The Doctor′s Longed-For Family
The Doctor's Longed-For Family
Joanna Neil
Two strong arms reached for her and steadied her, and Abby looked up distractedly, to find herself staring into Matts laughing blue eyes.
I know we said that we were going to be working closely together, he murmured huskily, keeping hold of her, his hands coming to rest at the base of her spine, but I hadnt expected it to be quite such a riveting experience. He ran his glance over her. Not that Im complaining, of course. This has to be one of the bonuses of the job.
Yes, wellumI think I can manage now, thank you. Iumneed to go and find my patient. He should be arriving any minute now. Her heart was pounding, and she couldnt think straight with his arms wrapped around her that way.
Dear Reader (#ulink_77502642-1161-5a31-b997-954b2f96f0e9)
What a great start to the New Year! Mills & Boon is celebrating its centenarya hundred years of exciting romance and the joy of compelling love stories to warm our hearts. As a writer and an avid reader of romantic fiction, Im delighted to be part of, and to be able to share with you, this momentous occasion in Mills and Boons history.
I think youll agree with me that the world has changed a great deal in those fabulous years. We have the wonder of technology to make our lives easier and help us to communicate better with one another. The world has been opened up for us through the media of the internet and television. Every day people from across the continents appear on our television screens, and at the touch of a button we can send missives out into cyberspace.
There is a downside to all this, though. What if you later regret what youve sent, or, heaven forbid, you meet up with the object of your scorn?
Television and technology both play a part in bringing together Abby and Matt in my latest book, THE DOCTORS LONGED-FOR FAMILY.
Can you imagine the excitement of a TV celebrity coming to a hospital near you? No? Neither can Abby Byford, and she certainly doesnt take kindly to the idea of having a camera crew following her around as she works. As things turn out, though, Matt Calder proves to be far more persistent than she might have imagined.
Ive been able to bring Abby and Matts story to you by being a contributor to this milestone in Mills & Boons history.
My very best wishes to you all
Joanna
The Doctors Longed-For Family
Joanna Neil
www.millsandboon.co.uk (http://www.millsandboon.co.uk)
When JOANNA NEIL discovered Mills & Boon, her life-long addiction to reading crystallised into an exciting new career writing Medical Romance. Her characters are probably the outcome of her varied lifestyle, which includes working as a clerk, typist, nurse and infant teacher. She enjoys dressmaking and cooking at her Leicestershire home. Her family includes a husband, son and daughter, an exuberant yellow Labrador and two slightly crazed cockatiels. She currently works with a team of tutors at her local education centre, to provide creative writing workshops for people interested in exploring their own writing ambitions.
Contents
COVER (#uca66ca11-5b71-5c31-a435-2c456fd37107)
Dear Reader (#ufd76e679-6de6-58a8-a78b-7385689a71e1)
TITLE PAGE (#u1893c150-8b6e-56e2-ac8e-bfb1d813737f)
ABOUT THE AUTHOR (#u5354e50c-e528-5e48-a12a-f6f3870b24fe)
CHAPTER ONE (#u5a272157-8c2e-5fa7-84e2-fd7ed79baa4b)
CHAPTER TWO (#u08703feb-55bb-5817-a043-8345359cb110)
CHAPTER THREE (#u331a9196-4f34-5ef5-9bf6-dee8a64994d3)
CHAPTER FOUR (#litres_trial_promo)
CHAPTER FIVE (#litres_trial_promo)
CHAPTER SIX (#litres_trial_promo)
CHAPTER SEVEN (#litres_trial_promo)
CHAPTER EIGHT (#litres_trial_promo)
CHAPTER NINE (#litres_trial_promo)
CHAPTER TEN (#litres_trial_promo)
EXTRACT (#litres_trial_promo)
COPYRIGHT (#litres_trial_promo)
CHAPTER ONE (#ulink_dcc11e71-3dbf-579b-8718-99ddc3b6b00d)
WELCOME to Matt Calders website. You might like to take a look at the guest book area while youre here. Theres a message from a Dr Abby Byford, who wants to know why we think it necessary to take the TV cameras along with the ambulance crew when they go out on call.
Abby stared at the computer screen, her green eyes widening, her mouth opening in shock. She had imagined that her brief email would have been hidden away somewhere, for his eyes only, or virtually out of sight, or at the very least that it would be lost in an electronic void. She hadnt expected him to reply, or even to use it on his website, yet here was her name, blazoned across the Internet for all to see. He was actually singling her out for attention. Why would he want to do that?
Is this what passes for entertainment these days? she asks. Why on earth would anyone want to sit and watch injured people having their wounds assessed and then follow them as they go through the process of treatment?
Abby had been taking bites out of her breakfast toast while she was on the move this morning, but now she let it slide down onto her plate while she stared transfixed at the monitor. Her long, honey-gold hair tumbled down around her face in a wild mass of curls and she swiftly pushed it back out of the way.
Im sure many of you will have a view on this, and Id be glad to see your comments on the website. My own feeling is that we all have a choice in the matter. Its called the channel change button on the remote control, or, if you have the energy, theres always the off switch on the television set.
Her jaw dropped. That was a total put-down, wasnt it, and what had she done to deserve that kind of treatment? This man, Calder, was impossible. OK, so his television programme had disturbed her, enough to prompt her to send a carefully worded message his way. After all, he had invited comments at the end of the programme, but surely she didnt merit that kind of sarcasm? Hers had been a perfectly legitimate query, but his reply was a pure dig at her expense in front of the thousands who accessed his site.
Her appetite had suddenly disappeared, but it was replaced by a growing rumble of annoyance. She didnt have time for any of this. She was supposed to be getting ready for work, and all she had meant to do was to swiftly check her emails in case any problems had cropped up overnight. Only her friends message had included a link to the website. You have to check this out, she had written. You seem to have stirred something up.
Now Abby was rapidly regretting the impulse that had led her to click on the link. Merely thinking about the arrogance of the man brought a red haze to sizzle in front of her eyes. Why had she even bothered to switch on the television the other night? If she had left well alone, she might never have caught sight of his TV show, but she had left it on in the background as shed dealt with her emails that evening. As she was already online it had been all too easy to let her emotions get away from her and write in to the address given.
They had all been talking about it in A and E, where she worked. He has such a wry sense of humour, Helen, her specialist registrar, had said, and when hes on TV hes absolutely brilliant as a presenter. Everybodys watching his show, Emergency Call. Its on once a week, in the evening, and he has a weekly slot that deals with different medical topics. It tends to throw up a controversy once in a while. Hes interviewed on radio and TV talk shows from time to time, and he writes occasionally, too.
At least on radio, Abby thought, the listening public wouldnt have been drawn to watch the suffering of the poor young woman who had slipped and fallen down the stairs last night. She was heavily pregnant, and Abby had felt her pain along with her as she had been filmed being carefully transferred into the ambulance.
It looks as though Megan is going into labour, Matt Calder had said softly to the camera. Well be by her side through every stage, from here to the delivery room.
The baby, though, hadnt wanted to wait that long, and soon the presenter had said, I dont think were going to make it to the hospital before this infant is born.
Remembering, Abby felt her hackles begin to rise all over again. Why was everyone so obsessed with fly-on-the-wall coverage these days?
Her fingers were already stabbing at the keyboard, and she banged out another message to Matt Calder.
I stand by what I said before, she wrote. Isnt your programme taking things a stretch too far? Do we really need to pry into every aspect of peoples lives, even stooping so low as to let cameras intrude on the special, intensely personal moment when a woman gives birth? Its bad enough that the mothers privacy is violated, but doesnt it ever occur to anyone that the infant concerned is being exploited?
Fuelled by a growing sense of righteousness, she added, What depths will be plundered next, I wonder? Will someone be filmed saying, Oh, Im sorry, but I really dont feel too well. I think I might not be able to make it through the night, please excuse me while I suck in my last breath. Would you be sure and show the film to my mother? I did so want her to be here with me at the end. How very sad that we have to live our lives through other people.
Pressing her lips together, she hit the send button and flung her diatribe out into cyberspace. She stood for a moment glaring at the screen, and then she switched off the computer and went to finish getting ready for work.
Her cottage was in a valley at the edge of the Chilterns, and she had a half-hour drive ahead of her to reach the hospital, which was on the outskirts of London. She would need all of that time in order to calm herself down.
It was only when she was sliding into her car a while later that she realised that she had done it again. She had acted without giving herself time to stop and think things through. Had she gone too far? Maybe that sarcasm had been a tad over the top, but something about the show and the website, along with Matt Calders all too persuasive manner, had managed to ruffle her feathers. Was it possible that she had overreacted?
Perhaps the truth of the matter was that she was beginning to feel stressed and overworked. Her working life was very different from that of Dr Calder. She had spent long hours the previous day in A and E, doing her best to help the children in her care. She was the doctor in charge of the paediatric emergency department, and it was a responsible job, one that weighed heavily on her at times. She would be the first to admit that it sometimes took its toll on her.
Maybe that was the reason she had responded so badly to the programme. The truth was, Dr Calder, the latest hot new doctor out there enjoying celebrity status, had managed to graze a raw nerve with his bright and breezy invitation to watch events unfold on TV. His role as lead presenter was to comment on events as the trauma team went on its travels attending to casualties. What did he know of hospital targets and patient throughput and the daily anguish of dealing with severely ill patients?
His was a light and fluffy job, involving nothing more than going out and about with the paramedics, or taking part in chat shows on the radio, writing a blog on his website or spouting his own type of wisdom on a variety of health issues. One of them shed even glanced at briefly, a magazine article on whether or not parents should let their children be vaccinated, and that was a subject guaranteed to put her on edge.
Not that she had seen or heard any of this up until now. She only had Helens version of what his work entailed and Helen appeared to be heavily biased in his favour.
Hes incredibly good-looking, shed enthused. Those lovely blue eyesand his voiceHe has such a deep, warm way of talking that he makes me go weak at the knees. He can come and assess my symptoms any day.
In spite of herself, Abby had laughed. Youre totally smitten, arent you?
Helen had nodded. Me and most of the women who work in A and E.
For her part, Abby hadnt paid much attention to the way he looked. She had only watched the programme in passing as shed sat at the computer. He had been doing a voice-over some of the time, and mostly her gaze had been riveted to the young woman, Megan, who had been going through the throes of labour. The poor girl had been asking for painkillers, and a film of sweat had broken out on her brow.
Abby had switched off the TV set in a fit of annoyance. Was nothing sacred any more? She had been so fired up by the whole set of events that she had rattled off her comments without a second thought. It was only now, a couple of days later, that she had begun to regret her haste. She was a paediatrician, for heavens sake, a specialist in A and E, it ought to be beyond her to behave in such an impulsive manner. Why had she even bothered to write in? Hadnt she anything better to do with her time?
And to send off another message at breakfast-time today, well, that had to be pure folly, hadnt it? What on earth was wrong with her?
She pulled out on to the city road and flicked on the car radio so that she wouldnt have to listen to her own thoughts any longer.
Were glad to have you with us for our twice-weekly programme, Morning Surgery, with Dr Matt Calder, the radio host was saying in reverent tones, and Abbys breath hissed into her lungs. Before we open the door to the first patient, we just have time for a few words with our amiable physician. He paused. Dr Calder, I see youve been going through your post in the last few minutes. Whats new for today? Abbys fingers were poised to find the off button, but she had to negotiate traffic and for the moment she let it ride.
Medical ethics seem to be on the agenda right now, Dr Calder replied. His voice floated over the airways, easygoing, friendly and compellingly smooth, and Abby had no doubt that he would be soothing troubled souls all over the nation.
People have been replying to the comment made by the doctor who objected to the cameras following patients to the emergency room. I have to say that opinion is divided on the matter, with some for and some against. Weve actually had another, rather more strongly worded message from the doctor herself this morning, pointing out that what were doing is akin to exploitation.
He proceeded to read out some of her hastily written comments, and Abbys cheeks filled with heat. Having him repeat her words only served to add a new dimension to her embarrassment.
He had stopped to take a breath, and Abby could imagine him giving a wry smile. There was a definite inflection in his voice as he went on, I tend to see it more as helping people to learn from others experiences. We hope that by televising these situations, others might be less afraid and better informed if they should find themselves in similar situations. We are very grateful to Megan and people like her who allow us to share their particular traumas. Some people are extraordinarily outgoing and generous in their outlook. We thank them heartily.
Some people are extraordinarily outgoing and generous? Abby pressed her lips together. What did that make her? The way he spoke, the implication was that, in contrast, she was clearly a crabby spinster.
By now she had arrived in the grounds of the hospital. She switched off the radio with a jerking twist of her fingers and then she parked the car in her dedicated slot. Sliding out of the drivers seat, she straightened up, locked the doors, and then pulled in a deep breath, assuming the mantle of consultant paediatrician. She had a difficult job to do, and it took every ounce of her reserves. She was the one who set the tone for the A and E department, and people had to be able to trust her to work efficiently and set in place a good atmosphere. Her colleagues relied on her to provide them with guidance and a good example, though what they would make of her recent outbursts via the website they all seemed to favour was anybodys guess.
Ive checked on all the patients in the observation ward, Helen said, coming to greet her a short time later. Everyone seems fairly stable at the moment. I thought maybe you would want to transfer the six-year-old to the childrens ward, though. His breathing is still impaired, and hes certainly not well enough to be sent home.
Abby glanced at the boys chart. Yes, I agree with you. As to the boy with the head injury, well need to find him a bed, too. The others will probably be able to go home later today, but well monitor them up until lunchtime.
Helen nodded. Ill organise that. We seem to be busy this morning. Theres a full waiting room already and we have an incoming patient from a domestic accident, a girl who scalded herself.
Abby winced. It never ends, does it? Theres always some poor little scrap who ends up being hurt when it might have been avoided.
