Maverick In The Er

“Lift on three,” Trey ordered. “One, two, three.”

Everyone complied in one smooth, well-rehearsed motion to move their patient to his new bed. Sierra hoped any residual blush on her face could be attributed to the strain and not Trey’s flattering comment.

“Can you hear me, Mr. Klein?” Trey spoke to the fellow. “You’re in the hospital and we’re going to take care of you.”

Unable to nod because his head and neck were immobilized, he simply blinked and mouthed, “Okay.”

Sierra hung around and helped the nurses organize the patient’s tubes and swap the paramedics’ equipment for hospital-issue while Trey issued orders for X-rays and lab work, requesting the same procedures Sierra would have if she’d been in charge of this case.

His next command caught her by surprise. “Go to lunch, Sierra.”

She paused. “You don’t need help?”

He shook his head and flashed his trademark grin. “Thanks, but I’m good.”

Yes, he was, she thought as she moved out of the way, somewhat reluctant to leave just yet. Instead, she took a few minutes to observe her colleague in action.

Today might be her first official day in Emergency, but it wasn’t the first day she’d worked with Trey. In her previous position as hospitalist on the fifth-floor medical unit, she’d received several patients he’d admitted and had answered his call for a consultant on numerous occasions. His medical skills then, like now, seemed outstanding.

He spoke with a calm authority that sent staff scrambling to obey, but she could tell they did so out of a desire to please rather than a sense of fear. Then again, who wouldn’t want to do whatever he asked if it meant receiving one of his killer smiles? She’d seen how his grin had turned even the most independent, career-minded woman into the equivalent of a simpering teenager.

He was also more than just a handsomely wolfish smile. His long eyelashes were partly to blame for his appeal to women, she decided. Add dark brown hair and midnight-blue eyes, a firm jaw and an attractive dimple, and infatuation was a given.

He was a tall man, which made nearly every female, no matter her size, feel dainty and feminine. While he wore the requisite surgical green scrub suit under the protective yellow paper gown, the shapeless garments didn’t detract from his muscular shoulders or his lean physique. If he could turn heads in this ugly garb, he’d probably stop traffic when he wore street clothes that actually fit.

If the hospital ever created a doctor-of-the-month calendar featuring him as the centerfold, they’d make a fortune.

As great as his physical appearance was, he wouldn’t have earned the moniker of “the delectable Dr. Donovan” if he didn’t have the personality to match. His charisma explained how he’d managed to get whatever—and whomever—he wanted in his department. Because of his persistence and eloquent arguments that she was the one physician who could immediately fill the long-vacant position in his service, he’d persuaded several top people to transfer her into his domain. Granted, she was only covering until the heads of Emergency Services and Internal Medicine hired a physician specifically for the post but, as far as she was concerned, a day spent in the ED was one day too many.

Apparently aware of her lingering presence, he flashed her a cocky grin.

Hating that he’d caught her loitering and was obviously thinking she’d become one more member of his adoring fan club, she fled the room. After a brief stop at the staffing board, where she slapped a Lunch magnet beside her name, she hurried outside, into the warm afternoon sun.

Trey surreptitiously watched Sierra leave as if a rabid dog were nipping at her heels and hid his smile. He’d first met her three months ago when he’d called the fifth-floor medical unit to request a stat internal medicine consult and Sierra had responded, barely giving him a second glance.

Accustomed to dealing with flirty and simpering females, Trey had been taken aback by her disinterest at first but then he’d been intrigued by it. In his earlier life as a footloose, carefree bachelor, he would have responded to the challenge she presented and pursued her with everything he had. However, that had all changed when his sister-in-law, Marcy, had died. While his relationships were still of the short-term variety, he’d come to the conclusion that even those were difficult to juggle with everything else in his life. Acting as Mitch’s “big brother,” helping Mitch raise his niece and coping with the demands of his job took nearly all of his free time.

As much as he’d like to know Sierra on a more personal level, his gut told him that she wasn’t the sort who would embrace such a temporary and superficial relationship.

Instead, she was the type to make a man think about the future in terms of the next twenty or thirty years. At times, he tried looking ahead that far, but he simply wasn’t ready to let a woman get that close. Between coping with Mitch’s downward spiral after Marcy’s death and his struggle to meet all of his family obligations, he didn’t have the time or the energy to devote to anyone else.

That hard truth, however, didn’t prevent him from wishing Sierra would be happy with what he could offer, especially after today when he’d seen her face turn a beautiful shade of pink. What woman in this day and age, especially one who’d survived the rigors of medical school and residency, actually blushed? Be that as it may, that small flaw only enhanced her already attractive features.

Her fine bone structure gave her an ethereal quality, as if she didn’t belong in a field as brutal as emergency medicine, but her athletic frame suggested she wasn’t a stranger to hard work.

As lovely as he considered her face and form, her thick auburn hair was nothing short of awesome. The color reminded him of flames dancing on the hearth and without any effort at all he pictured her shaking out her braid until every strand cascaded over her beautiful shoulders.

If that wasn’t enough, her shapely legs with their miles and miles of soft skin made his throat go dry. Today, like most days, she wore low-heeled pumps and a dress that fell to just above her slim knees. Her garb wasn’t practical for the demands of working in Emergency and she’d probably switch to baggy scrub suits and tennis shoes tomorrow, but he’d enjoy the view while it lasted.

