The Hospital (10/24)

入得谷来,祸福自求。
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Jun
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The Hospital (10/24)

Post by Jun » 2005-07-13 5:56

The Hospital
July 2005

Chapter 1

Jane would never forget the first time she set eyes on the Hospital. A massive expanse of buildings and outdoor fields occupied half of the city, stretching beyond the horizon. The buildings were a hodgepodge of ugly gray concrete, giants of glass and steel, awkward neoclassic attempts, and new, endless structures made of super-light-weight carbon nanotube fiber. The new structures took up all the outer layers of the campus, leaving a trail of the Hospital’s physical growth over the past half century. And evidence of construction continued to eat into the surrounding neighborhoods. This was the largest medical institution in the world, and she was standing on its threshold.

It was a stifling summer day. Gray cloud hung low in the sky. The air was so thick that it clogged up your lungs like a wet towel. Janie could hear her sweat gushing out as soon as she got off the air-conditioned taxi and hastened into the building that marked “Administration 16.” This was the place for new staff members to register at the Hospital upon arrival. The relief of cool air in the lobby first soothed her, but the sight of a vast, immaculate reception area suddenly filled her heart with anxiety. At this moment, in front of the luminous decorations on the wall and surrounded by floor-to-ceiling glass windows, the realization that she was finally inside the Hospital suddenly slammed into her face. She froze.

Jane had been one of the few foreign clinical fellows accepted by the Hospital, an honor and great fortune of astronomical proportions to any medical doctor, not to mention newly ordained medical doctor like her. Most residents and fellows accepted by the Hospital were not only U.S.-educated, but were directly plucked from the dozens of affiliated medical schools in this state and its own post-graduate programs. And rumor had it that most of these people started preparing for a life and career in the Hospital as early as middle school or junior high school.

Janie had no such head start. She was merely the most gifted medical student at a second-tier medical school
Last edited by Jun on 2005-10-24 15:04, edited 24 times in total.

tiffany
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Post by tiffany » 2005-07-13 8:25

ah, finally :admir002:
乡音无改鬓毛衰

笑嘻嘻
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Post by 笑嘻嘻 » 2005-07-13 8:42

:admir002: :admir002: :admir002:
云浆未饮结成冰

helenClaire
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Post by helenClaire » 2005-07-13 9:27

象我见过的几家大医院。外面是玻璃建筑,里面是窗户很小墙壁很厚的钢筋水泥。 :-P

Jun
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Post by Jun » 2005-07-13 10:12

在我见过的世界各地的大学里,医学院的楼总是最难看的,而药学院比医学院更难看。

这一篇是写到哪儿算哪儿,大家凑合着看吧。

helenClaire
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Post by helenClaire » 2005-07-25 8:36

奇怪这篇小说,至今也没抓到JUN写了什么特别不寻常的内容,就是让我疑神疑鬼的:INA,莫非还要别的用处?那些个相貌年轻的人,不是机器人吧? :roll: :shock:

Jun
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Post by Jun » 2005-07-25 8:54

:oops: :oops:

我汗。后面,后面还有很多。。。(不过也不能保证特别特别)

icefire
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Post by icefire » 2005-07-25 10:57

我心虚地问,大家是怎么练书面英语的?不会是看PAPER罢? :let_me_die:

笑嘻嘻
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Post by 笑嘻嘻 » 2005-07-25 13:25

Jun写小说是属于我特别感觉舒服的那类型的,环境,人物都很完善了,然后故事才发生。小白和helen是故事随时可能发生,而且好比现实一样,我们读者所扼腕痛惜的可能跟事实发生是有差距的。小白把这称之为科学家青年和工程师青年的区别。现在我觉得Jun和小k和我是一类型的了。 :mrgreen:
云浆未饮结成冰

Jun
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Post by Jun » 2005-07-25 13:30

我老人家这不是在做长期抗战的打算吗? :-P 这就算想哪儿写哪儿,如果真的有一天竟写完了,再回来替文字抛光打亮,先在这儿粗糙着,见笑。

tiffany
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Post by tiffany » 2005-07-25 14:39

