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cold rooms Chapter XI “SO WILL YOU . . .?” BACK IN THE “COLD ROOMS” COOK COUNTY ORS (OPERATING ROOMS) WITH SAM MAXWELL, ANESTHESIOLOGIST, GLENDA AND DR. HANSON - SCRUB NURSE AND TRAUMA SURGEON, BROKEN HEARTED CIRCULATING NURSE MELANIE, THE COLD ROOMS KEEP GETTING COLDER AS MELANIE HAS DRIFTED INTO A TRD TREATMENT RESISTANT DEPRESSION. AFTER DUMPING SAM THEY ARE FORCED TO WORK TOGETHER ONE SATURDAY NIGHT WHEN A MASSIVE PRIVATE PLANE TRAUMA FROM INDIANA GETS FLOWN TO COOK’S ORS. IT GETS HEATED AS MOST OF THESE PLANE CRASH VICTIMS INCLUDING PEDIATRIC PATIENTS ARE BARELY ALIVE. MELANIE HAD BEEN WORKING ON THE ORTHOPEDIC FLOOR, BUT DUE TO THE EXTREME EMERGENCY INVOLVING MULTIPLE LIVES, SHE WAS RECRUITED TO IMMEDIATELY GO TO SURGERY. THE TRAUMA OR AT THE JOHN STROGER RUSH COOK COUNTY HOSPITAL IS ONE OF THE VERY BEST IN THE UNITED STATES - WHERE PATIENTS THAT NORMALLY WOULD DIE ARE SAVED. EVERY MODERN TECHNIQUE TO SAVE A LIFE IS UTILIZED WITHOUT REGARD TO INJURY, PAYMENT, GENDER, OR POLITICS. THE COOK OR IS THE PLACE TO BE IF YOU ARE SERIOUSLY INJURED AND NEED IMMEDIATE LIFE SAVING HEALTH. ENJOY THE SURGICAL PATIENT CARE, CHICAGO SPORTS CHATTER, AND DREAMS OF A BETTER LIFE AMIDST THE WOUNDS OF SAM AND MELANIE’S RECENT BREAK UP.

SAM RSI - RAPID SEQUENCE INDUCTION. WE ARE SLAM DUNKING THIS GUY. I KNOW HIS VITALS ARE AWFUL. I USED SOME ANECTINE AND A BIT OF VERSED AND KETAMINE FOR CARDIOVASCULAR STABILITY. MELANIE I KNOW. THAT IS WHAT YOU ALWAYS DO SAM. SAM MEL, WHERE DID YOU COME FROM? I THOUGHT YOU SWITCHED TO ORTHO? MELANIE OH I GUESS DR. HANSON AND GLENDA - OUR SATURDAY NIGHT TEAM - WANTED SOME REAL EXPERIENCE HERE, SO THE HEAD NURSE AT COOK 2


CALLED ME DOWN HERE AND ASKED IF I WOULD HELP. IS THAT OK WITH YOU DOCTOR MAXWELL? SAM SURE IS - I COULD USE THE NURSING EXPERIENCE. YOU KNOW I WOULD MARRY... MELANIE DO NOT SAY THAT SAM BECAUSE IT MAKES ME SICK, YOU DON’T REALLY MEAN IT, AND WE ARE DONE. I MEAN DONE. IT DOESN’T MATTER WHO DUMPED WHO ANYMORE. SAM ALL I WAS SAYING IS THAT I WOULD MARRY MY CIRCULATOR FOR THEIR HELP A THOUSAND TIMES OVER. THE AIRWAY EXPERIENCE IS INFINITY. MELANIE YOU ARE WELCOME. THE TUBE WENT IN NICELY AND YOUR CO2 CURVE LOOKS GOOD. I THINK THIS 13 YEAR OLD WILL MAKE IT IF DR. HANSON GETS IN HERE. HE’S PUTTING A CHEST TUBE IN ON BOTH SIDES IN THE CT SCANNER NEXT DOOR. THAT GUY IS NEXT. SAM NO, MEL YOU HAVE HELPED ME AND A THOUSAND OTHER PATIENTS. I REALLY MEAN IT MEDICALLY. MELANIE GOOD, I’M GLAD YOU FEEL THAT WAY. I’M EVERYONE’S GOOD OLD NURSE - GOOD ENOUGH TO WORK SATURDAY NIGHTS AT COOK COUNTY, BUT NOT GOOD ENOUGH TO BUY A MINIVAN WITH, GO TO THE DELLS, SKI ALPINE VALLEY, TAKE LITTLE ONES TO THE FERRIS WHEEL AT NAVY PIER, HAVE GRANDPARENTS OVER ON WEEKENDS, WATCH BEAR GAMES WITH, OR YET WALK DOWN THE AISLE. HEY MEL....

