P James - Shroud for a Nightingale

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Two student nurses lay dead and the great hospital nursing schol was shadowed with terror.

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“Nor do L I think I know why Fallon came back to Nightingale House. Nurse Goodale told us that Fallon had received the pregnancy confirmation only two days before she went sick. It’s possible that she didn’t destroy it If so, if’s the one possession in her room which she wouldn’t want to leave for someone else to find. It certainly isn’t among her papers. My guess is that she came back to retrieve it, tore it up, and flushed it down the lavatory.”

“Couldn’t she have telephoned Nurse Goodale and asked her to destroy it?”

“Not without exciting suspicion. She couldn’t be sure that she’d get Goodale herself when she rang and she wouldn’t want to give anyone else a message. This insistence to speak to one particular nurse and the reluctance to accept help from anyone else would look rather odd. But it’s no more than a theory. Is the search of Nightingale House completed?”

“Yes, sir. They’ve found nothing. No trace of poison and no container. Most of the rooms contain bottles of aspirin and Sister Gearing, Sister Brumfett and Miss Taylor all have a small supply of sleeping tablets. But surely Fallon didn’t die of hypnotic or soporific poisoning?”

“No. It was quicker than that We shall just have to possess ourselves in patience until we get the laboratory report.”

V

At two thirty-four p.m. precisely, in the largest and most luxurious of the private rooms, Sister Brumfett lost a patient She always thought of death in that way. The patient was lost; the battle was over; she, Sister Brumfett, had been personally defeated. The fact that so many of her battles were foredoomed to failure, that the enemy even if repulsed in the present skirmish, was always assured of final victory, never mitigated her sense of failure. Patients did not come into Sister Brumfett’s ward to die; they came in to get better, and with Sister’s indomitable will to fortify them, they usually did get better, often to their own surprise and occasionally despite their own wishes.

She had hardly expected to win this particular battle but it was only when Mr. Courtney-Briggs lifted his hand to turn off the blood drip that she accepted failure. The patient had certainly fought well; a difficult patient, a demanding patient, but a good fighter. He had been a wealthy business man whose meticulous plans for his future certainly didn’t include dying at forty-two. She recalled the look of wild surprise, almost of outrage, with which he had greeted the realization that death was something neither he nor his accountant could fix. Sister Brumfett had seen too much of his young widow on that lady’s daily visits to suppose that she would suffer much grief or inconvenience. The patient was the only one who would have been furious at the failure of Mr. Courtney-Briggs’s heroic and expensive efforts to save him, and happily for the surgeon, the patient was the one person in no position to demand either explanation or excuse.

Mr. Courtney-Briggs would see the widow and offer her his customary carefully phrased condolences, his assurance that everything humanly possible had been done. In this case, the size of the bill would be a guarantee of that and a powerful antidote, no doubt, to the inevitable guilt of bereavement Courtney-Briggs was really very good with the widows; and to do him justice, the poor as well as the rich received the consolation of his hand on their shoulder, of the stereotyped phrases of comfort and regret.

She drew the fold of the sheet up over the suddenly vacant face. Closing the dead eyes with practiced fingers, she felt the eyeballs still warm under the wrinkled lids. She was conscious neither of grief nor anger. There was only, as always, this dragging weight of failure tugging like a physical load at the tired muscles of her stomach and back.

They turned away from the bed together. Glancing at the surgeon’s face, Sister Brumfett was struck by his look of weariness. For the first time be, too, appeared threatened with failure and with age. It was, of course, unusual for a patient to die when he was there to see it happen. Still less frequently did they die on the operating table, even if the scramble from the theatre to the ward was sometimes a little undignified. But, unlike Sister Brumfett, Mr. Courtney-Briggs did not have to watch over his patients to the last gasp. All the same, she did not believe that this particular death had depressed him. It was, after all, not unexpected. He had nothing with which to reproach himself even if he had been given to self-criticism. She felt that he was stressed by some subtler worry, and she wondered whether it was something to do with Fallon’s death. He’s lost some of his bounce, thought Sister Brumfett He looks suddenly ten years older.

He preceded her down the passage to her office. As they neared the ward kitchen there was the sound of voices. The door was open. A student nurse was setting a trolley with the afternoon tea trays. Sergeant Masterson was leaning against the sink and watching her with the air of a man completely at home. As the Sister and Mr. Courtney-Briggs appeared in the doorway the girl flushed, muttered a low “good afternoon, sir” and pushed her trolley past them into the corridor with clumsy haste. Sergeant Masterson gazed after her with tolerant condescension, then transferred his level gaze to the Sister. He appeared not to notice Mr. Courtney-Briggs.

“Good afternoon, Sister, could I have a word with you?”

Baulked of the initiative, Sister Brumfett said repressively:

“In my office if you please, Sergeant That is where you should have waited in the first place. People do not wander in and out of my ward just as they please, and that includes the police.”

Sergeant Masterson, unchastened, looked slightly gratified at this speech as if it confirmed something to his satisfaction. Sister Brumfett bustled into her office, tight-lipped and ready for battle. Rather to her surprise Mr. Courtney-Briggs followed.

Sergeant Masterson said: “I wonder, Sister, if I could see the ward report book covering the period when Nurse Pearce was on this ward? I’m particularly interested in her last week here.”

Mr. Courtney-Briggs broke in roughly:

“Aren’t they confidential medical records, Sister? Surely the police will have to apply for a subpoena before they can make you produce them?”

“Oh, I don’t think so, sir.” Sergeant Masterson’s voice, quiet, almost too respectful, yet held a tinge of amusement which wasn’t lost on his hearer. “Ward nursing records surely aren’t medical documents in the proper sense. I merely want to see who was being nursed here during that period and whether anything happened which might be of interest to the Superintendent. It’s been suggested that something occurred to upset Nurse Pearce while she was nursing on your ward. She went from here straight to the school, remember.”

Sister Brumfett, mottled and shaking with an anger which left small room for fear, found her voice.

“Nothing happened on my ward. Nothing! It’s all stupid, malicious gossip. If a nurse does her job properly and obeys orders there’s no need for her to be upset. The Superintendent is here to investigate a murder not to interfere with my ward.”

Mr. Courtney-Briggs broke in blandly:

“And even if she were-upset is the word I think you used, Sergeant-I don’t see what relevance that has to her death.”

Sergeant Masterson smiled at him as if humoring a willfully obstinate child.

“Anything that happened to Nurse Pearce in the week immediately before she was killed may have relevance, sir. That’s why I’m asking to see the ward report book.”

As neither Sister Brumfett nor the surgeon made any move to comply, he added:

“It’s only a matter of confirming information we already have. I know what she was doing on the ward during that week. I’m told she was devoting all her time to nursing one particular patient. A Mr. Martin Dettinger. ”Specializing him, I think you call it. My information is that she seldom left his room while she was on duty here during the last week of her life.“

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