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The woman always wore the same one-piece uniform and white apron. Except for one hot summer afternoon Kerrie would never forget. The woman was wearing a two piece output, made of the same yellow-orange shiny fabric as her regular one and once, when she was reaching for something on the shelf above the plates, Kerrie saw a bit of her belly and the butterfly tattoo between her belly button and the top of her skirt. The image never left her. There was something about it that seemed so sexy, so provocative, so transgressive. She'd masturbated to it for years - in fact, still did sometimes. That small, small expanse of exposed skin that had been violated by a needle, the violation made permanent by the ink. One of her friends in college got a tattoo her freshman year and Kerrie made her bring her along. She watched wide eyed as the needle touched her friend's skin, injecting the tiny beads of ink into the subcutaneous tissue. When she got back to her dorm, Kerrie locked the door. Very few medical licenses are suspended, and it’s not because people are covering for each other. Yes, that happens, but in most cases, what happened was simply a wrong choice, identified after the fact, with an autopsy and a complete set of records. You won’t have that information in the ER, so you’ll run the protocols which have been developed through long, hard work, starting in military field hospitals and being brought to the public by a pair of doctors who opened the first ‘shock-trauma’ unit in Chicago in the late 60s. We’ve come a long way in fifteen years.“But things will go wrong, and when they do, you’ll sit in on a Morbidity and Mortality Conference, or M & M, to figure out the cause, and how to prevent it in the future. And you, or some colleague, will write a paper which will be published in the New England Journal of Medicine, or some other publication, teaching everyone else those lessons. Those conferences can be very tough on young doctors, and the intent is NOT to.
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