Categories > Celebrities > Fall Out Boy > All We Are

Payton is called to an emergency..

Category: Fall Out Boy - Rating: R - Genres: Drama - Published: 2008-01-25 - Updated: 2008-01-25 - 1802 words
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Thanks to everyone that has taken the time to review!
Please remember what I said before chapter 1..I am NOT a doctor, so I used some things I know, on the fly research, and lots and lots of watching ER.
Love, Dani

Chapter 5

The ride home was less than pleasant for both Pete and Ashlee. He was still pissed at the way that she had acted at the charity event, and she was less than pleased with his lack of sympathy.

As the SUV being driven by a private driver pulled away from the fairgrounds Ashlee wasted no time in letting Pete know that she expected to be taken home, and that meant HER home and not HIS.

During the time that they had been together, before and since the engagement, she had just spent a lot of her time at Pete’s sleeping, eating and just hanging out, but had never officially moved in. The issue of them not living together never really had been a problem or even had come up.

Pete was thinking about that as they drove to Ashlee’s house in silence. Why had it never really bothered him that she still had her own home? If they were going to be married shouldn’t they have had some kind of talk about living arrangements before now?

He had always liked an independent woman, and before now he had wrote off her separate home as a sign of independence. But then when he truly thought on it, as he was right now, was Ashlee really all that independent?

‘Because running to your Daddy every time there was even a hint of a problem, was not really a sign of independence.’ he thought sourly.

As a matter of fact, he would bet a Fall Out Boy triple platinum record that Ashlee’s Father would know every detail of what happened today within an hour of her getting home.

Pete knew that they needed to have a serious conversation about a lot of things that had been going through his head lately, but right now was definitely not the best time. He sighed as he stared out the window for lack of anything better to do.

As soon as the SUV pulled into her private driveway, Ashlee jumped out of the vehicle without saying anything at all. Pete called her name softly as she slammed the car door, but it was not a true attempt to stop her.

He watched her go into her house and as soon as the door closed, he asked the driver to take him home.

Just as they were pulling back out onto the freeway, Pete’s sidekick rang. He looked down to read the incoming call and said, “Shit.” It was Patrick, and Pete was definitely not ready to share what had happened between him and Ashlee today.

He took a deep breath and answered the phone, “What’s up Trick?” There was a silence on the other end, though Pete could clearly hear someone breathing.

“Patrick?” Pete tried again. Finally Patrick started to talk, only it sounded garbled, almost like he was choking as he talked.. “Oh God Pete.. Something’s happened..”


******


Payton walked into the hospital cafeteria to grab a quick bite to eat. Usually she either brought something to heat up from home, or she tried to get away long enough to eat outside the hospital. Today she had started off doing morning assessments in the NICU and later tried to get caught up with some paperwork that had been waiting for her. Lunch time had come and gone before she even realized it.

So far her day was going well, at least compared to the other day. She had walked into the NICU ward this morning and found that Baby J was doing much better. His oxygen levels were up, and he seemed to be stabilizing. It wasn’t time to pull out the party hats just yet, she knew only to well how fragile a premature newborn’s health could be. It would be awhile before they would be able to relax as far as he was concerned.

Payton looked over her choices, then settled on a pre-made salad that looked somewhat fresh. She then grabbed a diet Dr. Pepper from the cooler before making her way to the cash registers.

“Well, well, well. If it isn’t the prettiest doctor in Chicago gracing us with her presence!” This came from an older man that was standing at the register ringing people up. When Payton heard that voice she looked up and smiled. “Hey Marty! How’s it going?” She sat her tray down so that she could grab the money that she had remembered to stick in the back pocket of her blue scrubs.

Marty had worked in the hospital cafeteria for going on 27 years, and he never missed a chance to flirt with a pretty nurse or a pretty doctor for that matter. He loved to pick on Payton for not coming to the cafeteria very often to “see” him.

“Oh you know how it is Dr. Wells, I’m not getting younger.” he chuckled. “But if they were able to find a miracle cure for old age you would be in trouble young lady.”

Payton laughed good naturedly and was just about to reply when her hospital pager went off. “Hold that thought Marty.” she held up her finger. She lifted the hem of her shirt to read the pager that was attached to her waist. Code 1222. That meant that she was needed on the maternity floor immediately.

