The Saregeant's Daughter - Chapter 24 Madeline
Chicago Med S4 EP9: Death Do Us Part and S4 EP 10: All The Lonely People
"Got a John Doe. GCS 3, intubated in the field" she said.
"Going to Baghdad," I said rushing towards the EMT.
"Okay, BP 90/60, heart rate 140s sats 99% "
"Took three bullets–one to the head, two to the torso. Looks like some kind of targeted hit" he said.
"Trigger the MTP," I said as we pulled into the room, "All right, on my count, we get him over"
"1"
"2"
"3"
"Roll him," I said lifting his coat to see his back, "Got one through and through. Don't see a second exit wound. Back"
I put on my stethoscope and checked his lungs, "Bilateral breath sound. Let's get a fast scan for his chest and belly" I said removing my stethoscope.
"And the headshot?"
"Wound is tangential. Looks like he caught a break" I said grabbing a wand for the fast scan, "There's a lot of fluid around his heart. Same in the belly. I got to open him up, page Dr.Rhodes now, tell him to prep the hybrid OR"
"Stapler?"
-
I stood outside the OR looking through the door as Conner was doing the surgery and then Ava rushed into the room all dressed. A hand tapped me on my shoulder, I jumped and turned and saw Jay standing in front of me.
"Jay!" I said wrapping my hands around his neck.
"Hey," he said kissing my lips, "I can't talk much today I'm looking for Dr.Rhodes, do you happen to know where he is?"
"Yeah, right in there," I said pointing behind me.
"Thanks," he said. I pressed the mic and nodded at Jay to talk, "Dr.Rhodes, is your patient stable at the moment? I need to speak to you"
"He is but now's not a good time, Jay," He said.
"This really can't wait"
"I'll be done in an hour. We can talk then"
"Now, Connor. Right Now" Jay said.
"I will be over there," I said and kissed his lips then walked away from him.
-
"Natalie it's okay, Will should be here soon," I said holding her hands.
Maggie rushed towards us, "Nataile, Will is outside" she said.
Natalie picked up her dress and rushed outside, me and Maggie looked at each other and followed her outside.
Natalie and Will were hugging and Jay was standing next to the women, I walked down the steps toward Jay.
"Babe, what's going on?" I asked him.
"I can't tell you much but Will is being taken into protective custody," he said.
"B-B-but Will can't miss his wedding, can't you stop it or take him after they become husband and wife" I mumbled looking at him and then at Will and Nataile as they cried in each other's arms.
"Sorry, I can't do much this is the feds case," he said.
"Dr.Halstead, we gotta go" the female agent yelled out.
"I'm sorry babe, I will see you at home later," he said kissing my lips and walking towards the car
-
Me and Goodwin walked into the ED to see a man yelling and April holding her arm.
"Dr.Choi, I need you in Baghdad now," Maggie said.
"What about April?"
"I got her," I said holding April's arm and walking her toward a room.
-
I used a cotton pad to clean up the wound, "I'm so sorry, April" I said looking up at her, "It's terrifying to be shot at. I still can't believe you were hit"
"I'm fine, really. Will you sign me off to go back to work?" she said.
"Really?" Monique said.
"I don't even need stitches. I...I'd feel better"
"Okay," I said nodding my head, "Just take it easy. All right?"
"Thanks"
I took off my gloves and left the room.
-
"Dr. Sanchez, you're going to six," Maggie said.
"Page OB," I said putting on gloves.
"On it," She said.
"She can't have this baby right now. You have to stop it" He said as walked towards treatment six.
"She has a pre-existing aneurysm"
"If she pushes, it could kill her"
I grabbed her arm and Monique her other arm, "All right, help me get her onto the bed." I said as got her onto the bed," Why wasn't the aneurysm treated earlier?" I asked her husband.
"It's small," she said moaning out in pain.
"She not supposed to be in labor right now."
"We have a C-section scheduled, but not for two more months," he said as I checked her eyes with a flashlight.
"Heart rate 97. BP 128/73" Monique said.
"It's okay breath"
"Let's start a magnesium drip, embolus 4 grams," I said putting on my stethoscope, "And 12.5 milligrams of betamethasone IM, and 100 milligrams of indomethacin PO. Ivy, we need to give you this pill, okay? It's gonna help stop your contractions." I said checking her heart.
"OB said that they'll be down as soon as they can," Maggie said.
"Okay," I mumbled.
"Okay, hold on. You're okay. You're doing great. Just breath"
I grabbed the gel and placed it on her stomach as he moaned and screamed.
"Don't push, don't push. No, no, no, no!
She screamed out before she fell back, "Dr.Sanchez, no pulse" Maggie said placing her finger on Ivy's neck.
"Bag her," I said and started doing chest compressions.
"Still no pulse," Maggie said.
I started doing chest compressions again.
"Asystole"
"Take over compressions," I said and grabbed my pen to check her eyes.
"What's happening?"
