Jennifer Taylor - In His Loving Care

‘I don’t know! That’s the trouble. I feel so miserable all the time and I can’t seem to stop crying.’ Diane blew her nose. ‘It’s as though there’s this black cloud hanging over me all the time. It’s driving poor Martin mad.’

‘I’m sure Martin is more concerned about you than anything else,’ Helen assured her. She certainly didn’t want to add to the poor woman’s woes by encouraging her to worry about how her husband was feeling. ‘When did this all start?’

‘It’s been going on for a while now,’ Diane admitted. ‘I just kept telling myself to stop being so silly but it’s got to the point now where I don’t know what to do. I can’t keep on feeling this awful all the time, Dr Daniels. Life isn’t worth living.’

‘Then we need to do something about it,’ Helen said firmly, standing up. ‘I’m going to examine you to get an idea of how your health is generally and we’ll take it from there.’

She examined Diane and found nothing to alarm her. Putting her stethoscope away, she went to one of the cupboards. ‘I’d like to take a blood sample, if you wouldn’t mind. We need to find out if there’s a physical cause for the way you’re feeling.’

‘Of course I don’t mind!’ Diane sounded so relieved that Helen looked at her in surprise. Diane blushed. ‘I thought I was having some sort of mental breakdown. There’s a lot of pressure in my job and I assumed it was that which was causing the problem.’

‘It could very well be a factor,’ Helen agreed. ‘However, these feelings you’ve been experiencing could also be the result of physical changes in your body. Have you noticed anything else unusual happening recently?’

‘Well, yes, now that you mention it, I’ve been having these terrible hot spells. I wake up at night because I’m dripping wet. And my periods have become very irregular, too. I’ve always been like clockwork but I never know when I’m going to come on nowadays. Do you think they might be linked to how miserable I’ve been feeling lately?’

Helen chose her words with care. There could be a common factor linking all those symptoms and one that Diane might not be happy about, either. ‘It’s possible, if your oestrogen levels have dropped.’

‘My oestrogen levels…’ Diane repeated, then gasped. ‘You don’t think I could be going through the menopause, do you? I mean, I’m only thirty-six so surely it’s far too early for that to happen?’

‘I don’t intend to make any snap judgements today. However, you told me last year that you and Martin were trying for a baby so it’s possible that you haven’t conceived because your fertility levels have fallen. The blood test will confirm that, one way or the other.’

‘But does that mean I won’t be able to have a baby now?’ Diane asked in dismay.

‘I really can’t say what will happen until I know exactly what’s going on, Diane,’ Helen replied gently, uncapping a syringe and taking an alcohol swab out of its foil packet.

‘How long will it take to find out?’ Diane demanded, wincing as the needle slid into her arm.

‘Just a couple of days.’ Helen carefully withdrew the small amount of blood she needed for the tests and smiled reassuringly. ‘I’ll give it top priority so we should have the results back by the end of the week. And I’ll phone you immediately once I get them.’

‘And if it is the onset of the menopause, then what happens? Is there anything you can do to stop it?’

‘If it is that, I shall refer you to a fertility specialist. There’s a very good clinic near Blackpool which has achieved some excellent results. But it’s all speculation at this stage. We need to see those results before we know what we’re dealing with.’

Diane sighed as she stood up. ‘I don’t know what I’m hoping for now. If the tests show that I’m going through an early menopause, it will explain why I’ve been feeling so dreadful, but it could also mean that Martin and I might never have a family.’

‘I know how difficult it must be for you but at least we’re doing something positive and that’s the main thing.’

Helen made herself sound as upbeat as possible as she saw Diane out. However, she couldn’t helping drawing a comparison with her own situation. She was thirty-eight and her own fertility levels must be dropping, too. Ian had never wanted them to have a child because he’d had the twins. His first wife had died soon after Helen had started her GP training at The Beeches and it had seemed the most natural thing in the world to offer her help when Ian had found it difficult to manage with two small children to look after on top of doing his job.

Tom and Katie had been six when she had married Ian, and by that time she had loved them as much as she would have loved her own children. However, she couldn’t deny that it had been a blow when she’d found out that Ian hadn’t wanted to add to their family. She’d kept hoping that he would change his mind, but it hadn’t happened. Now it seemed unlikely that she would ever give birth to her own son or daughter, and she couldn’t help feeling sad at the thought of what she was missing.

No wonder Lewis was so determined to do all he could for his daughter, she thought, then sighed in exasperation. Why did every single thought lead back to Lewis?

Lewis was late for the meeting, mainly because he still hadn’t got used to judging the length of time he could spend with each patient. Six minutes were allotted for each consultation and it was far too little in his opinion. Harry and Amy were already sitting at the staffroom table with an open tin of biscuits in front of them when he arrived. Helen was pouring coffee and she glanced round when he appeared.

‘Black or white?’

‘Black, please, with plenty of sugar.’

‘Sounds like you had a hard morning,’ Amy said, grinning as he sat down. A pretty girl in her twenties, she was engaged to a policeman and in the throes of planning a summer wedding.

‘I haven’t adjusted to the conveyor-belt system you operate here so I find it difficult to keep up.’ He rolled his eyes. ‘Switching my brain from what analgesic to prescribe for a teething toddler to how to treat Mr Parsons’s gout all in the space of a couple of minutes takes some doing!’

‘It must be your age,’ Amy retorted. ‘That’s why you can’t keep up.’

‘Cheeky monkey!’ Lewis laughed out loud. It was refreshing to be treated as just another member of the team after the awe he’d inspired in his previous post. ‘I’ll remind you of that in a few years’ time when you’re having problems keeping up the pace.’

‘Ah, but I’ll still be younger than you so I’ll still fare better,’ Amy countered.

‘Touché!’ He shook his head in defeat because he obviously wasn’t going to win this argument. He glanced round when Helen brought over the coffee, feeling his heart leap when her hand accidentally brushed against his as she placed it in front of him.

‘Thanks.’ Picking up the mug, he took a gulp of the coffee in the hope that it would steady him, but his hand was still tingling from the contact and it worried him that he should be so aware of her. He’d had his share of relationships and didn’t intend to have any more until Kristy was all grown up and no longer needed him. And by that time he’d be too old to bother!

‘Is Mr Parsons’s gout getting worse?’

Helen sat down opposite him and he hastily returned his thoughts to the reason for the meeting. He was supposed to be discussing his patients’ problems, not thinking about his own.

‘It’s spread to his ankle now and he’s in a lot of pain. The joint is very red and swollen, and obviously tender. Unfortunately, he forgot to renew his prescription after the last bout so he didn’t have any medication to stave it off. I gave him an injection of corticosteroids and another script. I also took some blood to check his levels of uric acid. He might need a new drug and diet regime to reduce the levels of uric acid in his body and help his kidneys excrete it more quickly. I noticed from his file that it’s two years since his last review so he must be due for one.’