surgical decisions 2025-11-12T16:38:20Z

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3 AM in the surgical ICU smells like sterilized panic - antiseptic, stale coffee, and the metallic tang of blood that clings to scrubs no matter how many times you wash. That’s when Mr. Henderson crashed. His post-op vitals spiraled: BP 70/40, heart galloping at 140. My intern brain short-circuited. Orthopedic rotation never covered this cascade - was it hemorrhage? PE? Adrenal crisis? My palms left damp streaks on the chart as nurses’ voices sharpened into scalpels: "Doctor’s call."

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The screen's harsh glow reflected my panic at 2 AM, digits mocking me after another reckless Uber Eats binge. Forty-seven dollars vanished for cold pad thai I didn't finish, compounding last week's impulsive vinyl record splurge. My bank app felt like a crime scene photo - evidence scattered, motives unclear. That's when Sarah slid her phone across the bar, its interface glowing with calming teal gradients. "Meet your financial exorcist," she laughed. Skepticism warred with desperation as I down

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