New York City Docs. Tina Beckett

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       CHAPTER EIGHT

      TESSA’S ATTENDING WAVED to her as he walked past the desk where she was reading through some of the newer protocols on melanoma. It seemed research was showing that the depth of the tumor wasn’t always the best predictor of whether or not it would metastasize, rather it depended on the type of melanoma itself. So even very thin tumors could be deadly.

      “Do you want to check on your patient this morning?” he called.

      “Mr. Phillips?” The elderly gentleman was still recovering from surgery on his broken leg. “Have you gotten the results back on his scan?”

      Brian backtracked until he stood in front of her. “I was just going to check the computer to see. We can stop by my office on the way.”

      “Sounds good.”

      She followed him down the corridor to where some of the staff offices were. Once there, he sat behind his desk and she slid into one of the chairs in front of it. Tapping the keys on his computer, he soon pulled up the file and turned the monitor so they could both look.

      Flipping through the different slides, he soon got to one that made Tessa lean forward. “Oh, no.”

      Mr. Phillips’s liver had a couple of hot spots on it, as did his lungs. “I see them. We’ll need to talk to the patient and then assemble a treatment team.”

      Tessa’s heart contracted. The leg break was now suspect, as well—although it could be coincidental, due to his age. They wouldn’t know for sure without a bone scan. And at almost eighty she wasn’t sure what kind of intervention his body could handle. If they’d caught the cancer earlier…

      Memories of her mom’s fight came winging back. It had been a similar case, only her tumor had been deep-seated, roots extending down to the lower levels of the dermis before it had been caught. By then it had been too late. It had spread everywhere.

      None of that helped them right now, though. All they could do was come up with a plan.

      Brian looked up. “Thoughts? He’s officially your patient.”

      And this was where the weight of responsibility became heavy. It was one thing when you worked under someone and they made the final decisions. Tessa was rapidly coming to a time in her career where she would make those choices. As much as she might wish it were different, to have it any other way would be a cop-out. Brian was basically handing this case to her. She should be ecstatic. Instead, she was swamped by indecision. But she’d better snap out of it or she may as well hang up her scrubs right now. So she stiffened her spine.

      “I concur with what you just said. His daughter flew in to see him pretty soon after surgery, and she’s got medical power of attorney in the event that anything happens, if I understood her correctly.”

      The daughter whose name was Tessa. The memories of Mr. Phillips protecting his modesty seemed bittersweet now.

      “Good,” Brian said. “DNR order?”

      The tightness in her chest grew. DNR… Do Not Resuscitate. “I don’t know. I was hoping the section was all he’d need.”

      “I’ll need you to check on that. Talk to the daughter.”

      She knew that Brian didn’t mean to sound brusque. It was part of remaining objective enough to do what was best for the patient. And she should be grateful that he was guiding her through the necessary steps, because right now her head was spinning. She’d lost other patients, especially when she’d done her trauma rotation. But there was something about this one…

      Maybe because she and Clay had worked side by side on him—as if by joining forces they could double their healing power. But there was an inferno raging within Mr. Phillips’s body that would take a miracle to put out.

      “I’ll talk to her.”

      “I was going to go down with you, but the fewer people in the room when he hears the news, the better.” He studied her across the desk. “Are you up to this?”

      Was she? This wasn’t going to be an easy conversation. And she could probably say the word and Brian would go down in her place and handle everything. She wouldn’t ever have to see Mr. Phillips again. But sometimes caring about a patient meant having to relay difficult news and muddling through it the best you could. And if she was ever going to be able to do this job on her own, she was going to have to take the bad with the good. Walking with the patient, working together to make the very best choices, brought its own rewards—even if that reward was in bringing honor and dignity as they made end-of-life care decisions.

      But they weren’t there yet. The team would meet and come to a joint recommendation. That was, depending on what Mr. Phillips wanted to do.

      “I’m up to it.” She stood. “I’ll let you know what the feeling is from Mr. Phillips and his daughter.”

      “Call me if you need me.” He glanced back at the screen, where those bright spots seemed to glitter an unspoken accusation at her. “And, Tessa, I’m sorry. I didn’t expect to see this any more than you did. Sometimes these things just don’t follow any pattern.”

      Maybe they did, though, in this case. The tumor hadn’t been all that deep, and she’d gotten down to clean margins. But somehow those cancer cells had ventured outside that dark circle and burrowed deep inside Mr. Phillips’s body. She wondered if Clay knew yet.

      Probably not. He was an orthopedist. That’s where his efforts would be concentrated. No need to even contact him with the news. Besides, he could pull the results up just as easily as she could, if he wanted to.

      “Thanks. I’ll let you know how things go.” With that, she left his office. About halfway down the hallway she stopped and leaned against the wall, drawing a couple of deep breaths and trying to organize her thoughts. No sooner had she done that and gotten on the elevator that her time with Clay in this same space filled her head and made tears spring to her eyes.

      The back-and-forth innuendos and laughter seemed crude now.

       You’re being ridiculous. This is part of being a doctor. If you can’t handle it, you’d better get out now.

      Someday she would take a patient’s diagnosis in stride, as Brian did. As Clay probably did. But today was not that day. Not with the anniversary of СКАЧАТЬ