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once he tightened his tie , he hurried out of the closet and over to the dresser . |
when he grabbed his wallet and hospital authorization card , his gaze fell on the picture in the antique silver frame . |
his late wife 's smile radiated from behind the glass . |
jade was gazing up at him with her twinkling blue eyes-both of them wore brilliant smiles while being outfitted in the traditional indian wedding attire . |
her long blonde hair fell in waves and was adorned with various ribbons , charms , and beads , as were the custom . |
his chest tightened as he thought of the day his american-as-apple-pie-wife embraced his heritage by partaking in the full indian wedding ceremony . |
although there were many happy days and good times in the course of their six-year marriage , he could n't remember a happier day than his wedding day . |
it was the day they had finally come together as one-a uniting of two different people and cultures . |
the day had held such promise of a happy and long future together . |
turning away from the dresser , he also tried to turn away from the overwhelming grief that gripped him . |
two years had passed since the horrible day when his thirty-five year old wife had been snatched away from him . |
not a day went by when he did n't miss her , when he did n't dread coming home to an empty house not filled with her laughter or her sweet presence . |
no one could quite fathom the true agonizing turmoil he had been through-only a select few , who had also had their heart torn from their chest , fully understood the gaping hole of emptiness left behind . |
with a heavy heart , he headed out the door . |
on the short drive in to work , pesh did n't bother turning on the radio to drown out the voices of sorrow echoing through his head . |
no matter how hard he tried , he could not rid himself of his pain . |
family and friends had afforded him one year of grieving before they had been on him to move on . |
desperately , they tried to get him to realize that the last thing his jade would want was for him to continue carrying a torch for her-to spend his life sad and alone . |
he 'd tried to prove to them he had moved on , but that only resulted in projecting what he thought was love onto a woman who was just as confused about her life as he was . |
he 'd vowed after that mistake that he was n't going to let anyone dictate when it was time for him to move on from jade 's memory . |
if he was to love or marry again , he would be the one to take the steps . |
he made the same rote pilgrimage from the staff parking lot into the hospital . |
every day was just the same , one right after the other . |
he 'd barely had time to ease on his white medical coat when he heard his name being paged over the intercom . |
rushing over to the sink , he scrubbed up as quickly as he could before whirling around . |
using his back to open the door to the doctor 's lounge , he did his best speed walking down the hallway to the trauma area . |
the moment he swept through the glass doors , the staff pounced on him . |
two nurses were at the man 's head . |
one held down the face mask as the other pumped air through the bag into his airways . |
another was stationed at the man 's side doing cpr compressions intervals on the chest . |
after donning a pair of rubber gloves , pesh glanced to the charge nurse as he hurried to the man 's side . |
`` male , forty-five , collapsed at the jogging park during a run . |
coded once on the trip over , '' she quickly informed him . |
`` bp is dropping , '' another nurse called behind him . |
machines began beeping on and off , a symphony of noise heralding impending doom . |
`` okay , we need to shock him again . '' |
the crash cart was rolled up to the gurney . |
`` clear , '' pesh commanded . |
the nurses administering compressions to his chest and the intubation bag stepped back , holding their hands off the man . |
pesh brought the gelled paddles to the man 's chest . |
as the electrical charge raged through the man 's body , his arms and legs flailed . |
`` charging at 360 joules , '' a nurse replied . |
as he brought the paddles once again to the man 's chest , pesh muttered , `` come on , come on , beat , dammit , '' under his breath . |
it did n't matter how young or how old , he hated to lose a patient . |
although the body shuddered and jerked in reaction to the electricity , the heart remained frozen . |
although it was a losing battle , he called , `` clear ! '' |
when the man 's vital signs did n't change , pesh shook his head . |
`` we need to open him up to massage the heart . |
get me the rib spreader and the chest saw and page one of the residents , '' he ordered . |
he took a face mask from another nurse and slid it on . |
after making a quick incision in the man 's chest , pesh took the saw from one of the nurses . |
once he had sawed through the sternum , he shifted to the side to allow a nurse to move closer to work the crank on the rib spreader . |
pushing aside the hard bone of the sternum , he gently took the man 's still heart in his hands . |
no matter how many times he 'd had to do it before , there was still something so humbling as holding the most important muscle in the human body in the palm of your hand . |
squeezing it over and over , pesh mimed the usual pumping the organ did . |
seconds ticked agonizingly by as they waited to see if the damaged heart would restart . |
when it remained still , pesh sighed and closed his eyes for a moment . |
glancing up at the clock on the wall , he said with regret , `` calling time of death : nine forty-seven a.m. '' `` want me to handle the family ? '' |
i 'm sure they 'll want to see him . '' |
he took off his bloody gloves and tossed them dejectedly into the hazardous materials trash can and then removed his mask . |
he walked over to the glass doors of the trauma area where a paramedic stood surveying the scene . |
`` do we have a name on him ? '' |
the paramedic flashed the guy 's driver 's license . |
he walked down the long hallway before pushing open the button on the mechanical door that led out of the emergency area . |
in a room to the side of the waiting room , the man 's wife and two teenage sons sat in hushed silence . |
as he opened the door , he said a silent prayer for strength . |
this was the most difficult aspect of his job . |
while he relished in the long hours of saving lives and diagnosing illnesses , this part drained him both emotionally and physically . |
the woman , who appeared to be in her late thirties or early forties , rose from the chair she was sitting in . |
he held out his hand for her to shake . |
`` i 'm dr. nadeen . |
i was assigned your husband 's case . '' |
she bobbed her head and took a step forward . |
`` your husband experienced a severe myocardial infarction . '' |
at her blank look , he replied , `` a heart attack . '' |
`` oh my god , i ca n't believe it . |
he 's had some high cholesterol , but he 's been running every day . |
i was only ten minutes from here dropping the boys off at school , and i told them i bet their dad had fallen and broken his ankle or something . |
of course , i wondered why he would n't call instead of the hospital ... '' realizing she was rambling , her voice cut off . |
`` but he 's okay now ? '' |
`` i 'm very sorry , but the heart attack caused too much damage to the heart . |
we were never able to revive him after he was brought in . '' |
the woman 's eyes widened to the size of dinner plates . |
surely there is something you can do ! '' |
we did everything we could to save him , including multiple attempts of resuscitation past what the paramedics originally did , but he did not respond to our attempts . '' |
the woman 's wail pierced through to pesh 's soul . |
she collapsed back against her sons , who now had tears in their eyes . |
stoic on the outside , pesh stood by her side as she sobbed uncontrollably . |
most doctors when playing the grim reaper would deliver the bad news and then retreat . |
pesh believed that part of a patient 's care also meant the care of their family . |
that 's why he ignored his pager going off in his pocket . |
it was only when his name was paged over the intercom that he took a step forward . |
he placed a hand on the widow 's shoulder . |
`` if you would like to be with him until the funeral home arrives , you can follow me . '' |
`` y-yes , please , '' she murmured . |
with her sons flanking her , she followed pesh out of the room and behind the mechanized doors . |
when they got to the exam room where her husband 's body was , pesh turned and once again touched her shoulder . |
`` i 'm so very sorry for your loss . '' |
`` thank you , '' her son mumbled when his mother was unable to speak . |
instead , she rushed forward to bury her head against her husband 's chest . |