Kitabı oku: «The Doctor's Longed-For Family»

CHAPTER ONE

‘WELCOME to Matt Calder’s website. You might like to take a look at the guest book area while you’re here. There’s a message from a Dr Abby Byford, who wants to know why we think it necessary to take the TV cameras along with the ambulance crew when they go out on call.’

Abby stared at the computer screen, her green eyes widening, her mouth opening in shock. She had imagined that her brief email would have been hidden away somewhere, for his eyes only, or virtually out of sight, or at the very least that it would be lost in an electronic void. She hadn’t expected him to reply, or even to use it on his website, yet here was her name, blazoned across the Internet for all to see. He was actually singling her out for attention. Why would he want to do that?

‘Is this what passes for entertainment these days? she asks. Why on earth would anyone want to sit and watch injured people having their wounds assessed and then follow them as they go through the process of treatment?’

Abby had been taking bites out of her breakfast toast while she was on the move this morning, but now she let it slide down onto her plate while she stared transfixed at the monitor. Her long, honey-gold hair tumbled down around her face in a wild mass of curls and she swiftly pushed it back out of the way.

‘I’m sure many of you will have a view on this, and I’d be glad to see your comments on the website. My own feeling is that we all have a choice in the matter. It’s called the channel change button on the remote control, or, if you have the energy, there’s always the off switch on the television set.’

Her jaw dropped. That was a total put-down, wasn’t it, and what had she done to deserve that kind of treatment? This man, Calder, was impossible. OK, so his television programme had disturbed her, enough to prompt her to send a carefully worded message his way. After all, he had invited comments at the end of the programme, but surely she didn’t merit that kind of sarcasm? Hers had been a perfectly legitimate query, but his reply was a pure dig at her expense in front of the thousands who accessed his site.

Her appetite had suddenly disappeared, but it was replaced by a growing rumble of annoyance. She didn’t have time for any of this. She was supposed to be getting ready for work, and all she had meant to do was to swiftly check her emails in case any problems had cropped up overnight. Only her friend’s message had included a link to the website. ‘You have to check this out,’ she had written. ‘You seem to have stirred something up.’

Now Abby was rapidly regretting the impulse that had led her to click on the link. Merely thinking about the arrogance of the man brought a red haze to sizzle in front of her eyes. Why had she even bothered to switch on the television the other night? If she had left well alone, she might never have caught sight of his TV show, but she had left it on in the background as she’d dealt with her emails that evening. As she was already online it had been all too easy to let her emotions get away from her and write in to the address given.

They had all been talking about it in A and E, where she worked. ‘He has such a wry sense of humour,’ Helen, her specialist registrar, had said, ‘and when he’s on TV he’s absolutely brilliant as a presenter. Everybody’s watching his show, Emergency Call. It’s on once a week, in the evening, and he has a weekly slot that deals with different medical topics. It tends to throw up a controversy once in a while. He’s interviewed on radio and TV talk shows from time to time, and he writes occasionally, too.’

At least on radio, Abby thought, the listening public wouldn’t have been drawn to watch the suffering of the poor young woman who had slipped and fallen down the stairs last night. She was heavily pregnant, and Abby had felt her pain along with her as she had been filmed being carefully transferred into the ambulance.

‘It looks as though Megan is going into labour,’ Matt Calder had said softly to the camera. ‘We’ll be by her side through every stage, from here to the delivery room.’

The baby, though, hadn’t wanted to wait that long, and soon the presenter had said, ‘I don’t think we’re going to make it to the hospital before this infant is born.’

Remembering, Abby felt her hackles begin to rise all over again. Why was everyone so obsessed with fly-on-the-wall coverage these days?

Her fingers were already stabbing at the keyboard, and she banged out another message to Matt Calder.

‘I stand by what I said before,’ she wrote. ‘Isn’t your programme taking things a stretch too far? Do we really need to pry into every aspect of people’s lives, even stooping so low as to let cameras intrude on the special, intensely personal moment when a woman gives birth? It’s bad enough that the mother’s privacy is violated, but doesn’t it ever occur to anyone that the infant concerned is being exploited?’

Fuelled by a growing sense of righteousness, she added, ‘What depths will be plundered next, I wonder? Will someone be filmed saying, “Oh, I’m sorry, but I really don’t feel too well. I think I might not be able to make it through the night, please excuse me while I suck in my last breath. Would you be sure and show the film to my mother? I did so want her to be here with me at the end.” How very sad that we have to live our lives through other people.’

