Chapter twenty five
Chapter twenty five plot- things get hairy while Jo is in labour.
"39 year old female who's gone into premature labour with twins. Her waters broke half an hour ago and is currently unconscious," the paramedic says as she wheels Jo out of the ambulance.
"How many weeks is she?" obstetrician, Dr Jessica Spellman asks.
"22 weeks," the paramedic replies.
"Oh my gosh, it's Jo. Let's go!" Dr Spellman orders. As she wheels Jo into the ER at Middleton memorial she begins to flatline. "I need a crash cart and some help over her!" Jessica orders as she begins CPR.
"What's happening?" Dr Mark Wright, who was also an obstetrician, and Nurse Sarah James asks as they rush over to Jo and Jessica.
"She's flatlining! We need to get her in for an emergency C- Section right away!" Jessica replies urgently. Sarah heads over to the phone and begins to call up to the OR while Mark helps Jessica. "Charge to 100!" Jessica instructs. The whirl of the Defib machine fills up the room and the paddles are placed onto Jo's chest.
"Clear!" Mark instructs.
"Clear!" Jessica replies after she takes her hands off Jo. Nothing happens so Jessica continues CPR.
"OR 2 will be ready for us when we get there. We can prep her there," Sarah says.
"Charge to 200!" Jessica orders orders.
"Charged! Clear!" Mark yells as he places the paddles onto Jo.
"Clear!" Jessica replies. Mark places the Defib paddles on Jo and they begin to get sinus rhythm.
"She's got bradycardia, let's get moving and Page Dr Allison Hugh's and Dr Jane Proudman !" Jessica orders. Jessica, Mark and Sarah rush Jo over to the lift where they would head up to the OR.
When they get to the OR they Prep Jo and get ready for the emergency C- section.
Scene break- scene break
"She's haemorrhaging!" Dr Spellman yells as she and Dr Wright deliver the babies. Baby one had been delivered and they were now delivering the second baby. Paediatric surgeon Dr Allison Hughs was currently trying to revive the first baby.
"Baby one is breathing," Allison announces as she puts the incubated baby in the humid crib. "Jane, I'm going to take this baby up to the NICU. Will you be okay with the second baby?" Allison asks.
"I'll be fine. Go, go," Jane orders. Allison nods her head before leaving with the first baby just as the second baby was delivered. Jessica hands her to Jane while she and Mark attempt to find the source of the bleeding.
All of a sudden the monitors begin to beep. "She's flatlining! Commence CPR, I'll bag her!" Mark yells. Jessica nods her head and they begin to resuscitate Jo.
"Baby number two is breathing. Sarah, take her up to the NICU. they know you're coming," Jane instructs as she places the tiny baby into the humicrib.
"Where do you want me?" Jane asks as she heads over to Jo.
"Find the bleeder! As soon as the nurse gets back with the blood we will start pumping them through. But she's lost a lot of blood, she'll need a transfusion when she gets back up to the ward," Mark instructs. Jane begins to find the cause of the bleed.
A moment later a nurse walks in with five units of O-neg blood.
"Thanks Patty! Let's hang the blood!" Jessica says. Patty heads over and hangs the units of blood.
"I've got it!" Jane announces as she finds the bleed and she stops it.
"Her blood pressure is normalising, and her pulse is coming back," Jessica says relived as she watches Jo's heart rate climb on the monitor.
"Let's finish up quickly. Dr Josephine Maidenway, don't you dare scare us like that again!" Mark demands.
Up in Jo's room
Jo was now out of surgery and recovering up in maternity. Jo's best friend from Middleton, Dr Jasmine Harper was sitting next to Jo, waiting for her to wake up. She had been out of surgery for about an hour, so she'd wake up any minute now.
Within half an hour Jo begun to stir, "Ja... Jasmine?" Jo asks as she comes too.
"It's me Jo, it's Jasmine," Jasmine says as she grabs onto Jo's hand, "page Dr Spellman!" Steph shouts out.
"Wh...what happened?" Jo asks as she winces in pain. "Oh god, owe," Jo winces.
