Maura and Korsak were the first to Jane. Going through Maura's head was the last time she helped a gunshot wound victim back at BCU, and what she did to save that girl. She kneels down beside Jane doing a quick assessment. She sees the entry wound right side of Jane's chest, possibly ribs 5-7 Maura assessed. Exit wound through her back, probably right scapula at ribs 1-3, again anatomy going through Maura's head. She definitely went through her lung probably the middle and upper lobes. Maura's next move was to Jane's neck feeling the carotid artery for a pulse. Maura left out the breath she was holding, there was a pulse but it was…"Tachycardia," Maura said out loud to no one in particular but Korsak was there.
"Tachycardia?" Korsak asked the Doctor.
"What…yes, Jane has a pulse but it's going fast. She's losing a lot of blood so her blood pressure is going down, so to compensate her body's heart is pumping faster. We need to stop the bleeding and get her to the hospital NOW!" Maura informed Jane's former partner
"Ambulance has already been called, so what can I do to help until they get here?"
"Ah ok, give me your coat, we need to try and stop or at least slow down the bleeding until the ambulance gets here," Maura demanded
Korsak took off his coat in one swift motion and gave it to Dr. Isles. Without being told he went over to Frost took his coat off of him. He was still standing there in shock at the scene that just unfolded in front of him. Jane just shot herself was the only thing going through his head. He didn't even notice Korsak take his coat and was back next to Jane and Maura.
"Good apply pressure to the exit wound on her back," Maura instructed. She was already applying pressure to the entry wound; she didn't want one of Jane's partners accidently touching Jane's breast. "Jane, Jane, can you hear me?" Maura yelled.
No response…
Maura's mind started racing. She's unresponsive. She's loosing too much blood. Why'd she shoot herself? Why did she do it outside? I may not have the proper equipment as a trauma center but I could have done more to save her in my lab, just like I did for Frankie. Where is that ambulance?
Dr. Isles didn't hear the siren, or the ambulance pull up behind her. She was so lost in thought the next thing she knew there were two men crouching next to her starting to tend to Jane.
"What happened?" the man to her left said as he started getting some items out of his box. Snapping Maura out of her trance
"Gunshot wound through her right lung, entry at about the fifth rib; exit thru about the second on her back. She has a pulse but is tachy, she needs fluids, blood, chest tube, and the wounds closed," she informed the EMT.
"Ok, Mike attach the monitor, I'll put some occlusive dressings on the wounds," the first EMT said to the other one Mike.
"Give me IV supplies I'll get it started so she can get fluids," Maura demanded holding out her hand. The EMT gave her a look that said "are you crazy." Maura caught a glimpse of his nametag before yelling "I'm a doctor, Kevin!"
"Just do it," yelled Korsak.
The EMT didn't argue he just handed Maura the IV supplies when he grabbed some gauze from his box. Mike already cut open Jane's shirt and attached the leads to the heart monitor. He turned it on showing a fast heart rate of about 150.
"I need to turn her on her side to put the dressing on her back," Kevin formed Maura, who just got the IV in and taping it down. As well as Mike who just finished putting a neck collar on Jane.
They rolled Jane onto her left side; Kevin cut the rest of Jane's shirt as well as her bra to get a good seal on the exit wound. "Ok we're good, Mike get the board let's get her in the truck."
Jane was back to lying on her back and Maura attached the 0.9% Sodium Chloride keeping it wide open and giving the bag a squeeze to give Jane some extra fluid. Kevin successfully applied the second dressing in Mike's absent. Mike returned with the board, placing it next to Jane, his partner and the doctor.
"Ok count of three, one…two…three…" Kevin said to the people around him. Kevin lifted the right side of Jane, Mike got the left, and Korsak got her legs. Maura was just keeping the fluids high making sure Jane got them to slow down her heart rate.
"Ready one…two… three…"Kevin counted again, this time to lift the board to get Jane on the stretcher and get her to the ambulance.
Kevin and Mike worked quickly strapping Jane so she wouldn't fall and they started running to the ambulance with Maura running right beside them, not letting go of the normal saline. She got into the truck with Jane and Kevin. There was no asking, and Kevin didn't bother telling her she couldn't. He figured she can probably help if anything happens in the 10 minute ride to the hospital.
"Call her parents!" Maura yelled to Korsak as Mike was closing the back doors.
The ride there wasn't long, but it felt like an eternity to Maura. She already replaced the bag of fluids, and was thinking of starting another IV. She was going to ask Kevin for supplies but he was talking into the walkie telling the hospital the information they needed to know so they could save Jane when they arrived. Once he finished he took it upon himself to start an IV after he took a look at the heart monitor and her vital signs.
