It was another day at the New Clinic at SF Children's Hospital. I was busy seeing patient's
Crystal: Hiro, you have a patient in Exam. 4.
Hiro:"Got it".
Ever since our new clinic was open, it got really busy, Seeing kids with sore throats,Fevers, Broken arms and more. GoGo came in with Johnny. She came Up to the reception Rina.
Rina:"Well GoGo? What's bring you back in the clinic"?
GoGo:"His diaper rash wouldn't go away".
Rina:"I'll see of Hiro can see you."
I was at my desk in the exam. room filling out charts on the computer until my intercom went off. I answered it.
Hiro:"Yes Rina What is it?"
Rina:"It's GoGo. her son is not feeling to well".
Hiro:"Okey send her back to Exam. 6".
GoGo enter the room. Fred was at work.
Hiro:"GoGo. It good to see you back. So what's the problem.
GoGo:" I was changing his diaper and I put rash cream on him, but the diaper wouldn't go away.
Hiro:"Okay, Well let me have a look."
I asked GoGo to take off his clothes and diaper off and put on an infant exam. gown on. I went to the sink and wash my hands and put gloves on. I asks GoGo to lie Johnny on his back. I took his temperature on his rectum. No Fever. I got my pen light and exam. the rash. I call Baymax in for a consult. I wrote up a prescription for a special rash cream. I put some on over his rash and GoGo put a diaper on him and his clothes back on him. I got out of the room and herd the intercom.
Intercom:"Dr. Hamada. Report to the emergency room. Dr. Hamada. Report to the emergency room stat".
I ran to the Emergency room. The guys in a yellow suit was being in a 3 year old in in a seal up gurney with an O2tank.
Hiro:What do we have?"
Guy in Yellow:"A 3 year old Homeless Helen develop radiation sickness. She's highly exposed. Please step out of the hallway. she is under Quarantine You have a lead-line room?"
Hiro:"On the 6th floor south wing on our iodine-131 unit.
Guy in Yellow:"Let move her.".
The Guys in yellow is the radiation Respond team. RR Team for short. They would not let us go in the room they got her in the room, They put her on the bed. The cut her clothes off. The radiation started to burn her skin so she's rushed her in the shower in the bathroom and ran a cold shower on her. They dried her off and put her back on the bed and into a gown. they put a catheter in her bladder attached to a urine pump and a long tube to the toilet. They took her vitals and use the radiation meter to scan her and started up an I.V. on her. They step out of the room and sealed up the room. Jeff was the leader of the RR team. He talk to us in the hallway.
Jeff:" She is at a danger level of radiation because she's so young. She's on antibiotics. She develop a fever,.Keep on eye on her. Medical care is needed. Her urine may be radioactive that's why a catheter is needed. It going through a urine pump through a long tube onto the toilet. Make sure you flush the urine down. Anything that use must stay in the room. If you want to keep your stuff. It must bagged up and kept here for three month.
They left the Hospital. They said the we may go in as long as we have our protection suits.
Crysral:"What kind of radiation was it"?
Hiro:"The RR team said it was Nuclear. Her leval went up to 150. Dangerously high. She need to be here for a while until the radiation wears off. they did give her somthing to protect her thyroid".
Crystal:"Where are the parents"?
I stop looking at her chart and looked at crystal.
Hiro:"She's homeless. Her perant died of cancer when she was very little. Shel was being fostered care until the people took care of her banned her so she was living on the streets. She's safe now. We need to keep an eye on her make sure the radiation enters her blood stream. If it does, I may have to filter her blood with could make her sicker".
All the sudden.
Intercom:"Code blue in Lead-Line room. Code blue in Lead-Line room.
We ran down the hallway. We put on our protection suit and unseal the room. I listen with my stethoscope.
Hiro:"The radiation must be to strong. It's closing up her airway. We must intubate".
Lucky We had the supplies we need to use in the lead-line room. I intubate Helen. She was stabled. My stethoscope had to stay in the room.We took our gear off and seal up the room and scanned ourselves.
Crystal:"Why was she on the catheter"?
Hiro:"Because her urine is radioactive. If it set in her bladder, It could destroy her bladder because it's a thin organ. If she didn't had the catheter in and it destroy her bladder, I may have to create a stoma in surgery with required a collection bag outside of her body".
Crystal:"This radiation does create lots of medical attention."
Hiro:"Yes it does and could cause serious damage to a young child".
I was on my break, I called Honey up. I told her that I will not be home for a couple of days Crystal came in to pour herself a cup of coffee.
Crystal:"I thought Honey was working here".
Hiro:"She did but she quit.. Now she's a house Mom. she like to be home when the kids get home from School."
Crystal:" You know we have a room next to the lead-line room. You may crash there while you care for your patient".
Hiro:"Thanks".
End of Ch.1