She looked back up at Marty and sighed, “I’m gonna have to book it back up to my floor. Could you put these somewhere cold for me?” she pointed to her salad and drink. Mary gave her an understanding smile, “No problem Doc, if I don’t see you by the end of my shift I’ll have someone run this up there to put in the lounge for you.”

Payton was already rushing toward the exit door. “Thanks!” she called over her shoulder.

*****

“What’s the situation Hannah?” Payton demanded in a no nonsense tone as she rushed into the ward. Hannah was one of the Neonatal Nurse Practitioners that worked the NICU.

“Dr. Weber has an emergency cesarean coming up from the ER any moment. We were told to begin preparations.” She answered quickly.

“How far along is the pregnancy?” Payton asked as they began briskly walking toward surgery.

In addition to the NICU ward, the maternity floor contained surgery rooms, several birthing rooms, a regular nursery and hospital recovery rooms.

“I believe they said 31 weeks. Dr. Conroy is waiting for us with all the patient details.”

Dr. Dan Conroy was the attending neonatologist on duty that evening. There were usually at any given time one attending, and one fellow each to oversee the NICU as well as several of the residents and neonatal nurses.

When they reached the surgery area, they both went strait to the scrub room and began preparing themselves. As Payton was tucking her hair into her surgical scrub hat, Dr. Conroy came rushing in.

He began to rattle off the information that he knew. “O.K. guys looks like we have a 24 year old female, 31 weeks gestation. She was diagnosed three days ago with preclasmia and put on bed rest.”

As they began to scrub their hands and forearms in the sinks that lined the wall he continued, “This morning she began to feel slight cramping and mistook them for Braxton Hicks contractions, but then discovered heavy bleeding while using the bathroom later on. An ultrasound was done in the E.R. and a severe placental abruption was discovered.” Dr. Conroy had said that last bit of information in a grim tone of voice.

They all knew how serious this situation was. In addition to the fact that this baby would be at least six weeks early, there was no way to know how much blood supply had been cut off to the fetus. They certainly had their work cut out from them with this one.

The NICU team entered the surgical room to begin to prepare the area where the infant would be quickly evaluated and worked on by them.

Soon the patient was wheeled in with several nurses and following close behind was Dr. Baylor, the anaesthesiologist that was on call.

In situations such as this, the patient was usually put under a general anesthesia so that the baby could be extracted as quickly as possible.

Payton looked over at the pregnant young woman as she was already slipping into a deep medication induced sleep. As a nurse began coating her bare pregnant belly with an antibacterial wash, Payton could only imagine how frightening all this had to have been for her.

Finally everything was set to go and a very solemn Dr. Weber rushed into the operating room. He walked briskly to the patients side and began asking the anesthesiologist several questions. Then he said, “OK let’s do this people.”

And it began. In an emergency situation it can take as little as 5 minutes from the initial cut for the baby to be born if needed. This c-section was no different, and very soon a perfectly formed baby girl was handed over to the waiting NICU team.

The infant made no sounds at all, and truthfully Payton didn’t expect her to. More often than not, they were handed very silent lifeless little bodies and that’s usually when their work began.

Payton immediately began an umbilical catheter through which blood, fluids, or medication could quickly be administered. Dr. Conroy had already began the respiratory assessment to determine how much help breathing they would need to provide the infant.

Occasionally an order would be issued by either doctor to one of the NICU nurses, but other than that nothing else was said. These first few moments after birth were always the most tense.

Another conversation from the other side of the room vaguely registered in Payton’s ears. She knew that the OB surgical team was busy doing their part to insure that the Mother remained stable while they set to work closing her up.

She truly hoped for the sake of the new Mother that this little girl would make it. “Come on sweetie.. we need you to fight for us.” Payton urged under her breath, as she listened for the sound of the baby’s heartbeat.

_____________________

FYI..Some of you will know these terms, some of you won't.
PRECLASMIA is when a pregnant womans' blood pressure shoots way up.
PLACENTAL ABRUPTION is when the placenta literally unattaches to the uterus wall.
BRAXTON HICKS are non labor contractions, normal for alot of pregnant women.
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