POV: LaurabethThe monitors told the story before the full labs did. Thomas’s rhythm was not the familiar irregular pattern we had managed through previous decompensations. It was uglier—polymorphic, unstable, resistant to the first-line interventions that should have bought us a cleaner margin. I stood at the head of the bay with the team arranged around the table and locked every available emotional channel behind the same door I had used for a decade of other people’s children. This was not other people’s children. It was still a rhythm that had to be managed, a differential that had to be worked, and a body that would not tolerate divided attention.“Wide-complex, polymorphic, intermittent degeneration,” I said. “Assume toxin exposure until proven otherwise. Known cardiac baseline with recent external threats. I want toxicology, full electrolytes, blood gas, and continuous monitoring. Prepare for escalation if the next round of pharmacological control fails.”The senior resident l
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