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The laser pointer trembled in Blake's hand, the small red dot shaking almost imperceptibly against the slide of a coronary artery bypass graft.
The air in the Morbidity and Mortality conference room was frigid, a manufactured cold that had nothing to do with the hospital's air conditioning.
"The patient's post-op bleeding was managed with two units of packed red blood cells," she said, her voice tight. She could feel twenty pairs of eyes on her, but only one pair mattered.
From her peripheral vision, she saw Dr. Janessa Hill, one of the senior residents, roll her eyes. The woman next to her, Dr. Crysta Escobar, was engrossed in her phone, not even pretending to listen.
Blake's focus remained on the man at the head of the polished mahogany table. Dr. Barrett Walters. Chief of Cardiothoracic Surgery. Her attending.
Her husband.
His long fingers tapped a slow, deliberate rhythm on the table's surface. Tap. Tap. Tap. Each sound was a nail being hammered into her composure. His eyes, the color of a stormy sea, were fixed on her, sharp and dissecting.
"Dr. Bowman," he said. His voice cut through the room, low and cold, stopping her mid-sentence.
Blake's throat went dry. "Yes, Dr. Walters?"
"You noted a slight tear in the saphenous vein graft during harvesting. You repaired it with a 7-0 Prolene suture."
"Yes, sir. The repair was successful, and there was no sign of leakage."
"That's not the issue," he said, leaning forward slightly. The movement was minimal, but it made the entire room hold its breath. "The issue is the theoretical flaw. A running suture on a vein of that diameter, even a minor repair, increases the risk of thrombosis by a statistically significant margin. A single interrupted suture would have been the correct choice."
Her mind raced. The patient's blood pressure had been dropping. She had to work fast. "With all due respect, sir, the patient was becoming unstable. A running suture was faster."
"There are no excuses in this room, Dr. Bowman," he snapped, his voice dropping to a lethal calm. "Only incompetence."
Silence.
It was absolute, a heavy blanket that smothered the air. Blake felt her face burn, a hot, creeping shame that started at her neck and spread to her hairline. She stared down at her white coat, the fabric worn thin from too many washes, and dug the nails of her free hand into her palm. The sharp sting was a welcome distraction.
Across the room, she saw her friend Hattie Case shoot her a look of pure sympathy. Blake gave a microscopic shake of her head. Don't. Don't draw his fire.
"Meeting adjourned," Barrett said, his tone flat. He stood, his custom-tailored suit moving with him without a single wrinkle.
The room erupted in motion. Chairs scraped. People shuffled out, a quiet stampede of residents and fellows desperate to escape the blast radius. No one made eye contact with her. She was radioactive.
Blake's fingers fumbled as she tried to unplug her laptop. They were shaking so badly she could barely grasp the USB drive.
The sound of expensive leather shoes stopped beside her.
"My office. Five minutes," Barrett said, not even looking at her as he walked past.
She bit down on her lower lip, the taste of blood a familiar tang. She packed her laptop into its worn bag and turned to follow, but a wall of cheap perfume and condescension blocked her path.
Dr. Hill stood there, a smug smirk on her face. She shoved a stack of patient charts into Blake's arms. The pile was at least a foot high, heavy and precarious.
"Finish these discharge summaries before lunch," Hill ordered, her voice dripping with false sweetness.
Blake staggered under the weight. "This is a week's worth of work."
"Then you'd better get started."
Blake clutched the heavy charts to her chest, the sharp corners digging into her ribs. She watched Barrett's back disappear down the long, sterile hallway. He never looked back.
Five minutes later, she knocked on the heavy oak door of the Chief's office.
"Enter."
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