She glanced at Helen. The registrars black hair was sleek and shining, expertly cut to fall neatly into place at the nape of her neck. It lifted and swirled in a delicate flurry as she turned her head.
Youre looking good today, Abby remarked. Have you been to the hairdresser?
The registrar grinned. I thought Id better make an effort, she murmured. We have the interviews later today, remember. I figured I should do my best to look impeccably groomed and professional, as you asked me to sit in on them.
Is that today? Abby grimaced. I havent looked at the diary yet but, of course, youre right. I remember thinking that I ought to put in another advertisement. Judging from the response we had, I dont think were going to find the person we want. Most people want full-time work, but the budget wont run to that. No wonder were run off our feet most of the time. We need more doctors, not to mention more specialist nurses and a whole load of other staff, like porters and other ancillary staff to take up some of the burden.
You never know, we might get lucky. We could find someone wholl be able to do the work of ten men.
Abby chuckled. We can always dream, cant we?
She went to check on the incoming patient, and for the next couple of hours she was busy dealing with youngsters and their various injuries. She tried, as ever, to push their distress to the back of her mind, and concentrated on providing pain relief and applying treatment that would promote healing and lessen their discomfort.
Weve a child coming in from a traffic accident, the senior house officer told her. It looks like a displaced midshaft femur fracture. Hes three years old. Apparently he ran into the road and the car driver didnt manage to stop in time to avoid hitting him.
OK, Sam. Make sure that trauma room four is ready to receive him. Wed better have Helen on standby if shes freeand tell radiology to expect him for a CT scan.
Will do. Sam moved away to set things in motion and Abby prepared to take over from the paramedics when they wheeled the little boy into the emergency room.
He was unconscious when we reached him, the paramedic told her. An airways been put in, and weve set up two intravenous lines. His right thigh appears to be deformed from the impact.
Thanks for that, Lewis. She glanced at him. Ill let you know how he gets on.
He looked relieved. Thanks, Abby. Ill pop back later on. Hes such a tiny little thing. I hope hell do all right.
So do I.
He moved away and she began to swiftly examine the boy. The abdomen is distended, with decreased bowel sounds, she told Sam when he returned to her side. The pelvis is stable, but the thigh is swollen and tense. Hes still unresponsive. Well get a CT of the abdomen to check for any lacerations, and X-ray the leg to see what were dealing with. It will most likely need fixation, so you should ring for the orthopaedic surgeon to come and take a look.
Im on it. Sam hurried away once more, while Abby checked with the nurse as to the boys immediate care.
She was writing out the drugs requisition when a man came over to the trolley and said, I think he may have banged his head on the road surface when the accident happened. Im wondering if he might have a head injury as well as all his other problems.
Abby glanced up at the man. Well take care of him, she said. We always check for head injury in these cases. Are you the boys father?
No, but his parents are on their way. Apparently he was playing at a friends house when the accident happened.
Oh, I see. Abby studied him a little more closely. Looking at him was way too distracting, she discovered. He was exceptionally good-looking, with hair that was midnight black, and he was around six feet tall, broad-shouldered and fit, with an athletic build that gave her the idea that he probably worked out regularly. He was wearing an expensively tailored, dark grey suit that sat well on him, and his shirt was a mid-blue, crisp and fresh-looking. She dragged her mind back to the task in hand.
So who are you? she asked. Are you a relative?
No. I was on my way to the hospital when I saw the accident happen, and I stopped to see if I could help in any way. I was concerned about the little fellow, and I just wanted to see how he was doing. I wanted to make sure that you didnt rule out the possibility of a head injury. I think there might be some damage to his spleen as well.
You sound very knowledgeable, Abby remarked as she started to write out the forms for Radiology. Are you a doctor?
Yes, thats right, I am. I have a strong interest in A and E and the way these departments operate.
Well, well take care of him. You can rest assured that well do everything thats necessary to make certain hes looked after properly, Abby told him.
She turned back to her small patient, making adjustments to the intravenous infusion she had set up, but after a while she realised that the man was still there, watching her every movement. Why was he so reluctant to leave?
She glanced up at him once more, remembering that he had said he had already been on his way to the hospital when the accident had happened. Her gaze drifted over the clean lines of the suit he was wearing. He certainly wasnt dressed for a casual visit. That, and the fact that he seemed to be taking an interest in what she was doing, appeared to her to add up to one thing. He was probably one of the candidates for the part-time position they had advertised.
Theres no need for you to stay, she said, and Im sure the little boys parents will be arriving at any moment. If youre here for the job interview, you could perhaps go and make yourself comfortable in the waiting room. I wont be ready to start on them for a while yet, but Ill ask one of the nurses to show you where you might go and get yourself a cup of coffee in the meantime, if you like. Ill come and find you when Ive finished here and let you know how hes doing.
Interview? He gave a slight frown, as though he had forgotten all about it, which wasnt so unlikely, given his morning. Then his expression cleared, and he flicked a glance towards the name badge she was wearing.
He smiled. Yes, of course. Thank you, Dr Byford. I think Ill do that. Youve been very kind.
Youre welcome. She called for a nurse to come and show him the way, and then she turned and gave her attention wholly to the infant, readying him for his CT scan.
OK, Sam, she said to the senior house officer. You can take Adam along to Radiology now. Ill be in trauma two with the girl with the respiratory infection if you need to find me.
She didnt give the stranger another thought, except to reflect that he had been unusually persistent. He had waited, and she guessed that he was satisfying himself that all the resuscitation processes were in place so that the child would stand the best chance of recovery.
No one could fault him for that, but wasnt it a little out of place for him to attempt to ingratiate himself with the doctor in charge before any interviews had begun?
Then again, she could have been misjudging him. Her views on men in general had been skewed by the unfortunate events of her past, and it could be that her opinions had been soured.
He seemed to have the childs interests at heart, and she would bear that in mind when next they met.
She glanced at the watch on her wrist. She was already running late. Why was it that in this job the pressure never let up? There was a never-ending stream of poor little souls who needed patching up, and she did her best, but sometimes her best just didnt seem enough.
No wonder Matt Calder was able to breeze through life, charming people with his easy words and blithe spirit. What he knew about stress could probably be written on a postage stamp.
CHAPTER TWO (#ulink_496db522-4d59-52fe-a7c7-79d5031ac1dc)
ABBY studied the results of Adams CT scan on the computer monitor. Theres a small head injury, she told Sam, but no sign of any swelling or haemorrhage, so thats good news, at least.
Her senior house officer nodded, an action that caused a lock of brown hair to waft down over his brow. He was a long, lean young man, always keen to learn, and she was glad to have him on her team.
She switched to views of the childs abdomen, and indicated an area that was giving her cause for concern. Im a bit worried about these patches. Theres a laceration to the spleen and a slight contusion to the kidney. Well need to give him supportive treatment for those, as well as for the contusion we saw on the X-ray of his lungs. She frowned. Our biggest problem, though, is the leg fracture. Hell have to go up to Theatre to have the bones realigned and fixed in place.
I had a word with the surgeon about that. Hes standing by right now.
Good. Lets transfer him over there straight away.
I will. Id like to stay with him, if I may, in case there are any complications. I could take him to observation as soon as Mr Bradley releases him from the recovery ward.
Thats fineas long as theres nothing pressing to keep you down here? She sent him a questioning glance.
Sam gave that some thought. Theres only one child that Im worried abouta two-year-old who was brought in earlier on. Shes feverish and very unwell, showing symptoms of infection, but Ive ordered lab tests and Im waiting on the results. Ive given her broad-spectrum antibiotics until we have something more specific to go on.
It sounds as though you have everything in hand, and of course the nurse will page you if theres a problem. In the meantime, Ill arrange for Adam to be admitted. Lets just hope that we have a bed free. I dont think hes in any condition to be moved to another hospital.
Sam gave a wry smile. I dare say youll be able to sweet-talk the ward sisters into finding something. You always seem to manage to get around the system when its really important.
Maybe. Well see. Sweet-talking didnt always work, and above all it was time-consuming. Time was yet another major resource she was short on these days, although staffing had to be her biggest headache.
She sucked in a breath at the reminder of what she had to do next. The interviewsshe was going to have to get a move on, or her goose was well and truly cooked. Would the man who had come in earlier with three-year-old Adam still be waiting around?
She handed over to her second in command, and then paged Helen to let her know that she would be ready to see the candidates in twenty minutes or so. Taking a few moments to grab a coffee in the doctors lounge, she ran a brush through her hair and tried to tame the mass of wild corkscrew curls. It was a waste of time. No sooner had she put the brush down than her hair spiralled out of control once more, and she had to resort to placing a few clips in strategic places.
She gazed at her reflection in the mirror. Her green eyes stared back at her, shimmering like emeralds, and her lips were a delicate shade of pink, full and pleasantly shaped. She made a faint grimace. At least she didnt look as bad as she felt. There was an element of battle-readiness in the warm flush of her cheeks, and perhaps that was the key to whatever it was that kept her going through thick and thin. She would not give up. She would not cave in when all around her chaos reigned.
The man was not in the waiting room when she went in search of him a short time later. Abby frowned, two small lines indenting her brow. She didnt want to admit to herself that she was disappointed not to find him there, but instinct had somehow nudged her into thinking that he had more staying power than that.
Obviously, she couldnt rely on her instincts any more. They had certainly let her down where Craig had been concerned, hadnt they? He had deceived her into thinking he cared for her, but now her ex-boyfriend was history and a couple of years had passed since she had learned the error of her ways. Her judgement of men was definitely awry.
Were you looking for me?
Even coming out of nowhere like that, the voice was instantly recognisable. In fact, there was something oddly familiar about it, considering that she had only met the man that morning.
She turned away from the waiting-room door and looked up at the impeccably dressed doctor. Oh, there you are. I wondered if you had given up on me and gone home.
He shook his head. I wouldnt do that. I was hoping that I would be able to talk to you again.
His glance flickered over her, taking in the soft fabric of her top where it gently caressed the swell of her breasts, and then paused to linger on the smooth line of the skirt where it faithfully followed the curve of her hips. His gaze slid down over the shapeliness of her legs.
His glance lifted, capturing hers before taking a brief detour over the golden cascade of her hair. She felt a rush of heat fill her cheeks under that lazy scrutiny, but she could hardly object as she had been giving him much the same treatment earlier.
I could see that you were busy, he murmured, and I took the opportunity to follow up on a couple of contacts while I was waiting for you.
She had no idea what he meant by that, but she said evenly, Perhaps we should go into my office? Its just along the corridor. She was a touch early perhaps, but Helen would be along shortly.
That sounds like a good idea. He gave a half-smile and fell into step beside her as she began to walk in the direction she had indicated. How is the boyAdam?
Hes undergoing surgery at the moment to fix the fractured femur. None of his other injuries appears to be life-threatening, so Im hoping that hell be on the mend and ready to leave hospital in two or three weeks. She pushed open the door to her office and ushered him inside.
Thats good news. Im glad to hear it. He stood to one side and closed the door behind her, giving her a smile, and it was as though sunlight had suddenly filled the room. She stood very still for a moment or two. The breath caught in her throat and she had to quell a sudden leap of her senses that threatened to overwhelm her.
It was very odd. This man was a total stranger to her, and her reaction to him was way overboard. She couldnt imagine why she responded to his presence this way, but it must have something vaguely to do with her hormones, she guessed. They must be acting up, that was the answer.
So you think you might like to work here on a part-time basis? she murmured, indicating a chair where he could make himself comfortable. Would you like to run through your CV for me while I hunt out your file?
She began to search through the paperwork on her desk. There were four candidates for interview, and it occurred to her that she didnt know which of them he was.
I dont think I asked your name, she said, glancing across the table at him.
He hadnt taken up the offer of a seat, but instead was looking around the room with interest, fingering the window-blind so that he could take a look at the view out onto the landscaped hospital grounds.
No, you didnt, he murmured, letting the slats of the blind drop back into place. Actually, Im not here about the job at all. I was on my way to keep an appointment with the hospital chief when the accident happened. I was in the car behind the one that hit Adam and, as I said before, I stopped to see if there was anything I could do for him. I called for the ambulance and waited with him until the paramedics came along, and then I used their equipment to intubate him as he had slipped into unconsciousness. As soon as I could see that he was safely inside the ambulance, I followed him here.
Abby stared at him. Oh, I see. He had stopped to help the child and do what he could for him, and that was good to hear. Somehow it didnt surprise her that he would act in that way. Your intervention right from the start probably did more than anything to give him a better chance of recovery.
Even so, she was a bit nonplussed about her mistake. She felt more than a little foolish now that he had explained what he was doing there, and she said flatly, Did you manage to keep your appointment?
He nodded. One of them, at least. I still have to meet up with someone from Administration in half an hour or so.
She blinked. Oh. It occurred to her that she was beginning to sound repetitive, and she pulled herself together and sent him a puzzled glance. She said cautiously, I cant help feeling that I know you from somewhere. Your voice is familiar somehow, but Im almost certain that we havent met.
His mouth made a crooked shape. Only through correspondence perhaps. Im Matt Calder. He gave her a look from under half closed eyes. From the TV programme Emergency Call. You are the same, Abby Byford from the Chilterns, who sent in the email about the show, arent you? Do you remember me now?
She gave a sharp intake of breath. Her mouth dropped open and she quickly clamped it shut again. She stared at him in horror. You, she said at last. Its you, of all people?
She shook her head. This was the man who had splattered her email all over his website and read out her comments over the airwaves, and she had actually been civil to him. I cant believe this is happening, she muttered. It felt for all the world as though she had invited the devil himself into her office.
He must have picked up on something of her train of thought because he said in a dry tone, I realise that it must have come as a shock to you to find me here, but I can assure you that Im a perfectly reasonable man. We may have conflicting views, but theres nothing wrong with airing both sides of the argument, is there?