老子指天画地的发誓说赶明儿就写一篇一看就是小说的小说出来! :let_me_die: :let_me_die:
乡音无改鬓毛衰

笑嘻嘻
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Post by 笑嘻嘻 » 2005-07-25 14:47

那你就写啊。 :mrgreen:
我就快变成那种自己写不出来写不好的小说家,最后无奈地选择了小说评论的道路。 :let_me_die:
云浆未饮结成冰

Jun
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Post by Jun » 2005-07-26 6:49

白金,现在最流行的就是半真半假的半小说啦,从Vermeer到Conan Doyle,许许多多历史小说都上榜呢,纯虚构不流行啦。

CAVA
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Post by CAVA » 2005-08-03 19:06

原来更新过了 :applaudit01: 这所科幻的(?)悬疑性的先进医院让人吓丝丝凉嗖嗖,‘人’的气氛严重不足。

毫无副作用的mood modulator现在有研究了吗?销路怕是比BOTOX还要好。

Jun
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Post by Jun » 2005-08-04 6:05

在治疗忧郁症方面,据说已经发现好几个基因,有的是降低serotonin本身的产量,有的是影响serontonin receptor的数目。现在的理论是基因+外界的trigger event (ie, stressor, 例如失业,离婚,破产失去亲人)产生忧郁症。我又听说现在的基因治疗虽然还没出成果,但是许多人都觉得我们已经处在接近突破的冲刺阶段,好象前几年的high through-put 基因分析,在极短时间内就把速度翻几番,价格掉大半。一旦gene therapy的技术一稳定,马上可以解决大量的治疗问题。

豪情
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Post by 豪情 » 2005-08-04 13:27

我小心翼翼地问, 人遭遇TRIGGER EVENT是不是也真该DEPRESSED一段时间才健康呢?

Jun
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Post by Jun » 2005-08-04 13:49

Most people (ie, healthy people) without the (one or more) genetic defects would bounce back relatively soon after a trigger event. Most people (ie, ill) with the (one or more) genetic defects either bounce back after a prolonged period or cannot bounce back on their own but needs treatment (can be medication or psychotherapy or both).

洛洛
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Post by 洛洛 » 2005-08-05 13:11

Jun wrote:在我见过的世界各地的大学里,医学院的楼总是最难看的,而药学院比医学院更难看。

这一篇是写到哪儿算哪儿,大家凑合着看吧。
一般建筑师是接不到医院/医学院/生物实验室的工程的,技术要求太多了。所以做来做去都是专门做这方面的几间firm,还要聘请顾问。也就顾不太上审美了。
混坛上另一颗新星
luoluo11.ycool.com

Jun
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Post by Jun » 2005-08-16 5:47

第六章得请白博看看,虽然是编出来的,还是希望避免犯基本性的低级错误。 :worthy: 谷里还有别的神经专家吗?

tiffany
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Post by tiffany » 2005-08-16 8:00

hmm, in hippocampus, the normal excitatory transmitter is Glutamate, and inhibitory GABA, I am not sure if the Hippo neurons have acetylcholine receptor, which mostly located in neuro-musclular junctions and other periphiral nervous system synapse, where signal was passed along.
I do believe medical students have some sort of neurology, pathology in lectures, did my neuroanatomy with them, and it touches upon subjects of neural signal transmission, so, Jane would have a vague memory of whatever she learnt at school, but not completely ignorant of the subject.
As to where memory resides, I believe it is a network thing. But I do like the idea of blocking short-term memory turning into long-term memory with a drug.
乡音无改鬓毛衰

tiffany
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Post by tiffany » 2005-08-16 8:06

ah, just did a pubmed search, there are indeed cholinergic neurons in the hippo, sorry about that.
乡音无改鬓毛衰

Jun
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Post by Jun » 2005-08-16 8:09

Thank you than you thank you thank you. :worthy:

