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Chapter 10 - The Pulse Between Us

Controlled Chaos

As Sophia entered the ER, the shift in atmosphere was immediate—faster footsteps, sharper voices, an undercurrent of tension in every movement. Phones rang, monitors beeped erratically, and the scent of antiseptic clung to the air like a second skin.

"Doctor Sophia," a nurse greeted, clearly relieved. "We've got a stack today. Three new trauma cases already, and it's not even noon."

Sophia nodded, slipping on a fresh pair of gloves. "Let's see the charts."

The nurse handed them over. Sophia's eyes scanned swiftly—head trauma from a construction accident, a young woman with seizures, and a man with suspected appendicitis doubled over in the corner bed.

She moved to the seizure case first.

A girl in her twenties, her cheeks flushed with exhaustion, her hands twitching faintly as the episode subsided. Her mother clung to the bed's rail, eyes wide and brimming with worry.

Sophia approached calmly. "I'm Dr. Sophia. I'll be taking care of her."

She began her exam with steady hands and quick questions. The mother spoke in rushed sentences—history of fainting spells, no known condition, first full seizure today.

Sophia listened, asking only what she needed, voice soft but firm. "We'll run a CT scan and full blood panel. I'll have neurology consult after the results come in."

She moved fast, giving orders, writing notes, already halfway to the next patient before the mother could finish her thank-you.

That was the rhythm she lived for.

In the trauma bay, the construction worker was being stabilized. Blood crusted his temple, and he was semi-conscious.

"Vitals?" she asked.

"BP's dropping—80/60," a nurse replied.

Sophia didn't flinch. "We need to stabilize before we can scan. Push fluids, and get neuro on standby."

The team snapped into motion around her, moving like a tide guided by her presence.

This was where she felt most alive—not in the quiet or the accolades, but right here, in the mess, in the storm, where people needed her the most.

And she never let them down.

By the time she finished with the third case, her stomach reminded her she hadn't eaten. Again.

But instead of stopping, she glanced toward the chart rack.

There were still more patients.

Her fingers tightened around her clipboard, and she turned away from the break room door.

She could rest later.

Right now, she had lives to hold together.

Another patient was wheeled in—a teenage boy, pale and barely conscious, sweat clinging to his forehead.

"Fever spiked overnight, difficulty breathing," the paramedic explained.

Sophia stepped in, brushing her hair back into place with a swift flick before bending to examine the boy.

"Let's get a CBC, CRP, chest X-ray—check for pneumonia," she instructed quickly. "And prep oxygen."

His mother stood nearby, arms clutched tightly around herself, eyes darting for answers.

Sophia glanced at her just once. "We'll take care of him."

It wasn't a promise—it was a certainty in her voice that made the mother exhale for the first time since entering.

As the X-ray was wheeled in, Clara's replacement for the day—a younger intern doctor—approached hesitantly.

"Dr. Sophia? Uh, we're short two nurses and… I think I messed up this patient's chart. I–I put the wrong file under the wrong name."

Sophia paused mid-note, looked up, and studied the flushed face of the intern. The poor girl looked like she wanted to shrink into the linoleum.

Instead of snapping, Sophia calmly removed her gloves and walked over.

"Show me," she said simply.

Together, they fixed the error. It only took five minutes.

The intern stared at her. "Thanks, I—most doctors don't bother."

Sophia didn't respond with words. She just offered the briefest ghost of a smile before walking off to the next room.

It was her way—always calm, always composed. The kind of strength that didn't need noise.

By the time she checked the boy's X-ray, her prediction was confirmed: lower lobe pneumonia. She began treatment immediately.

Hours passed like minutes. Her shoulders ached, but she never slowed. Patient after patient, consult after consult. Lives were mended under her touch.

Finally, as she stepped into the hallway for a breather, a nurse passed by with a whispered comment.

"She hasn't sat down all day… again."

Sophia leaned against the wall just for a second, eyelids heavy. Then she stood upright, tied her coat tighter, and moved toward the next ringing monitor.

Her watch blinked 2:45 PM.

And she hadn't eaten. Again.

But that was okay.

There were still people waiting.

By 3:15 PM, the late afternoon sun dipped just slightly, casting a golden hue across the coffee shop's windows. Inside, Jane wiped down the last table near the counter, her apron now a little wrinkled, her hands slightly sore from the constant movement.

Mr. Ben gave her a small nod from behind the bar as he organized receipts.

"You did well today," he said. "Go on, you'll be late."

Jane nodded with a soft smile, untying her apron and folding it neatly. She adjusted her bag over her shoulder, then quickly checked her phone—not for messages, just for time.

Lecture in forty-five minutes.

She stepped out onto the street, the city warmth meeting her skin. The sidewalk was busier now, but familiar. Her sneakers found a steady pace toward the university.

Along the way, she passed the spot. That spot.

Her eyes flicked toward it, quick and subtle.

Nothing.

No white car. No tailored coat.

She exhaled silently and walked on.

Not that she was expecting to see her again.

At least, that's what she told herself.

Back on campus, the hallways were alive with chatter, footsteps, the clatter of books and bags. Jane slipped into the lecture hall early, claiming her usual seat near the second row. She took out her notebook, pen, and textbook, her mind sharpening into focus as the professor arrived moments later.

But as the lecture began, a faint image—white coat, sharp eyes, and a firm voice—floated just once in the back of her mind.

Then it passed.

She pressed her pen to paper.

And just like that, she was present again.

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