The Romance Rx by Kathryn Riya
Author:Kathryn Riya [Riya, Kathryn]
Language: eng
Format: epub
Published: 2023-08-23T18:30:00+00:00
CHAPTER NINETEEN
DYLAN
Since Quinn and I have been home from our retreat, we have barely seen each other. Weâve both been on ICU rotations, him in the cardiac care unit, and me in the medical intensive care unit. He has been staying late each night, because he loves it, but also because he wants to show initiative. Even though I have only been seeing him in passing, he has been sending me regular texts every morning when he wakes up and every night before he goes to bed, along with some random musings throughout the day. Everytime my phone buzzes I feel butterflies. After two weeks of texting and quick meetups, we finally have our first official date tonight. Weâre both done with ICU rotations today.
I am in rounds right now and my mind keeps wandering to tonight. Itâs been a long stretch of working but because today is my last Saturday in the ICU, itâs only a half day. ICU is not my forte. I donât enjoy wrapping my mind around various vent settings and acid-base metabolism.
âDylan?â Dr. McCormick says, breaking me out of my reverie.
âYesâ¦â I reply, hoping I can answer whatever is coming next, and hoping I didnât miss the question already. Weâre in hour five of rounds and Iâm fading fast.
Dr. McCormick says, âCan you please tell us the electrolyte abnormalities seen in tumor lysis syndrome?â
I got this. âHyperkalemia, hyperphosphatemia, hypocalcemia, and uric acid and lactate dehydrogenase can also be elevated.â
âGood, and how do you treat an elevated uric acid?â she asks.
âYou can give allopurinol and rasburicase, which converts uric acid to allantoin,â I answer, relieved. I have always enjoyed oncology and probably wouldâve chosen that field if I werenât going into LGBTQ+ medicine.
âExcellent, now Addison,â Dr. McCormick moves on to one of the interns, âcan you tell me what kinds of tumors are most likely to result in tumor lysis syndrome?â
Thank god, I am off the hook, for now.
This is also why rounds take so long. Not only do we discuss the management of every single patient, we go through these didactics relating to the patient and the disease, and in many cases, the multiple diseases. It is an effective but exhausting way of learning.
My phone buzzes in the back pocket of my scrubs. I canât pull it out just yet, and it is burning a hole in my butt cheek.
When Dr. McCormick gets paged and turns her attention to her beeping device, I take the opportunity to peek at my phone.
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