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Chapter 3 - The Race to St. Jude’s

Inside the ambulance, the air smelled of rubbing alcohol, latex, and the metallic tang of my own blood.

The paramedic, who introduced herself as Maria, worked with frantic efficiency. She taped the IV line securely to my arm, hanging a second bag of saline from the ceiling rail while her partner drove the rig with aggressive speed, throwing us against the wall as we banked hard around tight corners.

“Blood pressure is 85 over 50,” Maria called out toward the front cab. “Heart rate 135. She’s losing volume. Step on it, Jimmy!”

“Alex...” I whispered through the plastic oxygen mask. “Where’s Alex?”

“He’s right behind us, Clara,” Maria said softly, her hand resting on my forehead. “He’s following in his truck. He isn’t leaving you. Now, I need you to stay with me. I’m going to place the Doppler on your belly. You’re going to hear some static, okay?”

I nodded weakly, tears cutting tracks through the dust on my cheeks.

Maria squeezed a dollop of cold gel onto my lower abdomen. The sensation sent a spike of agony radiating through my pelvic bones. I bit my lip hard enough to taste blood.

She pressed the small plastic wand against my skin.

The speaker on the small machine hissed loudly.

*Shhhhk. Shhhhk. Shhhhk.*

Nothing.

Maria shifted the wand slightly to the left, angling it toward my pelvic bone.

*Shhhhk. Shhhhk.*

The silence in that ambulance was deafening. Every passing second felt like an execution sentence. My hand gripped the edge of the cot until my tendons ached.

“Please,” I begged the universe, the ceiling, the sky outside. “Please, God. Take my legs. Take my arms. Take my eyes. Just let her heart beat. Let her live.”

Maria pressed harder, her mouth set in a firm, concentrated line. She slid the probe slightly higher, just below my navel.

Then, faint, fast, and rhythmic, a sound cut through the static.

*Thump-thump-thump-thump-thump-thump.*

It was fast—nearly 150 beats per minute—like the fluttering wings of a hummingbird trapped inside a cage.

Maria let out a long, ragged exhale and looked up at me, a genuine smile breaking through her professional mask. “There she is. There's your girl.”

I broke down. A heavy, body-wracking sob escaped my chest, misting the inside of the oxygen mask. She was alive. Against all odds, against the cruelty of the man who had helped create her, she was fighting.

“Listen to me, Clara,” Maria said, her tone turning deadly serious again. “She is alive, but she is under profound stress. The heartbeat is decelerating intermittently. That means the placenta is partially detached from the uterine wall. When we arrive at St. Jude’s, things are going to move very fast. You are going to be surrounded by twenty people. They are going to cut your clothes off. They are going to prep you for the operating room. You have to stay awake. You have to keep breathing for her.”

“I will,” I promised, my voice cracking. “I will.”

The ambulance screeched to a halt, the brakes groaning as the vehicle backed directly into the trauma bay. The rear doors flew open, and a blast of cold hospital air rushed in, accompanied by a wave of shouting voices.

“Trauma team, let’s go! 24-week gestation, maternal blunt trauma, active abruption!”

Hands grasped the stretcher, sliding it effortlessly from the rails. I was propelled through automated double doors into the blinding fluorescent glare of Trauma Bay 1. Doctors in blue scrubs and clear face shields descended like a synchronized swarm.

“Start two units of O-negative packed red cells!”

“Get a baseline ultrasound right now! Dr. Chen, is the NICU team primed?”

“NICU incubator is prepped and waiting in OR 4!”

I felt cold blades slicing through my clothes, peeling away the bloody fabric. A large ultrasound monitor was dragged beside my face, and a young female OB-GYN squirted warm gel onto my stomach, her eyes glued to the black-and-white screen.

“I see the hematoma,” the doctor said, her voice taut with urgency. “Retroplacental clot is expanding. It covers nearly thirty percent of the implantation site. We don't have time for steroid maturation. If we wait, both of them will arrest.”

She leaned over me, her face shield inches from mine. “Clara, I am Dr. Chen. We need to perform an emergency classical cesarean section right now. Your daughter is too small, but staying inside is more dangerous than delivering her. Do you understand?”

“Save her,” I gasped, staring into the doctor's eyes. “Whatever happens to me... save my baby.”

“We’re going to do everything humanly possible for both of you,” Dr. Chen said, turning toward the nurses. “Roll her to OR 4! Call general surgery for standby on that pelvic trauma!”

As the gurney spun around toward the surgical suites, I saw Alex burst through the outer security doors of the emergency room. Two hospital security guards tried to step in front of him, but one look at his face made them back away instantly.

He locked eyes with me through the swinging doors. He tapped his fist over his chest, twice, right over his heart—the old signal our father had taught him before he shipped out overseas.

*I am with you. Stand fast.*

I managed a single nod before the heavy surgical doors sealed shut, the smell of antiseptic filled my lungs, and a cold mask was pressed firmly over my nose and mouth.

“Breathe deep, Clara. Count down from ten.”

“Ten,” I whispered. “Maya... her name is Maya...”

May you like

The world dissolved into black.

***

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