Every Street - Chapter
Two See Chapter One for details
DeVann, all too aware of his inferiority in the
courtroom, leaned forward in his seat and grabbed a legal pad, scrawling
something on it, completely missing the lines. God, did this guy even go to
school, Doug thought to himself as he watched, trying to block out the nasal
tones of one of the many prosecution attorneys who was treading the boards
before him. "The prosecution calls Dr. Neil Bernstein" Doug chewed his
lip hard as his former nemesis walked to the witness stand and was sworn in.
Behind him, Mark massaged his temples with one hand. "Dr. Bernstein, will you
state your position for the record please?" "I'm Head of Pediatrics at County
General Hospital" "Thank you. I understand that up until late last year the
defendant was answerable to you?" "Yes sir, Dr. Ross was on my staff as part
of an ER pediatric fellowship." "And who funded this fellowship?" "The
pediatric department" "But there was an agreement with the Emergency
Room?" "Objection, Your Honor. This all seems mighty irrelevant." Doug,
who had been mildly shocked that Clifton seemed to have good point, found the
shock soon dispelled by the choice of language with which Clifton chose to make
this statement. Nevertheless, Judge Lomak looked over the tops of his glasses
down at the attorney. "Does this have a point, Counselor?" "Yes, Your
Honor, if my esteemed colleague would just like to let me get to it." A
smattering of laughter from the rest of the courtroom slapped DeVann back to his
seat. "Dr. Bernstein, when you were paying for Dr. Ross's fellowship in the
emergency department, would you say that he appreciated this?" "Objection!
Surely this question is asking the witness to vouch for how Dr. Ross felt, and
no-one can explain that but the defendant." The judge considered this for a
moment. "Sustained. Counselor, please rephrase the question." "Dr. Bernstein,
did you get on well with Dr. Ross while you were funding his fellowship in
another department?" "No. Dr. Ross and I disagreed on a number of
issues." "Could you give the jury an example of this?" "Sure. In 1995, Dr.
Ross treated a boy aged about 9 in the ER because he had fallen and been knocked
unconscious temporarily. Dr. Ross wanted to admit the boy for overnight
observation, and I came down as a consult to establish if he needed to be
admitted or not. I examined the boy and I was certain that, aside from a few
bruises, he was fine and did not need to be admitted. Dr. Ross disagreed with my
diagnosis and assigned the patient to my service an hour later without my
permission." "And am I correct in saying this was just one of many
examples?" "Yes sir. I considered not renewing his fellowship that year, and
when it came up for renewal last year I was not going to renew it, because of
our frequent disagreements and our funding was running low." "How did it come
about that Dr. Ross left your service?" "He took the position of Pediatric ER
Attending late last year which was funded through the emergency room and
generous gifts." "Thank you, Doctor. Defense's witness." DeVann stopped
scribbling and lurched from his seat, grabbing a sheaf of papers.
"Dr....Bernstein. Despite your reservations about Dr. Ross, would you say he
was...is...a good doctor?" "Uh huh." "Can you please state yes or no for
the court record" "Yes. I wouldn't have a doctor on my service who wasn't
good." Trust good ol' Neil, Doug thought sarcastically. "Have you ever
seen him treat patients?" "Yes" "And would you say that he makes a good
pediatrician?" "Objection, Your Honor," one of the Armanis leapt out of his
chair, "repetition of the previous question." "Sustained." "Uh..." DeVann
shuffled his papers, trying to find the one no doubt containing his next
question. "How did you feel about the establishment of a pediatric emergency
center at County Hospital?" "I had mixed views." "Why was that?" "Well,
essentially it's a good idea, for the treatment of the kids and stuff, but
practically it's much more difficult - you have to have different budgets, staff
members who are devoted to that, plus funding for the creation of a separate
area in an already cramped department." "But surely you have your patients
best interests at heart, Doctor? After all, I do not recall part of the
Hippocratic Oath stating, "I will put bureaucracy above the needs of my
patients..."" A small ripple of laughter ran around the courtroom, and the
witness went a shade of plum. "Of course I have my patients best interests at
heart, and I take offence that you suggest I don't. But with any position in
modern hospitals there is a level of bureaucracy that cannot and will not be
ignored." "So would you have said that my client would recognize this balance
and make a good department head?" Dr. Bernstein grinned slightly. "If you're
asking me if I thought Dr. Ross was good with the business side of patient care,
then I would have to say most definitely not. He seems to want to get as far
away from rules and bureaucracy as possible." "Maybe that's because he places
a higher priority on looking after the children he cares for than
you?" "OBJECTION!" The whole prosecution rose to their feet, Doug could
almost see the steam coming from their ears. He nearly laughed out loud - it
seemed like this lowlife wasn't as bad as he thought. "That's okay Your
Honor, no further questions." DeVann returned to his seat, slightly flushed with
the battle win.
