Kitabı oku: «Hearts Afire»

“We need a volunteer from our own medical staff to head up the clinic. I’m sure Dr. Landsdowne would be willing to volunteer.”

Silence, dead silence. Jake stared at the chief of staff, appalled. Jake had every reason in the world to say no, but he had no choice.

He straightened, trying to assume an expression of enthusiasm. “Of course I’d be happy to take this on. Assuming Ms. Flanagan is willing to work with me, naturally.”

Terry might be infuriated at being given a supervisor, but she had no more choice than he did. “Yes.”

Jake glanced at Terry, his gaze colliding with hers. She flushed, but she didn’t look away. Her mouth set in a stubborn line that told him he was in for a fight.

He didn’t mind a fight, but one thing he was sure of: Terry Flanagan and her clinic couldn’t be allowed to throw his career off course. No matter what he had to do to stop her.

MARTA PERRY

has written almost everything, including Sunday school curriculum, travel articles and magazine stories in twenty years of writing, but she feels she’s found her home in the stories she writes for the Love Inspired line.

Marta lives in rural Pennsylvania, but she and her husband spend part of each year at their second home in South Carolina. When she’s not writing, she’s probably visiting her children and her beautiful grandchildren, traveling or relaxing with a good book.

Marta loves hearing from readers and she’ll write back with a signed bookplate or bookmark. Write to her c/o Steeple Hill Books, 233 Broadway, Suite 1001, New York, NY 10279, e-mail her at marta@martaperry.com, or visit her on the Web at www.martaperry.com.

Hearts Afire

Marta Perry

Therefore we also, since we are surrounded by so great a cloud of witnesses, let us lay aside every weight, and the sin which so easily ensnares us, and let us run with endurance the race that is set before us.

—Hebrews 12:1

This story is dedicated to my granddaughter,

Ameline Grace Stewart, with much love

from Grammy. And, as always, to Brian.

Contents

Chapter One

Chapter Two

Chapter Three

Chapter Four

Chapter Five

Chapter Six

Chapter Seven

Chapter Eight

Chapter Nine

Chapter Ten

Chapter Eleven

Chapter Twelve

Chapter Thirteen

Chapter Fourteen

Chapter Fifteen

Chapter Sixteen

Questions for Discussion

Chapter One

Terry Flanagan flashed a penlight in the young boy’s eyes and then smiled reassuringly at the teenage sister who was riding with them in the rig on the trip to the hospital.

“You can hit the siren,” she called through the narrow doorway to her partner. Jeff Erhart was driving the unit this run. They had an unspoken agreement that she’d administer care when the patient was a small child. With three young kids of his own, Jeff found a hurt child tough to face.

The sister’s dark gaze focused on Terry. “Why did you tell him to start the siren? Is Juan worse? Tell me!”

“He’s going to be fine, Manuela.” She’d agreed to take the sister in the unit because she was the only family member who spoke English. “You have to stay calm, remember?” Naturally it was scary for Manuela to see her little brother immobilized on a backboard, an IV running into his arm.

The girl swallowed hard, nodding. With her dark hair pulled back in braids and her skin innocent of makeup, Manuela didn’t look the sixteen years she claimed to be. Possibly she was sixteen only because that was the minimum age for migrant farmworkers to be in the fields. The fertile farmlands and orchards that surrounded the small city of Suffolk in southern Pennsylvania were a magnet for busloads of migrant farmworkers, most from Mexico, who visited the area for weeks at a time. They rarely intersected with the local community except in an emergency, like this one.

“Juan will need stitches, yes?” Manuela clasped her little brother’s hand.

“Yes, he will.” Terry lifted the gauze pad slightly. The bleeding had slowed, but the edges of the cut gaped.

The child looked up at her with such simple trust that her stomach clenched. Lord, I haven’t forgotten anything, have I? Be with this child, and guide my hands and my decisions.

She ticked over the steps of care as the unit hit the busy streets of Suffolk and slowed. She’d been over them already, but somehow she couldn’t help doing it again. And again.

