Bonus chapter: In which the author promises no more flashbacks for a while
Dave Sterling never really wanted to specialise in emergency medicine. He’s always been interested in surgery, and until midway through his internship, that’s what he thought he’d do. But surgical residencies are highly competitive, as it turned out, and there were other young doctors, with more advanced skills and better resumes, who beat him to the few available places.
It’s not so bad, his second-choice placement. He’s happy enough in emergency now, in his second year of residency, and expecting to start his specialist training next year as an emergency registrar. There’s not too much overtime, and once in a while he gets to perform minor procedures.
This morning he’s being given his first small group of medical students to supervise. They’re third-years, about a year and a half from graduation. Some of them will have spent time at this hospital already, but most have probably been placed elsewhere for their previous rotations. They will be assigned to Dave for two daytime shifts a week for the rest of the semester. He’s already decided he’ll call the students Doctor, like he’s heard some of the older specialists doing.
He meets the group for the first time at ten o’clock. Christ, he feels like a fraud; barely out of uni himself, really, and he’s supposed to teach these kids? He takes a few deep breaths to calm himself and hopes his nervousness doesn’t show.
He looks over the eight students and decides they don’t seem too threatening so far. They mostly look about his age, probably in their mid-twenties, except for one guy who might be a decade older.
“Well,” says Dave, “First things first: I’m Dave Sterling. I’m an emergency resident, and I’ll be supervising your rotation here. Who’s been placed in this hospital already?
Three hands go hesitantly up.
“Okay,” he nods. “Most of you don’t know the place, then, so let’s start with the cafeteria. Anyone not drink coffee?”
No hands go up. Exactly what you’d expect from students.
“Well, let’s all go and have a coffee together,” he says. “I need to learn all your names, and you guys can ask me any questions you have so far.”
Dave is still pretty nervous but thinks he’s hiding it decently. He has no idea how charming he actually is, with his outwardly easy manner and his lopsided grin. Five of the students already have the beginnings of a crush on him, including one straight guy, who will be mildly troubled when he realises it.
They take a long table in the cafeteria and chat over their coffees. Dave makes a note of all their names and vows to use a mnemonic trick he’s read about to remember them all. The bespectacled Indian woman is Linda, and the short pale one with red glasses is Lucinda; he must try not to mix them up.
“Call me Lucy,” says Lucinda.
“Okay,” says Dave, writing it down. He thinks she looks like she’s blushing lightly among her freckles. He guesses the students might be as nervous as he is after all.
After taking some time for introductions, Dave escorts his students to the emergency department. He leaves half of them with Kelly, the new triage nurse, to learn about admissions, and takes the rest with him to an exam room to observe some consults. In the afternoon they’ll swap over.
Their first patient is a man with abdominal pain. He’s already been medicated by the paramedics, so he doesn’t seem to be in serious pain, but needs to be assessed and possibly admitted.
“Hi, Trevor,” Dave greets him as he checks the chart. “I’m Dr Sterling. These guys are student doctors – is it all right if they observe while I check you over?”
Trevor nods. “Fine,” he says.
Dave asks him a couple of questions about the pain and his medical history, and shows the students the clinical measurements the nurses have noted on the chart. He looks to the one with the freckles – Lucy – and says, “What would you check next, Dr Proctor?”
Lucy blushes again and looks startled. “Um, I’d ask about recent diet and, um, bowel motions,” she manages.
“Good,” says Dave. He asks the patient and makes the relevant notes on his chart. “What now, Dr Benson?” he asks another student, shifting the focus from Lucy, who looks flustered.
“Visually examine and palpate the abdomen,” suggests Benson.
“Excellent,” says Dave. He asks Benson to do so, and talks him through it.
It’s a fairly straightforward case of probable appendicitis. Dave shows the group how to order an x-ray to confirm, while cautioning that an inflamed appendix might not show on a plain scan. “But unless we see something else,” he says, “the next step is a laparotomy to remove the appendix.”
Dave authorises the admission and tells the students to take a five minute break. He quietly asks Lucy to wait when the others go.
“Are you all right?” he asks. “You seemed upset in there.”
Lucy looks at her shoes. “Fine,” she replies. “I’m sorry about that.”
Dave is still a little concerned. “You’re sure?” he prompts.
Lucy looks sheepishly up at him. “I’d just never heard my name out loud like that before – Doctor Proctor! Ridiculous!”