SAM

MELANIE DON’T GIVE ME THAT SAM. YOU ARE A PUREBRED SKUNK AND EVERYONE KNOWS IT. YOU THINK 3


AND ACT LIKE A SKUNK - NOT BEING ABLE TO SEE OR THINK WELL, AND ARE SOLITARY JUST LIKE A SKUNK. I JUST GOT THE PUNGENT SPRAY. HOLD ON LET ME..........

SAM

MELANIE HERE IS YOUR EPI DRIP. GIVE ROBINOL .1 MG TO TIDE YOU OVER UNTIL THIS KID’S HEART RATE IS GREATER THAN 60. HE NEEDS BLOOD AND HERE IS SOME TYPE SPECIFIC A POSITIVE BLOOD. WE WENT AHEAD WITHOUT THE CROSSMATCH AND GOT 4 UNITS TO THE OR. YES I AM A NURSE SLAVE TO YOU. I KNOW WHAT I’M DOING AND AFTER WHAT YOU DID TO ME......WELL I WON’T EVEN GO INTO IT. GLENDA YES MELANIE, TELL US WHAT HAS HAPPENED. DR. HANSON IS HAVING SOME TROUBLE WITH VENTILATION ON THE PATIENT’S ONE LUNG IN THERE - PROBABLY HAS A PNUEMOPERICARDIUM AND WILL NEED TO OPEN THE CHEST. CHEST SURGERY HAS BEEN CALLED. MELANIE DID THAT TOO. SAM WHAT IS THIS ALL ABOUT MEL? WHAT DID I HAVE TO DO WITH IT? MELANIE LET’S SEE. THE LAST TIME I SAW YOU AT WEAGHMAN’S PARK AT CLARK AND ADDISON YOU WERE WITH AN OLD FLAME, KERI. RIGHT? SAM IT IS NOT WHAT YOU THINK. I CAN EXPLAIN...... GLENDA SHUT UP SAM. LET MELANIE TALK. YOU DUMPED HER AND THEN SOMETHING HAPPENED. SHE HASN’T BEEN DOWN HERE FOR WEEKS, AND WE’VE HAD NOTHING BUT TROUBLES. YOU SHOULD HAVE MARRIED HER FOR ME AND DR. HANSON. WE HAVE A HARD ENOUGH TIME

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KEEPING THESE TRAUMA PATIENTS ALIVE. I SIMPLY DON’T UNDERSTAND YOU. SAM OK MEL........TALK, I’LL SHUT UP AND LISTEN. MELANIE AFTER I SAW YOU AND KERI CLINGING AT WEAGHMAN’S PARK AS THE CUBS SEASON WOUND DOWN, I COULDN’T TAKE LIFE ANY LONGER. I TOOK A LOA AND WENT UP NORTH - FIRST TO THE DELLS AND THEN WORKED MY WAY UP TO THE UPPER PENINSULA. GLENDA NO WAY. YOU WENT BY YOURSELF? MELANIE YES. I MET PEOPLE IN BARABOO AT THE CIRCUS, IN WAUSAU, STEVENS POINT, AND MINOCQUA AS WELL AS EAGLE RIVER. GLENDA WOW. YOU ARE THE ONLY GIRL I KNOW WHO HAS EVER DONE SOMETHING LIKE THAT. YOU KNOW THERE IS THE LARGE LAC DU FLAMBEAU INDIAN RESERVATION UP THERE, AND IT CAN BE MILITANT. SAM MEL YOU SHOULD HAVE TOLD ME. MELANIE SHUT UP SAM, START YOUR EPI DRIP, AND YOU ARE WELCOME TO MY PSYCHIATRY BILLS SINCE YOU CAUSED THEM. SAM YOU WENT TO A PSYCHIATRIST? MELANIE NO -- PSYCHIATRISTS - MULTIPLE. GLENDA OH MY GOD, YOU SHOULD HAVE CALLED. I WOULD HAVE HELPED.

