‘The staff are really keen. It was a good idea to negotiate to have our own staff treating our patients even once they leave the special care unit for the ward.’
‘I’ll be observing in Theatre Three today—adult patient but an intricate aorta repair.’
They spoke in unison, then Annie gave a laugh and said, ‘As I was answering a question you asked ages ago, it seems only fair you continue.’
Though equally willing to talk about the nursing staff—anything to get his mind off the physical manifestations of Annie’s close proximity—Alex continued.
‘It was torn in a MVA, repaired at the time, but now the cardiologist feels there must be adhesions slowing the flow of blood through the vessel. The echo shows some kind of blockage but it’s where the aorta’s tucked away behind the pulmonary artery and it’s hard to get a clear picture of the problem. Even the MRI doesn’t show much.’
‘Sounds tricky,’ Annie said, though he guessed from the relaxation in her voice that she was relieved by the topic. ‘I’m assuming that’s this morning. You’ve a couple of patients booked for consultations this afternoon.’
They were inside the staff entrance, in the small alcove where he’d waited for them yesterday, and she turned and smiled at him.
‘To think I doubted you’d get referrals. I know Phil laughed at me when I said as much yesterday, but I wondered if paediatric cardiologists here would prefer to continue to use the surgeons they knew.’
He found himself smiling back.
‘I knew I could always take cases from the waiting list at Children’s. That was part of the deal, but referrals? I had a few doubts about them myself,’ he admitted, still smiling, because Annie’s smile had brightened up his day.
He sent a new thought-wave to his sister. Total muddle-headedness!
Annie wondered if it was because they were in the hospital—on her home ground, so to speak—that she felt able to relax. Back there, when he’d said her name, even premature menopause couldn’t explain away the quiver of excitement that had ricocheted through her body. But now they were talking work, and she was so relieved she smiled at him. A real smile, not a pretend one, so the score on small lies for the day remained at one.
And he was smiling back—which made her confidence on being on home ground waver slightly. But she held firm and asked about the operation, and somehow they made it to the office without any further manifestations of her condition.
Manifestations of something else, perhaps, when they’d bumped together in the lift, but it certainly wasn’t love, she assured herself. Attraction, maybe. And why not? He was an attractive man.
That thought alone was enough to make her seek refuge in her work. It had been so long since she’d considered the attractiveness or otherwise of men, this time she felt a shiver, not a quiver, and the shiver was more fear than attraction.
‘Come on, the unit can’t afford too much overtime. We’re all heading for that pub up the road for a drink to celebrate day two safely over.’
Phil had poked his head around the door and, looking at him, Annie suspected he hadn’t poked more of his body into the office because the rest of it was attached to Becky.
‘Maybe later. If you’re still there.’ Second small lie of the day as she had no intention of going near the pub. But it was only a self-preservation-type lie so surely that didn’t count! ‘Right now I have to finish some requisitions or the Great will have my hide.’
Phil rolled his eyes. ‘Forty-eight hours into the job and he’s got you bluffed already. Believe me, his bark is far worse than his bite—not that he barks all that often. Come and see the man relax—learn for yourself he’s human.’
For some reason Annie’s mind flashed to the kiss, and though she didn’t tell Phil, she was willing to admit to herself that she knew for sure he was human.
‘Maybe later,’ she repeated, pulling a sheaf of paper across the desk to let him know she was serious about working.
He shrugged good-naturedly and walked away, but what seemed like only minutes later her diligence was again interrupted.
‘Phil says you’re not coming for a drink. He’s blaming me—says I’m a slavedriver. Is there really so much work for you to do?’
Annie considered lie number three, then shook her head.
‘Not really. I do want to check these letters going out to possible corporate sponsors. You mentioning that cardiac units can generate more money than most hospital divisions started me thinking. It won’t take long, but I don’t feel like going out tonight anyway. I’ve not let anyone know I’d be later than usual, so I’d prefer to go straight home.’
Was that a lie? I’d prefer not to spend avoidable time with you would be closer to the truth, but that could be translated into going straight home.
‘There are people at home you have to let know?’
He asked the question softly, as if he didn’t want it to sound like prying.
‘Of course,’ she said, answering the question yet knowing it wasn’t an entire answer.
Knowing immediately from his silence he was waiting for the rest of it.
‘Dad and Henry. Both at home. Waiting.’
The silence that followed this less than explicit explanation seemed to hover in the room like a third person, then Alex nodded briefly, said, ‘Goodnight, then,’ and walked away.
‘If he’d asked, I’d have told him Henry was a dog,’ Annie told the door which had closed behind him.
‘Plege on!’ Alex said, the order crisp.
Who outside this room could guess it meant a cocktail of chemicals and nutrients, in the main a potassium solution—poison—would flow into the baby’s heart?
The tiny heart stopped beating. It was pale and floppy-looking, clearly visible to Annie where she stood on a stool behind the heart-lung machine that was oxygenating the baby’s blood while the intricate surgery took place.
She held her breath, knowing every second Baby Ross was on the machine increased the risk of long-term damage to his frail body. Alex had explained exactly what would happen at every stage of the operation. He’d called all unit staff, including the sisters from the special care unit, together and drawn diagrams on a whiteboard, but nothing had prepared Annie for how small and totally vulnerable Baby Ross would look on the operating table, or how desperately sad it would be to see the still, lifeless little heart.
She reminded herself his heart would start beating again within minutes. That Alex was the best at what he did. She swallowed the lump of fear for Baby Ross that had lodged in her throat, and concentrated on what was happening now.
The switch, they called it. Baby Ross had been born with TGA, or transposition of the great arteries, which in effect meant that oxygen-rich blood from his lungs, instead of being pumped around his body, was being pumped back into his lungs, while oxygen-depleted blood was recirculated through the rest of his body.
Baby Ross was unlucky to be born with TGA, but his lucky break had been being born in St James’s—Jimmie’s as the staff called it—not just at any time but three days after Alex and his team had begun work there.
Annie studied the man they called ‘the Great’.
Cool. Detached.
Ruthless?
She wasn’t sure about the last, although both the other words would describe her impressions of the man. Having worked with critically ill children for the last five years of her career, Annie knew both the children and their parents needed very special characteristics