Married by Mistake Chapter 37. Las Vegas, Declaring A Medical Emergency

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Chapter 37. Las Vegas, Declaring A Medical Emergency

The jet punched a hole in the air as it sped over the horizon, taking a direct line to the desert city, shining like a jewel in the barren land.

They had to get down, Tom’s arm was showing signs of decompression illness, a kind of compartment syndrome that blocked blood from circulating in his arm. If it was up to Captain Watson, she’d have an ambulance waiting for him to get him to the medical center emergency room.

Pushing the limits of the rated engine’s power until they could not go any faster, Captain Watson managed to shave a measurable amount of time off the trip. A planned orbit of the city that would give the passengers a view of the beauty of it, even during the daylight the view was glorious. The Captain skipped the flyover and they saved a half-hour to get him on the ground.

Captain Watson would never say it outside of the conversation with her first officer sitting to her right.

“The fool flew too soon.”

“Did he have medical clearance?”

“No, I would bet not.” Regina said as she got cleared for her approach, declaring a medical emergency and ordering a paramedic unit.

The wheels touched with a feather like control that Watson used. A fine pilot, she never bounced the passengers or her planes if it was humanly avoidable.

As they taxied to the private terminal, she heard Tom moan loudly with a profanity.

“We need to expedite this. That medical problem is growing worse back there, Captain.” Kevin spoke quietly.

“Check on EMS, be sure they’re cleared to meet us when we stop.” There was no room for questions. “I will speak with Thomas Harte and see what is going on with his arm.”

“Affirmative that.” Kevin nodded, patting his shirt, confirming the mobile phone that resided there was still in place.

Coming to a stop, Captain Watson stood and walked to the rear of the cabin where Kaylee and Tom sat.

“Everything alright?” The Captain could see it was not, Tom was pale, perspiration shined on his forehead.

“Just a bit of an ache.” He hissed through gritted teeth.

“His fingers have gotten darker red, but they are still warm.” Kaylee said.

“Would you let me call you an ambulance?”

“You can.” Tom moaned when he moved his arm. “But I will always be human. Just don’t call me late for dinner.”

Kaylee looked at Regina and sighed.

“I already ordered an ambulance before we stopped. It is coming now.” Captain Watson said.

“I should have let Kaylee carry the bag.” Tom winced.

“Is that is what is going on?” Regina raised an eyebrow. She observed a light pink stain on the bandages that covered surgical wound. “You have saturated the bandages. Look, I can have you back in San Francisco in under an hour.”

“No.” Tom grimaced. “We just need to change the dressings and take a look. I strained it when we packed and I moved the bag.”

“What did they do for you, Tom?”

“They had to graft a vein they took out of his butt.” Kaylee said.

Regina almost laughed, but no one in the world knew.

“I might have over-stressed it.” Tom admitted. “Maybe you can hold over the next few hours, I’ll pay extra.”

“We have another assignment, Tom. But I’ll see what I can do.” Captain Watson said.

“Okay, we can wait until the morning after we get clear of the courts.” Tom looked like he was feeling better.

“But your arm?” The Captain asked.

“We will change the dressing and see what it looks like…”

“It’s gross.” Kaylee nodded.

“But I have finger movement.” Tom said as he wiggled his fingers with obvious discomfort.

“Well, let’s get you somewhere to get the dressing changed.” Kaylee growled. “We have to get to a doctor where we can check that arm right away.”

“Do you know where you are going?” Captain Watson asked.

“I don’t. But we have a rental car here, somewhere.” Tom moaned slightly. Turning his head to look out the window, the paramedic ambulance was coming down the taxi-way.

“Let me give you a directive. You will go by ambulance to the ER straight away.” The Captain said and turned to the Co-Captain who nodded and dialed the tower.

“Thomas, you do not allow yourself to become a wreck. I have a seven-year-old nephew that loves your books. He even has a model of the flying yacht you have. It’s painted in the colors of the Pacific Wizard.” Her tone betrayed her normal professional façade.

“Seriously. I will come fly your jet for you if you need.” Kevin Nunez said. “I hear you have a twin-engine yacht.”

