Story - Service With A Smile Chapter 3

Chapter 3

Dr. Reed entered the room. He gave Kelly a smile. “I heard you did great in x-rays. Let’s see what we have, ok?” Kelly nodded. She had a curious look on her face. Almost a look of anticipation instead of pain or dread.

“Dr. Reed turned on the overhead viewer. He studied the x-ray carefully. I could see Kelly’s expression change; she was trying to diagnose herself just as Dr. Reed was trying to do the same. She saw something unexpected.

After studying the x-rays for a few moments, Dr. Reed turned to Kelly. “Well, Kelly you were partially right. As you suspected, you have a trimalleolar ankle fracture. You can clearly see the breaks. He paused. However, what I didn’t expect to see was that spiral fracture in your tibia shaft.”

“Well the stage was about 4 or 5 feet high.” Replied Kelly.

“Yes, it looks like at the time of impact your ankle twisted inward and that twisting motion not only caused your ankle fracture, but also caused the spiral break in your tibia. Good news is that it is not displaced. We won’t have to reduce it, and it probably won’t need a plate and screws.”

Kelly seemed to accept the bad news well. Dr. Smith continued. “However, there is obviously some displacement in your ankle. I think the best course of action would be to go in and let me place a couple of pins in it and clean it up. It will promote the healing process and you will be able to return to activities much sooner.”

Kelly replied “I’m sorry, Dr. Reed, but I don’t want to have surgery. My preference is for you to set it for me and let it heal naturally. Plus, I have to wait on the spiral tibia fracture to heal, so I probably won’t be speeding my recovery up too much with surgery. It’s just not worth the risk to me.”

“Hmmmm” Dr. Reed seemed to be surprised by this reply and was pondering how to respond.

“Well, I think the break in your ankle is stable enough for me to do a closed reduction. I just want to make sure you know what you are getting yourself into. You will not be able to bear weight on your leg for 10 to 12 weeks. You will have to be in a full leg cast for the first 6-8 weeks. You will have to visit your orthopedic doctor often so we can make sure that the fracture has remained stable. Additionally, because you will be in a full leg cast for so long, you will have an extensive physical therapy and rehab at the end of this to regain full range of motion in your knee and ankle. Are you prepared for this? It is going to be a long ride.”

A big smile formed on Kelly’s face. “Yes, I am prepared for this. And since I work for an Ortho, regular checkups won’t be a problem. We also have a Physical Therapist in our office so I will remain diligent with that aspect of my recovery.

“Ok, it looks like you understand the risks. One more thing – For the first 2 weeks until the fracture starts to calcify – I’m going to use plaster for your cast. It molds better to your leg and will help keep the fracture stable. I’m sure you know this – but plaster is not easy to live with. It is heavier, can even get damp, and leaves a crumbly residue everywhere you go! Are you sure you want to do this?”

Kelly was noticeably more at ease as we chatted. She seemed to be recovering from the traumatic x-ray session.  It seemed as if a huge burden had been lifted off her chest. She really didn’t want surgery and here she was getting her wish. My cock which now seemed to be in a permanent semi-erect state lept to attention hearing that Kelly would be in a full leg cast.

“Yes, Dr. Reed. I understand the inconveniences caused by a plaster cast. I am fully prepared for them. Thank you for respecting my wishes and accommodating me.”

“Ok, well that settles it. I will have Laura prepare the room for me to cast you. I’ll be back shortly” Said Dr. Reed as we walked out of the room.

I sat by the gurney on a portable stool. Kelly’s color had returned. I marveled once again what a beautiful woman she was. It was now almost 4pm.

I took the lull in activity to see how I could help Kelly.

I began “Kelly, I’m sure you want to get back home as soon as possible. I can see if there is a red eye out tonight so you can be home as quickly as possible. Of course, the hotel would cover the cost of the change in travel.”

