Hello, Wracks says the Frenchman.

I am a doctor now says Dr. Wracks

What do you get says the Greek.

I have a leg we amputated due to deep venous thrombosis.   I saw some clots in the femoral artery says Dr. Wracks.

Put it on the accession table and stand behind me.  I will tell you when you can go says the Frenchman.

There sits a huge vat of liquid nitrogen next to the accession table, the opaque milky liquid seethes and boils and vapor lingers at the base like a real Halloween movie and Dr. Wracks is the captive.  

The Greek throws a tumor into the liquid nitrogen and it sinks bubbles come up and the liquid boils.

I am waiting for the tissue to rise to the surface when it is done, then I will microtome it and do thin sections.

When a pathologist does thin sections, this is what happens

Wrights Giemsa stain identifies cellular organelles for detail

Gram Stain primarily demarcates intracellular, gram-positive bacteria

Warthin’s argentaffin silver stain makes spirochetes and parasite occlusions stain black

Calcofluor white stain identifies fungal elements that fluoresce under ultraviolet light

Nigrosine stain absorbs fat and Golgi apparatus identifying lipid-associated disease conditions

Carbolfuchsin Acid-fast stain makes tuberculosis germs appear like magic.

PAS reveals glycogen inclusions

A five-thousand-dollar microscope in two, one for the Greek, one for the Frenchman sits on a different bench in front of comfortable television chairs.  These monstrous apparatuses have silicon lenses carved and polished out of crystal and multiple magnifications and they finally use the oil immersion lens for fine detail.  After the microtome cuts the tissue into extremely thin sections that anyone can practically see through, they are stained, set on slides and a coverslip in balsam keeps the oil off the tissue.  The slides are labeled with a wax pen with a number so they cannot be changed and set in a box, one for each case.  

I will get to the leg later says the Frenchman, the surgeon is waiting for the results on several of the specimens.  He moves to an electric typewriter, conveys his findings for a case, types the document, signs the paper, inserts the letter into an envelope, seals the envelope, and hands it to Dr. Wracks.  Bring the letter to OR 3 after you scrub in, they are doing a bilateral mastectomy and waiting for the results.

It’s a lot of work, You can go.

All English hospitals look the same, like bastions or forts with heavy security.  Pathology here is in the basement and the lower floor is painted white on white with red arrows and large signs with names degrees and designations.  No matter what people do, it is cold and clammy and quiet down here and the silence is deafening.   There is such purity in white on white down below where no one goes.  

Dr. Wracks hurries back to surgery and OR 3.   He scrubs in like they taught him at the Autonoma and walks in backward so his hands don’t touch anything but he holds a letter.   He hands the letter to Dr. Gold the surgeon, he opens it and reads the results.  “There is metastasis in the draining lymphatics,” Radical procedure he says, you can go.  

In the late afternoon, on the East Coast, in the spring, everything is green, growing, verdant, and beautiful and Dr. Wracks is here.  At least I have a window to look outside at God’s given world thinks Dr. Wracks.   The pathology results are always positive, it seems a waste to make a patient wait under anesthesia for the results.   As a certified anesthesiologist, Dr. Wracks knows that the longer the procedure, the greater the chance of morbidity, mortality, and adverse reactions to the anesthesia.   The longer the procedure, the greater the chance of an idiosyncratic happening occurring. 

It is the rite of passing says another of his resident brethren.

Dr. Wracks does not cross his hands in prayer anymore because they say he is a nut.  Look for good counseling when choosing a profession and hope that you find someone to love you on the way.  Then you have won the game of life.  Time for another spin.   Like anything good in life, it is a lot of work.

It’s been a long time and things are drawing to a close and life didn’t seem to turn out correctly.

It is time to say things that I was told not to say.   Of course, it all is fictional, and money and espionage are fictional too. 

His name is Vacation Unmoon.   He is the last Boy Scout, or so they say.  He took an alias that he used his whole life and everyone believed him.   He was a spook for the CIA, and no one ever knew.   If you are a spook for the CIA, you don’t get paid because if you are caught, the corporation cannot be implicated and no record for you exists.   If you are good, you have to do it until you die, and if you know too much, you disappear.   He is dead now, or at least disappeared.  Before he died in the agony of cancer and an aneurysm operation, he said,   don’t use a 270 Winchester for a shot at range because when I shot JFK, the first shot missed and I hit Connelly.  Use a 30-06 instead for a long shot.    I guess he was the man on the bluff in the park.  

The assassination of JFK was planned by the CIA and the vice president of the United States, but this is conjecture.   The real reason for the departure of the president was that the owner of the Dow Chemical Corporation did not want to share their money with the Kennedys.   Jaqueline Kennedy’s family name was Dow.  NO MATTER WHAT THEY SAY, IT IS ALWAYS THE MONEY.  They say J. Paul Getty was involved in the operation and he declared himself dead to avoid being arrested.   Another question is: is he still alive today singing in the rock group In Excess?    

The DOW chemical corporation is the fabulously rich entity that makes all the drugs the AMA sells that are made in a pot, in a lab, under pressure.   They are all carcinogens.  The only pharmaceuticals that benefit man are the products of living things, plants, Mold, or bacteria.  However to make drugs from these entities is too expensive because they have to be grown, harvested, extracted, purified, and then tested by the FDA.  This effort is far more expensive than brewing something in a retort.

