Emergency: Wife Lost and Found
CAROL MARINELLI
Marriage reunited – in A&E!Every emergency doctor dreaded recognising someone in Casualty – even cool-headed consultant James Morrell. But he was doubly shocked when the unconscious patient he was asked to treat was instantly familiar. It was his ex-wife!Dr Lorna McClelland hated being ill, hated being stuck in a hospital bed, but above all she hated having to rely on James. Then, as she recovered, all the wonderful things about their marriage came flooding back…
‘You’ll stay with me,’ James said.
It was as simple and as complicated as that.
‘How?’ Lorna asked. A single word, but there were so many questions behind it. ‘I just need to rest, James.’
‘You can do that at mine.’
‘How?’ she asked again. She wasn’t sure that moving in with her ex, even if it was just for a few days, was such a good idea.
‘Look—we’re adults. We were over a long time ago. I’m sure if the roles were reversed you’d do the same for me.’
‘Of course I would.’
‘So that’s settled, then.’
Carol Marinelli recently filled in a form where she was asked for her job title and was thrilled, after all these years, to be able to put down her answer as ‘writer’. Then it asked what Carol did for relaxation, and after chewing her pen for a moment Carol put down the truth—‘writing’. The third question asked—‘What are your hobbies?’ Well, not wanting to look obsessed or, worse still, boring, she crossed the fingers on her free hand and answered ‘swimming and tennis’. But, given that the chlorine in the pool does terrible things to her highlights, and the closest she’s got to a tennis racket in the last couple of years is watching the Australian Open, I’m sure you can guess the real answer!
Also out this month is Carol’s fabulous,sensationally sexy Modern™ RomanceBLACKMAILED INTO THE GREEK TYCOON’S BED
EMERGENCY: WIFE
LOST AND FOUND
BY
CAROL MARINELLI
www.millsandboon.co.uk (http://www.millsandboon.co.uk)
EMERGENCY: WIFE LOST AND FOUND
For Anne and Tony xxxx
CHAPTER ONE
THERE was an energised buzz in the emergency staffroom as James Morrell walked in with a long overdue mug of coffee in hand, and took a seat. A buzz that came from too much adrenaline and too many people talking at the same time…
A serious crash on the entrance ramp to the M1 motorway had transformed an already busy Friday afternoon into a chaotic one. A car had hit black ice and a nasty pile-up had ensued involving a coach and several cars. The slushy, snowy conditions had just added to the misery for the victims and the rescue squads. Several London hospitals had taken the strain, but the emergency department of North London Regional Hospital had sent out a mobile team to the scene and extra staff had been called in to assist. And now, as the clock hit five p.m. the department was just starting to catch up with the backlog. ANUM May Donnelly had ordered sandwiches and refreshments for her team and had insisted that the staff, some of whom who had been on duty since seven a.m. and would be there for a good few hours yet, actually stopped for half an hour and took a well-earned break before the department came off bypass and allowed ambulances to bring patients in instead of diverting to another hospital.
Having ensured her staff were sorted, May had rung her beloved husband and told him that again she would be late home, eternally grateful that he didn’t add to her stress, just cheerfully told her he’d start dinner and reminded her that this time next year they’d be on their retirement cruise.
‘Well done, guys.’ James’s deep voice hushed the room for a moment. ‘I’ll speak with you in groups over the next couple of days and go over it all—but suffice it to say for now that you all did an excellent job. The team that came out with me was top class. The firefighters and paramedics both commented on how well you all worked and well done to the students too.’ He glanced over to where the student nurses sat and May Donnelly smiled to herself as she watched each girl flush pink as James Morrell looked in their direction.
It was an automatic reflex, May had long since decided. James Morrell must think that all women had a slight rosy glow to their cheeks, because that was how they generally appeared when he was around!
May had been in nursing close to forty years now and had seen plenty, could tell a few tales in her thick Irish brogue, and she could tell a few home truths too—but would these young women listen to her when she told them that they were wasting their time with James?
Not for a minute.
Tall and of solid build, he looked like a rugby forward, minus the broken nose and cauliflower ears. With his straight brown hair and piercing green eyes he cut more than a dash as he strode through the department. He was certainly a commanding man, and unusually at thirty-five he was single too. Having got drenched out on the motorway, he was now dressed in theatre blues that showed a lot of bare arms and just a smattering of chest hair, and there wasn’t a woman in the room who didn’t notice.
‘Are you coming to Mick’s leaving do next Saturday, James?’ May watched as Kristy, one of the students, attempted to ask casually. Though it might be considered a touch forward for a student, every female in the room was seriously glad that she had asked. He was good-looking, a doctor, definitely not gay—who could blame a girl for trying?
‘I might pop in for one drink.’ James looked over from the television he wasn’t really watching. He was just trying to switch his brain off for a while—except he couldn’t—even though the department had been stood down, even though the wreckage was starting to be cleared, it didn’t feel over yet. There was a feeling of unease he couldn’t explain. Sure, if he sat and thought about it, which he was doing right now, he could easily put it down to having just been in charge on the scene of an accident with more than forty victims, but he’d done that before—many times. No, there was this unsettled feeling as he sat there in the staffroom, especially when Abby just had to start!
‘I could give you a lift!’ She smiled over to him, but James didn’t return it, just looked back to the TV.
‘I can give you a lift if you like, James,’ Abby said again, assuming he hadn’t heard her offer.
Ooh, May was enjoying this. Though no one in the department would ever guess, May didn’t like Abby, the new, rather snooty registrar, who clearly had her blue eyes set on the main prize.
‘I’m fine.’ Still James didn’t turn around. ‘I don’t even know if I’ll get there.’
‘Well,’ still Abby persisted, ‘if you do want a drink, I’m happy to drive. It’s not often we both get a Saturday night off at the same time.’
Yes-s-s! May loved listening to this—listening to Abby talk as if they were an old married couple, who weren’t getting to spend enough time together.