Kelly interrupted me “What Dr. Reed failed to mention, is that he will probably not release me to fly until the swelling subsides. At least 4 or 5 days. If I was having surgery, he would have put me in a temporary cast which could accommodate for an increase in swelling, but with plaster, it is so form fitting, that there is no margin for error. The pressurized cabin, will most certainly lead to some increased swelling. If I attempted to fly – I would be in so much pain, that they would probably have to turn the plane around and get me back on the ground. I’m stuck here in Texas for at least 4 more days, maybe 5. That is the cost of me not having surgery.”

I was stunned. I had not expected that answer. I was fully prepared to have her leave before midnight. Now she was staying for 4 or 5 days. And it was my job to make sure she was taken care of. I had just died and gone to heaven. I will be around this stunning woman and her vibrant personality for at least the next 96 hours… And she would be in a gigantic plaster cast that would leave her perfect toes exposed for me to ogle at… Kelly probably noticed the long pause I took because she had a look of concern in her eyes.

“Woah” I replied. “I wasn’t expecting that. It’s not a problem, we will be more than happy to extend your stay. Of course, there won’t be any additional charge. You will be our most important guest for the next 5 days!

The smile returned to Kelly’s face and she squeezed my hand again. “Thank you so much for everything. Really, this was all because I was a klutz and not paying attention. I should break my leg at your property more often!”

I was again shocked by how well Kelly was taking all of this.

Just then, the door opened and in came Laura with a cart full of casting supplies and equipment.

“How are you holding up, you seem to be in an awfully good mood for a woman who has 4 breaks in her leg!” She asked.

“Oh I’m doing ok, given the circumstances. I think the drugs are doing wonders” Replied Kelly.

Laura placed the cart at the foot of the gurney and pulled out a hospital gown.

As soon as I realized that the nurse wanted Kelly to undress, I made for the door.

All in all, the undressing process was accomplished within about 6 to 7 minutes as I waited right outside the door.

When I walked back in, Kelly’s clothes were in a pile on the counter next to the gurney. Her nike running shoes rested on top. She looked red faced and flushed again, much like she did when she came back from x-rays. I suspected there was probably some pain involved when they got her pants off.

“I don’t think I’ll be putting those yoga pants on anytime soon. It should make for an interesting trip back to the hotel without pants on.” Said Kelly as she saw me glancing over at the pile of clothes.

Laura let out a laugh and said that they had some loose fitting hospital pants that could fit over the cast.

Just then, Dr. Reed walked in ready for action. “I’m going to set your leg, Kelly. I have to pull the bones in your ankle back into alignment. The drugs will mask most of the pain although you might feel a lot of pressure. Don’t worry. You’ll be through it a minute or two. Although I want everyone in the room to be my witness, Kelly asked for this, I would have gone with the surgery!”

 I watched as Kelly processed the information. I knew the prospect of spending two months in a full leg cast was not appealing to her. I, on the other hand, had a massive erection. The thought of Kelly confined to a full leg cast presented all types of opportunities for me to glimpse those beautiful toes of her.

 “Any other questions?” he asked.

“No.” Kelly replied.

“Great.” The doctor said.

He took latex gloves from the wall dispenser and slipped them on.

I stood in the corner of the room and watched the setting process with some measure of awe. Dr. Reed and the nurse were obviously experienced at this. Throughout the process, they worked in silence. Each was aware of the other’s next task. “How are you feeling, Kelly?” Dr. Reed asked as the nurse slipped a long stocking over Kelly’s broken leg.

“Great.” Kelly murmured. The response was slow in coming. Kelly smiled once again. Once the stocking was on, the doctor took Kelly’s broken leg and moved it so the leg was lifted off the gurney. The stocking covered the entirety of Kelly’s leg and foot. “You may feel some pressure in a few seconds. That’s normal.” The doctor’s voice was soft and re-assuring. Kelly was silent. Still smiling.

