Baby Twins to Bind Them

Macey’s face started to crumple and Steele took her hand. ‘Look at me, Macey. Are you having suicidal thoughts?’ Steele asked bluntly, and after a moment she nodded and then started to cry.

‘Well done for throwing them away,’ Steele said. ‘Well done for coming into hospital and speaking with me.’ Candy watched as he wrapped his arms around the proud lady as she started to really sob. ‘It’s okay.’ His voice was very deep but so gentle. ‘We’re going to look after you …’

CHAPTER THREE (#ulink_b57380b8-7c2f-5832-b090-f65c91e4dbdb)

CANDY SLEPT FOR a few hours on Friday afternoon before her first night shift on the geriatric ward and then she got ready and took the Underground into work.

She was actually rather nervous about her night shift. She was so used to working in Emergency that she wasn’t too sure how she would go on the ward. She also had a short four-hour shift there on Sunday morning.

It will be worth it, Candy told herself as she stepped into the geriatric unit.

Hawaii, here I come!

The handover lasted much longer than it did in Emergency and the day staff went into far more detail about the patients than she had grown used to. Candy sat as the staff discussed in depth the patients’ moods and their ADLs: activities of daily living. Steele was sitting at a desk in the room with his back to everyone but didn’t leave as the handover started; he just carried on with whatever he was doing on the computer and offered comment or clarification at times.

Candy knew that she was far, far too aware of him.

The staff clearly liked him. If there was a question they would toss it over to him and he would answer as he typed away.

Elaine, a student nurse, was giving her handover to the night staff, watched over by her mentor, Gloria. Elaine was very bossy and seemed to think she was the only one in the room who knew what she was doing. She had given a sigh of exasperation when Candy had introduced herself and said that she was from the hospital bank. ‘Another one!’ Elaine had said.

As Elaine gave her handover there were a few times when Candy caught Abigail’s eye—Abigail was the senior nurse she would be working with tonight, and they both smothered a smile.

Mr Heath, who had been so unwell the other day in Emergency, was doing a lot better and Candy was allocated to look after him for the night.

She was also given Toby Worthington, a terminal patient who was on a lot of morphine for pain control and, Elaine said, liked to have his radio on till eleven at night and then turned on again at six.

‘Then we have Macey Anderson.’ Elaine moved on to the next patient.

‘I know Macey,’ Candy said. ‘I was in Emergency when she was admitted.’

‘Could you have her tonight as well, then?’ Abigail checked and Candy nodded. They went through her history, which was pretty much what Candy already knew. How Macey had been since admission had changed rapidly, though. ‘Since she’s come to the ward she’s been very withdrawn,’ Elaine said. ‘She doesn’t want to eat, or wash. She’s on an IV regime but if she continues to refuse meals and drinks she’ll need an NG tube. Steele has taken her off a lot of her medications and has also started her on a low dose of antidepressants …’ Elaine went through her medications. ‘Make sure she takes them and she’s not hiding them,’ Elaine warned, and Candy nodded. But that wasn’t enough for Elaine. ‘You have to ask her to lift her tongue.’

‘I shall,’ Candy said, trying to keep the edge from her voice. Elaine was a funny little thing, with a very long, wide mouth that opened often.

She reminded Candy of a puppet.

‘Why does she have to lift her tongue, Elaine?’ Steele asked from the computer, and Candy felt her lips stretch into a smile because clearly he had Elaine worked out too.

‘To make sure that she’s not hiding any under there,’ Elaine said, and looked at Candy to make sure that she understood the instruction.

‘Thanks,’ Candy said. ‘I’ll make sure that she takes them.’

As Elaine left the room Abigail winked. ‘Matron Elaine!’

‘Her heart’s in the right place, though,’ Gloria, the sister in charge of the day shift, said. ‘But, oh my, she’s hard work. Elaine insists on calling everything by its technical name. The patients haven’t a clue what she’s asking. Just this evening she asked Mr Heath if she could check for scrotal oedema.’ Gloria smiled as she recalled it. ‘He said, “Do you mean my balls, dear?” It was too funny.’

They were all very nice and after handover Elaine gave Candy a quick tour of the ward before she headed for home.

Actually, it wasn’t that quick—Elaine was incredibly thorough, going through everything in detail when really Candy wanted to get started.

‘I think that covers everything,’ Candy said. ‘Thanks for the tour.’

‘I’ll just show you where the torches and things are kept,’ Elaine said, but Candy looked at the clock and it was already nearly ten. ‘Go.’ Candy smiled. ‘It’s Friday night. Enjoy it!’

Elaine gave a little nod and finally headed for home and then Candy went to check on her patients for the night.

Mr Heath was indeed looking better.

‘Hello, Candy.’ He smiled when she came over and he put down the book that he was reading.

‘You remember me?’ Candy asked in surprise, because Mr Heath had been so distressed in Resus that he hadn’t seemed very aware of his surroundings or able to hear what anybody except Steele was saying.

‘Of course I do.’

‘Well, it’s lovely to see you looking so much better,’ Candy said. She then did his obs and gave him his medications for the night and, as she did so, they chatted for a while.

‘I’m hoping to go home on Monday,’ Mr Heath said. ‘My granddaughter gets married next week.’

‘How exciting,’ Candy said. ‘Is it a big wedding?’

‘Huge!’ Mr Heath nodded. ‘She’s marrying an Ital …’ His voice trailed off.

‘Don’t stop on my account.’ Candy grinned. ‘I know what Italian weddings can be like. I must be the only girl in the world who’s dreaded her wedding day since she was little rather than dreamt of it.’

Mr Heath laughed. ‘Will it be big?’

‘You have no idea,’ Candy said. ‘I have four older brothers, all married, and my mother is itching for it to be my turn. She buys sheets and towels for me when she shops—oh, and washing baskets and the like. I’m all set up!’ Candy smiled. ‘Apart from the groom.’

It was, in fact, a very friendly ward and the staff didn’t mind that Candy had a few questions every now and then. But as she went to do Macey’s medications, Candy frowned and looked around for Abigail, but she was in with Mrs Douglas, who was very sick indeed.

‘Problem?’ Steele had come onto the ward and was writing up some medication for a patient who wasn’t Candy’s.

‘No, I just want to check something,’ Candy said, taking the prescription chart over to him. ‘Macey’s written up for sherry, but she’s on a lot of other medication.’

‘No doubt she’ll be having the sherry when she gets home,’ Steele pointed out. ‘Though I don’t think you have to worry about it tonight—she’s not having her sherry at the moment. She’s not really having much of anything.’

He was right. Candy was shocked at the change in Macey. She’d been a fierce, proud woman when she had arrived in the emergency department but now she just lay on her side and stared into space. She didn’t say anything when Candy introduced herself and her arm was listless when Candy checked her blood pressure.

‘I’ve got your tablets for you, Macey,’ Candy explained, and she helped her to sit up to take them. The old lady took her tablets without a word of protest and then tried to take the water Candy offered, but her hands were shaking terribly so Candy held the glass and helped her take a drink to wash them down. ‘Sorry, Macey, but can you lift your tongue for me?’

She lifted her tongue and, yes, she had swallowed all the tablets rather than hiding them. Then she lay back down on the pillow.

‘Can I get you anything else?’ Candy offered. ‘A drink?’

Macey gave a small shake of her head and Candy looked at the fluid balance and food charts. She was on an IV, and that was, apart from the water she took with her medicines, practically all that Macey was having at the moment.

‘Macey,’ Candy suggested as she put another blanket on and turned her pillows, ‘why don’t I get you some milk?’