The memory blockage thing is not entirely made up. :p I read somewhere a while ago about several drugs that could potentially prevent the formation of (short-term and probably long-term) memory of traumatic events. One of the drugs mentioned was propranolol, a beta blocker.
Last edited by Jun on 2005-08-16 8:14, edited 1 time in total.

tiffany
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Post by tiffany » 2005-08-16 8:10

http://www.sciencedirect.com/science?_o ... eb74ac796a
interesting article about acetylcholin and learning and memory
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tiffany
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Post by tiffany » 2005-08-16 8:15

obviously, there is a bounch of study on acetylecholin receptor that I have never heard of. :f21: :f21:
And the paper, the introduction part, that I just provided the link could be pretty relevent to your story, mAchR and passing infor from hippo to neo-cortex :mrgreen:
乡音无改鬓毛衰

Jun
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Post by Jun » 2005-08-16 8:37

:love011: :heartpump: :worthy: :super:

CAVA
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Post by CAVA » 2005-08-16 23:11

最新的一章和白博JUN的对话好比天书啊 :doh: :worthy:

Jun
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Post by Jun » 2005-08-29 13:27

有更新所以自己提上来万一有人看的话。。。 :oops:

笑嘻嘻
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Post by 笑嘻嘻 » 2005-09-16 11:07

不行,我得催催了。我趴这儿等半天了。一点动静都没有。我一边在实验室做测试,一边看。没有下文了很痛苦的。
云浆未饮结成冰

Jun
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Post by Jun » 2005-09-16 11:19

好好好,我手头有存货,没敢贴上来,觉得太草了,下一稿要狠狠地改。

Jun
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Post by Jun » 2005-09-16 11:22

Chapter 6

Coming out of her new office, Jane decided to forgo the underground transit system and walk around the campus.

“Ms Snow. Do you need navigational assistance?” Her INA politely pointed out her aimlessness.

“No, thank you. It’s such a nice day outside that I just want to wander around a little.” She replied.

“Just let me know when you need me.” The INA shut up promptly.

It was a crisp autumn afternoon with a sharpness in the air that implied a cold winter down the road. A wisp of white ribbon floated in the deep blue sky. Jane took a deep breath, listening to the leaves crunch under her feet. The grounds were vast with few people in sight. Jane felt like a kid who was ditching algebra exam, the vague guilt of remembering other hard-working colleagues hurrying underground only added to the secret glee she felt in her stomach.

She followed the trail that connected the countless facilities scattered around in the research campus. Most buildings in this area were older and part of the original facilities of the Hospital. Patient care areas had since moved to newer and fancier buildings with more advanced built-in technologies. The expansion of non-medical business and the growing complexity of ancillary services, however, were equally mind-boggling. Jane had learned that clinical research was a more significant component of the Hospital than most people realized and take up a sizable chunk in the organization’s enormous financial pie, commanding close to $50 million dollars in budget and generating an unknown amount of profit, because the Hospital’s research had hundreds of contracts with several multinational biomedical companies to conduct research in pharmaceuticals, medical devices, and therapeutic discovery research, and their largest client, CNT Pharmaceuticals, was partially owned by the Hospital.

Outside private biomedical industry, the Hospital now also received nearly half of all grant money given out by the government. Some years ago there was grumbling of antitrust argument against the Hospital’s dominance in medical research, but ever since the privatization of NIH’s research activities, no one could deny the efficiency and results of centralization and consolidation. Few institutions in the country could compete with the resources, material as well as intellectual, commanded by this institution, and the more grants it obtained, the more powerful it grew, which in turn allowed it to produce more results and attract more grants. “Positive reinforcement,” as it was touted in the orientation session Jane attended.

Turning a corner at one of the concrete buildings, Jane was almost knocked over by a storm of ear-piercing barking. She almost jumped out of her skin at the sight of a black, ferocious dog that seemed to resemble and pitbull screaming its lung out at her.

