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Interrupting renal perfusion was normally a real concern, but on balance, renal hypoxia was the least of this patient’s problems at that moment. As W. C. Fields is purported to have uttered on his death bed, “All things considered, I’d rather be in Philadelphia.”James tried to start an intellectual discussion about the various possibilities. Jesus! A godamned differential diagnosis as the patient was exsanginating. Fuck! This was the kind of self-satisfied asshole who liked to debate how many angels could dance on the head of a pin. I ignored him, reflecting the mesentery as high as I could.“Here! What the hell do you think you’re doing?” James demanded.“Sucker to big daddy,” I said to Judy.She was ahead of me.“I said...” James started, but I cut him off.“Retract, dammit. HELP me here.”Before he could object, Judy reached over and hauled up on the retractor giving me an inch, less, but it was just enough to sneak in above the renal arteries and do a blind cross clamp. The blood. Christine, behind her desk, gave him a broad smile and waved him in. She asked, “Have you forgiven Erika for having been so beastly?” With a peal of laughter, she added, “If you have, I’ll have to forgive her too.”Then, getting down to business, she told Ben about the hotel’s breakfast and dining arrangements and asked him if he would eat tonight, only tonight, at Gerd’s table. Gerd was keen to meet him again. He remembered him well from their shared childhood.Ben was happy to agree. So, Christine took him to the dining room, introduced Gerd and Ben, and returned to the reception. The girl serving dinner was just putting a second set of plates and cutlery on Gerd’s table. When she had to add a chair, Ben wondered if Christine and her husband ever shared a meal? And after what Erika had told him about their marriage, did they share a bed?Gerd had greeted him warmly. He seemed pretty pleased to meet him again, even though Ben had been no more than a schoolmate of his sister.Gerd was of.
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