A thick brown haze shrouded the upper reaches of LA Metropolitan Hospital. Heat shimmered off the asphalt of the parking lot. As doctor Ava Sharpe stepped from her car, the thick air burned her nose and the heat hit her like a wave. Ah, August in LA. The wonder of smog alerts. She pushed damp blond hair off her face. Despite the weather and the circumstances that had led to her being here, Ava was happy to be back in California. She was more than ready for a fresh start.
Ava made her way up to Psych on the fourth floor. She smiled when she spotted the nameplate outside the door: Dr. Phillip Alerman, Chairman of Psychiatry. Seems moving to a new hospital worked out well for him. Hope it'll work for me too.
As Ava reached for the door handle the door swung open.
"Hey Ava, welcome to LA Metro. Ready to go to work?" Phillip asked.
Ava smiled warmly and shook hands with Phillip.
"Yes, I'm looking forward to it."
His curly brown hair was thinner than Ava remembered when they worked together during her psych residency, but his tall frame was still trim and he wore the same round wire rim glasses.
"Thanks for getting my packet expedited with the Credentials Committee. I'm glad there wasn't any problem with the paperwork from Memorial."
Phillip shook his head. "After what happened, I don't think Dr. Pruitt would have dared try to hold up your paperwork."
Ava scowled as a surge of anger at her former boss filled her. You don't know him like I do. I wouldn't put it past him. She sighed, pushing away the unproductive emotion. "You're right. The sooner I was gone and forgotten, the better he liked it, I am sure."
Phillip reached out and squeezed Ava's shoulder.
"Don't let it bother you, It's their loss. As I told you on the phone, we're short-staffed and need the help of a competent psychiatrist."
Some of her tension eased and Ava smiled. "Thanks, Phillip, I appreciate the support."
"You're welcome." Phillip said. He glanced at his watch. "Morning chart review should be just about finished. Let's head for the staff lounge and I'll introduce you around."
Phillip led her to a set of double doors that opened into the psych ward. He stopped to enter a code into a keypad next to the door, then turned back to Ava. "The ward clerk will provide you with all the door codes, as well as issue you a pager."
Ava followed Phillip down the hall, past a central nurses' station, to the staff lounge. Several people were sitting at a large round table that was covered in charts.
"Good morning." Phillip strode over to the table. "I've brought us some much needed help." He turned and motioned Ava to his side. "This is Dr. Ava Sharpe. She's our newest staff psychiatrist." Everyone at the table offered a wave or a smile. "Ava, let me introduce you to some of the crew."
Pointing to each person in turn, Phillip made the introductions. There were two psychiatrists and three nurses. "Now that you've met everyone, why don't we-" Phillip's pager sounded. "Excuse me." He flipped open the pager and glanced at the display. "I'm sorry, Ava, I need to take care of this. Why don't you hang out here for a bit and familiarize yourself with the unit. I'll be back as quickly as I can."
Ava spared a fleeting glance at Phillips retreating back before turning to face her new colleagues. She felt a moment's trepidation, then firmly pushed it away. Time to see what things are really going to be like around here. Ava knew from previous experiences she was more likely to hear the inside scoop on the department now that the chairman wasn't present.
As the door swung shut behind Phillip, Trent, one of the nurses, pulled out the chair next to him. "Have a seat, Dr. Sharpe." He offered with a friendly smile.
The staff filled her in on the department procedures and the different rotations. Ava winced internally when the talk eventually turned to the ER. Mention of the ER immediately turned her thoughts to her former lover, who headed the ER at Memorial. Things had not ended well between them.
"Most of the rotations aren't too bad." Dr. Roberts said. The short, stocky man with dishwater blond hair was one of the staff psychiatrists. "But watch your step when you cover the ER psych consults. The ER chief can be a real hard-ass."
Ava mentally rolled her eyes. Great. Just what I need. I haven't even been here a day yet and I'm already hearing about the ER chief.
"That's not quite fair, Dr. Roberts." Trent piped up. "Okay, she does act like a hard-ass, but you have to admit she's a gorgeous hard-ass."
Trent and Dr. Roberts shared a laugh. The two female nurses at the table shared a perturbed look.
While Ava was interested in hearing about the woman she would be working with, she also curiously watched the interaction of her new colleagues.
Dr. Kapoor, a fellow psychiatrist, cleared his throat. "I'm sure Dr. Sharpe is quite capable of forming her own opinion of our ER chief." He stared pointedly at Dr. Roberts. "Maybe she would find a rundown of the responsibilities while covering the ER more helpful than a personal critique of Dr. Lance's shortcomings."
Dr. Roberts shot Dr. Kapoor a dirty look.
The door opened to admit Phillip. He walked over to stand by Ava's chair. "Sorry for the delay. Come on, I'll show you around the rest of the hospital."