"Do you know her blood type?" Kevin asked as he was taping down the second IV.
"What? Oh her blood type, she's ah she's…" Maura stammered, rummaging through her mind. She knows this but her mind could not come up with the answer.
"It's ok. We'll just give her O negative," Kevin reassured Maura.
"Sorry I do know her type. It's just…"
"You're in shock. She's your co-worker? Friend?"
"Both"
"It's not easy to see someone you care about hurt themselves," Kevin informed the shocked doctor
"You make it sound like she was trying to commit suicide. She didn't just hurt herself; she killed a dirty cop and murder and saved her brother!" Maura snapped
"I didn't mean…" Kevin started but was cut off by the approach of the ambulance bay of the hospital.
The back doors swung open with Doctors and Nurses waiting for the arrival of their new patient. Two people reached in and grabbed the stretcher pulling Jane out. Kevin grabbed the normal saline from Maura and hung it on the stretcher and assisted with pushing Jane out of the ambulance. As Maura reached the opening Jane was already in the hospital and one of the nurses was extending her hand to Maura. "Let me help you" she said with a smile.
"Thank you" Maura said as she took her hand helping her out of the ambulance.
"My name is Nicole; I'm one of the Nurses. Are you family?"
"Hi Nicole. Dr. Maura Isles. No I'm not family, I'm her coworker and friend. I know I can't sign for her or make any decisions. And I know you can't tell me what is going on with her due to the HIPAA laws. Her parents have been called I think, if you could direct me to the waiting area, and a phone I will call them. Also if there is any way possible to get a change of clothes too that would be greatly appreciated. Can you tell me if Francesco Rizzoli is also here? He is her sister" Maura said as she pointed in the direction Jane went.
The Nurse Nicole took a look at Maura's clothes noticing the brownish stains on her red dress. "I don't know if we got a Francesco Rizzoli, I will look and let you know. I'll show you to the waiting room, and there is a phone in there and you can call the family. If you are wondering where you are, it is Beth Israel Deaconess Medical Center. I'll get you some scrubs and there are bathrooms in the waiting area," Nicole said as she guided Maura to the correct area.
"Thank you."
Once in the waiting room, she looked around scanning the room for the phone. It was completely empty. Once she located the phone she called the Rizzoli's.
"Hello?" the raspy voice of Angela Rizzoli answered on the other end. Maura thought it sounded different but couldn't put her finger on it.
"Hi Mrs. Rizzoli. This is Dr. Maura Isles; I was calling to see if you were informed that both Jane and Frankie have been victims of gun shots?"
"Yes we were informed but not of what hospital they went to."
"Jane is at Beth Israel Deaconess Medical Center. I asked if Frankie was here but I haven't gotten an answer yet."
As if on cue Nicole walked back into the waiting area with a pair of blue scrub pants and matching top which both had the letters BIDMC stamped on them. As she handed them to Maura she also said, "Yes Francesco Rizzoli is also here, that's all I can tell you until their family gets here."
"Thank you, I'm talking to their mother right now."
"What's going on, what happened to my children?" Angela asked Maura sounding frantic on the other end.
"Nothing happened, a nurse came and gave me some clothes to change into, and told me that Frankie is here but she can't tell me anything else. Due to the HIPAA laws they can't disclose information on their condition to me, only family unless I was made an advance directive or power of attorney," Maura informed Angela.
There was silence on the other end as Angela processed the information Maura had just told her; which was all going right over her head. Angela didn't need or wanted to know about the HIPAA law, or advance director or whatever she said. She just wanted to know what happened to her children.
"Ok, Frank and I will be there in 5," Angela said and hung up.
Maura placed the receiver back on the holder and walked to the bathroom to change out of her clothes. She was happy it wasn't like the usual public restrooms. It was for single use only. She turned on the light and closed the door. She gasped when she saw what was in the mirror. There stood Maura in a red and white dress, but was also covered in blood varying in color, ranging from a deep red to brown.
"The reddish brown stain is dried blood…" Maura said to herself. Thinking back to the marathon and the deal she had made with Jane to have her run with P.U.K.E. plastered across her chest.
Maura walked over to the sink and began washing her hands; they too were drenched in blood; in Detective Jane Rizzoli's blood. Maura washed every nook and cranny of her hands and arms getting all the blood off of her hands. After her hands where clean she wet a handful of paper towels and washed her legs, as Jane's blood was also all over her legs. As Maura was cleaning her legs the tears started to fall. She was cleaning her physical body of Jane, and the thought of Jane being gone overwhelmed the doctor. She couldn't keep her composure anymore, her rationality. She slid down the wall and sat on the floor and cried until she heard a knock at the door.
