‘Oh, yes, he’s definitely an obstetrician.’ One of the nearby nurse practitioners walked up quickly and touched Luke’s arm.
‘Dr Storm?’
He nodded swiftly.
‘We’ll be set up for you in the next ten minutes, I’m just going to get the patient.’ She nodded towards Abby. ‘Dr Tyler will tell you where we are.’ She carried on down the corridor and into the trauma room to collect Dr Blair.
‘Some things never change.’ Abby surveyed the surrounding chaos around her. Her once peaceful emergency department looked as if it had been invaded by a black-suited army.
‘What?’ Luke glanced around him.
‘Storm by name, Storm by nature.’
‘You know I hate it when you say that.’
‘That makes it all the more fun.’ She watched as one black-suited man talked into his jacket lapel, while holding his finger to his ear, as if listening for a reply. She raised her eyebrow at Luke. ‘We still have a problem here, Luke.’
‘What do you mean?’ The last thing he needed was more problems.
‘I’m a paediatrician. I do children—kids.’ She wiggled her hand in the air. ‘I do some babies but certainly not early babies. Not neonates. We might have an obstetrician but what we really need is a neonatologist. And I’m not that.’ She shook her head. ‘This really isn’t my specialty.’
Luke folded his arms across his chest. ‘I’ve never known you to run from a challenge.’
Abby waved her hand around her. ‘In an emergency situation I could probably muddle through. But if the baby needs supported ventilation then we just don’t have the facilities, and this is the President’s baby, Luke.’
‘I know that.’ He ran his fingers through his hair in exasperation. ‘Well, what the hell are you doing here? Mendocino Valley, of all places?’ His arm swept outwards across the expanse of the department.
Abby was instantly irritated. ‘What do you mean by that?’
Luke tilted his head. ‘Last time I saw you, you had just been offered the job of a lifetime in San Francisco. Five years later I find you here, in some backwater clinic in the middle of nowhere. What happened, Abby?’
Abby shook her head and carefully closed the notes in front of her, bringing them up and clutching them to her chest. ‘Just shows how little you really knew me, Luke. It might well have been the job of a lifetime, but it wasn’t my job of a lifetime. You happened, Luke. You made me re-evaluate my life. And even though I didn’t think it at the time, you probably did me a favour. I love being here in Mendocino Valley. I do still work in San Francisco, but I only took the job because it means I can work here, in Pelican Cove, for twelve weeks a year. This is where I want to be.’
Luke’s cool eyes watched her carefully, a wave of guilt sweeping over him. For the second time in five minutes he wondered what she wasn’t telling him. She was holding the case notes to her chest as if she were protecting a closely guarded secret. The Abby Tyler he’d known had had the world at her feet. She’d been approached by three prestigious university hospitals to take part in their paediatric residency programmes. She’d been dedicated and focused. Something about this wasn’t quite right. Why would the woman who’d been top of her class and had had the pick of any job be working in a backwater place like this?
CHAPTER TWO
ABBY watched with a sinking feeling in her heart as the nitrazine paper turned the tell-tale shade of blue. She raised her head and gave Jennifer a rueful smile as she showed her the paper. ‘Well, I think we can safely say that your membranes have ruptured.’
‘They have?’
‘Yes. This paper turns blue when it comes into contact with amniotic fluid.’
Jennifer blew out a long, slow breath from her pursed lips. ‘It’s too early. What happens now?’
Abby snapped off her gloves, walking quickly to the sink to wash her hands. She finished and sat down at the side of the bed next to Jennifer, trying to work out what to tell her.
‘It won’t really be up to me, it will be up to Dr Fairgreaves—the obstetrician that’s coming to see you. I just needed to confirm your membranes had ruptured so I can give him the whole picture.’
‘Do you need to examine me any further?’ Jennifer gave a little grimace and Abby knew exactly what she meant.
She shook her head. ‘No, actually, that wouldn’t be a good idea right now. Ideally what we want to do right now is to delay you going into labour for as long as possible.’
‘Tell it to me straight, Dr Tyler.’
Abby leaned over and held Jennifer’s hand. ‘There are a number of things for Dr Fairgreaves to consider.’ She held up the buff-coloured folder. ‘From your notes I see that you’re currently 31 weeks and 4 days. He may decide to give you some steroids to help mature your baby’s lungs in case of early delivery. He might also decide to give you some antibiotics to help prevent infection.’
‘Am I going to deliver early?’
Abby shook her head. ‘I’m not really qualified to tell you that. I do know that about 80 per cent of women whose membranes rupture go into labour within four days.’
Jennifer took a deep breath and her hands rested automatically on her swollen abdomen. ‘What are my baby’s chances?’
Abby shook her head. ‘We’ll talk about that when Dr Fairgreaves gets here. I want to hear what his professional opinion is before we start leaping to any conclusions. From right now, though, you’re on strict bed rest.’
Jennifer threw up her hands in frustration. ‘But I’ve already been on bed rest!’
Abby raised one eyebrow. ‘Have you?’
Jennifer watched her carefully before finally answering, ‘Well, maybe not complete bed rest.’
‘We need to monitor your baby for any signs of distress and monitor you for any sign of infection.’ She hesitated a little before continuing, ‘It might also be advisable to move you to a hospital with better facilities for pre-term babies.’
Jennifer looked deep in thought and bit her bottom lip. ‘Where would that be?’
‘The nearest is San Francisco Children’s Hospital. They have a special ICU for premature deliveries.’
‘No.’
The voice was clear and decisive and took Abby completely by surprise.
‘What?’
Jennifer folded her arms firmly across her chest. ‘I’m staying here.’
Abby shook her head in disbelief. ‘Why on earth would you want to stay here?’
‘Wouldn’t moving me be dangerous?’
Abby shifted uncomfortably. Jennifer’s sharp retort unnerved her. In an instant she was in a witness box and being cross-examined by the more-than-capable lawyer. This wasn’t her specialty and she was beginning to feel at little out of her depth. ‘This is a conversation you need to have with your obstetrician.’
‘Oh.’
This response was different. Quiet and unsure. She’d gone from being a feisty lawyer to an imminent first-time mom in a matter of seconds. This woman was more scared than she was letting on.
‘What’s he like?’ Jennifer ran her fingers through her uncombed hair. ‘Your obstetrician.’ She hesitated for a second. ‘Is he good?’
Abby gave her a little smile. ‘Officially he’s retired. But in answer to your question he’s better than good—he’s great.’ She was interrupted by a heavy knock at the door.