“With wings. And I’ll refuse service.” Tom added, trying to laugh, failing and moaned out a profanity instead.

“That does it, I’m taking him to the emergency room to get that checked out.” Kaylee said and stood up. “Come on, trouble. The ambulance is here.”

“I’m not trouble.” Tom with a strained grin, got up. “I just write it.”

“Yeah. Trying to lift stuff, you refuse to listen, over exert that wound that we spent a million dollars to put back together.” Kaylee growled.

“It wasn’t a million dollars.” Tom said.

“The final bill has not come in, they were charging forty-five bucks a pill for over-the-counter acetaminophen.” Kaylee grumbled. “And you took a lot of pills. It might be a million dollars in the end.”

Two uniformed people stepped on board, a man and woman, both with patches that said “Paramedic” on their chests and back, kneeled next to Tom and took report.

“Maybe. But that is what I have health insurance for.” Tom said in between questions as they escorted Tom from the chartered jet and he bid farewell to the pilots as they went about securing their race-car of the sky.

Tom sat on the ambulance gurney and Kaylee walked next to him while the medics wheeled their patient to the waiting EMS unit. The medic in charge motioned to the second with three fingers.

The EMT nodded without a word, got out of the ambulance before he finished his procedure and got into the driver’s seat.

It took a moment while he sat Kaylee in the front passenger’s seat and made sure she wore the seatbelt, then got in behind the wheel and made a radio report.

“Medic-27 enroute Med-center code 3, one passenger, one patient.”

The radio echoed his report and confirmed the destination.

“Okay, ma’am. Do not ever drive like I am about to do.” He winked and flipped an overhead switch, she could hear clicks of relays as navigated the ambulance around in a careful turn back the way they came. The EMT never used the siren until they got to the gate and out into traffic.

In the back, she could hear the medic describe the serious medical problem.

“ETA 4 minutes.” The medic in the back could have just told someone when lunch would arrive.

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Married by Mistake Chapter 25. Month’s End

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Chapter 25. Month’s End

Kaylee walked slowly with Tom as while she pushed him in a wheelchair towards the ‟Garden of Healing”.

Reaching the trees, native redwoods that bounded the half-acre garden full of native coastal plants.

The garden grew rich with beautiful colors of life, a peaceful location in the middle of the huge facility of intense emotions where hearts and souls healed from having their bodies repaired from different trauma and illness.

The couple enjoyed the sunlight until they came to the natural ten-century old Cathedral Tree where Kaylee parked Tom in his wheelchair, talked and held hands like the lovers they had become.

The Cathedral Tree, a half-circle of redwood trees that grew in a large open area on the campus of the medical center. Kaylee smiled at the smells that reminded her of home. She could feel the power of the Earth that lived here. In the middle of the healing professionals, medicine and sterile atmosphere, the Gods of Old, of life and sky sat in watchful gaze over the modern lives that began, ended and healed in the nearby structures of doctors, nurses and patients.

Except for one stubborn area of his arm, Tom’s condition improved faster than predicted, he impressed the team of surgeons, one suggested that part of the healing was the hand holding by the young wife had a positive effect.

“Attitude accounts for much of the recovery.” A journeyman surgeon said during an exam of Tom’s arm while waiting for Doctor Tribbing.

Fortune had it that the wound made by the glass in the tissues was smoother than even they could do with their surgical steel scalpels. Even obsidian or diamond bladed edged instruments could not have performed a cleaner, smooth-edged incision.

The wound, they said after surgery, was perfect for them to repair. Flesh and even the ends of the bone that were cloven so smoothly that the ends matched up precisely.

The only failure was the annoying lack of healing in one deep area in his arm. A drainage kept coming from the tubes they put in to help his wounds to keep fluid from building up.

Tom had stopped eating for fear of gaining weight and lost weight, despite the IV that ran into his arm constantly. Kaylee nagged him to eat, and when he did, he would only eat the most minute of portions.

Once again she could not help but think of more than three weeks ago. The summer was an adventure in ways she had never dreamed.

