Amy Ruttan – Navy Doc On Her Christmas List (страница 7)

“Right.”

Ella looked unsure. “Are you sure you’re going to be okay?”

“I said I was fine. I’m tired, but I’ve got this. I can handle this,” Zac snapped as the ambulance pulled up, stopping in front of them. He jumped forward and tried to put Ella out of his mind.

Which was easier said than done.

* * *

Ella glanced at Zac across the turmoil of the emergency room. He was working on the passenger of the motor vehicle accident, while she was working on the driver. The car had spun out and the car had gone into a cement median, ejecting the passenger through the windshield.

It was a mess.

She’d been worried when Zac, once again, had seemed to zone out when the ambulance had been approaching. Like the noise of the storm, the cold and the ambulance itself had been too much of a sensory overload.

She’d studied post-traumatic stress disorder in medical school. Zac was a textbook case, but he stated he had been cleared.

He’d said he had control of his post-traumatic stress disorder.

She needed to know whether she had to pull him or not. Even though he was a Davenport and his brother Charles was in charge of the emergency room, she was still the most senior attending on duty at the moment.

Right here and now, this was her ER and she couldn’t jeopardize her patients or her staff.

Her patient moaned as she palpated his abdomen. He’d said that he was fine and that it was just his arm that was banged up, but the reaction to her palpation had her nervous about something more sinister beneath the surface.

“Mr. Jones, I’m going to just look at your abdomen.”

“It’s fine,” he said through pants and there was something about him, his movements that threw her off. It reminded her of a person going through drug withdrawal and she couldn’t help but wonder if he was an addict. Then she saw his arms. His veins and also his teeth were a mess.

Definitely a user. The labs would confirm it, but she had her suspicions.

I seriously doubt that you’re fine.

“I’m going to have a look all the same.”

She lifted his shirt and could see the dark discoloration of a bruise across his abdomen. As she palpated again, the belly was not tender but hard. There were no broken bones or bruises on his chest, so she had to assume that the steering wheel had not struck him.

Still, given the fact she suspected that he was a crystal meth user, she had to check to make sure that there was no tear in the aorta, which could result in an aortic dissection. Since he hadn’t died at the scene, she had to assume that the aorta was stable, but she was going to check it anyway.

“We need to get him a CT scan, stat, as well as an arteriogram,” Ella said to her resident. “Draw the standard labs and get the images done. Page me when you have the images and the lab findings.”

“Yes, Dr. Lockwood,” Dr. Lynne said, nodding quickly.

Ella headed over to the exam room where the passenger who had been ejected was not doing so well.

Zac had inserted a breathing tube and there was already another tube in her chest to drain away the fluids from a pneumothorax.

Ella stood back to watch. Zac wasn’t aware of her presence, but she really had nothing to fear about his momentary blip outside. He was completely in control of his exam room as he worked on the patient.

She moved from the exam room and went to check on some other patients while she waited for the images of the driver.

Those who were still in the emergency room were not many and weren’t as urgent as blunt force trauma, but they still needed to be seen. And she seriously doubted that they would be leaving any time soon with this storm.

First she dealt with a patient who was having a severe gall bladder attack. She had the labs drawn to check the liver panels and see if the gall bladder attack warranted emergency surgery or if they could wait.

Then there was a bad sprain and a bump on the head to check out.

Dr. Lynne returned and handed over the tablet with the images. “Here you are, Dr. Lockwood.”

The images showed internal bleeding from a ruptured spleen and the lab work revealed that the patient was indeed a crystal meth user. “We need to get him into the OR. I believe that OR One was prepped and ready to go.”

Dr. Lynne shook her head. “Dr. Davenport is in there with the passenger. The pneumothorax was extensive and there are no cardiothoracic surgeons at the hospital because of the storm.”

Dammit.

“Okay, well, prep OR Two, then. We need to get Mr. Jones in there before he bleeds out. Hang some blood to compensate for the loss while we prep.”

“Yes, Dr. Lockwood.” Dr. Lynne took back the tablet and left.

Ella felt exhaustion setting in as she glanced around the chaotic ER floor.

Dr. Lynne was her most capable resident and though she’d like to have her in the OR with her, Ella needed her on the ER floor while both the trauma surgeons who were still at Manhattan Mercy worked on patients.

Dr. Lynne would be able to run her ER while she went into surgery.

It was going to be a long day. And the longer this storm went on, the worse the casualties were going to get. There would be more accidents, more emergencies.

And she was going to be stuck here with Zac, working with him, but all she could think about was the kiss in the on-call room and that was a dangerous path to tread. One she’d promised herself she’d never walk again.

She had to get it together.

She needed more coffee.

A lot more coffee.

CHAPTER FOUR

BY THE TIME Ella finished the splenectomy it felt like she’d run a marathon. Her whole body ached. She was tired, but she had no time to stop as she leaned over the scrub-room sink and rubbed her neck, trying to stretch herself.

Her feet were aching.

She had to stand on a stool to operate. Operating Room Two’s table didn’t go down low enough for her and Mr. Jones was a tall man. Taller than her. Her feet and her were not friends at the moment. They were screaming at her in protest for still working. When she went off she planned to get a good massage.

“You look tired,” Zac said as she leaned against the scrub-room door.

“You’re done?” she asked. Then he frowned and her stomach sank and she understood why he was done. “That bad.”

He nodded. “Even if a cardiothoracic surgeon had been available, there was just too much damage. She wasn’t wearing a seatbelt, the paramedics told me, and her blood was filled with crystal meth. Her tissue was so friable that sutures wouldn’t hold.”

Ella sighed. “Mr. Jones is stable but in the ICU. Splenectomy, and also his labs showed the drug in his system.”

Zac nodded. “I’ll give him some time before I tell him about his wife.”

Ella’s heart hurt. This was the worst part of the job. Especially in light of the holiday. “I’ll go with you.”

“You don’t need to, Ella. You’re exhausted.” There was concern on his face, as if he really cared about her, but she didn’t need his pity.

“I know, but he’s my patient and, it’s not like I haven’t delivered bad news before.”

Zac nodded. “A sad reality to our job.”

“Have you been down to the emergency room?” she asked as she stretched her back. “Do you know how it is?”

“The same as it was before.”

Ella tsked under her breath. “The calm before the storm.”

“Except it’s storming now.” He gave her a half-hearted smile at his pathetic joke and she couldn’t help but chuckle. “At least Charles’s new generator system is holding.”

“That’s something.” And she tried not to think of the chaos caused a couple of months ago, the last time the power had gone out.

“Want to go get some coffee before the fray?” Zac asked.

Ella nodded. “Yes.”

They walked side by side, not touching and not saying a word as they headed to the staffroom where they’d had their first run-in at the beginning of this crazy shift.

“Look, about that kiss...” He cleared his throat. “I’m sorry. I really didn’t mean that to happen. Just exhaustion. As you know, I haven’t been really sleeping.”