81. Here Comes The Flood
I'd worked out a plan about what to do with Caleb seeming as I was under this new pressure at work. He was going to be staying with Kennedy for a while and then sometimes he was going to be staying with my parents. But that's what I'd planned in my head back to now. Webber was hosting talk so we all had to go and listen, I found a seat next Alex and sat down.
"What do you think the new rules are gonna be?" I asked him, I saw Webber approaching the stand.
"Probably something stupid." He said back to me.
"Probably or maybe there's rules that can actual make sense." I said to him.
"Listen up, everyone. Listen up. We're busy people, so I'm gonna try and be brief. I am implementing a new teaching protocol here at Seattle Grace. Now some of these rules are new, and some are old and are going to be newly enforced." Webber said before continuing. "First-, second- and third- year residents will no longer be allowed to de facto specialize. The practice interferes with the development of a fully rounded surgical education. No more. Personal relationships, personal loyalties, and personal favorites will no longer be a factor in our training program. Attendings, you will spread your wealth of knowledge equally among all of the residents. In addition, we will refocus our attention on patient communication and bedside a manner. For some of us, this means learning the lost art of humanity and compassion. For others, this means learning how to treat patients without becoming emotionally involved with them. This is a surgical program. Psychiatry is on the fifth floor. Let's not confuse the two. In addition, residents, your interns reflect on you. If they fail, you fail. If they succeed, you succeed. Attendings, that goes for residents as well. Teach with enthusiasm. Learn with enthusiasm. We are surgeons. We cut out malignancies. Lets start at home, people." Webber told us, I didn't like them at all. We, as residents, went on rounds and Webber joined us. Cristina was going first.
"Jack O'Brien, 47, scheduled for an abdominal aortic aneurysm repair. His, uh, last C.T. showed calcification, so I ordered a C.T. angio to determine whether it had worsened or remained stable." Cristina said to Hahn before handing her the chart.
"Nice catch, Yang. You can take him down after rounds." Hahn said with a smile.
"Dr. Karev will take over. Dr. Yang, you're done here. Thank you." Webber said before we left the room. We moved on and it was Mer's turn.
"Barry Patmore, 63...has been experiencing chronic headaches for the past seven years, has been treated with narcotics, antiseizure medications, antidepressants and antipsychotic medications with no success." Mer said to us in a lower voice, what made it worse was their were interns with us.
"How severe is the pain today, Mr. Patmore, scale of one to ten?" Derek asked him, he had a towel on his to try and ease the pain.
"Eight. It's always an eight." Mr. Patmore asked, I wonder what's brought them on exactly.
"Which is why Mr. Patmore's last consult suggested a bilateral cingulotomy- -" Derek said before Cristina started talking.
"I'm sorry, a frontal lobotomy for a headache?" Cristina asked too loudly.
"Too loud. Please. And could you do something about the buzzing? Do we need all these machines?" Mr. Patmore asked us, this case was intriguing so hopefully I could be on this.
"Mr. Patmore has been experiencing intense pain all day, every day for seven years." Derek said to us, I had something to say.
"Doing a cingulotomy may cause seizures or maybe even cognitive defects or behavioural changes." I said while looking at Derek, he gave me a nod.
"Which is why we are going to explore every other possible option before resorting to such a radical surgery." Derek said to us, I knew what that meant for Mr. Patmore.
"More tests." He said to us.
"Yes." Derek said before looking at Webber.
"Dr. Yang and Dr. Y/l/n, you'll be assisting Dr. Shepherd today." Webber said before leaving, I hadn't done a lot of neuro work but I knew a lot about because of my father. Everyone left the room like usual and Cristina and I stayed here. We went to a room and Lexi was helping us.
"Okay, Mr. Patmore. I'm gonna give you a variety of different stimuli so we can take a look at the wave patterns generated. I need you to remove the hand from your eyes now. Okay, are we still at an eight?" Derek said as we were attaching everything to him.
"It's still at eight." Mr. Patmore responded.
"Good. Okay." Derek said to him.
"Starting visual stimuli." Cristina said before starting it, Mr. Patmore moaned. We were watching the monitor.