‘I’ve got plans next Saturday…’ James did look over now and flashed his ‘back off’ smile that May just adored, and she watched the colour whoosh up Abby’s face as very firmly, as was James’s way, he put her back in her box. ‘As I said, I might try to get there for one drink—I would like to say farewell to Mick!’ he added, just so everyone in the room understood that the reason he was going was to say goodbye to the porter who had served the department for twenty years now. ‘Who’s holding onto his collection?’
‘That would be me.’ May said, ‘but you’ve already contributed.’
‘Sure?’ James checked.
‘Quite sure.’ May nodded, still smiling to herself. When would these girls realize that James Morrell didn’t mix business with pleasure? Mind you, had she been thirty years younger she’d have given it a go. Not that it would have done any good—in all the years she’d worked with him, he’d never been involved with a staff member, had never, not even once, brought a date along to a work do.
There was an aloofness to James that May had never quite worked out. Polite, kind, nice, he was also a closed book. He would chat about the news, current affairs, patients, he knew all his staff well and talked easily to them, just not about himself.
He was certainly sexy…certainly he liked sex!
As ANUM, or Associate Nurse Unit Manager, which used to be just plain Sister, May often had to call the consultants in from home, and a few ladies had picked up the phone or had been heard purring in the background as a rather breathless James had answered. Though he always came in promptly, and no one would have had a clue that he’d just been hauled in mid-session! Her friend Pauline did some housekeeping for him and though, like May, discretion was Pauline’s rule, she only had to purse her lips on occasion when May fished a little to let May know that James had an active life outside these hospital walls. Once—May managed a slight flush at the memory—when they’d had to rapidly change to go out on the Flying Squad, James had had blood on his shirt already and had had to change in the foyer while they’d awaited the transport to take them to the accident.
Everyone probably thought she was having a hot flush as she sat there in the staffroom, fanning her cheeks, but May could still recall the sight of that broad back gouged with nail marks and when he had turned she had come face to face with a chest covered in love bites.
Phew!
‘Okay, May?’ James loved working with May and always looked out for her.
‘Just a bit warm.’ May smiled.
‘They can never get it right.’ James glanced out at the heavy grey sky and the slush of old snow piled up on the window. The sky was already dark but a streetlight showed a flurry of new snow falling. ‘It’s bloody freezing out there and they’ve got the heating turned up so that it’s like a sauna in here.’
That restless feeling was back, his solid muscular thigh was bobbing up and down, and no matter how he tried to he was just not able to kick back and relax just yet.
‘Can we accept…?’ the intercom in the staffroom crackled into life.
‘We’re on bypass,’ May immediately interrupted, because her staff needed this break. The accident had meant that for a few hours North London Regional Hospital was closed to new admissions, the ambulances automatically diverted to other hospitals, and though it was a tough call to make, it was one that had to be made if safe working levels were to be maintained. The department was struggling at the moment in any case. Two junior doctors had left in the middle of their six-month rotations and they had not filled the vacancies. Abby was good, but new, and one of the registrars had just gone on extended sick leave. Everyone was working beyond their limits and even more so today. They would come off bypass soon. May had, in consultation with James and the nursing supervisor, decided they would call it off in the next half an hour, but for now her staff needed to restock, not just on food and drink but the depleted store shelves, and also get a few more patients up to the wards.
But the voice was crackling on.
‘She’s just been found a little way from the accident scene, trapped in her car… Jane Doe, in her twenties, hypothermic, full cardiac arrest…’
James was already standing up, grabbing a handful of sandwiches and heading for the door, appalled at the thought of a patient left behind and what she must have been through.
‘Accept,’ he and May said together.
The late staff were already setting up for the expected new arrival as James and May rushed around. Rolling out the warming unit, which was like a large duvet that would be inflated with warm air and placed over her, IVs were being run through warmers and the anaesthetist had been paged and was running down from a no doubt frantic ICU. ‘What else do we know?’
‘Not much!’ Lavinia, the crackling voice on the intercom, who was pretty in the flesh, brought them swiftly up to date. ‘The car was found in a field a few hundred yards from the accident scene, the windscreen was shattered so she’s been exposed for a while. She had a blanket around her, so it would seem she was conscious after the accident. She arrested as they freed her from the wreckage.’
‘Do we have a name?’
‘Not yet. She’s been intubated and is on her way. ETA nine minutes.’
‘Come on,’ James said to May, ‘let’s go and meet the ambulance.’
They stood in the ambulance bay, James only in his theatre scrubs. It seemed rather inappropriate to moan about the weather—still, it was freezing.
He glanced at his watch and willed the ambulance to hurry up. ‘Four hours in this.’ He wasn’t making small talk, his head was frantically trying to do the maths. Four hours exposed to freezing temperatures, and no doubt already injured from the accident. In hypothermia, patients often arrested when moved and, though it was never good news, the fact it had been a witnessed arrest was positive. ‘This is going to be a long one.’
It would—her body temperature would need to be gradually raised and until her temperature was normal the resuscitation would continue. When the body was hypothermic the brain required little oxygen and there was a chance that despite being trapped for hours, despite being in full cardiac arrest, this patient might make a full recovery—and given her age, she would be afforded every benefit of the doubt.
‘The poor pet, stuck out there in this blessed weather all these hours,’ May said, shivering into her cardigan as they stood in the ambulance bay. She wished nurses still wore capes!
‘I knew it wasn’t over,’ James said. ‘There were so many cars involved, just so much chaos, we’re going to have to review this.’
‘We will,’ May sighed. ‘But it was already getting dark by four, and with the snow and everything…’ Her voice trailed off. Security was having a row with a driver who had insisted on parking his car in the ambulance bay. His wife would only be two minutes, he was arguing loudly and, no, he wasn’t moving his car, but James had already heard enough. May watched as he strode over, an imposing man at the best of times, but when someone compromised his patients’ care, woe betide them. May cringed as James not too politely told the driver where he could put his car, but she smiled as he strode back.
‘He thinks it’s a bloody car park.’
‘He doesn’t now,’ May pointed out, watching as the driver reversed angrily out of the ambulance bay, but her smile soon faded. ‘That’s all we need!’