Pressing her lips together, she hit the ‘send’ button and flung her diatribe out into cyberspace. She stood for a moment glaring at the screen, and then she switched off the computer and went to finish getting ready for work.

Her cottage was in a valley at the edge of the Chilterns, and she had a half-hour drive ahead of her to reach the hospital, which was on the outskirts of London. She would need all of that time in order to calm herself down.

It was only when she was sliding into her car a while later that she realised that she had done it again. She had acted without giving herself time to stop and think things through. Had she gone too far? Maybe that sarcasm had been a tad over the top, but something about the show and the website, along with Matt Calder’s all too persuasive manner, had managed to ruffle her feathers. Was it possible that she had overreacted?

Perhaps the truth of the matter was that she was beginning to feel stressed and overworked. Her working life was very different from that of Dr Calder. She had spent long hours the previous day in A and E, doing her best to help the children in her care. She was the doctor in charge of the paediatric emergency department, and it was a responsible job, one that weighed heavily on her at times. She would be the first to admit that it sometimes took its toll on her.

Maybe that was the reason she had responded so badly to the programme. The truth was, Dr Calder, the latest hot new doctor out there enjoying celebrity status, had managed to graze a raw nerve with his bright and breezy invitation to watch events unfold on TV. His role as lead presenter was to comment on events as the trauma team went on its travels attending to casualties. What did he know of hospital targets and patient throughput and the daily anguish of dealing with severely ill patients?

His was a light and fluffy job, involving nothing more than going out and about with the paramedics, or taking part in chat shows on the radio, writing a blog on his website or spouting his own type of wisdom on a variety of health issues. One of them she’d even glanced at briefly, a magazine article on whether or not parents should let their children be vaccinated, and that was a subject guaranteed to put her on edge.

Not that she had seen or heard any of this up until now. She only had Helen’s version of what his work entailed and Helen appeared to be heavily biased in his favour.

‘He’s incredibly good-looking,’ she’d enthused. ‘Those lovely blue eyes…and his voice…He has such a deep, warm way of talking that he makes me go weak at the knees. He can come and assess my symptoms any day.’

In spite of herself, Abby had laughed. ‘You’re totally smitten, aren’t you?’

Helen had nodded. ‘Me and most of the women who work in A and E.’

For her part, Abby hadn’t paid much attention to the way he looked. She had only watched the programme in passing as she’d sat at the computer. He had been doing a voice-over some of the time, and mostly her gaze had been riveted to the young woman, Megan, who had been going through the throes of labour. The poor girl had been asking for painkillers, and a film of sweat had broken out on her brow.

Abby had switched off the TV set in a fit of annoyance. Was nothing sacred any more? She had been so fired up by the whole set of events that she had rattled off her comments without a second thought. It was only now, a couple of days later, that she had begun to regret her haste. She was a paediatrician, for heaven’s sake, a specialist in A and E, it ought to be beyond her to behave in such an impulsive manner. Why had she even bothered to write in? Hadn’t she anything better to do with her time?

And to send off another message at breakfast-time today, well, that had to be pure folly, hadn’t it? What on earth was wrong with her?

She pulled out on to the city road and flicked on the car radio so that she wouldn’t have to listen to her own thoughts any longer.

‘We’re glad to have you with us for our twice-weekly programme, Morning Surgery, with Dr Matt Calder,’ the radio host was saying in reverent tones, and Abby’s breath hissed into her lungs. ‘Before we open the door to the first patient, we just have time for a few words with our amiable physician.’ He paused. ‘Dr Calder, I see you’ve been going through your post in the last few minutes. What’s new for today?’ Abby’s fingers were poised to find the ‘off’ button, but she had to negotiate traffic and for the moment she let it ride.

‘Medical ethics seem to be on the agenda right now,’ Dr Calder replied. His voice floated over the airways, easygoing, friendly and compellingly smooth, and Abby had no doubt that he would be soothing troubled souls all over the nation.

‘People have been replying to the comment made by the doctor who objected to the cameras following patients to the emergency room. I have to say that opinion is divided on the matter, with some for and some against. We’ve actually had another, rather more strongly worded message from the doctor herself this morning, pointing out that what we’re doing is akin to exploitation.’

He proceeded to read out some of her hastily written comments, and Abby’s cheeks filled with heat. Having him repeat her words only served to add a new dimension to her embarrassment.

