Spoilers:Nothing really...just the usual stuff.
Discalimer: We know they are not mine. They belong to Chris
Carter and Fox...I just borrow them for my own pleasure!
Georgetown Memorial Hospital
My feet are killing me and I've been here for nearly fourteen
hours. Tonight I am doing a double. Everybody has the flu except
me,all I have is sore and tired feet.
Usually at four o'clock in the morning things are really starting
to die down before the day starts again but not this morning. They
just called in a code blue over the intercom and they are enroute
to our hospital. A forty-two year old male with no respirations and
in ventricular fibrillation.It will probably be an in and out.
Pronounce and send to the morgue for an autopsy by one of the
slicer dicer pathologists.But we have to go through the motions.
I hear the sirens pull up and I see the paramedics jump out and
they pull the gurney out of the back.Then I notice something that
catches my eye. A very petite red headed woman is doing CPR and
the paramedic is bagging. She seems to be crying, tears slidding
down onto the bare man's chest as she is working fervently to regain
a normal rhythm. I am taken aback by this scene and I want to know
more about this relationship but not now. I have a job to do.
I run up to the door with mask and gown in place.It's how we
meet trauma patients regardless of the condition of the patient.
The doctors are awaiting in trauma room one and we move the gurney
quickly through the hallway to the room.
As his gurney hits the door there are hands everywhere and the
petite woman is moved aside. We place the electrodes to his chest
and hook up the wires removing the paramedics equipment in one
swift coordinated movement. A rhythm is confirmed, he is in
The paramedic stands to the side of the room giving an audible
report so that everyone involved in his care is aware of what
happened to this man before they brought him in through our
Patient is a forty-two year old male with a history of
multiple hospitalizations for various reasons.Pt is an FBI
agent and tonight he was investigating a case when he received
an electrical shock. We did not locate any burns. He was
unconscious when we arrived,we established no respirations
and an irregular rhythm. We attempted cardioversion several
times on the scene without response. Pt was transported at that
time. He has an allergy to morphine and a sensitivity to Vicodin.
B/P was 60 palp, no spontaneous respirations and rhythm established
was ventricular fibrillation.After he finishes his report he
quietly leaves the room.
The physician is yelling clear and he attempts to cardiovert
again. Epinephrine is given directly into his heart muscle
and the paddles hit bare irritated skin and his body spasms
from the electrical stimulation.Our eyes automatically go to
the monitor and we see that the physician has been successful.
We have a sinus rhythm. But we all know that he has been down
for over thirty minutes and we all know that he has a possibility
for brain damage.As I look into the eyes of the small petite woman
I see that she too knows this possibility.
A lidocaine bolus and drip are started, an EKG, and a battery of
other tests are ordered. We continue to monitor his ability to
maintain a rhythm and we continue to wait for spontaneous
respirations.None are forthcoming and we intubate and the
machine's settings are placed. He will need several lines now,
an arterial line to draw his blood gasses and measure his pressures,
a central line to give his multiple fluids and medications, a
foley catheter to measure his kidney function, and EEG leads to
measure his brain activity.
The small woman moves back into place at his side and takes his
hand into hers.She makes the sign that all Catholics do when they
are beginning to pray,I am a Lutheran and I very aware of the need
to pray at a time like this but I have a job to do and that is
getting my patient ready to transport to ICU.
I gently place a hand against her small back and give her a little
pat. She is aware that I must get to work on her friend. There are
no rings so I persume she is either his partner or lover or maybe
even both. She moves aside and the team starts their assigned tasks
and more orders are obtained for vent settings, drip settings and
stat lab work.
His partner is now talking to the physician and I am taken by
surprise when an unrestrained hand grabs my arm. I look down to
see half opened eyes staring up at me, they are asking me to pay
attention to his need to communicate.I nod and softly speak to
him,"Sir, It's okay. You are in a hospital." He reacts very odd
to this, he nods his head and shrugs his shoulders. He has been
I realized a few seconds later that his eyes seem to be following
the small red headed woman and pleaing to communicate with her,
I am impressed. Most patients would be terrified and trying to
buck the ventilator but not him. He seems more intent in getting
the woman's attention. I stop what I am doing and call for the MD's
attention which automatically get the woman's attention. She quickly
makes the short distance to his side and takes his hand again. She
is whispering softly but I can hear the words very distinctly,
"Mulder, you were right. He really was an electric eel. I am sorry
that I did not believe you." he responds by rolling his eyes and
if he could smile then I think he would be right now.
I am not sure I heard her right but if I did then maybe I should
be in shock or terrified but I am not. This is the Emergency Room
and now I have heard everything. Suddenly I hear the intercom
announcing another patient on their way to our ER, an electric
eel with a gunshot wound.Surely I am hearing things, I hope. Well,
maybe I will be able to say I have seen everything after tonight. I
leave the two alone and walk back to the front to regown. Another
trauma coming in, who knows, one day I might even write a book and
tell about this night or at least make a note to the Enquirer.Nah,
they would never believe this!
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