Here’s the thing. I’m not good with silences. They freak me out. It’s because my parents went through a no-speaking phase when Jem and I were kids. They wanted us to pretend we were living in an abbey like at Mont Saint Michel in Normandy in France, where talking is banned in order to concentrate on prayer. It would have helped if they’d taught us sign language first. Thankfully it didn’t last long but it’s left its mark. I have this tendency to talk inanely if there’s even a hint of a break in the conversation.
‘So, how are you liking St Iggy’s so far?’ I said. ‘Isn’t it a nice place? Everyone’s so friendly and—’
‘Harrison Redding, the CEO, tells me you’re doing a research project on stress reduction,’ Matt Bishop said.
‘Yes,’ I said. As much as I didn’t care for his clipped tone, at least I was back on safer ground. I mentally wiped my brow. Phew! I could talk all day about my project. ‘I’m looking at ways of mitigating the stress on patients, relatives and staff when a patient is in ICU, in particular when a patient is facing death. Stress is a costly burden to the unit. Staff take weeks—sometimes months—of stress leave when cases are difficult to handle. Patients lodge unnecessary and career-damaging lawsuits when they feel sidelined or their expectations aren’t met. My aim is to show how using various stress intervention programmes and some physical ways of reducing stress, such as aromas and music tones and other environmental changes, can significantly reduce that cost to the hospital. My stress cost abatement model will help both staff and patients and their loved ones deal better with their situation.’
I waited for his response … and waited.
After what seemed like a week he leaned forward and put his forearms on the desk and loosely interlaced his fingers. ‘You’ve had ethics approval?’
‘Of course.’
I watched as he slowly flicked one of his thumbs against the other. Flick. Flick. Flick. I tried to read his expression but he could have been sitting at a poker tournament. Nothing moved on his face, not even a muscle. I was having trouble keeping my nervous bunny twitch under control. I could feel it building inside me like the urge to sneeze.
His eyes bored into mine. ‘I have some issues with your project.’
I blinked. ‘Pardon?’
‘I’m not convinced this unit can afford the space you’ve been allocated,’ he said. ‘I understand Dr Hooper was the one to approve the end room for your use?’
‘Yes, but the CEO was also—’
‘And the room next to the relatives’ room?’
‘Yes, because I felt it was important to give people a choice in—’
‘What sort of data have you produced so far?’
I wished I hadn’t gone on leave for more reasons than the obvious one. It felt like ages since I’d looked at my data. Most of it was descriptive, which was something the survey questionnaire over the next few critical weeks would address. I understood the scientific method. Data had to be controlled, repeatable and sufficient; otherwise, it was useless. But I also wanted a chance to change the thinking around death and dying. Everyone was so frightened of it, which produced enormous amounts of stress. ‘I’m still collecting data from patient and staff surveys,’ I said. ‘I have a series of interviews to do, which will also be recorded and collated.’
I wasn’t too keen on the sceptical glint in his eyes. ‘Multiplication of anecdotes is not data, Dr Clark.’
I silently ground my teeth … or at least I tried to be silent. Jem says she can always hear me because she listened to it for years when we shared a bedroom when we were kids. Apparently I do it in my sleep.
I so did not need this right now. I had enough on my plate in my private life, without my professional life going down the toilet as well. I understood how Matt Bishop was in brisk and efficient new broom mode. I understood the pressure of coming in on budget, especially when you’d inherited a mess not of your own making. But I wasn’t going to be intimidated by a man who had taken an instant dislike to me for how I dressed or wore my hair.
He would have to get over himself. I wasn’t changing.
‘Will that be all, Dr Bishop?’ I asked in mock meekness as I rose from the chair. ‘I have some pre-assessments to see to on the ward.’
This time a muscle did move in his jaw. In and out like a miniature hammer. A hard sheen came over his gaze as it held mine—an impenetrable layer of antagonism that dared me to lock horns with him. I’m not normally one to pick fights but I resented the way he’d spoken to me as if I were a lazy high-school student who hadn’t done their homework. If he wanted a fight then I would give him one.
I felt a frisson pass through my body, an electric current that made my nerves flutter and dance. I can’t remember a time when I felt more switched on. It was like someone had plugged me into a live socket. My entire body was vibrating with energy, a restless and vibrant energy it had never felt before.
Without relaxing his hold on my gaze, he reached for a sheet of paper on the desk in front of him, which I presumed was an outline of my research. His top lip lifted in a sardonic arc. ‘Your project name has a rather unfortunate acronym, don’t you think?’
I looked at him blankly for a moment. And then I got it. I was annoyed I hadn’t realised it before. Stress Cost Abatement Model. S.C.A.M. Why on earth hadn’t someone pointed it out earlier? I felt like an idiot. Would everyone be snickering at me once Matt Bishop shared his observation around the water cooler? My stomach knotted. Maybe they already were … Was that why everyone had looked at me when I came to the office just now? Had they been talking about me … laughing at me?
I was incensed. Livid to the point of exploding with anger so intense it felt like it was bursting out of each and every corpuscle of my blood. I could feel the heat in my cheeks burning like the bars of a two-thousand-watt radiator. I had spent most of my childhood being sniggered at for my unconventional background. How would I ever be taken seriously professionally once this did the rounds?
I don’t often lose my temper, but when I do it’s like all those years of keeping my thoughts and opinions to myself come spilling out in a shrieking tirade that I can’t stop once I get started. It’s like trying to put a champagne cork back in the bottle.
I hissed in a breath and released it in a rush. ‘I detest men like you. You think just because you’ve been appointed director you can brandish your power about like a smart-ass kid with a new toy. You think your colleagues are dumb old chess pieces you can push around as you please. Well, I have news for you, Dr Bishop. This is one chess piece you can’t screw around with.’