She didnt answer him right away. Instead, she stood up and started to pace the room, more to work off her rising sense of irritation than anything else. You ridiculed me, she said at last. You talked about using the off switch as though I was a moron. I have to tell you, I just dont believe thats the answer. The problem goes much deeper than that. Your programme is an intrusion. You invade peoples privacy. She used the words as though they were weapons, stabbing at him.
He tipped his head slightly to one side, studying her as though she was an interesting specimen. I dont believe thats so, and I wasnt implying for an instant that you were lacking intelligence in any sense. I just feel that you cant go on living in a time warp. This type of show is a regular on the media these days.
Her eyes narrowed. Then I have to say I think thats a great pity.
He frowned, but he wasnt about to let up. As far as Im concerned, it would seem logical to switch off the TV set if youre not happy with what is being shown. I happen to think that what we do is important. We keep people informed about what might happen in certain situations. We show them how the system works and help them to know what to do in an emergency. Knowledge is power after all, and you have to remember that the individuals we film have all given their consent for the footage to be shown on TV.
Had they really? Abby sniffed in disagreement, a wave of exasperation rising up in her at his bland reply.
Have they? She scowled at him. And how informed was that poor womans consent while she was struggling to cope with her labour? From what I could see, she was more concerned that someone would give her painkillers than what was going on all around her.
You know, these programmes dont go out live on air, and if it makes you feel better, I can assure you that I made certain that we had Megans full consent. We asked her again after shed had the benefit of analgesics and time to think it through. I feel that we were very discreet in the way we filmed the birth, and I dont think the finished product would upset many people. Nothing was shown that couldnt be watched on daytime television.
Thats a matter of opinion, though Ill grant that some attempt was made to preserve her dignity. Thats something at least, I suppose. It was a concession of sorts, but she had to drag it up from deep within her. By now shed definitely had her fill of Dr Matt Calder. It still seems like an intrusion to me.
She straightened her shoulders and went on, I want to thank you again for what you did for the little boyfor Adam. Im sure his parents will be very grateful to you for that. She hesitated for a moment, and then added, As youre not here for an interview, I hope youll understand if I say goodbye to you now and show you out. I have four other people to see, and when Im finished here I have patients to attend to.
Her green eyes flickered. He, on the other hand, probably had nothing more pressing to do than to keep a late lunch appointment with a TV executive.
He didnt appear to be at all fazed by her dismissal of him. Instead, he reached for her hand, taking it between his palms, and said, Its been interesting to meet you, Dr Byford. Perhaps well have the chance to chat again later today after my appointment with your admin department. Id very much like to look in on Adam to see how he is doing after his surgery.
I dare say thats a possibility. Abby couldnt think straight with him holding her hand that way, and she wasnt about to commit herself to anything. With any luck, she would be engrossed in her work by then and well out of reach of this man.
He let her go, and slowly her senses began to settle down once more. She felt hot all over and her head was filled with cotton-wool clouds that only dissipated once he had taken a step back from her. It was just as well they did, because she had work to do. How was she supposed to conduct interviews with her brain in absent mode?
She saw him out of the room, but as she walked out into the corridor with him, she saw that Helen was hurrying towards them. The registrar stopped in her tracks, looking at him in wonder.
Youre Matt Calder from the TV, arent you? she said in an oddly breathless tone. I cant tell you how much I enjoy your programmeand your websiteand I always try to catch your radio slot whenever its being aired while Im driving to work. She stared at him in open-eyed wonder. Are you here for the A and E post? Please, say that you areIll be the envy of all my friends if you decide to come and work here.
Matt smiled at her. Actually, no, Im not. I wish it were otherwise, but Im really only free for a few mornings a week.
Thats all right. Thatll do fine, Helen said, a note of eagerness in her voice. Whatever you can spareanythingthat would be great by me. Her eyes were wide with anticipation.
Matt gave a soft laugh. Im glad you think so. Im sure we would work very well together, given the chance, but, alas, I have other commitments at the moment. Im filming over the next couple of weeks because we still have to do four more shows to complete the series.
Couldnt you do the show from here? Helen was clearly getting desperate now, and Abby gave her a sharp nudge with the toe of her shoe.
What? Helen reluctantly turned her gaze to Abby.
I think Dr Calder is going to be too busy to do that, Abby said in an even tone. Besides, we shouldnt delay him any longer. He has an appointment to keep.
Oh, dear, Helen murmured. She turned her gaze back to him. Do you really? Thats such a shame.
I do. Dr Byford is quite right. I have to be somewhere else in a few minutes, but youve certainly given me food for thought and Ill bear your suggestion in mind. Perhaps when my recording of Emergency Call comes to an end, Ill have more time to spare. Matt threw a brief sideways glance in Abbys direction, and she wondered if he was deliberately trying to rile her. Its been a pleasure to meet both of you.
Believe me, the pleasure was all mine, Helen said huskily.
Abby tugged on her arm and pulled her into the office as Matt turned away and began to stride down the corridor. Youve obviously taken leave of your senses, she hissed. What are you on?
Pheromones, Helen replied in a distracted voice. Sheer, unadulterated male pheromones and animal magnetism. He has it in droves. He should bottle it. Hed make a fortune.
Abby made a wry face. I think youd better take a minute to pull yourself together, she said. We have work to do.
Helen sighed. I suppose we do, but I can tell you now, not one of the candidates is going to stand up to what I have in mind, not after that.
Then I suggest you come back down to planet Earth, and make it quick, Abby said briskly. We have to do some serious interviewing. I need to find someone who can fit in with the department and take some of the burden off our shoulders.
Oh, well, if you put it that way
A couple of hours later, Abby had to admit that they were no nearer to solving their problem. The trouble is, the hours were offering people are either too few or too many, she told Helen. Nothing seems to fit in with what the interviewees had in mind, and from our point of view we need someone who has strong paediatric qualifications. I dont think that any of those people would be able to work under pressure. They just dont seem to have the experience.
It looks as though another advert will have to go in, then? Helen queried.
I guess so. I just wonder if well get any more response than we had the first time around.
They made their way back to A and E, and she went to check on the progress of three-year-old Adam. He had come through everything all right, and it cheered her up that she could say as much to the distraught parents who were at his bedside.
Would you come and take a look at the girl in room one? Sam asked a little later. Shes the two-year-old that I mentioned earlier. Im beginning to be quite worried about her. She hasnt had her full range of vaccinations because of illness in the past, so until the tests come back, Ive no idea what Im dealing with. She isnt responding to antibiotics, and her fever is raging. Her heart rate is fast, as well as her breathing, and the pulse oximetry reading is very low. Do you think we need to do a lumbar puncture?
They were already walking towards the treatment room. Thats a very invasive process, Abby said. Is there any sign of a rash?
Sam shook his head. Not as such, but she appears to be very ill. Im afraid that shes not responding to treatment, and that she might be going into septic shock. It seems as though theres a systemic inflammatory response.
Abby looked at the toddler and her heart immediately went out to the child. She was dreadfully ill, unresponsive, and a brief examination left Abby concerned that her circulation was shutting down, despite the resuscitation procedures they had put in place.
The parents were tearful, pleading with her to do something for their baby.
I know this is difficult for you, she told them. Lucy is very ill, but were doing everything possible to help her. It looks as though she has a bacterial infection of some sort, possibly a form of pneumonia, and so far it isnt responding to treatment. Im going to change the antibiotics and add something to assist her circulation. We just have to hang in there and wait for the medicine to take effect.
Turning to Sam, she said in an undertone, Well add a vasopressor to assist the blood flow, and a steroid to see if that will do something to reduce the inflammation.
Sam looked anxious, but she said softly, Youre doing all right. Youve done everything possible.
I hope its enough.
She nodded. It was frightening to see a child looking so ill, and Lucys desperate condition weighed heavily on her mind as she left the room.
Glancing across the expanse of the department, she caught sight of Matt Calder coming in through the main door, and her first instinct was to walk in the opposite direction. She resisted the impulse. Whatever her feelings towards him, she had a job to do, and she couldnt simply take an escape route and avoid him.
Then she saw that he wasnt alone. He had with him the head of administration, and the two of them were chatting amicably, almost as though they were old friends.
A nurse handed her a chart outlining another patients progress, and she quickly checked the details on it before adding her signature and handing it back. You can reduce the observations to half-hourly, she told the girl. His condition seems to be improving at last.
Ill do that. The nurse hurried away, and Abby headed for the trauma room so that she could examine a child who had just been brought in.
May we interrupt you for a moment? the head of administration queried gently.
Of course. She gave him a polite smile. She had nothing against the man personally, but his department was forever coming up with new edicts to be followed or targets that had to be met, and not one of them ever made her job any easier. The only way he and his kind would ever understand the constraints she was under would be if he was to try working at the rock face, but that wasnt likely to happen in a month of Sundays.
I believe youve already met my friend, Matt, here? His smile was encouraging. Clearly he expected an enthusiastic response.
Yes, we ran into each other earlier today. So they were pals, were they? Abby mused.
Good, good. Then you two already have a head start. Matts writing an article about what goes on in A and E. You know the sort of thingthe challenges you come up against in your daily work, the kind of cases you see on a regular basis. Perhaps you could help him out? I cant think of a better person to show him around.
Abby glanced at Matt and forced a smile. I dont know about giving you the grand tour. It will be more a case of following me around as I work and getting questions in where you can, I should imagine. I dont have the luxury of free time, but youre welcome to tag along.
The head of administration looked a trifle disconcerted at that, but Matt responded well enough.
That would be excellent, thank you. I really dont want to put you out in any way.
Didnt he? So why did she get the feeling she was being coerced into doing this? Anyway, she wasnt going to spend too much time worrying about it, whatever either of them thought about her manner to them.
The trouble with men in authority, from her experience, was that they expected to have everything work their way, and it didnt matter who they trod on to get to where they wanted to be.
Wasnt that what Craig had done? Her ex-boyfriend had begged her to help him study for his exams, had picked her brains, and then he had walked all over her to get the promotion she had been after. He had taken their shared research paper, the one she had worked on intensively and had been struggling to perfect for over a year, and he had taken all the credit for it himself, using what had mostly been her work to wow the interview board with his so-called expertise.
I was on my way to see a patient, she murmured. If youll excuse me?
Of course. The man from Admin clapped Matt on the back and said brightly, Ill leave you in Abbys capable hands. Then he strolled back the way he had come, taking a leisurely route and pausing to admire the colourful murals along the way.
I dont know how much help I can be to you, Abby said to Matt, continuing on her way to the trauma room. I would have thought you already have some experience of A and E. We all do a stint there during training, dont we?
Thats true and, to be honest, I actually specialised in it at one time. What Im really looking for is your take on things. How you feel about your work, and which cases have an effect on you above all others. He paused for a moment or two, giving her a thoughtful look. I noticed that you seemed sad when we walked in here a few minutes ago. Was it because of a difficult problem you had to solve?
I dont deal with cases or problems, she told him. I treat sick children.
She might have expected him to draw back at the snub, but he simply studied her more closely, a glimmer of compassion in his eyes. And thats the crux of it, isnt it? Thats what makes yours such a heart-rending job.
She winced at his perception. Why did he have to show that he understood? She didnt like the man, neither did she want to have anything to do with him. He was the enemy, a thorn in her side.
If you can understand that, she said, then it beggars belief that you should write an article on the pros and cons of vaccination. I have to deal with the fallout from that when parents read your stuff and decide that vaccination isnt for their children. Then I have to try to save the lives of the ones who come in here with meningitis and respiratory infections that overwhelm their immune systems.
Did you read the article?
Bits of it. She grimaced. Someone had left the magazine open on the table in the doctors lounge, and I glanced at it in passing.
He gave a crooked smile. Im not going to win this argument when Im up against a biased opinion like yours, am I? Perhaps you should have read the article in full before you made up your mind that Im the devil incarnate.
Dont flatter yourself, she said. I tend not to think about you at all.
That remark might have been a good payback for the putdown he had made on his website, but it didnt have anything near the effect shed wished for. He simply tilted back his head and laughed.
CHAPTER THREE (#ulink_905a1e58-63f4-525b-a0ef-518c21ba7fdd)
HOW is the article coming along? Abby queried, glancing at Matt as he walked up to the reception desk in A and E. He was beautifully turned out, as usual, wearing an immaculate grey suit, with a shirt that was a soft shade of blue. It matched the colour of his eyes, she noted irrelevantly. She watched him take his notepad from his briefcase.
Im getting there, he murmured. This last session should see me through to completing it. I already have a wealth of material to write up.
Thats good. She frowned, glancing at him through narrowed eyes. Perhaps it would mean that he would soon be gone from under her feet. It was some three weeks since he had arranged to follow her progress through A and E, but at least she had managed to limit his visits to one day a week. She was still uneasy at having him shadow her every move. His presence in the unit put her on edge, though she was hard put to say why.
I hope youll be sure to let me see the finished article before it goes to print, she said on a warning note. Heaven forbid he should take the opportunity to aim a few more swipes at her through his website or, in this case, a Sunday newspaper magazine.
I will, of course. His mouth made a crooked slant, one that she was beginning to recognise. He knew exactly what she was thinking, and the fact that he had the ability to read her mind so easily was making her increasingly uncomfortable.
She started towards one of the treatment rooms. Im going to check up on a six-year-old who was brought in here a little earlier. His mother was brought to A and E after a violent domestic incident involving her husband, and the episode seems to have triggered the childs asthma. Hes in a bad way.
Matt frowned. Was it simply stress that started the attack, or do you think there could be an underlying infection thats adding to his troubles?
There may well be an infection of some sort. Hes certainly very chesty. Were doing tests to check on that, and we have him on antibiotic therapy in the meantime, but I think whatever happened at home tipped him over the edge and sent his lungs into spasm.
They went into the room together a moment later. The little boy was propped up against pillows, and a nurse was checking the monitors and recording his vital signs on a chart.