Phillip stopped as they once again reached the elevators. They have covered the departments that interacted with psych except for the ER. "We'll stop by the Chief of Staff's office next. I do feel I should warn you. Dr. Rodman can sometimes be arrogant and condescending, but he is a great surgeon and we just try to ignore the rest. You won't have any day-to-day interaction with him, but he does like to meet all new staff. After that we'll head to the ER."
The secretary in the outer office greeted them and guided them into the inner office. "Dr. Rodman will see you now."
Ava stepped into the office after Phillip and got her first look at the Chief of Staff. Even sitting behind the desk Ava could see he was short. He had a slim build with thin, mousy brown hair that was combed over in an apparent attempt to hide a wide bald spot. When he rose from his chair and stepped out from behind the desk, he was even shorter than Ava had imagined.
Phillip made the introductions. Ava's eyes narrowed as Dr. Rodman's eyes traveled slowly up her body lingered on her breasts before finally meeting her eyes.
"It's a pleasure to meet you, Dr. Sharpe. Be sure and let me know if there is anything, anything at all, that I can do for you." His eyes remained on her breasts as he spoke. "My door is always open for you."
Ava gave him a disgusted look. "I'm sure that won't be necessary."
"We won't take anymore of your time, Dr. Rodman. Thank you for seeing us." Phillip quickly led them out of the room.
Neither spoke as they made their way back to the elevator.
Phillip finally broke the uncomfortable silence. "I'm really sorry that you were subjected to that, Ava."
"How does he get away with that kind of behavior in this day and age?" Ava asked.
Phillip grimaced. "I'm not defending his boorish manners but I will say he is a very gifted surgeon. Honestly, I've never seen him act that badly before, arrogant yes, but nothing like he pulled today. Then again, I'm sure having your brother on the hospital board of trustees tends to make you think you're bulletproof. And so far, that's been the case."
Ava shook her head. It wasn't the first time she had run into that type of behavior and it surely wouldn't be the last.
"Thankfully, there is no reason for you to have any further contact with him. You'll be happy to know that he stays clear of the psych floor." Phillip said with a chuckle. "Anyway, enough about him, let's head to the ER. As I discussed with you when you interviewed, I would like you to act as liaison between the ER and psych. We've had some problems with staff conflicts down there."
Ava immediately thought of Dr. Roberts. I can see why if his attitude is the norm among psych personnel. She couldn't help wondering if he just had a problem with women in positions of power. Ava pushed aside the useless speculation. She would find out soon enough.
"If she's not busy, I'd really like to introduce you to Dr. Lance." Phillip said. "The two of you will be working together quite a bit. She runs the ER with a iron fist. That said, she's very compassionate with her patients and a great physician. It just takes a little to get used to her very reserved demeanor. It can be a little off-putting."
Wondering just what she has gotten herself into, Ava followed Phillip into the elevator.
The ER waiting room as usual was bedlam. There were a multitude of patients waiting in chairs. The admitting desk in the corner had patients lined up waiting their turn to be checked in.
Phillip bypassed the admitting desk and pushed through the double doors that led into the ER proper. Medical personnel flowed in and around a large circular nurses' station. There was constant traffic up and down the hall leading to the trauma rooms. For all the chaos there was also the unmistakable sense of the underlying order in a well-run ER. Ava followed Phillip as he approached the nurses' station. A woman in her late twenties, with short stylishly cut red hair and pretty green eyes was manning the desk.
"Penny, is Dr. Lance available?" Phillip asked.
"Hi, Dr. Alerman. Last time I saw her she was in the staff lounge."
"Thanks, Penny. Ah, before I forget, this is Dr. Sharpe. She's our new staff psychiatrist. Give her a hand if she needs anything, okay?"
"Sure, Dr. Alerman." Penny nodded at Ava and smiled. "Dr. Sharpe."
"Hello, Penny." Ava said.
Phillip motioned for Ava to follow him. He filled her in on the desk clerk as they made their way down the hall. "Penny is the most experienced clerk in the ER. She's got contacts in every department in the hospital. Plus she's a miracle worker when it comes to wading through paperwork."
When they reached the door marked Staff Lounge, Phillip pushed the door open and motioned Ava in ahead of him. A woman sat working at a table covered in charts. Her head was down and her blond hair slightly covered her face. Ava admired the broad shoulders and muscled biceps showing past the arms of her scrub shirt. When the woman looked up Ava couldn't help but stare. If this was Sara Lance, Trent hadn't exaggerated. The woman was indeed absolutely gorgeous.
"Dr. Alerman, can I help you?" The woman asked.
