zedblaze: (026)
Zed Blaze ([personal profile] zedblaze) wrote in [community profile] dreamlikenewyork2015-10-12 02:21 am

"And the city sickness, growing inside me."

Who: Zed Blaze and Karla Jameson
What: Desperately needing help
Where: Dr Karla Jameson's clinic, White Plains
When: Day after THIS

It probably should have been before this that Zed got himself to a doctor, but there had been delusion mixed with fear. He wanted to bury his head in the sand and pretend none of it was happening. Now, he was sitting in the waiting room of the doctor's clinic, which was kind of on the busy side. He had slumped right down in his seat, holding his phone up in front of his face so he didn't need to make eye contract with anyone. He was pretty sure the woman in the corner with twin little girls in blonde pigtails who had the sniffles thought he was a Satan worshipper or something. Maybe that would've been easier for him to process than this.

He was still feeling sick, but it was probably more factored to anxiety. He had the letter from the doctor at the hospital in Vegas shoved deep down in the pocket of his leather jacket. He had been directed to get off the plane in New York and go straight to a hospital there. Instead, he had gone to Caleb's. Right now, he couldn't explain many of his actions. It was like he was on auto-pilot and someone else was in control. There was forever that fear of death, though, so here he was.

At least Karla was a family friend. His foster mother was one of her closest friends, they had known each other for many years. Karla had become like an aunt to Zed on some level, though inevitably he was as reserved and quiet with her as he was with anyone else. He was oblivious to the fact his foster mom talked a lot about him to Karla, concerned about his state of mind and worrying if he was depressed. Moms did that sort of thing. At least, the ones who still cared about the welfare of their kids. He sat there, his leg bouncing anxiously while he waited to be called. Fuck, he was hoping she would just tell him there was nothing to worry about.
livingforlife: (007)

[personal profile] livingforlife 2015-10-11 03:56 pm (UTC)(link)
At the most, Karla usually took maybe an appointment or two on Sundays, usually if a patient was really sick and couldn't wait. She was a the sort of doctor who was close to her patients and built rapport with them to the point of knowing them well enough to know when they needed to be seen sooner rather than later. So even when she opened on Sundays, it was very rare that she saw this many patients. Unfortunately, there was a bug going around, and it seemed to have hit White Plains pretty hard. And then there had been the call from Zed. He was like family to her, even though he still had a hard time opening up to her or anyone else. Karla knew he'd become a foster kid because of a bad home life before, but he'd never really talked about it, and Karla understood that, too. Traumatic things weren't exactly normal conversation that you couldn't wait to have with all and sundry, and she'd never pushed. Zed's foster mother had come to her more times than she could count, worried and concerned about the boy and how he was dealing with things. Karla would've felt much the same, and Zed obviously carried a lot on his shoulders that he wasn't opening up about.

Karla never required her nurses to come in on their days off, so she generally did the check-in and vitals herself, so it was she who went into the waiting room and called Zed back. He was nervous or upset about something, though she couldn't be sure what. She took him back to an exam room and quickly took his vitals before asking him, "What's going on, Zed? Your mom didn't mention you being sick." He looked more than sick. He looked tired... exhausted really. Pale. And there was anxiety in his mannerisms. "You don't look like you feel well, that's for sure."
livingforlife: (002)

[personal profile] livingforlife 2015-10-11 04:42 pm (UTC)(link)
Karla took the letter from Zed and scanned it quickly, and it took every ounce of medical training she'd had in her entire life not to freak the fuck out right now. Zed was like family. His parents and siblings had been a part of Karla's life for years, ever since Richie was a little guy, and it was a complete shock to the system to read that he had shown signs of being infected with HIV. She felt like crying, because this wasn't just a patient. This was the son of a friend, and one she loved dearly, no matter how quiet and reserved he may be. She ached for him, and she couldn't imagine the fear he was going through. She just wanted to hug him right now, but she had to be the doctor instead. "How long as it been since you were exposed?" she asked softly. "And how did it happen? I know you probably aren't in the mood to talk or share,but I need to know these things, Zed."