Abby went over to him and adjusted the oxygen mask, which had become slightly dislodged. Breathe in through here for me, Ryan, will you? It will help you to feel better. Here, you can hold it, if you like.
Ryan struggled to pull in a few breaths of oxygen. He was a frail, thin little boy, with fair hair that added to his pallor. He was ashen-faced and very distressed, so that Abby was worried for him.
He gazed up at her. I want my mum he said in a thready voice. He turned his head and tried to look around the room, obviously searching for her, but he was very weak and the effort exhausted him. He sank back against the pillows, a teardrop trickling down his cheek.
Abby wished that she could comfort him. She wanted to reach out and hug him. Im sure shell be here to see you in a little while. We just need to make sure that youre feeling better so that youll be able to talk to her when she comes to sit with you.
My mums poorly, the boy said heavily, pulling the mask away from his mouth for an instant, and Abby held it for him so that he could still breathe in the oxygen. I wanted to stay with her.
I know you did, Abby said. She was hurt, wasnt she? But someones gone over to the grown-ups A and E to find out how she is. The nurses are looking after her right now, but as soon as shes strong enough well see if we can bring her over to you.
His expression was solemn, as though he was thinking things through. After a moment or two, he said, his voice barely more than a whisper, Daddy hit her in the tummy. His face started to crumple. I tried to stop him. I shoutedBut he pushed me out of the wayand my mum fell down.
His breath gave way, and Abby said gently, It must have been very upsetting for you to see that.
Ryan nodded, a very slight movement of his head, and he started to chew at his bottom lip. Abby glanced up at Matt, and saw that he was frowning, his gaze intent on the boy.
Has this sort of thing happened before? he asked.
Again, Ryan nodded. Abby said, I know this is hard for you, but you should try not to worry too much. It was very clever of you to ring for the ambulance, and your mother must be very proud of you. You did what you could to help her, and now, because of that, youre both being looked after. You did very well.
The boy didnt look as though he was too sure of that, and Abby guessed that he would go on fretting until he actually saw his mother again. He stared wretchedly into space, and she moved away from the bedside in order to cast a glance over his chart.
Matt was still frowning, and said in an under-tone, Where was the father while the boy was ringing for the ambulance, do you know?
Abby shook her head. It seems that he left the house, and no one has seen him since. The paramedics spoke to the neighbours and they said this kind of event wasnt unusual. Apparently he likes to have everything his own way and the couple are always arguing.
Has anyone checked the womans medical records to see if there are any other recorded instances of possible abuse?
She nodded. Yes. I had a word with someone in the department, and they were looking into it. Shes had rib fractures, apparently, and a few unexplained falls.
Matts jaw flexed. He needs to be stopped.
Abby pressed her lips together. Youre right, of course, but if his wife wont take a positive stand and bring it out into the open, theres very little that we can do to help her. She has to find the courage to make the first move.
The nurse came to the bedside and tucked a teddy bear against the pillow, sitting him next to Ryan and folding the toy into the crook of his arm. Ive brought a friend to keep you company, she told him. Teddys not very happy. I think he wants a cuddle.
The boy was too weary to respond, but he rested his fingers over the bears soft belly, patting him gently, and then he breathed in through the mask, making a ragged little sigh.
Abby turned to Matt and said quietly, Im giving him a bronchodilator through the nebuliser, but it isnt working fast enough, so Im going to see if I can get him to swallow a dose of prednisolone. I dont think were going to achieve the best results while hes still upset, though.
Thats probably true. The best thing would be to keep him as calm as possible.
The nurse brought the medication in a plastic cup and Abby held it to the boys lips. He pulled a face, but she urged him to drink it, saying softly, I know it doesnt taste very nice, but it will help to make you feel better.
When he had finished, she helped Ryan to put the mask in place once more, and then she handed the cup back to the nurse, asking quietly, Is there any news about his mother?
Theyre still treating her in the adult A and E department for possible damage to her pancreas. Andrea is looking after her over there. She said she would let us know whats happening.
Thanks, Jane.
The girl glanced at Ryan, and then turned back to Abby, her mouth drooping a fraction. Hes obviously very distressed about what happened.
Thats not surprising. He must have been very frightened, knowing that he was helpless to stop it.
Abby was silent for a while, thinking about the boys anguish, and the nurse said softly, You said earlier that you saw his mother when she was brought in, didnt you?
Yes, I did. I was just coming from the hospital car park when the ambulance drew up. I could see what a state the boy was in, and his poor mother looked traumatised. It would have been better if they could have stayed together, perhaps, but the staff were worried that his asthma was worsening, so after a while they sent him over here.
I thought you seemed to be deeply affected by what happened to his mother. You were very quiet when you came in here first thing.
Was I?
The girl nodded. I hope you dont mind me saying, but Ive heard something of what happened to you a couple of years ago. You were hurt in a similar way, werent you? Are you sure that youre all right? It must have brought back memories.
Im fine, thanks. Its just that any kind of aggressive behaviour is disturbing, and I dont like to think of either of them going back to that situation. What happened to me was just a fluke, a one-off. I was in the wrong place at the wrong time, so to speak.
She sent a quick glance in the boys direction and was glad to see that he had closed his eyes and appeared to be resting now. It was awful to think of him living in that tense atmosphere, day after day.
She was startled to realise that the nurse had picked up on her own inner fragility, because she always prided herself on keeping any vulnerability well hidden. She couldnt guard her reactions all the time, though, and nothing had been going the way it should lately. It seemed to her that ever since Matt had come into her life, life had been like a roller-coaster and she was struggling to keep herself from going off the rails.
As to todays events, Abby had never suffered from domestic violence as such, but she didnt want to dwell on exactly what it was that had governed her response to what had happened. It was something she tried to bury deep inside her, but no matter how she tried to prevent it every now and again it would bubble to the surface.
She was uncomfortably aware that Matt was looking on while they were talking. Jane kept her voice low, but he never seemed to miss anything, and she couldnt be sure that he hadnt overheard their conversation. She definitely didnt want him to start asking questions.
She glanced at him, but just at that moment the door opened and Andrea came in, pushing the childs mother in a wheelchair, which she carefully manoeuvred into position beside the boys bed.
Ryans mother was a slip of a girl, with long, straw-coloured hair that tumbled across her face, and Abby wondered if she let it stay that way so that it would hide her unhappy expression.
Melanie, Abby greeted the woman she had spoken to briefly earlier in an effort to reassure her that they were going to take good care of her son, its good to see you again. How are you feeling?
Im not too bad. Her drawn features belied the words, but Abby didnt pursue the matter, because it was clear that Mrs Stanton only had eyes for her little boy. How is he? she asked in a low, anxious tone, gazing at the boy as he lay there unmoving, his eyes closed. She dragged her glance back to Abby.
Hes still very poorly, but his breathing seems to be improving, Abby said. I think the new medication must be taking effect. She glanced at the nurse beside Melanie. Thanks for bringing her to us, Andrea.
Youre welcome. The nurse smiled and took a quick, compassionate look at the boy before she gave her attention to the woman once more. You take care, Melanie, she said. Remember, you dont have to put up with the situation at home. You can take control of your life, and you can make sure that Ryan doesnt have to go through any of that upset ever again. There are people who will help you.
I dont know about that Melanies lips were quivering and she clamped them together to keep them still. But thank you, anyway.
The nurse left the room, and Matt moved to stand alongside the wheelchair. Hello, Melanie, he said quietly. Im Dr Calder. I was sorry to hear about what happened to you. It must have been very upsetting.
Yes, it was. She studied him, her gaze bleak, her expression full of defeat, but something flickered briefly in her eyes. I know you, dont I? Arent you the doctor from the television? The fact that she recognised him didnt seem to do anything to lift her spirits, and her tone stayed flat.
Thats right, I am. Matt was very gentle with her, bending down beside the wheelchair and coaxing her to talk to him. What did the doctors say to you in A and E? I can see that you have a drainage tube in place, so theyve obviously been looking after you.
He was very perceptive, Abby thought. The tube was mostly covered by the folds of a blanket, so that it was barely discernible, and the receptacle was strapped to the wheelchair for safety.
Have they managed to sort out all your problems? he asked. Well, the medical ones, at least.
I think so. The doctor said he thought my pancreas was damaged slightly and that there was a build-up of blood in my abdomen. Theyve put a tube in to drain it, and they say it should heal well enough, as long as I rest up for a couple of weeks.
Are you going to be able to do that?
The woman lowered her head and her voice faded into the covering blanket. I dont know.
Do you have any family who can help you through the next month or so?
Melanie shook her head.
Matt studied her thoughtfully. Its important that you realise you have alternatives. You dont have to stay at home and put up with bad treatment, you know.
Melanie winced. Ive nowhere to go, and if I was to try to leave, my husband would come after me. Her voice wavered. Anyway, Im more worried about Ryan. He looked so ill. He was so upset and frightened.
Hell go on feeling that way unless you do something to change the situation. I know its hard, but you dont have to do it on your own.
The little boy opened his eyes and blinked slowly. Mummy, he said, a smile creeping over his lips. Are you better now?
Very nearly, his mother said. Her face lit up as she looked at her small son, and her features softened. She laid a hand on his head and tenderly stroked his hair. How are you feeling, sweetheart? I was so worried about you.
Im all right. The words came out as a whisper.
He wasnt by any means all right, Abby thought, and neither was his mother. They were traumatised, hurting and exhausted after what they had been through.
Is Daddy going to come here? Ryan asked. His eyes were troubled.
I dont know, Ryan.
Abby studied the child for a moment or two. Was there any way she could bring this whole situation out into the open so that they could deal with it once and for all? They didnt seem to be getting anywhere very fast. The nurse from the adult A and E unit had tried, and Matt had done what he could to coax Melanie into accepting help, too. The woman had resisted, but Abby had to respect him for trying.
She said carefully, How would you feel about it if your daddy were to come here, Ryan?
The boy didnt answer. Instead, he looked down at the sheet that covered him, and his bottom lip started to quiver.
Matt was looking at Melanie, and now he said quietly, I know of some agencies that can look after both of you. They can keep you safe and advise you on how to get through any difficulties.
Melanie didnt give any sign that she believed that, and instead, as she glanced towards the door, she bit her lip, as though she had the worries of the world on her shoulders. She tensed suddenly, staring through the partitioning glass wall, and her shoulders stiffened as though she was bracing herself.
Abby could see what was troubling her when the door opened and a man walked into the room. He was smartly dressed, wearing a dark suit and a crisp, pale-coloured shirt.
So there you are, he said, his gaze homing in on Melanie and ignoring everyone else. Ive been worried sick about you. They told me you were hurt and that you had been brought here. I know you had another of your falls, but you were fine when I left the house. You just need to rest up. He frowned. I was only away for half an hour, and you disappeared. Ive been looking everywhere for you.
His glance went to the bed. Whats Ryan doing here?
He had an asthma attack. Melanies voice was barely audible, and she seemed to shrink into herself. Abbys gaze caught the faint tremor that affected her hand.
Another one? Its time he grew out of those. You both need to be at home where I can look after you. He swivelled around and glanced dismissively at Matt and Abby. Lets get that organised right now.
Abby intervened when he would have taken hold of the wheelchair. Mr Stanton? she queried.
He nodded briefly. Who are you?
Im Dr Byford. Im looking after Ryan. Im afraid neither he nor your wife are in any condition to go anywhere. Ryan needs to be monitored constantly because his oxygen level is dangerously low, and your wife has just undergone minor surgery. We have to keep an eye on her in case any complications arise.
Surgery? They told me over in A and E that she was bruised where she fell onto the arm of the chair. Shell be all right. I can take care of her. You dont know my wife. She hates being in these places. They make her nervous and unsettled. Shell be far better off at home with me.
Im afraid thats not an option, Mr Stanton. You have to understand that it would be dangerous for either of them to be discharged right now. Arrangements have been put in place for them to be admitted.
Then youll have to cancel them.
She tilted her head back. Im sorry, but that wouldnt be wise.
His expression hardened. I dont think you realise who youre dealing with. I know whats best for my wife and son.
He took hold of the handles of the wheelchair and started to turn it around. Ryan began to whimper as he saw his mother being trundled away, and as his lungs constricted the oxygen monitor started to bleep a warning. The nurse hurried over to attend to him.
Abby positioned herself in front of the door. So do I, Mr Stanton. Im in charge here, and I have a duty of care to my patients. If you insist on attempting to remove them against their will, I shall have to call Security.
Her heart was thumping erratically as she said that. She was taking a chance here because Melanie hadnt actually said anything about wanting to stay, and it was only the womans haunted expression that drove her onthat and Ryans distress. She was going out on a limb to defend them both.
The mans jaw hardened, his mouth making an ugly line. You think youre going to stop me from taking my family home where they belong? You dont have a leg to stand on. He swung around to look at his wife. Tell her, Mel. You want to come home, dont you? His mouth was curved as though in a smile, but his eyes were as cold as ice, daring her to oppose him.
I suppose II
Abby was desperately afraid that Melanie would give in to his pressure. What on earth could she do to resolve the situation if the woman allowed him to badger her? She had already extended her powers to the limit and beyond.
Your wife is too ill to make that decision, Matt intervened, moving to stand between Melanie and her husband, and Abby felt an immediate rush of relief sweep through her. Leaving here at this time could lead to her suffering a life-threatening relapse, and if you persist in trying to remove her, I will testify as such in court. The same applies to your son. You can hear the heart monitor bleeping. It means that his heart rate has accelerated dangerously and he is in desperate need of medical attention. Your presence here is hindering the accident and emergency team from being able to do their job. I suggest you leave before I assist Dr Byford in calling Security to remove you.
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, (https://www.litres.ru/joanna-neil/the-doctor-s-longed-for-family/) .
