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.