But before either of them could get too happy, another Armani
stood up and called the next witness to the stand. Mark Greene sat down on the
edge of the witness chair hesitantly, and swore to tell the truth, the whole
truth and nothing but the truth, so help him God. At the same time, Doug hoped
that if God was going to help anyone, it would be him. "Please state your
name and position for the court record" "Dr. Mark Greene, Emergency Room
Attending Physician." "Dr. Greene, your relationship with Dr. Ross goes
beyond the ER?" "Yes. We're friends." "Close friends?" "I
guess." "And the fact that you are Dr. Ross's superior at work doesn't affect
the relationship at all?" Mark glanced at Doug, who looked blankly back at
him. It wasn't exactly that he blamed Mark. They both recognised his problem
with authority. But it was the fact that Mark stood for all the things that got
in his way. And the fact that Mark wasn't afraid to be in that position...there
was something about that which made Doug unconsciously jealous. "I...can't
deny that it has put a strain on our friendship sometimes." The Armani guy
nodded, as if trying to appear understanding. "Like the case of," he flicked
his eyes down to glance at the single sheet he was holding, "Josh McNeil? I
would imagine that caused a few, let's say, ructions between the two of
you?" Mark cleared his throat, throwing another glance at Doug, who this time
looked away. "Yeah." "Would you care to elaborate please, Dr.
Greene?" "Doug...Dr. Ross performed a procedure called an ultra-rapid
detoxification on one of his patients without my...the department's
authorization. I had strong objections towards Dr. Ross, because he did the
procedure without telling me, and because it was still in trial stages and the
child could have been in danger." "Did you have any notion at all of what Dr.
Ross was up to?" "Not in terms of the detox, no." "In any other
terms?" Mark drew a breath. "Dr.Ross has treated the patient in question
before, and he'd been quite forceful...the child was addicted to methadone as a
result of his mothers own addiction during the pregnancy. Dr. Ross suspected
that the mother was stealing her son's methadone for herself, and that's why he
came into the ER, because he had withdrawal symptoms...the child was released
into the care of the district family and child services, but was re-admitted
for," he paused, "Dr. Ross admitted him for further testing, which we found out
was a front for the detoxification." The attorney remained silent, well aware
that it was his turn to speak but wanting to leave a pregnant pause for the last
bit of information to sink in. "Has Dr. Ross ever become this emotionally
involved with a patient before?" "Yes." "Often?" "I don't know...I
wouldn't say often." "But it has happened before?" "Yes." "And has
this...attachment to his work ever caused him to become aggressive or
dangerous?" Doug raised his head to try and meet Mark's eyes again - he was
running him through. But Mark avoided his glance. "Yes." This time it was
almost a whisper. "He attacked a patient's father?" prodded the lawyer. If
you're not careful, thought Doug, I'm gonna attack you very soon. "The man
had kicked his 1 year old daughter out of a second floor window." "But Dr.
Ross attacked the man?" "He punched him, once." "So Dr. Ross DID attack
him?" "Yes." "Thank you Dr. Greene. Defense's witness." There was no
easy way of getting out of all that, thought Doug. DeVann better have something
pretty special lined up if he wanted an annulment now, and insulting Mark
probably wouldn't hack it. "Dr. Greene, you've worked for some time with Dr.
Ross now, haven't you?" "Yes. I've worked with him for over 6 years
now." "And during that time have you always been his
superior?" "Yes." "But you've remained friends?" "Yes." "Do you
believe Dr. Ross to be good at what he does?" "Of course. I think Dr. Ross is
one of the best pediatricians I've ever worked with." "Why is that?" "He's
great with the children, he treats them with the same respect that I would treat
any adult, and he really knows his medicine. He takes pride in his specialty and
he puts his patients needs first, and I think that's an outstanding quality that
is rare in our profession." "So, while Dr. Ross has a slightly rocky history,
you still believed in him?" "Yes. I still do." "Have you ever done
anything to protect Dr. Ross?" Mark was silent, and frowned a little. "Sorry,
can you repeat the question?" "Have you ever protected Dr. Ross in any way?
