his tongue. âInjury?â
âThe bleeding in your brain,â Dr. Saunders said, still looking down at his clipboard.
âThirty-seven degrees,â Lucy said, squinting as she read the numbers marked on the side of the glass.
âGood.â The doctor continued taking notes in the folder, the pen scratching as he wrote.
Bleeding in his brain. Ethan felt dizzy and tried to center himself by looking out the window. The sun was coming up, morning illuminating the pavement outside. It made his eyes burn. âDr. Saunders,â he said, flinching as the doctor placed a cold stethoscope against his chest. âWhy was there blood in my brain?â
âBreathe in. Typically babies with nonaccidental head injury present with what we call a constellation of symptoms. A subdural hematoma, retinal hemorrhages, and cerebral edema. Breathe out. In other words, bleeding in the brain, bleeding in the eyes, and swelling in the brain. You had all three symptoms when you were admitted here twelve years ago,â Dr. Saunders said, adjusting the stethoscopeâs rubber earpiece. âLetâs take your blood pressure. Lucy?â
Ethan shut his eyes for a moment. Blood in his eyes and brain, swelling. The doctor must be reading the wrong file, there had to be some mistake. Theyâd obviously confused him with some other kid. And why did Dr. Saunders say âbabies with a head injuryâ? Ethan wasnât a baby. But he would have been twelve years ago.
The nurse wrapped a plastic cuff around Ethanâs upper arm, securing it with velcro. The band inflated suddenly with air, then deflated again. His eyes started to water.
Lucy put her stethoscope down, noticing Ethanâs tears, and placed her hand on his shoulder. âDr. Saunders . . .â she began.
The doctor ripped the velcro open. âBlood pressure is normal, excellent. Just one more test. Iâm going to shine this light quickly into your eyes.â
Ethan nodded absently. Bleached light pierced his cornea.
âHmm.â Dr. Saunders frowned. âThat isnât normal. He isnât reacting to the light. Lucy, can you check this?â
She pointed the light into Ethanâs eyes, shifting it from left to right. âStrange. Excessive dilation. Looks like a blown pupil.â
âMydriasis?â Dr. Saunders asked. âWeâll need to investigate raised ICP. Place a call to the neurosurgeons to give them a heads-up.â
âSorry, Dr. Saunders, I think I made a mistake. Pupil reactivity appears normal, Iâm observing constriction in the light. Could you check?â
The doctor looked carefully into Ethanâs eyes. âYouâre right. Letâs make sure thereâs no apparent loss of visual fields.â
âEthan, could you please let me know when you see the pencil?â Lucy asked in her fairy voice. She slowly moved her arm closer to Ethanâs face. âTry to keep your eyes focused on my nose.â
âNow.â
She splayed her hand open. âHow many fingers am I holding up?â
âFour. Plus your thumb, which technically isnât a finger.â
âVery clever.â Lucy gave him a half-smile. She shone the light in Ethanâs eyes again; it made his eyeballs feel itchy. âWhat can you see when I shine the light in your eyes?â
âLight.â
âPatientâs pupillary response normal and vision unimpaired, ruling out orbital trauma,â Dr. Saunders muttered to himself as he took down more notes. âRuling out raised ICP.â
âAnd it turns red then blue,â Ethan said.
Dr. Saunders put his clipboard down. âWhat does?â
âThe light. As it moves from one side to the other, it changes color. Red then blue then red again.â
Dr. Saunders took the light to his own eyes. âEthan,â he said slowly. âYou shouldnât be able to see that. Lucy, you try.â The doctor repeated the
Nicole Williams
Stephen Curran
Kerry Reichs
Orson Scott Card
Tamar Myers
Teri Brown
Andrea Smith
Karen Foxlee
Jane Feather
Frank Herbert