Good Medicine - Residency II - Cover

Good Medicine - Residency II

Copyright© 2025 by Michael Loucks

Chapter 62: I Think I Will

December 24, 1990, Eve of the Nativity, Circleville, Ohio

The three weeks leading up to Nativity had been routine, both at the hospital and at home. The only downside of switching services was that I had to work most holidays. That included Christmas Eve and Christmas Day, as well as New Year's Eve and New Year's Day, though I had arranged with Kylie to cover my New Year's Day shift.

The schedule meant that we needed to celebrate Nativity on the Eve of the Feast, rather than following the Divine Liturgy, which I would have to miss.

"If we were on the Old Calendar, Nativity would be on a Sunday," Kris said with a smile as we prepared to go to Saint Michael the Archangel for the Vespers for the Nativity.

"But we aren't, so here we are, getting ready for Nativity Vespers!"

Just over two hours later, we were home again, ready to celebrate Charlotte's first Christmas. We had put up the tree on Sunday, but following Orthodox tradition, we hadn't yet turned on the lights. Now, in a mostly darkened room, I pressed the switch to turn them on, and the multiple strands of blue lights came on.

"A beautiful idea," Kris said. "I love the blue glow!"

"It's pretty, Papa!" Rachel exclaimed.

"Thank you. Shall we open presents?"

"Lotta can't open presents," Rachel observed.

"We'll help her, the same way Papa helped you when you were a baby."

"I'm a big girl now!"

"Yes, you are."

To keep our focus on the true nature of the Feast, Kris and I had decided to limit the number of gifts we gave the girls. Unfortunately for us, grandparents, great-grandparents, aunts, godparents, and pseudo aunts and uncles were not with the program, so the girls received more than twenty gifts each. For me, the most appreciated were new «косоворо́тки» (kosovorótki) for Rachel and Charlotte, hand-sewn by Oksana. ("Russian peasant shirts")

When we finished opening presents, Rachel was too hyped to go to bed right away, so I got my guitar and played Christmas Carols, though Kris didn't know the words in English to most of them. I sang to Kris and the girls until Charlotte fell asleep, then took a break to put her to bed. Once she was down, I played some of Rachel's favorite songs until she, too, was ready for bed.

Once I had tucked Rachel in, Kris and I decided to take a warm bubble bath together.

"I don't think we're going to be able to keep our plan to limit Christmas gifts," I observed once Kris and I were in the tub with her reclined against me and my arms around her.

"Grandparents do not care at all what parents want with regard to spoiling grandchildren!" Kris declared.

"Not to mention a pair of aunts and a large group of pseudo aunts! At least Lara was restrained."

"There is no possible reason a girl that age should have that kind of money without having done anything except happen to be born to the right family!"

"We're going to have to disagree, and I would very much appreciate it if we could save the political discussion for later."

"I'm sorry," Kris said. "I shouldn't have said that."

"And I shouldn't have, in effect, baited you with the comment about Lara being restrained. I hope you don't mind that I made reservations for an anniversary celebration on New Year's Day evening."

"Where?"

"At The Maisonette, on 6th Street in Cincinnati. It's had a Mobil 'Five Star' rating for twenty-six straight years, and is arguably the best restaurant in the United States. The Head Chef is French, of course."

"And you think that's an appropriate use for our money?"

"I do. I want to take you for a very nice dinner to celebrate our anniversary. The girls will be with my grandparents, and we can pick them up on the way home after dinner. Are you suggesting I cancel the reservations?"

"No. We'll save the debate for another time."

"I don't think it wise to defer the conversation if you're unhappy," I countered.

"Acting nouveau riche is equally problematic as being part of the ancien régime, and in some ways, worse, because the lessons of the past about wealth and privilege haven't been learned."

"And I will counter that 'rags to riches' is the epitome of what it means to be an American. I grew up middle class, so I wouldn't say that's me in any way. Mrs. Kane's son is a perfect example, but you'd object to how he made millions in five years, starting with less than a thousand dollars. I don't begrudge him his wealth, any more than I do Lara or her family their wealth."

"He's the stockbroker, right?"

"He's a hedge fund manager, which I think makes it even worse in your mind. The challenge you have is that a large portion of the money he manages is on behalf of union pension funds, so the wealth he's building is for the working class, or in your terms, the proletariat.

"Perhaps the government should provide a full old-age pension that is sufficient for a comfortable life, but it doesn't, so someone has to do it. Unless and until the system changes, union pension funds, 401(k)s, IRAs, and pension schemes similar to the one offered by the hospital are the only game in town. In my mind, if he can earn better returns by following the law, why shouldn't he?"

"You know the laws are rigged for the bankers and Wall Street!"

"Again, assuming that's true, unless and until the law changes, what he is doing is legal. As I understand how he does business, it's ethical, and similar to how Viktor made his money — hard work, determination, and intelligence. I don't know enough about Lara's stepfather to say how he earned his money, but I daresay it was through legal methods, given he's a senior executive at a publicly traded corporation."

