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"Then it's VT until proven otherwise. She's had several shocks andan Amiodarone load. It's refractory. There's nothing we can do."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. He and I were observers in the room. He wasn’t Penny’s biological father, though she treated him like a dad. She hadn’t been to Florida to see her ‘real’ dad in years, and she had no desire to see him.“What do you mean? I plan to have the baby of course!”“What about school? And work? How are you going to take care of a baby?”Terry cleared his throat, “Mrs. Nichols, I have a good job that pays well thanks to Steve. I can take care of both Penny and our baby.”“You stay out of this as well!” Alice growled.It was time for me to play referee. I could agree that Bart might stay out of it, but not Terry.“Alice, that’s not fair,” I said, using the word I hated, but which made sense to use. “He’s the baby’s father. Why don’t you let Penny and Terry tell you their plans?”“You!” she spat. “This is all YOUR fault!”“Mom!” Penny said, raising her voice. “Stop it! I love Terry. He asked me to marry him!”“Well, thank heaven for small favors!” Alice said sarcastically.“I told him ‘no’,” Penny.
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