The Doctor's Christmas Gift

‘Baby powder.’

She didn’t realise she’d spoken out loud until Matthew looked enquiringly at her. Catherine felt the blush sweep up her face until it felt as though even the roots of her hair must have been glowing.

‘Sorry? What did you say?’

‘I…um. Nothing.’ She managed the weakest of smiles then quickly averted her eyes, focusing on the computer screen as she began to scroll through the list of tests Lauren Hoskins had undergone in the past few months.

‘Blood pressure, three times. Diabetes. MRI.’ There was the faintest wobble in her voice but she was certain that Matthew wouldn’t notice it. He really didn’t know her well enough to pick up on something like that. Her confidence returned as he kept his eyes—and his attention—firmly fixed on the screen, seemingly as intrigued as she was by the mystery of why Lauren should be experiencing those dizzy spells all the time.

‘Well, it’s got me foxed and I don’t mind admitting it,’ he declared as they came to the end of Lauren’s notes. He straightened and Catherine shivered when she was suddenly deprived of the warmth from his body.

Matthew must have noticed her reaction because he frowned. ‘If you’re cold, turn on the fire. Here, let me do it for you. It can be a bit tricky until you get the knack of lighting the wretched thing.’

He went to the grate to light the old-fashioned gas fire. Catherine looked away as her pulse performed the oddest manoeuvre when she saw how the muscles in his thighs bunched as he crouched down to put a match to the jets. They ignited with a small pop and he quickly adjusted the flames before he stood up.

‘It gets really chilly in these rooms with them having such high ceilings,’ he observed, dropping the spent match into a misshapen pottery ashtray on the end of the mantelpiece. ‘That’s why we decided to keep the gas fires when we refurbished the place. Central heating is fine in a modern house but you need a bit of extra heat in these rooms.’

‘Yes, I suppose you do,’ Catherine replied, struggling to keep any inflection out of her voice. It bothered her that she seemed to notice things about Matthew which she had never been aware of before. When was the last time that she had noticed something like thigh muscles? she thought wonderingly. Probably in anatomy class, the answer came back. And that had been entirely different!

She took a small breath, fighting the feeling of panic which seemed to be closing in on her. She had to deal with this before it got any worse. So Matthew Fielding was a very attractive man, but she had met other attractive men in the past and she would meet many more in the future. She just had to put him into that context.

She wasn’t sure if that bit of homespun wisdom would have an effect but it seemed safer to hope that it would. It also seemed safer to steer the conversation back to what they had been talking about before she had got sidetracked.

‘To get back to Lauren Hoskins,’ she said, pleased to hear how calm she sounded, a world away from how she really felt. ‘Is there anything we might have missed, d’you think?’

‘It’s possible. Let’s go back through everything we know so that we can eliminate all the possibilities one more time.’

Matthew came and sat on the edge of her desk, looking thoughtful as he set his mind to solving the problem. Catherine joined in with relief, feeling easier now that they were concentrating on work. She began listing, and discounting, all the possible causes for Lauren’s dizzy spells.

‘Blood pressure is fine and her ECG results were excellent. No sign of diabetes or inner ear infections either.’

‘She didn’t mention anything about feeling sick or vomiting, or that she had trouble with her balance?’ Matthew put in.

‘Vertigo, you mean?’ Catherine shook her head. ‘No, I checked that. And there’s been no noises in her ears or deafness so we can discount Ménière’s. I also checked if the dizzy spells coincided with her menstrual cycle, but they don’t. A lot of women get light-headed just before or during menstruation because of hormonal changes.’

‘Mmm. I noticed that she’s had several pregnancy tests so I assume we can rule out that possibility, too?’ Matthew queried.

‘Yes. Actually, I offered to do another test today but Lauren was adamant that she couldn’t be pregnant.’

Catherine wondered if she should mention the idea she’d had that it might be Lauren’s failure to conceive which was causing the problem. She had nothing to base the suspicion on, especially when Lauren had been so quick to deny it, but she couldn’t shake off the feeling that it might hold the key to the woman’s problems.

‘What? I can see that you’ve thought of something.’ Matthew laughed when she looked at him in surprise. ‘No, I’m not psychic. You get a sort of broody look on your face whenever something is bothering you!’

Catherine forced herself to smile but the comment had startled her. She had never realised that her expression was so revealing. Unless it was just that Matthew noticed things that other people missed.

The idea unnerved her and she rushed to speak. ‘Lauren seemed to get very defensive when I suggested she might be pregnant. I did wonder if there was a problem in that area and if maybe she and her husband had been trying for a baby but not had much success.’

