Tuesday, November 10th 2009. 11:03am.
"...And that's how little kids like you get better!" Arizona exclaimed. James, the 6 year old patient followed it with a joyful bubbly laughter.
The sight that Callie entered took her breath away. Arizona by Jame's bedside. Her dainty index finger on his nose bouncing up and down ever so gently. Her smile lighting up the whole room. Her wispy hair in her ponytail. The boy laughing in response. Callie's heart expanded 100 times over for this woman who's own heart was just so naturally big, it could fit all the world's children given the chance.
"I love..." Callie started. Arizona turned to towards her direction in response with a look of surprise. Her shoulder visibly tense... Waiting... "I love... how good you are with children." Callie said, following it with an awkward cough.
Arizona's shoulders dropped in relaxation. Callie also noted the slight tilt her head had taken soon after, "Thanks," Arizona said in response, "They make it so easy... Like Little James here." She continued looking back at James with a smile. "This is Dr. Torres, she's my very special friend."
Callie was so mesmerized that she almost didn't see the frail and tired looking man who was standing up from his position on the chair in the corner of the room.
"And this is Big James!" Little James exclaimed grabbing his father's hand.
Callie walked up to the man and extended out her hand to shake his.
"So you're the bone doctor..." He said more matter-of-factly than questioning her. Big James took her hands in a polite shake.
"Yup... yup I am..." Callie said with a smile. "I'm sure Dr. Robins has told you why my services are required..."
"Yes... But I wanna hear it from you... If you're gonna be his doctor too, I wanna know what you know." James responded.
Callie was taken aback but understood perfectly well his reasoning, "I would be going in to see if I can remove the bone from his heart without damaging the surrounding tissue. If I can, then Dr. Robins would put what we call an Amplatzer Muscular VSD Occluder."
Callie looked towards Arizona to jump in, Arizona saw her cue, "This VSD usually uses a minimally-invasive catheter inserted through a tiny incision, instead of surgery. But in your son's case, since we would need to extract the fractured bone and repair the heart simultaneously, we would have to do a much more invasive procedure. The recovery time is longer and the risks are greater." Arizona finishes
"What do you mean invasive?"
"Open heart surgery."
"What are the risks?"
Callie clears her throat, "Infection, diseases. Operating on his heart sideways is very risky. But that would be the only way we could operate to make sure the heart doesn't cave in on itself. If the tissue is damaged severely, We may not be able to place a VSD. At which point your son's heart..." Callie stopped looking over at the boy who was too busy playing with his toy, "It could give out..."
Big James buried his face in his hands, "If we don't do it... what?"
Arizona steps close to Callie, "The pain would continue until his heart collapses from the pressure. He may go back into a coma before then due to the effects of the flow of the de-oxygenated blood and restriction in blood flow... we just don't know for sure."
"So if I do, he could... d...die. And if I don't he WILL?... Those are my options?" Big James says in exasperation.
"If you do... he could live." Arizona says reaching out to touch the man's now sobbing shoulders, "We could buy some time until we find his match."
"How much longer would he have?"
"2... 3 months."
The sight of Big James sobbing tore at Arizona.
Big James stifled his sobs and grabbed Arizona's shoulders, "Give me your word... give me your word that you'll fix my son.... he's all I have left... If I lose him..." Big james continued to sob
"I'll do my best," Arizona said.
"Daddy? Why are you crying? Do you miss mommy again?" Little James asked, now startled by the sight of his father in tears.
"No, baby. I'm just feeling a little sick... Let's watch some cartoons"
Arizona and Callie exited the room, where Little James was happily tucked in Big James' arms on the hospital bed.
Tuesday, November 10th 2009. 11:18am.
"This is a bad idea Arizona..." Callie said as they entered the locker room
"We'll give him a fighting chance.. He's young and more resilient..." Arizona replied as she took off her lab coat
"His vitals are failing with every passing minute..." Callie interjected while opening her locker
"All the more reason to go forward with this as soon as possible." Arizona says removing her name tag
"I just don't think you're seeing this rationally..." Callie says, pausing to watch Arizona remove her stuff from her locker.
"Rationally?... I'm not seeing this rationally? No one forced you into this Calliope. You said yes all on your own. You entered this commitment all on your own! This is who I am! This is what I do! I look at the bright side! I take my chances because I know that when it's good, it's really good! And that's worth it to me! It's worth the fight." Arizona responds, her brows in deep arches.
"Wait, I get the feeling that this is no longer about James?" Calliope smartly answers
Arizona slams her locker while tossing her purse strap over her shoulder, "Not everything is about you..." She says coldly right before she storms out.
Callie exhaled deeply, "And she walks out on me again..." She mutters under her breath.