They sat in the filtered sun of the Cathedral Tree. The perfume from the tree made Kaylee think of camps and a campfire, she took deep breaths and images of fire-roasted cornbread, and foil-wrapped baked potatoes danced in her head. She could feel the power of the earth coming from the ancient species of tree dance with her muse.

Even obnoxious, bored children that made noise and were under the constant shush of nurses and parents, whispered in the natural wood enclave saved by some genius architect. Such was the power of the Cathedral Tree.

Small crosses with names – people who committed to each other here –  tucked in the small areas between the trunks of the trees. Momento’s of weddings and thanks for the peaceful place in the middle of a medical center.

It promised of a time she looked forward to when the hospital released Tom and they would spend an evening on the beach.

In the quiet of the shade, Tom had slipped into a soft sleep, caused by the residual effects of heavy medications. She sat and held his hand, waiting for him to drift awake again when they would talk more. A conversation between the husband and wife, lovers and friends that could continue after a nap as if it never stopped.

In this quiet moment, Kaylee ’s phone chimed an alert to a text message. As she read her phone, it was a class synopsis that her education mentor suggested for the upcoming year.

Scrolling through the pages, the mentor reduced her class schedule. The math showed she had enough extra credit she had done the year before. She could do one less class this year, two less in her senior year if her grades qualified.

*I might do post-grad credits before I graduate! I like extra credits.*

‟Kaylee ?” Tom was awake! ‟Damn, how long have I been sleeping?”

‟Tom! How do you feel?” It was her standard question. The arm would sometimes cause him in agony. Then she smiled and gave him a synopsis. “Oh. Today or total? You woke up for a half-hour this morning, but you have been pretty groggy the last seven days. They don’t want you to move the tendons just yet.”

‟It has been a week?.” Tom had lost time during his stay. It was a regular start to all his conversations of late.

‟Yeah, a lot has happened and everything has been on hold.”

‟Let me get my mind around this. I’m still fuzzy.”

The drugs they shot Tom up with during the last week faded quickly in the sunlight and redwood perfumed air.

*The nurse had said this would happen when they discontinued his medications that kept him from moving much.* She smiled.

Even in his induced sleep, he was incredibly uncomfortable. A stomach sleeper and the doctor wanted him to keep the arm above his heart.

‟We need the annulment papers signed. We can file them tomorrow or the next day. I’ll have Robin, my lawyer, do it. You just need to sign the papers, they are on the Flying Sea Dragon.” Tom said quietly. His voice much improved since the first night when the nurse said it was a side-effect of having a tube pushed past his vocal cords.

‟What about your signature?” She frowned. This moment took a sudden turn to the sad-side.

‟I signed the papers weeks ago, a night you were crying in your sleep.” Tom said quietly, a shot of pain ran across his face. ‟You whispered Glenn’s name in that dream.”

‟Omy god, I’m so sorry.” Kaylee doubted that the pain was from his arm.

‟Don’t be. You said from the beginning, we weren’t supposed to be married. And really, you did not have to come here, either. You are a good person, but I am almost twice your age, I have all I have, but I lack one thing.” Tom moved a bit and groaned in pain and whispered a profanity. ” A future.”

Tom looked up at the big tree and gave a big sigh.

‟Like this young tree, your future is still bright and lays ahead of you with your Glenn. Get the papers and walk them over to the offices at the airport. Send them registered mail so it’s a required signature. That way it is the soonest it will be over, and you won’t have to return from your days back home to here and deal with this mess.”

‟Tom, I…” She couldn’t talk, her throat had tightened up like a knot. It was what she had wanted all month, why was it that it seemed to hurt, now that the time was here.

When this mess started she wept for the loss of her single-ness.

She loved with him.

She had fought with him.

She raced to his side in his time of need.

She spoke with the doctor about him and his arm when they thought that they may have to amputate.

She had fought for him with that witchy-woman who would demand he write while he recovered from having his arm, his future, hung by a thread of flesh.

She still felt like he told her to abandon him.

‟Tom, I…” Damn, there goes that knot in her heart again. ‟I will stay until they send you home, there are days I can catch up.”