“That’s starting to hurt a little.” Kelly said. Eyes still closed. Grimacing through a smile. “That’s ok,” Dr. Reed said in a soft, calm voice. “We’re almost done. You’re doing great.” Dr. Reed, then nodded at the nurse. The nurse leaned forward and placed her hands around Kelly’s knee. Dr Wilkins wrapped his hand around Kelly’s foot and began to pull. Kelly leaned her head backed and moaned and then moaned again but louder now. But, amazingly, she was still smiling. Drugs really are a wonderful thing. I assumed this was her way to cope with the pain. Dr. Reed gave a sharp tug on Kelly’s leg. Kelly’s moan turned into a scream. “Ahhhhhhhhhhhhhhhhhhh”

“Voila!” The doctor said with great pride. He continued to hold Kelly’s foot with one hand. He probed Kelly’s ankle with his other. “Should be close to perfect.

I had never seen a cast applied before and was mesmerized by the process. First there was a layer of dry, cotton like bandage applied from toe to her upper thigh on top of the stockinet. The bandage was applied by the nurse while Dr. Reed held Kelly’s leg.

Then came the wet bandages. The nurse opened each bag and dropped the plaster in the water pale. After a few seconds, she removed the bandages, and wrapped them around Kelly’s leg. She began with Kelly’s foot and worked the bandages up her leg. She worked quickly but carefully. Pausing now and then to smooth out any uneven surfaces. Dr. Reed then said to the nurse – “make sure you get as high as you can on her leg. We don’t want this sucker moving at all.”

With that Laura lifted Kelly’s gown to get to the absolute top of her thigh. She did a good job of keeping Kelly’s crotch covered through the process.

“Oh wow, you got really high” exclaimed Kelly. The pain from setting her ankle seemed to have subsided and she was once again cheery in her statement. I continued to be amazed by her demeanor. She sounded like someone about to purchase a new car, not someone with 4 breaks in her leg and now a cast up to her crotch!

Once Kelly’s leg was completely covered, the nurse pulled down the stocking from the toe of Kelly’s cast. She used scissors to trim the stocking. Then used a thin strip of plaster to secure the stocking to the cast. She repeated this process with the top of Kelly’s cast.

Dr. Wilkins continued to hold Kelly’s leg while the nurse retrieved a few pillows from a cabinet. The pillows were placed on the gurney directly underneath Kelly’s ankle and Dr. Reed lowered Kelly’s leg onto them. So that was it. I looked at my watch. Almost 5pm and Kelly was in her cast.

It was stunning. Perfectly white. Extending from the very top of her thigh all the way to her toes. At the end, there were her toes. Perfect. Sticking out of the end of the cast. Each one of them were exposed. Each still was perfectly painted in the light pink, but her toes hand specles of plaster on them. I couldn’t help but stare. My cock was completely erect. If anyone was looking at my crotch they could probably see the noticeable lump.

Kelly was also staring at the cast. Admiring it almost as much as I was. The ankle was held at a 90 degree angle. The toes pointed straight up. The knee had a 25-30 degree bend in it. 

Story - Service with a smile - Chapter 2

Chapter 2

Once again as the paramedics unloaded her, she moaned as she was moved. She looked over at me and said “My insurance card and ID is in the 2^nd pocket of my wallet inside my purse.”

I took the wallet out and gave her a reassuring smile.

We were taken into the triage area of the ER where Kelly was unstrapped from the stretcher and transferred onto a gurney. There was an audible yelp and grimace that came with the move.

A nurse entered the room. She was in her 30’s. She had a perky smile. “Someone’s having a bad day.” She said with a semi serious look.

Kelly actually managed a laugh. The nurse, whose hospital badge indicated her name was Laura, pulled a blood pressure cuff from a pocket in her scrubs.

“What happened?” She asked in a southern accent, wrapping the cuff around Kelly’s upper arm.

“Long story, but I fell from a stage at my hotel and landed on my right ankle which took all the weight and then some.” Kelly replied in a calm voice.

Laura did not reply. She listened intently to Kelly’s pulse and watched the dial of the pressure indicator. “Blood pressure’s a bit low but nothing to be worried about.”

Laura inserted a thermometer in Kelly’s mouth.

As Laura was removing the thermometer, a middle aged doctor entered the room. He came to Kelly’s side. Laura stepped into a corner. This was now the doctor’s show.

“I’m Dr. Reed.” He said extending a hand to Kelly and then to me.

 “So what happened here?” Dr. Reed said as he pointed to Kelly’s leg.

