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Just Another Bad Day

Chapter six

Karen pressed harder till Sam's skin finally split open under the pressure. Sam squeezed his eyes shut and bit down hard on the napkin as he gripped the bar. His head rolled back and forth on the floor in agony as his body started to arch in pain.

"Easy Sam easy… just hold steady… don't move." Dean gently held Sam down. He knew one small slip of the scalpel and Karen could nick an artery and Sam could bleed to death.

Sam nodded as his knuckles turned white from squeezing the bar above his head. He had been injured many times before and had suffered pain but nothing like this, this pain was agonizing.

Karen's eyes widened and she pulled back from Sam as blood began bubbling out of the wound.

"Karen stay with me." Dean tried to keep his voice calm, he could tell Karen was nervous and didn't want her flipping out on them especially now that Sam had been cut open. "You can do this…you've seen it done hundreds of times. My brother needs you Karen; you're the only one who can help him." Karen sat staring at the blood her eyes wide. Dean leaned down and looked into her eyes. "Karen you got to hold it together….I'm going to help you, just tell me what to do."

Karen pulled her eyes away from the blood and looked at Dean. He smiled at her reassuringly trying to hide his own fear. If Karen panicked now and couldn't complete the operation he knew Sam could die.

"Tell me what to do Karen." Dean repeated.

"Wipe the blood; wipe it away so I can see." Karen fought to stay calm; she knew if she panicked it wouldn't help anyone. But the fact was she was scared, she was scared to death. She knew Sam's life was in her hands and one little mistake might end it. She gently stuck two fingers under the flap of Sam's skin and probed around for his appendix.

Dean looked at Sam's face and could see tears of agony running down his cheeks. His own eyes filled with tears seeing his brother in so much pain, but he knew it had to be done, if Sam's appendix ruptured poison would enter his system and kill him.

"Hold on Sammy, just a few more minutes and it will be over. Hang tough bro…"

He prayed that was true. He knew in the operating room it would only take a few minutes, but this wasn't an operating room, and Karen wasn't a doctor. He looked at her as he continued to wipe the blood away.

"He's bleeding pretty bad, isn't there anything you can do?"

She took a small clamp out of the first aide kit and with shaking hands clamped it over one of the bleeding veins. It slowed the blood flow but didn't stop it.

"Come on, come on, come on…..what's taking so long?" Dean was starting to lose it. All he wanted was his brother to be out of pain and patched up.

After a few minutes of probing Karen looked up and gave Dean a small smile.

"I got it." She gently pulled her fingers out of the wound; in between her fingers was Sam's appendix. She then took a small sharp scissors out of the kit and snipped the appendix off then flushed the wound with antibiotic liquid before stitching the incision back together

Sam pushed his head back against the floor and spit out the napkin.

"Oh God Dean…" He moaned as he looked at his brother. "Can't you give me something for the pain….please…anything….." He asked his eyes filled with tears.

"Sam I'm sorry…I already gave you all the pain killer we had. It's almost over; just hang in there, just a little while yet, she's almost finished." Dean reached over and squeezed Sam's shoulder as he tried to comfort him. It was killing him to see his baby brother in this much pain and he knew he'd switch places with him in a second if he could.

"Can't you hurry up?" He asked Karen.

But before she could answer him Jim walked over and looked down at them.

"Shut him up!"

Dean glared up at him.

"My brother should be in the hospital….not bleeding all over some damn dirty kitchen floor!"

"Your brother is going to need a morgue if he doesn't shut up." Jim knew that even though it was late other customers might come into the restaurant and would hear Sam's painful moans. He knew his partner would have already ordered the customers that were already there to act normal if anyone else came in but if they heard the moans coming from the kitchen they would wonder what was going on.

"Shut him up!" Jim repeated as he stepped closer to Sam.

"I swear, if you touch my brother I'll kill you." Dean said through clenched teeth.

"Big words coming from a man without a weapon." Jim said smiling as he held up his own gun mockingly.

"Oh believe me; I won't need a gun to take care of a jerk like you."

"You want to try me tough guy?" Jim pointed the gun at Dean's head.

"Dean no…." Sam reached up and grabbed his brother's arm; he knew Dean's temper could explode at any minute.

"It's okay Sam. I'm not going to do anything." Dean reassured his brother. He knew he could take the guy down without a problem. But the man's partner was still holding hostages in the other room and he couldn't risk one of them being hurt. Plus he had to be there for Sam, if something happened to him there would be no one to look out for his brother.

Finally Karen had the incision closed. She then smeared it with antibiotic ointment and put a clean gauze bandage over it. She looked up at Dean and smiled.