I probably shouldn’t have used that particular word. The connotation of it changed the atmosphere from electric to erotic. I could feel it thrumming in the air. I could see the glint of it in his grey-blue gaze as it tussled with mine. I’m not sure where his mind was going, but I knew what images mine was conjuring up—X-rated ones. Naked bodies. His and mine. Writhing around on a bed in the throes of animal passion.
Thing is … it’s been ages since I’ve had sex. I’m pretty sure that’s why my mind was running off the way it was. I’d put Andy’s lack of interest over the last couple of months down to busyness with work as a stock analyst. I put down my own to lack of interest, period. I blamed it on the contraceptive pill I’d been taking. But then I changed pills and I was exactly the same. Go figure.
I saw Matt Bishop’s eyes take in my scorching cheeks and then he lowered his gaze to my mouth. It was only for a moment but I felt as if he had touched me with a searing brand. I bit my tongue to keep it from moistening my lips but that meant I couldn’t say anything to break the throbbing silence. Not that I was going to apologise or anything. As far as I was concerned, he’d asked for a verbal spray and, given another chance, I would give him one again.
He sat back in his chair, his eyes holding mine in a lock that made the backs of my knees feel fizzy. It took an enormous effort on my part not to look away. I had an unnerving feeling he could see through my brief flash of anger—the overly defensive front that disguised my feelings of inadequacy. I’d spent most of my life hiding my insecurities but I got the sense he could read every micro-expression on my face, even the ones I thought I wasn’t expressing. His gaze was so steady, so watchful and so intuitive I was sure he was reading every thought that was running through my mind, including—even more unsettling—the X-rated ones.
‘I’ll keep that in mind,’ he said. ‘Close the door on your way out.’ He waited a beat before he added with an enigmatic half-smile, ‘Please.’
CHAPTER TWO (#u17c802c1-b667-58ea-9e28-eb77ccaccc45)
I FINISHED MY pre-assessment clinic and walked back to ICU. Stalked would be more accurate. I was still brooding over Matt Bishop’s treatment of me. Why had he taken such a set against me? I wasn’t used to making instant enemies. I considered myself an easygoing person who got on with everyone. Mostly.
Come to think of it, there have been a couple of times when I’ve run up against someone who didn’t share my take on things. Like my neighbour, who kept spraying the other neighbour’s cat with a hose every time it came into his garden. That’s just plain cruel and I didn’t refrain from telling him so. I got myself hosed for my trouble, but at least I felt good about standing up for Ginger.
And then there was the guy who’d been ripping off another elderly neighbour a few doors down. Elsie Montgomery employed him to do some gardening and odd jobs but it wasn’t long before he was doing her shopping and taking her to the doctor or on other outings. At first I thought he was doing it out of the goodness of his heart, but then I found out from Elsie—reluctantly, because she was embarrassed—he had been taking money out of her bank account after he’d got her to tell him her PIN.
I wanted Elsie to press charges against him for elder abuse but she thought he’d been punished enough by me shouting at him in the street in front of all the neighbours. That and the naming-and-shaming leaflet drop. That was a stroke of genius on my part. I got a team of local kids to help me distribute them. It will be a long time before he gets to cut any lawns in our suburb, possibly the whole country.
I was walking past the staff change rooms when Gracie appeared. ‘How did it go? What did he say to you?’
I rolled my eyes. ‘He has issues with my project.’
‘What sort of issues?’
I gave her a disgruntled look. I wasn’t going to spell it out for her. Word would spread fast enough. ‘The rooms I’ve been allocated, for one thing. He thinks we can’t afford the space.’
Gracie frowned. ‘But you’re doing amazing things with the patients and families. Everyone says so. Look at what you did for the Matheson family. You brought such comfort to them when they lost their son before Christmas.’
I pictured the Matheson family collected around Daniel’s twenty-one-year-old body as he breathed his last breaths after a long and difficult battle against sarcoma. I spent hours with them, preparing them and Daniel for the end. I encouraged them to be open with Daniel about their feelings, not to be ashamed of the anger they were feeling about his life being cut short, but to accept that as a part of the journey through grief. I taught Daniel’s father, who was uncomfortable showing emotion or affection, to gently massage his son to help him relax. When Daniel finally passed it was so peaceful in the room you could hear the birds twittering outside.
I let out a breath as we walked along the corridor back to the unit. ‘I can’t stop now. I’m only just beginning to see results. I’ve had three nurses tell me how much they got out of the meditation exercise I gave before I went on leave. When nurses get stressed, patients get stressed. It’s not rocket science. It’s common sense.’
‘But surely Dr Bishop can’t block your project now,’ Gracie said.
I held my hands out for the antiseptic gel from the dispenser on the wall, my mouth set in an indomitable line. ‘I’d like to see him try.’
I got busy doing a PICC line for a chemotherapy patient and then I had to help one of the registrars with setting up a patient’s ventilator. I was due for Theatre for an afternoon list with one of the neurosurgeons, Stuart McTaggart. Not my favourite person at St Iggy’s, but while he had an abrasive personality there was certainly nothing wrong with his surgical skills. Patients came from all over the country to see him. He had a world-class reputation for neurosurgery and was considered to be one of the best neurosurgeons of his generation.
I went to the doctors’ room to grab a quick bite of lunch. It was a medium-sized room big enough for a six-person dining table and chairs, a couple of mismatched armchairs, a coffee table, a sink and a small fridge. The daily newspapers were spread out on the table, where a bowl of fruit acted as a paperweight.
Personally, I thought the place could do with a facelift, maybe a bit of feng shui wouldn’t go astray, but I was fairly new on staff, considering some people had been here for their entire careers, so I picked my battles.