A television news team, which was setting up a little way down to do a live cross on the evening news about the earlier incident, had got wind of the ‘forgotten patient’ story. They dashed over with their cameras and talked excitedly into their microphones as James told Security to bring out the screens to shield the incoming patient from prying eyes. The last thing he wanted was some kid eating their tea, seeing their mother being brought into hospital at death’s door. He was taut with suppressed rage as he shooed the journalists back and helped Security to erect the screens quickly.
Oh, the joys of being an emergency consultant!
‘Where the hell’s the ambulance?’ James demanded of May, and she glanced at her watch.
‘It will be a couple more minutes yet. Are you okay, James?’ May couldn’t help but ask. He was like a coiled spring this afternoon. Okay, he was often brusque but there was just something about him now that May couldn’t put her finger on.
He was about to give his usual dismissive ‘Fine,’ only this was May who was asking and he respected her more than anyone in the department, looked out for her in the same way that she looked out for him, and because of that he was honest.
‘I don’t know, May.’ He could just hear the ambulance siren, which meant it was still a minute or two away. He turned to her wise, familiar face and even if it sounded evasive he answered with the truth. ‘I really don’t know.’
‘Are you not feeling well?’ She asked.
‘It’s not that…’ He blew out a breath, long and white in the freezing early evening sky, and tried to find the right word to describe how he felt. Nervous? Anxious? Neither really fitted. He just felt uneasy, that was the best word he could come up with, but he was hardly going to offer that to May.
‘I know that it’s hell in the department at the moment, we’re so many staff down, but…’ she offered.
‘It’s not that either. I hate it that we missed someone. I knew it wasn’t over…’ His words were drowned out by the sirens and the noise of the camera crews. Security opened the back of the ambulance door before it had even halted, the driver jumped into the back and, seeing the greedy cameras, pulled the blanket over the patient’s face, which was acceptable as she was already intubated, while the other paramedic pushed on her chest. The stretcher was unclipped and James took over the cardiac massage as May bagged the patient. They bumped the stretcher out of the ambulance, raised it and then set off to the resuscitation area in a skilled, practised motion.
But midway there, James lost his stride, the whole party halting for less than a second as James caught up, or seemed to.
She’d always had pretty feet.
Despite her plain clothes and serious, unmade-up face, Lorna had always worn pretty pink nail varnish just as this patient was, and Lorna had a mole just on the dorsum of her right foot too. James could feel the chest beneath his hand as he massaged the heart and he had, for that stupid second, wanted to stop the stretcher, wanted to rip the blanket from her face and find out that it wasn’t her.
Except James knew with dread that it was.
A coil of wet dark auburn hair had escaped the blanket, and as they whooshed into Resus and prepared to lift her onto the hard resuscitation bed, the blanket covering her was whipped off. Then he finally got confirmation, but he’d already known for a good fifteen seconds that it was Lorna.
He’d always wondered if she’d changed. Up in Glasgow for a conference a couple of years ago, he’d scanned the shops and bars for a woman with auburn hair and huge amber eyes. He’d told himself it was futile, that it had been so long ago she might have dyed her hair by now, she’d always hated that it was red after all—or maybe she’d have put on weight. Or, worse, he might bump into her pushing a stroller containing twins. He was being ridiculous, he had told himself that day, because even if she walked towards him, stood in front of him, he probably wouldn’t even recognise her.
He’d known at the time he was kidding himself and he’d had that confirmed today.
Ten years on and he’d recognised her in an instant by her pretty feet alone.
CHAPTER TWO
‘SHE WAS UNRESPONSIVE when they found her, but she had did have a pulse. She arrested when we moved her from the vehicle,’ the paramedic informed them as they raced into Resus.
‘Do we have an ID?’
As she transferred the patient over to the resuscitation bed it was May who asked the question when James didn’t—he was still massaging the chest, even though Lavinia had offered to take over.
‘From the driving licence in the car we have a Lorna McClelland, thirty-two years of age, from Scotland; she’s a doctor apparently…’
‘How was she missed?’ It was the first time James had spoken since her arrival, and it was an irrelevant question really. She had been found, she was ill, for now all they could deal with was what presented, and May frowned as James persisted with the pointless. ‘How could she have been missed?’
‘I’m not sure,’ the paramedic answered. ‘We just got a callout twenty-five minutes ago. Mind you, it’s been chaos out there.’
Instead of the emergency consultant it was Khan, the anaesthetist, who was running the show, flashing lights in the patient’s eyes, frowning up at James as he checked the airway, calling for drugs, and at that moment May stepped in. She had no idea what was wrong with James, but she would find out later. He was standing there, massaging the chest, as grey as sheet metal and instead of assessing the patient and commencing active treatment, still there he stood. It happened now and then, May knew that well, where staff just hit a wall. But maybe it was another peril of working in Emergency that was occurring here, May thought as she watched the beads form on his brow. He knew this patient!
‘Abby.’ Pressing the intercom, she summoned the registrar from her break. ‘We need you in Resus. Lavinia,’ May ordered, ‘take over the massage.’
He stood and watched, half heard May say to Abby something about James not feeling too good, but all he could really hear was the sound of gushing in his ears, and the blip, blip, blip of the cardiac monitor as Lavinia delivered cardiac massage.
Lorna’s blouse was already undone, her bra cut and pushed to the side. Her boots or shoes had already been taken off, where they had attempted IV access. They were slicing through her soaked clothes with scissors, sheering through her torn stockings and underwear. He could see the scars from her operation and it made him want to weep, but instead he just stood there, watching them lift her pale knees and insert a catheter, knowing how much she would hate all this, tempted to tell them to just leave her alone, tempted to pick her up and run, but wanting them to carry on as well.
‘Go to the on-call room,’ May said to him. ‘James, go to the on-call room, you look as if you’re about to pass out.’
