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"Refractory, in this context meant resistant to treatment. Her heartwas not responding to our efforts to reset it. To restart it if youlike. VT was short for Ventricular Tachycardia. In this casepulseless VT. Her heart simply wasn't pumping blood on its own.I had a thought."Dane," I asked of my airway nurse, at the patients head end. "Whatare her pupils doing?" Mid size and reactive," he announces, somewhat surprised, aftershining a torch in them.I turn to the two arguing Doctors, as if Dane's observation wasstatement enough.They stop their exchange and stare at me blankly. Clearly it wasn't."Don't you see? Her brain is still perfusing. It doesn't matter thatit's been thirty minutes. She's had a witnessed arrest and good CPRsince the outset. We need to put her on cardiac bypass, or evenECMO. We can still save her."Stanley scoffs out loud. "At 5am in the morning. Do you have anyidea of the logistics involved with that? And the cost? And how longit would take? You've got to be joking.". " Her voice sounded raw. I passed her the box from my bookshelf and walked to my seat, putting the laptop on the corner of my desk. I do not think her eyes left me until I sat down. As I was settling into my desk and reaching for the phone, she took the opportunity to blow her nose and dab her eyes. I kept my finger on the hook release and then put the handset back in place, looking at Luci."Better? Ready to be seen in public?" I was smiling at her when I said it."No, but I don't have a choice do I?"I wished I knew what was going on, but I had a list of things to do and really had to get moving before the day got much further along. As it was, my phone seemed to have a life of its own."This is Gary," I was in no mood to talk to accounting."Hi, Gary. Janice gave me an update, but I wanted to see if Paul had managed to get the database sorted out." Sorry Bob, Paul isn't in today and it fell on my desk, which is currently knee deep in alligators." Luci giggled from the couch and made.
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