“I fell from an elevated stage; I think I may have a trimalleolar ankle fracture.” Replied Kelly

Dr. Reed, looking surprised said – “Oh that sounds like you know your way around an orthopedics textbook!”

“With a weak smile, Kelly explained to Dr. Reed that she was an orthopedic nurse.

Dr. Reed took out a stethoscope. He zipped down Kelly’s Nike Dry fit jacket revealing a black Nike tank top. He placed the stethoscope on Debbie’s chest and listened intently.

This was the first time I noticed Kelly’s firm B cup breasts.

“Are you in much pain?” Dr. Reed asked.

“Yes. A lot when I move the leg. It was numb at first but it’s getting worse.”

“Here’s what we’re going to do.” He said in a professional, calm tone.

“Laura is going to get you out of that splint so we can get some x-rays of the leg. Once we see the x-rays, we can discuss what we need to do to get you fixed up.”

Kelly nodded, probably already knowing what the next steps were.

“I’ll be back after x-rays.” The doctor said. Laura and Dr. Reed then left the room.

Kelly grimaced in pain as she laid back down.

“Cheer up.” I said. “Everything will be fine.” Of course I had no idea whether everything would be fine or not, but it was my job to keep her comfortable.

Laura returned holding a tray with a hypodermic needle and asked Kelly to extend her arm. Kelly closed her eyes as Laura gave her the shot. “That should start taking effect in a minute or two.” Laura disposed of the spent needle. She leaned comfortably against a set of cabinet’s.

“I’ll be back in a few minutes to take your splint off.”

Kelly nodded. As we waited for the shot to take hold, we chatted idly. Kelly remarked – “well I’m guessing that I’m going to miss my big speech tonight. But speeches are not my thing, so sitting in this gurney might actually be a better deal for me!”

I was immediately taken by her sense of humor. Being able to make jokes while the jagged ends of your bones move freely in your leg… that gives a woman huge points in my book!

That is when Laura returned to the room and said “Are we ready for the fun part? I’m kidding of course. Before we take you back to x-ray I’m going to have to take your shoe and sock off. Hopefully the shot I gave you dulls the pain while I do this. Ready?”

“I’m ready. I’ve been on the other end of this a few times, now I get to see how much torture this really is!” replied Kelly.

“I’m going to be as careful as I can.” Laura said. She carefully untied Kelly’s Nike running shoe. Very gently she started tugging on the laces to loosen them.

“Almost there.” Laura said encouragingly. With practiced hands, she, lifted Kelly’s leg, and pulled the shoe free.

Throughout the process, Kelly lay back with her eyes closed. Her hands grasped the side of the gurney rails tightly. Kelly let out a soft sound as Laura removed her shoe. It was almost a moan. I assumed the pain had been dulled to the point screaming wasn’t necessary.

Laura then said “ok, we won’t be able to save your sock” while taking a pair of shears from her pocket.  She cut carefully down the top of Kelly’s no show athletic sock. Kelly still had her head back and eyes closed. As Laura reached and cut through the toe of her sock and it popped off, Kelly moaned “Oh God”

I could only imagine that she was trying to cope with the pain as best as possible.

“Then she was silent again eyes still closed. Kelly’s foot was pale and slightly moist from perspiration. As expected, her toenails were painted the same, soft pink as her fingernails. Her toes were shaped perfectly. A nice length; not to short, not too long; perfect thickness. The 2^nd toe was almost even in length to the big toe. And they looked to be very well cared for. Of course, the swelling had started to set in a little. There was a horrible lump around her ankle. But even then, her foot was gorgeous.

“Ok we’re off to x-rays. “I’m sorry that hurt so much.” Laura said.

“That’s ok. I’ve dished out enough pain in my career; I guess it is my turn to receive it. ” Kelly said.

Laura placed the running shoe and the remnants of Kelly’s sock on the counter. She flipped up the wheel locks on the gurney and tightened the restraint again around Kelly’s waist. Laura gave me a smile. “You wait here, Ryan. Kelly and I will be back in 20 minutes.”