‘I’m staying…’
He’d never felt more useless in his life. As an emergency consultant he was accustomed to crises, but to have her slam back into his life like this, he was literally paralysed. She was so white. Lorna had always been pale, yet now she was as white as the sheet she was lying on. Even her lips were white. The only colour on the bed was her hair, thick, long and red still, so she hadn’t dyed it after all. In fact, she hadn’t changed at all. This fragile, slender little thing was just as he remembered her, and the Lorna he’d known was such a private person she would loathe the intrusion on her body very much. The warming unit had been pushed aside as full access to her body was needed. Abby was here now, taking over, asking for peritoneal lavage—where a bag of warmed fluids would be run into her abdominal cavity. The anaesthetist called for an oesophageal warming tube, but then Abby checked the monitor, the fine VF required Lorna be defibrillated. As the first shock was delivered to the frail body, James truly thought he would vomit as her chest lifted off the resus bed.
She didn’t deserve this!
May didn’t just tell him to leave again, she took him. There were plenty of experienced staff in with the patient now and guiding him by the arm through the department as if he were sleepwalking, she took him into his office and sat him at his desk, where he put his head in his hands.
‘Stay in there with her,’ James said, hating being away yet knowing it was right that he was. There wasn’t a hope in hell of being objective with her care. He’d never been able to be objective where Lorna was concerned, so how could he possibly start now? But the thought of her alone, the thought of him not being there for her when she needed him most, had him halting May as she turned to go. ‘May, if they stop…’
‘I’ll come and get you.’
‘Before they stop,’ James added.
‘Of course.’
‘What’s wrong with James?’ Abby frowned, looking up briefly as May made her way back to the resuscitation area.
‘He’sbeen here since 3 a. m.,’ May shrugged. She certainly wasn’t going to fuel the fire! ‘He mentioned he didn’t feel well when we were waiting for the ambulance.’
There was no time to dwell on a consultant missing in action, though.
An hour in, May rang her husband and told him she’d be really late now and to go ahead and have dinner..
Very late, she told him a couple of hours later when she got the chance to ring again.
James had been right with his prediction—it was a long resuscitation.
The rapid warming did its job and then they had to work on getting the heart to beat independently, but for now she had an external pacemaker. Then there was a rapid CT scan, which showed a hairline fracture and cerebral swelling, and while all this was going on the police had tracked down her relatives and informed them of the direness of the situation.
‘What do you think, Abby?’ May asked as they walked back from ICU where the ‘forgotten patient’, as all the news channels were calling her now, lay fighting for her life, with many doctors and nurses fighting for it alongside her. But May had heard the consultant talking and could see it well enough herself. The outlook was dim.
‘Well, she’s been given every chance. And she did arrest at the scene, so that’s something, but still it doesn’t look at all good.’ Abby said, her pretty face serious. ‘Poor woman, she’s my age, you know. Hopefully her parents will get here in time.’
‘She could make it.’ May said. ‘We did get her back.’
‘As what, though?’ Abby said, stopping at a water fountain and filling a small cup with water. ‘We’ve been going for hours, she’s already got a head injury from the accident. I just wonder if we’ve done her any favours. Still…’ She screwed her cup up and tossed it in the bin. ‘At least her family might have a chance to say goodbye.’
And now May had to tell James.
The staff all thought he had gone home sick, so he hadn’t been disturbed.
He was just as she’d left him, sitting at the desk with his head in his hands. He hadn’t even turned on his desk light but the anguish in his face when he looked up to her would stay with May for ever.
‘She’s just been moved to ICU.’ May dragged a chair over and sat beside him. ‘She has some fractured ribs and a small hairline fracture to the skull, but…’ James knew the score, but he still needed to hear it. ‘She did make some movement when her temperature came up but Khan was worried she was about to convulse, so he’s keeping her paralysed and intubated for forty-eight hours. She’s had a CT, which shows cerebral swelling, but really…’
‘We won’t know for a while,’ James finished for her.
‘No, we won’t. But, James…’ She took his hand, because she cared about him, and because he really didn’t need false hope, she made herself say it, ‘It really is minute by minute at the moment. She’s very unstable. Khan’s not optimistic about her chances and neither is Abby. We’re just hoping her parents get here soon. According to the papers in her car she was here in London for an interview. The police just contacted her next of kin—her parents. Apparently they’re on their way.’
‘Great!’ There was a bitter note to his voice that May had never heard from James before.
‘I’m sorry, James.’ May patted his arm then rubbed it, hating to see him like this. ‘You obviously know her.’
‘I haven’t seen her in ten years… I knew something was up, though not with her, of course, but since I got back from the accident…’ His logical, analytical mind just tripped at that point. ‘I knew something was wrong, I knew something wasn’t right—it just doesn’t make sense.’
‘It does to me,’ May said. ‘How many times have we had babies brought in a whisper from death because their mums suddenly woke up to check them, or daughter who popped into their dad’s for no real reason only to find him on the floor…’
‘I just knew something was wrong.’
‘And you were right,’ May said, but she couldn’t hold back any longer, she just had to know who this pale red-haired beauty was. ‘Have you worked with her?’ May asked, frowning because she would recognise most of the doctors who had been through the department and certainly Lorna, with her stunning hair, would have stood out, except May couldn’t recall her at all.
‘I knew her from medical school.’
‘That’s right—you went to medical school up in Scotland. Was she in your year?’
James shook his head. ‘No, she was a couple of years below me.’
Even though he was sitting down he still looked as if he was about to pass out and May knew that Lorna must have been more to him that a fellow student a couple of years his junior. One of the downsides of working in Emergency was when friends or relatives came in unexpectedly, and she’d been on duty when James’s own father had suffered a heart attack, yet still he had held it together that day.
He wasn’t holding it together now.
‘Did you used to go out with her?’ May asked gently.
‘A bit more than that.’ James’s voice was suddenly urgent. ‘I need to go and see her, before her parents get here.’
‘Of course,’ May said. ‘I’ll walk up to ICU with you.’ Only she couldn’t hold back the question that was on her mind any longer. They were just past the canteen and turning left for the lifts when May finally cracked and asked what she wanted to know. Yes, she was curious, but it wasn’t just that that had her probing. She wanted to help James just as she did with any friend or relative of a critically ill patient—and to do that, it would help to know.
‘Who is she, James?’
It took till they were in the lift and heading upwards toward ICU for James to answer.
