wheels of the van squealing. She blares the horn to alert Dr. Gabe, who comes running. I slide the side door open as Gran cuts the engine. She dashes around the side of the van.
âHeâs still breathing,â I say.
Gran quickly takes his pulse. âHis heartbeat is fast and thready. Letâs get him inside.â
Dr. Gabe peers into the van. âWhat do we have here?â he asks.
Gran climbs into the van and grabs one end of the blanket on which Scout is lying. âGet the other end,â she instructs. âIâll fill you in while we carry him.â
Yikes! Iâve never seen Gran in such a hurry with a patient.
Dr. Gabe grips the other end of the blanket. âOne, two, three!â he says. Gran shuffles forward, bent over, and Dr. Gabe steps backward. They carefully maneuver Scout out of the van and carry him across the parking lot.
âTwo-year-old healthy male shepherd, hit by a car,â Gran says. âShocky, probable internal bleeding. The car wasnât moving too fast, but it threw him to the ground. Possible head injuries.â
I run ahead and hold the door open as the two vets rush their patient into the clinic. When a dog is hit by a car, every second counts.
They carry Scout through the door and straight back to the operating room. As they lay him on the table, Scoutâs eyes open, then close.
No!
Gran listens to his chest with her stethoscope. âHeart is getting weaker.â
Dr. Gabe peels back Scoutâs upper lip to look at his gums.
âVery pale,â he says grimly. He presses a finger against the gum, then releases the pressure. âCapillary refill time is slow,â Dr. Gabe reports. âHe probably has internal bleeding. Iâll tap his belly with a needle and see if we get any blood.â
âHang on!â Gran rubs her fingers on Scoutâs ears and touches the bottom of his foot pad. âHis extremities are cool. Weâll start with fluids and oxygen to stabilize him.â
âRight,â Dr. Gabe says. He pulls the equipment cart over and snaps on a pair of latex gloves.
Gran looks over her glasses at me. âMaggie, I need I.V. bags. Get me one sodium chloride and one Ringerâs.â
âOn my way,â I say.
As Gran wheels over the oxygen canister, I grab the bags out of a cupboard at the end of the room. The sodium chloride and Ringerâs solution will help Scoutâs body fight off the effects of the shock and bring up his blood pressure. You have to treat the shock before you can deal with anything else.
I run the I.V. bags over to the table. An oxygen mask has been looped over Scoutâs snout. Dr. Gabe has the electric clippers going. He shaves the fur off Scoutâs foreleg, swabs the bare skin with antiseptic, and quickly inserts a catheter that he connects to the I.V. bag. The fluids are flowing instantly.
âPulse?â he asks.
âStill one hundred and fortyâvery weak,â Gran says. She opens Scoutâs eyelid and flashes a small light. âPupils are normal. Thatâs one good sign. Letâs get a blood-pressure reading.â
Dr. Gabe has already shaved the fur off the other foreleg. He hooks the monitor onto the skin and watches the green screen.
âThatâs way too low,â he says.
Granâs eyes dart over to me. I know this is bad.
I grip the edge of the table as hard as I can. Come on, Scout! Fight!
âDopamine,â Gran says. Gabe runs to the medical cupboard and pulls out a small vial of medicine. âMaggie, I need his temp. Can you do that?â
I nod. The thermometer is on the equipment cart. I pick it up, lift Scoutâs tail, and insert the thermometer. I watch the second hand on the clock over the door.
Dr. Gabe hands the bottle of dopamine to Gran. She sticks the needle of a syringe into the rubber top of the bottle and carefully measures out the dose. She sets the bottle on the table and injects the medicine into