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the whole day. And evening. We had plans with the Fentons tonight.”

“Honey, I’m sorry. I don’t know what to say.”

“Daddy, you’re going to work again?” Elliott said.

“There’s a man who’s sick and I have to take care of him.”

“My tummy hurts. You have to stay home and take care of me.”

Madison felt a punch of guilt slam him in the stomach. He took Elliott’s small hand in his own and squeezed gently. “I promise, champ. Tomorrow we’ll do something very fun. Marine World or something like that, okay?”

“That’s what you said the other day,” Elliott whined. He looked over at Leeza. “Mom, will you take us somewhere today?”

“Sure, honey. We’ll go to the zoo, okay?”

Elliott leaned against his mom’s shoulder. “Okay.”

“You keep making promises you can’t keep, Phil. It isn’t fair to the kids.”

“Look, I would hope that if one of you were seriously ill and I wasn’t around, that your doctor would put you first and come in on his day off-just like I’m doing for this patient.”

“You know as well as I do that all he’ll say after the surgery is how high your bill is. You think that once he’s up and walking again he’ll care that he ruined your day off, a rare day off you were supposed to spend with your kids?”

Madison shrugged. “I can’t think about it that way.”

“Do you realize that you spend more time in meetings for the Consortium than you do playing with your kids?”

Madison held up a hand. “I’m going to cut back as soon as we get the staffing situation straightened out.”

Leeza shook her head. “One day the kids will be grown up and you’ll say, ‘Where have all the years gone?’ You can’t get back these times. Once they’re gone, they’re gone.” She looked at him, awaiting a response. But he just sat there.

“And you see all these great things we have? This house, our Mercedes, the stocks, the furniture, the artwork...none of it’s going to matter, because when you have a heart attack and die from working too much, I’ll collect the two million in life insurance and enjoy all of it with another man—one who’ll put me and the kids first and his career second. We’ll be playing with the money and material things you worked so hard for, because you won’t be around to enjoy them.”

“I’ll only die from the heart attack if the cardiologist on call decides to spend the day with his family and not answer his page to report to the hospital.”

“Phil, you’re impossible.”

“That’s why you married me.”

She sighed, stood up and walked over to him. “One day,” she said, draping her arms around his neck, “you’ll realize how important we are. I just hope it won’t be too late by then.”

CHAPTER 8

MADISON WALKED OUT of the operating room, the perspiration from his chest drenching his blousy maroon hospital scrubs. He had removed his latex gloves and was stretching and exercising his hands. He rubbed them together, dispersing the white powder that had been deposited across his palms.

“Great job, Phil,” Fred Oliver said, patting him on the back.

Madison rolled his head around and stretched his shoulders back. “Neck’s killing me.”

“After fourteen hours, everything aches.”

“I’m glad that EMG was run this morning. The MRI didn’t show nearly that much encroachment.”

“All that scar tissue,” Oliver said, shaking his head. “It was wound around that nerve like a sheath. And that disc fragment. You did a good job fishing it out. I took one look at that and I knew twelve hours wasn’t going to be enough.”

Fred Oliver was Madison’s most requested assisting surgeon—particularly in difficult cases such as this one. He had hands of stone—with dexterity that professional basketball players would envy. And, like many neurosurgeons, he was somewhat eccentric.

“I’m absolutely exhausted,” Madison said as he flopped onto the bench in front of his locker. “If breathing wasn’t reflexive, I’d have definite cause for concern.”

“I know the feeling. As soon as I change I’m gonna call a cab, go home, and nap for the next few days.”

“Can’t. You’re scheduled in surgery at eight Monday morning.”

Oliver’s shoulders slumped. “Eight?”

“I saw it on the schedule on my way in.”

“Shit, the L5 discectomy.”

“That’s the one.”

“Totally forgot.”

“Don’t complain, at least you’ll have a day to rest. I’ve got a trip to Marine World with the family tomorrow. If I can drag myself out of bed.”

“At least you have a family to go home to,” Oliver said, pulling his shirt over his head. “I’ve got a quiet house and a maid who comes once a week.”

“I’ve got to figure out a way of spending more time with them. I’m in meetings more often than I’m with my wife and kids.”

“Bad sign, Phil.”

“So I’ve been told,” he said, walking toward the showers.

Madison dressed, gathered his energy and went out to the waiting suite, where he met with the patient’s family. Three of them were asleep, slumped across a row of padded chairs, but the parents were awake, if a bit dazed after the fourteen-hour wait. They jumped up as Madison walked through the door.

He informed them that the surgery was successful, and that their son would be able to walk again without a deficit. It was a particularly grueling surgery, but he had a very competent neurosurgeon assisting him. He briefly explained why it had taken longer than anticipated, and they nodded as if to indicate that they understood. They didn’t, but it did not matter as long as everything was going to be all right.

A nurse walked by and smiled, telling them that Dr. Madison was brilliant in the OR, and, that had another doctor performed the surgery, their son’s chances of walking again would have been significantly less.

“That’s very kind,” Madison said, “but we don’t want them to think that I paid you to say that.” They all laughed. The family was relieved. Madison, was again the hero.

King of Sacramento General Hospital.

The ride home was only about fifteen minutes, and a relatively straightforward route

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