She knew why. It had been two years, but she still heard that accusing voice at moments like this, telling her that she was incompetent, that she—

No. She wouldn’t go there. She’d turn the self-doubt over to God, as she’d done so many times before, and she’d close the door on that cold voice. The wail of the siren, the well-equipped emergency unit, the trim khaki pants and navy shirt with the word Paramedic emblazoned on the back—all those things assured her of who she was.

She smiled at the girl again, seeing the strain in her young face. “How did your brother get hurt? Can you tell me that?”

“He shouldn’t have been there.” The words burst out. “He’s too little to—”

The child’s fingers closed over hers, as if he understood what she was saying. A look flashed between brother and sister, too quickly for Terry to be sure what it meant. A warning? Perhaps.

She could think of only one ending to what Manuela had started to say. “Was Juan working in the field?” It was illegal for a child so young to work in the fields—everyone knew that, even those who managed to ignore the migrant workers in their midst every summer and fall.

Alarm filled the girl’s eyes. “I didn’t say that. You can’t tell anyone I said that!”

The boy, catching his sister’s emotion, clutched her hand tightly and murmured something in Spanish. His eyes were huge in his pinched, pale face.

Compunction flooded Terry. She couldn’t let the child become upset. “It’s okay,” she said, patting him gently. “Manuela, tell your brother everything is okay. I misunderstood, that’s all.”

Manuela nodded, bending over her brother, saying something in a soft voice. Terry watched, frowning. Something was going on there—something the girl didn’t want her to pursue.

She glanced out the window. They were making the turn into the hospital driveway. This wasn’t over. Once they were inside, she’d find out how the child had been injured, one way or another.

Jeff cut the siren and pulled to a stop. By the time she’d opened the back doors, he was there to help her slide the stretcher smoothly out.

They rolled boy and stretcher quickly through the automatic doors and into the hands of the waiting E.R. team.

Terry flashed a grin at Harriet Conway. With her brown hair pulled back and her oversized glasses, Harriet might look severe, but Terry knew and respected her. The hospital had been afloat with rumors about the new head of emergency medicine, but no one seemed to know yet who it was. All they knew was that the new appointment probably meant change, and nobody liked change.

She reported quickly, in the shorthand that developed between people who liked and trusted each other. Harriet nodded, clipping orders as they wheeled the boy toward a treatment room. This was usually the paramedic’s cue to stay behind, unless the E.R. was shorthanded, but Terry was reluctant.

She bent over the child. “This is Dr. Conway, Juan. She’s going to take good care of you.”

She looked around for Manuela, and found the girl near the door, her arms around her mother. Two men stood awkwardly to the side, clearly uncomfortable with the woman’s tears. One, the father, turned a hat in work-worn hands, the knees of his work pants caked with mud from kneeling in the tomato field.

The other man was the crew chief, Mel Jordan. He’d driven Mr. and Mrs. Ortiz. He’d know if Juan had been working in the field when he was injured, but he wouldn’t want to admit it.

Manuela came back to the stretcher in a rush, repeating Terry’s words to her little brother. Taking in the situation, Harriet jerked her head toward the exam room.

“Looks like you’d both better come in.”

Good. Terry pushed the stretcher through the swinging door. Because she didn’t intend to leave until she knew what had happened to the child.

The next few minutes had to be as difficult for the sister as they were for the patient, but Manuela hung in there like a trouper, singing to Juan and teasing a smile out of him.

Finally the wound was cleaned, the stitches in, and Harriet straightened with a smile. “Okay, good job, young man. You’re going to be fine, but you be more careful next time.”

Manuela translated, and Juan managed another smile.

Harriet headed for the door. “I’ll send the parents in now. Thanks, Terry.”

This was probably her only chance to find out what had really happened at the camp. She leaned across the bed to clasp Manuela’s hand.

“How was your brother hurt? What happened to him?”

Manuela’s eyes widened. “I don’t understand.”

She bit back frustration. “I think you do. I want to know how your little brother cut his head. Was he working in the field?”

“What are you trying to pull?”

Terry swung around. The crew chief stood in the door, Dr. Conway and the anxious parents behind him.

“No kid works in the field. It’s against the law. You think I don’t know that?” Inimical eyes in a puffy, flushed face glared at her. Jordan had the look of a man who drank too much, ate unwisely and would clog his arteries by fifty if he had his way.

