The trauma service was unusually quiet, and Casey had a free morning which she had intended to spend in the lab.
"Well, it's just that I'm a little busy between the trauma service and the research," Casey said.
"Look, I have a responsibility as chairman to make sure things are running up to snuff on the trauma service," he replied calmly.
"Things are running fine on the trauma service," Zach said loudly, then paused and looked up at him.
She had been spending too much time defending her hospital's trauma service, and she shouldn't have had to.
There was a problem, but her instincts told her it wasn't with the trauma service.
It calls for an urgent shake-up in hospital accident centres and trauma services.
A 24-hour multidisciplinary trauma service was introduced in 1995-96, and various patient-centred services re-organisations were introduced.
He started the region's first trauma care program and was director of trauma services at Tucson Medical Center.
Surgeons would probably be influenced more by an outcome of reduced readmissions to the trauma service.