‘It’s certainly a possibility,’ Matthew agreed. ‘When you say defensive, though, what do you mean exactly?’

‘Oh, just that she denied they were trying for a baby and said that it was the last thing they needed at the moment. I can’t explain why it struck me as odd but it did.’

Catherine frowned as she tried to work it out. She heard Matthew sigh and looked at him expectantly. ‘What?’

‘Just that it isn’t easy to help people when they won’t tell you what’s really wrong. It’s one of the curses of working in a middle-class area like this. People can’t bear anyone to think that their lives aren’t perfect. They seem to see it as some sort of failing on their part, as though they have a duty to maintain the right image.’

Catherine shrugged, more than a little surprised by the observation. ‘Most people tend to be like that, surely. They put up a front.’

‘To a degree, yes. However, in an area like this, where image and status are so important, it can be a real problem. Maybe Lauren can’t have children. Maybe her husband doesn’t want them. Who knows? When your life seems perfect to all intents and purposes, you tend to paper over the cracks—hide the bad bits to keep up appearances in front of your friends.’ He shrugged. ‘The problem is that the bad bits have a way of revealing themselves one way or another.’

‘And Lauren’s dizzy spells could be an outlet for what is going wrong in her life?’ Catherine nodded thoughtfully as she considered that possibility. In a way, it was only what she had been wondering, although Matthew had put a slightly different spin on the idea.

‘Yes. If there is no physical cause for her illness then we should try to find a psychological cause.’

‘I did think of that. I asked Lauren if there was anything worrying her but once again I have to use that same word and say that she became extremely defensive.’ Catherine shook her head. ‘I don’t know what to do for the best. What about her husband? Do you know anything about him?’

‘Not a lot. I’ve only met him once when they registered with us. He came in for a new-patient check-up.’ Matthew shrugged. ‘He seemed a pleasant enough chap, a bit full of himself but that’s nothing unusual in his line of work.’

‘What does he do? I imagine it’s something quite high-powered.’

‘Peter makes documentaries for television, I believe. I know he was telling me about something he was working on, but I don’t recall it ever being broadcast. Although I’m not the best person to ask when it comes to intellectual programmes.’

He grinned. ‘My viewing tends to consist mainly of children’s programmes. I’m a whiz when it comes to the latest cartoons. I reckon I could win top prize on one of those game shows so long as my specialist subject was the latest cartoon hero to hit the screens!’

Catherine couldn’t help laughing. ‘A talent like that should be nurtured. Not everyone your age could make such a claim.’

‘Don’t!’ He winced. ‘I have a birthday coming up and I’m rather sensitive when it comes to the subject of age.’

It was obvious that he didn’t mean a word of it and why should he? she thought, taking stock of his muscular physique. Matthew was in his prime and many men his age—and younger—would be delighted to be in such excellent shape.

She looked away when she realised where her mind was wandering again. She could hardly believe it had happened a second time. ‘On the surface, then, they seem to be a couple who have everything going for them,’ she observed, deciding it was safer to stick to work.

‘On the surface, yes. But you know as well as I do that it’s impossible to judge by appearances.’ Matthew frowned. ‘I remember Glenda saying one time after Lauren had been to see her that she felt that there was something the woman wasn’t telling her.’

‘I got that impression, too. How strange. I had this feeling that she wanted to tell me what was wrong but that she was…well, afraid to do so.’ Catherine sighed. ‘I shouldn’t have let her rush off like that, should I?’

‘You couldn’t have stopped her,’ he protested, then stopped as Margaret, one of the receptionists, popped her head round the door.

‘I hate to disturb you, Matt, but there’s a queue outside.’ She shot a pointed look at her watch. ‘Your eleven o’clock appointment has arrived and your eleven-fifteen…’

‘OK. I can take a hint!’ Matthew laughed as he got up. ‘Anyway, you can blame Catherine this time, not me. She’s the culprit.’

‘Me?’ Catherine echoed in astonishment.

‘Uh-huh. I was so fascinated by our conversation that I didn’t realise so much time had elapsed. Ergo, it’s all your fault!’

He gave her a decidedly wicked smile then sauntered out of the room. Catherine hurried to explain when she saw the speculation on Margaret’s face. It was obvious the other woman had completely misunderstood Matt’s remark.

‘Matt…Dr Fielding…meant he was fascinated by a case we’ve been discussing,’ she gabbled, her tongue tripping over itself in her haste to set matters straight.