Dr. Conway pushed past him, letting the parents sidle into the room with her. “What’s up, Terry? Is there some question about how the boy was hurt?”

“I’d like to be sure.” Ignoring the crew chief, she focused on Manuela, who was talking to her parents. “Manuela, what was your little brother doing when he was hurt?”

Manuela’s father said something short and staccato in Spanish, his dark eyes opaque, giving away nothing. How much of this had he understood? Why hadn’t she taken Spanish in high school, instead of the German for which she’d never found a use?

There was a flash of rebellion in Manuela’s face. Then she looked down, eyes masked by long, dark lashes.

“He was playing. He fell and hit his head on a rock. That’s all.”

She was lying, Terry was sure of it. “When we were in the ambulance, you said—”

“The girl answered you.” The crew chief shoved his bulky figure between Terry and the girl. “Let’s get going.” He added something in Spanish, and the father bent to pick up the boy.

“Wait a minute. You can’t leave yet.” They were going to walk out, and once that happened, she’d have no chance to get to the truth, no chance to fix things for that hurt child.

“We’re going, and you can’t keep the kid here.”

The mother, frightened, burst into speech. Her husband and Manuela tried to soothe her. The boy began to cry.

Terry glanced to Dr. Conway in a silent plea for backup. But Harriet was looking past her, toward the open door of the exam room.

“What’s the problem here?” An incisive voice cut through the babble of voices. “This is a hospital, people.”

“The new E.R. chief,” Harriet murmured to Terry, the faintest flicker of an eyelid conveying a warning.

Terry didn’t need the warning. She knew who was there even before her mind had processed the information, probably because that voice had already seared her soul. Slowly she turned.

She hadn’t imagined it. Dr. Jacob Landsdowne stood glaring at her. Six feet of frost with icicle eyes, some wit at Philadelphia General had once called him. It still fit.

He gave no sign that he recognized her, though he must. She hadn’t changed in two years, except to gain about ten years of experience. Those icy blue eyes touched her and dismissed her as he focused on Harriet.

Harriet took her time consulting the chart in her hand before answering him. Terry knew her friend well enough to know that was deliberate—Harriet letting him know this was her turf.

Well, good. Harriet would need every ounce of confidence she possessed to hold her own against Jake Landsdowne.

Harriet gave him a quick précis of Juan’s condition and treatment, giving Terry the chance to take a breath.

Steady. Don’t panic. You haven’t done anything wrong.

“The paramedic questions how the child was injured,” Harriet concluded. “I was about to pursue that when you came in.” She nodded toward Terry. “Terry Flanagan, Suffolk Fire Department.”

She couldn’t have extended her hand if her life depended on it. It didn’t matter, since the great Dr. Landsdowne wouldn’t shake hands with a mere paramedic. He gave a curt nod and turned to the group clustered around the child.

“The kiddo’s folks don’t speak English, Doc.” The crew chief was all smiles now, apparently smart enough to realize his bluster wouldn’t work with Landsdowne. “Manuela here was saying that the little one fell and cut his head. Shame, but just an accident.”

She wouldn’t believe the man any farther than she could throw him, but Landsdowne’s face registered only polite attention. He looked at Manuela. “Is that correct?”

Manuela’s gaze slid away from his. “Yes, sir.”

“Then I think we’re done here. Dr. Conway, I’ll leave you to sign the patient out.” He turned and was gone before Terry found wits to speak.

Quickly, before she could lose the courage, she followed him to the hall. “Dr. Landsdowne—”

He stopped, frowning at her as if she were some lower species of life that had unaccountably found its way into his Emergency Room. “Well?”

She tried to blot out the memory of their last encounter. “While we were en route, I got the impression there might be more to this. If the child was injured while working in the field—”

“Did anyone say that?”

“Not in so many words.”

“Then the hospital has no right to interfere. And neither do you.”

He couldn’t turn his back on her fast enough. He swept off with that long lope that seemed to cover miles of hospital corridor.

That settled that, apparently. She looked after the retreating figure.

Jake Landsdowne had changed more than she’d have expected in the past two years. He still had those steely blue eyes and the black hair brushed back from an angled, intelligent face, that faintly supercilious air that went along with a background of wealth and standing in the medical community.