‟You have to sign up for the classes, I’ll be discharged to attend Doctor Manga’s installation and make a speech. I can do that with only one arm.”

‟Tom, Honey, maybe you and I can get together after you get back from, Cambridge is where it is?”

‟That would be nice, but when I get back from Cambridge I’ll head to other places for a while.”

‟You think you might move?”

‟I am never in one place for long, you know that.”

‟Well, I thought. I mean, I just assumed that you stayed there.”

‟No, I was in Ocean Bay to meet with Dr. Manga and make a few donations and write. I would have been long-gone if we never met.” Tom groaned as he shifted in the wheelchair. “I just couldn’t fly away.”

‟And how do you plan to fly with that arm.” Kaylee was a little taken aback at her effect on his life. She and Tom worked well as a team and she kind of wanted him to grieve. It stung her that he had planned on moving on already. ‟You should be with someone to help you heal.”

‟I’ll hire a nurse, if need. But I think I am okay with flying on a wide-body jet in first-class. I can even buy tickets for four seats so I can spread out.”

This was all twisted, she was about to get what she wanted and he acted all matter-of-fact about how he would return to the world that he lived in.

*It feels like he woke up only to stab my heart.* Her heart and soul had a hard time with this.

*No. This,* she made a choice, *Is an opportunity. My life can get back on track, I’ve had an adventure. Me and Melanie can share this and still be friends with Tom. I can still go live my life as I meant it to be.*

But why did she feel as if she was about to lose a piece of her heart. If Tom wasn’t so badly hurt, she’d break his arm.

*And I can do it, too.*

*Ugh!* She clenched her teeth.

Even if it was right, this was so wrong.

*So damned wrong.*

Married by Mistake Chapte 20. Beside Manner

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Chapter 20. Bedside Manner

Kaylee exited the elevator car and followed the signs on the signs to the locked ICU doors, Kaylee picked up the phone on the wall and held it to her ear.

‟May I help you.” The voice was impersonal, professional and disinterested as if it answered the request for entry a hundredth time this shift.

‟Kaylee Gra… Harte to see Tom Harte.”

The lock buzzed and she pulled the heavy fire-rated door open and walked in to the nurses station.

The tall, redheaded nurse with a badge of ‟Michelle, RN, BSN, MSN” stood up and smiled.

‟You are looking for Mister Harte? The Doctor is in with him now.”

‟Thank you.” Kaylee nodded and smiled and followed Michelle who led her to room ‟E” where through the partly closed drape, through the door she could see a body that lay covered in tubes and wires.

The smells of disinfectant were everywhere, and although the nurses station was cool, the breeze that wafted out of the ICU room was quite warm, tubes ran to Tom’s uninjured arm, an oxygen tube ran from the wall ending in a forked pair of small tubes going into his nostrils.

“Please wait here for a few minutes, Missus Harte, the doctor is with your husband now.” Michelle said. “I’m sorry to have to make you wait, the doctor went in and sat down.”

“No worries, Michelle. I will wait here, thank you.”

The right arm was laying in gauze that had already stained a red and the doctor was touching the copper-colored fingers with a stainless steel stylus.

‟Yeah, I feel that.” Tom croaked out.

‟Good, can you move them?” The doctor asked.

A moment passed, and the fingers moved almost imperceptibly, but definite movement.

‟Good.” The Doctor just noticed them as Kaylee stood outside the door. “OH! You’re his wife?”

‟Yes.”

‟Tom has spoken a lot about you, how do you do? I’m Doctor Tribbing, I led the team to repair the wound in Mister Harte’s arm.” The Doctor pulled the drape open to allow her in and then fully around and obscured the world outside the door. “That was my fault, I didn’t let anyone know I came back here to double-check Tom’s wound.”

‟Kaylee!” Tom’s voice was hoarse and creaky. ‟Hi.”

‟He will sound like that for a few hours, he just got out of surgery, there was a bit of damage and we reattached his tendons without difficulty.” The Doctor nodded then adding. “He may have some nerve damage we are watching for.”

‟What happened?”

‟Report is he dropped some heavy glass object, a broken section of glass hit his forearm and cut a large defect into his arm.”