She backed away a few steps. She was not afraid of dogs, normally. The dog trembled with excitement, drooling at the corner of his mouth, yellow glassy eyes fixated on her. Thankfully, he was pulled back by a leash almost as thick as her forearm. “Shut up, Medusa!” The owner barked at the dog as the dog barked at Jane. “Quiet!”

The dog grudgingly quieted down. Only then was Jane able to tear her attention away from the dog and recognized the owner. It took her a moment to remember the man was none other than Mike Jensen, whom she had not seen since the orientation on her first day. His hair was now a lighter shade of brown than it was a few months ago, with a touch of gold. He did worse, however, by showing no signs of remembering her.

“Mike, right?” Jane said, fairly sure of her memory. “I’m Jane. We were at the same orientation in July.”

He finally remembered. “Right! Yeah, I remember now. Hey, how’s it going?”

“Fine,” she shrugged, “How about you? Have you started … eh… Sorry, I don’t remember your specialty.”

“Dermatology.” He smiled, “so that nobody would die on me.”

Jane remembered. “Close enough to cosmetic surgery.”

“Close enough,” he nodded. “What are you doing here?”

“Just walking.”

“Nobody walks here. You can’t get anywhere by walking.”

“Then what are you doing?”

“Oh, Ginger just got a calcitrin shot.” He glanced at the dog. “She’s 25% Belgian shepherd―gotta keep her instinct up. And now she’s a little antsy and needs to walk it off.”

Jane had no idea what he was talking about, but she decided not to find out.

“Where do you live?” He asked.

“I was lucky enough to get a unit on campus. The south corner.”

“I don’t like those units. Too dumpy. I rented a condo north of the Hospital in one of the developments.”

Jane couldn’t afford anything outside of the campus that are close. Just when she was about to beg off, Jensen said, “Say, are you busy tomorrow night?”

Jane shook her head.

“Hillary is having a party---Hillary Lee. She’s a surgical resident. Do you want to come? Her house is just 10 minutes from the south entrance, near where you live.”

Jane hesitated.

“OK.” She said.

“Cool. I’ll shoot you an e-mail with time and address.” He waved and walked away. Jane felt an urge to ask him why he owned such a menacing animal, but held her tongue.

The next evening, Jane wavered back and forth before convincing herself to get into her 10-year-old hatchback, clunking along out of the Hospital’s south gate. She asked INA whether it could give her directions to a specific address outside the Hospital. INA said yes, as long as she paid a monthly fee to subscribe to a commercial global positioning service, it could immediately hook up to the system via its wireless network and feed turn-by-turn directions into her ear while driving. Jane thought the monthly subscription was an unnecessary expense and asked for a free map printout instead.

Jane had not driven beyond a 5-minute radius from the Hospital since she arrived. This trip was almost an excursion. Long winding roads surrounded by flat land with high grass put a barrier between the Hospital’s already vast campus and the rest of the city. The city’s outline became sharper as she drove with shops, office buildings, and high-rise apartments.

Following the directions INA gave her, Jane made a few turns after entering the downtown district and entered an underground garage of a white apartment building. She got out of the car and left her car on a numbered parking pad by the door. In a series of loud clanking and scraping, the machinery automatically carried it away deep into a corner of the garage. Next to the entrance, a dispensing machine spit out a ticket with the number of her parking pad and time stamped on it. Jane looked at the fee rate printed on the ticket and quietly drew in a breath. Yikes. She should have known parking would be expensive on this side of the town. Saskatoon did not have this kind of garage, because space was abundant and there was never a need to pack a thousand cars into one parking garage. She had, however, seen and used car-packing garages in Toronto in one of the few trips she had gone on with her father.

