Request Fill 19: Part 3 of Crash, in TBoPE / LAWG verse
Title: Request Fill 19: Crash, in TBoPE ‘verse
Author: Caera1996
Disclaimer: Not mine.
Rating: G
Summary/Notes: This is a Request Fill for McRaider in TBoPE/LAWG 'verse. It can be read as a standalone, however. The request was: Jim is in a car accident on his way to work. He's seriously injured but still for the most part coherent, but whatever his injuries are they need to be addressed quickly and because of this Jim is forced into an almost identical situation as the one from when he was a child. He keeps calling for Bones in fear.
Read Part 1
Read Part 2
.
Tavarkian and Smith rejoined Nadjia and Jim in the treatment bay. Jim’s eyes tracked them warily as they came into the room, and he shifted slightly, wincing. Seeing that Jim was holding the phone on his own, Tavarkian glanced at Petit. She simply shrugged. Jim had kept his end of the bargain and hadn’t done anything to disrupt any of the equipment he was hooked up to, so she didn’t spare a thought at disobeying the doctor. So far, so good.
Tavarkian glanced at the screen displaying Jim’s vitals, and very little had changed. His heart rate was still too high, and his breathing was more like panting. The shortness of breath was particularly concerning. From what he’d been able to hear in the chest before Jim had managed to put a stop to everything, he was 99.9% certain he had a pneumothorax - a collapsed lung. The question was, how bad was the damage to the lung? How much pressure was building around the lung, compressing it, and causing that shortness of breath? They needed a blood draw, chest x-ray, the patient needed a chest tube, and a decision needed to be made about whether this was surgical. Soon.
But he’d already made up his mind about one thing. He wasn’t going to just stand there and watch if his patient’s symptoms got any worse.
The three of them listened to Jim quietly talk to the person he’d been asking for, describing what had happened…losing consciousness only to wake up just in time to find himself strapped down, confused and in pain, and too disoriented to make himself understood.
“It was s-so awful. I thought I was going to die, Bones. I couldn’t breathe…”
Bones’ had the phone pressed so hard to his ear, it actually hurt. His heart clenched as he listened to Jim, his voice weak and shaky.
“How’re you breathing now, Jim?”
“Better before…not so good now. Are you here yet, Bones? I…”
Alarmed at how faint his voice had gotten, Leonard nearly scraped his bumper along another car as he parked, manipulating the steering wheel with one hand, still holding the cell with the other. His mind raced through all of the things that could cause that. None of them good. Some of them life-threatening. Forcing down his own panic, he stayed focused, and kept his voice calm. He didn’t want to freak Jim out even more than he already was.
“I’m here, Jim…I’m here,” Leonard said into the cellphone. He exited the car and hurried through the parking lot to the entrance to the Emergency Room. “You still with me, Darlin’?”
“Yeah,” Jim answered. He sounded exhausted…and no wonder. Without any help, without being able to communicate to the EMTs initially, his response to everything that he’d been through had spiraled out of control, and sustaining that level of terror for so long took a lot out of a body. And with him injured and in pain…all of it had just been so much. Too damn much.
“I’m here to see Jim Kirk. Dr. Tavarkian is waiting for me,” Leonard said to the woman at the registration desk.
“Your name?”
“Leonard McCoy.”
“I.D.?”
“Oh for…” Grumbling, but not wanting to do anything to hold up getting to Jim, he pulled out his wallet and showed her his license, and then - for good measure - clipped his SF Gen name badge to his shirt. Absolutely unimpressed, the receptionist printed out a stick-on name badge and instructed Leonard to put it on.
“He’s in Bay 8. Come around the side, and I’ll buzz you in.”
“Bones?” Jim said into the phone. He looked over at Nadjia when she quietly announced that his oxygen saturation rate was down to 89. Tavarkian nodded tightly.
“I’m literally right around the corner Jim.”
Jim focused on breathing, and in the next second, he heard hurried footsteps. Jim’s eyes filled with relieved tears, and he dropped the phone on to the bed to reach for Bones. Without sparing a glance at anyone else in the room, he rushed to Jim’s side, taking his outstretched hand and holding him tightly. Jim clutched him, pulling fruitlessly on his other arm, still secured down. Leonard kissed him gently, wiped tears off his cheeks, then took a second to undo the strap as he shot a murderous glance at the three people in the room who’d kept him like that.
Released, Jim cried out in pain as he reached both arms up to hold on to him, and he pressed his face to Bones’ shoulder when he leaned down to reach him. Jim shook with emotion he didn’t really have enough breath to express, and Leonard had to swallow hard around the lump in his throat as his eyes watered.
“Jim…oh, Darlin’…it’s okay…shh. I know it’s been so hard, but please, Darlin’, please try to calm down.”
Listening to Jim’s pained wheezing, Tavarkian had enough. Stepping forward, he issued orders to Smith and Petit for a blood draw, for sedation, and for a chest tube tray.
Hearing all of that, Jim tensed in Leonard’s arms.
“Bones, no…what’s happening?”