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Joanna Neil
Two strong arms reached for her and steadied her, and Abby looked up distractedly, to find herself staring into Matts laughing blue eyes.
I know we said that we were going to be working closely together, he murmured huskily, keeping hold of her, his hands coming to rest at the base of her spine, but I hadnt expected it to be quite such a riveting experience. He ran his glance over her. Not that Im complaining, of course. This has to be one of the bonuses of the job.
Yes, wellumI think I can manage now, thank you. Iumneed to go and find my patient. He should be arriving any minute now. Her heart was pounding, and she couldnt think straight with his arms wrapped around her that way.
Dear Reader (#ulink_77502642-1161-5a31-b997-954b2f96f0e9)
What a great start to the New Year! Mills & Boon is celebrating its centenarya hundred years of exciting romance and the joy of compelling love stories to warm our hearts. As a writer and an avid reader of romantic fiction, Im delighted to be part of, and to be able to share with you, this momentous occasion in Mills and Boons history.
I think youll agree with me that the world has changed a great deal in those fabulous years. We have the wonder of technology to make our lives easier and help us to communicate better with one another. The world has been opened up for us through the media of the internet and television. Every day people from across the continents appear on our television screens, and at the touch of a button we can send missives out into cyberspace.
There is a downside to all this, though. What if you later regret what youve sent, or, heaven forbid, you meet up with the object of your scorn?
Television and technology both play a part in bringing together Abby and Matt in my latest book, THE DOCTORS LONGED-FOR FAMILY.
Can you imagine the excitement of a TV celebrity coming to a hospital near you? No? Neither can Abby Byford, and she certainly doesnt take kindly to the idea of having a camera crew following her around as she works. As things turn out, though, Matt Calder proves to be far more persistent than she might have imagined.
Ive been able to bring Abby and Matts story to you by being a contributor to this milestone in Mills & Boons history.
My very best wishes to you all
Joanna
The Doctors Longed-For Family
Joanna Neil
www.millsandboon.co.uk (http://www.millsandboon.co.uk)
When JOANNA NEIL discovered Mills & Boon, her life-long addiction to reading crystallised into an exciting new career writing Medical Romance. Her characters are probably the outcome of her varied lifestyle, which includes working as a clerk, typist, nurse and infant teacher. She enjoys dressmaking and cooking at her Leicestershire home. Her family includes a husband, son and daughter, an exuberant yellow Labrador and two slightly crazed cockatiels. She currently works with a team of tutors at her local education centre, to provide creative writing workshops for people interested in exploring their own writing ambitions.
Contents
COVER (#uca66ca11-5b71-5c31-a435-2c456fd37107)
Dear Reader (#ufd76e679-6de6-58a8-a78b-7385689a71e1)
TITLE PAGE (#u1893c150-8b6e-56e2-ac8e-bfb1d813737f)
ABOUT THE AUTHOR (#u5354e50c-e528-5e48-a12a-f6f3870b24fe)
CHAPTER ONE (#u5a272157-8c2e-5fa7-84e2-fd7ed79baa4b)
CHAPTER TWO (#u08703feb-55bb-5817-a043-8345359cb110)
CHAPTER THREE (#u331a9196-4f34-5ef5-9bf6-dee8a64994d3)
CHAPTER FOUR (#litres_trial_promo)
CHAPTER FIVE (#litres_trial_promo)
CHAPTER SIX (#litres_trial_promo)
CHAPTER SEVEN (#litres_trial_promo)
CHAPTER EIGHT (#litres_trial_promo)
CHAPTER NINE (#litres_trial_promo)
CHAPTER TEN (#litres_trial_promo)
EXTRACT (#litres_trial_promo)
COPYRIGHT (#litres_trial_promo)
CHAPTER ONE (#ulink_dcc11e71-3dbf-579b-8718-99ddc3b6b00d)
WELCOME to Matt Calders website. You might like to take a look at the guest book area while youre here. Theres a message from a Dr Abby Byford, who wants to know why we think it necessary to take the TV cameras along with the ambulance crew when they go out on call.
Abby stared at the computer screen, her green eyes widening, her mouth opening in shock. She had imagined that her brief email would have been hidden away somewhere, for his eyes only, or virtually out of sight, or at the very least that it would be lost in an electronic void. She hadnt expected him to reply, or even to use it on his website, yet here was her name, blazoned across the Internet for all to see. He was actually singling her out for attention. Why would he want to do that?
Is this what passes for entertainment these days? she asks. Why on earth would anyone want to sit and watch injured people having their wounds assessed and then follow them as they go through the process of treatment?
Abby had been taking bites out of her breakfast toast while she was on the move this morning, but now she let it slide down onto her plate while she stared transfixed at the monitor. Her long, honey-gold hair tumbled down around her face in a wild mass of curls and she swiftly pushed it back out of the way.
Im sure many of you will have a view on this, and Id be glad to see your comments on the website. My own feeling is that we all have a choice in the matter. Its called the channel change button on the remote control, or, if you have the energy, theres always the off switch on the television set.
Her jaw dropped. That was a total put-down, wasnt it, and what had she done to deserve that kind of treatment? This man, Calder, was impossible. OK, so his television programme had disturbed her, enough to prompt her to send a carefully worded message his way. After all, he had invited comments at the end of the programme, but surely she didnt merit that kind of sarcasm? Hers had been a perfectly legitimate query, but his reply was a pure dig at her expense in front of the thousands who accessed his site.
Her appetite had suddenly disappeared, but it was replaced by a growing rumble of annoyance. She didnt have time for any of this. She was supposed to be getting ready for work, and all she had meant to do was to swiftly check her emails in case any problems had cropped up overnight. Only her friends message had included a link to the website. You have to check this out, she had written. You seem to have stirred something up.
Now Abby was rapidly regretting the impulse that had led her to click on the link. Merely thinking about the arrogance of the man brought a red haze to sizzle in front of her eyes. Why had she even bothered to switch on the television the other night? If she had left well alone, she might never have caught sight of his TV show, but she had left it on in the background as shed dealt with her emails that evening. As she was already online it had been all too easy to let her emotions get away from her and write in to the address given.
They had all been talking about it in A and E, where she worked. He has such a wry sense of humour, Helen, her specialist registrar, had said, and when hes on TV hes absolutely brilliant as a presenter. Everybodys watching his show, Emergency Call. Its on once a week, in the evening, and he has a weekly slot that deals with different medical topics. It tends to throw up a controversy once in a while. Hes interviewed on radio and TV talk shows from time to time, and he writes occasionally, too.
At least on radio, Abby thought, the listening public wouldnt have been drawn to watch the suffering of the poor young woman who had slipped and fallen down the stairs last night. She was heavily pregnant, and Abby had felt her pain along with her as she had been filmed being carefully transferred into the ambulance.
It looks as though Megan is going into labour, Matt Calder had said softly to the camera. Well be by her side through every stage, from here to the delivery room.
The baby, though, hadnt wanted to wait that long, and soon the presenter had said, I dont think were going to make it to the hospital before this infant is born.
Remembering, Abby felt her hackles begin to rise all over again. Why was everyone so obsessed with fly-on-the-wall coverage these days?
Her fingers were already stabbing at the keyboard, and she banged out another message to Matt Calder.
I stand by what I said before, she wrote. Isnt your programme taking things a stretch too far? Do we really need to pry into every aspect of peoples lives, even stooping so low as to let cameras intrude on the special, intensely personal moment when a woman gives birth? Its bad enough that the mothers privacy is violated, but doesnt it ever occur to anyone that the infant concerned is being exploited?
Fuelled by a growing sense of righteousness, she added, What depths will be plundered next, I wonder? Will someone be filmed saying, Oh, Im sorry, but I really dont feel too well. I think I might not be able to make it through the night, please excuse me while I suck in my last breath. Would you be sure and show the film to my mother? I did so want her to be here with me at the end. How very sad that we have to live our lives through other people.
Pressing her lips together, she hit the send button and flung her diatribe out into cyberspace. She stood for a moment glaring at the screen, and then she switched off the computer and went to finish getting ready for work.
Her cottage was in a valley at the edge of the Chilterns, and she had a half-hour drive ahead of her to reach the hospital, which was on the outskirts of London. She would need all of that time in order to calm herself down.
It was only when she was sliding into her car a while later that she realised that she had done it again. She had acted without giving herself time to stop and think things through. Had she gone too far? Maybe that sarcasm had been a tad over the top, but something about the show and the website, along with Matt Calders all too persuasive manner, had managed to ruffle her feathers. Was it possible that she had overreacted?
Perhaps the truth of the matter was that she was beginning to feel stressed and overworked. Her working life was very different from that of Dr Calder. She had spent long hours the previous day in A and E, doing her best to help the children in her care. She was the doctor in charge of the paediatric emergency department, and it was a responsible job, one that weighed heavily on her at times. She would be the first to admit that it sometimes took its toll on her.
Maybe that was the reason she had responded so badly to the programme. The truth was, Dr Calder, the latest hot new doctor out there enjoying celebrity status, had managed to graze a raw nerve with his bright and breezy invitation to watch events unfold on TV. His role as lead presenter was to comment on events as the trauma team went on its travels attending to casualties. What did he know of hospital targets and patient throughput and the daily anguish of dealing with severely ill patients?
His was a light and fluffy job, involving nothing more than going out and about with the paramedics, or taking part in chat shows on the radio, writing a blog on his website or spouting his own type of wisdom on a variety of health issues. One of them shed even glanced at briefly, a magazine article on whether or not parents should let their children be vaccinated, and that was a subject guaranteed to put her on edge.
Not that she had seen or heard any of this up until now. She only had Helens version of what his work entailed and Helen appeared to be heavily biased in his favour.
Hes incredibly good-looking, shed enthused. Those lovely blue eyesand his voiceHe has such a deep, warm way of talking that he makes me go weak at the knees. He can come and assess my symptoms any day.
In spite of herself, Abby had laughed. Youre totally smitten, arent you?
Helen had nodded. Me and most of the women who work in A and E.
For her part, Abby hadnt paid much attention to the way he looked. She had only watched the programme in passing as shed sat at the computer. He had been doing a voice-over some of the time, and mostly her gaze had been riveted to the young woman, Megan, who had been going through the throes of labour. The poor girl had been asking for painkillers, and a film of sweat had broken out on her brow.
Abby had switched off the TV set in a fit of annoyance. Was nothing sacred any more? She had been so fired up by the whole set of events that she had rattled off her comments without a second thought. It was only now, a couple of days later, that she had begun to regret her haste. She was a paediatrician, for heavens sake, a specialist in A and E, it ought to be beyond her to behave in such an impulsive manner. Why had she even bothered to write in? Hadnt she anything better to do with her time?
And to send off another message at breakfast-time today, well, that had to be pure folly, hadnt it? What on earth was wrong with her?
She pulled out on to the city road and flicked on the car radio so that she wouldnt have to listen to her own thoughts any longer.
Were glad to have you with us for our twice-weekly programme, Morning Surgery, with Dr Matt Calder, the radio host was saying in reverent tones, and Abbys breath hissed into her lungs. Before we open the door to the first patient, we just have time for a few words with our amiable physician. He paused. Dr Calder, I see youve been going through your post in the last few minutes. Whats new for today? Abbys fingers were poised to find the off button, but she had to negotiate traffic and for the moment she let it ride.
Medical ethics seem to be on the agenda right now, Dr Calder replied. His voice floated over the airways, easygoing, friendly and compellingly smooth, and Abby had no doubt that he would be soothing troubled souls all over the nation.
People have been replying to the comment made by the doctor who objected to the cameras following patients to the emergency room. I have to say that opinion is divided on the matter, with some for and some against. Weve actually had another, rather more strongly worded message from the doctor herself this morning, pointing out that what were doing is akin to exploitation.
He proceeded to read out some of her hastily written comments, and Abbys cheeks filled with heat. Having him repeat her words only served to add a new dimension to her embarrassment.
He had stopped to take a breath, and Abby could imagine him giving a wry smile. There was a definite inflection in his voice as he went on, I tend to see it more as helping people to learn from others experiences. We hope that by televising these situations, others might be less afraid and better informed if they should find themselves in similar situations. We are very grateful to Megan and people like her who allow us to share their particular traumas. Some people are extraordinarily outgoing and generous in their outlook. We thank them heartily.
Some people are extraordinarily outgoing and generous? Abby pressed her lips together. What did that make her? The way he spoke, the implication was that, in contrast, she was clearly a crabby spinster.
By now she had arrived in the grounds of the hospital. She switched off the radio with a jerking twist of her fingers and then she parked the car in her dedicated slot. Sliding out of the drivers seat, she straightened up, locked the doors, and then pulled in a deep breath, assuming the mantle of consultant paediatrician. She had a difficult job to do, and it took every ounce of her reserves. She was the one who set the tone for the A and E department, and people had to be able to trust her to work efficiently and set in place a good atmosphere. Her colleagues relied on her to provide them with guidance and a good example, though what they would make of her recent outbursts via the website they all seemed to favour was anybodys guess.
Ive checked on all the patients in the observation ward, Helen said, coming to greet her a short time later. Everyone seems fairly stable at the moment. I thought maybe you would want to transfer the six-year-old to the childrens ward, though. His breathing is still impaired, and hes certainly not well enough to be sent home.
Abby glanced at the boys chart. Yes, I agree with you. As to the boy with the head injury, well need to find him a bed, too. The others will probably be able to go home later today, but well monitor them up until lunchtime.
Helen nodded. Ill organise that. We seem to be busy this morning. Theres a full waiting room already and we have an incoming patient from a domestic accident, a girl who scalded herself.
Abby winced. It never ends, does it? Theres always some poor little scrap who ends up being hurt when it might have been avoided.
She glanced at Helen. The registrars black hair was sleek and shining, expertly cut to fall neatly into place at the nape of her neck. It lifted and swirled in a delicate flurry as she turned her head.
