Chapter 1โข
The year was 1955, and I was late again. That seemed to be the story of my damn life lately.
I slammed the door of my beat-up Ford behind me and sprinted across the staff parking lot, my white coat flapping like a surrender flag I refused to wave.
The surgical wing of St. Anthonyโs Hospital loomed ahead, all brick and steel and the faint smell of antiseptic that somehow never quite covered the copper tang of blood.
My sixteen-hour shifts had bled into eighteen more times than I cared to count since the internship started three months ago. Sleep was a rumor I heard about from luckier residents.
But I didnโt complain. Not out loud. Complaining was for people who still had time to waste.
I had wanted this since I was twelve years old standing in my daddyโs garage watching him tinker with an old tractor engine, realizing that if a man could make metal pump like a heart, maybe I could make an actual heart keep pumping. Cardiac surgery.
The way it beat, steady and defiant, pushing life into every corner of the body. Nothing else fascinated me the same way. Not obstetrics, not general surgery. Just hearts.
I was the first in my family to go to college. We werenโt poor my parents made sure we had food and a roof but little was the word for everything else. What we had, they earned with calloused hands and long hours. Scholarships and top-of-the-class grades had carried me through undergrad and into this program.
They called me the Shark back in college because I never let go once I tasted blood in the water. One of the boys even gave me a stuffed shark for my birthday, thinking it would shame me.
I kept it on my shelf like a trophy.
Tonight the shark was hungry.
I burst through the double doors of the surgical floor just as rounds were ending. Dr. Mendoza stood at the front of the group, charts in hand, his dark hair already showing threads of silver at the temples even though he couldnโt have been much past forty.
He was the reason Iโd fought to get this internship. Best cardiac surgeon in the region maybe the country. Calm in chaos, brilliant with a scalpel, and the kind of man who made you believe hearts could be fixed.
โLate again, Doctor?โ one of the male interns muttered loud enough for everyone to hear. A few chuckles followed. Someone else whispered nurse under their breath.
I kept my chin up and my mouth shut. For now.
Dr. Mendozaโs eyes flicked to me, steady and unreadable. โWe have a case,โ he said, voice cutting through the snickers. โThirty-eight-year-old woman. Massive myocardial infarction. Sheโs in the OR now. Heartโs failing fast. Weโre looking at transplant or nothing.โ
A ripple went through the group. Heart transplants were still science fiction to most people. A few had been attempted mostly failed. Kidneys, livers, even lungs had seen success, but a heart? That was frontier territory. Dangerous. Career-making or career-ending.
Dr. Mendoza continued, โThe first intern who locates a viable donor heart gets to scrub in with me. Time is not on our side.โ
My blood surged. This was it. The moment Iโd been waiting for since the day I put on these scrubs.
I didnโt wait for permission. I turned on my heel and started moving before heโd even finished speaking. The other interns scattered like startled pigeons, but I was already at the nursesโ station grabbing the phone.
Forty-two hours.
Thatโs how long I stayed awake. Coffee, adrenaline, and sheer stubbornness kept me upright. I called every hospital within five hundred miles, then started on the ones farther out.
I sweet-talked, begged, threatened, and bargained. I pulled every favor I had and invented a few I didnโt.
At hour thirty-eight, I found it a match. A twenty-four-year-old man killed in a car accident two states away. Brain dead, heart perfect.
I practically ran back to the OR wing with the paperwork. One of the male interns Richard, the smug bastard whoโd called me nurse more times than I could count tried to cut in front of me at the last second.
โI found the donor,โ he announced loudly as we both reached Dr. Mendoza. โTook me all night, but I got it.โ
My vision went red at the edges.
I stepped forward, voice ice-cold. โYou lying sack of shit.โ I slapped the confirmation telegrams and blood-type reports on the desk. โThese have my name and timestamps. You were asleep in the on-call room while I made fifty-plus calls.โ
Richardโs face purpled. โSheโs just trying to-โ
โEnough.โ Dr. Mendozaโs voice was quiet, but it carried the weight of a scalpel. He looked at the papers, then at me. Something flickered in his eyes respect, maybe even pride. โCaroline found the heart. She scrubs in.โ
The victory tasted sweet, but there wasnโt time to savor it.
The patient was already open on the table when we walked in. Her heart was a ruined, floppy thing barely twitching.
The anesthesiologist looked grim. The circulating nurse kept glancing at the clock like it was a bomb.
I scrubbed so hard my hands stung, then stepped up to the table beside Dr. Mendoza. My heart hammered louder than the monitors.
It was touch and go from the first incision. Hours blurred together. Blood pressure crashed.
We lost her for ninety terrifying seconds. My hands shook once only once and I clamped down on the fear.
I handed instruments before he asked. Anticipated problems. Stayed calm when the resident across from me started sweating so badly he nearly dropped a clamp.
Dr. Mendoza never raised his voice. He moved like a conductor, steady and sure, and I matched him beat for beat. When the new heart finally started beating in her chest strong, rhythmic, alive I felt something crack open inside my own.
We closed her up just as the sun was coming up.
Later that week, Dr. Mendoza published the case in a major journal. He didnโt have to mention me. I was only an intern. But there it was in black and white: โSpecial acknowledgment to intern Caroline Whitaker for her tireless work in securing the donor organ and her steady assistance in the OR. Her composure under pressure was instrumental in this historic success.โ
The article made waves. For the first time, the other interns stopped calling me nurse. They stopped suggesting Iโd look better in pink scrubs. Dr. Mendoza started requesting me on his service specifically.
I stood a little taller in the hallways after that.
Hell yeah, I was proud to be a Shark.
But even sharks have to watch the water around them. Because something had started between Dr. Mendoza and me in the quiet hours after that surgery something secret, dangerous, and impossible to stop.
I didnโt know it yet, but the real blood in the water was only just beginning.