S.C.U.T. Some. Common. Unfinished. Task. Basically it’s all the mundane stuff in the hospital that nobody wants to do, but that someone has to get done. We go way back—SCUT and I. Way. Back. Back to med school, where we were first introduced. And I’ll admit, back then we didn’t totally click. I hadn’t yet mastered the hassle-free discharge or the bump-free gurney ride. And finding medical supplies wasn’t exactly my forte because I was still learning the difference between a catgut suture and a chromic suture. But now--SCUT and I are old friends. Like Einstein and Kodel. Or Marty McFly and the Doc. I know SCUT very, very well. Perhaps--too well, because now even when I’m running on empty, without sleep or Jose’s meatloaf, SCUT no longer feels like a challenge.
Don’t get me wrong, I’ve learned a lot from SCUT. I respect SCUT. I value SCUT. And I know that SCUT and I will always continue to have an important relationship. All I’m saying is that it may be time for us to take a little breather. Even Marty and the Doc didn’t time travel together forever. The Doc had other time traveling machines to invent (like that rockin’ train at the end of BTTF 3, how cool was that?!) and school teachers from the past to marry, and Doc Juniors to bring into the world. It was good while it lasted, even great, but after a certain point they were both ready to move on. Well, SCUT, it’s my turn to time travel solo for a while; to find my own train (if you get my drift). This is me, #2, saying right here, right now that I am ready to branch out and make some new friends. Like cardiothoracic surgery. Like neurosurgery. Like any kind of actual surgery…Please, God, PLEASE…
Amazing things happen in this hospital every day. Extraordinary things. UNCOMMON things. The kind of things we all dedicated four years of our lives to cadavers and textbooks and Ramen noodles to hopefully someday be a part of. Everyone has their own dream surgical scenario. For Mitch, it’s a facial reconstruction. For Lucy, it’s a heart transplant. For me, well, mine is to play a role, even the smallest of small roles, really any role at all in Dr. Grey and Dr. Shepherd’s totally amazing, totally groundbreaking clinical trial. But the thing is, it has been X days, X hours, and X minutes since the trial began. X patients have died. X lives have been saved. Not that I’m counting. [*Due to a strict hospital policy, I cannot release these numbers to the general public. So you’ll just have to use your imagination.] And, yeah, I’ve sort of, kind of…well, have yet to…scrub in.
And I’m ready. I’ve done my research. I could pass a pop quiz with 100%, 105% if 5 points of extra credit were available. I mean, I even dream about this clinical trial. I dream about Dr. Grey inviting me to join her team of interns on this incredible journey into the brain. (Even if she and Dr. Shepherd didn’t have the best day. Even if their combined bedside manner this afternoon was like a game of tug-of-war gone wrong—or so says Megan. But so what? Every team has their not-so-great days. Doesn’t mean they lose their place in my book of best teams EVER!) The only way that I could live and breathe the clinical trial any more, would be if I was actually participating in it. But these surgeries are so “hot” right now, it would probably be easier for me to get Super Bowl tickets.
You see Dr. Shepherd is kind of a popular guy. Apparently I am not the only person in this hospital that admires him. When I first arrived I was all ready to initiate a fan club, nominate myself as president, choose my vice, appoint my cabinet members, etc. But as it turned out Dr. Shepherd already had a fan club. Well, actually he has five. And apparently none of them are ‘actively’ looking for new members right now. Whatever, I’m the only one who likes him for all the right reasons. Do any of the members of “We Triple Heart McDreamy” or “Nurses for the Dream” even know the name of his first solo surgery? No. Can they even truly appreciate the IL2 for the glorious, potentially-brain-tumor-killing protein that it is? I think not. They just like the way the guy looks, which is completely irrelevant. So what if his hair is awesome. His brain is AWESOME-ER. And these folks, a certain treasurer of “Derek is My Shepherd,” and a certain social chair of “Derelicious,” are the ones that get to actually scrub in and be there right next to him while he’s experimenting with saving lives!
Note to self: BREATHE. [Diaphragm and intercostals muscles contract…Diaphragm and intercostals muscles relax…] I can afford to practice the art of patience. My OR time will come because I have something none of the other Shepherd fan clubs’ members have. I am an intern. Now in the normal pecking order of the world that is SGH, that means that I have no voice and no power, and am basically only half-a-step above the gurneys and other items that the hospital owns. But the pyramid of power has recently shifted, thanks to a certain stellar intern. Yeah, you guessed it. Intern extraordinaire, George O’Malley, strikes again! George has single-handedly elevated the intern; increased the value of our currency (especially after it was devalued by a certain intern of Dr. Stevens—Yes, Leo, that is you.) Important people have interns because of him. THE CHIEF has an intern! And George is his guy. So now he’s in the know about all the secrets of this place. He’s gotten to see behind the curtain and, let me tell you, he is totally tight with the Wizard.