"As long as there aren't any complications he should be fine. Now all he has to do is rest."

"Thank you." Dean breathed a sigh of relief thankful that the operation went off without a hitch. He looked down at Sam and smiled. "It's all over Sam. Now you just lay here and take it easy."

Jim looked down at Dean.

"I want him tied up and gagged and I want you two back out front."

"What? He just had an operation, he's not going anywhere!" Dean couldn't believe that this man actually wanted him to tie up his injured brother.

"Okay, then we're going to put him in the basement. I don't want him back here moaning and getting the other customers worked up."

"What don't you understand jerk? My brother just had an operation, he needs to be kept quiet and warm, not be down in some dark cold basement."

"Either he goes in the basement or I finish him off here, it's your choice."

"You son of a bitch…..when this is over….I swear….."

"Dean…no…." Sam reached out and grabbed Dean's arm again. He could tell his brother was just itching for a fight. "Just help me down to the basement…it'll be okay."

Dean knew they didn't have a choice.

"Grab some more tablecloths." Dean told Karen figuring at least they could cover Sam with them to try and keep him warm. He then looked at Jim. "I need someone to help me carry him down there."

Jim walked over to the doorway to the dining room and pointed at one of the customers. "You… get back here." When the man came back Jim nodded toward Dean and Sam. "Help him take the kid down to the basement."

The man then helped Dean carry Sam down the steep steps into the basement as Karen and Jim followed behind them. Dean had Karen lay a few of the tablecloths on the floor then gently lowered Sam onto them and knelt next to him. He then took off his jacket and put it under his brother's head then used the rest of the tablecloths to cover him hoping they'd keep him warm.

"You just take it easy Sam, everything will be fine." Dean tried to reassure him.

"Dean don't try anything….please…." Sam was worried his brother might try to take both men on and he wouldn't be there to back him up.

"I won't." Dean promised him. But inside he knew if the opportunity presented itself and there was a way he could take the two men down together without any one else getting hurt he would. "You keep warm Sam." Dean said as he tucked the table clothes around Sam's body hoping to keep in some of his body heat. He then took Sam's cell phone out of his brother's pocket and put it in his hand. "If you need me call."

Dean swallowed hard as he looked down at his brother. Sam needed to be somewhere clean, dry, and warm, not lying in a damp basement, and certainly not alone. What if the stitches didn't hold? What if he started bleeding again?

Jim walked over and grabbed Sam's cell phone.

"What the hell are you doing? Do you think I'm stupid or something? I'm not leaving a phone down here with your brother so he can call the cops."

"He's not going to call the cops." Dean was telling the truth, the cops were already after the brothers and they certainly weren't going to call attention to themselves. "He needs it to call me if he needs me."

Jim kicked a metal cup over to Sam.

"He can use that to bang on the pipes if he needs you. Now hurry up let's go." Jim ordered.

Dean glared at Jim but tried to stay calm, when what he really wanted to do was beat the crap out of him.

"Look, my brother's hurting, he shouldn't be left alone. If he starts bleeding…" Dean didn't finish the sentence, he knew if Sam started bleeding and no one was with him he could easily bleed to death. "I need to stay with him." When Jim shook his head he continued. "There's no way out of here except the steps so you know I can't escape, and my brother's not going anywhere in the condition he's in."

"The kid stays down here, and I want you up with the others where I can keep an eye on you." Jim pointed the gun at Dean. "Now get moving."

"Listen you bastard…." Dean said standing up.

"Dean no……" Sam looked up at his brother. "Just do what he says."

"You better listen to your brother, if you die who's going to look after him?" Jim then turned the gun toward Sam. "Or maybe I should just put him out of his misery right now, you know, like a wounded animal."

Dean stepped protectively in front of Sam. He didn't think the man would really shoot but he couldn't be certain. If only he would move a little closer Dean knew he could take him down, but Jim kept his distance and Dean knew the man could easily get a shot off before he could get to him. He looked back down at Sam.

"If you need me bang on the pipes, I'll hear you."

Sam could see the worry on Dean's face, and knew it was ripping him apart to have to leave him there.

"Hey don't worry about me, I'm fine. It doesn't even hurt that much anymore." Sam gave a brave smile but Dean could see right through it. His brother was in pain and scared….and if anything happened to him he swore he'd make these men pay for it.

"Let's go!" Jim ordered. Karen and the man who had helped Dean take Sam into the basement headed for the steps.

"I'm right upstairs Sam, you need me just bang on the pipe.." Dean reassured his brother as he walked toward the steps. Once they were upstairs Jim switched off the light leaving Sam alone in the cold, damp, darkness.

TBC