CASE NUMBER: RR-8735337
SUBJECT STATUS: FATALITY WOUNDED.
DATE OF ADMISSION: [REDACTED].
MEDICAL FACILITY: J.K.D. MEDICAL CARE.
SUMMARY:
SUBJECT RR-8735337 WAS ADMITTED TO J.K.D. MEDICAL CARE FOLLOWING FATAL WOUNDS SUSTAINED UNDER CIRCUMSTANCES OF CRIMINAL OFFENSE. RELEVANT DETAILS PERTAINING TO THE SUBJECT HAVE BEEN COLLECTED. DUE TO BOTH EXTERNAL AND INTERNAL INFLUENCES, SPECIFICS OF THE PATIENT'S CASE HAVE BEEN REDACTED FROM THIS REPORT.
INVESTIGATION FINDINGS:
UPON FURTHER INVESTIGATION, IT WAS DETERMINED THAT THE VICE PRESIDENT AND FATHER OF THE SUBJECT WERE RESPONSIBLE FOR THE REDACTION OF INFORMATION OF SUBJECT DUE THE INVOLVEMENT OF SUBJECT'S SISTER. WHO HAS BEEN ONCE REVIEWED FOR THE RED-ROOM PROGRAM.
IMPLICATED IN THE INCIDENT,
AWAITING FURTHER UPDATES:
WE AWAIT ADDITIONAL INFORMATION AND DEVELOPMENTS RELATED TO THE CASE. THE MEDICAL REPORT OF THE SUBJECT HAS BEEN GATHERED AND WILL BE ANALYZED ACCORDINGLY
MEDICAL REPORT :-
PATIENT NAME: USHMA PATEL.
AGE: 26 .
DATE OF ADMISSION: 20XX / XX / XX
CHIEF COMPLAINT:
THE PATIENT PRESENTS WITH A GUNSHOT WOUND TO THE ABDOMEN.
HISTORY OF PRESENT ILLNESS:
THE PATIENT, A 26 -YEAR-OLD FEMALE, WAS BROUGHT INTO THE EMERGENCY DEPARTMENT FOLLOWING A GUNSHOT INJURY TO THE ABDOMEN. UPON ARRIVAL, THE PATIENT WAS CONSCIOUS BUT IN SEVERE DISTRESS, COMPLAINING OF SHARP ABDOMINAL PAIN AND DIFFICULTY BREATHING. THE PATIENT REPORTED THAT THE INCIDENT OCCURRED APPROXIMATELY HALF AND HOUR PRIOR TO ARRIVAL AT THE HOSPITAL.
CLINICAL FINDINGS:
UPON EXAMINATION, THE PATIENT PRESENTED WITH A SINGLE GUNSHOT WOUND LOCATED IN THE LOWER LEFT QUADRANT OF THE ABDOMEN. THE WOUND APPEARED TO BE APPROXIMATELY [SIZE] IN DIAMETER, WITH SIGNS OF ACTIVE BLEEDING. INITIAL VITAL SIGNS REVEALED TACHYCARDIA AND HYPOTENSION. ABDOMINAL EXAMINATION ELICITED TENDERNESS UPON PALPATION, GUARDING, AND RIGIDITY, SUGGESTING INTRA-ABDOMINAL ORGAN INJURY.
DIAGNOSTIC EVALUATION:
1. X-RAY: A PRELIMINARY X-RAY OF THE ABDOMEN WAS PERFORMED TO ASSESS FOR ANY OBVIOUS FRACTURES OR FOREIGN BODIES.
2. FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) SCAN: A FAST SCAN WAS CONDUCTED TO EVALUATE FOR THE PRESENCE OF INTRA-ABDOMINAL FLUID INDICATIVE OF INTERNAL BLEEDING.
3. COMPLETE BLOOD COUNT (CBC): BLOOD SAMPLES WERE COLLECTED FOR A CBC TO ASSESS FOR SIGNS OF ANEMIA AND LEUKOCYTOSIS.
4. BLOOD GAS ANALYSIS: ARTERIAL BLOOD GAS ANALYSIS WAS PERFORMED TO EVALUATE THE PATIENT'S ACID-BASE BALANCE AND OXYGENATION STATUS.