“Mr. McCoy?” Tavarkian said, needing Jim to allow them to work…and ready to have him declared diminished capacity if he wouldn’t.
“Doctor,” Leonard answered, looking up at him. “What do you think?”
“Pneumothorax from a broken rib. We need to assess it, and his sats are getting much too low for comfort. But we haven’t been able to do anything.”
Leonard nodded. “Give us a few minutes. Please.”
Tavarkian stiffened. “Doctor--”
“Jim,” Leonard said, cutting Tavarkian off as he looked down at him…tension visible in his face despite his closed eyes. “I need to talk to the doctor for just a second, okay? I’m not going anywhere.”
Reluctantly, Jim released his hold on Leonard, and he moved to the foot of the table, holding Jim’s foot gently to help keep him calm.
He spoke quietly. “Dr. Tavarkian, Jim has a debilitating medical phobia that stems from a traumatic experience when he was a child. He’s gotten therapy for it, but this…something like this…it was so close to what happened when he was a kid, and for it to happen the way it did…with him unconscious at first…he just wasn’t able to control any of what he was feeling. The last time he was in the hospital for an injury, he panicked at the thought of me not being there even for a minute.
“I know that he needs treatment, immediately, but you need to give us just a little time. Also, he has a lot of allergies and sensitivities to sedatives. I’m sure you plan on getting a CT.” He paused and Tavarkian nodded. “Jim’s highly allergic to contrast…he went into anaphylactic shock and had to be intubated the first time that was done.”
Tavarkian blew out a breath, frustrated with the situation. “Great, so we have a patient with a severe phobia, medical allergies, and a pneumothorax. So what do you suggest, Doctor?”
Leonard relaxed slightly, grateful that he seemed willing to work with them. “I’m listed as Jim’s primary physician, and I had my admin send a copy of his records to Admitting. Give me just a few minutes with him while you review his information. And, I know I don’t have privileges here, but it’d be better for him if you allowed me to stay with him as much as possible.”
“Okay,” Tavarkian said after a moment. “We’ll keep you with him as much as possible, but if that sat level drops below 85, we’re gonna have to move. You’re a neurologist - yeah, I know who you are - I don’t have to tell you the dangers of hypoxia. He’s going to have to deal with a blood draw now - I need his blood gasses. That can’t wait.”
“That’s okay…he can tolerate that fairly easily.”
“Good. And you can stay, as long as you stay out of the way. Understood?”
A little annoyed at being talked to like he was some unruly, panicking family member, Leonard bristled slightly even as he nodded his agreement. He was willing to play nice for Jim’s benefit.
“Understood.”
.
Author: Caera1996
Disclaimer: Not mine.
Rating: G
Summary/Notes: This is a Request Fill for McRaider in TBoPE/LAWG 'verse. It can be read as a standalone, however. The request was: Jim is in a car accident on his way to work. He's seriously injured but still for the most part coherent, but whatever his injuries are they need to be addressed quickly and because of this Jim is forced into an almost identical situation as the one from when he was a child. He keeps calling for Bones in fear.
Read Part 1
Read Part 2
.
Tavarkian and Smith rejoined Nadjia and Jim in the treatment bay. Jim’s eyes tracked them warily as they came into the room, and he shifted slightly, wincing. Seeing that Jim was holding the phone on his own, Tavarkian glanced at Petit. She simply shrugged. Jim had kept his end of the bargain and hadn’t done anything to disrupt any of the equipment he was hooked up to, so she didn’t spare a thought at disobeying the doctor. So far, so good.
Tavarkian glanced at the screen displaying Jim’s vitals, and very little had changed. His heart rate was still too high, and his breathing was more like panting. The shortness of breath was particularly concerning. From what he’d been able to hear in the chest before Jim had managed to put a stop to everything, he was 99.9% certain he had a pneumothorax - a collapsed lung. The question was, how bad was the damage to the lung? How much pressure was building around the lung, compressing it, and causing that shortness of breath? They needed a blood draw, chest x-ray, the patient needed a chest tube, and a decision needed to be made about whether this was surgical. Soon.
But he’d already made up his mind about one thing. He wasn’t going to just stand there and watch if his patient’s symptoms got any worse.
The three of them listened to Jim quietly talk to the person he’d been asking for, describing what had happened…losing consciousness only to wake up just in time to find himself strapped down, confused and in pain, and too disoriented to make himself understood.
“It was s-so awful. I thought I was going to die, Bones. I couldn’t breathe…”
Bones’ had the phone pressed so hard to his ear, it actually hurt. His heart clenched as he listened to Jim, his voice weak and shaky.
“How’re you breathing now, Jim?”
“Better before…not so good now. Are you here yet, Bones? I…”
Alarmed at how faint his voice had gotten, Leonard nearly scraped his bumper along another car as he parked, manipulating the steering wheel with one hand, still holding the cell with the other. His mind raced through all of the things that could cause that. None of them good. Some of them life-threatening. Forcing down his own panic, he stayed focused, and kept his voice calm. He didn’t want to freak Jim out even more than he already was.
