Chapter Two
Alex
"Miss Pierce, did you hear me?" the formidable brunette woman said as she gripped a clip board and looked over the top of her cat eye glasses. She was dressed in a stiff, navy suit under which she wore a cream colored blouse buttoned up to her neck, and on her feet were sensible pumps, the kind that looked professional but could be worn all day without pain. She was a sensible woman who didn't have time for nursing students who didn't pay attention.
"Yes, Mrs. Rikka, I heard you," I said as I stepped forward and received my security badge and locker number. "Thank you, ma'am."
"Miss Pierce, I'm going to recommend that while you're here at Chicago General, you pay closer attention when people speak to you," she said, narrowing her eyes. "If you are not going to listen, then there is absolutely no point in you being here. Am I understood?"
"Yes, ma'am," I nodded as my face turned red with shame. I'd been listening until my best friend, Liz Baker, had elbowed me and asked if I'd brought my lunch. Now I was worried that I'd incurred the wrath of our nursing supervisor, Mrs. Fran Rikka, and that I'd pay a heavy price for it the rest of the year.
"Old bitch," Liz muttered under her breath as she flipped her flaming red ponytail and wrinkled her nose as if she'd smelled something bad. "She doesn't need to be dressing us down on the first day."
"Well, I wasn't listening to her," I admitted.
"Alex, you're going to need to grow a backbone, babe," Liz said as she slipped her arm through mine and pulled me down the hall toward the cafeteria. "Otherwise they're going to eat you alive!"
"I just think it's better to follow the rules and be polite," I said defensively. "I don't see what's wrong with that!"
"There's nothing wrong with that," Liz replied as she looked over the lunch offerings. "It's just that you do it so often that I think you forget that sometimes it's good to raise a little hell."
"I don't feel the need to raise hell like you do, Liz," I said, looking at her sideways. Liz had been my best friend since we were ten, when she'd waltzed into my elementary school, looked around and chosen me as her lifelong best friend. She was wild where I was calm, mouthy whereas I was polite, and rebellious whereas I was a definite rule follower. I calmed her and she, well, she got me into more trouble than I could imagine.
"I'll take the burger, fries, and a bowl of chili...please," Liz said to the woman behind the counter then looked at me and flashed a big cheesy grin. "Happy now?"
"Oh, Liz, you're a piece of work," I said, shaking my head. I turned to the lunch lady and said, "Salad, a bowl of chicken soup, and a wheat roll, please."
"Gross," Liz said as she made another face. She had the most animated face I'd ever known and was always shaping and reshaping herself to fit some new idea of who she thought she should be. It was entertaining, but sometimes I worried that Liz really didn't have any idea who she was.
"Do you think Rikka will hold today against me?" I asked once we were seated at a table near the window so Liz could watch people pass by. I loved the fact that I'd be able to observe the doctors and nurses as they worked on patients and then relaxed over lunch. I wanted to soak up as much about the hospital as I could, and the cafeteria was an excellent place to do it.
"Seriously doubt it," she said as she crammed two catsup-covered fries into her mouth and chewed. "Hey, look at that guy. Do you think he's homeless or just a hipster whose mom didn't do his laundry this week?"
"Liz! That's so mean!" I laughed before turning and looking at the young guy crossing the street and adding, "Definitely hipster. He's got a messenger bag slung over his shoulder. Homeless guys always use grocery sacks to carry their stuff."
"Hmmm, yeah, you're right," Liz nodded as she watched the boy cross the street. "He's cute, then."
"Elizabeth Marie Baker! You are incorrigible!" I laughed as I speared some lettuce and stuffed it my mouth. I chewed for a few moments then said, "I wonder who we'll be working with."
"I hope I get the ER," Liz said with her mouth full of burger. "I want to meet a handsome doctor who will sweep me off my feet and meet me in the broom closet for a scandalous rendezvous."
"Liz, is there ever a moment when men are not part of the equation for you?" I laughed already knowing the answer.
"Alex, my darling, the answer to that question, as you very well know, is no." Liz grinned. "There's absolutely nothing wrong with being a red-blooded, American girl who enjoys sex, so don't judge me."
"I wouldn't dare," I smiled before turning the conversation to a more serious matter. Sometimes Liz's reckless behavior scared me. She took chances that I knew I'd never be brave enough to take, and most of the time her gamble worked out just fine, but the few times when it hadn't, well, it had spelled disaster. I looked over at her stuffing fries in her mouth and said, "I'm just worried that I won't be able to manage all the coursework on top of working at the hospital. I can't afford to lose my scholarship, Liz."
"I know, kiddo," she said, patting my hand. "You're going to be just fine. We're going to kick ass and take names so that when we walk across that graduation stage, we'll be super stars!"
"I hope you're right," I sighed as I finished the rest of my salad. "I really hope you're right."
#
Later that afternoon, Liz and I walked into our classroom and found our professor setting up an anatomy lesson covering the skin. Liz muttered a few choice curse words under her breath while I took note of what the professor had written on the board.
"It's not going to be that bad, Liz," I whispered as we took our seats in the middle of the classroom. "It's just basic anatomy. Stuff we've been studying forever."
"Well, that would be helpful if I'd been studying it," Liz said mournfully.
"Liz! Why didn't you tell me you needed help?" I whispered. "I would have shared my flashcards with you or helped you study."
"I know, I know," she said. "Well, now's as good a time as ever to turn it all around!"
Twenty minutes later, Professor Jackson began the lecture, and I found myself lost in the intricacies of human anatomy as it related to the skin. I loved learning about the way the body was not only designed to be an efficient machine, but also how easily that machine could be disrupted by even the smallest abnormality. It wasn't that I wanted people to get sick, it was just that I loved learning how we, as medical professionals, could learn how to identify the problems and contribute to the process of fixing them.
