Ken McClure - Donor

‘But how, if there’s an international register and a waiting list?’ asked Kate.

Turner paused again, then said, ‘I suspect there may be several international registers, not all of them available to NHS-funded hospitals.’

‘I don’t think I understand.’

‘I’m afraid that where there’s any kind of demand there’s always a supply based on currency rather than need,’ said Turner. ‘The international trade in donor organs is no different from any other commodity in short supply.’

‘How awful,’ said Kate.

‘But even if that were so,’ said Sandy, ‘surely they couldn’t admit to that and accept Amanda on those grounds?’

‘No indeed,’ smiled Turner. ‘But in addition, and this is important, they have the most modern dialysis equipment available anywhere in the world. I think a case could be made out that Amanda would benefit greatly from that alone. What she needs most right now is time. The Medic Ecosse unit could give her that. If they can come up with a kidney for her too, so much the better.’

‘How do we go about asking Medic Ecosse?’ asked Sandy.

‘The referral would have to come from here. I’ll speak to Dr Grayson if you like.’

‘Would you?’ said Kate, gratitude obvious in her voice.

‘Maybe I shouldn’t have rattled his cage,’ said Sandy ruefully. ‘I was pretty rude.’

‘Don’t worry about it,’ said Turner. ‘He’s too thick-skinned to have taken it to heart. He’ll have put it down to your being upset. Insensitive people always put it down to a misunderstanding on someone else’s part. I’ll get back in touch as soon as I’ve talked to him. Why don’t you go up and see Amanda for a while, and I’ll get in touch with the lab about tissue-typing you before you leave. It’s a simple procedure.’

Sandy stood up and shook Turner’s hand. ‘We really appreciate this,’ he said.

‘Let’s hope something works out,’ said Turner.

Turner left and Sandy waited for Kate to finish her tea. She was taking her time, trying to compose herself. She didn’t want Amanda to see that she had been crying. ‘What do you think?’ she asked as she put away her handkerchief and smoothed her hair back.

Sandy gave a long sigh as if suddenly releasing the tension he had been under. It was as if Kate’s question had acted as a relief valve. ‘I don’t know what to think,’ he confessed. ‘I feel numb. Everything seems to be happening at such a rate that I can’t keep up. I keep wanting to yell out, “Stop! Just a minute! Let’s all sit down and talk things over. This wasn’t meant to happen to my family. There’s been some kind of terrible mistake. It’s not really our daughter who’s supposed to have this thing.” But it is happening and time’s ticking away. I’m scared.’ He looked Kate in the eye.

She swallowed, before reaching across the table and taking his hand. ‘So am I,’ she whispered.

Sandy shook his head and said, ‘You know, I can’t believe it. I’m reduced to sitting here praying that some private hospital is going to take my daughter on as a charity case. Me! Ex-treasurer of the university Labour Club, veteran of a hundred campaigns to defend and support the NHS. Jesus! What a fake.’

‘You’re just a father trying to do his best for his daughter,’ said Kate softly. ‘There’s no shame in that.’

Sandy shrugged, not convinced. ‘Let’s go see her,’ he said.

They both broke into broad smiles as they walked into the room where Amanda lay, but the smiles were window-dressing to hide their worry. Amanda looked very ill. She had the distant look in her eyes that Kate had first seen on the day she fell ill. Her skin was pale, and she seemed slow and feeble in her movements. ‘I want to go home, Mummy,’ she said as Kate gave her a cuddle.

‘I know you do, darling, but you’re not well enough yet,’ crooned Kate. ‘But it won’t be long. All the boys and girls in the class send their love. They’ve sent you this card and look, they’ve all signed it.’

Amanda looked but her distant expression didn’t change.

‘Dr Turner says you’ve been a very brave girl,’ said Sandy but he was inwardly appalled at how weak Amanda appeared. There was hardly a flicker of spirit about her, despite the fact she had been dialysed that very morning. He tried not to think about it but logic insisted that he recognize that the chances of a suitable donor organ coming up in time must be remote.

Turner reappeared and ushered them out into the corridor to say, ‘I managed to see Dr Grayson and he has no objections to a formal request being made to Medic Ecosse. He’s left it up to me to take care of the paperwork so I’ll get on to it right away.’

‘We’re very grateful,’ said Kate. This was echoed by Sandy.

‘In the meantime, the lab people are ready for you, Nurse here will take you down.’

‘Do you really think she’s going to come through this?’ asked Kate as they drove home. ‘Honestly?’ Her voice had taken on a flat quality that Sandy hadn’t heard before. It unnerved him a little. He and Kate were finding out a lot about each other that they hadn’t known before the crisis. Sometimes he felt it was like being with a stranger. He knew false optimism wasn’t an option, even if he could have managed it; and that was in some doubt. ‘I honestly don’t know,’ he said quietly. ‘But if there’s a God up there, and he listens to hopes and prayers and knows just how much we both love her, then she’ll pull through.’

Kate squeezed his arm and said, ‘You know, I’m finding it difficult to know exactly what to hope for. I don’t think we can count on a miracle that will make Amanda’s own kidneys better, and Grayson and Turner were less than optimistic about either of us proving a suitable donor, so where does that leave us? Hoping that some other child with the same tissue type will die soon? Are we really hoping for a fatal accident to happen to someone else’s child?’ She broke down as she said it and searched for her handkerchief. ‘I’m sorry,’ she said.

‘I think in the first instance we should be hoping that Medic Ecosse says yes and agrees to take her on as a patient,’ said Sandy. He wanted to put his arms round her but had to concentrate on his driving. ‘If they really have better dialysis equipment, as Turner says they have, Amanda should start to look and feel better very quickly. That in turn would help us to feel better. As for the kidneys, let’s leave all that up to fate and the doctors. What do you say?’

Kate nodded and blew her nose.

Back at the Children’s Hospital in Glasgow, Clive Turner was filling in the paperwork required by Medic Ecosse for patient referral with fee waiver. He was using Amanda’s case notes as a source of information. The further he got into it, the less likely he felt it was that Amanda would be accepted as a patient. He should have thought of that before he said anything to the Chapmans. You didn’t need a medical degree to see that Amanda was a bad risk publicity-wise, and he could sense from the questions that this was what the free-referral scheme was all about. Medic Ecosse needed some good publicity after all the bad stuff it had received from a local press keen to expose it as a facility for the rich, with all the emotional fall-out that that entailed. People were quite happy to embrace the notion of hotels for the rich, cars for the rich and a host of other things that went with having money, but when it came to health care some special egalitarian principle surfaced. Woe betide the politician who didn’t — outwardly at least — bend the knee before that particular totem.

Common sense said that Medic Ecosse would be looking for patients they could mend or cure quickly and send on their way, preferably with press cameras waiting outside as they left the premises on the arms of delighted relatives. Prejudice against the hospital could be fought with proof of expertise. People respected learning and ability. But, as far as Turner could see, there was nothing to be gained in taking on risky cases who might die. That sort of concern was best left to Mother Teresa.