The bandaging around his hand told her there was a lot more to the story, and she had no idea where to start other than getting him treated as quickly as she possibly could. If it had been more than 72 hours since exposure, it was probably too late already, but no matter what, she damn well had to try. "We'll get you onto PEP as quickly as we can, and line you up for the three month test, too. We're going to figure it all out, but right now, PEP is the most important thing." She paused. "And I also want to know what happened to your hand."
livingforlife: (022)

[personal profile] livingforlife 2015-10-12 01:05 pm (UTC)(link)
"Is it two or three," she asked calmly. "Because that makes a difference. After seventy two hours, they usually won't even give you PEP, because it's not generally beneficial after that. I assume the guy you slept with was Positive?" she continued. Zed was pretty openly gay, and it was common knowledge. She could only have assumed he slept with a guy. But she did know he was holding back a lot here, and she needed to know anything and everything that might somehow make a difference here in what was going on with him. Any detail may be useful, though she knew it couldn't be easy to tell your mom's best friend who was like an aunt to you about the unprotected sex you'd had in Vegas. "Anything you tell me in here, you tell me as your doctor, Zed. Not as your mom's friend. I am here to give you medical care right now. Not to report anything back to your mom or anyone else."

Karla hadn't quite expected that, but she tried not to let her surprise show. Ultimately, Zed was opening up to her because he clearly needed to be able to talk to someone... probably more than he realized if he was going out and having unprotected sex. She couldn't vouch for his life before he'd come to live with Heather and Joe, but she knew that they were both very open parents and had talked to Zed and the twins about protection. But then, when you weren't in the best place mentally, you often didn't make the best decisions. Karla knew that as well as anyone did. "Someone from your past? Is this someone who's part of the reason you ended up in foster care in the first place?" she asked gently. She didn't want to push him to talk if he didn't want to, but she also didn't want him to feel that she didn't care about this part of things, and was only trying to get to the clinical facts. He needed to talk, and there was so much more to this story than unprotected sex in Vegas.
livingforlife: (052)

[personal profile] livingforlife 2015-10-12 03:40 pm (UTC)(link)
"Since the exposure," she said softly, recognizing that he was very pointedly not looking at her right now. She could understand why. There was a great deal of shame associated with STDs, specifically HIV, even if it wasn't nearly what it used to be as far as the stigma of it. And then he told her that it had been a woman, and she was caught a bit off guard by that, too. The likelihood of a man getting HIV from vaginal sex with a woman was pretty low unless there were other risk factors, such as open wounds in the genital area, but ultimately, it could happen. Low risk didn't mean no risk, and Karla was well aware of that. It was one of those things that you just had to know as a doctor. She didn't say anything right away, but the mom part of her wanted to rip him a new asshole for going out and fucking a prostitute, male, female, or other. The risks were too great, and even if not HIV, there was still the possibility of herpes or some other nasty infection. No matter what, this could go badly for him. If the test had shown up with the early markers, though, it was clear that he had come in contact, which pissed her off. Nevada had legal prostitution, and the hookers in question were supposed to have clean bills of health and very strict infection control, but clearly this hadn't been in a clean bill of health establishment.

Karla listened to him quietly, his words catching her completely off guard. Witness Protection was one of those things that you heard about, but you only really ever imagine having exist in movies or on TV. It didn't seem real to her, but there was nothing in Zed's demeanor that indicated he was lying or even joking around. He was entirely serious, and his body language was very clearly awkward and pained. "Witness protection? So like... You were a witness to organized crime? Or was it something different? I'll confess I know very little about that program outside of what they show you on movies and documentaries, but I know that it means that you're in pretty serious danger if you're at the point of erasing your previous self to become someone totally new. Do you want to tell me why? I mean... Are you allowed to? If you can't, I'll understand."
Edited 2015-10-12 15:41 (UTC)
livingforlife: (068)

[personal profile] livingforlife 2015-10-13 01:57 pm (UTC)(link)
"We need to get you started on this as soon as possible, then," Karla said firmly. "The longer we wait, the less likely the medication is to help you, and you're already pushing it on the time. By no means is this me rushing you out of here, but when you leave, I want you to go straight to the pharmacy and pick it up. The closest pharmacy that you find open. There's a CVS not far down the street where you can go. I can call it in for you there. You need to start taking it as soon as you pick it up, and you need to follow the directions exactly. As far as who you actually came into contact with, I guess it's kind of hard to know for sure who actually transmitted the virus to you, but with the markers being there, it's a matter of fighting back right now... It's not set in stone yet. You take the medication, and in the meantime, we wait and see what happens." She paused giving his arm a soft pat. "Was the emotional wreck because of running into someone from your past?"

