Alison Roberts - St Piran's - The Wedding!

‘Marked ST elevation,’ her crew partner noted. ‘Looks like an infarct all right.’

‘Are you on any medication?’ the paramedic asked Claire. ‘Are you allergic to anything that you know of? Have you had any aspirin today?’

Claire was shaking her head in response to all the questions. Things were happening too fast for her to find any words. The children in the car were both crying loudly now but Megan was still holding Claire’s hand.

‘It’s going to be fine,’ she reassured Claire yet again. ‘These people are going to look after you and make sure you get checked out properly at hospital.’ She turned to one of the crew members. ‘Claire’s son is Josh O’Hara at St Piran’s. He may well be on duty at the moment so you might like to let him know in advance who you’re bringing in.’

‘Will do.’

Megan tried to let go of Claire’s hand but the grip tightened. She leaned closer to hear the words that were being muffled by the oxygen mask.

‘But who’s going to … look after the children?’

Megan felt a cold chill run down her spine. No. She couldn’t offer to do that. It would be too hard. The scars were still too fresh. Best not to go near anything that might pick at them. Her life was taking a new direction now. Having it derailed would be a disaster.

The paramedic was busy with her other hand. ‘Sharp scratch coming, Mrs O’Hara.’ She slid a cannula into a vein. ‘There. All done.’

Claire lifted the hand that Megan was still holding, trying to pull the oxygen mask away from her face. ‘I can’t do this … the children …’

Her partner was leaning over Megan. ‘Chew up this aspirin for me,’ he instructed Claire. ‘I’ll give you a sip of water to wash it down.’

Megan was in the way. She tried to pull her hand free but Claire’s grip tightened.

‘Please …’ Claire’s face looked alarmingly grey. Getting stressed was making her condition rapidly worse. ‘Can’t you help?’

‘Yeah …’ The paramedic gave Claire a very direct glance. ‘Can you drive?’

‘Yes, but—’

‘You could follow behind the ambulance, then. I’m sure there’d be someone else to look after Doc O’Hara’s kids once you got there.’

Claire was nodding. ‘Please, Megan.’

‘Otherwise we’ll have to bring them in the ambulance. Or wait for back-up.’ The paramedic was sounding impatient now. ‘And we really need to get going.’ The look he gave Megan was a direct warning. Hold this process up any further and if anything goes wrong between here and the emergency department of St Piran’s, she would have contributed.

Megan was caught. She couldn’t walk away. There were two crew members in the ambulance and one of them had to drive. If the other had to care for two toddlers, there would be nobody left to care for Claire. And she could get worse. Go into a cardiac arrest, even.

Her nod was jerky. ‘I’ll do it,’ she said tightly. ‘Are the keys in the car?’

‘Yes … oh … thank you, lovie.’ Claire finally let go of her hand but her eyes filled and tears rolled down her cheeks.

Megan closed her eyes for a heartbeat. There was no help for this, so all she could was do her best to cope with it. At least she had a kind of advantage here. She knew there was a high likelihood that she would have to see Josh and she would have a few minutes to at least try and prepare herself emotionally for that.

No doubt Josh would prefer to avoid this encounter as much as she would. And he probably wouldn’t have the luxury of any warning.

Megan opened her eyes and smiled at Claire. ‘Try not to worry,’ she told her. ‘I’ll be right behind the ambulance. I won’t let anything happen to the children. You’ll see them again very soon, I promise.’

The back door of the ambulance slammed behind her after Megan had climbed out.

The vehicle was pulling out onto the road as Megan checked the fastenings on the car seats, fastened her own safety belt and started the car, surprised to see how shaky her hands were.

The beacons on the ambulance were flashing and the siren began to wail as the vehicle picked up speed. Megan wasn’t going to try and keep up with it. Not on a wet road when she was feeling shaky. Certainly not with two precious children in the car.

She didn’t need to follow that closely anyway.

The route to St Piran’s was written on her heart, like everything else about this place.

‘INCOMING, DR O’HARA.’ The nurse’s voice came from just behind Josh’s shoulder as he scrolled through the images on the computer screen.

He grunted an acknowledgement, still focused on the screen. Surely something had shown up on the MRI of his earlier patient to explain her acute neurological symptoms?

‘Status two.’ The nurse sounded oddly nervous but, then, she was new and had only just learned that flirting with him was likely to earn disfavour. ‘Sixty-year-old woman who looks like she’s having an infarct.’

‘Put her straight into Resus, then. Is Ben around?’

‘Yes … but …’

The back of Josh’s neck prickled as he turned his head. ‘But what?’

‘The patient is your mother, Dr O’Hara.’

The prickle ran down the entire length of his spine now, turning icy cold. Josh was on his feet and moving before he gave the action any conscious thought.

‘How far away?’

‘ETA five minutes. They’re coming from Penhally.’

They ? Were the children in the ambulance as well? This couldn’t be happening. Not now, when his life was exactly the way it was supposed to be. The children, the house, his job—none of it would have been possible without his mother’s help.

An infarct? Claire O’Hara had never had a day’s illness in her life. She’d never smoked. She was as slim now as she’d been in her twenties. Her blood pressure was fine. She had energy to burn.

Or did she? Had she been pushed too far by him taking up the amazing offer of her helping him to raise the twins?

If this was yet another disaster in his life, could the blame be laid, yet again, at his feet?

Ben Carter, another emergency medicine consultant at St Piran’s, was already in the resuscitation area. The defibrillator was being tested. A twelve-lead ECG machine was standing by. He glanced up and saw Josh.

‘Don’t panic,’ he said quietly. ‘We don’t know exactly what we’re dealing with yet.’

‘Status two infarct,’ Josh snapped. ‘Unstable. What the hell happened? Have you had any details? Where was she? Did she … arrest somewhere?’

‘No. That much I do know. She’s status two because she’s throwing off a few ectopics. She’s on oxygen and she’s had aspirin, GTN and morphine. Her breathing’s improving.’

‘Improving? My God, how bad was it?’

‘Josh …’ Ben stepped closer to put a hand on his colleague’s arm. ‘I’ve got this, OK? It’ll be good for Claire if you’re here but you need to stay calm.’

‘What about the children? Were they with her?’

‘I don’t know.’ Ben was looking past Josh now. Towards the double doors sliding open to admit a stretcher and ambulance crew. A nurse was pointing them towards the resus room. He turned to a nurse. ‘Has the cardiology registrar been paged?’

‘Forget the registrar,’ Josh said. ‘Get Anna Davenport down here. This is my mother , for God’s sake.’

Claire looked terrified as she was wheeled into the resus room.

‘Josh …’ she gasped, reaching out a hand. ‘Thank heavens you’re here.’

‘Of course I’m here.’ Josh took hold of the hand. He knew he was getting in the way as the ambulance crew transferred Claire to the bed and gave Ben a handover but, for the first time in years, his mother needed him instead of the other way round. He kept his eyes on her face as the staff stripped away the clothing from her upper body and started adding extra dots so they could take a more comprehensive recording of the electrical activity in her heart. Ben was drawing off bloods for urgent analysis.