I looked at the clock. 3:05 PM. We had been at the hospital just 45 minutes. I realized that I had the beginnings of an erection. The thought of Kelly in a cast did excite me. I wondered how big it would be. Would she even have a cast? Maybe she would be sent home today with a splint or soft cast. Or maybe would they stick her in one of those lame boots? I then went back to the thought of the cast – hoping that she would be sent back to the hotel with her toes sticking out of a gorgeous cast. I would help her back to the hotel and then I’m sure she would want my help in arranging immediate travel back to her Midwestern hometown. I figured I would get to be around her for the next 6 or 8 hours until we could get her on a red eye back home. I was ecstatic… My erection was now in full effect.

I heard a noise in the corridor. Laura returned pushing Debbie’s gurney into the examining room. Kelly looked awful. Her face was flushed and red.

“What happened?” I asked.

Laura locked the wheels of the gurney once more. She spoke. “They had to get shots of the leg from three different angles. There was a lot of moving around. “But Kelly did great. If I didn’t know better I would have thought she was enjoying it. But that’s just her being a pro”

Kelly again smiled weakly. “It was a ball of fun the first 2 times I literally felt the bones in my ankle moving. The 3^rd time was a little rough!”

Laura placed Kelly’s x-rays in an overhead viewer. She did not turn on the light. She knew already, of course, that Kelly’s leg was broken. I hoped my Kelly would not need surgery.

“How are you holding up?” I asked. As I instinctively reached out and took Kelly’s hand in mine. It felt right. She needed someone to comfort her during this time of trauma.

“I’m fine.” She replied. She gave me a smile. “I can’t thank you for being here with me. You don’t understand how helpful it is, even though we’ve known each other for about an hour!”

“Don’t worry about it. I’m glad to be here. I like making new friends!” I replied.

“So, you’re the professional, Kelly, do you think you will need surgery?”

“God I hope I don’t need surgery. Knowing what I know about orthopedics, surgery gets you fixed quick, but all that metal in your leg is going to give you a lifetime of problems. And I’m pretty active. I love to run and play tennis. If your bones can heal naturally, and you do your rehab, you have a much better chance of returning to normal activities. Unless the doc says that I’m going to need my leg amputated, I’m not having surgery.” She said.

I tried to think of a positive reply. “Don’t worry, I’ve got your back if they try to force you into something you don’t want” I said.

She smiled at me and squeezed my hand. 

Story: Service With A Smile

A friend requested that I take a crack at writing a story. I was very happy to hear the request and decided to go for it. Let me know what everyone thinks. I would love to hear any ideas on how to advance the story as I go on and on the content of the story too. 

Service with a Smile

Chapter 1 – Exit Stage Left

The phone in my office rang at about 2pm. It was usually a quiet part of my day in my job as Guest Relations Director at the high end luxury hotel I work for. 

“Ryan. We need you down here in the banquet room ASAP. We have a situation.”

It was our day shift manager – Liz – on the other end of the line.

 “What’s wrong?” I asked.

 “One of the speakers at the nurse’s convention has fallen off the stage. She was rehearsing for her speech this evening and tripped. It looks like a broken leg. We’ve called the paramedics.

I didn’t hesitate. “I’ll be there in 3 minutes.” I said feeling my pulse increase with the crisis.

I needed to be down there, because an accident like this could lead to a lawsuit against our hotel. How the guest is treated immediately after the accident is paramount in avoiding a lawsuit. Make sure none of our staff members admit to liability, make sure the guest receives as much attention as they need, so they know we went the extra mile.

As I walked onto the elevator I started to think… A broken leg, I wondered what the guest looked like? How badly was the leg broken? Did she suffer any other injuries in the fall? And back to wondering what the guest looked like. Secretly hoping she was attractive. I am 30 years old and single.  I have a raging foot fetish… Perhaps an even more curious fetish I have is a cast fetish.  The thought that an attractive woman might be placed in a leg cast gave me an erection. I would never wish harm to anyone. I hoped the guest would not need surgery. But the thought of an attractive woman wearing a cast excited me.

