• www.feefire.com, chery@feefire.com

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    Chery Fee

    Chery Fee

    Healing Fire Island

    Chery is the author of HEALING FIRE ISLAND, a medical thriller about an anesthesiologist who sails to Fire Island to take over the clinic. She gives the reader an up close and personal view of what happens when you get anesthesia and what happens when you give anesthesia. Welcome aboard as you sail from island to island and get the inside scoop on the cases at Fire Island Clinic.

    Chery Fee is an avid sailor, windsurfer and dragon boater. She resides in Ponte Vedra Beach Florida with her cats Jet and Zepplin.

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healing on fire island

stay strong

stay strong

Rocks and her AA Jenna were working on equipment and supplies. She had a new anesthesia machine and suction machine on the way. She was
going to in-service her side-kick on the operation of the new machine so they would be ready when it arrived. She had the simulator program uploaded on her iPad and they worked through the machine check all the way to the set up of the monitor and the ventilator management. After an hour they both felt they were ready to hook up a patient, high fived, and went on to inventory.

They were knee deep in accounting for multiple antibiotics when they were interrupted by a call from the front desk.

Kelly had a delivery for Rocks. This was puzzling, as most of the deliveries were for staff. Rocks verified and asked for the guy to
come to the back. She needed to sign but was not willing to leave the operating room. When he arrived she was pleasantly surprised to
find he was bringing two dozen fire-red roses with a note.

Rocks blushed immediately, which was a feature the girls had never witnessed. Buck had sent roses along with an invitation to lunch. Although she had dressed casually that morning, Buck had provided more formal attire which was waiting in the locker room. Rocks was blown away. She waltzed out of the clinic in a crazy state of mind, and more than ready to allow him to court her. She realized that she was finally Healing on Fire Island.

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

 

 

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

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

cardiology clearance

Page: http://healingfireisland.com/2013/02/26/cardiology-clearance/
Healing Fire Island | Cardiology Clearance

heart attack

If a patient comes for surgery and has a heart problem often they get an ECG and a basic heart history and things proceed as expected.  But sometimes the patient has zingers that make people nervous and they end up with a Cardiology Clearance.  Here a few things that tip-off the Anesthesiologist and lead to a Cardiology Clearance.  Chest pain that is escalating or unstable, blood pressure that is uncontrolled, obesity that has been uncontrolled, diabetes that has been uncontrolled, abnormal ECG, recent heart attack (within 6 months), poor exercise tolerance, non-compliance with significant medications.  History of significant complications during surgery, ICU admission postop.

A patient will need a Cardiology Clearance before surgery DEFINITELY if they present for preop with unstable angina, heart attack within 6 months, or cardiac surgery within 6-12 months.  Recent pacemaker or AICD placement would require patients to have pertinent details available to the anesthesiologist for appropriate intervention if required.

Rocks had a Cardiology Clearance for hip surgery that ended up getting life flighted off island because of crushing chest pain during her stress test. She was a star within two weeks of starting her job.  The clinic owner was relieved that the patient wasn’t on the table, almost certainly arresting under anesthesia.  She had already impressed the unimpressable orthopedist Walter, and the owner was sending out a very sick patient for an emergency cardiac cath to the Heart Institute of Miami by LifeFlight.  Rocks had picked it up.

The clinic was going to need some ‘Cardiac Guidelines’ to avoid cardiac cripples from ending up on the schedule and to educate the community docs as well.  Rocks was already working on a document.  She understood the need for education and the value of avoiding cancellation just before scheduled surgery.

Healing Fire Island.  A work in progress!  By Chery Fee

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