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MELANIE I WENT INTO A DEEP DARK DEPRESSION AFTER BEING DUMPED. THE USUAL STUFF LIKE PROZAC, WELLBUTRIN, PAXIL, AND ELAVIL.... NOTHING WORKED. I KEPT GETTING MORE DEPRESSED. I WANTED TO KILL MYSELF FOR BEING A FAILURE. GLENDA YOU ARE NOT A FAILURE MELANIE. YOU ARE A BRIGHT ENERGETIC NURSE WHO HAD A RELATIONSHIP NOT WORK OUT WELL. THAT IS IT. SAM OH MY GOD, I DIDN’T REALIZE......... MELANIE IT GOES FURTHER. NONE OF THE DRUGS WORKED SO I HAD ECT - ELECTROCONVULSIVE SHOCK THERAPY. GLENDA WHERE THEY INDUCE SEIZURES? SAM YES -- IT’S FOR TOUGH DEPRESSIONS, MELANCHOLY, DYSTHYMIA, AND SEVERELY BUMMED PEOPLE. MANY ARE SCHIZOPHRENIC, BUT YOU AREN’T MEL. MELANIE THANKS SAM. THAT IS VERY HEARTWARMING. GLENDA SO YOU WENT UP TO THE DELLS? WHAT THE HECK DID YOU DO UP THERE IN THE FALL? MELANIE I DID EVERYTHING. DUCKS, PAUL BUNYAN MEALS, GO KARTS, BOUGHT INDIAN BEADS, CRUISES DOWN THE WISCONSIN RIVER - YOU NAME IT. GLENDA AND IT DIDN’T WORK SO YOU KEPT GOING NORTH.

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MELANIE RIGHT. I MADE IT TO THE UP. MADE IT TO THE PORCUPINE MOUNTAINS AND BACKPACKED A COUPLE DAYS. THAT IS COOL.

SAM

MELANIE TRUST ME -- BY YOURSELF IT ISN’T. GLENDA SO THEN YOU CAME HOME FULL OF CHEESE, BRATS, POINT BEER, AND........... MELANIE CHERRIES. I ATE CHERRY EVERYTHING FROM DOOR COUNTY WITH ALL THOSE ROADSIDE CHERRY HOMEMADE TREATS LIKE PASTA, TRUFFLES, MALTS, BAKED PASTRIES, AND BREAD. I FLAT OUT GAINED 20 POUNDS IN A WEEK. I COULDN’T STOP EATING CHERRIES. SAM SOUNDS LIKE CHERRY BULIMIA. MELANIE ESSENTIALLY IT WAS. ONE GETS SO DEPRESSED THAT THEY BEGIN TO EAT AND NEVER STOP EATING TO PREVENT THE CRYING. GLENDA I’M ALWAYS ON MY CELL. SO AM I.

SAM

MELANIE SAM, PLACE A CENTRAL LINE AND LET GLENDA AND I TALK WHILE WE WAIT FOR DR. HANSON HE’S ALMOST DONE NEXT DOOR. ALL THE TRAUMA VICTIMS ARE IN THE ORS AND BEING TREATED. WARM ALL THESE ROOMS UP PLEASE. THIS KID WILL NEED NEUROSURGERY, AND MAY NEED ORTHO TONIGHT IF HIS LEG IS FRACTURED.

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SAM I’M LOSING MY PRESSURE. ASK DR. HANSON IF THE CHIEF TRAUMA SURGICAL RESIDENT OR FELLOW CAN START THE CASE. I NEED SURGICAL STIMULATION TO KEEP HIS BLOOD PRESSURE ABOVE 70. GLENDA THEY ARE ALL TIED UP. SAM, GIVE HIM THE TYPE SPECIFIC BLOOD, PLACE A CENTRAL LINE, AND PUT WARMERS EVERYWHERE. WE ARE GOING TO BE HERE AWHILE TONIGHT. LET THE FAMILY KNOW WE’RE ABOUT READY TO START SURGERY AND HIS CONDITION IS SUPER CRITICAL. GIVE THEM HOPE, BUT LET THEM KNOW DR. HANSON IS THE BEST - BUT GOD HAS A ROLE IN ALL OF THIS. MELANIE I’LL BE BACK IN A COUPLE. HERE’S THE BLOOD SAM – I’LL SET UP IN THE LEVEL ONE TRAUMA INFUSION DEVICE. GLENDA SAM, YOU REALLY REALLY REALLY SCREWED UP. I COULD KILL YOU! SAM YES, I REALIZE THAT NOW. IT’S NOT EASY TO BE A GUY. GLENDA I GUESS NOT. DR. HANSON AND I THOUGHT MUCH MORE OF YOU AS A PERSON. DO YOU REALIZE WHAT YOU PUT MELANIE THROUGH? DR. HANSON HE PUT HER THROUGH A TON. SAM WHAT DO YOU KNOW DR. HANSON? DR. HANSON HMMM.....LET’S SEE. YOU NEARLY ENGAGED TWO VERY NICE GALS, LED THEM ON, AND THEN YOU RUN LIKE AN ANTELOPE. WHY EVEN DATE?

