Marion Lennox - Midwives On Call - Stealing The Surgeon's Heart

Mortified, clutching a telephone receiver in one hand, with the other Harriet reached out to grab the paper, but Charlotte was having none of it. At twenty-one she was a huge fan of Drew’s and never missed an opportunity to talk about him.

‘I just saw one of the patients reading it! I told them that you worked here so they let me have the paper—Oh, Harriet, you look gorgeous!’

‘I look huge,’ Harriet corrected, refusing to even glance at the beastly photo of her on the red carpet at the acting awards ceremony that had been held the previous night.

‘Any results back on Alyssa?’ Ciro asked as he came over. ‘The medics are waiting to see her, but I want some more information before I speak with the mother again and tell her that we’re keeping her in.’

‘I’m still on hold.’ Harriet didn’t even look at him, couldn’t actually! She was concentrating too hard on breathing, tiny white spots dancing in front of her eyes, sweat beading on her forehead as great waves of nausea rolled over her. And Charlotte’s incessant voice wasn’t exactly helping matters.

‘But you’re not huge, you look stunning!’

‘Who looks stunning?’ she could hear Ciro asking, mortification heaped on mortification as behind her back Charlotte gleefully showed him the photo and took the new doctor on a whirlwind tour of her supposedly wonderful life.

‘Harriet here is married to a soap star.’

‘Soap?’

‘Soap opera!’

‘Her husband is an opera singer?’

‘No, he’s on TV. How come,’ Charlotte asked with the tactlessness only a very pretty twenty-one-year-old could get away with, ‘that with the patients your English is brilliant, but when you’re talking to us it’s—’

‘Charlotte!’ Harriet warned, putting her hand over the mouthpiece of the phone, but Ciro was unfazed.

‘Because most of the English exams that I had to pass concentrated on medical terminology,’ Ciro answered easily. ‘I can name every bone in your body yet I cannot talk easily about television shows.’

‘He could name every bone in my body,’ Susan sighed as Ciro headed back to the cubicles, with Charlotte following like a faithful puppy. ‘He’s very good, isn’t he?’ Susan carried on, following Harriet’s far-away gaze as she sat on the telephone on seemingly eternal hold, trying to chase up Alyssa’s blood results. Despite marking the forms as high priority the results still hadn’t come through and Mrs Harrison’s already short fuse was clearly about to run out. Glancing over to cubicle four, Alyssa frowned as Mrs Harrison pulled the curtain, effectively blocking her view.

‘He’s doing well,’ Harriet admitted almost reluctantly, determined not to let even a hint of what she was feeling carry to her peers, rolling her eyes as yet again the switchboard operator asked her to stay on hold. ‘So long as you don’t ask him for any favours.’

‘Meaning?’

‘Meaning I asked him to write up two Maxalon for me and he refused. He said that he’d only write them up if he examined me first.’

‘And you said no!’ Susan teased. ‘I wouldn’t have to be asked twice to take my kit off. Are you OK?’ she asked more seriously when Harriet didn’t smile back, just fanned her face with her hand and licked lips that were suddenly dry.

‘No,’ Harriet finally admitted. ‘In fact, once I get these results I think I’m going to have to take first break. Susan, would you mind going and checking on Alyssa? Tell Mrs Harrison that we need the curtains kept open, unless she’s using a bedpan, of course.’

‘Sure.’ Susan stepped down from her stool. ‘And when I’ve done that do you want me to ring the supervisor, and see if she can send someone down to replace you?’

‘Fat chance.’ Harriet rolled her eyes. ‘I was the last of the last resorts already. I’ll just have to grin and bear it, I’m afraid. Let’s hope the department stays quiet.’

Jinx!

Even as the words came out of her mouth, even before the two nurses could touch the wooden desk in front of them in an effort to stop the jinx, the urgent call went up!

A loud crash, followed by a wail of horror filled the relatively quiet department and, throwing the receiver down on the desk, Harriet managed a rueful smile as she ran towards cubicle four, Susan quickly apportioning blame as she ran behind. ‘That’s your fault, Harriet!’

CIRO beat them there.

Pulling back the curtain and assessing in a split second what had happened, Ciro knelt down and swiftly examined Alyssa who lay unconscious on the floor. He checked her vital signs as Harriet pulled an oxygen mask from the wall and placed it over the young girl’s mouth, careful not to move her until Ciro gave the OK.

‘She said she felt OK,’ Mrs Harrison was sobbing. ‘I thought if I got her home to her own bed—’

‘Did she hit her head when she fell?’ Ciro’s question was direct.

‘No. She was just getting off the trolley and she went dizzy.’

‘Did you break her fall?’

‘Yes!’ Mrs Harrison’s voice was a screech. ‘What the hell’s happening? Has she fainted or something?’

That was what Harriet had been hoping when first she’d seen the young girl collapsed on the floor, but normally, with a simple faint, consciousness returned almost as soon as the patient was prone. But despite the oxygen, despite the seconds ticking past, Alyssa still lay unconscious.

‘Let’s get her over to Resus.’ Ciro’s expression was grim as he attempted to check her blood pressure, but as Harriet went to pull out the trolley Ciro impatiently shook his head. He swiftly removed the oxygen mask. Picking up the feather-light young girl in his arms, he carried her through the department to the better-equipped resuscitation room as Harriet moved like lightning ahead of him.

‘Fast-page the paediatricians,’ Ciro ordered, but thankfully Susan was already on to it. Even Charlotte was thinking ahead, pulling open a flask of IV saline to run through a drip, but though Harriet was pleased to see her acting independently, she still needed supervision.

‘Charlotte,’ Harriet called, as she attached Alyssa to a multitude of monitors, ‘run the saline through a paediatric burette. She’s extremely underweight so we have to be very careful of doses.’

‘We need to be very careful not to overload her with fluid,’ Ciro confirmed and even though he was busy, inserting an IV and connecting the drips, he still managed to find the time to explain his thought process to the eager grad nurse. ‘Her heart is beating irregularly, she may have some heart failure, so the last thing we want to do is give her more fluid than her heart can deal with. On the other hand…’ He paused as he carefully examined Alyssa’s neck, checking her jugular venous pressure. Then he whipped out his stethoscope and listened carefully to her lungs for a moment before resuming his knowledgeable lecture. ‘She is undoubtedly dehydrated. Let’s give her a stat 200 ml bolus. I want a catheter put in and her input and output strictly monitored.

‘Come on, Alyssa.’ His words were loud, the call to his patient sharp as he not-too-gently rubbed her sternum. It worked. Alyssa’s eyes flickered open as she attempted to push him away. ‘Good girl.’ Ciro’s voice was more soothing now, moving quickly to orientate his patient to her new surroundings. ‘You lost consciousness again, Alyssa, so we have moved you to a different area of Emergency where we can keep a closer eye on you…’ The frantic running of feet along the corridor outside heralded the arrival of the paediatric team, but instead of turning to greet them, Harriet noted with approval that he carried on talking to Alyssa, perhaps sensing that a full emergency team arriving at her bedside would be daunting for the young girl. Ciro took time to reassure her that, despite the apparent chaos, everything was very much in order. ‘We were concerned about you so there are going to be a lot of doctors arriving and a lot of talk that you don’t understand, but you are going to be OK.’