E.R. in a month?”
Hope put the question to Dr. Cal Westen, a pediatric trauma specialist, and Dr. Mitch Tenney, the E.R. doc on duty. They were Jake’s partners in the trauma practice. Both worked at Mercy Medical Center’s main campus and they stood with her in a hallway just outside the emergency room.
Mitch thought about the question for several moments. The dark-haired, blue-eyed hunk was dressed in green scrubs. He was on duty but had taken a few minutes to answer her questions after waiting patients had been triaged and sent to rooms where they’d be seen in the order of symptom severity.
Dr. Tenney had a reputation for passionate intensity, but had been eager to help when she’d explained she had staffing questions regarding the soon-to-open hospital.
“In a month we probably get ten to twelve level threes,” Mitch said. “Those are usually head trauma from MVA—motor vehicle accidents. Or GSW—gunshot wounds.”
“How many children?” she asked the pediatric specialist.
Cal Westen was no less super-hot than his partner, but his coloring was different. Dark blond hair and blue eyes made him look more relaxed, but his skill and rapport with kids was well-known.
“We probably get twenty-five kids a day,” he said, sliding his stethoscope over the back of his neck, letting the ear tips and circular chest piece dangle. “Fever is the most common complaint followed closely by wheezing—a level-one nebulizer.”
Hope jotted down a few things in a small notebook. “I’m guessing that those kinds of issues are seasonal?”
Cal nodded. “Spring and fall pick up because of allergies. And we get a surge when kids go back to school. In large groups the germs spread faster. They get colds and flu. Wheezing is a secondary complication.”
“As far as staffing we need to take that into consideration.” She’d been an E.R. nurse, but every hospital had its way of doing things. It was her job to observe Mercy Medical’s procedures and improve on them with the new campus. If possible. “What’s the work flow like? What happens when patients hit the door? Where do they go?”
“Sometimes we sit around and twiddle our thumbs. Sometimes it’s saturated.” Mitch rubbed a hand across the back of his neck. “We assess everyone right away. If we’re really busy, the least severe cases see a nurse. Next would be E.R. doc. Me. The level threes are evaluated by the trauma surgeon.”
“That would be Jake.” When both doctors looked at her she said, “We’ve met.”
Especially their lips and bodies from chest to thigh had met. The memory made her hot all over even though she’d enthusiastically agreed with his suggestion, just yesterday, that they forget all about that meeting.
“I understand Jake was with you the other night when he was appointed to chief trauma surgeon.” There was a gleam in Cal’s blue eyes.
“I did see him. Right after Congressman Havens made the public announcement.”
She remembered Jake’s gruff, curt responses when he’d answered his cell that night. Probably Cal had been on the other end of the call. He’d be curious because the appointment would impact their practice. Did he also know that he’d interrupted an intensely personal moment? If he didn’t, she certainly wasn’t going to confirm. All business. She and Jake had agreed.
“So,” she said, looking from one hot doc to the other. “You both put in a lot of hours here in the hospital?”
“Yeah.” Cal checked the pager at the waist of his scrubs. “We’re in the process of looking for another pediatric specialist and E.R. intensivist for the practice. Both of us are married and want to spend as much time as possible with our families.”
“You have children?” she asked.
“I have a little girl,” Cal said, a proud smile curving his mouth. “Almost two.”
“And I have a son.” Mitch’s smile was pleased. “Going on a year.”
So hospital gossip was right. Two of the trauma docs were no longer single. All evidence pointed to the fact that they couldn’t be happier about losing their playboy position to Jake.
“Is it hard,” she said, “seeing sick children when you have little ones of your own?”
“It was hard even before I became a father,” Mitch answered. “I went through a cynical phase and had to work through some issues. A lot of patients come in for things that could easily have been avoided. I had little tolerance for that. It was my wife who helped me mellow.”
“Really?”
“Yeah,” Cal said. “Jake and I are incredibly grateful to Sam for this kinder, gentler Mitch.”
“Bite me,” his partner said.
“Seriously,” Cal continued. “I don’t see my daughter in every child I treat. But I do understand now how parents feel and try to be more sensitive to that.”
“I see.” Hope saw a nurse in the E.R.’s doorway signaling to the doctors. “One last question. Stryker gurney or Hill-Rom? Hospital administration has a contract with the latter. We get a rebate after a certain number ordered. But I like Stryker.”
Mitch thought for a moment. “Hill Rom is fine.”
“The goal is to see patients as quickly as possible,” Cal interjected. “But when it’s nuts in the E.R. people have to wait and the Hill-Rom beds are more comfortable. We’re so ready for the new campus to open and take a little of the heat off us.”
“I bet.”
Mitch nodded. “In fact administration is training a sales nurse to channel people in your direction when the hospital’s up and running.”
“Really?” She hadn’t heard about that yet and wasn’t sure how she felt. Sales and patient care seemed mutually exclusive—or should be.
“Yeah—”
There were footsteps behind her and she saw recognition in both doctor’s expressions.
“Hi, partner,” Mitch said.
“Hi.” Jake was looking at her.
Hope noticed the green scrubs and knew he’d come from the OR. She’d heard he was working on a young boy. The dashing hero. At the moment he didn’t look dashing, just dog-tired and she asked, “How are you?”
“Bushed,” he confirmed.
“How’s the kid?” Cal asked, worry sliding into his eyes.
Jake looked at his partner, then met her gaze. “Daredevil boy plus flashy bike equals belly trauma. He won’t be taking jumps off the curb at warp speed again anytime soon. But he’ll be fine. I just gave the good news to his parents.”
“Glad to hear it,” Cal said. “Speaking of parents … I have to go.”
“Me, too,” Mitch agreed.
“Thanks