Youre looking good today, Abby remarked. Have you been to the hairdresser?
The registrar grinned. I thought Id better make an effort, she murmured. We have the interviews later today, remember. I figured I should do my best to look impeccably groomed and professional, as you asked me to sit in on them.
Is that today? Abby grimaced. I havent looked at the diary yet but, of course, youre right. I remember thinking that I ought to put in another advertisement. Judging from the response we had, I dont think were going to find the person we want. Most people want full-time work, but the budget wont run to that. No wonder were run off our feet most of the time. We need more doctors, not to mention more specialist nurses and a whole load of other staff, like porters and other ancillary staff to take up some of the burden.
You never know, we might get lucky. We could find someone wholl be able to do the work of ten men.
Abby chuckled. We can always dream, cant we?
She went to check on the incoming patient, and for the next couple of hours she was busy dealing with youngsters and their various injuries. She tried, as ever, to push their distress to the back of her mind, and concentrated on providing pain relief and applying treatment that would promote healing and lessen their discomfort.
Weve a child coming in from a traffic accident, the senior house officer told her. It looks like a displaced midshaft femur fracture. Hes three years old. Apparently he ran into the road and the car driver didnt manage to stop in time to avoid hitting him.
OK, Sam. Make sure that trauma room four is ready to receive him. Wed better have Helen on standby if shes freeand tell radiology to expect him for a CT scan.
Will do. Sam moved away to set things in motion and Abby prepared to take over from the paramedics when they wheeled the little boy into the emergency room.
He was unconscious when we reached him, the paramedic told her. An airways been put in, and weve set up two intravenous lines. His right thigh appears to be deformed from the impact.
Thanks for that, Lewis. She glanced at him. Ill let you know how he gets on.
He looked relieved. Thanks, Abby. Ill pop back later on. Hes such a tiny little thing. I hope hell do all right.
So do I.
He moved away and she began to swiftly examine the boy. The abdomen is distended, with decreased bowel sounds, she told Sam when he returned to her side. The pelvis is stable, but the thigh is swollen and tense. Hes still unresponsive. Well get a CT of the abdomen to check for any lacerations, and X-ray the leg to see what were dealing with. It will most likely need fixation, so you should ring for the orthopaedic surgeon to come and take a look.
Im on it. Sam hurried away once more, while Abby checked with the nurse as to the boys immediate care.
She was writing out the drugs requisition when a man came over to the trolley and said, I think he may have banged his head on the road surface when the accident happened. Im wondering if he might have a head injury as well as all his other problems.
Abby glanced up at the man. Well take care of him, she said. We always check for head injury in these cases. Are you the boys father?
No, but his parents are on their way. Apparently he was playing at a friends house when the accident happened.
Oh, I see. Abby studied him a little more closely. Looking at him was way too distracting, she discovered. He was exceptionally good-looking, with hair that was midnight black, and he was around six feet tall, broad-shouldered and fit, with an athletic build that gave her the idea that he probably worked out regularly. He was wearing an expensively tailored, dark grey suit that sat well on him, and his shirt was a mid-blue, crisp and fresh-looking. She dragged her mind back to the task in hand.
So who are you? she asked. Are you a relative?
No. I was on my way to the hospital when I saw the accident happen, and I stopped to see if I could help in any way. I was concerned about the little fellow, and I just wanted to see how he was doing. I wanted to make sure that you didnt rule out the possibility of a head injury. I think there might be some damage to his spleen as well.
You sound very knowledgeable, Abby remarked as she started to write out the forms for Radiology. Are you a doctor?
Yes, thats right, I am. I have a strong interest in A and E and the way these departments operate.
Well, well take care of him. You can rest assured that well do everything thats necessary to make certain hes looked after properly, Abby told him.
She turned back to her small patient, making adjustments to the intravenous infusion she had set up, but after a while she realised that the man was still there, watching her every movement. Why was he so reluctant to leave?
She glanced up at him once more, remembering that he had said he had already been on his way to the hospital when the accident had happened. Her gaze drifted over the clean lines of the suit he was wearing. He certainly wasnt dressed for a casual visit. That, and the fact that he seemed to be taking an interest in what she was doing, appeared to her to add up to one thing. He was probably one of the candidates for the part-time position they had advertised.
Theres no need for you to stay, she said, and Im sure the little boys parents will be arriving at any moment. If youre here for the job interview, you could perhaps go and make yourself comfortable in the waiting room. I wont be ready to start on them for a while yet, but Ill ask one of the nurses to show you where you might go and get yourself a cup of coffee in the meantime, if you like. Ill come and find you when Ive finished here and let you know how hes doing.
Interview? He gave a slight frown, as though he had forgotten all about it, which wasnt so unlikely, given his morning. Then his expression cleared, and he flicked a glance towards the name badge she was wearing.
He smiled. Yes, of course. Thank you, Dr Byford. I think Ill do that. Youve been very kind.
Youre welcome. She called for a nurse to come and show him the way, and then she turned and gave her attention wholly to the infant, readying him for his CT scan.
OK, Sam, she said to the senior house officer. You can take Adam along to Radiology now. Ill be in trauma two with the girl with the respiratory infection if you need to find me.
She didnt give the stranger another thought, except to reflect that he had been unusually persistent. He had waited, and she guessed that he was satisfying himself that all the resuscitation processes were in place so that the child would stand the best chance of recovery.
No one could fault him for that, but wasnt it a little out of place for him to attempt to ingratiate himself with the doctor in charge before any interviews had begun?
Then again, she could have been misjudging him. Her views on men in general had been skewed by the unfortunate events of her past, and it could be that her opinions had been soured.
He seemed to have the childs interests at heart, and she would bear that in mind when next they met.
She glanced at the watch on her wrist. She was already running late. Why was it that in this job the pressure never let up? There was a never-ending stream of poor little souls who needed patching up, and she did her best, but sometimes her best just didnt seem enough.
No wonder Matt Calder was able to breeze through life, charming people with his easy words and blithe spirit. What he knew about stress could probably be written on a postage stamp.
CHAPTER TWO (#ulink_496db522-4d59-52fe-a7c7-79d5031ac1dc)
ABBY studied the results of Adams CT scan on the computer monitor. Theres a small head injury, she told Sam, but no sign of any swelling or haemorrhage, so thats good news, at least.
Her senior house officer nodded, an action that caused a lock of brown hair to waft down over his brow. He was a long, lean young man, always keen to learn, and she was glad to have him on her team.
She switched to views of the childs abdomen, and indicated an area that was giving her cause for concern. Im a bit worried about these patches. Theres a laceration to the spleen and a slight contusion to the kidney. Well need to give him supportive treatment for those, as well as for the contusion we saw on the X-ray of his lungs. She frowned. Our biggest problem, though, is the leg fracture. Hell have to go up to Theatre to have the bones realigned and fixed in place.
I had a word with the surgeon about that. Hes standing by right now.
Good. Lets transfer him over there straight away.
I will. Id like to stay with him, if I may, in case there are any complications. I could take him to observation as soon as Mr Bradley releases him from the recovery ward.
Thats fineas long as theres nothing pressing to keep you down here? She sent him a questioning glance.
Sam gave that some thought. Theres only one child that Im worried abouta two-year-old who was brought in earlier on. Shes feverish and very unwell, showing symptoms of infection, but Ive ordered lab tests and Im waiting on the results. Ive given her broad-spectrum antibiotics until we have something more specific to go on.
It sounds as though you have everything in hand, and of course the nurse will page you if theres a problem. In the meantime, Ill arrange for Adam to be admitted. Lets just hope that we have a bed free. I dont think hes in any condition to be moved to another hospital.
Sam gave a wry smile. I dare say youll be able to sweet-talk the ward sisters into finding something. You always seem to manage to get around the system when its really important.
Maybe. Well see. Sweet-talking didnt always work, and above all it was time-consuming. Time was yet another major resource she was short on these days, although staffing had to be her biggest headache.
She sucked in a breath at the reminder of what she had to do next. The interviewsshe was going to have to get a move on, or her goose was well and truly cooked. Would the man who had come in earlier with three-year-old Adam still be waiting around?
She handed over to her second in command, and then paged Helen to let her know that she would be ready to see the candidates in twenty minutes or so. Taking a few moments to grab a coffee in the doctors lounge, she ran a brush through her hair and tried to tame the mass of wild corkscrew curls. It was a waste of time. No sooner had she put the brush down than her hair spiralled out of control once more, and she had to resort to placing a few clips in strategic places.
She gazed at her reflection in the mirror. Her green eyes stared back at her, shimmering like emeralds, and her lips were a delicate shade of pink, full and pleasantly shaped. She made a faint grimace. At least she didnt look as bad as she felt. There was an element of battle-readiness in the warm flush of her cheeks, and perhaps that was the key to whatever it was that kept her going through thick and thin. She would not give up. She would not cave in when all around her chaos reigned.
The man was not in the waiting room when she went in search of him a short time later. Abby frowned, two small lines indenting her brow. She didnt want to admit to herself that she was disappointed not to find him there, but instinct had somehow nudged her into thinking that he had more staying power than that.
Obviously, she couldnt rely on her instincts any more. They had certainly let her down where Craig had been concerned, hadnt they? He had deceived her into thinking he cared for her, but now her ex-boyfriend was history and a couple of years had passed since she had learned the error of her ways. Her judgement of men was definitely awry.
Were you looking for me?
Even coming out of nowhere like that, the voice was instantly recognisable. In fact, there was something oddly familiar about it, considering that she had only met the man that morning.
She turned away from the waiting-room door and looked up at the impeccably dressed doctor. Oh, there you are. I wondered if you had given up on me and gone home.
He shook his head. I wouldnt do that. I was hoping that I would be able to talk to you again.
His glance flickered over her, taking in the soft fabric of her top where it gently caressed the swell of her breasts, and then paused to linger on the smooth line of the skirt where it faithfully followed the curve of her hips. His gaze slid down over the shapeliness of her legs.
His glance lifted, capturing hers before taking a brief detour over the golden cascade of her hair. She felt a rush of heat fill her cheeks under that lazy scrutiny, but she could hardly object as she had been giving him much the same treatment earlier.
I could see that you were busy, he murmured, and I took the opportunity to follow up on a couple of contacts while I was waiting for you.
She had no idea what he meant by that, but she said evenly, Perhaps we should go into my office? Its just along the corridor. She was a touch early perhaps, but Helen would be along shortly.
That sounds like a good idea. He gave a half-smile and fell into step beside her as she began to walk in the direction she had indicated. How is the boyAdam?
Hes undergoing surgery at the moment to fix the fractured femur. None of his other injuries appears to be life-threatening, so Im hoping that hell be on the mend and ready to leave hospital in two or three weeks. She pushed open the door to her office and ushered him inside.
Thats good news. Im glad to hear it. He stood to one side and closed the door behind her, giving her a smile, and it was as though sunlight had suddenly filled the room. She stood very still for a moment or two. The breath caught in her throat and she had to quell a sudden leap of her senses that threatened to overwhelm her.
It was very odd. This man was a total stranger to her, and her reaction to him was way overboard. She couldnt imagine why she responded to his presence this way, but it must have something vaguely to do with her hormones, she guessed. They must be acting up, that was the answer.
So you think you might like to work here on a part-time basis? she murmured, indicating a chair where he could make himself comfortable. Would you like to run through your CV for me while I hunt out your file?
She began to search through the paperwork on her desk. There were four candidates for interview, and it occurred to her that she didnt know which of them he was.
I dont think I asked your name, she said, glancing across the table at him.
He hadnt taken up the offer of a seat, but instead was looking around the room with interest, fingering the window-blind so that he could take a look at the view out onto the landscaped hospital grounds.
No, you didnt, he murmured, letting the slats of the blind drop back into place. Actually, Im not here about the job at all. I was on my way to keep an appointment with the hospital chief when the accident happened. I was in the car behind the one that hit Adam and, as I said before, I stopped to see if there was anything I could do for him. I called for the ambulance and waited with him until the paramedics came along, and then I used their equipment to intubate him as he had slipped into unconsciousness. As soon as I could see that he was safely inside the ambulance, I followed him here.
Abby stared at him. Oh, I see. He had stopped to help the child and do what he could for him, and that was good to hear. Somehow it didnt surprise her that he would act in that way. Your intervention right from the start probably did more than anything to give him a better chance of recovery.
Even so, she was a bit nonplussed about her mistake. She felt more than a little foolish now that he had explained what he was doing there, and she said flatly, Did you manage to keep your appointment?
He nodded. One of them, at least. I still have to meet up with someone from Administration in half an hour or so.
She blinked. Oh. It occurred to her that she was beginning to sound repetitive, and she pulled herself together and sent him a puzzled glance. She said cautiously, I cant help feeling that I know you from somewhere. Your voice is familiar somehow, but Im almost certain that we havent met.
His mouth made a crooked shape. Only through correspondence perhaps. Im Matt Calder. He gave her a look from under half closed eyes. From the TV programme Emergency Call. You are the same, Abby Byford from the Chilterns, who sent in the email about the show, arent you? Do you remember me now?
She gave a sharp intake of breath. Her mouth dropped open and she quickly clamped it shut again. She stared at him in horror. You, she said at last. Its you, of all people?
She shook her head. This was the man who had splattered her email all over his website and read out her comments over the airwaves, and she had actually been civil to him. I cant believe this is happening, she muttered. It felt for all the world as though she had invited the devil himself into her office.
He must have picked up on something of her train of thought because he said in a dry tone, I realise that it must have come as a shock to you to find me here, but I can assure you that Im a perfectly reasonable man. We may have conflicting views, but theres nothing wrong with airing both sides of the argument, is there?
She didnt answer him right away. Instead, she stood up and started to pace the room, more to work off her rising sense of irritation than anything else. You ridiculed me, she said at last. You talked about using the off switch as though I was a moron. I have to tell you, I just dont believe thats the answer. The problem goes much deeper than that. Your programme is an intrusion. You invade peoples privacy. She used the words as though they were weapons, stabbing at him.