Kris laughed derisively, "As if THAT matters. Corporations lie, cheat, and steal, and their main victims are their employees!"

"Union workers have been among the most well-paid for the last fifty years or so, and our friend who earns the most is a shining example of the proletariat — someone who has only his labor to sell. Oh, wait, that would include me."

"You know very well doctors and lawyers are the new aristocracy."

"Not in Hayes or Harding Counties, they aren't! Well, unless you consider us the equivalent of «кулаки»́ (kulakí) because we'll make more than the median income once you graduate. But once you go «кула́к» (kulák) hunting, where does it stop? Is this house sufficient to house seventeen families?

"What happens when I manage my money better than everyone else, so I have reserves when there is a crisis? Should I be stripped of them for the 'greater good'? If so, what motivates ANYONE to work? As the saying went in Soviet Russia — «Пока боссы делают вид, что платят нам, мы будем делать вид, что работаем» (Poka bossy delayut vid, chto platyat nam, my budem delat' vid, chto rabotayem)." ("So long as the bosses pretend to pay us, we will pretend to work.")

"So we continue with the inequality because socialism isn't perfect?"

"No, we continue with the inequality because capitalism is better, and has raised more people from poverty than any other system yet invented, including socialism. Is it perfect? By no means. Should there be regulations to prevent the worst excesses? Absolutely. But in the end, the profit motive drives wealth creation, and that is to the benefit of all, even if not in the same amounts."

"That flawed 'a rising tide raises all boats' idea?"

"No; I did acknowledge not everyone gains the same. That said, the overall good is better under capitalist systems than under socialist systems. I do not object to a safety net; I object to trying to make everyone equal, rather than working to ensure equal chances to succeed. I'm sure you know the stories of Andrew Carnegie and JD Rockefeller, and from what I've heard, Mrs. Kane's son has followed that pattern. I admit they are outliers, but men like Viktor Kozlov and Yuri Valentinovich Zhuravlyov are not."

"May I suggest a solution?"

"You may."

"Take me to bed and make love to me!"

"A request I will always honor!"

December 30, 1990, McKinley, Ohio

On the last Sunday of the year, I covered Kylie's shift in exchange for her covering my New Year's Day shift. Late in the afternoon, I went up to Maternity to see Lara, who had delivered a bouncing baby boy whom she and Nathan had named David Nathaniel Jones.

"Hi, Mike!" Nathan exclaimed when I walked into Lara's private room.

"Hi, Nathan. Hi, Lara. How are you and David?"

"I feel like I gave birth to a baby elephant!" Lara declared.

"How big?"

"Eight pounds on the dot, twenty-one inches."

"Mind if I look at his chart?" I inquired.

"You're a doctor," Nathan said. "You don't need to ask!"

"Actually, I do, because I'm neither David's doctor nor Lara's doctor, nor was I asked to consult on the case."

"Thank God for that!" Lara declared.

"Indeed, because that would have meant multiple things had gone terribly wrong!"

"Go ahead," Nathan said.

"He actually needs to hear it from me," Lara said. "It's OK, Mike."

"Thanks."

I checked the charts and saw everything was good, including that David had Apgar scores of 8 and 9, which were typical for healthy babies.

"When do you plan to baptize David?"

"February 10th," Lara replied. "That's the Sunday after the 40th day. You're available, right?"

"Yes. I don't have Sunday shifts, and I'll make sure I don't trade for that day. I'm sorry to cut this short, but I need to get back to the ED."

I left the Maternity Ward and returned to the ED to complete my shift.

December 31, 1990, New Year's Eve, Cincinnati, Ohio

"You missed visiting the prisoners this month," Kris observed as we drove through Milford on Route 50."

"I know, but it really couldn't be helped. I'll visit on a Sunday afternoon in January, and I'll need to have my time with Father Roman by phone and have one of the priests here say the prayers of absolution."

"That can't be done over the phone?" Kris asked.

"Honestly, I think it could, but the symbolism of laying the «омофоръ» (omophor) over the penitent's head is important, so generally, 'remote absolution' is not permitted except in extremis."

"You'll have this new schedule until the end of May, right?"

"With the caveat that things might change when the new ED opens. I'll make the schedules starting in May, and in theory, I'll only have between fifty and fifty-five scheduled hours. A lot will depend on the mix of Attendings and Residents, and the patient load in the ED. If the new clinic works as designed, I should be able to have fifty-hour weeks as a PGY3.

"Attendings work between forty-eight and fifty-two hours. As a first-year Attending, I'll likely have some nights and weekends, as well as some holidays. Attending schedules are not always regular the way Resident schedules are, so it's possible I'll have weeks with sixty hours and weeks with forty hours, or even less, though my total hours for the month will always work out to around two hundred for my first few years, dropping to around a hundred seventy-five after that."

"What's the longest shift you could work?" Kris inquired.

"Twenty-four hours. Someone always ends up with the Saturday midnight to Sunday midnight shift, and it's usually a first-year Attending. They'd have an additional three or four shifts varying from ten to twelve hours."

