Chapters (70)
- COVER PAGE
- ABOUT THE AUTHOR
- DEDICATION
- PROLOGUE
- PART I BIRTH
- ONE
- TWO
- THREE
- FOUR
- FIVE
- SIX
- SEVEN
- EIGHT
- NINE
- TEN
- ELEVEN
- TWELVE
- THIRTEEN
- FOURTEEN
- FIFTEEN
- PART II LIFE
- SIXTEEN
- SEVENTEEN
- EIGHTEEN
- NINETEEN
- TWENTY
- TWENTY-ONE
- TWENTY-TWO
- TWENTY-THREE
- TWENTY-FOUR
- TWENTY-FIVE
- TWENTY-SIX
- TWENTY-SEVEN
- TWENTY-EIGHT
- TWENTY-NINE
- THIRTY
- THIRTY-ONE
- THIRTY-TWO
- THIRTY-THREE
- THIRTY-FOUR
- PART III DEATH
- THIRTY-FIVE
- THIRTY-SIX
- THIRTY-SEVEN
- THIRTY-EIGHT
- THIRTY-NINE
- FORTY
- FORTY-ONE
- FORTY-TWO
- FORTY-THREE
- FORTY-FOUR
- FORTY-FIVE
- FORTY-SIX
- FORTY-SEVEN
- FORTY-EIGHT
- FORTY-NINE
- FIFTY
- FIFTY-ONE
- FIFTY-TWO
- FIFTY-THREE
- FIFTY-FOUR
- FIFTY-FIVE
- FIFTY-SIX
- FIFTY-SEVEN
- FIFTY-EIGHT
- FIFTY-NINE
- SIXTY
- EPILOGUE
- AUTHOR’S NOTE
- ACKNOWLEDGEMENTS
‘I’ve already assessed him,’ the surgeon tells me as I faff around asking Jason if he has any allergies. ‘He’s got sensorineural deafness. He needs to be admitted under ENT and given IV steroids, now.’
‘Do you have admitting rights at this hospital?’ I ask him hopefully, praying that he does and that I can fast-track an admission and avoid any awkward confrontations.
‘No,’ he says, looking annoyed, ‘but it doesn’t make any difference. That’s what he needs.’
I examine the patient and quickly establish that Mr Private ENT Surgeon is indeed correct: Jason does have sensorineural hearing loss and does require urgent IV steroid therapy, stat.
‘I think he needs to be admitted under ENT,’ Mr Private Surgeon advises me for the third time.
I agree with him. I run it by Matt, who tries to bluster around the issue for a while, because no one likes being told what to do by other doctors on their own turf, but the outcome is inevitable.
‘You’re going to have to call ENT,’ he tells me gloomily.
Reflexively, I check the time. It’s 1.20 am. I swallow. If a patient has to be admitted or there’s a problem that can’t be solved by the emergency doctors, it means waking someone up and asking what to do. And even though senior specialists or their registrars are listed as on call overnight in case one of the emergency doctors needs some urgent advice, what ‘on call’ really means is: I’m asleep. In bed. If you call me and wake me up, I’LL BE VERY FUCKING ANGRY.
My stomach, irritatingly, clenches slightly at the thought of making the call. But no one in the best-performing emergency department in the state knows the correct dose of dexamethasone to administer for this kind of problem, so I really have no choice.
I call through switch. ‘Can I have the ENT registrar, please?’
‘Sure, love,’ says Susan, who’s on switch tonight. Then, ‘Oh, it’s Dr So and So.’
‘Is he mean?’ I ask with trepidation.
Susan sighs. ‘Good luck, love,’ she says. ‘Putting you through now.’
‘Wait!’ I shout into the phone, panicking wildly, but it’s too late; the phone is ringing. I’m committed.
The ringing stops abruptly, and I hear mumbling, like someone trying to wake up, then, ‘Yes? What do you want?’
‘Ah, hello. I’m so sorry to call you at this hour. I’m one of the junior doctors in emergency, and I have this patient …’
‘What?’
‘Ah, do you have a moment to discuss a patient?’
‘It’s one o’clock in the fucking morning!’ the voice on the other end of the phone exclaims, sounding seriously annoyed. ‘Why are you calling me at one in the fucking morning?’