Matt tried not to show his surprise that Poppy had failed to mention her qualifications and that unlike many surgeons she was actually quite personable with an awake patient. ‘Daryl, how’s the breathing, mate?’
‘Hurts.’
‘Where does it hurt?’ Poppy adjusted the elastic to hold the nasal prongs in place.
‘It’s me chest and arm that’s killing me.’
‘Do you know what day it is?’ Matt flicked on his penlight.
‘Sunday. I remember everything up to the moment the idiot hit me.’
Matt flashed the light into his patient’s eyes. ‘Pupils equal and reacting.’
Jen tried to ease Daryl’s shirt off but resorted to scissors when Daryl couldn’t move his arm without flinching. The soft material separated, revealing purple bruising all over the thin man’s chest. The nurse gasped.
Matt looked up from the IV he was inserting, hating that he knew exactly what would have caused such trauma. ‘Steel-capped boots. Welcome to the seedier side of Bundallagong, Poppy.’
She attached electrodes to Daryl’s chest, and at the same time Matt knew she was examining the rise and fall of his chest given the complaint about pain on breathing. ‘Sinus tachycardia. Jen, organise for a chest and arm X-ray.’
‘On it.’ The nurse started to manoeuvre the portable X-ray machine into position.
While Poppy wrapped a blood-pressure cuff around their patient’s uninjured arm to enable automatic readings, Matt swung his stethoscope into his ears and listened to Daryl’s breathing. He could hear creps and he palpated a paradoxical movement of the chest wall. ‘Flail chest. I’ll insert prophylactic chest tubes.’
A frown furrowed her smooth, white brow. ‘Good idea but it’s the damage under the fractured ribs that worries me.’
Matt nodded. ‘We’re in agreement, then.’
‘There’s a first time for everything.’
The words sounded precise and clipped, but her plump, berry-red lips twitched. Like the siren’s call, he felt his gaze tugged towards them again and wondered what they’d feel like to kiss.
The blood-pressure machine beeped loudly, ripping into his traitorous thoughts and grounding him instantly. He pulled his shame-ridden gaze away, reminding himself that he loved Lisa and he had a patient who needed his total concentration. ‘Pressure’s dropping.’
‘He’s bleeding somewhere.’ Poppy’s hands went direct to Daryl’s abdomen, her alabaster fingers, with their neatly trimmed nails devoid of polish, palpating expertly. ‘Any pain here?’
Daryl barely managed a negative movement of his head.
‘No guarding. It’s not his abdomen.’ Poppy’s frown deepened, making a sharp V between her expressive black brows. ‘His O2 sats aren’t improving. What about a haemothorax?’
‘If he does have that, it’s not massive because there’s no mediastinal shift or tracheal deviation.’
But the blood-pressure machine kept beeping out its worrying sound as Daryl’s heart rate soared and his conscious state started to fade. Matt stared at the green lines racing across the screen. PQRST waves scrawled the heartbeat but he thought he saw something unusual. He hit the printout button and studied the paper strips, detecting a change in the ST segment. Combining it with Poppy’s musings, he had a sudden idea. ‘Check his jugular vein.’
Matt shoved his stethoscope back in his ears and listened carefully to Daryl’s heart beat. Instead of a loud and clear lub-dub, the sound was muffled.
‘Cardiac tamponade.’
They spoke in unison, their thoughts and words meshing together for the very first time. ‘He’s bleeding into the pericardial sac.’
Poppy ran the ultrasound doppler over his chest, locating the heart. ‘There you go.’ She pointed to the dark shadow around the heart that squeezed the vital muscle.
Matt snapped on gloves and primed a syringe, knowing exactly what he had to do. Under ultrasound guidance, he withdrew the fluid from around the heart. ‘Hopefully that will stabilise him until you work your magic.’
Her teeth scraped quickly over her bottom lip; the slightest of hesitations. ‘A pericardial sac repair without the back-up of bypass isn’t quite what I’d expected.’
He understood her concerns and he had some of his own. ‘The anaesthetic will stretch me too.’
‘It’s going to be touch and go.’
‘I know.’ He met her direct and steady gaze, one devoid of any grandstanding or combative qualities, and wondered not for the first time about the many facets of Ms Poppy Stanfield.
CHAPTER THREE
IT HAD been a hell of a piece of theatre. Matt couldn’t help but be impressed by Poppy’s expertise. Except for requests for unanticipated instruments, she’d been virtually silent throughout, but it hadn’t been an icy silence that had put the staff on tenterhooks; the case had done that on its own. Given the complexity of the surgery, she’d done the repair in a remarkably short space of time, giving Daryl the best chance of survival. It had been a lesson to Matt that she knew her stuff and did it well. Although many visiting surgeons had her air of authority, not all of them had the skills to match.
It had been one of the most challenging anaesthetics he’d ever given due to the patient being haemodynamically unstable, and maintaining his pressure had been a constant battle. Thankfully, Daryl had survived the emergency surgery and was now ventilated and on his way to Perth.
Once the flying doctor’s plane had taken off and the night shift had arrived, Matt no longer had a reason to stay at the hospital. As he took the long way home it occurred to him that even Poppy had left the hospital before him, finally taking with her those bright red cases that matched her lips.
Again, shame washed through him. He hated it that he kept thinking about her bee-stung lips. He didn’t want to because they belonged to a woman who was so different in every way from his wife that it didn’t warrant thinking about. When he thought of Lisa the words ‘fair, soft and gentle’ came to mind. Poppy Stanfield wouldn’t understand the description.
He pulled into his carport and as he reluctantly walked towards the dark and empty house, memories of past homecomings assailed him.
‘Tough case, honey?’
‘Yeah.’
‘Well, you’re home now.’ Lisa leaned in to kiss him. ‘Annie’s already in bed and our room is deliciously cool.’
His key hit the lock and the door swung open, releasing trapped and cloying heat, which carried silence with it in stark contrast to the past. God, he hated coming back to this house now.
Yeah, well, you hated not living in it.
He dropped his keys in a dish he’d brought home from the Pacific and which now sat permanently on the hall table, and thought about the months he’d stayed away from Bundallagong. Being back hurt as much as being away.
He turned the air-conditioner onto high, poured himself iced water and briefly contemplated going to bed. Picking up the remote, he turned on the television, rationalising that if he was going to stare at the ceiling he’d be better off staring at a screen. He flicked through the channels, unable to settle on watching anything that involved a story and eventually stared mindlessly at motor racing, the noise of the vehicles slowly lulling him into a soporific stupor.