She glanced towards the white board, which only showed three patients in the department at the moment—two of whom were with James Turner. ‘We’re not normally this quiet.’ Her mind was spinning with endless possibilities. ‘I know this isn’t an ideal situation but the most realistic solution is to move Jennifer Taylor to one of the ward areas once Dr Fairgreaves has examined her. If she’s out of the emergency department, do you really have to close us down?’ Abby couldn’t keep the pleading sound out of her voice. She just couldn’t turn patients away, not when they needed her. ‘I’ll let you see the personnel records if you want—just let me check with the hospital administrator. You’re not going to find anything anyway, but please don’t close down the emergency department.’
‘Do you have floor plans for the hospital?’
He hadn’t moved a muscle. Abby was sure he hadn’t even blinked.
‘What? Yes…yes, I think so.’ She pointed over his shoulder. ‘They’ll be in the hospital administrator’s office.’
‘I’ll get back to you, Dr Tyler.’ He turned swiftly on his heel and stalked off in the direction of the nearby office.
Abby leaned back against the nearby wall and breathed a huge sigh of relief. There was only one other patient in the department right now. Dr Fairgreaves was dealing with Jennifer Taylor. She’d need to wait and see what his recommendations would be. She glanced at her watch and stared up the corridor. She could almost feel the invisible pull. Luke was up there. Probably performing an angioplasty. It had been years since she’d seen him at work. Maybe it was time to go and offer some moral support?
* * *
Luke’s head was spinning. He pushed open the door to the changing room with unexpected venom and started as it thumped off the wall. The First Lady was going to have her baby. Her obstetrician had had an MI. The new obstetrician looked like a tramp but had the credentials of a king. And they were stuck in some backwater part of Mendocino Valley. Stuck with Abby Tyler. He couldn’t have made this up.
He tugged at his red tie and undid the buttons on his shirt, stuffing them in a nearby empty locker. Behind him he found a variety of sizes of theatre scrubs and pulled the familiar clothing over his head.
And she’d kissed him. The lightest kiss, as if a feather had brushed the tip of his nose, and it had sent his blood soaring through his veins as if a rocket had just taken off. What on earth was happening? They’d laughed through their medical training together, stressed through their exams, but spent most of their time in each other’s arms. And for a while he had never been happier. The dark cloud that had hung over his head since his brother had died had finally lifted. He’d met the woman of his dreams. The woman he wanted to spend the rest of his life with. Until she’d started to talk about the future. Their future. A future that involved them having a family. And the dark cloud had appeared again, nestling around his head and shoulders until it had completely enveloped him.
They had been midway through their specialist training by then—he in cardiology, she in paediatrics. And he’d begun to see her in a completely different light. Whenever she’d spoken about the kids, even the ones with terrible outcomes, she’d had a sparkle in her eyes. On the few occasions he’d gone to pick her up from the ward, he’d never found her stuck in an office with her head in the notes—no, she had always been right in the middle of things, leading the games in the middle of the ward, usually with a child under each arm.
He’d seen a few of his friends start to flourish when they’d commenced their specialty, becoming more animated and enthusiastic when they’d spoken about their work. But Abby had truly blossomed. She had excelled at her job and hadn’t hidden her thrill at finally specialising in paediatrics. And after years of study that’s when she’d started to plan ahead. To plan for a family. A family he could never have. And that’s when he’d broken her heart. That’s when he told her he was infertile—an unfortunate complication of teenage mumps.
There had been so many other things going on in his life at the time, and although he had known it was important, he hadn’t taken the time or had the maturity to understand the wider implications—that one day he would meet the woman of his dreams and she would want a family. A family he couldn’t give her.
Maybe it was his fault? Maybe he should have told her right from the beginning that he couldn’t have kids. But then again, it wasn’t your everyday normal topic of conversation. But three years into their relationship—when he’d started to see the signs—he’d sat her down and told her.
To give her her due, Abby had made all the right noises, told him it didn’t matter, that she loved him and that they would find a way to have a family together. But for Luke it had been the death knell of their relationship.
From the moment he’d heard the word ‘infertile’ he’d blocked out all thoughts of a family. Surely there was a hidden message there? If he couldn’t have kids naturally, maybe he wasn’t meant to have kids?
She’d talked about donor sperm, adoption, other possibilities—but he hadn’t wanted to think about those options. Truth was he wasn’t ready to consider those options as he hadn’t really faced up to his infertility yet. So he’d shut himself off from those conversations and had point-blank refused to consider any possibilities.
Every time after that he’d looked at Abby, he’d felt as if he was cheating her. Cheating her out of the opportunity to be a mother.
Five years they’d been together but they’d slowly, but surely, drifted apart.
The door on the other side leading into the theatre swung open. ‘Dr Storm?’ A pretty Asian woman looked at him, her dark hair poking out from under a theatre cap. He nodded.
She stuck out her hand. ‘Good, I’m Dr Lydia King. Abby sent me along to assist you.’ He gave her a little nod in recognition as he shook her hand and she backed out the door again. ‘I’ll just check on the patient and see you in there.’
A wave of anticipation swept over Luke as he pushed open the doors and entered the cardiac cath lab, quickly followed by a wave of nausea, most likely because he hadn’t had a chance to eat yet today. He glanced about him quickly, taking in the layout and equipment available. One of the NPs appeared at his side. ‘We’re all set up for you.’ She pointed in the direction of the sinks. ‘You can scrub up over there and I’ll gown you up. Would you like to come over and speak to Dr Blair first?’