‟How deep?” Kaylee ’s eyes grew wide.

‟Well,”The Doctor said as he flipped through the chart. ‟Through the soft tissues and the radial bone. It was like being hit by a large scalpel. We had some cleanup to do with glass splinters, but the damage was otherwise clean on his forearm, no breaks, the glass cut through the bone, we did an external fixation— this is why you see this Erector set construction here on his arm. The soft-tissues were similarly cut, but it was, as I said, like a scalpel had done it.”

‟What, how.”

‟He said he was carrying a glass table top that broke when he fell and Mister Harte ended underneath it all with this wound.” Again, Tom gave a weak nod. “So we have some chance of a crush injury as well, but it is not obvious at the moment.”

‟Oh my god.” Kaylee held her hand to her mouth. “Will he be okay?”

‟Yes, he lost a lot of blood, but we fixed the leaks. He said he had to crawl out from under it to get help.” The doctor looked at Tom who nodded.

‟What he said.” Tom croaked again, then went quiet as his eyes closed.

‟He will be in and out for a bit. I prescribed him some pretty potent pain relief. He woke up in good deal of pain after the surgery.” Doctor Tribbing said. “An object hit his hand with considerable force before the glass cut his arm.”

‟He is okay now?” Kaylee repeated herself, her mind spinning.

‟Time will tell for sure, but the prognosis is good.” The Doctor nodded to himself, the smile ran away from his face when a tone in his jacket pocket sounded, the doctor opened the cover and looked at the screen of the flip-phone. ‟I’m sorry, but I must go. He will become more alert in a little while.”

“Michelle!” The doctor turned and called across the hallway.

He walked out to answer the text he received and she sat next to Tom.

‟Hey. You came!” Tom sounded surprised.

‟Yes, I have been here for a few minutes, you talked to me already.”

‟Oh. I don’t remember.” Tom said. “You sure? I know everyone who comes in and out.”

He sounded sharp, but he faded quickly. A blink of an eye that did not open again.

‟It’s the drugs, like when we got married.”

Tom tried to laugh, then groaned. ‟Ouch.”

‟What is wrong?” Kaylee stood and kissed him on the forehead. “Are you in pain?”

‟My throat is sore, like they ran a pipe-cleaner coated with broken glass down it.”

‟Are you sick?” She stroked his nose. “No kisses for you if you are.”

From the doorway, a nurse walked in, different from the one that greeted her. He was heavyset and goatee going grey at the edges, ‟Randy, RNIII, MSN” On his badge.

‟I’m his nurse for the next few hours. Tom has done well during the surgery.” Randy said with a smile. “I hear you are doing well, Mister Harte.”

‟Why is Tom’s throat sore?”

‟When he was in surgery, they put a tube down his throat, it’s not unusual to have that discomfort.” Randy said. Soft-spoken, quick to smile, he had years of caring and seemed to enjoy his job of caring for the sick and injured.

‟How long will his throat be sore?” Kaylee stroked Tom’s good arm.

‟A few hours to a couple of days. His vocal cords got an unusual bit of abuse today. Some ice chips if he wants.” Randy nodded at Tom. “It will go away after a bit.”

‟Ice chips, yeah. Please.” Tom rasped out.

‟You bet, Mr. Harte.”

‟Tom, please. Mr. Harte is my dad. Admiral Harrison Harte. He will be on his way,” Tom winced as he spoke.”Him, you better call him Mister, mister.”

Randy laughed at the wordplay from a recovering patient, just out of post-op.

‟It’s you came back to this room faster than normal.” Randy said when he returned with a plastic cup of ground up ice.

‟I was tired of being in there, I told them I wanted to come back. The nurses in there were telling me that I had to spend time there until I was awake. So, I started singing, “Oh the cow kicked nelly in the belly in the barn” song- I tried to get a singalong with the other patients. They shoved me out pretty fast then.” Tom gave a weak smile.

Kaylee covered her laugh with her hand.

‟Oh, Tom! You didn’t.” She covered her face. “Oh gawd. You are worse when drugged.”