He had stopped to take a breath, and Abby could imagine him giving a wry smile. There was a definite inflection in his voice as he went on, ‘I tend to see it more as helping people to learn from others’ experiences. We hope that by televising these situations, others might be less afraid and better informed if they should find themselves in similar situations. We are very grateful to Megan and people like her who allow us to share their particular traumas. Some people are extraordinarily outgoing and generous in their outlook. We thank them heartily.’

Some people are extraordinarily outgoing and generous? Abby pressed her lips together. What did that make her? The way he spoke, the implication was that, in contrast, she was clearly a crabby spinster.

By now she had arrived in the grounds of the hospital. She switched off the radio with a jerking twist of her fingers and then she parked the car in her dedicated slot. Sliding out of the driver’s seat, she straightened up, locked the doors, and then pulled in a deep breath, assuming the mantle of consultant paediatrician. She had a difficult job to do, and it took every ounce of her reserves. She was the one who set the tone for the A and E department, and people had to be able to trust her to work efficiently and set in place a good atmosphere. Her colleagues relied on her to provide them with guidance and a good example, though what they would make of her recent outbursts via the website they all seemed to favour was anybody’s guess.

‘I’ve checked on all the patients in the observation ward,’ Helen said, coming to greet her a short time later. ‘Everyone seems fairly stable at the moment. I thought maybe you would want to transfer the six-year-old to the children’s ward, though. His breathing is still impaired, and he’s certainly not well enough to be sent home.’

Abby glanced at the boy’s chart. ‘Yes, I agree with you. As to the boy with the head injury, we’ll need to find him a bed, too. The others will probably be able to go home later today, but we’ll monitor them up until lunchtime.’

Helen nodded. ‘I’ll organise that. We seem to be busy this morning. There’s a full waiting room already and we have an incoming patient from a domestic accident, a girl who scalded herself.’

Abby winced. ‘It never ends, does it? There’s always some poor little scrap who ends up being hurt when it might have been avoided.’

She glanced at Helen. The registrar’s black hair was sleek and shining, expertly cut to fall neatly into place at the nape of her neck. It lifted and swirled in a delicate flurry as she turned her head.

‘You’re looking good today,’ Abby remarked. ‘Have you been to the hairdresser?’

The registrar grinned. ‘I thought I’d better make an effort,’ she murmured. ‘We have the interviews later today, remember. I figured I should do my best to look impeccably groomed and professional, as you asked me to sit in on them.’

‘Is that today?’ Abby grimaced. ‘I haven’t looked at the diary yet but, of course, you’re right. I remember thinking that I ought to put in another advertisement. Judging from the response we had, I don’t think we’re going to find the person we want. Most people want full-time work, but the budget won’t run to that. No wonder we’re run off our feet most of the time. We need more doctors, not to mention more specialist nurses and a whole load of other staff, like porters and other ancillary staff to take up some of the burden.’

‘You never know, we might get lucky. We could find someone who’ll be able to do the work of ten men.’

Abby chuckled. ‘We can always dream, can’t we?’

She went to check on the incoming patient, and for the next couple of hours she was busy dealing with youngsters and their various injuries. She tried, as ever, to push their distress to the back of her mind, and concentrated on providing pain relief and applying treatment that would promote healing and lessen their discomfort.

‘We’ve a child coming in from a traffic accident,’ the senior house officer told her. ‘It looks like a displaced midshaft femur fracture. He’s three years old. Apparently he ran into the road and the car driver didn’t manage to stop in time to avoid hitting him.’

‘OK, Sam. Make sure that trauma room four is ready to receive him. We’d better have Helen on standby if she’s free…and tell radiology to expect him for a CT scan.’

‘Will do.’ Sam moved away to set things in motion and Abby prepared to take over from the paramedics when they wheeled the little boy into the emergency room.

‘He was unconscious when we reached him,’ the paramedic told her. ‘An airway’s been put in, and we’ve set up two intravenous lines. His right thigh appears to be deformed from the impact.’

‘Thanks for that, Lewis.’ She glanced at him. ‘I’ll let you know how he gets on.’

He looked relieved. ‘Thanks, Abby. I’ll pop back later on. He’s such a tiny little thing. I hope he’ll do all right.’

‘So do I.’