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SAM HOW DO YOU KNOW ALL THIS? DR. HANSON DO YOU THINK I DON’T ROUND ON THE ORTHO WARD? MOST OF OUR PATIENTS END UP ON ORTHO AFTER WE CLEAN UP THEIR CHEST AND ABDOMEN. SAM BUT YOU DON’T KNOW ALL THE PARTICULARS DR. HANSON. DR. HANSON MAYBE NOT EVERY DETAIL, BUT I KNOW ENOUGH. THE NURSES UP THERE WILL SLAUGHTER YOU IF YOU DARE STEP ONTO THAT FLOOR. THE COOK RULE IS THAT YOU DON’T SERIOUSLY DATE ANYONE AND THEN DUMP THEM. YOU WILL FOREVER PAY FOR THAT. YOU ARE REAL LUCKY YOU HAVE TIRES. THESE GALS UP THERE STOP AT NOTHING. THEY WORK COUNTLESS HOURS WITH IMPOSSIBLE FAMILIES IN TOUGH SITUATIONS SOCIOECONOMICALLY AND MEDICALLY. GLENDA YES DR. HANSON WAS YOUNG ONCE, AND WAS A GUY AND WORKED IN THE OR. EVEN DR. HANSON DIDN’T SURVIVE WITHOUT MARRYING A SURGICAL NURSE. WHAT YOU DID SAM IS DESPICABLE. MAKE UP YOUR MIND. NOW MELANIE HAS TRD. DR. HANSON TRD? WHAT IS THAT? GLENDA TREATMENT RESISTANT DEPRESSION! DR. HANSON OH YES, THEY WERE TALKING ABOUT THIS AT GRAND ROUNDS THE OTHER DAY. COMES ON AFTER ANYTHING - TRAUMA, LOSS OF A JOB, LOVED ONE, OBESITY, OR...... GETTING DUMPED.

SAM

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DR. HANSON ALL I KNOW IS THAT MELANIE WAS THE BEST TRAUMA CIRCULATOR WE’VE EVER HAD. EVERYTHING IS DONE, JUST LIKE THIS CASE FROM INSTRUMENTS TO BLOOD. SHE IS WORTH HER WEIGHT IN GOLD. GLENDA I AGREE. OUR JOB HAS BEEN MADE SO MUCH EASIER. MAYBE WE SHOULDN’T INTERFERE WITH THEIR LIVES DR. HANSON? DR. HANSON NO I THINK WE SHOULD. SAM KNOWS BETTER. I UNDERSTAND HOW OLD FLAMES CAN BE REKINDLED AND AMIDST ALL THAT ZUERCHER CHEESE AND BEER AT WEAGHMAN’S PARK. STUFF JUST HAPPENS. GLENDA NOW MELANIE IS TAKING LITHIUM, THYROID, ABILIFY, AN ANTIPSYCHOTIC EVEN THOUGH SHE’S NOT PSYCHOTIC, AND IS CONSIDERING A VAGAL NERVE OR DEEP BRAIN STIMULATOR. DR. HANSON SHE ALSO MENTIONED SHE WAS TO BEGIN ANTISEIZURE PROTOCOLS INCLUDING MEDS AND BRAIN STIMULATION. THE PSYCHOTHERAPY OR TALK THERAPY DIDN’T WORK EITHER. AT TIMES SHE APPARENTLY WANTS TO KILL HERSELF. GLENDA SAM, AREN’T YOU GETTING KIND OF OLD FOR THAT 20 SOMETHING HANGOUT AT WEAGHMAN’S PARK ANYWAY? AREN’T YOU INTERESTED IN SETTLING DOWN AT SOME POINT IN YOUR LIFE? SAM I GUESS I NEVER REALLY THOUGHT OF IT LIKE THAT. I GUESS MY INACTION HAS NEARLY RUINED SOMEONE. I’M NO DIFFERENT THAN MOST GUYS WHO DON’T GROW UP UNTIL............ THEY ARE 40.