ASSESSMENT:
THE PATIENT PRESENTS WITH A GUNSHOT WOUND TO THE ABDOMEN, RESULTING IN SIGNIFICANT INTRA-ABDOMINAL TRAUMA AND HEMORRHAGE. GIVEN THE SEVERITY OF THE INJURY, THE PATIENT'S CURRENT CONDITION, AND CLINICAL FINDINGS, THE PATIENT HAS A 38% CHANCE OF SURVIVING.
PLAN:
1. IMMEDIATE RESUSCITATION: THE PATIENT WILL BE STABILIZED WITH INTRAVENOUS FLUIDS AND BLOOD PRODUCTS TO RESTORE HEMODYNAMIC STABILITY.
2. EMERGENT SURGICAL INTERVENTION: THE PATIENT WILL UNDERGO EMERGENT EXPLORATORY LAPAROTOMY TO IDENTIFY AND CONTROL THE SOURCE OF BLEEDING, REPAIR DAMAGED ORGANS, AND ASSESS FOR ANY ASSOCIATED INJURIES.
3. PAIN MANAGEMENT: ANALGESICS WILL BE ADMINISTERED TO ALLEVIATE THE PATIENT'S DISCOMFORT AND FACILITATE COOPERATION DURING TREATMENT.
4. MONITORING AND SUPPORTIVE CARE: THE PATIENT WILL BE CLOSELY MONITORED IN THE INTENSIVE CARE UNIT POSTOPERATIVELY, WITH CONTINUOUS HEMODYNAMIC MONITORING, FLUID RESUSCITATION, AND SUPPORTIVE CARE.
5. MULTIDISCIPLINARY APPROACH: THE PATIENT'S CARE WILL INVOLVE COLLABORATION WITH TRAUMA SURGEONS, ANESTHESIOLOGISTS, INTENSIVISTS, AND OTHER SPECIALISTS AS NEEDED TO OPTIMIZE OUTCOMES.
PROGNOSIS:
GIVEN THE SEVERITY OF THE INJURY AND THE PATIENT'S CURRENT CONDITION, THE PROGNOSIS IS GUARDED. DESPITE AGGRESSIVE MANAGEMENT, THE PATIENT'S CHANCES OF SURVIVAL ARE ESTIMATED TO BE 38%. CONTINUED MONITORING AND INTERVENTIONS WILL BE CRUCIAL IN MAXIMIZING THE LIKELIHOOD OF A POSITIVE OUTCOME.
SIGNATURE:
( DR. SWASTIK DAS.
D.O,. M.D.
DATE - 20XX / XX / XX. ]
It was nothing. She felt nothing, she was in a abyss, she can feel her body but she couldn't move it all, she was stuck like a huge stone was on top of her, she tried to to move but nothing happens, and she felt cold on her feet , her eyes were heavy, and she felt a sharp pain in her stomach area. She can feel some kind of machine on her face, she didn't remember how long she felt that, but soon the pain in her abdemime vanished. And slowly she felt her awareness coming back to senses, and when she woke up, a light was hitting on her eyes, and a Dr was looking at her vr. And he was saying something but she couldn't hear it, her mind was still on the stand down version. And when Dr was about to left her mind came back to senses, and asked a question.
" How long? " She asked in her throaty voice.
" A month and half. " She heard him saying. And she grabbed her head , and looked at him again.
" Do you have a cigarette? " She asked, looking down on the ground. Dr tried to deny her, but one look of her made her shutter,
" I'll send Dr Swastik hear. " he said and ran away. Ushma sat there, and then looked at her hands, and saw an IV attached to it. Ignoring the iv, she looked at her clear and soft hands, there wasn't a wound, just scars. And while she was looking at them, a burly and muscular Dr came wearing glasses, and when he looked at her empty eyes, he removed his glasses, and sat near the bed.
" Ms. Ushma, good evening, I'm Dr. Swastik Das, I did the surgery on you. You had a bullet in your stomach which took us time to remove, and you took seven stitches due to some complications, and the shock of the sudden shot you went in coma. " Said the Dr who was quite muscular but has a face that said he has gone through many things and has seen many things.
He looked at the woman in front of her, and like he expected, she didn't heard what he said at all. He has seen this kind of situation many times. A traumatized person.
