Kitabı oku: «Tempted By The Brooding Surgeon»

CHAPTER ONE

WHAT CAN GO wrong will go wrong.

Annabelle Richards had no idea who’d said that first but, boy, they sure were right. What should have been a ten-hour flight from Chicago to Lima, Peru, then another hour and a half travel to the mission hospital, had turned into a forty-eight-hour delay. She was finally in the back of a taxi, dead tired from lack of sleep and running late for what should have been the second day of her posting at the hospital but was now day one because of her delays. She was scheduled to start at 8:00 a.m. Just seven minutes away.

She leaned forward to ask the taxi driver the same question she’d already asked a dozen times. “Are we close?”

“Sí. Soon, señorita. Short minutes more.”

Annabelle tried to relax back into the vinyl seat of the dusty cab, but the tightness in her gut kept her sitting upright. The entire surgical team was likely already annoyed, her lateness interrupting their carefully designed schedule and putting everyone behind on attending to all the patients they’d hoped to see. She could only pray that the first surgery scheduled this morning wasn’t something life-threatening.

What if someone died because she wasn’t there in time to get them anesthetized and intubated? What if one of their small patients had gotten sicker yesterday while they’d waited for her, making today’s surgeries even more serious?

How had everything gone so wrong all at the same time?

First, the transport monitor she’d worked months to have donated for this trip had gotten locked into a storage room that no one had seemed to have the key for. A frantic hour had gone by before she’d finally retrieved it, then torn to the airport, panicking that she’d miss her flight. Which, of course, she had. Then weather delays and missed connections added to the disaster.

Looking back, it was all her own stupid fault for being so determined to bring the monitor, instead of having it shipped. Except the whole reason she’d waited around to get it was because the last time she was here, a tiny premature baby had almost died without a monitor to check his heart rate and other vital signs.

She could only hope that missing a day of surgeries because of it hadn’t resulted in a child dying anyway.

She scrubbed her hands down her cheeks, her nerves practically screaming with the need to finally get to the clinic. Being physically there and on time was more important than equipment any day.

Hadn’t she been told more than once that her dog-with-a-bone determination got her into trouble sometimes? This sure was one of those times, and the trouble just kept coming. The huge delay had meant she’d also missed her meeting at the hospital in Lima. A beyond important meeting that might have saved her old school from being shut down in a matter of months. And now her dream to turn the school into a medical training facility for impoverished youths just might be doomed to failure.

Annabelle stared out the window at the passing landscape, wanting to distract herself before she went further into a panic spiral. The gorgeous, deep blue ocean and white sand beaches on one side below the road were in starkly colorful contrast to the green and brown mountains on the other side. Beautiful cliff-side homes and rickety shanties made of whatever hodgepodge of materials folks could get their hands on dotted the lush landscape.

The poverty in her old neighborhood was more than real. But in so many ways it couldn’t compare to the tiny, leaky places so many people here in Peru called home. Whenever families heard the medical mission crews were coming to an area, they’d trek for miles, hoping their child would be chosen to receive surgery and care. They’d sleep on the ground and patiently line up for their children to be seen, and if they were told that their child couldn’t be taken care of, that there was no more room in the schedule, they’d smile and thank the doctors and nurses, saying they’d be back to try again next time.

Helping those children was beyond important. Somehow, she had to find a way to get the meeting in Lima rescheduled so she could get the partnership and funding to give underprivileged kids a dream and a goal, while still taking care of as many patients needing surgery here as possible.

The taxi driver finally turned off the main road, and she sat up straight again, relief surging through her veins as she recognized the landscape. “Is this it? Are we about there?”

“Sí. Just up the hill a couple of miles.”

Thank God.

The cab lurched to a stop where the road ended, which left another five hundred or so feet to the small hospital OR. On an uphill slope she knew wasn’t easy to navigate, especially when it rained. “Just put my suitcase and the rest of the stuff on that rock there, please,” she said, pointing. “I’ll get it later.”

He nodded and did as she asked before she stuffed a wad of money in his hand. Being in a position to give a generous tip to someone she knew needed it always awed her and thrilled her, after so many years of having nothing herself. “Thanks so much. Can you hand me the monitor so I can carry it easier?”

The sketchy Spanish she’d been painstakingly learning, along with a few gestures, seemed to get her message across and he deposited the equipment into her wide open arms with a grin and a nod. “Adios.”

“Adios! Thanks again.”

Annabel turned to trudge up the hill, slipping a little on small stones as she went. Had the path always been this long? Huffing and puffing and only about halfway there, it felt very possible that her arms might crack off from the heavy weight of the patient monitor before she even got to the operating room. If she’d had any brains, she should have paid the man extra money to carry it for her. But since she knew everyone was waiting for her to finally show up, pausing to put down the awkward thing and catch her breath wasn’t an option.

