Addison offered her hand to April in a friendly gesture as she entered the exam room. She was never quite sure how to refer to other doctors she was treating as patients, especially doctors that she knew in her personal life and worked closely with. It seemed unprofessional to call them by their first name, but cold and clinical to call them by their title. Ultimately, she decided that a friendly tone would best. "Hello, April."
"Hello."
"Jackson" she nodded, turning to the chair on the other side of the room. "Glad you could make it."
"Of course. I've been waiting for a new sonogram picture for weeks."
She smiled, and turned back to April. "Do you have any questions or concerns before we begin?"
"Yes, actually. I'm sure it's nothing, but I've been feeling dizzy."
"You never told me that" Jackson said.
"It's not necessarily indicative of any problem" she said, hoping to calm the anxious father. "But, thank you for letting me know." She was glad April was so forthcoming. Normally doctors made the worst patients.
When she placed the blood pressure cuff on April's arm she saw her wedding ring was missing. On closer inspection she noticed her fingers were swollen. Again, likely nothing, but it was cause for pause. "Has anything else been bothering you?"
"No" she shrugged. "Not really."
"She's been tired" Jackson said. "Exhausted."
"Fatigue is perfectly normally with pregnancy" April said.
Addison tried to hold back her smirk at the bickering between them. "The only thing worse than having a doctor as a patient" she thought to herself "is having two." She looked up to check the meter, and had to hold back from cursing out loud. It read 210/160, well above normal.
"April, have you ever had high blood pressure?"
"What?" she gasped. "No."
Jackson rose from his seat. "Does she now?"
"Yes" Addison said. "Very high."
"Oh God, do you think it's preeclampsia?"
"I'm going to admit you to the hospital."
"We're only at twenty-one weeks" Jackson said. "That's way too early for delivery."
"We aren't there yet. Right now I just want to run some urine tests, and get some antihypertensives in her system."
"Jackson" April said in a panicked voice as she reached for his arm.
"Shhh" he said, stroking her hair. "It's gonna be fine. It's gonna be just fine."
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April lay in her hospital bed, hooked up to an IV drop, waiting for Addison to give them the test results. The light filtered in from the window, reflected off the white linoleum and brightened the room. She normally didn't notice too many details about the patient rooms when she was working, but now that she was lying there was nothing to do she noticed a lot. She noticed how the television was positioned so it was impossible to see it without craning her neck. She noticed how tacky the vase of fake pink flowers on the nightstand looked. She noticed that her husband who was sitting in a nearby chair, bouncing his legs nervously, and the reality of the situation set in again.
"Jackson?" she asked. "What if something is really wrong?"
"It's going to be fine" he said reassuringly rubbing her arm.
"But, we need to talk about what happens if it isn't fine. If it comes down to it and you have to choose between my life or the baby's-"
"April, that won't happen. We're going to get your BP under control, and you're going to carry the baby to term."
"Jackson, I need to say this. If it comes down to it I want you to pick the baby. And I want you to promise me that's what you'll do."
"April, I can't do that."
"I know it's hard, but this is what I want."
"Doesn't what I want matter?" he scoffed.
"What is it that you want?"
"I don't want to make a decision that will kill my wife, which is what you're esentially asking me to do."
"Only if your child's life is at stake!"
"It isn't a child" he snapped. "It's a… fetus."
"Jackson!" April gasped.
"I know you want to have a baby" he said in a more measured tone. "I do too, but we have other options. We could get a surrogate, we could adopt, hell we could even try again ourselves. What I won't do is let you quit on me."
"I'm not quitting. I'm putting my baby's life ahead of my own. Are you seriously not going to back me on this."
"No. Look, in all likelihood this won't even be a conversation we need to have."
"And if it is?"
"If Addison recommends termination as the safest thing for you, I think that's what we should do."
"Hello?" Addison asked, stepping into the room. "Sorry to interrupt, but I have the results-"
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