Toronto was the farthest place he had ever been to as far as she remembered. She could not reconcile the man she knew with his history of being a youth who had traveled around the world. It seemed to be a myth, an unreliable legend passed down generations by oral tales; yet it must have been true, for she had seen the DVDs in the dusty, moldy boxes that she had found. The images of her mother dominated these recordings, a vibrant petite young woman under intensely deep blue skies, in the filthy and noisy streets, or walking out of shops crammed with spices, clothes, and unfamiliar things. She laughed often. She talked rapidly and with dramatic tones and facial expressions. Jane could not understand anything she said, since her mother never taught her Tamir (?) when Jane was growing up. Her father appeared only occasionally and often grudgingly under her mother’s urging. He was a tall and lanky young man with long limbs and an awkward smile in white shirts with rolled-up sleeves. He was deeply tanned, which seemed to give his eyes a semi-wild look that was entirely contradictory to his manners.

Jane walked up to the elevator and punched in Floor 16 as indicated in Mike Jensen’s e-mail. The carpeted hallway lined by uniform and tightly shut doors gave the interior a look of a hotel. She found the number 1645 on one of the doors and pressed the bell. No response. She could hear the noise of a roomful of people and music spilling through. She pressed the bell again.

The door opened. An impeccably beautiful young woman looked at her without expression.

“I’m … uh … Jane. Mike invited me.” Jane said.

The face cracked a smile but gave no clue as to whether the name Mike meant anything to her. “Hillary. Come in.” She let Jane in with a look of curiosity on his face. “Is hypermelaninia in vogue again?”

Jane did not catch it. “I’m sorry?”

Hillary gazed at Jane’s face for a moment, then shrugged with a slight awkwardness. “Oh, nothing. Thanks,” she said as Jane handed her a bottle of non-alcoholic wine, and waved her hand toward the left of the apartment. “There’s food on the kitchen table and drinks … well, all over and in the fridge. Help yourself.”

Jane had seen many perfect faces and bodies in the past few months, but Hillary might be the prettiest. She was tall and perfectly proportioned. Her skin was milky white, with tiny light freckles around her small but perky nose. She had a mixed look between east Asian and Caucasian.

Jane thanked the host, who disappeared before Jane completely tore her eyes from the room full of the people. She shrugged and poured herself a glass of soda, then started wandering around.

The apartment was not large and looked smaller because of the crowd. The view from the vast window, however, was fantastic. From here one could see the purple twilight diminishing behind the horizon that was the campus of the Hospital. The glass window and the door leading to the balcony were slowing changing from an opaque brown to transparency with a pink hue.

Most people scattered in the room looked younger than Jane, but she had learned by now not to judge people’s age by their look. Most were also even better looking than her colleagues at the Hospital and dressed in tight-fitting clothes. Jane felt a little self-conscious in the fashionable crowd while also enjoying the good looks all around her. She squeezed her way to a large couch, ignoring the couple groping at each other with blind abandon at one end, and sat herself down at the other end. The could surface responded to her weight and body shape, swallowing her into a comfortable groove.

A man sat down next to her, wine glass in hand, “Hi. Have we met before? I don’t think I’ve ever seen you.”

Jane paused a moment with eyes on his salt-and-pepper hair above a wrinkleless face. He noticed and touched his hair with a self-satisfaction, “Do you like it? Salt-and-pepper hair is going to be all the rage.”

“It’s nice.” Jane agreed. “I’m Jane.”

“Andy.” He said. “You’re very pretty. Where did you get your melanin stimulation done?”

Jane was a little confused. Remembering Hillary’s earlier comment, it dawned on her what he meant. She chuckled: “From my mother’s chromosomes. It’s my natural color.”

His eyes rested on her face for a moment, not entirely convinced, “Really? But you must have had something done. Your cheekbones are so full of personality it’s remarkable. And your full lips have been trendy for almost 2 years by now.”

Jane did not know whether she should take the assessment as a compliment or an insult. Finally she decided on a nonresponse. “I don’t know what you mean. Just about everyone in the room is prettier than I, yourself included.” She looked around and confirmed that she was at least the shortest and darkest one.

“I’m sorry. The dark-and-intense look was all the rage last summer and a lot of people got melanin enhancement done. I thought you …” Andy smiled apologetically. “But I have to disagree you. You are very pretty. You stand out immediately in this crowd.”