"So you might be back to missing church on Sundays?"

"Possibly for the first year or two, yes. A lot depends on how many Attendings are hired in May of '92. I might be the only one, and then I'll get the worst shifts. If there is more than one hired, then we'll likely split them, and I'll have irregular schedules one week to the next and work at least half the holidays. If I had to bet, I'd be the only one because they'll be hiring three this coming May — two new ones plus Loretta's slot."

"Given all of that, I'm not sure when we'd be able to go to a hockey game in Pittsburgh."

"I know, though I do have two weeks of vacation time to use. That's something I should discuss with Dutch when he's back on January 7th. Did you have any ideas?"

"The challenge will be my coursework, because I'm carrying a full course load. Our Spring Break is the week of March 24th. The last day of classes is June 13th. Summer courses begin on June 24th."

"Then I'd say we plan our vacation for those two one-week periods. I'll ask Dutch next week, then clear it with Owen Roth. Any thoughts on what you'd like to do?"

"What if we try to go to Pittsburgh in March, just you and me, with Nathan and Lara, and then in June we do something as a family?"

"That sounds good to me. I think the girls are too young for Disney World."

Kris laughed softly.

"Just a bit! And given our timing, the stereotypical family visit to Disney World is about ten years off! What about the lodge in Gatlinburg, Tennessee, where we went for our honeymoon?"

"I'm OK with that, if we can get reservations. I'll call and find out on Wednesday. If not, I'll call a travel agent to get some ideas. If we follow the plans, we'd be in Pittsburgh on Palm Sunday. I'm OK with that if you are."

"I am, because what other time would we have? We could probably attend services at the Monastery of the Transfiguration in Ellwood City."

"I'd really like that," I said.

When we arrived at the Netherland Plaza, we checked into our room, which had been comped as part of the agreement Kim had worked out, though we had to pay the taxes on the room, which only amounted to a few dollars. We eschewed the bellhop and carried our overnight bags, along with my guitar and satchel with sheet music, ourselves. We used the elevator to go up to our room, and after leaving our overnight bags and using the facilities, Kris and I made our way to the grand ballroom.

"This is very French!" Kris observed. "And the wrong kind!"

"It is very much Art Deco with a 'Versailles' feel," I chuckled.

"Something you love because you know it annoys me!" Kris declared.

"I actually don't prefer it, but it doesn't raise my hackles the way it does for you, «ma chèrie»." ("sweetheart")

"Why do I feel every time you use that French phrase, it's mocking me?"

"Would I do that?" I asked with a grin.

"Yes!" Kris declared.

"We'll have all day tomorrow to debate world socialism! For now, let's just enjoy the party."

I was very happy that there was no minimum age limit for the party, which meant Kris would be able to circulate freely and would mostly be with Sierra, Deja, Mick, and Doug. Kris and I had discussed her singing with me, but Endless Love didn't really fit the playlist, so we'd decided against it.

We had about forty minutes before our first set, so after setting up my guitar and music, Kris and I left the hotel to take a walk around downtown Cincinnati. It was a nice night for December, with the temperature hovering around 40°F with very light winds. We mostly walked silently, and when we returned to the hotel, I joined the rest of Code Blue to warm up, and precisely at 9:00pm, we kicked off our performance with Cincinnati, Ohio, followed by The Entertainer and Radio Ga Ga.

The music was well received, and when we took our first break, a club owner from Newport approached us about playing a gig. Kim promised to get back to him in early January, and we joined our significant others to relax for twenty minutes before the second set.

As we had planned, we played Auld Lang Syne, first singing the modern English lyrics, then I sang the Scots lyrics, followed by Goodbye Yellow Brick Road, I Melt With You, and 1999. We finished our final set, including two encores, just before 1:00am. Kris and I chose to go to our room immediately, where we showered together before climbing into bed.

January 1, 1991, New Year's Day, Cincinnati, Ohio

Kris and I slept late, then had breakfast in the hotel restaurant. Given it was New Year's Day, not much was open, so after we took a brief walk around Fountain Square, we returned to the room where we made love and debated world socialism for several hours before having lunch brought by room service.

After eating lunch, we spent several more hours making love, without the debate, then showered and dressed in appropriate clothes to match the dress code at The Maisonette. We packed our few things, then checked out, though we left our bags with the bellman to be claimed after our dinner to celebrate our second wedding anniversary.

"OK, this is downright offensive!" Kris declared quietly once we had our menus. "Mine has no prices! How do they know I'm not paying?"

"Because if that were to happen in Cincinnati, the Earth would spin off its axis and careen out of the solar system!" I teased.

"Didn't Lara pay for things when you were dating?"

"Mostly not, actually. We generally went out with the group, where everyone contributed equally to pay the bill in true socialist fashion! Katy Malenkov actually paid far more often than Lara, because Katy and I had more one-on-one dates."

"They both objected to your ordination, right?"

 
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