far as I know, this cat bite is the noon rush.”
Beverly chuckled. “Don’t worry, when Lauren and I do a double-coverage shift together, we always have some excitement.”
“I’ll trust your judgment.” Lukas hung up and took the one-minute walk to the emergency room.
He stepped in to find everything quiet. “Beverly, did Mr. Casey estimate how long it would take him to—”
The sudden blare of a car horn interrupted him and continued, obnoxiously loud.
“What on earth…?” Beverly walked through the open E.R. entrance and disappeared down the hallway. In less than fifteen seconds the honking stopped. Beverly came running back.
“Dr. Bower, Carol, I need your help.” She reached for one of the two gurneys sitting just inside the entrance. “There’s a man parked in the ambulance bay who looks like he’s bleeding all over the place. He’s alone.” She pushed the gurney out the door, with Lukas and Carol, the secretary, close behind.
By the time they reached the bay, the forty-odd-year-old man had opened his door and now clung to it desperately as he tried to get to his feet.
“Can’t seem to stand up,” he grated in a deep voice. His face was the color of recycled paper, and even his lips looked bloodless. “Cat bit me.”
Lukas, Beverly and Carol grabbed him and eased him onto the gurney.
Beverly gaped at him, then at the blood around his upper right thigh. “A cat did this?”
He held out a set of keys to her. “I always wanted a beautiful redhead to drive my Mustang. Take good care of her.” His eyes shut and his head dropped sideways.
“Let’s get him inside.” Lukas closed the car door. “Beverly, give those keys to Carol. She can drive this car out of the way and park it as soon as we get him transferred to a bed.”
“Oh, come on!” Beverly protested. “He told me I could take care of it.”
“He needs you worse than his car does.” Lukas held out his hand as they pushed the gurney through the automatic sliding glass doors. “The keys, please.”
Beverly curled her lip at him, but handed over the set of keys. “I’ve never driven a Mustang before.”
“Thank you.” Lukas handed them to Carol. “Would you do the honors? Beverly, let’s get an IV established on this man immediately, and we need to get his clothes off and see where the blood is coming from.”
While they worked on him, the double-coverage nurse arrived. Lauren groaned when she saw Beverly. “We’ll be swamped.” Even as she spoke, the ambulance radio blared. She pulled her long, blond hair into a ponytail and fastened it as she sat down at the desk to take the call.
In fifteen minutes, the emergency room was nearly full. The man in exam room seven had a deep laceration in his right forearm from an industrial accident. Lukas called industrial accidents his “graveyard specials,” because they happened most often during the predawn hours when the need for sleep was at its highest. Lukas used them as an example when arguing against twenty-four-hour shifts for emergency room physicians. This patient had worked since midnight, having had no sleep the day before. Dangerous?
A high school track student in room two had a possible broken wrist. The E.R. staff was waiting for parental consent to treat, enduring endless telephone calls from classmates to check on the patient’s progress while the track coach searched for the completed consent form. Naturally the parents were out of town for the day.
A baby in room three had a red ear, and Lukas was still trying to decide if it was serious enough to treat with an antibiotic. The young mother had come in crying almost as loudly as her baby, and for a while no one had known which of them was here for treatment.
Two unwashed females stood out at the reception desk complaining loudly because they hadn’t been treated yet for their head lice.
“No, you did not ‘wimp out,’ Mr. Casey.” Lukas stood beside the bed of their first arrival, thirty minutes after they’d wheeled him in. The man still looked weak, although his color had improved. “You lost a couple of pints of blood. Your loving pet nicked an artery in your thigh.” He indicated Casey’s bare leg.
Lukas traced the stablike wounds on the inside of Casey’s right thigh. “That’s some cat.”
“This is just a love bite, Doc. My name’s Jake, or Cowboy, but don’t call me Mr. Casey.”
“A love bite?”
“Male African lion.”
“A pet?”
“Had him for four years, since he was a cub. I raise exotic animals for parks and zoos, but I kept Leonardo. He’s good company.”
“When he’s not eating various parts of your anatomy. You must live alone.”
“How’d you guess?”
Beverly entered the trauma room to recheck Cowboy’s vitals and help Lukas finish irrigating the wound.
Covered in nothing but a towel, Cowboy’s whole body blushed. “Uh, Doc, I’d be grateful if you could spare one of those skimpy hospital gowns. It’d cover a whole lot more.”
Lukas grinned at him. “I think that could be arranged.” He glanced at Beverly. He had already seen the way Cowboy looked at her—and the way she looked back. “Maybe I should help him dress.”
“You don’t have time,” Beverly said. “I hear the ambulance phone now, and we have a mom out in the waiting room with three children she wants to have checked out for sore throats and earaches.”
“How long before our surgeon arrives?” Lukas asked.
Beverly wrote down Cowboy’s vitals on a clipboard. “Any minute now, Dr. Bower. He laughed when I told him who it was. He says he’s had this patient before.” She grinned at Cowboy. “I hear you’re pretty adventurous.”
He returned her smile and blushed again. “The folks I work with aren’t always predictable. Dr. Wong took care of a gash I got in the head when a scared zebra kicked me.” He looked at Lukas. “But why do I need a surgeon for this bite? Can’t you just sew me up and let me get home? Leonardo will be hungry before long, and he’s probably worried.”
“Good,” Beverly said. “Let him worry. Maybe he’ll remember this the next time he confuses you with a beefsteak.”
“Sorry, Cowboy,” Lukas said. “Leonardo bit into a deep artery. That’s surgeon territory.”
“But you’ve stopped the bleeding.”
“With pressure. When we remove the pressure, we’ll be leaving an unstable wound that can burst open at any time. You’ve lost enough blood already. You can’t afford to lose more.”
“But, Dr. Bower—”
“Listen to your doctor.” Beverly laid a hand on Cowboy’s arm. “He knows what he’s doing. Besides, if