I opened the doors to the banquet room and walked in at a hurried pace. I walked towards the side of the stage where Liz and Phil our Director of Security were kneeling on the floor next to the injured guest. “Liz” I called out as I approached. Liz turned around and said – “Ryan, I’m so glad you are here, this is Kelly, she is a guest at the hotel for the Nursing conference. She seems to have fallen of the stage and hurt her leg. It looks broken to me.”

I knelt down beside the guest, Kelly, and introduced myself. That is when I noticed that not only was she attractive, but she was downright stunning. A striking brunette, with flawless skin, who looked to be in great shape. She was in casual attire, yoga pants, a Nike dry fit tank top and workout jacket and Nike running shoes. She was obviously down here by herself going through a dry run of her speech. It was hard to tell with her sprawled out on the floor, but she seemed tall. Not quite 6 feet, but maybe as tall as 5’9 or 5’10.

Hi Kelly, My name is Ryan, I am Director of Guest Relations, I’m very sorry to see you are injured; I’m here to help you on behalf of the hotel and make sure you get everything you need throughout your stay with us. The paramedics are on their way and should be here any minute.

I tried to start a conversation with Shelly to keep her mind away from the pain and the injury.

“So what happened?”

“Oh God, I’m so embarrassed.” Kelly began. “I feel like such a klutz”

Her brunette hair hung just below shoulder length. Her facial features were strong; she had mesmerizing eyes and was well tanned. But the gorgeous face was etched with pain and I knew Kelly was hurt. Her right leg looked broken. Her foot was pointing in a direction that wasn’t natural.

“I had just stepped on the stage and realized that I left my notes on the table next to the stage and turned around to get them. I must have missed the step because next thing I know I was falling to the ground; my ankle seemed to take a brunt of the force. I am an orthopedic nurse… I know my leg is broken. Probably a trimalleolar fracture. I’l be lucky if I haven’t shredded all the ligaments in my ankle too.  

“You sound really sure of your diagnosis Kelly”

 “Yes.” Came the reply as Kelly stared at the leg. “I heard a snap and I can feel a grating sensation whenever I move it.”

Ryan expected Kelly to be more upset, more frantic. But there was a sense of calm. Yes she was in pain, and you could see was handling it like a pro. Perhaps it was her medical training that kept her calm, perhaps the shock was setting in.

“Is there anyone you would like for me to call?” I asked. I didn’t notice a wedding ring on her finger, but maybe there was a boyfriend or friend.

“No, there is no reason to bother my family – I’m sure I’ll be ok for now.  If it is worse than I think where I need surgery or something, then I’ll call them. There is really nothing they could do for me now. They are back in hometown; I’m just here in Texas for this convention.”

Just then the doors to banquet room opened and in came a pair of paramedics with a stretcher. We cleared the area and let them work on Kelly.

They stabilized Kelly’s leg with an orange splint and loaded her onto the stretcher for transport. She cried out in pain as they were putting the splint on her and had to move her leg. I’m sure the pain was caused by her bones grating against each other.

I escorted them to through the lobby to the front of the hotel where the ambulance was parked. They loaded her in and I climbed in the back with Kelly and one of the paramedics carrying Kelly’s purse and belongings. Lucky for me, I was now Kelly’s chaperone until she checked out of the hotel. She would be my responsibility, and hopefully if I took good care of her, she would not sue us.

Kelly had a surprised look on her face when she saw that I was coming with her. I explained that I would be there to help her every step of the way until she checked out. It was the level of service that our hotel offered to guests. She seemed genuinely happy and relieved that she would not be going at this alone.

The drive to Presbyterian Hospital would take about 8 minutes at this time of day. As we were driving and the paramedic was working on Kelly, it gave me a chance to take a breath. I allowed myself to briefly slip into a thought wondering what Kelly’s feet looked like. Would they be as attractive as the rest of her? Would her toes be well groomed and painted? I wondered what color. Her fingers looked to have a fresh manicure and were painted a very soft pink. What would the toes be shaped like? What about her arches? I wondered how much bruising the toes on her broken leg would have. I snapped out of my daydream as the ambulance slowed. We were pulling into the hospital.