" Do you want something? " He asked, knowing to start from something simple to get her attention. And like he hoped, she looked at him, and she was expressionless, no more like she has no emotion, like she has lost something. Which is true. And when she didn't answer, he repeated his question.
" Do you need something Ms Ushma? " he asked, with a gentle tone in it. And she looked down at her hands and asked.
" My bag! " She said.
" I had a pen! " She said, and looked at him, a look of seriousness on her face.
" A pen? Your belongings were taken by your family, and if you want the summary you can get it. " He said looking at the report.
" What happened? " She asked, wanting to know what happened to her sister.
" You were shot in the abdomen from a distance of ten to twenty feet, and you chances of survival was very - " And he started to summarize his resort when she lost interest and asked.
" What about the shooter ? " she asked , wanting to know what happened today.
" Ahh, the police are looking for him, there wasn't a security camera so we didn't have the evidence or image, but the eye witness reported a robber, who shot you after robbing you. Police are still looking for him. " And after hearing that, she became blank. And her mind starts to feel numb again, and she forgot everything, and she didn't hear anything that Dr said. And remember what happened that night, it was her sister, not a robber. And while her mind was in a turmoil, and her eyes were going dull, and her world went quiet, and soon night fell, and soon her father came to pick her up. And he didn't even look at her much, and Ushma's face didn't change, she was just sitting in her bed.
They both enter the car, and she is looking down on the ground, and her father has the look of a veteran.
" Do you know who shot you? " her father asked, and he didn't get an answer.
" You know you can tell me. " And she can feel his eyes on her, and her hands start to tremble, and shake her head in a no .
" Hmph. " she heard him saying. And the half an hour ride to home went in a tension, and in a sense of fear.
They reached home, and Ushma got a cold welcome from her mother. She entered her room, and her whole body was trembling . They knew, and they were going to kill her, and her whole body was screaming that to her. She immediately shed her clothes and took a shower crying in fear, and pain. And her eyes fell on the bullet mark, and her bathroom door opened, and it was her mother, and she was holding a gun, and pointing at her. She became terrified, and hit the back of the wall in fear, and she screamed in fright and closed her eyes, and it felt unreal. And when she opened her eyes, she saw it was all an illusion, her mind was playing tricks now. And when she fell asleep, her mind was filled with nightmares and screams. And when she woke up tomorrow, it was already late morning, her phone wasn't there, and she couldn't wake up in time. And her mind wasn't stable, her eyes kept shifting, and she was restless. She looked at the door which leads to the hall, and her breathing became fierce and her trembling became worse, and she started to cry, and a sudden thought came to her mind, and she immediately entered her bathroom, and grabbed the knife placed there, and immediately tried to stab herself in stomach, and when she stab her to relief the pain, but she stopped, and placed the knife in her throat, and push, a trickle of blood flowed, but before she can deepen the cut, she heard a knock on the door. She dropped the knife in fright, and heard her mother's voice. She immediately washed her face, and cleaned her neck, to remove the blood, ignoring the cigarette burns, she opened the door. And saw her mother looking down on her, even though she was taller than her.
" Come out . " She said, not even looking back at her. And she followed her to the hall, her mother sat on the sofa , and she took her place near her feet, her head down on the ground.
And like before, she started to pet her head lovingly, but she couldn't feel any warmth from it.
" How's your health child? " She asked in a courtesy, not an amount of worry in her words. And like he expected, she didn't answer.
" You know. " And she heard the familiar sound of a lighter. She looked up, and saw her pen on her mother's hand.
" You know, you have been in a coma for a month. " And she puffed cigarette.
" Why are you staring at me? " she asked, glaring at her. And sering her gaze, she lowered her head, and said in a low voice.
" My pen! " And she couldn't hear it properly.
" Hmm? What did you say? " She asked, taking his head closer to her head.
" My pen! " She said, looking down.
" ohh this! " She said, and got back to her normal position.
" You were holding it pretty tight, and where did you get it? It's a limited edition model made of silver and titanium alloy, pretty expensive. Did you steal it? You did, didn't you. " she asked, saying whatever came in her mouth.
" It was a gift. " She said in a low voice.
" a gift! " She looked indifferent.
" Who'll get you this pen you, useless. " and she put it in her pocket.
" Give me back! " She said in a low voice that she didn't hear.
" Do you know who shot you? " she asked the same question.