His libido and personal preferences aside, he was still glad she’d finally joined the emergency-services staff. For that reason, he found himself grinning like a loon whenever he saw her.

Actually, she hadn’t joined as much as she’d been transferred. Over the past year, he’d created a paper blizzard that had gone to every department head, vice president and hospital-board member, protesting the fact that his department’s extra medical position had never been filled. As soon as he’d learned of Sierra’s credentials and past experience in Emergency, he’d intensified his efforts. If Administration had agreed they’d needed the position, he’d argued, then it was pointless not to fill it, especially when someone already on staff was ideal for the job.

While everyone agreed with his reasoning, Sierra’s boss, Lane Keegan, hadn’t wanted to lose her from the medical unit. If not for pressure from above, they’d still be at an impasse, but finally, after weeks of negotiating details, Keegan had given in. On one point, however, he’d refused to budge.

Sierra would only fill Trey’s position until they found a replacement who met the criteria, but not for longer than sixty days. Which meant Trey still had fifty-nine to work his magic and convince her to stick around permanently. His philosophy was, Better the devil you know than the one you don’t, and he’d prefer to keep Sierra, who got along well with the staff, rather than bring in a new person who might clash with everyone.

Roma Miller, the nursing supervisor who’d just received her thirty-year service pin, strode in. “Where was Dr. McAllaster going in such a hurry?”

He shrugged. “Lunch, I guess.”

“No kidding? I’ve never seen her walk so fast.”

Interesting. “She must be hungry,” he offered, although he suspected the reason for her rush had had nothing to do with her appetite and everything to do with regaining her composure after he’d caught her studying him.

In spite of her cool attitude, in spite of her standoffish ways, Sierra McAllaster obviously wasn’t as resistant to his charm as she pretended.

Munching on an apple, Sierra strolled along the circular concrete pathway of the hospital’s favorite attraction—the Healing Garden and Labyrinth—which had been created just outside Emergency. Normally, she walked the circular concrete pathway in order to recharge her mental batteries when she had a tough patient, but today her reflections were far more personal and far more immediate.

Her ridiculous reaction to Trey’s flattering comment still bothered her. Her marriage had taught her to not fall victim to a man’s flattery and until now she hadn’t. Why today was different remained a complete mystery. In her opinion, Trey’s charm was a strike against him.

He had also earned a second strike because if it weren’t for him, she’d still be reporting to work on the fifth floor, where she belonged. Although, in all fairness, she didn’t know if she should be upset with him or with herself.

If she’d been in Trey’s position, she would have presented the same case he had, asking that the vacant position be filled with a doctor who was already on staff and who possessed ED experience. As Fate would have it, she was the one with the least seniority—the only one, in fact—who fit the criteria.

Her options had been limited—either take this assignment or end her contract.

Leaving hadn’t been a viable option. She’d finally unpacked the last box of household goods this past weekend and the idea of hunting for a new job was too tiring to contemplate.

On the other hand, she did have a third option. If she’d been honest and explained why she couldn’t work in Emergency, perhaps Dr. Keegan might have chosen someone else. Pride, however, had stopped her. She’d come to Good Shepherd with a clean slate and if she dragged out her history to use like a get-out-of-jail-free card, her past would become an open book. The doubts, the pitying glances and every emotion in between would start, and she refused to deal with that from staff and her colleagues.

Consequently, she’d decided it might be time to face her fears and put those horrors behind her. Although she didn’t want to work in Emergency, she suddenly had a desire to prove she was able to.

Fortunately, Dr. Keegan had offered her several consolation prizes. One—and the most important—she was only filling in temporarily. So what if she was back in the area where she’d sworn she’d never work again, treating everything from acid reflux to herpes zoster infections, traumas to diabetic comas? She’d endured far worse and for a far longer period. Sixty days was nothing more than a wrinkle that would iron itself out in due time.

Two, Dr. Keegan had promised she could return to her hospitalist position on the fifth floor. Knowing how the other internist, William Madison, was already complaining about covering those patients as well as his own in the cardiac ICU, he was also eager for her to shake the E.R. dust off her feet and return to where she belonged.

Three, the odds of encountering a trauma that involved a close friend or family member were nonexistent. After three months in Pittsburgh, she still hadn’t developed any serious friendships or personal relationships and as long as she was expected to staff the ED, she intended to keep it that way.

As she strolled around the labyrinth, a growing sense of acceptance and her natural can-do attitude filled her. Her transfer may have thrown her off balance, but she was slowly feeling more in control over her situation. Today’s trauma had only caused her a few moments of anticipatory dread, but after that she’d handled herself well. She’d still have some bad moments, but she’d be able to deal with them. She would deal with them.

Her next mental project was to get Trey Donovan, including his twinkling eyes and his lazy grin, out of her head. After a single morning in his presence, he’d already shattered her calm, making her wish for those happy-ever-afters she’d stopped imagining were possible.

She knew better than to respond like a schoolgirl to a man who had enough charisma for three guys, but she’d done it anyway. Maybe her reaction was due to first-day-on-a-new-job stress because she’d been dreading this day for the past week. Maybe it was because she hadn’t slept well last night and her defenses were down.

Maybe it was because her blood sugar had dropped. She’d chosen to take the late lunch break and that had been delayed because they’d been busy.

Then again, maybe it was all of the above. Yes, she decided. That was it. She’d been simply tired, stressed and hungry. This afternoon, she’d be more like her old self, able to resist his wicked grins with the logic that they meant nothing.