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fire island emergencies

heart break

heart break

While Rocks was healing from her heartbreak and shock after Luke walked the dock, she put her energy into the clinic. The hold Nici desperately tried to put on Rocks was in vain, and Walter continued to hammer her with demands and hostility. Their efforts to intimidate and irritate her fell on deaf ears and blind eyes. She was in her own zone, and was working on many projects. Rocks got her shopping list together and had the Ohmeda rep on the way with a new state-of-the-art anesthesia machine and a whisper-like ‘almost invisible suction machine that magically attached to the anesthesia machine that notified the physician that it was functional and sanitary (or not) after the machine was turned on. Rocks was also working on Storz for a fiberoptic, which in her mind was a deal-breaker if she was to stay on permanently. She had sent forward a proposal that read heavy on the safely stats and she was certain that the boys would approve her request. She had once again gone over Nici’s head, and expected Dragon Lady to react exponentially to the price tag.

Rocks continued to run along the Sea Highway, but her distance had increased and it had taken several pounds off. She didn’t mind, she felt better at her fighting weight, and the nearby boaters noticed. She was the most eligible bachelorette at the marina. Max had put most of them straight and advised them to stay away, as he informed them she had been seen with Buck, and he was not one to be on their shit-list. Max was her buddy and didn’t want her to make any needless decisions. He knew what she was going through, and that none of the pennyless sailors hanging out at the Peli would capture her interest anyway. He ‘had her back’.

Her life was anesthesia and her staff, and she was into making the clinic first class. It was on the way, and she had organized the OR, stock room, and the drug supplies to make things easier to inventory and restock. She had reinvented the pediatric supplies as well, as the supplies on hand seemed minimally sufficient. Her office had been long ago arranged to her satisfaction and decorated with items she had found on island.

Most of her cases were elective and scheduled, however there were patients that came up unexpectedly.
One afternoon there was a patient from a cruise ship that needed a fracture repaired. Nici called one afternoon asking her to come to clinic ASAP. “What is the case, and is the patient NPO?” Rocks inquired.
“The patient was on the ship, and fell off a bar stool. He has a fracture that Walter needs to fix, and you need to come in now.”

“Nici, again, if the patient fell off a barstool, I would think they were eating and drinking, or at least drinking, and since it is after noon, they most likely had breakfast AND lunch, and a lot of both, if they are on the ship. Please get more information, since I don’t need to come in to find out that they need to fast another six hours before we do anything. Basic OR 101.”

Nici became irritable, and rang off. The issue was limb threatening injury versus potential aspiration pneumonia if the patient had not been NPO.  Nici did not have the information.

Nici was going to call in the team and the surgeon, which would have been a waste of resources, and a disservice to the patient and the doctors. Rocks would have interviewed the patient and cancelled the case after discussing the situation with the surgeon. This was a common scenario which could be avoided by intelligent management at the triage nurse. Often if the surgeon made the appropriate orders at the initial evaluation, all of these problems could be avoided from the start.

Rocks had to be on her game to ensure that policies for add ons and emergencies were followed at Fire Island Clinic. Nici was being pushy as was her style, but Rocks had no time for it. Fire Island emergencies were going to be handled in a standard manner.

fire island sunset

sunset

sunset

Rocks returned from clinic and decided that she needed to purge Luke from BreakAway. As if in agreement Jet followed her as she sanitized the scent of Sophia and Luke, and removed all the evidence of him from her vessel. She didn’t feel any emotion as she dropped things in the dumpster, and reminded herself of his sin. It was a cleansing moment.

She would need several weeks to recover, but it would be quiet time for Rocks. She had things to do anyway.

She was pissed. It was a time to get busy. She was a woman on a mission. FIRE On! He had walked the dock without so much as a fuck you. She felt that the past three years were flowing away with the tide. What a waste. THAT BITCH! What was he thinking? She couldn’t wrap her head around it. So she would make it her mission to erase him. It was sunset.
Move to Trash

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firestarter girl

firestarter girl

firestarter girl

 

 

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Page: http://healingfireisland.com/2013/03/23/firestarter-girl/

Healing Fire Island | <span class=”hiddenSpellError” pre=”Island “>firestarter</span> girl

<meta name=”description” content=”Luke arrived from Miami with the scent of Sophia.  Walter brought a sick hip and ended up with complications.  It was a challenging week for Rocks.  “>

 

 

 

 

It was wild Wednesday for Rocks. Luke got back from Miami with the scent of Sophia all over him and his laundry.   It lingered all night for Rocks to dwell on as they lay together the night he returned. They talked very little and it was a pregnant pause in their life.   Rocks was mad, Luke was sad.

Rocks left for the clinic in a bad state of mind, Luke took the old Jeep in to town. He ordered an egg sandwich at a diner and considered his options. Chaz had essentially offered him a promotion, and he couldn’t leave until the job was finished. He knew his life with Rocks was over. They had lain beside each other without touching, and that was unheard of.  Luke was empty and felt lost.  Rocks wanted him off the boat.

