Kate Hardy - Her Celebrity Surgeon

Guy whistled. ‘Wow, Soph, I never knew you were so against titles.’

‘I just don’t see why an accident of birth makes one person “better”…’ she emphasised the speech marks with two curled fingers on each hand ‘…than another. I’ll just have to catch up with His Lordship later.’

‘We’ll give your apologies to him, Soph,’ Abby said.

‘I think,’ Sophie said crisply, ‘he should be the one apologising to us—and to our patients—for wasting time. See you later. Sammy, let’s go scrub up.’ Together with her house officer, she left the staffroom and headed for Theatre.

Something didn’t look right, Charlie thought. The kid posting something through the neighbour’s letterbox didn’t have a bike with him or a bag full of newspapers. So just what was he stuffing through it?

Then there was a loud bang, and Charlie realised exactly what the boy had posted. A firework. It looked as if he had just taken another from his pocket. Hadn’t anybody told him why it was stupid to play with fireworks? It was an explosive; it could go off in his face. And the one he’d shoved through the door could have done a lot of damage, too, if someone had been close to it when it had gone off. And you never, but never, lit fireworks with an ordinary match.

‘Oi! What do you think you’re doing?’ he yelled.

The boy looked up, curled his lip, flicked a V-sign at Charlie and lit another match.

‘Put that match out, you idiot! You’ll get h—’

But before Charlie could finish, there was a loud bang and the firework in the boy’s hand exploded.

Charlie forgot the fact that he was on his way to work—his first day in his new role as Director of Surgery, when he really shouldn’t be late—and years of training took over. He grabbed his mobile phone and punched in the number for the emergency services as he ran towards the boy. ‘Ambulance, please.’ He gave them the location. ‘We have a firework injury involving a child. Major burns.’ Burns to the hand or feet were always classified as major. ‘Better call the fire brigade, too—he was stuffing fireworks through a letterbox.’

The boy was screaming, and he’d dropped the match. Luckily the ground was still wet, so the flame would have been extinguished—if any loose powder from the fireworks was lit, the boy could end up with flash burns to his legs as well as the damage to his hand.

Charlie pushed through the open gate just as the door to the neighbouring house opened.

‘What’s going on?’ the elderly man demanded.

‘Firework went off in his hand,’ Charlie said swiftly. ‘I’ve called the emergency services. I’m a doctor. Will you let me take a look?’ he asked the boy.

Shaking, the boy held out his hands. ‘It hurts!’ he wailed.

‘What’s your name?’ Charlie asked.

‘L-Liam,’ he choked.

‘Bloody little hooligan! He’s always causing trouble round here,’ the neighbour said in disgust. ‘We should just hand him over to the police.’

‘Right now, my priority’s to stop him losing blood. Have you got a first-aid kit?’ Charlie asked.

‘Only plasters and headache tablets.’ The neighbour shrugged. ‘The wife might have a bandage in there.’

Probably one that wasn’t sterile, Charlie guessed. ‘Do you have a clean, dry cloth—a teatowel or something? Please?’

The man nodded and went back inside his house. Meanwhile Charlie quickly assessed Liam’s hand. Normally, in cases of thermal burns, you needed to cool the burn down fast with lukewarm water. But this wasn’t a normal thermal burn—it had been caused by a firework. Fireworks often contained phosphorus, a chemical that reacted with water and caused more burning, so running water over the child’s skin could do more damage.

From what he could see under the blood, the burn appeared to be full thickness, across the whole surface area of Liam’s hand, and two of his fingertips were missing. Gunpowder residue was tattooed into the skin. They’d need to debride the wound—cut away the damaged parts—and do a skin graft. Probably more than one.

‘OK, Liam. I know it’s scary, but I’m going to look after you until the ambulance gets here.’ He needed to keep the boy calm and stem the blood flow. ‘Can you tell me your favourite football team?’

‘M-Manchester United,’ the boy stammered.

The knot at the back of Charlie’s neck started to unravel. Great. If he could get Liam talking, it would take the child’s mind off the injury. If Liam started panicking, there was more chance he’d go into shock. Plus Charlie needed to know who or what was behind that front door. The small pane of glass in the centre of the door was opaque, so trying to look through it wouldn’t help. Had the firework set light to the carpet? Was someone lying inside, hurt?

‘Tell me about the players,’ Charlie said.

The neighbour returned with a pile of dry teatowels. ‘Will these do? More than he deserves, mind. He’s been persecuting Mrs Ward for months.’

‘She’s an old cow. She—’ Liam began, his face screwed up in a mixture of scowling and pain.

‘Later,’ Charlie cut in. ‘I need to clean any chemicals from your hands, Liam. This might hurt, but I’ll try to be quick.’ He looked at the neighbour. ‘Do you know if Mrs Ward is in?’

‘Doesn’t go out much. Dicky ticker.’

So the fright of a firework coming through her letterbox could upset her enough to bring on her heart condition. ‘Can you try and get her to answer the door while I clean Liam’s hand?’

The neighbour nodded. He banged on the door and called through the letterbox, ‘Mary, it’s Bill—can you open the door?’ Charlie quickly cleaned Liam’s hand with one of the teatowels, then covered the wound with the other cloth. He pressed on it to stem the bleeding.

‘No answer,’ Bill said.

‘OK.’ It could be another ten minutes before the ambulance arrived. If Mary Ward had had a heart attack, Charlie needed to act now. ‘I’ll break in. Liam, can you press on that, hard?’ he asked.

‘It hurts,’ Liam whimpered.

‘I know, but we need to stop you losing blood. It’s important—and I need to break this door down in case Mrs Ward’s very ill.’

Liam hung his head. ‘Is she going to die?’

‘I hope not, for your sake. I’ll tell the pol—’ Bill began.

Charlie shook his head very slightly. They didn’t have time to discuss that now. ‘I really need to see if she’s all right. Now, Liam, you keep pressing on that cloth. And keep telling me about Manchester United—it’s really interesting.’

‘Really?’ Liam looked stunned, as if he wasn’t used to anyone paying him proper attention.

Been there, done that, kid, Charlie thought. Though he’d never resorted to playing with fireworks to get the attention he’d needed. He’d just learned to become self-reliant.

‘Keep talking,’ he said, giving the boy an encouraging smile. If Liam kept talking, his voice would give Charlie warning signals if the boy was going into shock: the first signs would be if Liam started to sound ‘spaced out’ or his breathing became shallow.

‘There are a couple of fingertips missing,’ he said, sotto voce, to Bill. ‘Could you try and find them for me and put them in a bag?’ He could tell by the look on Bill’s face that the elderly man thought it served the kid right. ‘He’s only a child,’ Charlie said softly.

‘He’s a wrong ’un.’

‘And he needs help. Please.’

Bill’s mouth thinned, but he started to look through the weeds on the path.

Charlie crouched down to the letterbox. ‘Mrs Ward? My name’s Charlie and I’m a doctor. I’m coming to help you, but if you can’t open the door for me I’ll need to force it open.’