" Give me back! " She said again, and she ignored him.
" You know it was a robber right! " she said, not caring about her reply. And she began to ramble about, saying all of this was her own fault, and she continued saying give it back.
" It was your fault right! "
" GIVE ME BACK. " and she looked at her mother fiercely . Her mother was stunned for a moment, but soon she came back to her senses, and she was about to hit her, when she felt pain in her stomach, and when she looked she saw her useless daughter had stabbed her.
" Give it to me. " She said, looking all angry . She screamed, and Ushma stabbed her again, and again. She screamed like a banshee, and ushma closed her mouth with her hand, and then continuously stabbed her again and again, even after she was dead, and blood sprayed all over her, and she started to cry out loud.
" My pen. " She said, and started to cry out loud.
And after hearing that cry and scream someone came out from her room. But when she saw what that scream was, she screamed aloud, and started to run. And Ushma recognized her, it was her sister.
And seeing her reaction, she became afraid and saw her running toward the gait. Ushma seeing this become afraid, she ran at her direction to stop her, and seeing her coming, she try to run, but Ushma was strong and big, she tried to grab her, but she ducked and try to push her away, but she accidentally slashed her, and a cut appeared on her face . And her sister fell down in pain. She screamed.
" What are you doing, you monster? " she yelled, and when she heard her last word, she stopped.
" I'm not. " She said to himself in a low voice.
" I'm not a monster,,,,! " She said and looked at her.
" I'm,,,, I'm free. " she said and she stabbed her, the same way that she stabbed her mother.
And after stabbing her several time, she stopped, and looked dropped the knife on ground, and she fell down on the ground, she took several deep breaths, and her chest was heaving ups and down. And while she was backing down, she looked at her hand, which was now covered in blood. And it was not hers.
She looked at her mother's fallen figure, and took out the pen from her, and she took out the cigarette from inside, and lit the bloody cigarette up. And after puffing the smoke, tears started to fall from her eyes, and smoked her smoke till the end.
She is free, she'll remain free. But how long ? They'll hunt her.
She took a shower, and the blood flowed out like a river through the drainage, and this wasn't her blood, things had changed. For better or worse. She doesn't care. She grabbed the throne knife, and then washed with lemon and soda, and after cleaning it, she grabbed the knife under a cloth and she went near her mother , she placed her hand on the table, and put the knife near the finger, and cut it, she muffled her scream, and throw the severed finger on the ground and splashed blood all over, and then she stabbed her mother few more times and then throws her knife away, and closed her finger with the bloodied clothes and then left the place wearing an old shoe of her father, leaving some bloody footprint, she was pretty careful in leaving footprint that make people feel like she was taken by the murderer. And before she left, she opened the fridge, and took away all the drinks. She had also stolen all the money that they had, she changed her appearance by wearing heavy make-up, and she left the house and climbed a tall building, and looked at the heavy city below, and saw police appearing on the scene. She sat down on the edge, and looked down on the ground, and saw several people and police standing there. And her face showed a look of indifference, and sipped the drink she had stolen. Not an ounce of guilt in her world.
Her luck was great, wasn't it.
" FREEDOM NEVER COMES FOR FREE ."
Next day he was in a restaurant, wearing shades and a cap, a bandage on her finger, sipping drinks and smokes, making the people around her uncomfortable, but she didn't care about that at all. And while she was busy doing that, she felt her surroundings change a bit, and while she was doing that, a beautiful woman came and sat in front of her. She gave her a glance , she was wearing a white and black office cloth with a black tie and square black shades and had a professional posture to her, and the most eye-catching thing about her was the black choker on her neck. She looked at her twice and she saw her not moving a bit, when she noticed the restaurant getting empty, and filled with people wearing the same clothes, they were half a dozen or something. She ignored it, and then looked at the professional woman who hasn't said a word in front of her. And after two minute, she pressed a button on her watch, whose screen was completely white, and placed her hand on the table, then placed a black Tablet on the table, and she grabbed the tablet after a minute of staring at the woman, who has more expressionless then her, she looked at the tablet, and after seeing the tablet for a minute or so, she put down the tablet down, and she looked down.
" What do you want? " She asked, and looked straight at her .
" What you desire. "said the busty and dangerous woman. And Ushma didn't say anything.
" Freedom. "