K. Darblyne: The Fellowship

David released her and turned to see the rest of the E.R. staff silently looking on. He was busted and he knew it. "Everyone, thanks, you’re the best."

"Hey, David, where’s my hug?"

"I should have known you would be the one to ask, Rosie." He walked over to the tall women and gave her shoulders a good squeeze.

"You are so bad!" Danni could not believe her coworkers antics.

She grabbed the Chief Residents arm in an attempt to pry him away from Rosie. "You better leave before she has you in her clutches."

"Hey, I resent that! So doc, what can you tell us about the new fellows?" Rosie had a one-tract mind and right now she wanted to know all she could about any potential available doctors.

"OK, ok, there are three new fellows starting today. I haven’t met them all but I do know their names." David looked at the crowd and then singled out Rosie. "Two men and a woman; Garrett Trivoli, Nathaniel Hostetler, and Rene Chabot."

"Two men, huh. I always did like men in uniform," Rosie said with a mischievous grin on her face as her thoughts turned to ships and the sea.

Karen now stepped in taking David by the arm and pushing him along on his way, "Now off with you and go be an attending or something, will you, Please! You’re disrupting my E.R." She leaned into his ear, whispering, "Keep in touch, David and good luck."

With that the Chief Resident nodded and waved as he walked down the hall savoring his last few minutes in the program and thinking of all the friends he would leave behind.

*************

The daylight shift was slowly gathering at the nurse’s station in an attempt to obtain reports on the few patients that were left in the E.R. treatment rooms. It was time for the night shift to begin to wind their activity down and think about home, sleep, and food. The night had been so busy that thoughts of lunch had been put by the wayside. Perhaps this is why there was always an abundant supply of snacks and "finger food" brought in by the staff. They were accustomed to sharing what they had with each other and with the Medical Staff that frequented the area in response to the consults the E.R. Physicians requested on their patients.

Danni could feel her stomach rumbling as she handed the trauma beeper over to her daylight equivalent. John had been a nurse for several years and was capable in his duties. It was his attitude that turned most women against him. His constant discussion of sports or his sexual attributes and exploits made most women feel uncomfortable if around him for any length of time. Danni was no exception. She thanked the gods above that John rarely worked a night shift explaining that this was valuable copulating time for him and she had learned early in her E.R. career to schedule herself for a daylight shift when it was his day off. She secretly thanked "Mom" for teaching her this little trick.

"Everything is stocked and ready for the next trauma patient to arrive. We were alerted for a gunshot victim about ten minutes ago but have had no further updates." Danni smiled at the prospect of changing out of her sweaty scrubs, her shift was now over and on time for once.

John took the smile on her face as an invitation to flirt and asked her quite pointedly, "You off tonight? Maybe you want to meet me after work and we could have our own little sweatfest. I could fit you in early."

"No, thanks, I’ll be here working," was Danni’s reply. The verbal exchange came to an abrupt end when the piercing tones of the trauma beeper went off.

"Trauma Team Page. Trauma Team Page. Twenty-year-old male with multiple gunshot wounds to the chest and abdomen. Patient is intubated. ETA 1 minute by ambulance to your facility. Level I Trauma Page."

‘Thank you.‘ Danni thought as she saw John’s facial expression change as he took off running down the hall to the trauma room.

Rosie came over to were Danni was standing, "Hey, you ready to get out of this zoo?"

"Yeah," she said turning to go out the E.R. door leading to the Lobby. "It’s been a long night and I sure am starving."

"Hey, you two, wait up for me," Karen called out to the pair at the door.

They looked over their shoulder to see "Mom" coming towards them. A split second was all that it took and suddenly they heard a loud bang, as the door in front of them slammed open and a tall athletic body hurtled through pushing between them, eagerly making it’s way down the trauma hallway.

"Mom, watch out!" They yelled in unison. Each preparing for the impact that they believed could not be averted.

Karen just closed her eyes in anticipation of the impending collision. "Mom" waited, but it never came. Long dark tresses were flying behind the figure as it moved with catlike grace easily side stepping the older, slow moving, pudgy form of the Charge nurse by millimeters. She opened her eyes and looked around herself with great trepidation. She was still standing and in one piece.

Danni and Rosie were at her side within seconds, bracing her up. Karen felt like she was going to faint. How could she have not been hit or hurt. Her voice was trembling and soft; "I’m all right, girls. I’m all right."

"I have a good mind to go after that idiot," Rosie blurted out.

"Don’t bother, it’s probably the first trauma page in her life." Danni was not one to rush in to confrontations. "She’ll learn. They should tell these medical students that they are not the one’s that save the patients."

"Do you want to sit down, Mom?"

"No, just get me out of this zoo before it’s too late. I just want to go home," the older woman pleaded.

Propped on either side by her co-workers, Karen shakily made her way to the locker room. The night shift was officially over.

The trauma hallway and room were bursting with activity. The critical nature of the incoming patient was evident. Every level of medical professional on the team realized that it would be a race against the clock to save the young man’s life. There would be no time to discuss methods of treatment or to consult with the Attending Physician. It literally was down to do or let the young man die. And by the gods, if Trivoli had anything to say about it, this young man was going to get another chance at life. ‘The ball is in my court now! This is what I have been training for my entire career,’ raced through the surgeon’s mind.

A feral smile came to the Fellow’s face as the overhead loudspeaker squawked, "Trauma patient is in the department. Trauma patient is in the department."

Seeing the blood drenched, limp body of the young man on the ambulance stretcher, Garrett began firing off orders letting instinct take control. "I want a quick chest x-ray and abdomen x-ray. Check for pulses. Get me a pressure. Hang all four units of blood and notify the Operating Room that we’re coming up now. Tell them to have Thoracic Surgery meet us up there. Call the Blood Bank and have them send a ten pack of O positive blood to the O.R. to start, and a four pack every fifteen minutes for the next hour."

Trivoli watched as the team worked to meet all of the demands. The monitor showed tachycardia with multiple PVC’s, the pulse was weak and thready; the blood pressure was 70 over 40.

‘Not good, not good at all,’ Trivoli thought. "Time to move, NOW, to the O.R.," the low contralto voice decreed.

The directive caused the hallway to clear almost immediately creating an unobstructed path to the elevators. Every hand and foot was in motion to expedite the young lad’s way to the operating room, giving him a desperate chance for life. Once inside, the doors closed and the ascent was speedy.

The elevator came to a stop, the doors opening on the Operating Room level.

With the look of a well-rehearsed team, the forward momentum towards the area of bright lights and cold steel resumed instantly. The driven group easily negotiated the sixty feet of hallway and the two left-handed turns needed to bring them to the main entrance of the O.R. where they were met by the surgical personnel. The exchange of one team with the other was flawless with not an ounce of momentum lost.