‘I’m not trying to.’
‘I’ve dealt with it,’ Izzy said firmly. ‘Yes, it was awful, yes, it’s going to be hard facing everyone, but I’m ready for it. I’m ready to resume my life.’
Only Jess didn’t seem so sure, Izzy could tell. She had made such an effort for this day—she was immaculately dressed in a grey shift dress with black leggings and black ballet pumps, her blonde short hair, teased into shape, and large silver earrings adding a sparkle to her complexion. She had been hoping to look every inch a modern professional woman, who just happened to be pregnant. She would not let Jess, let anyone, see behind the wall she had built around herself—it was the only way she knew to survive.
Jess gave her some coping strategies, practised deep breathing with her, told her to reach out a bit more to friends and Izzy ran a hand through her gamine-cut blonde hair that had once been long and lush but which she’d cut in a fit of anger. Just when Izzy thought the session was over, Jess spoke again.
‘Izzy, nothing can dictate what comes into Emergency, that’s the nature of the job.’ Jess paused for a moment before continuing. ‘No matter what is going on in your life, no matter how difficult your world is right now, you have to be absolutely ready to face whatever comes through the doors. If you feel that you’d rather—’
‘Are you going to recommend that I be sent to Outpatients?’ Izzy challenged, her grey eyes glittering with tears that so desperately needed to be shed but had, for so long, been held back. ‘Or perhaps I can do a couple of months doing staff immunisations—’
‘Izzy—’ Jess broke in but Izzy would not be silenced.
‘I’m a good doctor. I would never compromise my patients’ safety. If I didn’t feel
ready to face A and E, I wouldn’t have come
back.’ She gave an incredulous laugh. ‘Everyone seems to be waiting for me to fall apart.’ She picked up her bag and headed for the door. ‘Well, I’m sorry to disappoint you all, but I refuse to.’
Izzy was a good doctor, of that Jess had no doubt.
As she wrote her notes, she was confident, more than confident, that Izzy would do the right thing by her patients, that she was more than capable to be working in Emergency. But at what cost to herself? Jess thought, resting back in her chair and closing her eyes for a moment.
Jess wanted to send a memo to the universe to insist only gentle, easy patients graced Izzy’s path for a little while.
Only life wasn’t like.
Jess clicked on her pen and finished writing up her notes, worried for her client and wishing more progress had been made.
Izzy Bailey, while still fighting the most enormous private battle, was stepping straight back into the front line.
CHAPTER TWO
‘OBSTETRIC Team to Emergency.’
Izzy heard the chimes as she tossed her coffee and sandwich wrapper in the bin and did a little dance at the sliding door that refused to acknowledge her, no matter how many times she swiped her card. An impatient nurse behind her took over, swiping her own card, and Izzy tailgated her in.
They’d start her in Section B.
Of that she was sure.
Writing up tetanus shots and suturing, examining ankles and wrists... Despite her assured words to Jess earlier, Izzy was actually hoping for a gentle start back and was quietly confident that Ben would have arranged for one.
‘Obstetric team to Emergency.’
The chimes sounded again, but Izzy wasn’t fazed. It was a fairly familiar call—frenzied fathers-to-be often lost their way and ended up bringing their wives to Emergency rather than Maternity.
Izzy glanced at her watch.
In ten minutes she’d be starting her first shift...
Walking through another set of sliding doors, which this time opened without the use of her card, Izzy found herself in the inner sanctum of the emergency unit.
She’d timed it well, Izzy thought to herself.
By the time she’d put her bag in her locker, it would be almost time to start, which meant that she could bypass the staffroom, the small talk...
‘Izzy!’ Beth, an RN she’d worked with over the years, was racing past. ‘Cubicle four... Everyone’s tied up... She just presented...’
Except Jess had been right.
There would be no gentle easing in, Izzy fast realised as Les, the porter, relieved her of her bag. Beth brought her up to speed as best she could in short rapid sentences as they sped across the unit.
‘About twenty-three weeks pregnant, though she’s vague on dates,’ the rapid handover went on. ‘She won’t make it to Maternity, I’ve put out a call...’
‘Who’s seen her?’ Izzy asked as she squirted some alcohol rub on her hands.
‘You,’ came Beth’s response
Oh, yes!
She’d forgotten just how unforgiving Emergency could be at times. Just then she saw Ben, wrapping a plastic apron around himself, and Izzy was quite sure he’d take over and usher her off to Section B.
‘Have you got this?’ Ben said instead, calling over his shoulder as he sped off to Resus.
‘Sure!’
‘Her name’s Nicola,’ Beth said as Izzy took one, very quick, deep breath and stepped in.
‘Hi, there Nicola. I’m Izzy Bailey, the emergency registrar.’ Izzy wasn’t sure who looked more petrified, the student nurse who’d been left with the patient while Beth had dashed for a delivery pack or the mother-to-be who brought Izzy up to date with her rapid progress even before Izzy had time to ask more questions—it was Nicola who pulled back the sheet.
‘It’s coming.’
‘Okay.’ Izzy pulled on some gloves as Beth opened the delivery pack, Nicola was in no state to be sped across the floor to Resus. ‘Let Resus know to expect the baby,’ Izzy said. ‘Tell them to get a cot ready.’ She took a steadying breath. ‘Emergency-page the paediatric team.’
‘Vivienne!’ Beth instructed the student nurse to carry out Izzy’s instructions, and Vivienne sped off.
‘There’s going to be a lot of overhead chimes,’ Izzy explained to Nicola, ‘but that’s just so we can get the staff we need down here quickly for your baby.’
The membrane was intact, Izzy could see it bulging, and she used those few seconds to question her patient a little more, but there were no straightforward answers.
‘I only found out last week. I’ve got a seven-month-old, I’m breastfeeding...’
‘Have you had an ultrasound?’ Izzy asked.
‘She’s just come from there,’ Beth said for Nicola, but, as was so often the case in Emergency, a neat list of answers rarely arrived with the patient. They would have to be answered later, because this baby was ready to be born.
He slipped into the world a few seconds
later, just as a breathless midwife arrived
from Maternity and the overhead speaker chimed its request for the paediatric team to come to Emergency. He was still wrapped in the membrane that should have embraced him for many months more and Izzy parted it, using balloon suction to clear his airway. He was pale and stunned, but stirring into life as Izzy cut the cord. Though outwardly calm, her heart was hammering, because difficult decisions lay ahead for this tiny little man.
‘You have a son,’ Izzy said, wrapping him up and holding him up briefly for Nicola to see. Though seconds counted in the race for his life, Izzy made one of the many rapid decisions her job entailed and brought the baby up to the mother’s head, letting her have a brief glimpse of him. Nicola kissed his little cheek, telling him that she loved him, but those few brief seconds were all there was time for.
Beth had already raced over to Resus, and Izzy left Nicola in the safe hands of the midwife and student nurse as she walked quickly over to Resus holding the infant. A man, dressed in black jeans and a T-shirt, joined her. Walking alongside her, he spoke with a heavy accent.
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