The Wife He's Been Waiting For

All of a sudden, the crowd stepped aside for her, almost creating a corridor that led her straight to the front of the bus where Delroy laid sprawled, unconscious, most of the way under the bus, with only his toes sticking out. His mother was on her knees at his side, wailing, pulling on him, trying to get him free.

“Don’t,” Sarah warned her. But Mimmie was so frightened she was comprehending nothing but her son’s dire injury. “Don’t move him,” Sarah said anyway. Once she’d dropped to her knees she immediately checked Delroy for a pulse. A quick press to the femoral artery in his groin, which was the only pulse point she could reach without actually crawling under the bus, did reveal a pulse, but not a good one. It was thready, cutting in and out like his heart was deciding whether it wanted to keep beating or quit. “He’s alive,” she told Mimmie, who was still tugging on Delroy’s arm.

She had to get the woman to stop. “Somebody, please, don’t let his mother move him,” she called to the crowd. “I need help here. I need someone to hold his mother back.” With that, two women jumped forward and wrapped arms around Mimmie, forcibly pulling her away from her son. She struggled for a moment then, with big tears rolling down her cheeks, looked pleadingly at Sarah. “Please, please, help him!”

“He’s alive,” she told the woman. “But he can’t be moved.”

“He must come out from under the bus.”

“No, he has to stay where he is.” There was no time to explain, no time to waste trying to calm a tortured mother when the pulse she was feeling under her fingertips was fluttering even more tentatively now. “I need an ambulance,” she cried to the crowd, not sure what the procedure was in Nassau. Then she bent down, pressed her cheek to the black pavement to see what she could of the little boy.

Nothing was trapped under the bus tire. That was good. But he was pressed very close to it, just inches away, with his shirt actually caught under the tire, and nothing about him was moving. That was bad. Head injury, perhaps? At the very least, internal damage. And here she was without a medical kit. This was the first time she’d regretted that since she’d left her practice. Funny thing was, it was still intact, still packed with all the necessities, sitting just inside her apartment ready to go, like it had always known she’d back for it someday.

Today was that day! And now she had to get closer, had to have a look before anybody touched the child or moved him. So, without another thought, Sarah got down on her belly and inched her way slowly along the pavement under the bus, trying all the while to forget that she’d been claustrophobic lately. Her hands were shaking, her head going light…all the classic signs of a panic attack coming on. Except she couldn’t do that. Had to get control. Had to save a life.

Breathe, Sarah.

She inched even farther in, stopping every second or two, taking a look at what she could see from her angle, feeling for a pulse point, running her fingers lightly over the boy’s body for an assessment.

You’re the doctor. This child needs you. She couldn’t let him down. Wouldn’t.

As she moved her way alongside his limp body, she saw that Delroy still clutched the red lollipop in his hand, and that caused a hard lump to form in her throat. “We’re going to get you out of here, Delroy,” she said to the boy, even though he wasn’t conscious. “Then take you to a hospital, where they’ll give you a brand-new lollipop. Is red your favorite color? I like green.” She felt stickiness over his abdomen, and was sure it wasn’t from his lollipop. Hopefully, it was only blood from a cut, and nothing significant.

His breathing was shallow and rapid, and her own breaths were fighting against her, trying to go shallow and rapid, too.

Don’t quit now, Sarah. You can do this. “When my mother used to buy a bag of lollipops, my sister and I always fought over who got the red ones, even though I really wanted the green ones. But because Annie wanted the red, so did I. Do you have any brothers or sisters, Delroy?”

She was nearly at his shoulder now, sickened by the twist of his right arm. It was a bad break, easy to diagnose even from her awkward position. Not a compound fracture, though, thank God. No broken skin, no bone sticking out. But it would require surgery. She couldn’t even imagine how many bones had been crushed in his little arm, and there was no way to tell. “Looks like you’re going to have to use your left hand for your lollipops for a while,” she said, doing a second check of his arm just to make sure she hadn’t missed an area where the bone might have been protruding. Under here, in the dark, it was hard to tell, but her second check confirmed her first impression.

Pulling herself a little closer to Delroy, Sarah reached across his body, trying as best as she could to make an assessment of other injuries, but it was difficult, given that she was so far away and still in such an awkward position. She decided that once she reached his head she’d try to get over to the other side to do the same exam as she’d done on the right side.

“Pupils?” someone called from behind her. Somewhere not under the bus.

“Haven’t assessed them yet. Don’t have a light.” The voice was familiar, but it was hard to tell through the noise of the crowd.

“It’s on its way,” the man shouted. At that moment a small flashlight was thrust, with some force, under the bus, and she grabbed it, grateful that a medic had finally arrived on the scene. Now, if only she had enough room to push herself up to her knees for this. But she didn’t. This was an exam she had to do either on her belly or her side.

“Are you medical?” he yelled. “Do you need help under there?”

Was it Michael? It sounded like him, and she prayed that it was. She needed someone she trusted, needed someone who was calm to help her get through this. “Michael Sloan?” she called. “It’s Sarah. Sarah Collins, from the ship.” Gently pushing back one of Delroy’s eyelids, she flashed the light in his eye to see pupillary reaction. She studied it for a moment, then did the same for his other eye. Not responsive to light. A very bad sign. “I think we have a head injury here. His pupils aren’t equal and reactive to light. He also has a broken arm, not a compound fracture, though. At least, that’s the best I can tell. And that’s all I can see so far. Oh, and there’s not enough room for two of us.”

“Sarah,” he called, crouching at the edge of the bus.

She glanced at him for a moment, glad to see his face, even though it was streaked with worry. “I don’t suppose I mentioned that I’m a doctor, did I?” she asked, knowing full well she hadn’t. These days, if it didn’t come up in conversation, she didn’t bring it up. Even in the company of another doctor. Especially in the company of another doctor. That made avoidance all the more easy.

“Do you need a cervical collar?” he called back, rather than responding to her confession.

“To get him out, yes. And a backboard.” She did a quick check of Delroy’s pulse. Weaker. In her gut she knew he had internal injuries, too, some kind of bleeding somewhere, but she couldn’t get a good feel of his belly to check for rigidity. “And I think he’s bleeding inside, so I’ll need an IV set-up ready to go once he’s out of here.”

“But he’s breathing?”

“Shallow, rapid. Do you have a blood-pressure cuff?” she called, on the off chance that Delroy’s other arm wasn’t broken and she could take a blood-pressure reading.

Within seconds, a blood-pressure cuff and stethoscope were tossed under to her. But she was on the wrong side to use them, so she scooted all the way around the boy’s head and over to the left of his body, praying that his injuries there weren’t so extensive. A quick check of his arm revealed it she was safe to use the cuff, so she fastened it on, pumped it up then took a reading. “Damn,’ she muttered, not hearing a thing. She tried it again. “Eighty over forty,” she finally called. Deathly low. She desperately needed to get an IV into Delroy, to give him fluid volume to offset the internal bleed she guessed was causing his blood pressure to bottom out. “What are my chances for an IV right now, before we move him?”

“None,” Michael called. “We’ve got assistance en route, but it’s going to take a while.”