So here’s what I’m thinking. Obviously I’m no George O’Malley (not yet anyhow, I mean that’s something to aspire to.) BUT I’m also no 007. So would it be totally unfathomable that perhaps one day a certain neurosurgeon would find a need to have his own special intern; specifically me? Ok, so I may have already created an application. And I may have filled it out. Five times. Or twelve. But I’m a doctor! (For those of you not familiar with this shorthand, announcing that you’re a doctor in the context of a scenario in which you’re required to put pen to paper is pretty much the most accepted method of getting away with having not-so-perfect handwriting. Try it some time. It works.) So I took my time making it look nice. So what? I mean this could be the most important document of my life—potentially. (Not that my birth certificate wasn’t important, Mom. I’m not denying the miracle that was my birth or the seventy-two hours of misery and pain that I put you through during labor. Thank you!!) So give it some thought folks, but I personally think that Steady Hand Steve could be an ideal candidate for this position-to-be.
If Dr. Shepherd still remembers me. All the SCUT Dr. Yang has me doing seems to be keeping me from crossing paths with him. But hey, that’s fine. I’m not expecting her to have my back, or to have me over to her house for Thanksgiving. (Although an invite would have been nice. Whatever, I had other plans; a.k.a. work.) Regardless of whether she assigns me neuro cases or ever utters the words “Dr. Mostow,” Dr. Yang is my boss. And, therefore, I do what she tells me. Her wish is my command. However, (and this is just between us), she is totally coding. And not in the usual sense of her trying to impress Dr. Hahn and getting shut down, but in a new and really disturbing way.
Remember how I mentioned that extraordinary things have been going on in this hospital? Well, today was no exception. Yes. The rumors are all true. (Except for the one about George and Dr. Stevens. And George and Dr. Torres. And George and Nurse Olivia. He’s not like that. He’s a good guy. I’ve met him.) One of the founding fathers of cardiothoracic surgery visited our very own hospital. The Godfather was here. DR. WALTER TAPLEY. This is the guy who invented the modified bypass. Even outside of cardio circles, this man is a legend. And he chose us, Seattle Grace Hospital, as the place he wanted to come for the most important surgery of his life.
Everyone wanted in on his double valve replacement. And I mean, EVERYONE. Lucy tried to get out of the clinical trial to get into it! (Oh how I would switch places with you in a second, Lucy. Not that I actually got to scrub in on the Tapley bypass. But still.) Claire totally camped out about ten feet from the room—and she wasn’t even on duty. And she still didn’t get OR time. Now normally, Dr. Yang would be first in line on the suck-up train to Tapley’s heart, and would have enlisted us for additional support. But not today. No, today she was too “busy.” And what pray tell was she so “busy” with that she couldn’t find time to spend with Tapley? Charting. No, sadly that was no typo. I repeat; Dr. Yang spent the day that Walter Tapley was here--charting. CHARTING?!? And while she was doing the SCUT work she should have assigned us (I mean she’s a resident. It’s her right to delegate!), something happened that I’m sure Dr. Yang will later regret. One of her interns, Lexie, (the one she refers to as #3) won the prize they’d all been competing for. She got to scrub in and see the inside of Walter Tapley’s heart!
Later at Joe’s when Lexie was giving a bunch of us the play-by-play of Tapley’s surgery, it became clear to me that this surgery was to her what time in the OR with Dr. Shepherd is to me. With all the long hours and the lack of sleep and the constant SCUT, sometimes we all lose sight of why we are here. But then one day there’s an amazing surgery and someone actually invites you to scrub in, and you’re right there with this patient at the most vulnerable moment in all of their existence, helping the experts make sure that that existence continues beyond the OR. You see as much as SCUT stinks, it’s a stepping stone to something bigger, something better—saving lives.
So today, I didn’t make any new friends. Surgical friends, that is. But who knows what tomorrow will bring? Maybe, just maybe, one of us interns will score a front row seat to the cutting room table. But at least one thing’s for sure, no matter what, I’ll always have SCUT.
Well, I’m off to join the others before rounds for a quick round of a game we like to call “YA CODED—Can ya conjugate it?” But more on that later…