Molly Evans – The Greek Doctor's Proposal (страница 2)

“I’ll try. I’m not accustomed to addressing physicians by their first names. Usually just the residents.”

Miklo looked down at her and smiled. “Then just think of me as a really old resident.”

Against her will, Jeannine laughed at the small joke. But laughing was something she hadn’t done in some time and to be joyful on her first day at work was an unexpected gift. She’d learned to find those gifts in unusual places. “Thank you, Miklo.” She stepped toward the door. “Guess I’ll be seeing you later.”

“Yes, well, welcome to University Hospital.”

“Thanks,” Jeannine said, and left the conference room.

* * *

Miklo watched the new nurse go. She was a trim, pretty woman with long blonde hair and blue-green eyes that were filled with pain. She’d said she was starting over, and he knew from his own painful experience that starting over was never easy, no matter the reason.

Life as he had known it had been changed by the death of his wife. Pregnant with their child, they had both died in a tragic car accident three years ago. He’d been working instead of taking Darlene to a baby shower. The grief, the guilt, burned within him still at unexpected times. Like now. Clenching his jaw, he shouldered the heavy computer case and left the PICU. With a quick glance down the hall, he saw Jeannine at the nurses’station with her head bent over a chart, a pair of reading glasses perched on her nose.

As he left the hospital and went about his day, the image of Jeannine at the desk stayed with him. She seemed to be a lovely woman, and he hoped that her transition was going to be a good one.

CHAPTER TWO

JEANNINE entered the PICU on her second morning to pure chaos. Eyes wide, she watched as Dr. Kyriakides argued with Arlene at the nurses’ station.

“I need someone now.”

“No one wants to go, and I won’t force anyone,” Arlene said. “You can’t drag an unqualified nurse off to such a critical situation. It’s just not safe.”

“So you’re going to let an injured child lie in an ambulance outside and do nothing about it?” Miklo asked. “Any nurse will do in this situation.”

Arlene gasped. “That’s not fair, Miklo. The ER is on divert. All the hospitals are on divert.”

Jeannine stepped forward, uncomfortable but digging deep within herself, challenging the fear that always seemed to live in her lately. “What’s the situation? I have ER experience.” The lump remained in her throat, but she had to conquer her fear some time.

Miklo turned his blazing amber eyes on her. “Put your stuff down and come with me right now.”

Jeannine handed her backpack to Arlene. “Will you hold this for me?”

“Jeannine, wait! I’m not sure you’re up to this your second day here,” Arlene said. “I know you wanted to get back into it, but it’s too soon.”

Miklo hesitated, looking between the two women. “Is she qualified or not?” he asked Arlene.

“Yes, but—”

He turned from Arlene and placed a gentle hand on Jeannine’s back, propelling her forward with him. “Let’s go. There’s a child that needs us.”

Barreling down the stairs together, they burst into the ER where staff raced back and forth, the intercom paged a physician, and the sound of muffled crying came from behind a curtain. “Where is—?”

“Let’s try the ambulance bay. They were going to try to take him somewhere else, but in between the other hospitals went on divert, too.” Miklo led the way to the ambulance bay.

Jeannine’s attention was completely taken by the small, motionless patient on the gurney beside an ambulance. Miklo reached for the stethoscope that hung from his neck and listened to the little chest with a nod. “Chest seems okay.” He looked at the paramedic, named Charlie, who stood on the other side of the gurney. “What do we have?”

“Male, approximately six years old, involved in an MVA with his mother, who is in the next ambulance.” He looked at Jeannine. “You’re in the wrong hospital, aren’t you?” he asked.

Jeannine swallowed and gave him what she hoped was a confident smile. “Oh, hi, Charlie. Nope. Moved over to the University Hospital just yesterday.” One day on the job and she’d already been caught like a deer in headlights. Nothing used to stop her in her tracks, so this shouldn’t either.

“Well, it’s good to see you again,” he said, and gave a quick grin. “The kid seems stable right now, but there’s no telling what’s under the dressings. There were so many abrasions and lacerations that we just put saline-soaked gauze on him.”

“Good call,” Miklo said.

Jeannine checked the IV bag to ensure the fluids dripped quickly through the line in his small arm. “Unwrapping his face is not going to be good, I’m suspecting,” Jeannine said as she snapped on a pair of gloves and handed a pair to Miklo.