"I came down to introduce you to the new psych liaison I spoke to you about, Dr. Ava Sharpe. I know we've had some problems between our departments. With Dr. Sharpe's help I hope to improve relations with the ER." He turned to Ava. "Ava, this is the Chairman of the ER, Dr. Sara Lance."
Dr. Lance stood. "Nice to meet you, Dr. Sharpe." Dr. Lance's voice was low and husky.
Before Ava could respond, her gaze locked with the most incredible blue eyes she had ever seen. They were breathtaking. As she watched, they turned the most amazing shade of bluish silver. Hearing Phillip clear his throat, Ava tore away from those striking eyes and struggled to find her voice.
"Nice to meet you, Dr. Lance." She said, finally noticing the woman was holding her hand out.
Ava's hand was clasped in a firm handshake, she made eye contact with Dr. Lance again, seeing something flicker in those engaging blue eyes before they turned almost silver and expressionless.
"Well Ava, I need to head back to psych." Phillip said. "Once you're done here, come back to the floor and I'll finish up your orientation. For now, I'll leave you in Dr. Lance's capable hands."
Ava mentally shook herself trying to regain her composure. She had been thrown a bit off balance by her strong reaction to the ER chief. She turned her attention back to her boss. "Thanks, Phillip. I'll meet you back on the psych floor."
"See you later." Phillip said, and he turned to walk toward the door. He stopped just before stepping out. "Take good care of her, Dr. Lance. We don't want to scare her off right away."
Dr. Lance nodded without comment. As the door closed behind Phillip, Dr. Lance turned to Ava. "If you'll follow me, I'll give you a basic overview of the ER layout, and familiarize you with our procedures."
Dr. Lance walked toward the door without waiting for a response.
Ava was taken aback by the woman's demeanor. She had expected a bit of a welcome or at least some attempt to connect with a new colleague. Phillip did warn you. Ava hurried after her.
They had only taken a few steps out of the lounge when someone called out to Dr. Lance. Ava turned to see a young Asian woman rushing down the hall toward them.
Ava glanced at the woman's ID badge as she skidded to a halt. This must be one of Dr. Lance's residents.
"What can I do for you, Dr. Phan?" Dr. Lance asked.
"The patient you saw with me earlier in Bed Three is still complaining of chest pain. His EKG was normal. I'm still waiting on his cardiac enzymes to come back from the lab. His other blood work was normal."
"He has no history of cardiac problems. Correct?" Dr. Lance asked.
"None."
"Any sign of arrhythmia?"
"No."
"And what was his age?"
The resident quickly flipped through her notebook. "Forty one."
"Your patient is still in pain. So what do you do next?" Dr. Lance asked.
Dr. Phan looked down at her notes and then quickly back at Dr. Lance. "So far, all the tests for a heart attack have come back negative." She hesitated for a moment and then continued. "I would recommend trying a liquid antacid while we wait for the cardiac enzymes to come back. If that doesn't work then possibly a nitrate patch."
"Good. Try the antacid and see if that helps. Once his enzymes come back reevaluate the situation and decide if the nitrate is warranted. Get Dr. Bates to back you up if you need more help."
"Thanks, Dr. Lance."
Ava shook her head as she watched the young woman turn and sprint down the hall. "Let me guess, new resident?"
"Yes, she is. Sorry for the interruption."
Ava hurried after Dr. Lance as she turned and headed down the hall without another word.
During the tour of the ER , Dr. Lance had introduced her to some of the ER staff and shown her the whole ER from top to bottom. She explained the procedures they used before calling down psych and the protocols the hospital used for holding patients. Ava had been particularly interested when several staff members approached Dr. Lance with questions or problems. Her responses were the same as they had been with Dr. Phan, crisp and professional. There was none of the banter and camaraderie that Ava was used to seeing among an ER staff. In a high stress environment like an emergency room it was almost a requirement.
While Ava realized that as the chief of the ER Dr. Lance might feel the need to distance herself a bit from her staff, this seemed more extreme than that. She had yet to see Dr. Lance even smile. Ava wondered if the strict emotional control extended to the woman's personal life. Despite her off-putting demeanor, Ava was unwillingly attracted to her.
Ava was pulled out of her thoughts as Dr. Lance stopped in front of the door to the staff lounge.
"I think that about covers it." Dr. Lance said.
Ava smiled. "Thank you for the tour. I appreciate you spending the time with me."
"Not a problem. Did you have any other questions?"
"Not that I can think of right now." Ava said.
"Alright then, I need to get back to work." With that, Dr. Lance turned and headed down the hall deeper into the ER.
Ava stared after her for several moments. When she realized what she was doing, she turned away. Stick to business, she chastised herself as she made her way out of the ER. The last thing you need is to get involved with another ER chief. Besides, you don't even know if the woman is a lesbian.