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Seattle Regional

Nancy's Notes 🖊️♬

Great Minds Think – The Literary Rug-Pull Challenge
Our hosts Sarah & Rohini invite us to write a story
with an unexpected twist ending.

Image by Me & Ideogram

The monitors hum a language only Tamara understands …. pulse, heartrate, oxygen levels …. the arithmetic of survival ticking across the screen in green. Sweat beads at her hairline and she calls out for someone to wipe her forehead. Her own hands are occupied, elbow-deep in the open chest, fingers moving with a precision that took ten years of schooling to earn. Around her, a roomful of residents stand rigid, afraid to breathe. The patient’s heart, weakened by decades of use, twitches erratically under Tamara’s palm.

“Clamp,” she says, and the first assistant nurse clamps.

“Suction,” she says, and the machine in the corner sighs, momentarily quenched.

Somewhere outside, Seattle is having an ordinary day …. commuters, coffee, a light rain that no one in this room will feel until much later, if they’re lucky enough to leave before dark. Tamara doesn’t think about Seattle. She thinks about the artery. She thinks about the wife pacing a waiting room down the hall, exhausted and nerves shot. She thinks about the fifteen minutes since they opened him up, and the forty more they might need, and the version of this story where she fails and has to walk out there and say the sentence she has said six times in her career and hasn’t found a way to make it sound painless.

“Come on,” she murmurs, not to the first assistant, not to the residents, but to the heart itself, stubborn and slowing. “Come on.”

And then …. the smallest thing …. a flutter, uncertain at first, then steadier, then strong, the monitor’s green line finding its stride, like a runner remembering to breathe.

The room exhales as one.

“Nice work, everyone,” Tamara says,  pulls off her gloves, looks at the clock, and allows herself a few seconds to feel something like triumph.

Then her mother calls from the kitchen that dinner’s ready, and Tamara sets down the plastic stethoscope, peels the duct tape off her teddy bear’s stuffed chest, and goes to wash the fake blood off her hands.

NAR©2026

This is “Like A Surgeon” by Weird Al

Great Minds Think – The Literary Rug-Pull Challenge

Everything on The Elephant’s Trunk was created by me unless otherwise indicated. Thanks for your consideration. NAR©2017-present.

35 thoughts on “Seattle Regional”

  1. Fabulous! I so wasn’t expecting how you wrapped things up… I loved it! Boy, oh boy! Weird Al’s parody’s bring back some good vibes from the 80s. Have a funtastic weekend, Nancy!

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