Thrashing herself all over again for not thinking this through, Annabelle heaved the transport monitor higher against her chest, praying she didn’t drop it before it could even be used. Wouldn’t that just be the icing on the disaster cake?

Sweat rolled down her back, morphing from a trickle to a waterfall despite it being only about seventy degrees on an early March morning, and every hurried step seemed to add another pound to the weight in her arms. A few more lurching steps, and she topped the rise. Seeing the cement block building that made do as an operating room in this part of Peru would have her whooping if she’d had any breath left, but instead she sagged in relief.

She’d made it.

Trying hard to ignore the way the monitor jabbed her breasts and the sharply painful muscle twisting in her shoulder, she bit her lip to keep from cursing. Finally, she got the doorknob turned and the door shoved open with her shoulder.

“So sorry I’m late,” she said breathlessly to anyone listening as she stumbled into the sparse room. “And that I missed yesterday, too. I hope you were able to take care of nonsurgical stuff since I wasn’t here but, still, I know it wasn’t good that I missed my flight. Really sorry about that.”

Quickly scanning the space to take in the small assembly of medical professionals near the surgical bed, she saw the familiar face of a Peruvian nurse named Karina whom she’d worked with here before, and her friend, Jen, who worked in a different hospital in Chicago.

“Hi!” Annabelle said with a smile and an accompanying wave of her few free fingers. The lack of return smiles, along with the worry on their faces, briefly registered before she looked down at the small patient they were crowded around, who was lying on the bed and staring up at her somberly.

“Hello, buddy!”

She sent him a reassuring grin before looking for a table close enough to the patient to set the monitor down, her arms beyond desperate to be relieved of the heavy machine.

“Oh, my gosh, this thing weighs a ton! Where can I put it? I hope you all haven’t been waiting for me too long. Getting here has been one problem after another! First there was a delay getting the monitor at the hospital, which made me miss my stupid flight. Then I hit bad weather and missed my connection, which was even worse. Plus, I had no idea airport security would take such a crazy long time examining the monitor this morning, and I—”

“Most of our surgeries have been done without a monitor in the past. If security had a problem with it, you should have left it at the airport. Or shipped it to begin with, which would have prevented all your problems so you could be here on time.”

Annabelle froze, her heart knocked hard against her ribs, and suddenly she couldn’t breathe at all.

That voice. The cold tone. The stinging criticism. All were too horrifyingly familiar. Forcing herself to slowly turn toward the tall, gowned man standing with his arms folded across his chest next to the patient, her worst fears were confirmed.

She may not have seen him for five years, but she’d recognize those hard brown eyes anywhere. The cut cheekbones. The bronzed skin. The displeasure and disdain on his face. The lips that were inexplicably sensuously shaped, even when pressed together in clear annoyance.

Dr. Daniel Ferrera in the flesh.

The man who had sabotaged her first career goals.

Gulping, she tried to pull air into her lungs. How could this be? How was it possible that of all the cardiac surgeons in the whole world, he was the one here on this mission trip in Peru?

“Making us miss an entire day of surgeries yesterday was unfair to everyone else, both the patients and the surgical team who took valuable vacation time to be here, Dr. Richards. And this morning you’ve kept the patient waiting for his surgery, making it so fewer patients will get seen today and all week, disappointing the families hoping their child will be taken care of since we won’t be able to fit in nearly as many because of your actions.”

Condemnation filled his dark eyes as they seared into hers. “I could have sent someone to get the monitor from the airport later, while you were here doing your job, but apparently some things never change.”

“I... The monitor was donated by a benefactor.”

“And the benefactor is more important than our patients here?”

“No. No, of course not. But I had to make sure the monitor arrived safely. When I was here last, we almost lost a patient because there was no monitor. A premature infant, and that’s just not acceptable if there’s any way to avoid it. So I decided to bring one here this time.” Icy shock numbed her brain, making it hard to speak coherently, and her insides seemed to squeeze and sag along with her arms under the heavy weight of the monitor as she stared at him.

Daniel must have seen her struggling to hold the machine, as a disgusted sound left his lips before he strode to take it from her, sliding it onto a nearby metal table.

“If you’d simply shipped it, you wouldn’t have hit bad weather, wouldn’t have missed your connection, wouldn’t have had to deal with airport security and wouldn’t have missed your first day, setting back the schedule for the whole week. It seems apparent that you’re not cut out for this kind of work.”

