Five year old David was in his room trying on his baseball uniform. He has his Mom Diane helping him.

Mom:"First day of junior baseball excited"?

David:"A little nervous".

Mom notice his pant was lose.

Mom:"Did you lose a little weight ? Never mind I'll meet you in the car".

David:"Mom? I don't feel so good."

Mom:" I think you you have butterfly's in your stomach".

David:"Huh"?

Mom:"Just an expression. Well take later.

At the baseball field, The coach Mr. Johnson was see who was here .

Mr. Johnson:"David? you all at bat."

David was up on the base with the bat. Dora was the pitcher. She was a 9 year old and don't like boys. She threw the ball passing his right at the catcher on purpose.

Mr. Johnson:"Strike one".

The girls were laughing in him.

David:"Can I can call time out I don't feel so good"?

Mr. Johnson::"Two more balls to go."

David got strike two. All the sudden, David got really sweaty and fell. The coach blew the whistle and rush to David and yelled at his helper.

Mr. Johnson:"DAN! Get the first-aid kit. One of our player is down.

Mr. Johnson pulled the thermometer strip to put on his forehead. It went up to 102.1 and apply an ice pack on his forehead and called his Mom. She was at the grocery store until coach call her on her iPhone to pick up her son. Later the evening his temperature climb up to 106.5. She drove hime to the SF Children's Hospital emergency room. On the way, He lost bladder control and soiled the seat.

After they got there. Mom check David in. The nurse took his vital's and took him to exam. Room 4 and told him to change into a gown. He was watching TV while waiting for the Doctor to come. Ten Minute's later, I came in and wash my hands and got my exam. gloves on.

Hiro: "Hi I'm Dr. Hamada and I understand your not feeling good".

David:"I got sick at my baseball game.

I felt around his neck & took his temperature . It went to to 106.9. Listen to his Heart and lungs.

Hiro: "Deep breath."

He wet the gurney. He lost bladder control.

Hiro:"Baymax Were going to to need a catheter kit and a tub of water to clean him up. David what's going to happen is I'm going to put a tube in your bladder with a bag attached to it. It maybe unpleasant procedure. You may hold you Mom's hand while I perform the catheter producer. we need to get a sterile field ready in the procedure room and We need to admit him.

In the procedure room, Baymax calm him down while I perform the catheter procedure. David started to cry while I put the tube in his boyhood. Baymax calm him down by my turning on his cooling system. Urine started to come out into a bag and I inflate the balloon on the catheter and hung the bag on the bed. I talk to the Mom in the hallway.

Hiro: I may need to admit him for some test so I need you to fill admitting papers.

Diane: Maybe it's the flu".

Hiro: It maybe more then that. as I was putting the catheter in, He was peeing blood.

All the sudden their was a code blue. I ran into the treatment room. David was having trouble breathing. I listen with my stethoscope.

Hiro: We need to intubate. Baymax hand me a Laryngoscope and a breathing tube.

I started to intubate David and start bagging. We wheeled him to I.C.U to hook him up on the breathing machine. I had Baymax draw some blood and I preform a spinal tap and check his vital's. I also measured his urine from his bag.

Hiro:"Baymax keep an eye on him. Crystal need to see me.

I went to to Crystal's office and sat down.

Hiro:"You wanted to see me"?

Crystal:"Yes. I had a meeting with the medical board and they feel that we need a clinic here at the Hospital and I need you to come up with a speech during the ribbon cutting ceremony.

Hiro:"Are you series? Me? l always wanted to do that.

My pager went off. It was Baymax. Crystal dismiss so I can get back to my patient. I went back into his room.

Baymax:"He fighting his breathing tube".

I took his tube out in put an oxygen mask in him. His Blood pressure was dropping. I looked at his urine bag and he was still peeing blood.

Hiro:"He's loosing blood fast so I need to do a blood transfusion. Baymax while I get blood from the blood storage area, empty his bag into the tub.

After I got 1 bag of his blood type, The nurse hand me his labs. I asks Baymax to start the transfusion while I talk to his mother.

Hiro:"Anyone in you Family had an illness in the past?

Diane:"Well his Great aunt had kidney cancer Why"?

Hiro:"Well his kidney's are shutting down.. We need to take him to surgery to remove both kidney's. He's peeing blood because that's the first stage of the kidney failing. He going to need dialysis for the rest of his life unless we find an organ donor. It's Genetic thing. He's going to be pretty sick for a while and He may need to stay in the Hospital for a while.

All the sudden "CODE BLUE IN I.C.U. CODE BLUE IN I.C.U."

I ran in the I.C.U. David was in cardio arrests. Baymax defibb with his hands. I had to Re-intubate him.

Hiro:"We need to take him to surgery stat. The failing kidney's is making him stop breathing.

We wheeled him to surgery. Baymax inject some medicine in to put him to sleep. I started to remove the failing kidney's and put the dialysis tubes in. The catheter was removed and was wheeled into recovery. His breathing tube was still in so his lung can recover after the kidney's removal. I wheeled him back to I.C.U and hook him up on the monitor. Two days went by, He was breathing on his own and his breathing tube came out. I started him up on dialysis. The next day. I discharged David and gave Mom a prescription for pain if he has any.

Hiro:"If he has any pain, have him take these and David, I know you don't like this,l Like you to use a foley catheter at night. I like to monitor his urine flow at night. In the morning when he wakes up, Look on his bag at the measurements. Write down how much urine he peed like for example if the urine was lined up to 300ml. Write it down and bring him in three time a week for treatment. I'll have the nurse get you set up the a extra supplies to take home. I'll teach you to put the catheter in at night and hook it to a bag. It's only for one night. I just want to make sure if the treatment is doing the job.

Diane:"Thank you".

We use an empty Hospital room for simulation training. I use the manikin to show Mom how to put the catheter into his son's bladder and attach a bag to it. I also showed her to remove the catheter and where to write down the measurements. The nurse gave David's Mom a bag and in that bag is a Foley catheter kit, Foley catheter and a bedside drainage bag with instructions and A urine bottle to empty his bag out in to take to the Hospital For labs.

Hiro: Bring the sheet back for your first appointment.

At Home, Honey was doing the dishes after dinner. I was upstairs woking on my speech for the clinic opening ceremony. Honey can upstairs with some tea for me.

Honey:"How's it going"?

Hiro:"Well the new clinic open's in three weeks And I haven't finished my speech. You all can come to the ribbon cutting 's going to be refreshments, Music and games for the kids".

Honey:" Well I'll be there. The kids can come. Schools out for the summer. Well I'll let you have some privately.

Hiro:"Thanks. You can leave my tea on the desk with the coaster".

Honey sat the tea on top of the coaster on his desk and shut the door to his office. Baymax paged Hiro."

Baymax:"Hiro, Maggie is having trouble breathing can you come to her room?"

Hiro:"I'll be right there".

I grabbed my stethoscope & wheeled in an oxygen tank and grabbed a mask from the closet were I storage medical supplies. I went into Maggie's room and put the mask on her and listen to her heart and lungs.

Hiro:"I may have to bring her in tomorrow. Her medical condition was getting worse. Her heart does not sound good ,Baymax thanks for letting me know.

Baymax:"Your Welcome."

End of Ch. 1