"Maura are you in there?" asked a male voice. Maura recognized it as Korsak
"Yes I'm just changing I'll be out in a minute," she said as she stood. Unaware of how long she had been crying. She quickly got out of her dress and into the scrub outfit. She again looked at the dress, knowing there was no way of salvaging it, and decided toss it in the trash. She cleaned her face at the sink to clear any evidence of her crying. Before opening the door she looked in the mirror, accepting the clean look she had. Though she couldn't help but frown that she was wearing her Jimmy Choo's with hospital scrubs.
When Maura exited the bathroom the deserted waiting room was filled with people. The Rizzoli's had arrived, no Tommy but Mr. and Mrs. where there. Angela was crying into Frank's arms. Korsak was sitting near the bathroom waiting for Maura. Frost was sitting off to himself still in shock. Then some other police officers Maura didn't recognize but knew they were probably here for Frankie.
Korsak was out of his chair once Maura was out of the bathroom. They exchanged a hug. "Anything?" he asked her as they pulled away.
"They can't tell me anything, you should be asking Mr. and Mrs. Rizzoli," Maura informed him.
"I did they haven't heard anything yet, so I wasn't sure if you knew something before they got here."
Dr. Isles made her way toward the parents of her best friend. "Mr. and Mrs. Rizzoli?"
"Maura, we didn't know where you were, we haven't heard anything about either one I'm scared," Angela said as she wrapped her arms around the woman who played a hand in saving both of her children's life.
"I can tell you what I know before they got here," Maura offered to the grieving mother.
"Yes anything."
Maura took a deep breath and let it out. Getting ready to tell what happened to this woman's only daughter and youngest son. "What happened was…" Maura began but was interrupted by a man in a white coat who just came into the waiting room.
"Family of Francesco Rizzoli?" He asked
"Here!" the mother yelled.
"I'm Doctor Smith. Mr. Rizzoli is stable, we stopped the bleeding. He has a chest tube to clear up the blood that accumulated in his lungs. We're transferring him to the SICU up on the seventh floor. Whoever put the tubes in his chest before he got here saved his life?"
"That'd be the good doc here," Korsak said walking over to Maura and placing a hand on her back.
Maura just smiled, she's not one who is use to compliments. "Like I said you saved his life," Dr. Smith said to Maura before turning his eyes back to the grieving mother. "I'll send the nurse out to tell you where he's going and where you can wait for him."
As he turned to leave Angela grabbed his arm, "Wait. Can I go see him now, and what do you know about my daughter?"
"That's not really up to me, he's stable and as far as I know he's in the process of being transferred. As I said I'll send the nurse out to tell you the details of where he'll be exactly and if you can see him. And I did not work on your daughter. I only worked on your son," the doctor answered. With that he was back through the doors he came.
Angela turned back to Maura, "What happened to Frankie?"
"He was shot… twice, but he was wearing his vest. It stopped the bullets but the impact of the bullets on the vest caused internal bleeding. He had a tension pneumothorax, which meant he had air in the space between his lungs. I placed a tube to release the air. He also had some internal bleeding; it was also going into the space between his lungs, a hemothorax, so he could not breathe. I had to put a chest tube in him back in the lab. Jane had pleaded me to save your son's life, which is beyond my scope of practice," Maura informed everyone.
"Thank you for saving my baby," Angela whispered and gave Maura another hug.
"And Jane?" she asked as they pulled away with pleading eyes.
Maura took another deep breathe, "Well…" Maura started looking at her hands. She didn't know how to tell older female Rizzoli how her daughter got shot.
"Francesco Rizzoli's family?" asked the nurse. Maura recognized her as Nicole.
"Here!" Angela said again turning her attention away from Maura.
"Your son Frankie will be on the seventh floor room two in the SICU. Transport has already come and gotten him, so you can just head up there and they'll let you in. Only family is allowed in the ICU, two at a time, and only one can stay the night with them."
"Ok, what about my daughter?" Angela asked again.
"Jane Rizzoli?" Nicole asked, Angela could only nod, "they're still working on her. I'll let you know as soon as I know anything."
"Thank you, could you give me directions to the SICU?" Angela asked, wanted to get to her baby boy as soon as possible.
"Just…"Nicole started but then changed her mind. "Let me get one of our nursing assistants to bring you up there so you don't get lost."
