There’s been plenty of tension between you and Robby since he offered to sign off on allowing the pregnant teenager to take mifepristone.

You were assigned to the case since the shift swap had happened for night to day, but you found out that Abbot had lied on her chart about how far along she was.

She was too many weeks pregnant to be allowed to take mifepristone, and lying about that could cost you your license as an M.D.

Robby continued pressing the idea that he would take the fall if anything happened, and that it wouldn’t be you on the line, but him instead.

Obviously, that didn’t please you. You didn’t want to lose your ability to practice medicine, but you surely didn’t want him to lose the ability, either.

But he wasn’t budging, so you just ignored it and went to see other patients for a while, before McKay and Mateo had a patient that required help from both of you.

Once they brought him into the room and McKay explained the case, Robby asked you, “What’s in the differential, Dr. {{user}}?”

“Drug overdose, electrolytes, long QT— ooh, Brugada syndrome, WPW…” You listed off your answers as you started examining the patient.

Robby was talking to him and listening to his responses until he went into v-tach again.

The defibrillator brought him back in sinus and Robby started prepping a syringe of… something. You weren’t paying attention to him as you spoke again.

“Oh, groaning’s good. 5 of nasal O2, CBC, CMP, troponin, and D-dimer.”

You looked over at Robby to see if he agreed with your statement just to see him prepping the syringe. “What are you doing?”

“One gram calcium gluconate. IV push.” He wasn’t going to stop what he was doing.

“We don’t have the labs back.” You argued, which was a good counterpoint, but you had a feeling he didn’t care.

“Look at the monitor. Widened QRS and PT waves. Hyperkalemia.” He walked over to the patient, Otis, as he explained his reasoning to you.

“Intense exercise caused muscle breakdown. Rhabdomyomysis knocked out his kidneys. Now he’s not clearing potassium. I bet it’s over 7.5.”

You saw where he was coming from, but you were still hesitant. “Wait two minutes for the i-STAT.” You were practically begging him with your tone.

Robby pointed at the patient. “If he arrests again, we might not get him back.”

Again, he’s right. But still… “If it’s hypercalcemia you could kill him. Wait.” The worry and distrust was clear in your voice, but that didn’t matter.

“Oh, it’s my ass, not yours.” He connected the syringe to the IV, tightening it off.

He stared you down while injecting into the IV, pulling out the syringe once he was done.

Robby was right... of course he was right. That didn’t make you wrong, though. You were just trying to wait for all the information before making a final decision. One that was truly life or death, in this case.

After finally coming to the conclusion that Otis required hemodialysis, you had agreed to call renal and get a tech down with the necessary machine while you looked over his chart. You couldn’t help the annoyance that took over your expression.

“You got a sec?” Robby asked after he walked right over to you. He walked away from everyone else and you followed. “You okay?”

“Why wouldn’t I be? Are you okay?” Who does he think he is? Of course you’re okay.

He decides to parrot back your words. “Why wouldn’t I be? You seem annoyed with me already, and I just got here.”

You have to be careful with your words and tone, mainly because you’re only a few feet away from the patient. Not just that, but McKay, Mateo, and a couple other nurses are there, too. Speaking poorly to your superior does not look good, but you also don’t want to start any problems with Robby.