She turned to Randy. “Is it too late to claim I don’t know him? He is embarrassing me.”

Randy laughed.

‟Tom, you are one of a kind.” Randy shook his head and silently exited the room.

‟I did.” Tom said, smiling. ‟All kinds of messed up being in there and in pain. And flippin’ COLD, I don’t know why they have such cold oxygen going on a mask to wake you up.”

“Ugh..that hurt to say.” He grimaced.

‟Tom, you have to hush and suck on ice for now.”

‟I’d rather suck on your lips in a kiss.”

‟TOM!” Kaylee looked around, but no one was close enough to hear. ‟You are… seriously, bad.”

‟Punish me when I get home.”

‟Soon, how long will you be in here?”

‟I don’t know. What day is this now?” He took a small spoon full of ice. “\I feel like I have been in here for a month, already.”

A tap on the door.

‟Mister Harte?” It was a phlebotomy tech looking to draw Tom’s blood.

‟Over there, the pretty dark-haired one.”

This made the blood-draw tech to look between the two people in the room.

‟I heard about you.” The tech laughed. “Sorry, you can’t fool me.”

‟Made you pause though.”

Even with his arm almost cut off, Tom tried for laughs.

Kaylee looked out the window while she sat and thought while Tom flinched and said ‟Ow.” every time the tech touched him.

*A little boy in a grown body.* Kaylee shook her head and laughed again.

Later when she arranged for an overstuffed chair in so she could sleep next to Tom, she began to think twice about things. She hated to admit it to herself, but the truth of it all, he earned her respect. For good or bad, she had grown fond of him.

Differential diagnosis. Or, how do you wish infection on anyone?

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On Weds. it started out with some fun.  the teenager and the nearly teenager went out and we shot the zombie snowman.

Archery Burst01-ANIMATION

 

Lots of fun, this is the “animated’ version.  No video can be uploaded, but you can see the 11-year-old is having a good time.

We had 15-year-old sister with her compound, also having wonderful laughter.  They both would boggle, as i’d shoot and call where the arrows would hit. And hit where I said.

(Psst, I just got lucky a couple of times)

Their ride arrived to take them to martial arts, and away they went. With their mom (My sister) in the hospital after getting plates removed from her previously broken ribs (A total body crunch a few years ago, fictionalized in the story “2 seconds…”) has an infection that now appears to be staph aureus infection and she is on two antibiotics every four hours. I have asked her if it is MRSA, but as of last night she didn’t know. But it is being stubborn.

This leads me to believe I am in Nevada for a longer period of time.

Mama Dash, she twisted her back yesterday (Thus the lack of posting) and something “popped” I palpated her back and found a lump that she and my father said was new.

“Okay, give me a pen.” and I circled it. “Now we go to the ER, if you tore something, it needs to be evaluated and I do not have the tools here. PLUS an Rx for pain.”

Well, she broke a vertebra.  0.o … Otherwise healthy people do not beak bones by twisting while getting ready for a shower.

*sigh* You ever see storm clouds on the horizon and know they’re headed your way?

Yup.

A quick trip to the emergency room and some five hours later, the doctor pulls Papa Dash and myself side.

“Could be an infection but the worse case scenario, multiple myeloma.  It is a kind of bone cancer. So we need to send her to a medical center that has comprehensive testing and personnel abilities.”

So an hour’s drive to Reno to the medical center there for testing.  We were there a long time. Papa Dash and I got home about 2:00 AM.

The up side, sister sledgehammer is about 5 doors down from mom.  Even if sister is under the antibiotic infusion, she can still trundle it alongside her like a nightmarish version of a high-tech pet.

I am going to have to leave you now, and finish this update later.  There is an 11-year-old future Robin Hood in training that is pacing back and forth with a bow in hand. She needs to go out .

Remember my authoring friends.  WRITE ON!  Woot!

And my readers?  Read all you can, laugh live love  and send some my way. 😉 Buy a book? Give me an opinion? Like it? I am pleased. 😀

I need some good news. I have never wished an infection on anyone, but I prefer mom has an infection over the alternative.

Dash