‘She’s my ex-wife.’
CHAPTER THREE
MAY HADN’T SEEN that one coming. Oh, she knew they all had pasts but she’d been working with James since he’d come to the department on his emergency rotation as a senior house officer, had known him since he’d been fresh faced out of his internship, yet never once had he mentioned that he was or had been married.
For James, that walk to ICU was the longest of his life. Stuck in his office these past few hours, he’d almost prepared himself for her death. He had tried not to think of what would be going on in the resuscitation room. He had just thought about her and felt strangely grateful that Lorna was here in London, that he could be with her now if that door opened and May told him they were stopping the resuscitation attempt.
Yet she’d made it through that, and now he must make it through this.
It felt strange to buzz the intercom and ask for permission to enter, only not as a doctor this time, to have to wash his hands and sit in a little side room as May spoke with the nursing staff.
‘They’re just settling her in.’ May clucked like an old hen when she returned, pouring him a cup of water from the little sink in the relatives’ room. ‘You’ll need to turn off your mobile here, before you go in.’
He pulled it out, saw that there were eight missed calls and he hadn’t even heard the phone ring.
Ellie. He glanced at the clock on the wall. He was supposed to have been there hours ago. He turned off his phone and used the one on the table beside him, listening to it ring and her irritated voice when she realised who it was.
‘Hi, Ellie.’ He tried to keep his voice vaguely normal. ‘Look, obviously I’m not going to be able to make it tonight.’ He heard her strained sigh and glanced up at May, who was pretending not to listen. ‘No, it’s not work…’ He raked a hand through his hair, took a breath and continued, ‘You know I told you about Lorna…’ His words were met with silence. ‘Well, she’s had an accident. She’s here at the hospital in Intensive Care. There’s no one else here for her yet.’
He glanced over to May, who must have read the ‘Please Wash Your Hands’ sign about twenty times now.
‘No.’ James said, and then ‘No,’ again. ‘Look I’d really rather just deal with this on my own. I’ll call you tomorrow.’
‘Ellie.’ James said, when May sat down.
‘Your girlfriend?’ May asked, because even though she never usually would, she was here tonight as a friend and colleague and she was also treating him as a relative of a patient, trying to piece it all together so that she could help him best. ‘So she knows about Lorna.’
‘I told Ellie about Lorna a couple of months ago. We were starting to get a bit more serious. I thought it was right…’ His voice trailed off.
‘You were married to Lorna?’ May checked. ‘For how long?’
‘Not even a year.’ He could have stopped there. A year wasn’t long after all and it had been a decade ago. It should all be neatly relegated to the past, only he’d never quite managed to do that, had never been able to add a neat full stop to that chapter in his life and move on. He’d tried, though, over and over he’d tried, but that year with Lorna had been a roller-coaster ride from start to finish and he felt as if he were back on it again. He’d wondered sometimes at the ease with which patients gave the most personal details, had decided there was this need to make sense of the life the doctors and nurses were fighting for, to make that person real and warm and perhaps, a need to put things into frantic perspective. He had been right, because here he was doing the same now, trying to match up that limp lifeless patient with the person he knew or, rather, had known.
‘She was a couple of years younger than me,’ James explained. ‘She seemed a strange little thing, very prim and shockable, or she was when we were at medical school. She never came to many of the social things, but she always stood out.’
‘With her hair?’ May smiled, but James shook his head.
‘There are plenty of redheads in Scotland. I don’t know May, she just always stood out for me, sort of stood apart. I was a bit fascinated by her, I guess. And then one night there was a party and she was there…’ He even smiled at the memory, his face ashen but still he smiled in recall. ‘She just blew me away, we couldn’t stop talking. We’d known each other vaguely for a while yet that night it was as if we’d met each other for the first time. We went to bed that night. She’d never slept with anyone before…’ He shook his head as if he still couldn’t believe what had happened. ‘But there was no question in my mind that she’d ever sleep with anyone but me again. I was crazy about her. We spent the next two weeks in bed, not just that, talking, studying, May it was the best two weeks of my life. It was crazy, it was wild, but it made perfect sense at the time.’
‘And then what?’
James didn’t answer straight away. He stared up at the clock that must surely have stopped, because if felt as if they’d been sitting in there for hours. Felt as if he was living it again after all these years.
‘Let’s just find out!’ Normally calm and practical, heneeded to be even more so here, James had realised,because Lorna was a mess. Handing her the little paperbag with the pregnancy test kit he had bought, he rememberedguiding her to the bathroom, but at the doorshe baulked.
‘You don’t understand…’
‘Lorna!’ He was getting exasperated now. For twodays she’d been panicking that her period was late,two days of anguish, which, over and over he hadpointed out, might be unnecessary—they had beencareful. ‘Let’s just find out first if there really is anythingto worry about.’
He’d sounded so calm and practical, but sittingoutside the bathroom in his junior doctors residenceflat, he had been nervous. He’d just started his internship, had just moved out ofstudent accommodation, andwas finally starting to earn some money—and now this!As careful as they had been…well, they’d barely beenout of bed, and… He closed his eyes and blew out abreath, trying not to think about how they could havebeen a bit more careful. Well, they would be in thefuture, James had decided. She hadn’t wanted to go onthe Pill in case her parents found out, which James hadfound bizarre! Well, they’d have to sort something out,they couldn’t go through this each month.
They wouldn’t have to.
Her sobs from the bathroom told James before heeven went in that there would be no second chances. Holding her sobbing body, he tried to comfort her, totell her it would be okay, that they would sort somethingout, that they would get through this, only she wasbeyond comfort.
And as he held her late into the night, only then didthe realisation hit that she wasn’t worried about hercareer, or her future, or how a baby would affect herlife, and she wasn’t worried what a pregnancy threeweeks into a relationship might do to them. The onlything that consumed her, the only thing that seemed toliterally terrify her, was how her father would react.
‘What happened then, James?’ May’s voice broke him from his introspection.
‘We found out that she was pregnant.’