Sheree, the EMT at the head of the gurney, made a facial grimace. “I didn’t want to try to intubate him in the truck, but he may need it.” She squeezed the ambubag over the boy’s face. “Right now he’s breathing on his own, I’m just giving him extra puffs of oxygen.”

“So far his oxygen level is okay,” Jeannine said after a quick look at the monitor. “Heart rate is high, but not unexpected. Fluids are going in well.”

“As long as his airway is stable, I’ll hold off the intubation until he’s under anesthesia. Let’s have a look at him, and if he’s stable enough we’ll do X-rays and see what’s going on under the wraps.” Miklo reached for the blood-soaked bandages, then hesitated. “Can you get some sedation going?” Dr. Kyriakides asked Jeannine.

“Should we take him inside before we get started?” she asked. “I feel so helpless outside.”

“There’s no trauma room available yet, but there’s a spare treatment room I know of down the hall,” Charlie said.

“Let’s move him there. Jeannine, I’ll count on you to get the medications going.”

“Okay. What do you like to start with?” Jeannine knew her heart was beating about as fast as the boy’s, but adrenaline always flowed quickly during a crisis.

“Morphine.” Dr. Kyriakides gave a quick visual scan of the boy, his gaze serious. “Looks about twenty-five kilos, so give him a morphine dose now with some midazolam for amnesia. We don’t want him to remember any of this, if possible.”

“I’ll have to find the charge nurse first. I don’t know where the medications are kept here,” Jeannine said, and dashed toward the main desk. Minutes later she returned to the small room. With trembling fingers she began to push the meds into the IV tubing. “That ought to do it.” Memories of those particular medications flowing through her own veins tried to push to the surface, but she held the memories at bay. In the midst of a crisis was not the time to remember her own recent trauma. She stroked the hair back from the boy’s forehead. “Just be calm, we’re going to take good care of you,” she said to the unconscious child.

“Okay. Let’s see what we have.” Miklo’s large hands gently peeled away the layers of bandages from the child’s face. Fresh blood oozed from a multitude of cuts and abrasions on the boy’s face and neck. Gently, Dr. Kyriakides opened the boy’s eyelids and flashed a light into them.

“Pupils okay?” Jeannine asked as she went through the neuro checklist.

“Yes. I was looking for glass, but thankfully I don’t see any,” Dr. Kyriakides said. “Until we get X-rays, let’s just leave the gauze on him.”

“Okay. Do you think we should try Radiology right now or do you think they are as slammed as the ER is?” she asked. “He seems stable enough to transport, but I don’t want to sit in X-Ray for an hour, waiting.”

“Let me find out,” Miklo said, and grabbed the phone in the room. After a brief conversation he hung up the phone. “They’ll take us in ten minutes.”

“Great. By the time we get him down the hall, they’ll be ready,” Jeanine said.

Miklo’s strong jaw was tightly clenched and his firm lips compressed into a straight line.

“Doctor? Are you okay?” she asked, wondering if she was intruding on his thoughts.

Miklo turned to her and gave a slight smile. “I’m okay. Waiting for X-Ray makes me crazy sometimes.”

“I know what you mean.” She touched his sleeve, hoping to impart some comfort to him. Though he had said he was okay, she wasn’t sure that was the complete truth. But, having just met him, she was not one to judge.

After multiple facial X-rays and a CAT scan to check for a brain injury, which was negative, the group took the patient straight up to the PICU since the ER had no space.

The boy started to wake up, and Jeannine took his hand. “Hi, there.” With her other hand she stroked his hair. All that was peeking out from beneath the bandages were frightened brown eyes that became wider with each breath he drew.

Miklo stepped away from the x-ray light box and returned to the gurney. “Hi. What’s your name?”

The boy glanced back and forth between Jeannine and Miklo without answering.

“Do you think he’s hearing impaired?” she asked with a frown. “I hadn’t thought of that.” Perhaps they had overlooked an injury to the middle ear, or maybe the boy was hearing impaired. Jeannine chewed on her lower lip, trying to think of all of the ways to communicate with him. “I didn’t see any ear injuries, but I suppose he could have sustained something in the wreck.”