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GLENDA


DR. HANSON I WONDER WHAT IS TAKING MELANIE? THE MESSAGE IS CLEAR. TALK TO THE FAMILY AND GET BACK TO THE OR. SOMETHING MUST BE UP. SAM OK, YOUR LIVER BLEEDING IS AFFECTING MY BLOOD PRESSURE BIG TIME. I’VE GOT THE PATIENT PARALYZED AND TANKED WITH VERSED. I’VE GOT THE LEVEL ONE TRANSFUSING MAXIMALLY AND FACTOR VII ON BOARD. DR. HANSON WE’VE GOT THE BLEEDERS STOPPED. THE SPLEEN IS OUT. THAT SHOULD HELP. THE LIVER WILL HAVE TO BE PACKED - THIS IS AN IMMENSE CRUSH INJURY. HE MAY NOT SURVIVE JUST DUE TO LIVER CELL AND PARENCHYMAL DAMAGE TO HIS CHEST AND ABDOMEN. GLENDA SAM HAS KEPT UP WITH BLOOD, THE BEAR HUGGER WARMERS AND ROOM TEMPERATURE ARE MAXIMIZED - DESPITE THE COLD ROOM, AND THE PH IS...... SAM DAMN! 7.15. HE’S ALREADY HAD 3 BICARB UNITS. I’LL GIVE ANOTHER. EPI IS STILL RUNNING AT A MEDIUM DOSE. WE’LL GET OUT OF HERE. DR. HANSON YES, THE FACTOR VII AND CRYOPRECIPITATE IS REALLY WORKING. OUR BLOOD IS VISIBLY CLOTTING - THE VERY BEST SIGN. GLENDA OH HERE COMES MELANIE. WHAT TOOK YOU?

DR. HANSON

MELANIE YOU WON’T BELIEVE WHAT HAPPENED. IT IS UNBELIEVABLE.

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DR. HANSON NOTHING I HAVEN’T SEEN BEFORE I’M SURE. MELANIE I DON’T KNOW. I THINK THEY WILL NEED YOU DR. HANSON. AT LEAST I HOPE THEY WILL NEED YOU FROM WHAT I JUST WITNESSED IN THE ER. GLENDA WHAT IS GOING ON? WE’VE ALREADY HAD OUR FILL WITH THIS INDIANA PLANE CRASH. IT LOOKS LIKE ALL THESE FOLKS ARE GOING TO LIVE. IT WILL BE A YEAR OF TRAUMA REHAB, BUT NEXT YEAR THEY’LL REALLY LOOK LIKE US WITH OUR GREAT PHYSICAL MEDICINE AND REHAB SERVICES. SAM SO MEL WHAT THE HECK HAPPENED IN THE ER? MELANIE A BEAR SUPERSTAR WAS INVOLVED IN A MAJOR ACCIDENT! DR. HANSON THE BEARS DON’T HAVE ANY SUPERSTARS! SAM WELL THEN WHO WAS IT? MELANIE I DON’T KNOW. HE WAS TOO SMASHED UP TO KNOW. HE’LL BE BACK HERE AFTER HIS CT. HE HAS VITALS THOUGH. DR. HANSON ARE ALL THE LINES IN? MELANIE YES - I SET UP THE OTHER TRAUMA ROOM ON MY WAY BACK - WE’LL JUST TRANSFER OVER. THE TRAUMA ICU CAN DO THE TRANSPORT OF THIS LITTLE GUY WE HOPEFULLY HAVE SAVED. DR. HANSON MY GOD THIS BEAR TEAM HAS HAD SO MANY UPHILL FIGHTS THIS YEAR. WE ARE STILL IN THE THICK OF IT THOUGH - LOOKING UP AT GREEN 12


