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The Surgeon She's Been Waiting For

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2018
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There was still no report from the CT technician, so she headed for the central area to see if she could hurry things up. Coming to a sudden halt, she was disconcerted to see that Theo Benyon was standing by the reception desk.

John Edwards’s words came back to her… ‘Don’t let him escape.’ But how was she supposed to keep him there when she had a job to do? Quickly, she paged her boss. His meeting would obviously have to take second place if this was so important to him.

‘Hello again,’ she said, going over to Theo, and he turned to look in her direction. His appearance had a decidedly unsettling effect on her. Long and lean, and once again immaculately dressed in a dark-coloured suit, he was lounging negligently against the desk, deep in conversation with the young nurse who was monitoring admissions there. She appeared to be basking in his attention.

‘You’re quite a frequent visitor around here, aren’t you?’ Megan added. ‘Is there anything at all that I can do for you?’

His mouth tilted attractively. ‘Now, there’s a tempting proposition,’ he murmured, his blue gaze moving over her. ‘I’m sure I can think of all manner of things that might fit the bill.’

She pulled in a quick breath and pinned him with a cool, grey stare. Did the man have no shame? Even with his wife desperately ill in hospital, he was still prepared to try out his charm on all and sundry. Perhaps it came naturally to him, as easily as breathing air.

Her mind drifted back in time. Only the other day he had caused Sarah’s cheeks to flush with warmth, hadn’t he? And she couldn’t help but notice that the nurse on reception duty was looking all of a flutter.

Well, he would find that she was one woman who wasn’t going to be drawn by his magnetic lure. ‘Of course it will be Mr Edwards that you’re wanting to see,’ she murmured, ignoring his remark. ‘I’ve paged him, so he should be down here at any moment.’

His head went back a fraction. ‘You didn’t need to do that. All I want to do is drop off a couple of paintings that he asked for. If they’re not suitable, he can easily let me know and I’ll drop by and pick them up next time I’m here.’

She nodded. ‘I guess you and Harry must be getting quite used to this place by now.’ Glancing around, she discovered that there was no sign of his young son. ‘Is Harry with his mother?’ she asked.

He shook his head. ‘Not today. Sometimes these visits can be upsetting for him, so I’ve been limiting the number of times I bring him along. Anyway, I’ve managed to enrol him in the local school, so at least he’ll have the opportunity to make new friends, and it will help to keep his mind off what’s going on here. He wasn’t too happy about it, but all this change in his life has been unsettling for him, and he needs to get back to normality as much as possible.’

‘Poor boy.’ Megan’s gaze clouded. ‘I can imagine it must be difficult for both of you.’ She frowned slightly, trying to make sense of what was going on. ‘Mr Edwards told me that he had operated on Harry’s mother. Is there any chance that she will make a quick recovery? Do you mind me asking? Only Mr Edwards didn’t say what was wrong.’

Theo grimaced. ‘Francie suffered a cerebral haemorrhage. It came on very suddenly when she complained of a terrible headache, like a blow to the head, and then she collapsed. It turned out that it was a burst blood vessel in her head and we were very worried that she wasn’t going to make it. John was down in Somerset at the time on an exchange visit and offered to work with the team who operated on her. I’m sure it was his expertise that pulled her through.’

‘I’m so sorry.’ Megan was shocked. Many patients didn’t survive such a devastating incident, and those who did often faced a long road back to health. ‘How is she? Was the operation a success?’

‘In the sense that she survived, I suppose so, yes.’ He half turned away from her, as though he would hide the emotions that suddenly ravaged him, but she was watching him intently and she saw that his features had become shadowed, tinged with grief and regret. ‘Of course, she’s suffered badly as a result of the initial damage from the haemorrhage, and she’s paralysed down one side, so that she can’t walk, or use her arm, and her speech has been lost. The only consolation is that she’s young, and that gives her a fighting chance for recovery.’

‘That’s why you brought her here, isn’t it? So that she would be treated in the new stroke centre?’

‘Yes.’ He lifted his head, facing her once more. ‘I heard about the work that was being done here, and I wanted her to have the very best of care…along with the fact that Harry’s grandparents live near by. He needs their support right now. He’s very young and he hasn’t managed to come to terms with what has happened to his mother just yet.’

‘That will probably take some time.’

He nodded. Then, as though he wanted to change the subject, he said briskly, ‘About these paintings—I’ve stacked them behind the reception desk for the time being. Do you think you could let John know that they’re here? Then I’ll be on my way.’

‘Oh, no…’ Megan suddenly remembered that, quite apart from her own interest in this man, her boss was still hoping to speak to him. ‘Do you really have to go right now? I mean, I was hoping that—’ She broke off as the receptionist interrupted.

‘Megan, a message has just come through for you from the CT technician,’ Rhianna said. ‘The scan showed a deep vein thrombosis, but as she was doing the scan, the patient’s condition worsened. It looks as though a portion of the clot has broken off and travelled to her lung. She’s having difficulty breathing and her heart rate is galloping.’

‘Oh, Lord, that’s the last thing we need.’ Megan had to think quickly. ‘Check that there’s an operating room available for me, will you, Rhianna, and assemble a team? Ask Sarah to prep the patient for me. I’ll have to do a pulmonary angiography to see if there’s any way I can dissolve the clot.’ She turned to Theo. ‘Is there any chance at all that you could stay? I would have liked to talk to you about your paintings…’

It was true enough, but she could see that he was sceptical about that, and perhaps it would not be wise at this moment to remind him that her boss might put in an appearance any time soon. He didn’t seem too keen on meeting up with him.