But his broad shoulders appeared to carry a heavy burden, and those lines of strain around his eyes and mouth hadn’t been there when she’d known him.

What was he doing here, anyway? She could only be surprised that she hadn’t thought of that question sooner.

Jacob Landsdowne III had been a neurosurgery resident in Philadelphia two years ago, known to the E.R. staff and a lowly paramedic only because he’d been the neurosurgery consult called to the E.R. He’d been on the fast track, everyone said, the son of a noted neurosurgeon, being groomed to take over his father’s practice, top ten percent of his med school class, dating a Main Line socialite who could only add to his prestige.

Now he was a temporary Chief of Emergency Services at a small hospital in a small city in rural Pennsylvania. She knew, only too well, what had happened to the socialite. But what had happened to Jake?

He’d changed. But one thing hadn’t changed. He still stared at Terry Flanagan with contempt in his face.

“Glad you could join us, Dr. Landsdowne.” Sam Getz, Providence Hospital’s Chief of Staff, didn’t look glad. Let’s see how you measure up, that’s what his expression always said when he looked at Jake.

“I appreciate the opportunity to meet with the board.” He nodded to the three people seated around the polished mahogany table in the conference room high above the patient care areas of the hospital.

A summons to the boardroom was enough to make any physician examine his conduct, but Getz had merely said the board’s committee for community outreach was considering a project he might be interested in. Given the fact that Jake’s contract was for a six-month trial period, he was bound to be interested in anything the board wanted him to do.

Last chance, a voice whispered in his head. Last chance to make it as a physician. They all know that.

Did they? He might be overreacting. He helped himself to a mug of coffee, gaining a moment to get his game face on.

Getz knew his history, but the elderly doctor didn’t seem the sort to gossip. In fact, Sam Getz looked like nothing so much as one of the Pennsylvania Dutch farmers Jake had seen at the local farmer’s market, with his square, ruddy face and those bright blue eyes.

Dr. Getz tapped on the table, and Jake slid into the nearest chair like a tardy student arriving after the lecture had begun. “Time to get started, folks.” He nodded toward the door, where two more people were entering. “You all know Pastor Flanagan, our fellow board member. And this is his cousin, Paramedic Terry Flanagan. They have something to say to the board.”

Good thing his coffee was in a heavy mug. If he’d held a foam cup, it would have been all over the table. Terry Flanagan. Was she here to lodge a complaint against him?

Common sense won out. Terry would hardly bring up that painful incident, especially not to the community outreach committee. This had to be about something else.

The other people seated around the table were flipping open the folders that had been put at each place. He opened his gingerly, to find a proposal for Providence Hospital to establish a clinic to serve migrant farmworkers.

He pictured Terry, bending over the migrant child in the E.R., protectiveness in every line of her body. Was that what this was about?

He’d been so shocked to see her that he’d handled the situation on autopilot. He’d read equal measure of shock in her face at the sight of him. What were the chances that they’d bump up against one another again?

He yanked his thoughts from that, focusing on the minister. Pastor Flanagan spoke quickly, outlining the needs of the migrant workers and the efforts his church was making. So he was both Terry’s cousin and a member of the board—that was an unpleasant shock.

This was what she’d done then, after the tragedy. She’d run home. At the time, he’d neither known nor cared what had become of her. He’d simply wanted her away from his hospital. Not that it had stayed his hospital for long.

The minister ended with a plea for the board to consider their proposal, and Terry stood to speak. Her square, capable hands trembled slightly on the folder until she pressed them against the tabletop.

Had she changed, in the past two years? He couldn’t decide. Probably he’d never have noticed her, in that busy city E.R., if it hadn’t been for her mop of red curls, those fierce green eyes, and the air of determination warring with the naiveté in her heart-shaped face.

That was what had changed, he realized. The naiveté was gone. Grim experience had rubbed the innocence off the young paramedic.

The determination was still there. Even though her audience didn’t give her much encouragement, her voice grew impassioned, and the force of her desire to help wrung a bit of unwilling admiration from him. She knew her stuff, too—knew how many migrant workers came through in a season, how many children, what government programs were in place to help.