BAY WHO WE NEED TO DEMOLISH. LET’S GET OUR FELLOW BEAR BACK AND CRUSH THOSE PACKERS. I’VE GOT INCENTIVE NOW TO NOT ONLY SAVE THIS GUY’S LIFE, BUT GET HIM BACK TO CRUSH THE OTHER CENTRAL DIVISION OPPONENTS IN THE NORTH. GLENDA DR. HANSON THIS IS ABOUT A LIFE, NOT FOOTBALL. DR. HANSON YOU’RE RIGHT - YOU KNOW ME - IT’S ALL ABOUT THE PATIENT. I JUST LOVE THE BEARS SO MUCH THOUGH, AND WANT NOTHING BUT THE VERY BEST FOR THIS TEAM. IT GOES DEEPER THAN THE OUTCOME OF THE GAME. I TRULY CARE ABOUT THESE BEAR GUYS BECAUSE THEY ARE THE FACE OF CHICAGO. GLENDA I GUESS I FEEL THE SAME WAY ABOUT MY BULLS. I NEVER MISS A GAME UNLESS I’M HERE....AND WE ARE GOING ALL THE WAY WITH ROSE AND NOAH TAKING US TO THE PROMISED LAND THIS YEAR. DR. HANSON I’M SCRUBBING OUT. I’LL BE AT THE SCRUB SINK FOR A COUPLE MINUTES. GLENDA COME WITH ME. LET THE SURGICAL FELLOWS CLOSE THIS KID. I WANT HIM PACKED AND SCHEDULE HIM FOR A RELOOK TOMORROW AT 0715. MELANIE GOT EVERYTHING YOU NEED SAM FOR THE NEXT CASE. THE CHIEF ANESTHESIA RESIDENT IS ALL OVER THIS GUY. HAS A BIG NECK AND WILL USE A GLIDE SCOPE FOR INTUBATION - ANOTHER RAPID SEQUENCE INDUCTION WITH KETAMINE. I’LL HEAD TO THE OTHER ROOM. THE ICU GALS ARE HERE AND MY ORTHO SHIFT IS OVER. I’M DEAD TIRED. SAM MEL,IN ALL MY LIFE I’VE NEVER SEEN SUCH MARVELOUS NURSING. WOULD YOU CONSIDER A SMALL TRIP OVER TO WEAGHMAN’S PARK FOR 13


SOME ZUERCHER CHEESE FROM GREEN COUNTY SINCE THE CHICAGO ZUERCHER’S IS ON BACK ORDER, AND THE NEW POINT BEER THEY’VE JUST GOT IN? OR EVEN HEAD TO BERNIE’S OR FOR THAT MATTER TUSCANY’S? MELANIE NO, IT’S OVER SAM. I’M JUST A SKILLED TRAUMA NURSE. I’LL NEVER BE A MOM, SEE THE DELLS OR NAVY PIER WITH LITTLE ONES, OR HEAD OUT TO ORLANDO FROM MIDWAY FOR A CHEAP DISNEY WEEKEND. I’LL DIE AT COOK COUNTY AND YOU’LL BE MARRIED TO SOME LAKE FOREST SOCIAL CLIMBER WHO NEVER KNEW WHAT IT WAS LIKE TO WORK IN THE COLD ROOMS. IT’S OK. ONCE YOU ARE LOVERS YOU CAN NEVER BE FRIENDS - MY MOM TOLD ME THAT. SO WE’LL BE ACQUAINTANCES. SAM NO, WE WON’T BE FRIENDS OR ACQUAINTANCES. MELANIE WHAT ARE YOU GETTING AT DR. SAM MAXWELL? SAM I WANT TO KNOW............I MEAN I REALLY WANT TO KNOW IF YOU WILL..... WILL YOU MARRY ME MELANIE? MELANIE OH MY GOD SAM MAXWELL. I’M FULL OF BLOOD, DIRT, SWEAT, SHOCKS FROM PSYCHIATRY, AND SKYSCRAPER ANTIDEPRESSANTS - AND YOU WANT ME? DR. HANSON DID I JUST HEAR WHAT I JUST HEARD? GLENDA SAY YES MELANIE. I’LL HAVE THE DATE AND EVERYTHING PLANNED BY THE NEXT CASE’S FINAL SUTURE. MELANIE YES, YES A THOUSAND TIMES.

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DR. HANSON GOOD JOB SAM. YOU’RE BACK ON THE TEAM. WARM THESE ROOMS UP TEAM.

END - COLD ROOMS XI

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Cold Rooms, Chapter XI  

In the midst of treating patients from a serious accident, Sam asks an interesting question.