"It's okay. Calm down. I'm going to push 10 of morphine for the pain," Jasmine says as she looks at Jo's chart. She washes her hands and puts some gloves on to administer the morphine into Jo's drip. She had a tray containing morphine all ready to go, as per Dr Spellmans request.
"I feel loopy now," Jo giggles.
"Yeah, morphine will do that to you," Jasmine replies.
"Hey, your hairs sparkly and there's a rainbow above your head," Jo giggles, "and your eyes are full of pretty colours, have they always had unicorns in them?" Jo giggles.
"Nope, pretty sure that's just the morphine talking," Jasmine says.
"Now there's stares falling from the roof. We should get that checked out, that needs to be checked out. Hey, Hand me your phone," Jo requests seriously.
"Yeah, I'm not gonna do that," Jasmine replies.
"Aw, come on. It won't take me long. Hey, maybe you can dial the buttons," Jo giggles.
"I don't think so," Jasmine replies.
"Come on, it'll be fun. Maybe they can look at the unicorns in your eyes," Jo giggles.
"Wow, sounds like someone's having fun," Jessica says as she enters the room.
"Hey, You have such pretty hair. Did you know your hair was pretty. Oh, and look at that, it's rainbow now," Jo laughs.
"Okay, alright then. Jo I think I'll come back in a hour to explain your situation to you," Jessics says.
"No, no, tell me now. I wanna know now," Jo whines.
"You are far to high to understand anything that is about to come out of my mouth. I think I'll wait. Jasmine, stay will her okay. Make sure she's good," Jessica says before leaving.
"Aw, she's a party pooper," Jo giggles.
An hour later
"Okay Jo, have we come down form our morphine high yet?" Jessica asks as as walks into Jo's hospital room.
"I think so," Jo smiles.
"She's still kinda high. But she can take this," Jasmine replies.
"Okay," Jessica replies. "Jo, you had your babies," Jessica smiles, "they are up in the NICU and are doing as well as can be expected
"You mean like, boom, no babies in my belly anymore?" Jo asks.
"Jasmine, I thought you said she could take this?" Jessica asks.
"Jo, grow up and be the responsible pain in the arse I know you as!" Jasmine quips.
"Sorry, sorry," Jo replies.
"They are up in the NICU and are doing as well as can be expected. We'll know more in a few hours," Jessica replies.
"When can I see them?" Jo asks.
"You can see them in a few hours. Currently Dr Hughs is with them and ensuring that they are doing okay and she is doing a full work up and assessment on them," Jessica says. Your baby girl..."
"Sabrina Madelyn," Jo replies.
"Sabrina weighs 8.6 ounces," Jessica says. "Do you have a name for your little boy?" Jessica asks.
"Zachary David," Jo replies.
"Zachary weighs 9 ounces," Jessica smiles.
"Wh... Why can't I remember anything? What happened?" Jo asks panicking.
"Okay, here goes..." Jessica says before she proceeds to explain to Jo what had happened to Her.
"You had us worried for a few minutes there Jo," Jessica grins.
"Just keeping you on your toes," Jo replies back.
Back in Seattle
Alex scrubs out of surgery and grabs his phone from his pocket. He sees that he has one missed call from Jo and retrieves the voicemail she left.
"Hi Alex. I know you're in transplant surgery right now so you can't answer your phone. But the craziest and scariest thing just happened, I was on the way to the airport and my water broke. So once you're finished you need to get your ass back to Middleton," he hears her say and his face turns white.
"What is is Alex?" Meredith asks as she notices his facial expression.
"Jo's in labour. I have to get back to Middleton!" He replies quickly before leaving the room. He rushes over to OR three where Arizona was scrubbing out of surgery. "Arizona, I need you to come with me. Jo's gone into labour back in Middleton," Alex says panicking, "I.. I need you because you're the best surgeon to look after my extremely sick children," Alex says.
"Oh my gosh, of course," Arizona says before they quickly head out of her OR.
"I'm coming too," Meredith says as she meets up with them in the hallway.