William Morley, the hospital administrator, shifted uneasily in his chair as her presentation came to a close. His fingers twitched as if he added up costs.

“What you say may be true,” he said. “But why can’t those people simply come to the emergency room? Or call the paramedics?”

“They’ll only call the paramedics in case of dire emergency.” Terry leaned forward, her nervousness obviously forgotten in her passion. “Too many migrants are afraid of having contact—afraid their papers aren’t in order or they’re simply afraid of authority. As for the E.R., no one from the migrant camps comes in unless it’s a case where the police or the paramedics become involved. They’re afraid, and they’re also dependent on the crew chief for transportation.”

Jake heard what she didn’t say. He hadn’t thought too highly of the unctuous crew chief, either. But would he really refuse to transport someone who needed care? And did Terry, in spite of her enthusiasm, have the skills necessary to manage a job like this? He doubted it.

Morley was already shaking his head, the overhead light reflecting from it. If he’d grown that pencil-thin moustache to compensate for his baldness, it wasn’t working. “Starting a clinic isn’t the answer. Let the government handle the situation. We do our part by accepting the cases in the E.R. And, might I add, we are rarely paid anything.”

“That’s a point.” A board member whose name escaped Jake leaned forward, tapping his pen on the table for emphasis. “We’d put ourselves at risk with a clinic. What about insurance coverage? When they come to the E.R., we have backups and safeguards. If Ms. Flanagan or one of her volunteers made a mistake, we’d be liable.”

He thought Terry’s cheeks paled a little at that comment, but she didn’t back down. “The hospital can establish any protocol it wishes for treatment. And I plan to recruit staff from among the medical professionals right in our community.”

“How many people do you think have the time to do that?” Morley’s head went back and forth in what seemed his characteristic response to any risk. “Really, Ms. Flanagan, I don’t see how you can make this work in such a short time. Perhaps in another year—”

The mood of the board was going against her, Jake sensed. Well, he couldn’t blame them. They didn’t want to take a chance. He understood that.

“I have several volunteers signed up from my congregation,” Pastor Flanagan said. “And I’ve spoken with the owner of Dixon Farms, the largest employer of migrant workers in the county.”

“You’re not going to tell me old Matthew Dixon agreed to help.” Dr. Getz spoke for the first time, and Jake realized he’d been waiting—for what, Jake couldn’t guess. “The man still has the first dollar he ever made.”

If the minister agreed, he didn’t show it. “He’ll allow us to establish the clinic on his property. There’s even a building we can use.”

“If you can sell this idea to Matt Dixon, Pastor, you’re wasted in the ministry. You should be in sales.” Getz chuckled at his own joke, and Pastor Flanagan smiled weakly.

“That hardly solves the problem of liability,” Morley said. “No, no, I’m afraid this just won’t do. We can’t—”

Getz interrupted with a gesture. “I have a solution that will satisfy everyone.” The fact that Morley fell silent and sat back in his chair told Jake volumes about the balance of power in this particular hospital. “We need a volunteer from our own medical staff to head up the clinic. That’s all.” He turned toward Jake, still smiling. “I’m sure Dr. Landsdowne would be willing to volunteer.”

Silence, dead silence. Jake stared at him, appalled. He could think of a hundred things that could go wrong in an operation like this, and any one of them could backfire on him, ending his last hope for a decent career. He had every reason in the world to say no, but one overriding reason to say yes. He had no choice. This wasn’t voluntary, and he and Getz both knew it.

He straightened, trying to assume an expression of enthusiasm. “Of course, I’d be happy to take this on. Assuming Ms. Flanagan is willing to work with me, naturally.”

Terry looked as appalled as he felt, but she had no more choice than he did. “Yes.” She clipped off the word. “Fine.”

“That’s settled, then.” Getz rubbed his palms. “Good. I like it when everything comes together this way. Well, ladies and gentlemen, I think we’re adjourned.”

Chairs scraped as people rose. Jake glanced at Terry, his gaze colliding with hers. She flushed, but she didn’t look away. Her mouth set in a stubborn line that told him he was in for a fight.

He didn’t mind a fight, but one thing he was sure of. Terry Flanagan and her clinic couldn’t be allowed to throw him off course toward his goal. No matter what he had to do to stop her.