Has he ever done something that maybe, some colleagues would disagree with, and
you've covered that up?" "I, uh. Yes. Dr. Ross issued a trial drug - a new
painkiller - to a patient who did not meet the demands of the trial. I found
out, as did Dr. Weaver, but we didn't report anything." "And why was
that?" "Because we didn't want any trouble, and because I suppose Doug was
doing a good thing really - the patient was in a lot of pain." "Who was this
patient, Doctor?" "Ricky Abbott" "And you're saying you morally agreed
with Dr. Ross trying to ease the boy's pain?" This line of questioning
intrigued the courtroom, and everyone sat forward a little bit. "Well, I -
yes. I agreed. Morally." There was some murmuring from the back row, but a
stern glance from Judge Lomak silenced it. "So would you say, Dr. Greene,
that you agreed with what Dr. Ross did to ease the patient's pain further? Do
you believe in euthanasia?" The murmuring returned and no glare would stop it
this time. Only a short sharp burst of gavel on wood served to quieten the
room. "I'm not sure." "Not sure?" Mark nodded, uncertainly. Doug knew
that he didn't want to run the risk of getting into trouble himself. "You're
not sure Dr. Greene? Well, in that case I will have to refresh you memory of a
patient you treated back in 1995, who was brought to your ER in the final stages
of terminal cancer. She pleaded with you for the duration of her stay to help
her die. Do you remember that patient, Dr. Greene?" "Yes." Doug was
suddenly concerned. Where was this guy going with this? What was he doing? He
knew he was trying to defend him any possible way, but bringing his friends down
with him? This was not what he wanted - it was bad enough that Mark had to take
the stand. He watched, unable to do anything. "Can you remember what happened
next?" "Yes." "Would you care to tell the jury?" "I issued her with
morphine because she was in a great deal of pain." "And how much morphine did
you give her, Doctor?" "I can't remember." "Well how about I remember for
you, hmm? You gave your patient the maximum dosage, when she was already on 120
milligrams just to help her sleep. How much morphine can the human body handle
before the systems start shutting down, Dr. Greene?" "About 250
milligrams" For those who had worked it out, small gasps littered the
air. "And, now I've refreshed your memory, how much did you give Mrs.
Holsten?" "Probably about 260 in total" As the noise level rose, the gavel
spoke once again. "So, Dr. Greene. Would you say you were unsure about the
issue of euthanasia? Do you, or do you not agree with mercy killing?" "I
agree with it." "Thank you. No further questions." Judge Novak tapped his
gavel. "Court is adjourned for the day. We will reconvene at 10am tomorrow. See
you then." "All rise!" Everyone stood as the judge dislodged himself from
the heavy chair and thumped down the steps and out of the room. The jury also
rose and left via a different door, leaving the defendant, the prosecutor, their
lawyers, and the few sparse spectators to chat among themselves. Doug declined
to make small talk with Clifton and instead turned around and leant over the
railing that separated him from his audience. He stretched out and touched
Mark's sleeve. "Hey Mark. I didn't tell him to do that - he didn't even tell
me he was going to, otherwise I would have stopped him, you know that, right?
Right? God knows I've dug my own grave here, I'm not trying to take you down
too, Mark. Mark? Are you even listening to me? Mark, I didn't want that to
happen!" Mark, who previously had refused to look at him, turned to
him. "I know you didn't, Doug. You didn't mean to get in any of this mess,
but you have. And now I'll probably have to go in front of the hospital board,
maybe even the AMA." "Mark..." Doug was a little lost for words - what could
he say? Mark stood and walked into the aisle, meeting Carol there and they
walked up to the large oaken doors and out into the foyer. Doug stood by the
rails, shouting after him, but to no avail. He dropped his head, and turned back
to where Clifton - the epitome of a cheap lawyer - was packing his plastic
briefcase with the legal pads and all three pens he owned. He finished packing
up and turned around to see Doug and grinned widely. "Hey, we're goin'
pretty good dontcha think? That last bit, boy I thought I was pushing it but
some nurse came up trumps at that there hospital of yours and now I think maybe
that jury will think again before...hey, you okay? You wanna go get coffee or
something, I know a neat little place down the block." "You know what,
Clifton? No, I don't want coffee. And I don't want you to go around dumping
malpractice suits on the few people I have left. Okay? Okay. I will see you
tomorrow morning, unfortunately, and don't you try to pull any more of that
crap, you got that?" On which note, he stormed past the dumbstruck lawyer and
down the aisle.