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benefits versus paying overtime. Overtime. And overtime was very much a count of how many persons were placed on overtime. It was money. Period. Maybe it was the fatigue. Probably not. He lost it. He wasn't loud but what you would call pressured. His voice transformed from trippingly pliant to rigidly harshly whispered resolute and beyond, as she kept pressing his buttons, until his speech had taken on the quality of a power saw cutting oak. A throat tearing at its work as he enforced his demand, "I am telling you nurse. I am telling you, do you hear me? Telling! One thing! Keep one daytime crew in place until that child arrives. Do not, NOT, DO NOT leave me here frigging naked with an emergency we can't handle! Don't you dare second guess me! One team! If she's OK, they go. If not, we move. Got it? Now get out of my face because you are REALLY pissing me off! One team! No questions. Get!" She got. She got and did one thing. One only. Melissa called a senior administrator, one who was always aloof, into self promotion, decorum, and of course the short term bottom line. It seems that the volatile doctor Macaluso had shouted the F word at her. That was the one thing she did. Keeping one backup room ready would have been two things. She'd teach him. Nobody pushes her around. Meanwhile, and unaware, Mac was mumbling about imagining what would happen to their reputations if an emergency that sped in from a trauma center got trashed while waiting in the elective overflow cue. After all, most of the late cases are not emergencies at all. They're simply cases that need doing sometime in the next week but can't find big enough slots in the day schedule, or those that need a certain consultant to be around whose day schedule is unwieldy, or cases which need specialized already assigned equipment, a certain microscope, a special table, whatever. But real emergencies should not go on the ends of such lists! Damn! How

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