He moved away and she began to swiftly examine the boy. ‘The abdomen is distended, with decreased bowel sounds,’ she told Sam when he returned to her side. ‘The pelvis is stable, but the thigh is swollen and tense. He’s still unresponsive. We’ll get a CT of the abdomen to check for any lacerations, and X-ray the leg to see what we’re dealing with. It will most likely need fixation, so you should ring for the orthopaedic surgeon to come and take a look.’

‘I’m on it.’ Sam hurried away once more, while Abby checked with the nurse as to the boy’s immediate care.

She was writing out the drugs requisition when a man came over to the trolley and said, ‘I think he may have banged his head on the road surface when the accident happened. I’m wondering if he might have a head injury as well as all his other problems.’

Abby glanced up at the man. ‘We’ll take care of him,’ she said. ‘We always check for head injury in these cases. Are you the boy’s father?’

‘No, but his parents are on their way. Apparently he was playing at a friend’s house when the accident happened.’

‘Oh, I see.’ Abby studied him a little more closely. Looking at him was way too distracting, she discovered. He was exceptionally good-looking, with hair that was midnight black, and he was around six feet tall, broad-shouldered and fit, with an athletic build that gave her the idea that he probably worked out regularly. He was wearing an expensively tailored, dark grey suit that sat well on him, and his shirt was a mid-blue, crisp and fresh-looking. She dragged her mind back to the task in hand.

‘So who are you?’ she asked. ‘Are you a relative?’

‘No. I was on my way to the hospital when I saw the accident happen, and I stopped to see if I could help in any way. I was concerned about the little fellow, and I just wanted to see how he was doing. I wanted to make sure that you didn’t rule out the possibility of a head injury. I think there might be some damage to his spleen as well.’

‘You sound very knowledgeable,’ Abby remarked as she started to write out the forms for Radiology. ‘Are you a doctor?’

‘Yes, that’s right, I am. I have a strong interest in A and E and the way these departments operate.’

‘Well, we’ll take care of him. You can rest assured that we’ll do everything that’s necessary to make certain he’s looked after properly,’ Abby told him.

She turned back to her small patient, making adjustments to the intravenous infusion she had set up, but after a while she realised that the man was still there, watching her every movement. Why was he so reluctant to leave?

She glanced up at him once more, remembering that he had said he had already been on his way to the hospital when the accident had happened. Her gaze drifted over the clean lines of the suit he was wearing. He certainly wasn’t dressed for a casual visit. That, and the fact that he seemed to be taking an interest in what she was doing, appeared to her to add up to one thing. He was probably one of the candidates for the part-time position they had advertised.

‘There’s no need for you to stay,’ she said, ‘and I’m sure the little boy’s parents will be arriving at any moment. If you’re here for the job interview, you could perhaps go and make yourself comfortable in the waiting room. I won’t be ready to start on them for a while yet, but I’ll ask one of the nurses to show you where you might go and get yourself a cup of coffee in the meantime, if you like. I’ll come and find you when I’ve finished here and let you know how he’s doing.’

‘Interview?’ He gave a slight frown, as though he had forgotten all about it, which wasn’t so unlikely, given his morning. Then his expression cleared, and he flicked a glance towards the name badge she was wearing.

He smiled. ‘Yes, of course. Thank you, Dr Byford. I think I’ll do that. You’ve been very kind.’

‘You’re welcome.’ She called for a nurse to come and show him the way, and then she turned and gave her attention wholly to the infant, readying him for his CT scan.

‘OK, Sam,’ she said to the senior house officer. ‘You can take Adam along to Radiology now. I’ll be in trauma two with the girl with the respiratory infection if you need to find me.’

She didn’t give the stranger another thought, except to reflect that he had been unusually persistent. He had waited, and she guessed that he was satisfying himself that all the resuscitation processes were in place so that the child would stand the best chance of recovery.

No one could fault him for that, but wasn’t it a little out of place for him to attempt to ingratiate himself with the doctor in charge before any interviews had begun?

Then again, she could have been misjudging him. Her views on men in general had been skewed by the unfortunate events of her past, and it could be that her opinions had been soured.

He seemed to have the child’s interests at heart, and she would bear that in mind when next they met.

She glanced at the watch on her wrist. She was already running late. Why was it that in this job the pressure never let up? There was a never-ending stream of poor little souls who needed patching up, and she did her best, but sometimes her best just didn’t seem enough.

No wonder Matt Calder was able to breeze through life, charming people with his easy words and blithe spirit. What he knew about stress could probably be written on a postage stamp.