‘Hello!’ A bubbly ICU nurse who introduced herself as Angela came in and interrupted them, but even with her bright demeanour James could tell she was nervous—it was never easy dealing with staff, especially when the patient was so ill. ‘Sorry to have kept you waiting so long, but we’re still having a lot of trouble stabilising her. Now, I just need to go through a few details. You’re Lorna’s ex-husband?’ she checked.
‘That’s right.’
‘Firstly, is there any past history you’re aware of that we should know about?’
James hesitated for a second, not sure it was relevant, not really wanting to share that part of his past, but if it helped her, they had to hear it.
‘I don’t think so. She had an appendectomy when she was twelve, I believe, and she had an an ectopic pregnancy, but that was ages ago.’
‘How long?’ Angela asked, scribbling the information down.
‘Ten, nearly eleven years ago.’
‘Anything else? Diabetes, epilepsy…’
James shook his head. ‘Not that I’m aware of.’
‘Do you keep in contact with Lorna?’
‘No.’
‘And how long is it since you’ve spoken with her?’
James gave a tight swallow. ‘Ten years.’
‘I see.’ James felt sorry for Angela, it was a difficult situation after all. He had no real right to see Lorna, less right even than a person on the street who might walk in now and claim to know her. Divorce did that, James had long ago realised. ‘Her family are on their way,’ Angela said. ‘They should be landing any time now—they got a flight as soon as they were informed. Obviously, while Lorna is unable to speak for herself, we have to rely on the next of kin to determine her wishes, which in this case is her parents.’
‘They won’t be thrilled to see me!’ James looked her right in the eye. ‘Look, there was nothing acrimonious in the divorce.’ It was killing him to discuss this with a stranger, he wouldn’t discuss this with a stranger. ‘It just didn’t work out, but we did both care about each other. I know I’m her ex, which should mean I’m the last person she wants to see,’ he faltered, because from previous indication that was exactly the case. ‘She was in full cardiac arrest in my department. I just need to see for myself…’
‘I understand.’ Angela said, but James was quite sure she didn’t. However, her eyes were kind and she gave a sort of half-smile. Then what she said next made him realise that maybe she did understand after all. ‘I’m divorced myself, but I know I’d want to see him if he was so ill. But once the family get here, the decision will be theirs.’
‘I understand that.’ James gave a grateful nod. ‘I’m not going to get in the way.’
‘Do you want me to come?’ May offered, but James shook his head. ‘I’ll just wait here.’
He’d always wished for one more chance to see her, to talk to her, to say he was sorry, so very sorry for all that had happened and to find out why, and some of his wishes had been granted tonight. Even though they hurt like hell, he was incredibly grateful for them.
She was pinker now. It was the first thing he noticed when he approached, just as if she were sleeping really, apart from the tubes everywhere.
The warming unit was on—a large inflated duvet, that would help maintain her temperature, and she looked tiny beneath it with just her head and shoulders visible.
He’d wanted this moment with her, would have pulled rank or just stormed his way in to get it, only now it was here, James didn’t know what to do, didn’t know what she’d want him to do.
A chair had been placed by the bed so he perched on it. Angela took over from the float nurse who had been watching Lorna and now she sat, high up on a stool at the end of the bed, reading all the equipment and filling in the charts, watching Lorna every second, which was what Intensive Care was, after all, but he’d have killed for just a couple of minutes alone with her.
‘She’s the most private person.’ James glanced over at Angela. ‘I mean, she’d really hate all this. I know anyone would, but…’ He was rambling, really didn’t know what to do. Her collar bones were exposed so he pulled the warming unit up higher around her neck. She’d always been slim but she was skinny now. As Angela exposed her arms to check her reflexes he could see the veins, see her neat, short nails which, unlike her toes, were left unpolished.
‘Here.’ Angela left one skinny forearm out from under the warming unit. “Why don’t you hold her hand, tell her that you’re here? It might be reassuring for her to hear a familiar voice.’ He hadn’t held Lorna’s hand in ten years and he didn’t know if he should, but when he did her hand felt cool, but that was how she had always felt. He stared at the bony fingers and the blue veins on the back of her hand and the smattering of freckles that he had adored but she had so hated.
‘She was always cold.’ He was talking to Angela but looking at Lorna. ‘She’d come in after a night shift and she’d be frozen.’ Now he was remembering things that he had chosen not to, those freezing winter mornings when she’d climb into bed beside him as cold as the ice outside, or when he’d crawl into bed beside her at 7 a.m., cold himself to find her for once warm. He wanted to warm her now, wanted to crawl into bed and hold her, feel her again. Only he couldn’t, hadn’t been able to for a decade now.
What to do, what to do? His head was spinning. She’d left him, would she even want him sitting beside her now?
Yes.
Accidents did happen—James Morrell knew that better than anyone, but for her to be here when she was so very ill… His head tightened at the thought that she might die, or be brain damaged, but somehow there must be a reason that she was here. Somehow she had come back to him, even if it was just to say goodbye.
He was holding her hand to his face now and it was like a dam breaking. Feeling her skin beneath his lips he leant over, buried his face in her hair, inhaled the last wisps of the lavender shampoo she had always used, felt her cheekbone rest beneath his.
For a second he thought someone must have died in the next bed, because he could hear crying—a deep, pained crying. It was only when he felt a hand on his shoulder that James realised it was him.
‘Talk to her, James.’ Angela must have gone and got May, because it was her at his shoulder, urging him to say what he had to while he had this chance. So he did—told Lorna all the things he’d wanted to say, all the things he never had, told her over and over in the pathetic hope that maybe she could hear him.
‘Her family just arrived.’ Ages later, but way too soon, May prompted him to move. ‘They’ve asked that you leave.’
He’d worked in Emergency for years and had never understood it—those flashpoint rows that were so out of place in a hospital, rows that infuriated the staff and prompted review panels to be set up to avoid them. But seeing that smug face come towards him, seeing the beatific smile of Minister McClelland as he approached him, suddenly James understood.
‘James.’ Minister McClelland held out his hand. ‘Thank you for sitting with Lorna till we arrived. It is much appreciated.’
James knew that he should nod, shake his hand, take his exit cue and just leave, except he couldn’t.