The assassination operation consisted of three people to get JFK in the crossfire.    It was Vacation Unmoon, the associate from the man from UNCLE and of course Lee Harvey Oswald.   Lee was chosen as the dupe to take the fall and he was assassinated by Knife Bargely, known by another name.  Lee was chosen as the dupe to take the fall because he is Catholic.  He also was the tail gunner on the Enola Gay.  Who was he working for?    Who was the manhandling them?   He might be alive and I cannot say.

THE ONE THE GODS SEEK TO DESTROY THEY FIRST DRIVE INSANE!

NO MATTER WHAT THEY SAY, IT IS ALWAYS THE MONEY!

They are all dead now or so I think.  Vacation, Ma the gun moll, and Granny, the saint from France.

They told me if I ever opened up my mouth I would pay but it is late now and a wonderful day for me is a cup of coffee and a protein bar with my laptop.  It doesn’t matter anymore, except to the money grubbers.   Our God-given world is a gift to us given by the maker and to sit outside and see the beauty of the world and the beautiful young people is reward in itself.   It is too bad people have to live here, Malibu and 18^th Street don’t break anymore and you can never return to your hometown.   Remember this, Poland told me to my face; what people say and what people do are two different things.   May Vacation have a nice life in prison?   No one knows until now and tonight I will share a roast beef with my family.   I didn’t get to when I was young.    Freedom is not free and we may have to fight for it.  

Of course, everything on this blog is fictional, I think, but my memory is failing me

The head of the emergency room is Doctor Little says Dr. Sabre, if you ever see him.  Dr. Venido has designated you as a surgical nurse and here is the key if they call you.  There exists an elevator in the far hall that has a key receptacle next to the door.   Insert the key and turn it in, it will open and take you directly to the surgical suite on the top floor.   We call it the Penthouse.   At the sign-in, there is a basket, put the key in the basket and go to the sign-in door and key in the combination we gave you.   If you have to leave in a hurry, you don’t need a key to go down in the elevator, just to go up.  Good luck.

There is an incoming trauma.   A construction worker got hit by a wrecking ball and it tore off part of his skull.   You will assist.   Go up in the elevator.  They are waiting for you.  The charge nurse turns like a soldier and walks away.

The Wracks walk down the hall on the first floor and see the elevator at the far hall.   He inserts the key, turns it halfway to the right, the door opens and he enters.  There is one button in the cab, it glows yellow and he pushes it and the doors close.  The wracks feel the cab go up, it stops and the door opens and he sees another hardwood door with a small window reinforced with wire.  A small console is on the right.  He pushes the code they gave him, the door opens with a metallic click and he enters.   The charge nurse says, scrub in, gown up, and go to room one.   Dr. Less will be waiting for you there to begin.   Head injuries are dangerous because general anesthesia causes death in these patients so do not talk because the patient is semi-conscious.   The surgeon and the anesthesiologist are waiting.

The Wracks scrubs up as they taught him in the dog lab at the Autonoma., put on a gown, a mask, and little shoelits, and walk backward like they taught him at school through the suite door.  The anesthesiologist puts gloves on him and he steps up to the table.  The patient is propped up in a sitting position with tubes sticking out of him his back occiput hangs off his head, and the blood drips down, and he looks upwards to the maker hoping for forgiveness.

We are going to reattach his scalp and bone back to his skull, and hope that it takes and heals.  If we remove the flesh and put it in a plate, he might not survive the surgery.    Wracks unpack and hand me eighteen gauge silk from the crash cart.   The wrack complies.   Hold his head still while I begin the suture.   Dr. Less has a large needle that curves like a fish hook attached to the silk and begins to reattach the scalp and bone to the head.   Use the aspirator to pick up fluid so I can visualize then swab the area with betadine.  I will say the Wracks.  The anesthesiologist glues his eyes to the heart monitor and injects valium, a little at a time to keep the patient still.   Dr. Less sews and sews and the Wracks cuts and blots and then he asks to open another suture pack of silk.  During impetuous circumstances, time flies and soon the patient has his head back, hair and all.   He blinks and starts to cry.   We are done says Dr. Less.   Scrub out and sit with him in recovery until he goes to ICU.  Thank you for your assistance today.   It was a pleasure working with you.

The ICU team comes and gets the patient who is breathing fine and has his Cath bag put on his lap.  The Wracks goes down in the elevator.  It seems to take a long time.  So this is Medicine thinks the Wracks.  I just want to sit in a consult and hand out antibiotics at the Bu.  It is night now and the Wracks gets in the sports car that he borrowed from his brother’s first wife.  Someone has broken in and taken the stereo.  He will have to replace the stereo and never use the car again.

They call it the obelisk.  Like an obsidian sliver pointing up into the sky, the moon coming up, it exists. It is black, the opaque windows are black and there are doors only in the front and the back that face the parking lot.  They say it is the main trauma unit for the county.  Before this summer the Wracks never knew it existed and it is part of the major exclusive university of Los Angeles.  Before his end, he will rotate through pediatric surgery, pediatric neonatology, and the Neuro.  The wrack does not want to go to the neuro but the unseen hands with non-olfactory money have put him there.

Where the fuck have you been scrub, says Dr. Little.  You are supposed to clean up trauma units.   If I catch you hiding again, I will fire you and inform your mentor.   Dr. Venido sent me says the Wracks; I was up in the Penthouse.   That can’t be says Dr. Little, you are assigned here to the E.R. to help out.  I will have a word with him.

I wish you would say the Wracks, I wish you would.  I know what I am getting into. 

It is night now and the freeway has cleared and the Wracks drive back to Tranquil Hills to tell the Fonz’s wife that her car got ripped off.