"So, you can see how important healthy skin is to the overall function of the body," Professor Jackson said as she tied together the main points of the lecture. "Any time the skin is compromised, you have to keep an eye out for infection. A breach in skin layers can be as small as a paper cut or as large as a third-degree burn, and cause major problems either way. This is why good hygiene is so vitally important when you are dealing with the skin. Now, any questions?"
"Is this going to be on the exam?" Violet Metzler asked in a bored voice as she looked down at her nails. "And if it's not, could you be so kind as to give us an idea of what will be on the exam?"
"Ms. Metzler, it would be safe to assume that everything I lecture about will be part of an exam," Professor Jackson replied. "After all, this knowledge is what you will need in order to function as a nurse."
"Yeah, but see, I'm planning to be an administrator," Violet replied in the same bored tone as she flipped her hair over her shoulder and said, "I don't intend to have to actually deal with patients, so I don't want to waste my time memorizing things that aren't going to be useful in my administrative capacity."
"Ms. Metzler, administrators normally work their way up through the ranks, so you're going to need to actually practice nursing before you are allowed to supervise other nurses," Professor Jackson said, raising her eyebrow.
"Yeah, no. My daddy is going to put me in charge of the nurses at his hospital as soon as I graduate, so I don't need to worry about all that stuff," Violet said, waving her hand impatiently.
"And I wish you, and him, the best of luck with that," Professor Jackson said, turning back toward the board. "Are there any other questions?"
"How can you quickly recognize skin infections, Professor Jackson?" I asked without raising my hand. "I mean, how do you know the difference between an irritation and an actual infection?"
"Good question, Ms. Pierce," she said. "Let's talk about the differences!"
For the next half hour, Professor Jackson laid out the various ways in which we could differentiate between irritations and actual infections as I scribbled notes as fast as I could. She covered bacterial, viral, and fungal skin infections in detail explaining that when in doubt, we should always ask for a second opinion from someone who is outside of the case. She explained that sometimes the caretakers working on a case were too close to see things clearly, so it was always good to get a second set of eyes on the problem.
"In closing, I'd recommend that you also remember that while it is tempting to go for the most complex diagnosis," she said looking around the room, "often the right answer is the simplest answer. Now, I want to remind you that we have exams coming up at the end of the term, and you'll need to score 90% or higher in order to move on to the next level of your training. This means you need to hit the books, ladies and gentlemen."
"Why is she looking at me?" Liz grumbled as we packed up our things, pulled on our coats and gloves, and got ready to head to our next class.
"Maybe she can sense that you are a lost soul who needs saving?" I teased as we walked across campus toward the hall where our psychology class was held. It was freezing outside, but the sun was shining and it reflected off of the fresh snow, making the campus look like a winter wonderland. Chicago could be brutally cold in the winter, but days like this, the ones just before we turned the corner and headed toward spring, were the ones I loved best.
"Maybe she needs to focus on straightening out the attitude of little Miss Rich Girl," Liz said, flipping her ponytail. "I'm not the problem, she is."
"Maybe Professor Jackson has given up trying to teach Violet anything because Violet doesn't see the value in learning," I suggested, pulling my scarf more tightly around my neck as the wind picked up. "She's right about the fact that she's not going to have to work in the field like the rest of us will, so why expend energy trying to make her see things differently?"
"Good point," Liz muttered as she reached around and dug into her backpack with one hand, pulling out a tube of lipstick and then proceeding to freshen the color as we walked.
"I cannot for the life of me understand how you do that," I said admiringly. "I'd have it all over my face if I tried that."
"Eh, it's not so difficult once you get the hang of it," Liz said as she started to instruct me in the art of walking and applying lipstick.
"You really should reconsider learning that skill," a voice behind us said. I turned and found Violet Metzler walking five feet behind us with a knowing look on her face. Little puffs of frozen air drifted from her mouth as she sneered, "It's so tacky and common."
"Well, Vi, takes one to know one," Liz said as she turned and stared at Violet while she continued to walk backwards.
"Funny, Baker," Violet said in a voice that indicated she thought it was anything but funny. "You really should spend more time focusing on your studies and less on your appearance, since you really only have hope of improving the former."
"Why you--," Liz growled as I quickly grabbed her arm and squeezed it hard.
"Ladies, ladies, ladies," I said, stepping between them without letting go of Liz. "Let's not start a brawl in the middle of campus, shall we? Violet, I'm sure you have much better things to do than to stand around trading insults with Liz, so why don't you move along and get to them?"
"You should hang out with better company, Alex," Violet said as she walked past us toward the student center. "Someone like that will only drag you down and keep you from achieving your highest potential."
"I'll take my chances," I said dryly. "But thanks for your overwhelming concern."
"I swear to God, I'm going to lay her flat one of these days," Liz fumed as we picked up the pace so we wouldn't be late to class. As nursing students in the same cohort, we all took the same classes together. Fortunately, Violet had gone to some fancy prep school where she'd received credit for many of the general education classes we had to take, so she wasn't in our psych class.
As we sat down and pulled out our books, I looked over at Liz who was staring down at the textbook on the desk with a look of mixed anger and sadness. I grabbed her hand and squeezed gently as she reached up and wiped away a stray tear that had escaped her eye.
"I'm going to kick her ass someday," Liz said fiercely.
"Let's work on doing it in a way that doesn't end up with you being booked for assault, okay?" I whispered as Liz flashed me a grateful smile.
If I was honest, I, too, wanted wipe that smug grin off of Violet Metzler's face. I just didn't know if it could be done.