Abby was now up in the OR and Luka was scrubbing in, at this point Dr. Coburn came in. "Doctor Kovac, what do you think you are doing?"
"What does it look like? I'm scrubbing in."
"Luka, are you sure you should be here?"
"Are you serious? Do you really think I would be anywhere else? Abby needs me and I'm not leaving her alone. There's nothing you can do to stop me!"
"OK, as long as you know I'm only allowing you in for Abby. You will not make any comments on what I am doing."
"Just make sure you get the baby out and control Abby's bleeding with no further complications. They've both been through so much already." Luka was finding it difficult to hold back his tears at this point.
"That's what I'm going to do" Coburn said. Then both her and Luka walked into the OR where Abby was.
It was at this time that Pratt and Neela arrived at the hospital, having come from Gallant's funeral. All that was pushed to the back of their minds as they stepped through the ambulance bay doors and saw the aftermath of the gunfight from only thirty minutes ago. "What the hell happened here?" Pratt asked.
"Steve and a couple of his buddies, that's what" came Ray's response.
"Bloody hell. Is everyone OK?" Neela asked.
"Well we believe that Steve kidnapped Sam as we haven't seen her since they shot their way out of here. Jerry got shot and is the OR and Abby had a placental abruption and is haemorrhaging really bad"
"Oh God. Where is she now?"
"Up in the OR. Coburn's performing an emergency c-section"
"I have to go up there and scrub in"
"No Neela. Kovac is up there with her. Besides, we need you down here. We still have patients to treat." Morris said as he walked up to admit.
Back in the OR Coburn was about to begin Abby's c-section. "OK make sure we have plenty of blood to keep up with any excessive blood loss." At this Luka looked up and fear was etched on his face.
"Sorry" Coburn apologized. "You probably didn't need to hear that"
"It's OK. You have a job to do. It's not like I don't know how serious this is. I am a Doctor after all"
"Not at the moment your not. Your a father and a boyfriend first, Doctor comes second. Let's start"
"I'm here Abby and I'm not going anywhere you hear me?Now be strong and fight this" Luka said, his voice muffled by his sobs.
"Right she's been given an epidural. I will make the first incision cutting horizontally through the abdomen, just above the pubic bone. I need suction to drain off the amniotic fluid and finally I make an incision through the lower part of the uterus. And he's out. Doctor Kovac congratulations you have a son." The reason Coburn was commentating on the operation she was performing is because she had a med student with her. "Scissors to Dad" Luka reached up and took the scissors from the nurse and cut his son's cord. Once he had done this the nurse took the baby over to the another part of the room to do the apgar. Luka was waiting for a cry from his son so that he knew his son was OK.
It took a minute for the baby to cry but to Luka it felt like a lifetime; he had never left Abby's side and was holding her hand tightly. "You hear that Abby? That's your son, you did it" The alarm started to go crazy on the monitor and Abby started oozing blood. "Abby you hold on, I need you, Kyle needs you" Although Abby and Luka hadn't formally chosen a name for the baby, Kyle was a name that had come up in discussion. They both liked it and Luka hoped that by giving a name to their son and saying that he needed Abby would make her fight harder.
"She's in DIC I may need to perform a hysterectomy if I can't locate and control the bleeding. Luka I need your consent"
"What?" Luka said bewildered.
"Well you are practically next of kin and if I need to do a hysterectomy I will need your consent to do it"
"Yes, but only as a last resort. I would prefer if you didn't have to do it"
"We will have to see, if I don't control this bleeding soon then I will have no other option"
Luka signed the consent form and kissed Abby's forehead, a tear escaped from one eye and rolled down his cheek and onto Abby. He didn't know how much more of this he could take.
In another OR Allbright was just finishing suturing Jerry's chest having performed a bullectectomy. "Right I want him moved to the S.I.C.U and I want you to monitor his obs every fifteen minutes and let me know if his condition worsens. Am I making myself clear Kit?"
"Yes, crystal clear Doctor" and with that Kit took Jerry to the S.I.C.U and got him settled in.
Back in Abby's OR things were going from bad to worse, she had gone into V-Tach.
"OK paddles please" shouted Coburn. "Charge to 300 and clear" nothing "OK and again at 300, clear" still nothing. Luka was becoming hysterical at this point he couldn't bear to watch this but he had to stay at Abby's side for better or worse.
"Charging at 360. If you are into prayer I would pray now" Coburn suggested to Kovac.
Luka didn't pray but kissed Abby on the lips and whispered into her ear "I love you"
"Clear, and sinus rhythm. Luka I'm going to have to perform the hysterectomy now"
"No wait"
"Look, I should have done it before she ever went into arrest!"
"Just let me think for a moment"
"Luka I don't want to have to throw you out of the OR but I will if you don't calm down and let me do my job"
"A rupture in the uterine artery can sometimes be difficult to find" he said as he placed his hands in Abby's uterus. "Got it. Clamp" the surgical nurse was a little slow on the uptake. "COME ON CLAMP NOW" Luka screamed at her.
"You're damn lucky. BP is rising and colour is returning to normal. I think you may have just saved the mother of your child or at least her ability to bear more children at any rate" For the first time in three hours a small smile stretched across Luka's face, things were starting to get better and his family was going to be OK. Thank you God he said internally.
Back in the ER Neela, Ray, Pratt, Morris and Weaver had managed to treat the majority of the patients and just had a few lacs left to suture and an LOL with LOC due to cerebral ischaemia. "Ray, Neela you finish up with the lacs and Pratt and I will work up the LOL in exam room 4 and that will about wrap it up for today. Go team Morris" Morris said.
As Neela was walking over to sutures with Ray she shouted back to Morris "You know what Morris, sometimes you can be a real smeghead"
"And what is that Neela? Some sort of nasty English slang word?" asked Morris.
"Yeah something like that" she replied smiling.
Upstairs in OB Luka was sitting at Abby's bedside waiting for her to wake up when Coburn came over and said "Have you even been to see your son yet Luka?"
"I want to be here when she wakes up. I want her to know that I'm here for her"
"Go over to the nursery and see your son. I'll page you as soon as Abby wakes up"
"But what if she begins to decompensate whilst I'm gone?"
"Have you always been this much of a worrier Luka? Abby is fine, yes she has been through a rough couple of hours but she is out of the woods now. Go to your son he needs you as well"
"Yeah, I know you're right. Yes I suppose I am a born worrier" Luka walked out of Abby's room and over to the nursery to see Kyle. When he walked over to the nursery he knew without question which baby was his son as Kyle had his mother's eyes. He picked him up and sat in the rocking chair and just completely broke down, all of his emotions about the whole of the afternoon spilling out of him in one foul swoop. He was just about to drift off to sleep when his pager went off, a 911 from Coburn!