"If you were me. You'd want 'em out...the roommates. I'm not being unreasonable, right?" Derek asked us, I mean I wanted my son out because I can't look after him properly.
"His pulse is beginning to come down." I said to him.
"But you have to admit you'd want them out. If you were me, you would want them out." Derek said, Cristina cleared her throat. "If we have to operate, I'll let you both take turns drilling burr holes by yourself." Derek added, that's it I was answering.
"Fine, I'd want them out. Whatever." Cristina said to us.
"I'd want the out as well, I know what it's like having unwanted people living in your house." I said to Derek, honestly.
"Knew it. Okay, Mr. Patmore. Okay, we're gonna change your position now, okay?" Derek said while walking over to him. Derek moved Mr. Patmore.
"Um, Dr. Yang and Dr. Y/l/n, I think I have an idea." Lexie said while walking over to us.
"Well, don't think, know and run to the lab for his test results." Cristina said to her, she left to go and do it. Derek let afterwards to go and sort a few things out. He probably went to tell Mer about me and Cristina's answered. Derek came back and tried it a few more times but in different ways. When Lexie came back she brought Mark.
"Dr. Shepherd, a word." Mark said to him.
"Excuse me one second. Yes." He said leaving Mr. Patmore to go to Mark.
"Uh, do you, uh, mind if I run a quick test on your patient?" Mark asked, maybe we should've listened to Lexie.
"He's in a lot of pain, Mark. I don't think he needs a tummy tuck." Derek said, now that was a good one.
"Oh, that's funny. No, uh, Dr. Grey came to me with an interesting idea, and, uh, unlike you, I'm taking the Chief's new teaching protocol seriously, so I listened." Mark said me and Cristina were stood near them now.
"Uh, I-I read a thing about swelling and compression of the ethmoid nerve. I believe if we were to stick a cottle elevator up his nose- -" Lexie started, I'd read this article but I didn't think about it for this.
"No, I'm- -I'm sorry. Up his nose?" Cristina asked her.
"If Dr. Grey is on the right track, the, uh, patient will let us know." Mark said to us, I think she was as well.
"Okay." Derek said to him, Mark, Lexie and I walked over to Mr. Patmore.
"Mr. Patmore, I'm Dr. Sloan. I'm the head of plastic surgery and an ear, nose and throat specialist. I'd like to run a quick test if I can have your permission." Mark said him, while putting one the head torch things one.
"I've seen 16 E.N.T.s not one could help me." Mr. Patmore said but Mark was better.
"Now breathe normally. I'm gonna angle this into here. You let me know when you feel any...pain or anything." Mark said before beginning with the test.
"Aah! Aah! Aah! Aah! That's it! That's the pain! That's what's causing the pain. Oh, my god. Oh, my god." Mr. Patmore said, we finally knew what was wrong.
"Okay." Derek said as we approached him.
"Anterior ethmoid neurovascular complex. A simple middle turbinectomy will fix it. Unless you still want to chop out the front of his brain." Mark said before leaving the room with a smile.
"Hmm. Nicely done." Derek said to Lexie before turning back to the monitor. When it got to lunchtime I ate with the others when I got there. I sat down at the same time as Alex. I sat next Lexie, I didn't know she was joining us.
"My dude with the aneurysm? Fell in the water, smacked his head and got stuck in the C.T. machine." Alex said, that sounded bad.
"My patient's dying. I hate it when I like them and they're dying." Mer said to us, I hate when that happens.
"Our guy, he's been living in pain for years." I said to them.
"A constant eight for the last seven years- -because of an inflamed nerve in his nose. That's crazy." Lexie said adding on to what I had said.
"I wish I had an inflamed nerve in my nose." George said, he was practically lying on the table. Poor man.
"There is no way that guy has been living at an eight. He's a wimp. His eight, my three. I can take pain." Cristina said to us, I mean we all had different pain levels but that seemed a bit out of proportion.
"You can't talk to my boyfriend for ten minutes." Mer said to her making me smile.