The arrogant tone, the sarcastically raised dark eyebrow, the scorn on his face cut through her horrified paralysis. Yes, it was true, she might not be cut out for any of the things she’d striven so hard to be excellent at. She wasn’t like him and all the others who came from their hoity-toity privileged backgrounds, people who’d had every advantage handed to them with white gloves and smiles, showered with accolades and money and a golden path laid out for them to become physicians.

She might be leagues below him in every way but, if nothing else, her pathetic history had at least given her grit and bravado. Living in rough neighborhoods around even rougher people had taught her that, when pushed, you’d better push back or you’d end up rubbed into the floor. She wasn’t about to let him talk to her that way, in front of their patient and the rest of the small surgical staff, whether she deserved it or not.

“For your information, this is my ninth mission trip, Dr. Ferrera. I’m not a newbie. I know the circumstances we’re dealing with here. But if we can save even one life by having a monitor, I was damned well going to make that happen.” She grabbed the mask and IV with shaking hands to show him it was time to stop talking and get to work. “I’m no longer the green anesthesiologist I was when we last worked together. Since your insults and criticism are only delaying the surgery on this boy even longer, I suggest we get to it.”

Dark eyes slashed across her like a whip before he turned to the patient and crew. “Since Dr. Richards obviously hasn’t had a chance to study our surgery lineup today, I’ll have to go over it again. We have an atrial septal defect, with the hole thankfully small. Get him hooked up to the all-important monitor while Dr. Richards gets the gases ready. As soon as he’s asleep and ready, I’ll get started.”

Everyone got to work. Daniel’s scowl and his stiff professional tone changed completely as he leaned over the little boy, speaking softly and melodically in Spanish. Whatever he said actually made the child smile, and though Annabelle didn’t want to feel the squishiness in her heart at how beautifully he was reassuring their young patient, it happened anyway.

How could the man be such a chameleon? A total autocratic jerk one minute, and a gentle, caring doctor the next? It didn’t matter, really. Neither of them would ever get past what had happened five years ago, and his obviously negative convictions about her skills. The thought of having to work with him for two entire weeks made her stomach churn. Before she’d even started her first surgery, she found herself hoping it was the fastest two-week mission trip in history.

But with no way to actually warp time to make that happen, she would focus on their patient and her job. She prepared to connect the two anesthetic gases to the small clear mask, then leaned over to show it to the child. Trying to explain it to him in her halting Spanish, she realized the stress of facing Daniel Ferrera seemed to have obliterated from her brain the few words she did know in the other language. With the surgery needing to start pronto, she knew that swallowing her pride was the right thing to do, and turned to her friend Karina. “Can you tell him I’m going to put the mask over his nose and mouth, and he’ll go to dreamland for a while?”

Before Karina could say a word, Daniel Ferrera leaned over the patient again, speaking more of that lovely, lilting Spanish, and mere seconds after Annabelle placed the mask on his face, the boy’s eyes were closed. Grateful that she’d done this enough times that her shakiness evaporated as she worked through the steps, Annabelle worked to connect the IV lines to his arms and legs, then the final, central line to his neck connecting directly to his heart. A necessary step of stunning the heart before the surgery could begin. “Pressure?”

“Monitor shows we have railroad tracks so all okay,” Jennifer said.

Annabelle glanced at the monitor, glad to have it for confirmation, no matter what Daniel Ferrera thought about it. “Good.” She concentrated on inserting a breathing tube, relieved that the boy’s mouth opened wide enough for it to go in easily. “Neuromuscular blockade set. We have a one airway, so he’s breathing manually.”

All she got was a nod from Daniel Ferrera before he got to work. Just as she’d remembered from the last time she’d watched him perform a delicate operation, he was steady, confident and precise. Not a single bobble or pause, just an even pace and periodic questions to the support crew and her as they monitored the patient. But there was no question that the tone of voice he used when he talked to her was completely different than the one he used with everyone else. Abrupt and clipped, showing loud and clear that he was still annoyed.

What was with the man that he couldn’t just let things go? It was clear nothing had changed from five years ago. Didn’t he believe people deserved a second chance after a mistake? Even if that mistake had been a terrible one?

For the next several hours, the surgery went smoothly, the whole team working together seamlessly without a hitch.

“That’s a wrap.” Daniel said, finally leaning back and running his finger down the closed incision. “Time for epinephrine to get the heart working again, then we’ll wake him, Dr. Richards.”

* * *

Her eyes lifted to briefly meet his, and if that icy blue could have physically stabbed him, he had a feeling she would have been glad. One of the many personality traits he disliked in medical professionals was if they tried to pass the buck when something went wrong. He did everything he could to make sure every surgery went perfectly, but when he made an error, or an error was made by someone he was supervising, he owned it.