‘Of course I sat with her.’
‘James!’ How did one smile and shoot venom at the same time, but Minister McClelland had it down to a fine art. ‘It was very kind of you to take time out of your schedule—’
‘What do you mean “take time”?’ James interrupted. ‘She was my wife.’
“Now your ex-wife,’ Minister McClelland neatly pointed out. ‘She left you, remember?’ He wasn’t smiling now, just dripping false compassion. ‘Lorna divorced you more than ten years ago. As I said, Betty and I have drawn a lot of comfort knowing that someone who used to be close to our daughter could sit with her till we arrived. But we’re here now—and we’d like you to leave.’
‘Lorna would want—’
‘I know what my daughter would want, James.’ Minister McClelland broke in. ‘You haven’t seen her in years. She’s a very different woman to the one you took advantage of then—and, I can assure you, the woman Lorna is now would not want you sitting by her bedside. Now, you’ve caused my family enough pain in the past, you’ll forgive me if I don’t invite it in again.’
He headed to his daughter’s bedside and James stood there, knowing he had to leave, but loath to.
‘Come on, James.’ It was close to midnight, but that wasn’t why May was in a hurry, she just wanted James away from the toxic atmosphere the minister had created. ‘You’ve seen her, you’ve spoken to her.’ And with that he had to be content.
‘Thanks for all you did,’ James said to Angela, and took a long, last, lingering look at Lorna. ‘Will you call me if there is any change? I’ll be staying at the hospital.’
‘Her family have asked that only they be given information as to her condition.’
Bastard. The word hissed in his head.
‘There’s a lot of press interest and things—they’ve made their wishes very clear.’
Oh, they’d always made their wishes very clear. He could see them all praying around her now and wondered what Lorna would want him to do, only he truly didn’t know. Out of control and hating it, he asserted himself as best he could. ‘Well, I’m not asking as the press and I’m not asking as her ex-husband. I am the emergency consultant—and she did come through my department. I have every right to be informed if our prolonged resuscitation was successful. Page me when there’s any change either way.’
‘Certainly, Dr. Morrell.’
‘Mr Morrell,’ James corrected, and then he gave her a small smile. ‘Again, thanks for your help.’
CHAPTER FOUR
ICU DID keep James informed of Lorna’s progress.
Despite Ellie’s protests that she was hardly seeing him, he moved into the on-call room and divided his time between work, of which there was plenty, and staring at the ceiling, or dozing on the small single bed, jerking into consciousness whenever his phone bleeped.
Sixty hours later, after two failed attempts, she was successfully extubated and twenty-four hours after that on the Tuesday morning she was transferred from ICU to a medical ward. This was all extremely encouraging, except Lorna’s consciousness levels were variable and at best she was disorientated and confused, at worst she didn’t know her own name.
May never said a word to anyone, but the hospital world was a small one and word soon spread that the dashing but elusive Mr Morrell’s ex-wife was a patient and that he was devastated apparently—absolutely devastated.
Which he wasn’t. Apart from the shock of seeing her and the hellish hours waiting to see whether she lived or died, apart from that one breakdown when he’d held her again after all those years, James was doing fine.
‘I’m fine,’ he said in answer to everyone who enquired.
‘I’m fine,’ he said to Ellie when she asked why he hadn’t called, and why he wouldn’t talk to her about it. He was just busy, that was all.
‘Look, really I’m fine,’ he said to Abby, when she said she knew what he was going through and when it hit him, as it surely would, she was there if he needed to talk.
‘Fine,’ he said to Minister McClelland when a week after the accident Lorna’s father came to speak with James, who was going through the medial roster and having an impromptu meeting with May at the nursing station about the increasing pressure the shortage of doctors was creating for the staff.
Naturally, May stood to excuse herself and James asked if she’d mind waiting for the whole sixty seconds that this would take.
‘We’d like to thank you and your team.’ The minister shook James’s hand and for James it was as if he was touching a snake. ‘Betty and I are leaving for Scotland today, now that we know Lorna’s on the mend. We have the major fundraiser for the church this weekend and I want to thank my congregation properly for all their prayers and, of course…’ he cocked his head to the side just as he always did when he tried to inject a little humour into his preaching ‘…I’d like to properly thank the man himself.’
Did he think he was the only one who had prayed for her? James had been on his knees that night, had prayed like he never had in his life—not, James realised, that his prayers counted for much in the minister’s eyes.
‘Have a safe trip.’ James said, then picked up his pen to resume working. He had nothing to say to the man—well, that wasn’t strictly true, he had plenty that he could say, but he refused to go there.
‘There is one other thing.’ James gritted his teeth as Minister McClelland put on his serious expression and James knew what was coming next. Strange how the Scottish lilt he had found so endearing in Lorna grated when it came from her father. ‘As I’m sure you will understand, Lorna’s feeling extremely uncomfortable.’
‘Well.’ James deliberately didn’t get the point. ‘It’s early days yet, but if her pain control is proving a problem, I can have a word.’
‘Not about that,’ Minister McClelland snapped as James suppressed a smile. ‘She’s extremely uncomfortable knowing that she’s in the same hospital as you.’
‘Really?’ James raised his eyebrows, but inside he rallied a touch. She must have improved considerably since he’d spoken to the ward if she knew that she was in the same hospital he worked in. Till a couple of days ago she had been having trouble with her own name.
‘Lorna’s quite clear on the matter—she doesn’t want you coming to see her.’
‘I haven’t been to see her.’ James pointed out.
‘Yes, but now that we are going back to Scotland, we want to make sure that that continues.’ Now you’re not guarding her bed James wanted to say, but didn’t. ‘It took a long time for Lorna to get over things,’ Minister McClelland explained. ‘A long time, but now she’s got her life together, she’s seeing a nice young fellow, he’s a doctor actually, he’s working in Kenya at the moment.’
‘Good for Lorna!’
‘You staying away is what’s good for Lorna.’ He stood up and offered his hand, but James refused to take it. There was no need for feigned politeness now, no need for anything really—the McClellands were all a part of his past. As the minister went to go, he spelt it out one final time. ‘What I’m saying, James, is that if you do have Lorna’s interests at heart, it would be better if you stay away. You are not to go near my daughter.’