He tipped his head slightly to one side, studying her as though she was an interesting specimen. I dont believe thats so, and I wasnt implying for an instant that you were lacking intelligence in any sense. I just feel that you cant go on living in a time warp. This type of show is a regular on the media these days.
Her eyes narrowed. Then I have to say I think thats a great pity.
He frowned, but he wasnt about to let up. As far as Im concerned, it would seem logical to switch off the TV set if youre not happy with what is being shown. I happen to think that what we do is important. We keep people informed about what might happen in certain situations. We show them how the system works and help them to know what to do in an emergency. Knowledge is power after all, and you have to remember that the individuals we film have all given their consent for the footage to be shown on TV.
Had they really? Abby sniffed in disagreement, a wave of exasperation rising up in her at his bland reply.
Have they? She scowled at him. And how informed was that poor womans consent while she was struggling to cope with her labour? From what I could see, she was more concerned that someone would give her painkillers than what was going on all around her.
You know, these programmes dont go out live on air, and if it makes you feel better, I can assure you that I made certain that we had Megans full consent. We asked her again after shed had the benefit of analgesics and time to think it through. I feel that we were very discreet in the way we filmed the birth, and I dont think the finished product would upset many people. Nothing was shown that couldnt be watched on daytime television.
Thats a matter of opinion, though Ill grant that some attempt was made to preserve her dignity. Thats something at least, I suppose. It was a concession of sorts, but she had to drag it up from deep within her. By now shed definitely had her fill of Dr Matt Calder. It still seems like an intrusion to me.
She straightened her shoulders and went on, I want to thank you again for what you did for the little boyfor Adam. Im sure his parents will be very grateful to you for that. She hesitated for a moment, and then added, As youre not here for an interview, I hope youll understand if I say goodbye to you now and show you out. I have four other people to see, and when Im finished here I have patients to attend to.
Her green eyes flickered. He, on the other hand, probably had nothing more pressing to do than to keep a late lunch appointment with a TV executive.
He didnt appear to be at all fazed by her dismissal of him. Instead, he reached for her hand, taking it between his palms, and said, Its been interesting to meet you, Dr Byford. Perhaps well have the chance to chat again later today after my appointment with your admin department. Id very much like to look in on Adam to see how he is doing after his surgery.
I dare say thats a possibility. Abby couldnt think straight with him holding her hand that way, and she wasnt about to commit herself to anything. With any luck, she would be engrossed in her work by then and well out of reach of this man.
He let her go, and slowly her senses began to settle down once more. She felt hot all over and her head was filled with cotton-wool clouds that only dissipated once he had taken a step back from her. It was just as well they did, because she had work to do. How was she supposed to conduct interviews with her brain in absent mode?
She saw him out of the room, but as she walked out into the corridor with him, she saw that Helen was hurrying towards them. The registrar stopped in her tracks, looking at him in wonder.
Youre Matt Calder from the TV, arent you? she said in an oddly breathless tone. I cant tell you how much I enjoy your programmeand your websiteand I always try to catch your radio slot whenever its being aired while Im driving to work. She stared at him in open-eyed wonder. Are you here for the A and E post? Please, say that you areIll be the envy of all my friends if you decide to come and work here.
Matt smiled at her. Actually, no, Im not. I wish it were otherwise, but Im really only free for a few mornings a week.
Thats all right. Thatll do fine, Helen said, a note of eagerness in her voice. Whatever you can spareanythingthat would be great by me. Her eyes were wide with anticipation.
Matt gave a soft laugh. Im glad you think so. Im sure we would work very well together, given the chance, but, alas, I have other commitments at the moment. Im filming over the next couple of weeks because we still have to do four more shows to complete the series.
Couldnt you do the show from here? Helen was clearly getting desperate now, and Abby gave her a sharp nudge with the toe of her shoe.
What? Helen reluctantly turned her gaze to Abby.
I think Dr Calder is going to be too busy to do that, Abby said in an even tone. Besides, we shouldnt delay him any longer. He has an appointment to keep.
Oh, dear, Helen murmured. She turned her gaze back to him. Do you really? Thats such a shame.
I do. Dr Byford is quite right. I have to be somewhere else in a few minutes, but youve certainly given me food for thought and Ill bear your suggestion in mind. Perhaps when my recording of Emergency Call comes to an end, Ill have more time to spare. Matt threw a brief sideways glance in Abbys direction, and she wondered if he was deliberately trying to rile her. Its been a pleasure to meet both of you.
Believe me, the pleasure was all mine, Helen said huskily.
Abby tugged on her arm and pulled her into the office as Matt turned away and began to stride down the corridor. Youve obviously taken leave of your senses, she hissed. What are you on?
Pheromones, Helen replied in a distracted voice. Sheer, unadulterated male pheromones and animal magnetism. He has it in droves. He should bottle it. Hed make a fortune.
Abby made a wry face. I think youd better take a minute to pull yourself together, she said. We have work to do.
Helen sighed. I suppose we do, but I can tell you now, not one of the candidates is going to stand up to what I have in mind, not after that.
Then I suggest you come back down to planet Earth, and make it quick, Abby said briskly. We have to do some serious interviewing. I need to find someone who can fit in with the department and take some of the burden off our shoulders.
Oh, well, if you put it that way
A couple of hours later, Abby had to admit that they were no nearer to solving their problem. The trouble is, the hours were offering people are either too few or too many, she told Helen. Nothing seems to fit in with what the interviewees had in mind, and from our point of view we need someone who has strong paediatric qualifications. I dont think that any of those people would be able to work under pressure. They just dont seem to have the experience.
It looks as though another advert will have to go in, then? Helen queried.
I guess so. I just wonder if well get any more response than we had the first time around.
They made their way back to A and E, and she went to check on the progress of three-year-old Adam. He had come through everything all right, and it cheered her up that she could say as much to the distraught parents who were at his bedside.
Would you come and take a look at the girl in room one? Sam asked a little later. Shes the two-year-old that I mentioned earlier. Im beginning to be quite worried about her. She hasnt had her full range of vaccinations because of illness in the past, so until the tests come back, Ive no idea what Im dealing with. She isnt responding to antibiotics, and her fever is raging. Her heart rate is fast, as well as her breathing, and the pulse oximetry reading is very low. Do you think we need to do a lumbar puncture?
They were already walking towards the treatment room. Thats a very invasive process, Abby said. Is there any sign of a rash?
Sam shook his head. Not as such, but she appears to be very ill. Im afraid that shes not responding to treatment, and that she might be going into septic shock. It seems as though theres a systemic inflammatory response.
Abby looked at the toddler and her heart immediately went out to the child. She was dreadfully ill, unresponsive, and a brief examination left Abby concerned that her circulation was shutting down, despite the resuscitation procedures they had put in place.
The parents were tearful, pleading with her to do something for their baby.
I know this is difficult for you, she told them. Lucy is very ill, but were doing everything possible to help her. It looks as though she has a bacterial infection of some sort, possibly a form of pneumonia, and so far it isnt responding to treatment. Im going to change the antibiotics and add something to assist her circulation. We just have to hang in there and wait for the medicine to take effect.
Turning to Sam, she said in an undertone, Well add a vasopressor to assist the blood flow, and a steroid to see if that will do something to reduce the inflammation.
Sam looked anxious, but she said softly, Youre doing all right. Youve done everything possible.
I hope its enough.
She nodded. It was frightening to see a child looking so ill, and Lucys desperate condition weighed heavily on her mind as she left the room.
Glancing across the expanse of the department, she caught sight of Matt Calder coming in through the main door, and her first instinct was to walk in the opposite direction. She resisted the impulse. Whatever her feelings towards him, she had a job to do, and she couldnt simply take an escape route and avoid him.
Then she saw that he wasnt alone. He had with him the head of administration, and the two of them were chatting amicably, almost as though they were old friends.
A nurse handed her a chart outlining another patients progress, and she quickly checked the details on it before adding her signature and handing it back. You can reduce the observations to half-hourly, she told the girl. His condition seems to be improving at last.
Ill do that. The nurse hurried away, and Abby headed for the trauma room so that she could examine a child who had just been brought in.
May we interrupt you for a moment? the head of administration queried gently.
Of course. She gave him a polite smile. She had nothing against the man personally, but his department was forever coming up with new edicts to be followed or targets that had to be met, and not one of them ever made her job any easier. The only way he and his kind would ever understand the constraints she was under would be if he was to try working at the rock face, but that wasnt likely to happen in a month of Sundays.
I believe youve already met my friend, Matt, here? His smile was encouraging. Clearly he expected an enthusiastic response.
Yes, we ran into each other earlier today. So they were pals, were they? Abby mused.
Good, good. Then you two already have a head start. Matts writing an article about what goes on in A and E. You know the sort of thingthe challenges you come up against in your daily work, the kind of cases you see on a regular basis. Perhaps you could help him out? I cant think of a better person to show him around.
Abby glanced at Matt and forced a smile. I dont know about giving you the grand tour. It will be more a case of following me around as I work and getting questions in where you can, I should imagine. I dont have the luxury of free time, but youre welcome to tag along.
The head of administration looked a trifle disconcerted at that, but Matt responded well enough.
That would be excellent, thank you. I really dont want to put you out in any way.
Didnt he? So why did she get the feeling she was being coerced into doing this? Anyway, she wasnt going to spend too much time worrying about it, whatever either of them thought about her manner to them.
The trouble with men in authority, from her experience, was that they expected to have everything work their way, and it didnt matter who they trod on to get to where they wanted to be.
Wasnt that what Craig had done? Her ex-boyfriend had begged her to help him study for his exams, had picked her brains, and then he had walked all over her to get the promotion she had been after. He had taken their shared research paper, the one she had worked on intensively and had been struggling to perfect for over a year, and he had taken all the credit for it himself, using what had mostly been her work to wow the interview board with his so-called expertise.
I was on my way to see a patient, she murmured. If youll excuse me?
Of course. The man from Admin clapped Matt on the back and said brightly, Ill leave you in Abbys capable hands. Then he strolled back the way he had come, taking a leisurely route and pausing to admire the colourful murals along the way.
I dont know how much help I can be to you, Abby said to Matt, continuing on her way to the trauma room. I would have thought you already have some experience of A and E. We all do a stint there during training, dont we?
Thats true and, to be honest, I actually specialised in it at one time. What Im really looking for is your take on things. How you feel about your work, and which cases have an effect on you above all others. He paused for a moment or two, giving her a thoughtful look. I noticed that you seemed sad when we walked in here a few minutes ago. Was it because of a difficult problem you had to solve?
I dont deal with cases or problems, she told him. I treat sick children.
She might have expected him to draw back at the snub, but he simply studied her more closely, a glimmer of compassion in his eyes. And thats the crux of it, isnt it? Thats what makes yours such a heart-rending job.
She winced at his perception. Why did he have to show that he understood? She didnt like the man, neither did she want to have anything to do with him. He was the enemy, a thorn in her side.
If you can understand that, she said, then it beggars belief that you should write an article on the pros and cons of vaccination. I have to deal with the fallout from that when parents read your stuff and decide that vaccination isnt for their children. Then I have to try to save the lives of the ones who come in here with meningitis and respiratory infections that overwhelm their immune systems.
Did you read the article?
Bits of it. She grimaced. Someone had left the magazine open on the table in the doctors lounge, and I glanced at it in passing.
He gave a crooked smile. Im not going to win this argument when Im up against a biased opinion like yours, am I? Perhaps you should have read the article in full before you made up your mind that Im the devil incarnate.
Dont flatter yourself, she said. I tend not to think about you at all.
That remark might have been a good payback for the putdown he had made on his website, but it didnt have anything near the effect shed wished for. He simply tilted back his head and laughed.
CHAPTER THREE (#ulink_905a1e58-63f4-525b-a0ef-518c21ba7fdd)
HOW is the article coming along? Abby queried, glancing at Matt as he walked up to the reception desk in A and E. He was beautifully turned out, as usual, wearing an immaculate grey suit, with a shirt that was a soft shade of blue. It matched the colour of his eyes, she noted irrelevantly. She watched him take his notepad from his briefcase.
Im getting there, he murmured. This last session should see me through to completing it. I already have a wealth of material to write up.
Thats good. She frowned, glancing at him through narrowed eyes. Perhaps it would mean that he would soon be gone from under her feet. It was some three weeks since he had arranged to follow her progress through A and E, but at least she had managed to limit his visits to one day a week. She was still uneasy at having him shadow her every move. His presence in the unit put her on edge, though she was hard put to say why.
I hope youll be sure to let me see the finished article before it goes to print, she said on a warning note. Heaven forbid he should take the opportunity to aim a few more swipes at her through his website or, in this case, a Sunday newspaper magazine.
I will, of course. His mouth made a crooked slant, one that she was beginning to recognise. He knew exactly what she was thinking, and the fact that he had the ability to read her mind so easily was making her increasingly uncomfortable.
She started towards one of the treatment rooms. Im going to check up on a six-year-old who was brought in here a little earlier. His mother was brought to A and E after a violent domestic incident involving her husband, and the episode seems to have triggered the childs asthma. Hes in a bad way.
Matt frowned. Was it simply stress that started the attack, or do you think there could be an underlying infection thats adding to his troubles?
There may well be an infection of some sort. Hes certainly very chesty. Were doing tests to check on that, and we have him on antibiotic therapy in the meantime, but I think whatever happened at home tipped him over the edge and sent his lungs into spasm.
They went into the room together a moment later. The little boy was propped up against pillows, and a nurse was checking the monitors and recording his vital signs on a chart.
Abby went over to him and adjusted the oxygen mask, which had become slightly dislodged. Breathe in through here for me, Ryan, will you? It will help you to feel better. Here, you can hold it, if you like.