Luke gave her a quick smile. ‘Of course I would.’ It only took three strides to cross over to where Dr Blair was lying on the table, monitors attached, pale and sweaty. ‘How’s Jennifer?’ he gasped.
Luke gave him a quick pat on the shoulder. ‘She’s just being examined now by one of the obstetricians but she’s doing fine. Let’s worry about you first.’
He watched the rapid, shallow breaths. ‘Let me explain the procedure to you.’
Dr Blair waved his hand in the air. ‘Son, don’t teach an old dog new tricks, just stick the thing in and get this blockage cleared. I feel as if a train is sitting on my chest,’ he wheezed.
Luke nodded. ‘Give me a few minutes while I scrub up and I’ll talk to you while we’re doing the procedure.’ He cast his eyes over one of the nearby monitors. ‘Can Dr Blair have some oxygen, please?’
The NP nodded before pulling a mask over Dr Blair’s head. She followed Luke over to the sink and waited while he scrubbed up. The door open and he turned as Abby came in.
‘Hi, Luke. You don’t mind a spectator, do you? I don’t get the chance to come in here much.’
Luke shook his head and shot her a gleaming smile from beneath his blue theatre hat. ‘Of course I don’t, Abby, you’re welcome in my cath lab any time.’
The words sent a shiver running down Abby’s spine and she felt a little warmth in her cheeks as she looked anxiously around the room. Had anyone else noticed? No, everyone else was going about their daily business. No one had noticed a thing. Maybe it was all in her mind?
And then he began. And it was like watching a master at work.
‘Are we ready to start?’ Luke asked Lydia and she gave him a quick nod as she finished administering the sedative.
‘Okay, Dr Blair, I’m just going to insert a little local anaesthetic down here.’ Abby watched as Luke swabbed the groin area surrounded by surgical drapes then numbed the area with local anaesthetic. He waited a few moments before lifting a scalpel and making a small nick into the skin, then expertly inserted the sheath into the artery.
With slow and deliberate actions he watched the X-ray monitor carefully as he slowly guided the catheter into place until it reached the site of the blockage. Over the course of the next 30 minutes he inserted the contrast material and established the full extent of the blockage.
‘Okay, Dr Blair, there is quite a significant blockage in your artery so I’m going to insert a stent to ensure we keep your artery open.’ He turned his head and exchanged a few words with Lydia, who gave him a nod in approval.
‘I’m going to use one of the newer drug-eluting stents. Have you heard of them?’
Dr Blair gave a little shake of his head from the theatre table.
‘This type of stent is coated with a medication that is slowly released to help keep the blood vessel from re-narrowing. They’ve just recently been approved for clinical use in the coronary arteries and I’ve had some really favourable results when I’ve used them.’
‘Whatever you think, Doc.’ Dr Blair waved his hand in nonchalance from the effect of the sedatives.
Luke gave a little smile and continued. Abby watched from the sidelines. He was an entirely different character in here. In his familiar medical setting Luke was the calmest man in the room. The consummate professional, who was relaxed and happy in his field of expertise. She almost laughed. She’d forgotten just how good he was. But take him out of his expert field…
A smile danced across her lips as she remembered the look on his face when he’d entered her emergency room—with his furrowed brow and anxiety levels reaching skyward. Not to mention when he’d first set eyes on Dr Fairgreaves in his fishing gear. She’d thought at that point he was going to blow a gasket at the thought of some country bumpkin delivering the President’s baby. But in here he was cool, calm and collected. None of the previous worries or anxieties showed. She watched as he spoke quietly to his surrounding staff, expertly guiding the stent into place, before removing the guide wire and catheter and applying firm pressure on the site.
He stood there for ten minutes, continuing to reinforce to Dr Blair what he’d done and giving instructions on follow-up care to the staff. ‘Can we keep him flat initially, please, and monitor the catheter site for bleeding and swelling? You can give me a call if there are any problems.’ He looked over his shoulder. ‘Abby, do you have an emergency page you can give me in the meantime?’
Abby lifted her hand to show the pager she was already holding in her hand. ‘Your wish is my command.’ She laughed. ‘Just as well I switched my telepathic powers on this morning.’ She turned to the other staff. ‘You’ll be able to page Dr Storm on 556. If you forget, I’ve given his details to the switchboard operator.’ She turned back to Luke, just as his stomach let out a loud rumble. ‘Come on, I’ll wait with you while you change. I think it’s about time we had a coffee.’
Music to his ears. This was the weirdest day in history. Luke smiled as he held open the door for her. Thank the Lord for mixed changing rooms. Abby walked in front of him and his eyes fixated on her butt. She was wearing the same thin green scrubs he was, but on her they seemed so much more alluring. He squinted, trying to see through them. Where was her VPL? There was none. What did that mean? He felt a rush of blood. Thank the Lord that no one else was in here. ‘Do you do killer-strength coffee here?’
She raised her eyebrow. ‘In this backwater town? Do you still take four shots in one cup?’
The door banged shut behind them and he caught her by the waist and spun her around. ‘What do you think?’
Through the thin scrubs that she was wearing he could feel the warmth of her skin. Her head was just below his chin and there was that strawberry lip gloss again. Invading his senses and making every hair on his body stand on end. He gave out a little involuntary groan as she stepped closer, pressing her body against his. To hell with decorum. There had been too many distractions today already.
‘I think my telepathic powers are still working,’ she whispered, fixing him with her deep brown eyes. ‘And you’re not thinking about coffee any more.’
‘Five years is a long time, Abby,’ he growled.