"Her pupils are fixed and dilated," I said looking at Maggie, "I'm so sorry, but her aneurysm must have ruptured," I said looking at her husband.
"No, but she's still–she's still–"
"I'm sorry. Your wife is gone. But we need to get the baby out. It still has a chance. Okay" I said looking at her husband, "We got four minutes."
"Start the four-minute clock" Maggie yelled.
"Where is OB?"
"Can't wait. I need to do the C-section myself" I said.
"Angel, take over compressions," Maggie said, "Diana, get OB here right now"
"Sir, please get out. So we get this baby out"
"Please, Please, Please save my baby"
"Get me a scalpel," I said.
Maggie closed the curtain and moved the small cart towards the bed, "Scalpel" she said handing it to me and placing a sheet on the belly.
I cut a line done her belly and blood started to pour out. I pushed my hand inside her belly and pulled out the baby, "Suction" I said as I grabbed the scissors to cut the umbilical cord, "She's cyanotic"
"She is ready to transfer," Maggie said.
I followed Maggie to the bed grabbed the mask and placed it on the baby's face.
"Angel?, Sats at 78"
"She is still unresponsive. I might need to intubate" I said giving Monique the mask.
"Hold on. Sats at 88 and climbing. Heart rate at 160"
"She's coming around," Monique said.
"Call Neonatology. Have them come meet us in the NICU" I said removing my gloves.
"I'm on it"
"Keep stimulating. I want this baby alert and moving" and walked out of the room to the husband.
He sighs, "Tell me"
"You have a baby girl. We were able to get her out in time, but she does need to go up to the NICU. If you would like to spend some time with your wife...Monique can take you up when you're ready" I said and brought my hand to his arm, "I'm so sorry for your loss"
-
"Despite the intubation, she's still not oxygenating"
"I'm hearing a grade 3 systolic ejection murmur," I said removing a stethoscope from my ears.
"EKG shows left ventricular hypertrophy," the doctor said, "Samantha, transducer"
She placed the wand on the baby's belly and we looked at the screen.
"Tricuspid atresia," I said.
"And an atrial septal defect," she said removing the wand, "Do you want to tell the father, or should I?"
"I will," I said and walked out of the room.
-
I walked towards him and took a seat next to him as he stared ahead.
"We never should have tried to have kids," he said turning to look at me, "But Ivy wanted a baby so badly. And now she's gone."
"I'm so sorry. There is something I need to discuss with you. We've examined your little girl–"
"Sophie. We were gonna name her Sophie"
"There's a problem with Sophie's heart. It's missing its tricuspid valve. Normally the valve opens and closes like a door. But Sophie's door is closed. So when she's a little bigger, she will need surgery. But in the meantime, she needs an operation called a pulmonary artery band. It's urgent"
"Urgent" he mumbled.
"Do we have your consent?" I asked him.
"Yes. Thank you"
"Yeah," I said placing my hand on his arm.
"Doctor..."
"Sanchez"
"Doctor Sanchez, please save my little girl"
-
"Sophie did well. She'll need to stay here for a couple more weeks and then you can take her home. Until she's big enough to tolerate the surgery" I said.
"She's so little," he said.
"Yeah, but she's gonna be fine," I said and walked out of the room he followed behind, "Is there anyone you like for us to call for you? Family? Friends?"
"My wife's family, I....I still have to tell them"
"Do they live close by? Can they come to be with you?" I asked.
"No, we just moved to Chicago."
"Is there anyone local who can help you with the arrangements?"
"No. I know hardly anyone here"
"I'll get you some information. Okay?"
"Thank you"
-
I walked out with Jay following behind me.
"Jay, give me a minute," I said and walked towards Mr.Davis.
"Mr.Davis?" I said touching his arm and standing in front of him, "Here is some funeral home information. They'll handle everything" I said handing him the paper.
"Thank you"
"There's really no reason for you to stay here tonight. Why don't you go home? Try and get some sleep"
"I don't wanna go home"
"I will get better, I promise you," I said.
He started to cry into my shoulder as I ran my hand down his back. Jay stared at me as I stared back at him.
-
I lay in bed staring at the cell as Jay slept soundly on my chest with his arm warped around me, I kept thinking back to Mr.Davis and his daughter Sophie knowing she would grow up with her mother and Mr.Davis raising their daughter alone.
A tear slid down my cheek I quickly wiped it away but more came out, I covered my mouth to stop the gasp from leaving my lips.
"Babe" Jay whispered.
"Jay, i-it-it's okay go back to bed," I said shaking my head.
He got up and turned to turn on the table lamp and faced me again.
"Madeline, what's wrong babe?" he said cupping my head in his hands.
"I just thinking back to Mr.Davis who lost his wife while she gave birth and it made me think what if-if-if one day I get a call saying you're dead–"
"You don't ever have to worry about that okay, I will always come home to you," He said kissing my lips.
"Promise?" I said
"I promise my love," he said, "Now let's get sleep"
Jay Master List
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