“I’m here, Jim…I’m here,” Leonard said into the cellphone. He exited the car and hurried through the parking lot to the entrance to the Emergency Room. “You still with me, Darlin’?”
“Yeah,” Jim answered. He sounded exhausted…and no wonder. Without any help, without being able to communicate to the EMTs initially, his response to everything that he’d been through had spiraled out of control, and sustaining that level of terror for so long took a lot out of a body. And with him injured and in pain…all of it had just been so much. Too damn much.
“I’m here to see Jim Kirk. Dr. Tavarkian is waiting for me,” Leonard said to the woman at the registration desk.
“Your name?”
“Leonard McCoy.”
“I.D.?”
“Oh for…” Grumbling, but not wanting to do anything to hold up getting to Jim, he pulled out his wallet and showed her his license, and then - for good measure - clipped his SF Gen name badge to his shirt. Absolutely unimpressed, the receptionist printed out a stick-on name badge and instructed Leonard to put it on.
“He’s in Bay 8. Come around the side, and I’ll buzz you in.”
“Bones?” Jim said into the phone. He looked over at Nadjia when she quietly announced that his oxygen saturation rate was down to 89. Tavarkian nodded tightly.
“I’m literally right around the corner Jim.”
Jim focused on breathing, and in the next second, he heard hurried footsteps. Jim’s eyes filled with relieved tears, and he dropped the phone on to the bed to reach for Bones. Without sparing a glance at anyone else in the room, he rushed to Jim’s side, taking his outstretched hand and holding him tightly. Jim clutched him, pulling fruitlessly on his other arm, still secured down. Leonard kissed him gently, wiped tears off his cheeks, then took a second to undo the strap as he shot a murderous glance at the three people in the room who’d kept him like that.
Released, Jim cried out in pain as he reached both arms up to hold on to him, and he pressed his face to Bones’ shoulder when he leaned down to reach him. Jim shook with emotion he didn’t really have enough breath to express, and Leonard had to swallow hard around the lump in his throat as his eyes watered.
“Jim…oh, Darlin’…it’s okay…shh. I know it’s been so hard, but please, Darlin’, please try to calm down.”
Listening to Jim’s pained wheezing, Tavarkian had enough. Stepping forward, he issued orders to Smith and Petit for a blood draw, for sedation, and for a chest tube tray.
Hearing all of that, Jim tensed in Leonard’s arms.
“Bones, no…what’s happening?”
“Mr. McCoy?” Tavarkian said, needing Jim to allow them to work…and ready to have him declared diminished capacity if he wouldn’t.
“Doctor,” Leonard answered, looking up at him. “What do you think?”
“Pneumothorax from a broken rib. We need to assess it, and his sats are getting much too low for comfort. But we haven’t been able to do anything.”
Leonard nodded. “Give us a few minutes. Please.”
Tavarkian stiffened. “Doctor--”
“Jim,” Leonard said, cutting Tavarkian off as he looked down at him…tension visible in his face despite his closed eyes. “I need to talk to the doctor for just a second, okay? I’m not going anywhere.”
Reluctantly, Jim released his hold on Leonard, and he moved to the foot of the table, holding Jim’s foot gently to help keep him calm.
He spoke quietly. “Dr. Tavarkian, Jim has a debilitating medical phobia that stems from a traumatic experience when he was a child. He’s gotten therapy for it, but this…something like this…it was so close to what happened when he was a kid, and for it to happen the way it did…with him unconscious at first…he just wasn’t able to control any of what he was feeling. The last time he was in the hospital for an injury, he panicked at the thought of me not being there even for a minute.
“I know that he needs treatment, immediately, but you need to give us just a little time. Also, he has a lot of allergies and sensitivities to sedatives. I’m sure you plan on getting a CT.” He paused and Tavarkian nodded. “Jim’s highly allergic to contrast…he went into anaphylactic shock and had to be intubated the first time that was done.”
Tavarkian blew out a breath, frustrated with the situation. “Great, so we have a patient with a severe phobia, medical allergies, and a pneumothorax. So what do you suggest, Doctor?”
Leonard relaxed slightly, grateful that he seemed willing to work with them. “I’m listed as Jim’s primary physician, and I had my admin send a copy of his records to Admitting. Give me just a few minutes with him while you review his information. And, I know I don’t have privileges here, but it’d be better for him if you allowed me to stay with him as much as possible.”
“Okay,” Tavarkian said after a moment. “We’ll keep you with him as much as possible, but if that sat level drops below 85, we’re gonna have to move. You’re a neurologist - yeah, I know who you are - I don’t have to tell you the dangers of hypoxia. He’s going to have to deal with a blood draw now - I need his blood gasses. That can’t wait.”
“That’s okay…he can tolerate that fairly easily.”
“Good. And you can stay, as long as you stay out of the way. Understood?”
A little annoyed at being talked to like he was some unruly, panicking family member, Leonard bristled slightly even as he nodded his agreement. He was willing to play nice for Jim’s benefit.
“Understood.”
.