way, arms crossed, determined expressions on their faces.
“Step aside!” Paul ordered, but the men held their ground. “Hey!” Paul shouted down the hall toward the ER desk. “Where the hell is our security? Get someone down here from administration stat!”
Pia again tried to speak to Mariel, but Mariel continued to ignore her. Instead Mariel snapped her fingers for the patient to get to his feet. When he did so, he faltered, requiring the two Chinese men in suits to step forward to help support him.
“Mariel!” Pia yelled. “This is outrageous. What the hell is going on?”
Mariel treated Pia to one of her signature disdainful expressions. “What is going on is we’re signing him out of the hospital and over to our jurisdiction and our responsibility. I told you on the phone we were going to take care of this situation.” The last sentence was hissed quietly, through clenched teeth.
“I know what you told me,” said Pia with disbelief. “But I’m telling you he needs to be monitored and completely examined.”
“The patient can be better monitored at the Nano infirmary, which is better equipped to handle this kind of emergency, and he will be looked after by Nano’s physicians, who are intimately aware of the totality of the man’s health status. I thank you for helping the man, but I told you not to let them treat him, and they took his blood.”
Now Pia was openmouthed. Not the least of the surprises was the suggestion that Nano had a fully staffed infirmary. Dr. Caldwell was still protesting out in the hall, saying that the man should be kept in the hospital, that his patient was being essentially kidnapped, that he and the staff were being held hostage in their own hospital.
Pia watched as the strange group prepared to leave. The two Chinese men were supporting the patient, followed by the two security guards and then Mariel. Before the patient left the room he treated Pia to a weak smile and a wave as if to say thank you.
“Come on!” Mariel ordered Pia before exiting. “You can ride in the vehicle with me.”
Dutifully, Pia followed. Out in the hallway the group joined the other two security guards, who then let Paul run down the hall toward the ER desk. With two security guards in front and two bringing up the rear, the group headed for the main ER exit.