As a last desperate measure to keep him around, she tacked on, ‘I don’t suppose you’d care to come along with me, would you? I’ve heard about your expertise as a surgeon and I’d value your support if you would like to stand by in the operating theatre.’ After all, he must be particularly brilliant if John Edwards spoke highly of him.

Theo’s expression froze. ‘Thanks, but, no, thanks. I really don’t want to be anywhere near an operating theatre.’

‘Oh…I didn’t realise…’ His remark threw her off kilter for a moment, but there was no time right now to query what he had said. She swallowed her disappointment. Her patient was in imminent danger and she had to get to her, fast. ‘Please don’t go away,’ she said, moving away from the desk. ‘I’m sure Rhianna will be glad to make you a cup of coffee and show you how our department works.’ She glanced at the nurse for confirmation of that, and Rhianna nodded.

‘Of course. I’ll be happy to make coffee. We might even run to a piece of cake,’ she added with a grin.

Megan hurried towards the operating theatre, her head filled with concern for her patient. The next hour would be crucial in determining whether the woman lived or died. Pulmonary embolisms could be devastating for anyone who suffered such an event, and if she didn’t act quickly, her patient could go into cardiac arrest.

‘Will you go in through the leg vein or her arm?’ Sarah wanted to know, once Megan was ready to start the procedure.

‘The groin, I think…the femoral vein,’ Megan answered, ‘and we’ll monitor her blood pressure through the artery.’ She braced herself and started the procedure. ‘OK, I’m going to guide the catheter along the blood vessel and into the lung. Keep a check on her vital signs and let me know if there are any changes in heart rate or blood pressure.’

The procedure was a painstaking one, and for the next hour Megan needed all her powers of concentration to ensure that the catheter progressed through the woman’s circulatory system without causing damage to the veins. Any puncture of the walls of a blood vessel could cause a massive bleed. Once in position, special instruments would help her to deal with the clot.

‘Her circulation’s improving,’ Sarah said after a while, when Megan had almost finished, ‘and her heart rate is dropping.’

‘That’s good. I’m ready to start withdrawing the catheter now.’

The procedure came to an end. Megan checked that Sue’s breathing was easier and all her vital signs were showing improvement before she thanked the team for their help and left the operating theatre.

She was keyed up, worried by how close she had come to losing her patient, and she still had to go down to A and E to check whether Theo Benyon had stayed around. Though surely John Edwards would have come away from his meeting by now. Somehow, after the gruelling hour she had just spent, she was less enthusiastic about meeting up with Theo once more. Maybe the intense concentration required by her work had succeeded in bringing her securely down to earth. She would do better to keep out of Theo’s orbit.

Walking along the corridor, she glanced through the glass-panelled door of the doctors’ lounge and saw that her boss and Theo were deep in conversation. That was a great relief. If her boss had Theo in tow, she was off the hook, wasn’t she? There was no need after all for her to stay around and make polite conversation.

‘Ah, there you are, Megan. Come and join us, will you?’ John pulled open the door, stopping her in mid-stride when she would have slipped silently by.

‘I was just going to check up on my patients,’ she murmured, but John was having none of it.

‘I’m certain you’re due for a break,’ he said. ‘I expect the senior house officer will manage perfectly well without you for a while. I’ve told Theo that you’ll take him on a tour of the department—show him how we operate around here. You’ll be able to do that for me, won’t you?’ He glanced at his watch. ‘Only I have to go back to my management meeting—matters of the hospital budget, you know. Dire stuff, but it has to be done.’

‘Oh, um…I thought…I was just…’ Conscious that her dismay must be showing and that she was babbling incoherently, Megan made an effort to pull herself together. ‘Yes, of course I can do that.’

Theo gave a wry smile. ‘I really don’t want to put you to any trouble. I know that you’re busy, and I’m sure there are all sorts of other, more important, things that you need to be doing.’

‘Nonsense,’ John cut in firmly. ‘She’ll be only too happy to do it. Megan’s our vascular specialist, you know. She’s a brilliant asset to our A and E department…’ He glanced at Megan. ‘Haven’t you just come from treating a patient for a pulmonary embolism? How did it go?’

Megan nodded. ‘I have. It went well enough, I think. I managed to latch onto the clot with the instrumentation, and once I had it secured I infused it with clot-dissolving medication. When it reached a manageable size I was able to suck it up via the catheter and draw it out of her system. I’m hoping that we have her condition under control now.’

John gave a beaming smile. ‘See, there we have it.’ He threw Theo a quick glance. ‘She’s second to none, and I’m sure she’ll be able to answer any question you care to put to her. I know I’ll be leaving you in good hands.’

With that, her boss said a quick goodbye and headed for the door. ‘Do let me know what you decide about the job,’ he told Theo. ‘We really want to have you on our team.’

Theo’s expression was unreadable, and if John had been hoping for some sign that he had pulled him on board, he must have been sadly disappointed.

The door closed behind her boss, and Megan glanced at Theo. ‘I feel that I should apologise for him,’ she murmured. ‘Around here, we tend to get used to his bombastic ways. He means well, but he does have a way of browbeating people from time to time.’

‘That’s all right. I’m sure he’ll discover soon enough that I can be equally determined when I’ve made up my mind on something,’ he returned.

A perceptive glint shimmered in her eyes. ‘I gather you still don’t want the job?’

‘No. I definitely don’t want the job.’
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