offline medical protocols 2025-09-15T21:44:48Z
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Cold fluorescent lights hummed above the empty nurses' station as I pressed my forehead against the glass partition. Maria's chart felt like lead in my hands - recurrent cervical carcinoma with bizarre metastasis patterns that defied textbook presentations. Down the hall, her husband slept curled in a vinyl chair while her vitals danced dangerously on the monitor. Every resident's nightmare: being the lone physician on night shift when standard protocols crumble. My pager vibrated - lab results