Karla couldn't imagine what any of this had been like for Zed... to be young and have to not only leave your life behind you, crappy life though it may have been, and change your entire identity just to save your life. She had to wonder if Zed even felt like his life had been saved at all. "I can't imagine how that must feel, Zed. It's so far outside my realm of understanding to picture myself leaving everything I've ever known and being someone utterly different to who I was. But witnessing a murder... Thank fuck he didn't murder you. They didn't arrest him for murder? I don't... I don't want to dig into it if you're not ready to talk about it, but... I genuinely didn't really know much about the Witness Protection program. I never really imagined it being as easy as Clark Kent glasses, though. But it's true. They don't really ever present the emotional and psychological side of it. Does anyone else know? Besides me?"
livingforlife: (039)

[personal profile] livingforlife 2015-10-14 01:01 pm (UTC)(link)
"It can," Karla admitted. She didn't want to give him the run around. It wasn't her job as a physician to give people false hope or minimize the bad bits of a treatment or an illness as much as she wished she could when it came to people like Zed whom she cared abut outside of the patient-doctor connection. She looked at him and imagined Richie in his place. His mom was one of her dearest friends, and here she was, having to put a boy that was like a nephew to her through a harsh medical treatment to prevent him being diagnosed with an even harsher illness. And then there was the realization that it could truly be too late. He didn't know how long it had been, and if it was more than seventy-two hours, most doctors wouldn't even bother prescribing it, because the odds of it helping were slim to none. But they weren't sure, and Karla was damn well going to try one way or another. If it didn't work out, it didn't, but it wouldn't be for lack of trying. "Nausea, diarrhea, vomiting... nasty headaches. Not the most fun of side effects, and you have to take it consistently for the full time it's prescribed or its pretty much useless."

"So you went to Vegas because you were afraid that this person would expose you to your father... but... Why did you come back then? Not that I'm not happy you did. I am, and I know your parents will be relieved. Did this person know your father committed murder?" She didn't want to overwhelm him with questions, but at the same time, it was important to her that he know that she did care about what had happened and that he was more than just a clinical case to her. She cared about him as a person, and she cared about the why as much as the what. "I can't say I'd want to know what happened, either," Karla replied. "Not to a person who'd actively harmed me the way your dad hurt you I'm glad they got you out and brought you to a place that you feel safe, but... now that this other person has shown up, do you still feel safe?"
livingforlife: (042)

[personal profile] livingforlife 2015-10-17 04:29 am (UTC)(link)
"I get a lot of those cocks when I work the ER," Karla replied with a shrug. "I'm used to it, but I'm glad you're not going to pull that on me. Mostly because I'm seeing you as my patient, not as my friend's son, so I can't call your mom later and have a bitch to her about how she needs to put you in your place." She attempted a smile, but it was weak, because there was no humor or mirth in a situation where someone that she truly cared about could be facing an illness like HIV. Sure it wasn't the death sentence that it used to be, but it was still scary... It still meant that your life was changed forever. Zed would forever be partially defined by his status. If he were Positive, he'd have to reveal that to every partner he slept with, no matter how safe they might be, just in case. He was a pretty sexual person, and people who'd previously been keen to sleep with him would probably change their minds quickly when he revealed his HIV status, and for someone like Zed, that would be a hard thing to face indeed. It wasn't that he wouldn't understand, but there was still a stigma and a shame attached to it that was hard for many Positive people... especially when, in Zed's case, he was already ashamed of the actions that had lead to his needing PEP in the first place.

Karla shook her head, giving his arm a gentle pat. "I'm not planning on talking to you about anything about the justice system and how it works. I'm just glad there were good cops out there who saw that you were in danger and got you out of a really bad situation that you didn't deserve t be in. But no matter how bad the situation was and how great a family Heather and Joe are, that can't have been easy. I can't imagine how terrified you must have been. I don't need an explanation or a justification, honey. I'm just glad that you're here with a family that adores you and far away from the person who was hurting you." She paused, an attempt at a smile coming off a lot more like a grimace, because his words were painful, but true. "No. You're right. It's a scary diagnosis. But the treatments now have come a long way. It's manageable now. Still an illness and not at all a fun one, but it's not something we can't treat and work with. I'm definitely not in this all happy cheerful sunshine. I just want you to know that if the tests do come back Positive, it's not the end like it used to be. I'm sure you know that. You're a smart kid. But it's harder to be aware of when it's your life."