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‘Let‘s get the neck cleaned off next; Margaret。 I need to take a look。‘
‘Yes; doctor。‘
The nurse selected a pair of forceps; grabbed a large cotton ball; which she dipped in distilled water; then wiped across the patient‘s neck with care; clearing away the blood and exposing the actual wounds。 It looked worse than it might really be; she saw at once。 While she swabbed the patient off; Rosen looked for and got sterile garb。 By the time he got back to the bedside; Margaret Wilson had a sterile kit in place and uncovered。 Eaton and Marconi stayed in the corner; watching it all。
‘Nice job; Margaret;‘ Rosen said; putting his glasses on。 ‘What‘s he going to major in?‘
‘Engineering。‘
";That‘s good。‘ Rosen held his hand up。 ‘Tweezers。‘ Nurse Wilson set a pair in his hand。 ‘Always room for a bright young engineer。‘
Rosen picked a small; round hole on the patient‘s shoulder; well away from anything really vital。 With a delicacy that his large hands made almost ical to watch; he probed for and retrieved a single lead ball which he held up to the light。 ‘Number seven shot; I believe。 Somebody mistook this guy for a pigeon。 That‘s good news;‘ he told the paramedics。 Now that he knew the shot size and probable peration; he bent down low over the neck。 ‘Hmm 。。。 what‘s the BP now?‘
‘Checking;‘ another nurse said from the far side of the table。 ‘Fifty…five over forty。 ing up。‘
‘Thank you;‘ Rosen said; still bent over the patient。 ‘Who started the first IV?‘
‘I did;‘ Eaton replied。
‘Good work; fireman。‘ Rosen looked up and winked。 ‘Sometimes I think you people save more lives than we do。 You saved this one; that‘s for damned sure。‘
‘Thank you; doctor。‘ Eaton didn‘t know Rosen well; but he made a note that the man‘s reputation was deserved。 It wasn‘t every day that a fireman…paramedic got that sort of praise from a full professor。 ‘How‘s he going to … I mean; the neck injury?‘
Rosen was down again; examining it。 ‘Responses; doctor?‘ he asked the senior resident。
‘Positive。 Good Babinsky。 No gross indications of peripheral impairment;‘ Severn replied。 This was like an exam; which always made the young resident nervous。
‘This may not be as bad as it looks; but we‘re going to have to clean it up in a hurry before these pellets migrate。 Two hours?‘ he asked Severn。 Rosen knew the ER resident was better on trauma than he was。
‘Maybe three。‘
‘I‘ll get a nap out of it anyway;‘ Rosen checked his watch。 ‘I‘ll take him at; oh; six。‘
‘Yon want to handle this one personally?‘
‘Why not? I‘m here。 This one is straightforward; just takes a little touch。‘ Rosen figured he was entitled to an easy case; maybe once a month。 As a full professor; he drew a lot of the hard ones。
‘Fine with me; sir。‘
‘Do we have an ID on the patient?‘
‘No; sir;‘ Marconi replied。 ";The police ought to be here in a few。‘
‘Good。‘ Rosen stood and stretched。 ‘You know; Margaret; people like us shouldn‘t work these kind of hours。‘
‘I need the shift…differential;‘ Nurse Wilson replied。 Besides which; she was the nursing…team leader for this shift。 ‘What‘s this; I wonder?‘ she said after a moment。
‘Hmph?‘ Rosen walked around to her side of the table while the rest of the team did its work。
‘A tattoo on his arm;‘ she reported。 Nurse Wilson was surprised by the reaction it drew from Professor Rosen。
The transition from sleep to wakefulness was usually easy for Kelly; but not this time。 His first coherent thought was to be surprised; but he didn‘t know why。 Next came pain; but not so much pain as the distant warning that there would be pain; and lots of it。 When he realized that he could open his eyes; he did; only to find himself staring at a gray linoleum floor。 A few scattered drops of liquid reflected the bright overhead fluorescents。 He felt needles in his eyes; and only then did he realize that the real stabs were in his arms。
I‘m alive。
Why does that surprise me?
He could hear the sound of people moving around; muted conversations; distant chimes。 The sound of rushing air was explained by air…conditioning vents; one of which had to be nearby; since he could feel the moving chill on the skin of his back。 Something told him that he ought to move; that being still made him vulnerable; but even after he managed a mand to his limbs to do something; nothing happened。 That‘s when the pain announced its presence。 Like the ripple on a pond from the fall of an insect; it started somewhere on his shoulder and expanded。 It took a moment to classify。 The nearest approximation was a bad sunburn; because everything from the left side of his neck on down to his left elbow felt scorched。 He knew he was forgetting something; probably something important。
Where the fuck am I?
Kelly thought he felt the distant vibration of … what? Ship‘s engines? No; that wasn‘t right somehow; and after a few more seconds he realized it was the faraway sound of a city bus pulling away from a stop。 Not a ship。 A city。 Why am I in a city?
A shadow crossed his face。 He opened his eyes to see the bottom half of a figure dressed all over in light…green cotton。 The hands held a clipboard of some sort。 Kelly couldn‘t even focus his eyes well enough to tell if the figure was male or female before it went away; and it didn‘t occur to him to say anything before he drifted back to sleep。
‘The shoulder wound was extensive but superficial;‘ Rosen told the neurosurgical resident; thirty feet away。
‘Bloody enough。 Four units‘; she noted。 ‘Shotgun wounds are like that。 There was only one real threat to the spine。 Took me a little while to figure how to remove it without endangering anything。‘
‘Two hundred thirty…seven pellets; but‘ … she held the X ray up to the light— ‘looks like you got them all。 This fellow just got a nice collection of freckles; though。‘
‘Took long enough;‘ Sam said tiredly; knowing that he ought to have let someone else handle it; but he‘d volunteered; after all。
‘You know this patient; don‘t you?‘ Sandy O‘Toole said; arriving from the recovery room。
‘Yeah。‘
‘He‘s ing out; but it‘ll be a while。‘ She handed over the chart which showed his current vitals。