Ryan struggled to pull in a few breaths of oxygen. He was a frail, thin little boy, with fair hair that added to his pallor. He was ashen-faced and very distressed, so that Abby was worried for him.
He gazed up at her. I want my mum he said in a thready voice. He turned his head and tried to look around the room, obviously searching for her, but he was very weak and the effort exhausted him. He sank back against the pillows, a teardrop trickling down his cheek.
Abby wished that she could comfort him. She wanted to reach out and hug him. Im sure shell be here to see you in a little while. We just need to make sure that youre feeling better so that youll be able to talk to her when she comes to sit with you.
My mums poorly, the boy said heavily, pulling the mask away from his mouth for an instant, and Abby held it for him so that he could still breathe in the oxygen. I wanted to stay with her.
I know you did, Abby said. She was hurt, wasnt she? But someones gone over to the grown-ups A and E to find out how she is. The nurses are looking after her right now, but as soon as shes strong enough well see if we can bring her over to you.
His expression was solemn, as though he was thinking things through. After a moment or two, he said, his voice barely more than a whisper, Daddy hit her in the tummy. His face started to crumple. I tried to stop him. I shoutedBut he pushed me out of the wayand my mum fell down.
His breath gave way, and Abby said gently, It must have been very upsetting for you to see that.
Ryan nodded, a very slight movement of his head, and he started to chew at his bottom lip. Abby glanced up at Matt, and saw that he was frowning, his gaze intent on the boy.
Has this sort of thing happened before? he asked.
Again, Ryan nodded. Abby said, I know this is hard for you, but you should try not to worry too much. It was very clever of you to ring for the ambulance, and your mother must be very proud of you. You did what you could to help her, and now, because of that, youre both being looked after. You did very well.
The boy didnt look as though he was too sure of that, and Abby guessed that he would go on fretting until he actually saw his mother again. He stared wretchedly into space, and she moved away from the bedside in order to cast a glance over his chart.
Matt was still frowning, and said in an under-tone, Where was the father while the boy was ringing for the ambulance, do you know?
Abby shook her head. It seems that he left the house, and no one has seen him since. The paramedics spoke to the neighbours and they said this kind of event wasnt unusual. Apparently he likes to have everything his own way and the couple are always arguing.
Has anyone checked the womans medical records to see if there are any other recorded instances of possible abuse?
She nodded. Yes. I had a word with someone in the department, and they were looking into it. Shes had rib fractures, apparently, and a few unexplained falls.
Matts jaw flexed. He needs to be stopped.
Abby pressed her lips together. Youre right, of course, but if his wife wont take a positive stand and bring it out into the open, theres very little that we can do to help her. She has to find the courage to make the first move.
The nurse came to the bedside and tucked a teddy bear against the pillow, sitting him next to Ryan and folding the toy into the crook of his arm. Ive brought a friend to keep you company, she told him. Teddys not very happy. I think he wants a cuddle.
The boy was too weary to respond, but he rested his fingers over the bears soft belly, patting him gently, and then he breathed in through the mask, making a ragged little sigh.
Abby turned to Matt and said quietly, Im giving him a bronchodilator through the nebuliser, but it isnt working fast enough, so Im going to see if I can get him to swallow a dose of prednisolone. I dont think were going to achieve the best results while hes still upset, though.
Thats probably true. The best thing would be to keep him as calm as possible.
The nurse brought the medication in a plastic cup and Abby held it to the boys lips. He pulled a face, but she urged him to drink it, saying softly, I know it doesnt taste very nice, but it will help to make you feel better.
When he had finished, she helped Ryan to put the mask in place once more, and then she handed the cup back to the nurse, asking quietly, Is there any news about his mother?
Theyre still treating her in the adult A and E department for possible damage to her pancreas. Andrea is looking after her over there. She said she would let us know whats happening.
Thanks, Jane.
The girl glanced at Ryan, and then turned back to Abby, her mouth drooping a fraction. Hes obviously very distressed about what happened.
Thats not surprising. He must have been very frightened, knowing that he was helpless to stop it.
Abby was silent for a while, thinking about the boys anguish, and the nurse said softly, You said earlier that you saw his mother when she was brought in, didnt you?
Yes, I did. I was just coming from the hospital car park when the ambulance drew up. I could see what a state the boy was in, and his poor mother looked traumatised. It would have been better if they could have stayed together, perhaps, but the staff were worried that his asthma was worsening, so after a while they sent him over here.
I thought you seemed to be deeply affected by what happened to his mother. You were very quiet when you came in here first thing.
Was I?
The girl nodded. I hope you dont mind me saying, but Ive heard something of what happened to you a couple of years ago. You were hurt in a similar way, werent you? Are you sure that youre all right? It must have brought back memories.
Im fine, thanks. Its just that any kind of aggressive behaviour is disturbing, and I dont like to think of either of them going back to that situation. What happened to me was just a fluke, a one-off. I was in the wrong place at the wrong time, so to speak.
She sent a quick glance in the boys direction and was glad to see that he had closed his eyes and appeared to be resting now. It was awful to think of him living in that tense atmosphere, day after day.
She was startled to realise that the nurse had picked up on her own inner fragility, because she always prided herself on keeping any vulnerability well hidden. She couldnt guard her reactions all the time, though, and nothing had been going the way it should lately. It seemed to her that ever since Matt had come into her life, life had been like a roller-coaster and she was struggling to keep herself from going off the rails.
As to todays events, Abby had never suffered from domestic violence as such, but she didnt want to dwell on exactly what it was that had governed her response to what had happened. It was something she tried to bury deep inside her, but no matter how she tried to prevent it every now and again it would bubble to the surface.
She was uncomfortably aware that Matt was looking on while they were talking. Jane kept her voice low, but he never seemed to miss anything, and she couldnt be sure that he hadnt overheard their conversation. She definitely didnt want him to start asking questions.
She glanced at him, but just at that moment the door opened and Andrea came in, pushing the childs mother in a wheelchair, which she carefully manoeuvred into position beside the boys bed.
Ryans mother was a slip of a girl, with long, straw-coloured hair that tumbled across her face, and Abby wondered if she let it stay that way so that it would hide her unhappy expression.
Melanie, Abby greeted the woman she had spoken to briefly earlier in an effort to reassure her that they were going to take good care of her son, its good to see you again. How are you feeling?
Im not too bad. Her drawn features belied the words, but Abby didnt pursue the matter, because it was clear that Mrs Stanton only had eyes for her little boy. How is he? she asked in a low, anxious tone, gazing at the boy as he lay there unmoving, his eyes closed. She dragged her glance back to Abby.
Hes still very poorly, but his breathing seems to be improving, Abby said. I think the new medication must be taking effect. She glanced at the nurse beside Melanie. Thanks for bringing her to us, Andrea.
Youre welcome. The nurse smiled and took a quick, compassionate look at the boy before she gave her attention to the woman once more. You take care, Melanie, she said. Remember, you dont have to put up with the situation at home. You can take control of your life, and you can make sure that Ryan doesnt have to go through any of that upset ever again. There are people who will help you.
I dont know about that Melanies lips were quivering and she clamped them together to keep them still. But thank you, anyway.
The nurse left the room, and Matt moved to stand alongside the wheelchair. Hello, Melanie, he said quietly. Im Dr Calder. I was sorry to hear about what happened to you. It must have been very upsetting.
Yes, it was. She studied him, her gaze bleak, her expression full of defeat, but something flickered briefly in her eyes. I know you, dont I? Arent you the doctor from the television? The fact that she recognised him didnt seem to do anything to lift her spirits, and her tone stayed flat.
Thats right, I am. Matt was very gentle with her, bending down beside the wheelchair and coaxing her to talk to him. What did the doctors say to you in A and E? I can see that you have a drainage tube in place, so theyve obviously been looking after you.
He was very perceptive, Abby thought. The tube was mostly covered by the folds of a blanket, so that it was barely discernible, and the receptacle was strapped to the wheelchair for safety.
Have they managed to sort out all your problems? he asked. Well, the medical ones, at least.
I think so. The doctor said he thought my pancreas was damaged slightly and that there was a build-up of blood in my abdomen. Theyve put a tube in to drain it, and they say it should heal well enough, as long as I rest up for a couple of weeks.
Are you going to be able to do that?
The woman lowered her head and her voice faded into the covering blanket. I dont know.
Do you have any family who can help you through the next month or so?
Melanie shook her head.
Matt studied her thoughtfully. Its important that you realise you have alternatives. You dont have to stay at home and put up with bad treatment, you know.
Melanie winced. Ive nowhere to go, and if I was to try to leave, my husband would come after me. Her voice wavered. Anyway, Im more worried about Ryan. He looked so ill. He was so upset and frightened.
Hell go on feeling that way unless you do something to change the situation. I know its hard, but you dont have to do it on your own.
The little boy opened his eyes and blinked slowly. Mummy, he said, a smile creeping over his lips. Are you better now?
Very nearly, his mother said. Her face lit up as she looked at her small son, and her features softened. She laid a hand on his head and tenderly stroked his hair. How are you feeling, sweetheart? I was so worried about you.
Im all right. The words came out as a whisper.
He wasnt by any means all right, Abby thought, and neither was his mother. They were traumatised, hurting and exhausted after what they had been through.
Is Daddy going to come here? Ryan asked. His eyes were troubled.
I dont know, Ryan.
Abby studied the child for a moment or two. Was there any way she could bring this whole situation out into the open so that they could deal with it once and for all? They didnt seem to be getting anywhere very fast. The nurse from the adult A and E unit had tried, and Matt had done what he could to coax Melanie into accepting help, too. The woman had resisted, but Abby had to respect him for trying.
She said carefully, How would you feel about it if your daddy were to come here, Ryan?
The boy didnt answer. Instead, he looked down at the sheet that covered him, and his bottom lip started to quiver.
Matt was looking at Melanie, and now he said quietly, I know of some agencies that can look after both of you. They can keep you safe and advise you on how to get through any difficulties.
Melanie didnt give any sign that she believed that, and instead, as she glanced towards the door, she bit her lip, as though she had the worries of the world on her shoulders. She tensed suddenly, staring through the partitioning glass wall, and her shoulders stiffened as though she was bracing herself.
Abby could see what was troubling her when the door opened and a man walked into the room. He was smartly dressed, wearing a dark suit and a crisp, pale-coloured shirt.
So there you are, he said, his gaze homing in on Melanie and ignoring everyone else. Ive been worried sick about you. They told me you were hurt and that you had been brought here. I know you had another of your falls, but you were fine when I left the house. You just need to rest up. He frowned. I was only away for half an hour, and you disappeared. Ive been looking everywhere for you.
His glance went to the bed. Whats Ryan doing here?
He had an asthma attack. Melanies voice was barely audible, and she seemed to shrink into herself. Abbys gaze caught the faint tremor that affected her hand.
Another one? Its time he grew out of those. You both need to be at home where I can look after you. He swivelled around and glanced dismissively at Matt and Abby. Lets get that organised right now.
Abby intervened when he would have taken hold of the wheelchair. Mr Stanton? she queried.
He nodded briefly. Who are you?
Im Dr Byford. Im looking after Ryan. Im afraid neither he nor your wife are in any condition to go anywhere. Ryan needs to be monitored constantly because his oxygen level is dangerously low, and your wife has just undergone minor surgery. We have to keep an eye on her in case any complications arise.
Surgery? They told me over in A and E that she was bruised where she fell onto the arm of the chair. Shell be all right. I can take care of her. You dont know my wife. She hates being in these places. They make her nervous and unsettled. Shell be far better off at home with me.
Im afraid thats not an option, Mr Stanton. You have to understand that it would be dangerous for either of them to be discharged right now. Arrangements have been put in place for them to be admitted.
Then youll have to cancel them.
She tilted her head back. Im sorry, but that wouldnt be wise.
His expression hardened. I dont think you realise who youre dealing with. I know whats best for my wife and son.
He took hold of the handles of the wheelchair and started to turn it around. Ryan began to whimper as he saw his mother being trundled away, and as his lungs constricted the oxygen monitor started to bleep a warning. The nurse hurried over to attend to him.
Abby positioned herself in front of the door. So do I, Mr Stanton. Im in charge here, and I have a duty of care to my patients. If you insist on attempting to remove them against their will, I shall have to call Security.
Her heart was thumping erratically as she said that. She was taking a chance here because Melanie hadnt actually said anything about wanting to stay, and it was only the womans haunted expression that drove her onthat and Ryans distress. She was going out on a limb to defend them both.
The mans jaw hardened, his mouth making an ugly line. You think youre going to stop me from taking my family home where they belong? You dont have a leg to stand on. He swung around to look at his wife. Tell her, Mel. You want to come home, dont you? His mouth was curved as though in a smile, but his eyes were as cold as ice, daring her to oppose him.
I suppose II
Abby was desperately afraid that Melanie would give in to his pressure. What on earth could she do to resolve the situation if the woman allowed him to badger her? She had already extended her powers to the limit and beyond.
Your wife is too ill to make that decision, Matt intervened, moving to stand between Melanie and her husband, and Abby felt an immediate rush of relief sweep through her. Leaving here at this time could lead to her suffering a life-threatening relapse, and if you persist in trying to remove her, I will testify as such in court. The same applies to your son. You can hear the heart monitor bleeping. It means that his heart rate has accelerated dangerously and he is in desperate need of medical attention. Your presence here is hindering the accident and emergency team from being able to do their job. I suggest you leave before I assist Dr Byford in calling Security to remove you.
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Joanna Neil
Тип: электронная книга
Жанр: Современные любовные романы
Язык: на английском языке
Издательство: HarperCollins
Дата публикации: 16.04.2024
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О книге: The Doctor′s Longed-For Family, электронная книга автора Joanna Neil на английском языке, в жанре современные любовные романы