Page 39 of Critical Hours


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“But?”

“But Harrison Montgomery called my office this morning and asked me to prepare a presentation on emergency department protocols.Specifically the sealed transfer procedures and how they interface with regional transport.”

Graham kept his hands flat on the table and his expression neutral.“Montgomery called you directly?”

“His assistant, technically.But the request came from him.He wants a full review of how we handle incoming transfers from external facilities, with an emphasis on patient safety and protocol compliance.”Thompson paused.“He framed it as a quality improvement initiative.The board wants to make sure we’re meeting best practices.”

“And you don’t buy it.”

“A board member who’s never shown interest in transfer protocols suddenly wants a deep dive into the exact system that’s been moving people through this hospital?No.I don’t buy it.”

Graham drank his coffee.The cafeteria hummed around them—trays clattering, the murmur of conversations, a child crying somewhere near the vending machines.Underneath all of it, a man who’d redesigned the emergency bay to create camera blind spots was now asking for a formal review of the system he’d built.

“He’s testing the perimeter,” Graham said.

“Meaning what?”

“Meaning he knows something’s shifted.Maybe Creighton told him about Maren.Maybe he noticed the schedule change and wants to make sure the containment is holding.Either way, he’s not auditing the system because he wants to improve it.He’s auditing it because he wants to know if anyone’s been inside it.”

“What do I do?”

“You give him exactly what he asked for.A clean, professional presentation.Best practices.Protocol compliance.Everything by the book.”

“And the parts that aren’t by the book?”

“Those don’t exist.Not in your presentation, not in your records, not in anything with your name on it.”Graham lowered his voice.“Mason.This is important.If Montgomery is testing, he’s testing everyone.You, the nursing staff, the transport coordinators.Anyone who’s touched those protocols.A clean presentation tells him the system is intact.Anything else tells him there’s a problem.”

“And if there is a problem?”

“Then we’re the ones who find it.Not him.”

Thompson held his gaze for a long time.Two men at a corner table with coffee cups and a silence that carried more than the words on either side of it.

“I’ll do the presentation,” Thompson said.“Clean.Professional.By the book.”

“Good.”

“But I want something in return.”

“Name it.”

“When the time comes—when whatever you’re building reaches the point where you need someone inside the operating room, someone who can move through this hospital without a lanyard and a flower cart—you call me.Not as a source.As a participant.”

Graham looked at the man across the table.Army surgeon, sixteen-hour shifts, hands that had held a human heart and put it back together.A man who’d noticed the wrong things in the right hospital and had carried that knowledge alone until a stranger with a white card sat down and gave him permission to say it out loud.

“When the time comes,” Graham said, “you’ll be the first call I make.”

Thompson picked up his sandwich and took a bite.He chewed slowly, nodded once, and said, “Good coffee today.”

“Terrible coffee today.”

“Yeah.But I’ve had worse.”He almost smiled.“Fallujah had worse.”

“Everything had worse.”

They finished their coffee in the comfortable silence of men who’d said what needed saying and didn’t need to fill the space after.

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