the demise of her seemingly perfect life and raising their child, he’d left town to pursue her dream, to steal her future.
“Calm down, honey. It’s not as big a deal as you’re making it out to be” had been the last words he’d spoken to her until today. And they’d been incorrect. To a sheltered, motherless teenager raised to believe sex before marriage was a sin, giving up her virginity to the boy she’d fallen in love with, the absolute wrong sort of boy who, just a few hours previously her father had forbidden her to see, had been a big deal.
Life as she’d known it changed that night. And two weeks before his high-school graduation, Kyle Karlinsky had abandoned her to deal with the consequences on her own.
“Not bad.” He nodded in approval. “Marginally funny. Delivered with just the right amount of sneer. Looks like someone’s developed herself a sense of humor.”
“Is that what this is, some kind of prank?” He’d been famous for them back in high school. She glanced at the credentials sewn onto his lab coat beside his name. DPT. Okay, so he wasn’t a medical doctor. But still. A doctorate in physical therapy? “No way you made it to PhD.” The thought of him staying focused long enough to write a doctoral thesis was ludicrous. “And impersonating a physician is reprehensible.”
“Pulling out the big words, huh? Let’s see. Reprehensible. R-e-p-r-e-h-e-n-s-i-b-l-e.” He spelled it out like he was in a spelling bee. “Reprehensible. Deserving of blame or censure.” His smile widened at Victoria’s surprise. “Maybe I wasn’t as dumb as you thought. Maybe I only pretended so I could …”
Steal her virginity, as so eloquently bellowed by her enraged father.
“I never thought you were dumb, Kyle.” An underachiever? Yes. A slacker? Most definitely. Stupid? Absolutely not. “I tutored you. I knew what you were capable of if only you’d have put forth a little effort. But you wouldn’t.”
“Now that’s not entirely true. With the right incentive
I was an excellent student.” He mocked her, his eyes dark.
“I promise to study for my trigonometry test if you kiss me. Slip me some tongue, I’ll get a B.” Okay. So it wasn’t an approved method of teaching. But, at the time, it’d been the only thing that’d worked.
“I seem to remember,” he said, leaning close, invading her personal space. “I did a bit of tutoring myself.”
He sure had, with a hand under her skirt in their private study room, up against the cinderblock wall behind the gym, and in a secluded spot down by the lake. At the memory, an unwanted, excited tingle crept out of hiding deep in her core. She slammed it back, refused to acknowledge it, would not let him get to her. Not again.
“Help,” a woman cried out.
Victoria jerked her head in the direction of the panicked voice. A pale, middle-aged woman with dark hair ran into the hallway. “My father. He’s choking.”
Without hesitation, she ran to help. The morbidly obese patient she recognized as Mr. Schultz sat in an extra-wide chair beside his bed. Mentally she cued the information she’d obtained during morning rounds. Age seventy-two. Status post-CVA six days ago with residual right-sided hemiplegia, speech deficit, and difficulty swallowing.
“Are you able to breathe at all, Mr. Schultz?”
He slapped at his neck with his left hand and strained to inhale, a high-pitched wheezing sound the result.
Quick assessment: Face flushed. Diaphoretic. Eyes pleading. Inefficient air exchange. Victoria pushed his over-the-bed table out of the way, noticing an open bag of colorful hard sucking candies as she did. His daughter was going to get a stern talking to when this was all over. She inserted her hand behind his back and pushed him forward, giving four rapid blows between his shoulder blades.
Nothing.
“Papa. Don’t die, Papa,” the hysterical woman cried. “You have to save him.”
Victoria moved in front of the patient. “Open your mouth, Mr. Schultz.”
She could not see the obstruction. “What can I do to help?” Kyle asked.
“I need this bed out of the way.” So she could reach the suction apparatus on the wall behind the patient. “Then please accompany Mr. Schultz’s daughter and his roommate to the lounge.” As stressful as this situation was for her, a trained practitioner, it was worse for a family member/roommate to experience, especially if things didn’t turn out well.
“I’m going to help you, Mr. Schultz,” she said, surprised at how calm her voice sounded, knowing the man was probably past listening or understanding but needing to say it just in case.
“I don’t want to go. I want to stay with him,” the daughter yelled.
Kyle spoke to her in soothing yet persuasive tones.
Victoria focused on her task. She reached for the disposable suction container and snapped it into the plastic wall receptacle, thankful her exemplary staff made sure each room was fully stocked with all necessary equipment at all times. Her hands shook. It’d been a while since she’d been in any life-or-death situations. They were not her favorite part of nursing, too many variables outside her control.
“Almost done, Mr. Schultz.”
Kyle rushed back into the room. “Should I try the Heimlich?”
“Can you get your arms around him?”
“I think so.” Unable to squeeze behind the patient since she was back there setting up suction, Kyle moved the chair like Mr. Schultz was the size of a child rather than the three-hundred-plus-pounder he was.
“I think his belly is too large for your thrusts to be effective,” Victoria said. “Position your hands over his sternum instead. Pull straight back. Hard and fast.”
Kyle did as instructed with excellent technique but no positive result.
The patient’s skin took on a purplish reddish hue. They were running out of time.
Leaving Kyle to continue his attempts on his own, Victoria returned to the suction equipment, hooking the red vacuum tube to the container. She ripped open two sets of tubing, unraveled both. One she connected between the collection container and the wall gauge. The other she attached to the nozzle labeled “Patient”, then pulled apart the ends of the wrapper on the curved oral suctioning catheter, and, attaching it to the suction cable, was finally ready to proceed.
“Any luck?” Victoria pulled on a pair of latex gloves and turned back to the patient.
“No. He looks about to pass out.”
Yes, he did. If one attempt at suction didn’t work she’d call for the code team. Victoria removed the suction catheter from its packaging, turned on the suction device and cranked the knob to high. When she reached for Mr. Schultz’s chin, preparing to open his mouth, he grabbed her wrist. Hard.
Kyle intervened, prying the patient’s fingers off her. “She’s trying to help you, sir. Let her do her thing.”
Victoria placed