‘Fine.’ For maybe the fiftieth time that morning, James said it. He was speaking to the minister’s back as he walked out.
‘He’s a charmer!’ May didn’t even pretend that she hadn’t heard anything this time.
‘He always was!” James attempted a shrug, but his shoulders were so rigid with tension that they barely moved. ‘Funny how nothing changes.’
‘Are you going to go and see her,’ May pushed, ‘now that her parents are gone?’
‘No.’ He’d made up his mind and Minister McClelland had neatly affirmed it. ‘There’s no point raking up the past.’
‘Oh, I think it’s already been well and truly tilled and turned. Let’s have a coffee, James.’ May wasn’t asking him, she was telling him. ‘In your office!’
‘Just leave it, May.’ He had gone to his office, because this he certainly wasn’t going to do on the shop floor—his personal life had already provided enough entertainment for the entire hospital these past days. From professor to porter, everyone seemed to be offering sympathetic smiles, or stopped talking when he walked in, and James didn’t like it one bit. He certainly wasn’t going to go up to the ward just to add to the drama of it all. ‘It was over years ago between Lorna and me. You’ve heard what Minister McClelland said—she’s uncomfortable that I’m here and she doesn’t want me to come and see her.’
‘According to her father.’ May said. ‘James, you were devastated when she was brought in.’
‘It was a shock.’ James shrugged. ‘She was my wife once—I’m not that callous.’
‘You’re not callous at all! You married her because she was pregnant, I take it.’
He gave a curt nod.
‘And then she lost the baby.’
‘Yep!’ His voice was flip, but there was a muscle pounding in his cheek and finally he relented a touch. ‘Lorna went crazy when she found out she was pregnant—she said her father would be wild, I told her that he’d come round, that once the news sank in, he’d support her.’
‘She didn’t consider an abortion?’
‘Nope.’ James shook his head. ‘Not for a minute. I said I’d support her in any way I could. I went with her to tell her family… May, I have never seen anything like that man’s reaction. The names he called her, called me. He wasn’t worried about Lorna, about her future, he was worried what his congregation would say—what people would think. We were married two weeks later and it still wasn’t enough. We had to keep the pregnancy quiet. He didn’t want people counting on their fingers and working out dates—we moved down to London just to get away.’
‘Oh, James.’ May shook her head at the horror of it all. ‘I know…’
‘No, May, you don’t know.’ James said angrily. ‘You don’t know what he’s like.’
‘Actually, James, I do.’ May stood her ground. ‘I worked for ten years on a gynaecological ward. I didn’t actually like working there, but I’d laid out two beautiful young women’s bodies in my training. Beautiful women, who were too scared to tell their parents they were pregnant. I chose to do the best job I could on that gynae ward for the sake of those young girls. So don’t stand there and tell me I don’t know, because I do.’
And James understood that she did, wished for a moment that he’d spoken to her about it years ago. In those early days when he’d started at the hospital, he’d been so blind with confusion and grief he’d been positive no one would understand—yet he’d been working all the time, next to one woman who perhaps did. ‘At her antenatal we found out the baby was ectopic, she had to go to Theatre straight away. It had already ruptured by the time she got there. I rang her father to tell him, and all he was was relieved. He didn’t say it out loud, but I knew from his voice he was relieved that his congregation wouldn’t be counting backwards on their fingers now when the baby arrived. There would be plenty of time for other babies apparently and he and his wife said the same when they came to see Lorna.’
‘She wanted that one,’ May offered but James shook his head.
‘We both wanted that one,’ he corrected her.
‘I’m sorry.’ May nodded.
‘It was a shock finding out she was pregnant, but we’d dealt with that. We got married and even if it was rushed, even if we were broke and the timing could have been better, we were crazy about each other and looking forward to being parents. When we lost the baby, we lost everything, May. She walked out on the marriage before the first anniversary, headed off back to Scotland and became a GP, refused to even talk to me. It’s taken me years to get over what happened and finally I have. I’ve been seeing Ellie for more than a year now. That’s the longest relationship I’ve had since Lorna and if you think I’m going to jeopardise it by heading up there to go over old times you’re wrong. For a start, it wouldn’t be fair on Ellie.’
‘It’s not fair on Ellie if your heart’s elsewhere,’ May said. ‘Maybe it’s time to find out. Maybe you’ll see Lorna and feel nothing and you can move on properly, because it sounds to me like you haven’t.’
‘Oh, and you’d know, would you?’ James said, annoyed with May for saying out loud what he had been thinking. ‘You’ve been married for forty-two years—’
‘Which makes me an expert!’ May answer tartly. ‘Because you don’t stay married for forty-two years these days without learning a thing or two! Do you want me to go and speak to her?’
And say what?’ When May widened her eyes a touch, even James managed a reluctant smile—May was certainly never lost for words and, in her line of work, had handled far more than this little drama without rehearsal. ‘Okay, okay,’ he said, irritated but curious and just a little bit relieved too that he might hear what Lorna had to say. ‘Go and test the water.’
Lorna remembered virtually nothing of ICU. Just the odd blurry memory of noise and someone asking her to say her name and if she knew where she was and then being wheeled through the hospital.
There had been lots of lights flashing into her eyes and people asking her what her name was and even though she’d known it, she hadn’t known how to say it, her mouth and tongue refusing to obey. She had just wanted them to leave her alone so that she could go back to sleep, because it had hurt to be awake. It felt as if a bus had been parked on her chest and moving her limbs in response to the questions had taken a massive effort and one she hadn’t had the energy for.
‘Come on.’ Someone was pinching her ear. ‘Tell me your name.’
‘Lorna.’
‘And do you know where you are, Lorna?’ It was a very good question and one that had been asked a few times, Lorna hazily recalled.
‘Lorna, answer the nurse!’ Dad was there, which didn’t exactly cheer her up. Here she was in hospital and her dad still managed to make her feel as if she was misbehaving. Oh, yes, that was where she was…
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