Anne Fraser - Top-Notch Men!

‘I guess you’re right …’ Allegra said, as she got to her feet. She touched the nurse briefly on the arm and added sincerely, ‘The world needs more people like you, Judy.’

Judy gave her a shy smile. ‘I was just thinking that about you, Dr Tallis. I’ve been meaning to tell you how much I admired you for fighting for the opportunity to do this study. If I had taken the drastic step Kate Lowe did—and let me tell you I was close to it—I would have wanted someone like you to give me another chance.’

‘We all deserve a second chance, Judy,’ Allegra said. ‘But unfortunately there’s someone out there or even here in the hospital who doesn’t think the same as you and I. They wanted Kate Lowe to die and if it hadn’t been for you, she very well could have done so.’

‘I hope the police find out who did it soon,’ Judy said. ‘It doesn’t look good for the unit or the new director, does it?’

‘No.’ Allegra let out a little sigh as she thought of the immense pressure Joel was under. She had been too quick to judge him without considering how difficult things had been for him, newly appointed and with so many people’s expectations burdening him. Every time she saw him he looked even more exhausted. No wonder he had been so short with her the night before. He wanted results and he wanted them quickly. And yet, in spite of his misgivings, he had ensured Tommy received only the best attention and care.

‘I’m off home now,’ Judy said, interrupting her reverie.

‘Lucky you,’ Allegra said, wincing as she looked up at the clock on the wall. ‘I’ve only got thirteen and a half hours to go.’

The police officer guarding Kate Lowe’s room looked up as Allegra came in after the mandatory security check. Allegra introduced herself and explained briefly about her study before she came over to the patient’s bed and looked down at the young woman lying there. Without the hiss and groan of the ventilator, the room seemed extraordinarily quiet. The monitoring equipment still attached to Kate made her seem small and vulnerable, not unlike her little son further along the unit.

‘Kate, my name is Allegra Tallis,’ Allegra said, as she took one of the woman’s hands in hers and stroked it gently. ‘I’m a doctor, an anaesthetist, and I’ve been looking after your son, Tommy.’

Kate’s eyelids fluttered for a moment, as if the mention of her son’s name had stirred her from her unconscious state. Allegra waited for several moments before continuing in a soft, soothing voice, ‘He’s doing OK. I’ve been playing his favourite movie for him.’

Kate’s mouth moved and a breathless, almost inaudible sound came out. ‘Tommy …’

‘Tommy is doing as well as can be expected, Kate,’ Allegra reassured her, hoping that by saying the words it would someone make it true.

‘Serena …’ Kate’s lips moved again but then she groaned and slipped back into unconsciousness.

Allegra stroked the woman’s thin hands, using the massage technique she had been taught, separating each finger, stretching them gently, lengthening the tendons to release built-up pressure. She turned over Kate’s hand palm upwards and froze when she saw a series of tiny, nick-like, whitened scars on the underside of the wrist. She reached for Kate’s other arm and found the same bizarre pattern carved on the other wrist.

‘She’s a fruit cake,’ Ruth Tilley, the nurse assigned to the isolation room, muttered under her breath, but even so it was more than obvious that the police officer had heard every word.

Allegra frowned as she turned to face the nurse. ‘Please, keep your personal opinions to yourself. If you feel uncomfortable nursing this patient, I suggest you ask to be transferred.’

The nurse gave an insolent sniff and moved to check the monitors, making a note of Kate’s BP, pulse and sats. ‘I know how to do my job, no matter how horrible the patient is. Anyway, I’ve nursed much worse than her.’

‘I would prefer you to speak appropriately and professionally at all times in this room,’ Allegra insisted. ‘Kate Lowe is unconscious but may well be able to hear everything you say.’

‘I don’t care if she does,’ Ruth said. ‘She’s tried to do herself in numerous times. If she recovers, she’ll only do it again. I’ve seen it all before. These sorts of people are nothing but trouble for their families. They put them through hell, keeping everyone on tenterhooks, wondering when the next attempt is going to happen and whether it will be successful.’

Allegra tightened her mouth as she saw the look the police officer gave the nurse, as if he was in silent agreement.

‘Excuse me,’ she said as she brushed past to leave. ‘I have other patients to see.’

Once outside Kate’s room Allegra expelled a frustrated breath, her hands clenching at her sides to keep control. She walked towards the office of ICTU where Louise was sitting, looking over the night shift notes.

‘Uh-oh,’ Louise said as she looked up. ‘I don’t like the look of your aura right now. I can practically see sparks of anger zapping off the top of your head. Has the dishy director got under your skin again?’

‘Surprising as it may seem, no. It’s not Joel this time—it’s one of the nurses.’

‘So we’re on first-name terms, are we?’ Louise asked with a playful smile.

Allegra ignored her friend’s teasing look. ‘I want Ruth Tilley removed from Kate Lowe’s room immediately.’

Louise frowned. ‘But why? Ruth is one of the most experienced ICTU nurses we have here.’

‘I don’t care how experienced she is, I don’t like her attitude,’ Allegra said. ‘Has Joel Addison arrived yet?’

Louise’s frown deepened. ‘You’re going to ask him to move her?’

‘No,’ she said, as she straightened her spine. ‘I’m not going to ask him—I’m going to tell him.’

‘I think he’s headed down to Gaile Donovan’s room. He’s waiting for Harry Upton,’ Louise said. ‘The husband’s been there all night. Joel came in early to discuss her treatment options with Harry.’ Joel looked up from Gaile Donovan’s notes as Allegra entered the small private room where the patient was being closely monitored. ‘Have you seen Harry come in yet?’ he asked, without so much as offering a simple greeting.

‘Good morning to you, too, Dr Addison,’ Allegra said with an arch look.

He frowned and resumed looking at the notes. ‘Sorry,’ he said a little gruffly. ‘I hadn’t noticed it was even morning. I came in before the sun was up.’

Allegra felt annoyed with herself for being so petty when it was clear Joel had bigger concerns on his mind, such as the patient lying between them. But before she could offer an apology, Harry Upton came in.

‘Morning, Allegra, Joel. How were things overnight with Gaile Donovan?’

‘She’s been stable, Harry,’ Joel answered. ‘Certainly no more bleeding, but Allegra was right about the ARDS. We did a chest X-ray this morning and there is a virtual white-out of most of both lung fields.’

Allegra checked the ventilator readings and reported, ‘Her ventilation pressures are high and she’s needing 40 per cent oxygen.’

‘What about coagulopathy?’ Harry asked. ‘At some stage in the next 48 hours I’m going to have to remove the pelvic packs. How are we placed timing-wise?’

‘She’s stable at the moment and we’ve got her on broad-spectrum antibiotic cover,’ Joel said. ‘My advice would be to leave things alone the full 48 hours. Coags are better than they were, but PT is still prolonged and her platelets are low. We can work at improving those and hope her chest improves, before subjecting her to the potential of another hypovolaemic insult.’ He turned his gaze towards Allegra. ‘Do you agree, Allegra?’