Today's exercise has three different prompts so I'm going to save the others for the weekend. Here's
today's:
Leoni looked around her - all those years of learning, of dreaming, and all she had to show for it was...
Leoni looked around her - all those years of learning, of dreaming, and all she had to show for it was a half-empty bottle of oxycodone. That and a half dozen diplomas that now weren't worth the paper they were printed on.
It had seemed such a safe specialty. It wasn't like she was a surgeon or oncologist. Most of her contact with patients took place in her office and everyone had very common, predictable problems. Leoni was convinced she had it under control - she only binged on the weekends and was sure to never drink more than she could handle when she was on call.
She would console herself with the fact that she knew so many other doctors that had a "real" problem. It started with parties in med school - just to blow off some steam after they'd been studying so hard. Then, once they had all graduated they went on to internship... and the stress just increased from there. Now they could write prescriptions for each other. Combine that with the powerful and omnipotent state of mind that had been drilled into their heads for years and it wasn't surprising what happened. She had an ethical qualm from time to time, but her friends would remind her that they were qualified to make those decisions.
I have a medical need for it, it is an appropriate medicine for the problem, and I am qualified to make the decision. Problem solved.There were times, too, where she had miscalculated her tolerances and been a little buzzed when meeting with patients. Nothing serious, and they hardly noticed. So much of it she could do in her sleep anyway, and the techs and nurses took care of a lot of the work too. They'd come in and stick an ultrasound film under her nose. All she had to do was count the limbs and make sure it looked right. Sometimes she'd have to identify the sex or check the nuchal translucency to test for Down's.
She had it all under control, at least until a couple months ago. It had been a long week at work and she was celebrating the end of it at home. Some friends had come over earlier but had gone home two hours ago so she was left alone with her wide variety of alcohol. Another hour after that and she was passed out, asleep, on a couch.
Surprisingly, even in her deep sleep, her phone managed to cut through and wake her up. She never had any problem with that either and it was a point of pride.
If I was really out of control then I wouldn't be able to hear the phone. Leoni stumbled over to it and checked the display - it was a voicemail from that Jenkins lady. Again. She'd had three cases of false labor so far and no doubt this was another.
This is going to go on for another month still, she's nowhere near ready to pop yet.Leoni found her purse and walked outside to hail a cab in order to meet Mrs. Jenkins at the hospital.
And on my day off, too. This better not take long.
After paying the driver she went straight to the coffee shop in the waiting area of the hospital. She then made her way to the maternity ward and sipped at her steaming coffee while waiting for her patient and trying to clear her head out some.
Should just take 20 minutes or so. We'll wait, nothing will happen, and we can both go back home.
But her patient was very much in real labor, though it progressed quite slowly. After a while Leoni's bitterness and irritation at being interrupted on her day off began to eat into her patience and she ordered pitocin. Unfortunately, as early on as the labor was, this only made the problem worse and her labor dragged on for hours.
When the time finally came she discovered the vacuum hookup in the room wasn't operational. The nurse began getting Mrs. Jenkins ready for transfer to another room but Leoni decided to do it "the old fashioned way" and got out the forceps.
It was that decision that was the main one leveled against her in the ensuing malpractice trials. Will Jenkins had suffered permanent nerve damage due to misuse of the forceps and was paralyzed from the neck down.
She had plenty of malpractice insurance, of course. And she did eventually win the trial as it was impossible to prove that she was intoxicated at the time. But the hospital knew. It wasn't the first time it had happened and several staff members from the hospital testified at her hearing before the State Licensing Board. In the end, her license was revoked and with it she was now opened up to a number of criminal and civil trials as the Board had found her to have practiced medicine while under the influence.
The hospital did recommend a number of treatment programs that she could go into and she promised to look at them very closely. But inside she couldn't see any reason to.
Regardless of what that Board says, I still know what I know. I'm still a doctor at heart and I know what I can take and what I can't. I'll be fine.
Yeah, so, just a footnote to that. I've noticed that they've been kind of grim to start out with. It comes easier than cutesy, so sue me. But I've got some nicer ones lined up - at least one this weekend. So hang in there with me.