A Courageous Doctor

‘Try and stay still,’ Maggie instructed. She couldn’t see any evidence of major ongoing blood loss and neither occupant was showing any signs of breathing difficulties. She looked at the car again. It was a three-door hatchback very similar to her own so it was going to be difficult for anyone to climb into the back and provide support for a potential cervical injury. The passenger door was jammed and the driver’s door was blocked by the rock wall it rested against. She looked past the car to the group of people approaching.

‘Does anybody have a crowbar or something similar?’ she called. ‘I need to try and get this door open.’

‘Let me try.’ A large man stepped forward. He reached for the door catch and pulled. Maggie saw him frown as he reassessed the situation. She picked up her mobile phone and made contact with the emergency services again.

‘We have two people trapped,’ she informed them. ‘One appears to be status 4, the other status 3 with a possible cervical injury. We need the fire service, a tow truck and an ambulance.’ She glanced at the growing number of onlookers. ‘We’re probably getting a bit of a traffic jam on the road as well.’

The man trying the door was now gripping the window-frame as the passenger held the catch open from the inside. He had his foot against the bottom of the car and with each pull the metal was giving a little. As Maggie finished her call the door was finally wrenched open enough to allow the woman to escape. She was still sobbing and Maggie gave her over to the care of the bystanders with instructions to keep her warm as she opened her first-aid kit and then climbed into the vehicle.

‘Is your car fitted with airbags?’

‘Just on my side. Why hasn’t it gone off?’

‘I don’t know.’ Maggie reminded herself to be careful until the fire service arrived with a cover for the steering-wheel. Getting between an injured occupant and a deploying airbag had killed more than one paramedic since their introduction.

‘Are you having any difficulty breathing at all?’

‘It hurts a bit when I take a deep breath.’

‘OK. I’m going to check your neck and put a collar around it and then I’ll listen to your breathing. What’s your name?’

‘James. Colin James.’

‘Have you got any medical problems I should know about, Colin? Do you suffer from any heart conditions? Asthma? High blood pressure?’

By the time the first assistance arrived, Maggie had completed a thorough assessment on both victims and was happy there were no serious injuries. Colin’s neck pain was probably due to mild whiplash. The collar was just a precaution until an X-ray examination could confirm her impression. As Maggie introduced herself and handed over the various components of scene control, she found herself becoming the centre of attention rather than her patients.

The ambulance arrived after the fire service and police and the crews of those vehicles were ready for the approach of the young, male ambulance officer.

‘Watch out, Jason,’ they warned jovially. ‘Your boss has beaten you to it. This is Maggie Johnston, the new station manager for Lakeview.’

‘You’re kidding!’ The officer’s face split into a wide grin. ‘Welcome to Central Otago, Maggie.’

‘Hell of an introduction.’ Maggie returned the grin. ‘I’m not supposed to start work till Monday.’ She was surprised but not at all put off by her future colleague’s short, dread-locked hair. He looked intelligent and had a very friendly smile. She held out her hand. ‘But thanks for the welcome.’

Her hand was shaken warmly. ‘I’m Jason Locke. I got your update from Control on the way so I knew there was someone here who knew what they were doing. Has the status changed for either patient?’

‘No. Mrs James was uninjured. Neither were KO’d and both have a GCS of 15. Colin has two out of ten neck pain, no associated neurology. He’s got some bruising from the seat belt but his chest is clear. Abdomen’s also clear. Blood pressure is 130 over 90. He’s got a minor laceration on his right forearm which I’ve dressed. That will probably need a few stitches. I’ve put a C-collar on and made a note of baseline vitals on both patients.’

‘Cool.’ Jason was nodding. Then he grinned again. ‘You wouldn’t like to complete the paperwork while you’re at it, would you?’

Maggie raised an eyebrow. ‘Are you single-crewed?’

‘That’s nothing unusual at the moment. We’ve got plenty of staff for the patient transfer side of the service and they’re qualified to fill gaps in the emergency roster, along with the volunteers, but we’ve been pushing them a bit hard for the last couple of months so it’s not just me that’s been looking forward to your arrival.’

‘What would you like me to do?’

‘I’ll grab a backboard,’ Jason said. ‘If you could help with the extrication and another assessment before I head off I’d be very grateful.’

Maggie also completed the two patient report forms and offered to travel with the ambulance if someone else could drive her car.

‘If it was a serious injury I’d take you up on that offer,’ Jason said. ‘But we’re fine, now. One of the fire guys, Andy, is a mate. He’ll drive me back. I’m sure you’ll want to get into town and get settled before it gets any later. Or colder. Call in at the station tomorrow and I’ll give you the grand tour.’

‘Thanks. I suppose I’d better try and find where I’m staying before it gets dark. The address sounds a bit isolated.’

‘Where are you heading?’

‘I need to look for a turn-off about six kilometres past the hospital. I take Spencer Road and then head off on an unnamed road across the paddocks looking for a house by the lake. I’m told I can’t miss it.’

‘Sounds like Doc Patterson’s place.’

‘It is. He’s an old friend.’

‘No kidding?’ Jason shook his head as he pulled the back doors of the ambulance closed. ‘Small world, isn’t it? Is that why you’ve come to work in this area?’

‘No.’ Maggie’s smile was almost rueful. ‘It’s just a lucky coincidence.’

