had promised to call when the time came, but she hadnât done so. Instead, Lauren had been the one to break the news.
Shoving open the glass doors into the emergency room reception area, Mercy barely slowed her stride. âCarol, whereâs Grandma?â
âShe was in exam room eight, but they called a code and moved her to trauma room one.â
Mercy stopped and wheeled back. âWhat? Thereâs not supposed to be a code!â
Carol shook her head in sympathy. âIâm sorry. Dr. Bower called it. He had to.â
âWeâll see about that.â Mercy swung back on course. First, administration had arbitrarily decided to bring in a full-time E.R. doc from Kansas City, and now this hotshot doc had decided to ignore a perfectly legal DNR request. Perhaps heâd never learned to read.
She pushed through the swinging double doors thatpretended to lend privacy to the open emergency room. A secretary manned the central station. All other hands were gathered in the trauma room, six people altogether, including Grandmaâs frail, still body on the bed. Others worked with quick efficiency, responding without question to the soft-spoken commands of a slender, brown-haired man in green scrubs. He knew the drill well.
âGet me a blood gasâ¦. Push the epi now, Laurenâ¦. Any pulseâ¦? Continue CPR.â
Mercy stopped just inside the doorway as a nurse from upstairs pushed methodically against Grandmaâs chest and another bagged her.
âWhatâs going on here?â Mercy demanded. âDoctor, what are you doing to my grandmother?â
He looked up, his blue eyes behind gray-framed spectacles holding her with gentle concern. âYou must be Dr. Richmond. Iâm sorry, but as per your motherâs request, we are attempting resuscitation.â He turned back to the table.
âStand clear,â he called as he prepared the paddles to send a jolt of electricity through Grandmaâs chest. He placed one paddle above her right breast, and the other paddle he placed to the side below her left breast.
Mercy stood in stunned horror as the frail body jerked, arms flying out, legs up. Mercy had done the same procedure herself many times during her shifts in E.R. but not on someone she loved like Grandma.
âCheck pulse,â Dr. Bower said.
Lauren gently felt the carotid artery for a moment, then shook her head. âNothing, Doctor.â
âContinue CPR. Prepare more epi, and I need lidocaine, 1.5 milligrams per kilogram. Whatâs that blood gas?â
âNot back yet, Doctor.â
Mercy stepped toward him. âDr. Bower, Iâm her granddaughter. Stop this code.â
He was barely taller than her five feet eight inches, but his expression held calm authority. âAs I said, Dr. Richmond, your motherââ
âI heard what you said, but my grandmother signed a DNR form weeks ago. Surely that has some bearing on this case.â
âYou know that form does me no good. Believe me, I wish it did.â Dr. Bowerâs voice betrayed frustration. He lowered his voice. âYour mother showed me her papers for legal power of attorney. Her order is to resuscitate.â
âForget that order. As a fellow physicianââ
âI canât break the law, Dr. Richmond.â
âDonât abuse this patient any more than she has already been abused!â
Dr. Bower grimaced at her words, sighed and shook his head. âIâd love to comply, but I canât. If you want to sway the decision, please talk to your mother. I tried.â He turned back to the table. âStop CPR.â
The monitor showed an irregular, sawtooth pattern. Grandmaâs heart was in ventricular fibrillation. Mercy hoped it would not change back.
âWhere is my mother?â she asked, her voice heavy with frustration.
âShe was in the private waiting room when I left her.â Dr. Bower shook his head at the monitor.