Admit Desk

The hospital wasn't too busy this morning; all that had recently come in was a woman who needed stitches, and a man with a GSW to his upper torso who had just been transported to surgery. There's a drunk in exam 2 who is just resting after throwing a violent fit last night outside a bar, he had broken his hand and broke the other guys jaw. In exam 1 there is a woman complaining of abdominal pain who refuses to be seen by a male doctor.

Abby was in the lounge getting her lab coat on followed by Susan walking in the door as well.

"Hey Abby, have you seen my mind this morning? I've seen to have lost it and can't find it." Abby laughs as she puts a stethoscope around her neck.

"Umm, when do you think you might have lost it?" she asks.

"Well let's see I had it right before the baby came, so.... right around there." Susan walks over to her locker and starts to open it.

"Everything ok Susan? You seem stressed out." Susan just stares at Abby for a minute and begins to laugh.

"Yes Abby everything's fine, gosh it's just"... she stops for a minute and tries to think of something to say other then, it's Chuck...

"Let me guess, problems with the boyfriend?"

"Ahhh, thank you Abby, you saved my breath." They both laugh as Dr. John Carter comes walking through the door.

"Hey you guys, we have a Woman coming in, sounds like she has been messed up pretty good, and ETA is 6 minutes. I'll need some help." Abby and Susan both shut their lockers at the same time walking out the lounge door.

"It's going to be a busy day" Abby tells Susan.

Trauma 1

Doctors rush in to the trauma room listening attentively to the lady paramedic as she describes what happened at the scene.

"Crystal Meeks, 34 year old with AIDS. She has a broken rib and seems to be responding to the Epi. Pulse Ox is 90. BP is 90/70." Dr. Carter shakes his head as a signal that the doctors have everything from here.

"Hey Abby, you want to run this?" Abby looks up at Carter as she hesitates to say something... anything.

"It's ok Abby, you can do this." she shakes her head as she begins to call out the Protocols.

"Ok, lets get a CBC, AZT. She looks to have lost a lot of blood so I want to cross match and a saline solution going at 5 mics per kilo." she sighs as she lets out a smile over to Carter. Suddenly the patient begins to crash.

"Ok, what the hell happened?" Carter looks in her lungs to see if anything has progressed or if she's bleeding out.

"Ah crap, ok... she has pulmonary edema in both her lungs, if we don't act soon her lungs will fill up with fluid and she'll die. Suction!" Chuny runs over and hands Carter the suction tube. As he finishes Abby begins to intabate. As she sticks the endotracheal tube in her throat Abby pauses for a minute and everything seems to go blurry. Ever since she started her residency she has felt as if she can never save a patient.

"Ok Carter will you take over, I don't think I can-" he stops her. "Yes Abby, you can do it, just try.... try." The words coming out of his mouth made a little sense, but seemed not to be reaching to her.

"Ok, Tubes in", as she pulls the other one out she starts to bag. Susan comes in through the trauma doors.

"Ok what do we got?" "

34 year old woman with pulmonary edema. She went down about 5 minutes ago and can't get her back."

"Ok, I'll start chest compressions." Susan said. Carter is worried about her heart so he orders an EKG. Haleh walks in,

"Hey here's your labs." Carter grabs them quick and heads over to look at them in the light.

"Damn, she's got Cystic fibrosis growing in her left lung; soon it will reach her right, call up to surgery and ask to get an OR ready.

"No, not yet" Abby says to Sam.

"What do you mean not yet?" Carter says loudly. "

Because John, this girl just went down about 20 minutes ago and we don't know if we will get her back in time, let's wait."

"No Abby, the sooner we get an OR open the sooner she can be treated, I'm the Attending here, what I say goes." Abby stares him down for a minutes as He tells Haleh to call OR while he's still looking into Abby's eyes. Haleh walks over to get on the phone.

"Carter she is having hypotension, she may not make it. Why waste a good OR case when someone else could use it more then her." Suddenly Corday walks in the doors.

"Sheesh I could here you guys batting it out from next door. Abby what do we got?"

"34 year old woman with pulmonary edema, she went down 10 minutes ago and we have found Cystic fibrosis growing in her left lung. We are already bagging her but who knows before she can make it." Chuny shouts out,

"BP is dropping."

"Ok well we don't have another minute to waist." Susan is still doing chest compressions.

"Ah screw it, I'm about to call this one. It doesn't seem she is going to come back to us.

"Nope wait........ We've got a pulse, BP is coming back up. BP is normal now and heart rate is slowly projecting.

"Alright let's get her upstairs Corday shouts." They take the gurney and start to make way toward the door. Dr. Corday turns around and compliments them on their work.

"Right, Well good work you two, oh and John, Next time you should really think about waiting on the on-call surgeon before making a call like that. You may have started out in surgery, but you are an emergency room physican, the standard of care will only recognize that. Just an idea before you chew out another one of the interns".

John nods his head to the red headed surgeon before looking back at Abby.

"Help me clear the board, Doctor?" he says to Abby as he walks out of Trauma 1.

Abby finishes taking off her gloves and gown and brushes her hair back as she stares at the ground and then looks back up.

"Alright here we go" she says.