It was a coincidence. Maggie had had no idea that Hugo Patterson had settled near Queenstown when she’d applied for the ambulance station manager’s position. And it was lucky in that it was solving a temporary accommodation hassle, but Maggie had doubts about the arrangement. Surely, if Hugo had been happy about it, he would have contacted her himself and not sent a message and directions via their respective mothers. The message had also been unexpectedly welcoming. If Hugo was so keen to see her, why had he not made any contact for more than a decade? And why had Hugo’s mother deemed it necessary to give her the information that he was unmarried and in some kind of relationship with a most unsuitable woman? It was none of her business after all. Maybe she was heading into a situation she would regret.

She couldn’t regret her impulsive decision to try a new start in a totally new part of the country, however. Maggie completed the last few kilometres of her journey towards Queenstown completely awed by the magnificent surroundings. Some of the Southern Alps’ most impressive peaks towered over the deep, glacier-gouged lakes in the area and Wakatipu, the huge and icy-cold serpent-shaped lake she was approaching now was the most famous. Reading up on her destination recently, Maggie had been intrigued to learn that the lake ‘breathed’ with a rhythmical rise and fall of its water level every five minutes. Maori legend had the lake being formed when an evil, sleeping giant had been set on fire, melting the snow and ice of the nearby mountains to fill the eighty-kilometre-long lake. That the movements were caused by variations in atmospheric pressure was an explanation of far less appeal.

Hugo lived right on the shore of the breathing lake and Maggie suspected that he would present the scientific version of the peculiar phenomenon. Not that Hugo was unimaginative or stuffy, but he had always been a fount of knowledge, and old and wise enough to be completely trustworthy. He had been more than a big brother figure. Hugo Patterson had been the only man of any significance in Maggie’s early life and she had loved him as much as his sister Felicity had.

Far enough removed in years to have seemed always adult, Hugo had been there whenever it had mattered. He’d helped with child care, homework and transport. He’d put up with the girls’ teasing, ignored the minor pranks and applied appropriate justice when needed for the major ones. In retrospect, Maggie knew he’d been fair in reprimanding her more than Felicity on most occasions and she’d accepted those judgements eventually. She knew that an undercurrent of strong affection had tempered any disapproval and the fact that she had returned his affection had made the agonies of puppy fat, pimples, braces on her teeth and that appalling hair all the harder to bear.

Yes, his affection had been returned. And more. But Maggie had never admitted to that teenage crush, even to Felicity, and it had been easy to hide once Hugo had been away at medical school. Felicity’s death had finally severed their connection and the estrangement had hurt. The ultimate judgement had been that she had been in some way to blame for the tragedy and Maggie had been devastated enough to accept it without ever having the courage to challenge more than her own interpretation.

Maybe Hugo’s invitation to stay was an indication that the past was finally behind them. That they could both find the closure that had been somehow elusive despite the passage of so much time. The notion was welcome but it was also rather nerve-racking and Maggie freely admitted to herself that she was nervous. What she wasn’t prepared to admit was that part of the nervousness had nothing to do with having to relive past traumas. Maggie was drawn to this reunion for reasons she would never try to analyse too deeply.

It could be disguised as mere curiosity. The only photo she had of Hugo was nearly fifteen years old. Had age dimmed the strong lines of his face? Faded the rich dark brown of his hair? Had he gone bald perhaps and started wearing spectacles? And what kind of man was Hugo now? Maggie’s memories had built him into a yardstick by which all other men had eventually failed to measure up. What if she’d wasted the last ten years looking for a replica of someone who didn’t actually exist?

Nervousness was not an emotion that Maggie tolerated for long. Action overcame fear and Maggie had never lacked the confidence to take action. These days she had learned to think a little more carefully about consequences, however, and she was optimistic that she had made a good choice in coming to Central Otago. That she was going to see Hugo and possibly renew an old friendship was a bonus. She was looking forward to the responsibilities and challenges in taking up the job she loved passionately in a new and exciting place.

So new that Maggie had no idea where she was going and missed the turn-off at Frankton. Taking advantage of the error, she carried on into the township of Queenstown, promising herself a cup of good coffee after making the prudent purchase of a more detailed map of the area. The lack of any discernible twilight was disconcerting, as was the darkness when she finally doubled back along the main road, but Maggie simply gave herself a mental shake. She was going to have to be able to locate obscure addresses in the area at night soon enough. At least this would be a practice run without a potentially life-threatening emergency waiting at the other end.

The hospital complex was easy enough to spot and Maggie noted the ambulance station on site. She didn’t slow down for a better look, however. Hugo had probably been expecting her to arrive well before this and she didn’t want to add to any nuisance value her visit might already have caused. Spencer Road was also easy enough to find but driving over the rough shingle road that led off to the right felt like a venture into the totally unknown.

The darkness was a blanket, the empty spaces of paddocks on either side vaguely threatening, and the silence when Maggie stepped out of the car to open a wire gate was oppressive. This was the back of beyond, and somewhere at the end of this road lay a lake that housed a sleeping giant and a dwelling that housed a man that Maggie was suddenly almost frightened of seeing again.

‘Sorry I’m late. Something smells fantastic.’

‘It smelt a lot better half an hour ago.’ Joan accepted Hugo’s brief kiss and the bottle of wine he was holding. ‘Mmm. A white Burgundy. That’ll go perfectly with the fish. Or what’s left of it.’

‘Sorry,’ Hugo repeated. ‘I got held up. There was an MVA up the Cromwell gorge.’

‘Oh.’ Joan’s murmur was understanding, now. ‘How bad was it?’

‘Nothing serious. We just had to exclude a cervical fracture by X-ray. Bit of minor suturing. We discharged them both.’