A Tragedy in its own rights

"What wrong with her?" Barbara hissed.  The doctor turned away from from Bianca, with whom she was speaking and turned toward Barbara astonished. "Pardon me?" The Dr. Asked genuinely surprised.  "What is wrong with her?" Barbara Holt stated again slowly and deliberately.  "I was speaking with Bianca, Ma'am.  I'm sorry, who are you?" The Dr. Scanned back to Bianca who was frozen in shock, her mouth agap, the doctor then turned who gaze back to Mrs. Holt who face was red, and was already replying. "I'm Barbara Holt, Bianca's...er... Bianca's fiancés mother."  Barbara was being so direct and aggressive it was as if she she was oblivious to how rude she was being, while Bianca knew she capable of this behavior she had never witnessed it before, it was truly embarrassing.  "Ms. Holt-" the doctor started carefully but Barbara cut her off "Mrs. Bufford Holt" Barbara sneered at the doctor using her glare to challenge the young woman to question her further after dropping her husband's name, who also happend to be a respected osteosurgeon affiliated with hospital. "Ah, yes of course, Bufford's wife.  I respect your husband greatly, however, unless Bianca wants you in the room, " the young doctor glanced inquisitively back at Bianca  who cast her eyes down towards the floor and shook her head swiftly "then I'm going to have to ask you to step out so I can speak to my patient." Bianca didn't look up at Mrs. Holt, she knew better. Exasperated Mrs. Holt spun on heel and stormed out of the hospital room "very well, then, no matter I'm calling Tyler..." she said as shut the door behind her with more force than necessary.

Bianca lifted her eyes to meet the doctors. "Ms. Shelk, as I was saying, it would appear that the cramping you were experiencing may be pregnancy related."  "Related?" Bianca asked "yes, your blood test shows that you are pregnant.  We need to proceed with more tests to determine if you are possibly having a miscarriage or if the pregnancy may be ectopic." 
"Ectopic?"
"This is when a fertilized egg implants itself somewhere other than the uterus."
"What sort of tests?"
"We will need to start with an ultrasound, your hormone levels are equivalent to that of a woman about 10 weeks along."
"10 weeks?!"
"Yes, numbers are tricky though.  You are considered four weeks on the first day of your missed period, these are all things that can discussed further later, but now I'm ordering an ultrasound to see where the egg has implanted, and we can go from there."
"Okay, okay thanks."  How could this be happening, Bianca thought.  One moment she was pulling on wedding gown, the next she was in the ER for blinding abdominal pain that's pregnancy related.  Bianca wouldn't indulge thoughts of pregnancy, not yet but...10 weeks...ectopic...miscarriage, my God there were so many conflicting options. Each carried a difficult reality. Each a tragedy in its own way.  Oh god, Bianca thought, Barbara.  Why did t b is have to happen while she was with Barbara - and what on earth was she out in the corridor telling Tyler. How cruel is fate that she would be forced to have only Barbara Holt to support her in this moment. 

Just then, as if summoned by her thoughts Mrs. Holt walked back into the exam room. "Well, Bianca?! What have you done?"