Walter brought in a sick hip replacement on Plavix that Rocks had to cancel.  Her doctor felt that she needed more work up and blood pressure stabilization.  Walter had a hissy fit and took the patient to the hospital.  There were complications and the patient lost 4 units of blood that could have been prevented if she had been advised to stop the Plavix as Rocks had suggested.  Walter had skipped the meeting and snubbed the Cardiology Clearance Guidelines.  Closed door meetings with Vince followed.  Rocks was not included.   She was relieved but would have had plenty to say.

Meanwhile, back on BreakAway, Jet could sense the tension and as the weekend approached, the pair were contemplating the haul out and getaway.  Rocks had been quiet and Luke had been busy working late.  Neither had discussed the obvious.  It wouldn’t wait long, neither was sleeping.  Rocks was distracted at work, and the staff was concerned.  They thought it was about the case that went bad, they had no idea how she handled cases like that.  They were not aware of her personal life, she always kept those issues quiet.   Read about it at Healing Fire Island, by Chery Fee.

firestarter girl

firestarter girl

clearing customs

Page: http://healingfireisland.com/2013/02/23/hfi-3/
Healing Fire Island | Clearing Customs

cropped-p1000184.jpg

==========================

 

It’s a beautiful day here and I was thinking about Rocks and Luke arriving on island, clearing customs and immigration and introducing themselves to their new colleagues. They were so excited! I walked on the beach thinking about having just sailed over after 10 days at sea, remembering just such a trip and how wonderful and relaxing the ocean can be. The sun can be such a friend. Fire Island was hiding many awesome adventures and a few secrets, but first Rocks needed to get busy getting the clinic up and running, they had been down for several weeks waiting for her to arrive. They got the yacht shipshape and she had her clinic tour. Jet got her land legs back. They found their favorite tiki bars and restaurants of course and were comfortable on island without much trouble.  Rocks was making plans for her anesthesia department!  Clearing customs was a bit complex because they were planning an extended stay, however they had a genuine interest in the island, so they cleared customs without incident.

Rocks got her work permit and Luke had a provisional permit as he had yet to find a job.  He was really only concerned about playing in the surf.  He only intended on staying a couple of months, not that she knew that.  He was a little non-committal.  She did know that.  It really wasn’t fair that he came at all, but who would have passed up a trip to the island?  They were good together, however their mutual goals were quite different.  It would play out tragically almost, but that will come out later.  The three made good traveling pals anyway.  If they had any concerns over clearing customs, their fears were unfounded.

Their marina was busy but comfortable and they settled in easily, provisioned the boat and got cleaned up for the yacht club and proceeded to meet Rocks new colleagues.  It was a little disconcerting as they were met by all the surgeons, most of whom have their instructions ready for her, and suggestions for Luke on his potential role in island life.  A couple discussed social issues only, and the evening ended on a light note with Rocks’ friend Tracy behind the bar.  They made their way back to BreakAway in the moonlight convinced they would assimilate into their new group without any trouble.  There were just two of the group they feel could be trouble-Walter and Nici.  Follow the story as it unfolds at Healing Fire Island, by Chery Fee.

Healing Fire Island

Page: http://healingfireisland.com/tag/or/
Healing Fire Island ~Healing Fire Island

tigger snack

Healing Fire Island is about the International Cat ‘Jet’ and RocksAnn the anesthesiologist her owner who sails to Fire Island with her boyfriend Luke. They leave the states for a more laid back life in paradise to pursue fun in the sun and to resurrect an anesthesia department and turn it into a medical tourism destination. Obamacare is looming and patients are seeking alternatives and Rocks is about to turn a profit! She knew the island from earlier sailing vacations, and the clinic from a bunch of frat brothers from med school. It all works out like a dream at first, however there are a couple of issues that she has to deal with, not unlike any other place in the past. The surgeons usually have their preferences, so what is it about Fire Island Clinic that could be sinister that Rocks discovers? What do Luke and Rocks sail into that looks so innocent at first? Get an up close and personal idea of life in the operating room and life as an anesthesiologist living aboard a sailboat in paradise.  Luke is the first mate, and Rocks runs the boat and navigates, Jet runs rat patrol.  They can usually tell when she had been on fish patrol when there has been nose marks on the portholes.  They make their way with the locals without too much trouble, set up there work permits, open bank accounts, and make introductions to all the clinic family.  Everything seems to be in place, and they feel right at home.  Rocks has a few friends from earlier travels, and wastes no time reconnecting.  She gets right down to business at clinic setting up her workstation and supplies as she prefers.  She finds out quickly who thinks they control how things were done at Fire Island Clinic.  Read more, at Healing Fire Island, by Chery Fee.

 

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