"That would be wonderful. Thank you so much!" Angela said, as she resisted the urge to hug the nurse.
"You're welcome, give me a few minutes. Ah and Dr. Isles can I talk to you for a minute?" Nicole said before turning towards the doors.
"Ok…yea…sure," Maura said with a confused look on her face. She followed Nicole to the doors of the trauma part of the Emergency department. "What is this about?"
"Jane Rizzoli had advance directive forms filled out and a living will, you know what that means correct?" Nicole said to the confused doctor.
"She did? Yea, the advanced directive is someone who will make decisions for her if she is unable to make them herself, and the living will states if she wants to be on life support or not. She didn't tell me. How did you find out?"
"We found them in her files. She must have filled them out a while ago and brought the paperwork here knowing if anything were to happen to her she'd end up at this medical center. She made it clear her wishes are against life support, but also who her advance directive is."
"Ok who is her advanced directive?" Maura asked still confused.
"You Dr. Isles."
"Me? But why me?
"You do have a medical background. Probably have the most knowledge, and would probably make the most rational decision on her behalf. Now with this new knowledge you can be informed by medical staff of her status, as well as be allowed in the ICU when she is transferred."
"Oh, ok. Wait how do you know she'll be going to ICU?"
"She'll need to go to ICU; she'll need to be closely watched. And I know the team working on her, and so far she has been doing well. That is all I know right now. Like I told her mother when I know more I'll let you know."
With that Nicole was back through the trauma doors to get a nursing assitant. Maura turned back to the family and friends who were looking at her as if she had 3 heads. "What was that about?" asked Mrs. Rizzoli
"Jane made me her advanced directive; which means if she can't make a decision she wants me to do it. Please don't be angry Mrs. Rizzoli. I didn't even know Jane did it. She probably did it because she knows I'd make a decision based on the facts not my emotions. Also with my medical background I'd have a better understanding of the outcome," Maura said looking into Mrs. Rizzoli's eyes. Noticing the similarities her daughter shares with her.
"It's ok Maura. I'll probably kill her myself for not telling me, but I'm not mad at you. She has her reasons. This is Janie; she just does her own thing. Are you going to be staying here until you hear about Jane?" Angela said taking Maura's hands into her own.
"Yes." Maura said without hesitation.
Angela hugged Maura, and then the trauma doors opened the third time. A young girl came out wearing a fun print top with kittens and purple pants.
"Nicole sent me out here to show you where the SICU is. My name is Amber," the girl said to the crowd.
"That'd be us. Come on Frank I can't go alone," Angela said dragging her husband towards the girl.
"Ok follow me," Amber said with a smile leading the way to the elevators.
"We'll head out knowing Frankie is ok. If you need anything just call," one of the policemen said to Korsak.
"Will do," Korsak said in return.
That left three people in the waiting room. They were all waiting to hear news on the same person. They sat in silence waiting.
"What are we gonna tell her parents?"
Korsak and Maura both jumped when they heard the question. Frost finally spoke breaking their train of thoughts.
"Um the truth," Maura answered.
"What is the truth?" Frost asked. "Jane shot herself. Why?"
"Uh… What did she say before she shot herself?" Maura asked, with distaste. Not liking the fact she just said Jane shot herself. However that is exactly what she saw.
"She yelled something about Frankie bleeding to death. Then I heard Bobby's voice before Jane freaked out and grabbed Bobby's gun," Korsak informed Maura.
"Oh my goodness. That makes sense!" Maura said getting up letting the information sink in.
"What do you mean that makes sense?" Frost asked with a confused look on his face.
"Jane was pushing me in the morgue to save Frankie. I was doing things far beyond my scope of practice. I did not have the proper tools that are found in a trauma center. She begged me to not let him die forcing me to improvise. When Jane said Frankie was bleeding to death, she was trying to tell you all that Frankie needed saving. No one was moving to get inside to save him. So she did it to save Frankie. She must've figured if she stopped Bobby then everyone would go inside and save him because the threat would've been stopped." Maura said finally understanding Jane's thought process.
Korsak and Frost could only nod. Then Frost said, "Jane's mom is gonna kill her,"
Maura opened her mouth to speak when she saw the two men sitting staring behind her. She turned around to see a female with blonde hair wearing a white coat coming out of the trauma doors.
"Jane Rizzoli's Family?" she called out
"That'd be me, well sort of. I'm Dr. Maura Isles. Her Advanced Directive"
The female doctor extended her hand for Maura to shake. She introduced herself as, "I'm Dr. Sonya Millan…"