"Well, there's pain and then there's torture. And I can take pain. Seriously, test me." Cristina said lifting her arm up. Alex slapped her. "Nothing." She said back to him.
"That's impressive." Alex said, George took his head off the table.
"Shut up. You bare,y touched her." George said before Alex slapped him. He then slapped me, I felt nothing. I don't know why George was complaining. He then slapped Mer.
"Ow! No, no. No! Ow!" Mer said in pain but laughing at the same time.
"Knock it off! Stop it!" George said taking Alex's arm away. I was laughing at this scene. George was still in pain.
"Um, how did you diagnose that nerve, because I've never even heard of that condition before?" Cristina asked Lexie
"I remembered an article from the 'British journal of E.N.T.,' and it was issue number 47 page 19 from 1964. Photographic memory." Lexie said to us, I smiled it was good to have a photographic memory.
"Dude, Lex-opedia." Alex said to her.
"Oh, I hate you." George said to her.
"Dong hate me. I can help you." Lexie said before feeding him. We all ate our lunch and talked about different things at the same time. Me, Cristina and Alex all left and went to the elevator.
"Hey! Hey." Iz said running in. "So apparently there's some kind of leak, and the Chief wants me to move all the pre-op patients to the clinic. So who's free to help me?" Iz said, Alex slapped her seeming as she was distracted. "Ow!" She expressed before hitting Alex. Me and Cristina were laughing.
"Not a high pain threshold, huh?" Alex asked her.
"You know what? Throw him out. Not me, just him." Iz said to Mer making her smile.
"She likes me more." Alex said to her with a smile.
"I bake for everyone and I clean. The only thing you bring to the house is filth. What would you prefer, Meredith, chocolate cake or an S.T.D.?" Iz asked her, the elevator dinged so me and Cristina started walking towards the doors. The doors opened and water started coming in.
"Water!" Me and Cristina said at the same time, it was cold.
"Whoa!" Iz expressed.
"Get out." Cristina said to us.
"Oh god. It's everywhere. What's happening? What happened?" I heard Iz ask but I was getting out of the elevator.
"Come on. Come on. Let's keep moving. Move!" Alex said to us.
"We need to get the Chief or someone." I said as we were walking through the water which wasn't that deep.
"Go! Go!" Mer shouted. We started moving all the pre-op patients to the clinic. I hated this. Cristina went to help with Mr. Patmore whereas I was helping move the patients to dry land. We really should transfer them to a different hospital. When I got back to Mr. Patmore, Cristina had only just finished doing the bloods. I stayed Mr. Patmore and told him about the procedure that would take place before leaving. When Mark came we took him down, I was allowed to help out, Derek and Cristina were stood behind me.
"Nasal speculum and lidocaine. Larger speculum. Another lidocaine." Mark said to the nurse.
"We're just watching?" Cristina asked Derek.
"I'm a pain specialist and I would've missed this thing. So, yes, we're just gonna watch." Derek said to her, I was just watching Mark waiting for him to tell me what to do.
"Don't ever use me again to try and influence her. You and I are not team Meredith." Cristina whispered to Derek, Alex rushed into our O.R.
"We need the O.R. We need the O.R.!" Alex shouted at us. We needed it as well, we were in the middle of our surgery. We can't exactly stop halfway through. Hahn brought her patient in. Of course after we'd closed up Mr. Patmore, Cristina went and took him.
"Anybody see anymore damage, any bleeding?" Hahn asked us.
"No, no bleeding. I just cleared the lower left quadrant." Derek said to her.
"Give me the pulse irrigator." Mark said to her.
"Dr. Hahn, take a look at this right here. The pancreas- -is that, uh, damage from the debris?" Alex asked her, I took a look at it.
"No, no. That's a tumor." Hahn said to us, that made this mans luck even worse.
"Oh, son of a bitch." Alex said to us, we closed him up and Alex took him out. Bailey told me to help moving patients so that they could be transferred to other hospitals. When I had finished, I went to change before heading home. Doing the same thing with greeting Marissa, paid her before doing my usual thing and watching tv with a beer. Before heading to bed. That flood today was truly going to cause some problems.
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