Jane wanted to argue that homeliness among a sea of beauty could stick out as quickly as the opposite, but she wondered if he knew a world of common looks. Come to think of it, she thought, when beauty becomes common, is it still beautiful?

Andy nudged closer to Jane on the couch with a seductive gleam in his eyes. Jane felt no urge to draw back as she normally would with a flirtatious stranger. Maybe this man-made beauty business is entirely justified. She could almost sense her own lips curling up. Our physiology certainly does not care whether it is real. He was not flawless

Lilly
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Post by Lilly » 2005-09-16 14:19

More please!

Can't tell you how much I've enjoyed your writing. :super:
mint krispys!!!

Jun
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Post by Jun » 2005-09-19 9:06

Thank you. Thank you. :worthy:

Good to know there are indeed people who read this endless debacle...

密斯张三
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Post by 密斯张三 » 2005-09-19 19:22

wow, i'm a loyal reader.
The could surface responded to her weight and body shape, swallowing her into a comfortable groove.
couch? typo?

猫咪头
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Post by 猫咪头 » 2005-09-20 0:07

俺觉得jun 写得太 “乖”了。 :fish001: :fish002:

Jun
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Post by Jun » 2005-09-20 5:28

What do you mean? More sex? :p

Will have a lot of clean-up (of text) to do...

猫咪头
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Post by 猫咪头 » 2005-09-20 15:50

Shall I wait for the polished edition then?
From a reader's prospective, I am comfused on whether to place attention on Jane or on what Jane saw.

Jun
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Post by Jun » 2005-09-21 6:45

这个。。。我只管写,不决定读者注意谁,不过我的题目既然是医院,真正的主角也(从理论上说)是医院,Jane只是叙述者而已。

猫咪头我还是没明白你说的“乖”的意思,要多点暴力还是色情? :p

Jun
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The Hospital (9/27)

Post by Jun » 2005-09-26 7:06

Chapter 9

“You said you wanted to talk to me?” It gave Jane a few goosebumps hearing Dave Wilson’s voice through the INA in her ear, after almost a month of not getting as much as an e-mail from him.

“Yes. It’s about, um…” She searched for appropriate words but failed. She blushed, thanking God that he could not see her. “It’s about patient enrollment in the study. I sent you an e-mail three days ago. I’m calling to follow up.”

“I’m sorry I have not read it. I get literally hundreds of e-mails every day. Mary usually sort them for me.” He replied apologetically. Jane felt almost guilty.

“I’m sorry to bother you; I know you are very busy. But … it’s a little complicated and I don’t know who to talk to about it within CR.”

“Yes, yes. It’s getting on everyone’s nerves that I never have time for anyone or anything that needs taking care of. I’ll ask Mary to set up an appointment for you. Can it wait till Friday?”

“Sure.” Jane was grateful enough for just having the appointment.

The only available window on Wilson’s calendar turned out to be 6:30 in the afternoon on Friday. When she entered his office, he apologized for keeping her so late at work before the weekend.

“It’s fine.” As a fellow, she was not used to being treated with so much respect. “I’m always here at this hour.” She lied. The oak desk that separated them sprawled like the sea. The surface was divided into sections that belonged to food and drink, the mobile PC, a lamp, medical journals, files, and a mountain of photographs.

Jane tried not to show it, but her eyes had already caught the images on the photographs
Last edited by Jun on 2005-10-24 15:05, edited 3 times in total.

helenClaire
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Post by helenClaire » 2005-10-03 12:50

咦,情节节奏开始加快了? :music004:
等着看JANE工作上的失忆药研究,怎么和生活上那一帮整容狂的医生们,拼板拼在一起。难道机关在刚出院的老太太身上? :-P

Jun
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Post by Jun » 2005-10-03 13:42

Helen 你净给我出难题。拼不上啦! :let_me_die:

沉默的知了
Posts: 64
Joined: 2004-04-25 7:55

Post by 沉默的知了 » 2006-06-08 13:00

What happened to this one? :roll:

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