Which Annabelle Richards should do, as far as he was concerned. Maybe her lateness hadn’t caused catastrophic damage, but they very well might not be able to perform surgery on all the patients they had scheduled today without everyone working into the late hours. Her tardiness wasn’t fair to any of their small patients who might have to wait until the next visit, or to the hardworking staff at this hospital who were donating their time to this cause.

“Are you prepared to work late tonight, if we have to, Dr. Richards? You look a little tired from your stressful travels.”

“How sweet of you to worry about me, Dr. Ferrera,” she said in a sarcastic tone. “No need, though. I may look like a hag, but I’m not tired at all. I’ll work as late as is needed.”

“Good. Because now we’re more than a day behind schedule, as you know.”

“I do know.” A near snarl curled her lip as she turned back to the equipment.

Hag? Now, that was a word no one could ever apply to Annabelle Richards, curled lip or not. Daniel studied the mutinous expression on her face as she diligently avoided looking at him, and couldn’t deny that, for some reason, her take-no-prisoners attitude and spunk was as appealing as the sweet smile in her blue eyes and on her lush lips that appeared as she turned to their small patient. He couldn’t deny that, for a split second, thoughts of what it would feel like to kiss that seductive mouth had scorched his brain just as it had the first time he’d seen her five years ago. It annoyed the hell out of him.

Gorgeous, sexy and sassy didn’t have anything to do with good medical skills, and he figured that her beauty had probably helped her advance in her career when she shouldn’t have. When he’d blocked her getting a permanent position five years ago at the hospital where he still worked, two of the upper-level hospital administrators had stepped in and gone to bat for her. He still believed her good looks, with serious curves in all the right places, had been part of why they’d wanted to keep her around.

Regardless, Daniel was the best cardiac surgeon at the hospital, and when he’d stated with no room for discussion that he’d never work with her again, they’d known he’d meant it. No one wanted to have to dance around that kind of scheduling nightmare, so off she’d gone in a matter of weeks.

Had he thought about her a few times afterward? For whatever reason, he couldn’t deny that he had. For a few months after she’d left, when he’d closed his eyes at night, he’d sometimes seen her face and lips. Her silky blond hair falling to her shoulders in soft waves. That body of hers, which any man would salivate over. He didn’t think the strangeness of his random thoughts about her were from any guilt over getting her fired. No, he’d figured it must be a sign that he’d been working too hard. Needed to let off steam with someone he knew was interested in only that and not any other kind of relationship, since he could never offer anything long term.

Yes, he’d thought about Annabelle Richards, but had he ever regretted blocking her from getting the permanent position? Not for one second. There was no room for error in surgery. He knew that better than anyone, and on the rare occasions he got pushback from someone on his medical team for his perfectionist attitudes, he thought of his brother and stood his ground.

His brother’s cardiac surgeon simply hadn’t been careful enough during the delicate surgery he’d needed, and if he had been, Gabriel would still be here, joking with Daniel, pushing the boundaries with their parents and grandparents, living his life at one hundred percent velocity like he always had until the day he’d died.

The loss had torn Daniel up. Had left a painful, gaping hole in his family, and he had no desire to ever forget how that felt.

Remembering his brother gave him the strength and resolution to be the kind of surgeon he had to be. To insist that everyone be on top of their game for every single patient. Every single time. He and his team owed it to his patients, and to the people who loved them, to give every one of them the best possible care available, and that included the nursing staff and the anesthesiologist.

The patient Dr. Annabelle Richards had nearly killed five years ago during surgery had suffered from exactly the same heart condition as Gabriel. No way had he wanted her to work as the anesthesiologist on his team.

And yet here she was. So what was he going to do about it? Mission hospital or not, he owed every single patient the best surgical outcome he could obtain with the tools that he had at hand. Dr. Annabelle Richards would not be the person who lowered that standard.

Daniel yanked down his surgical mask, gave their patient one more careful check over, asked him if he felt okay, and reassured him that he’d be visiting with him in Recovery when he felt better. Stripping off his gloves, he moved out of the OR to see the next patient coming in. He checked the diagnostic work and the seriousness of the six-month-old’s situation. Stuck his head into the small, spartan waiting room crammed with patients before talking with the local woman juggling the surgery schedule to see how many children they could see that day.

Whoever the anesthesiologist was on each mission, they often accompanied him on these quick rounds. But Dr. Richards had chosen to stay back in the OR, probably to tinker with her all-important monitor.

Having her work as anesthesiologist for the next few days’ surgeries was the only option to ensure that everyone on the docket got taken care of. But as soon as he had a moment free? He’d be looking for a replacement for Annabelle Richards.