‘Rose was out at a lunch for a friend’s birthday yesterday. She came home early and said she wasn’t feeling well and went straight to bed.’ Lucy added to Jake’s tale. ‘We assume she was already infected when she went to lunch but because there can be such a short period of time between becoming infected and presenting with symptoms it’s adding to the confusion. When she came home she had a temperature and a headache but it didn’t seem anything out of the ordinary. She didn’t complain about a stiff or sore neck or a rash. I didn’t see any of the red flags for meningitis so I just assumed it was a flu virus.’
Lucy was also a nurse but she worked in aged care, and meningitis wasn’t something she saw much of.
‘She got up to go to the bathroom around midnight and I heard her collapse. When I reached her she was having trouble breathing and that’s when I noticed the rash. I rang the ambulance and even though they arrived quickly, by the time we got to the hospital she had gone downhill rapidly. She was in cardiac failure, her blood pressure was too low to register and she had no pulse. The rash on her body was spreading before my eyes. I just wish I’d suspected something more sinister than flu to begin with.’
‘I’m not sure that anyone would have, Lucy. You know how variable the signs and symptoms can be and how often they’re missed.’
Jake’s words were meant to be reassuring but Ruby doubted anything would ease her mother’s conscience. Not yet. Not until they knew Rose’s prognosis and maybe not even then. But Ruby was grateful to Jake for being there to support them all. She knew Scarlett and Lucy would be struggling with the situation as much as she was and it wasn’t fair to expect Scarlett to support them all. They couldn’t expect Scarlett to have enough strength for all of them. Not always.
Ruby was pleased that Scarlett now had Jake to take care of her. No one was looking to lean on Ruby but neither was anyone offering a shoulder to support her. She had always rebuffed offers of help or support so she supposed no one thought she might need some now.
Before she could follow that train of thought any further they were interrupted by one of the ICU nurses and a trio of doctors.
‘The doctors want to do a lumbar puncture,’ the nurse explained.
Four pairs of eyes swivelled to the doctors.
‘Now?’ Lucy asked.
The doctors were nodding. Ruby wondered who they all were and what they did, but no one seemed to think it was important to introduce her.
‘We really need to identify the bacterium responsible for the infection as the outcomes can be vastly different.’ The doctor who spoke looked easily the more senior of the three. Balding and carrying some extra weight, Ruby assumed he was the specialist. ‘There are increased mortality rates and poorer outcomes with the pneumococcal strain compared to meningococcal. It’s fatal in about ten per cent of cases and one in seven will suffer a permanent disability.’
Ruby had heard enough now. She wished he’d stop talking.
‘We don’t know yet whether there’s any permanent damage to her heart and some of her other major organs are showing signs of stress. We’re hoping to minimise the damage to her vital organs and her extremities but we need to make a proper diagnosis in order to implement the right treatment.’
Ruby was feeling sick. She didn’t want to think about the consequences of Rose’s illness. She didn’t want to think about what else could go wrong. She wanted to believe that Rose would get better and that everything would go back to normal.
So much for being positive and grown up.
‘The next thirty-six to forty-eight hours are critical.’
And Ruby knew immediately what the doctor meant.
Rose had to get through the next two days if she was going to have any chance of surviving.
EVERYONE ELSE HEARD the unspoken words too and Ruby watched as Scarlett turned to Jake.
It seemed she was right, Scarlett couldn’t be expected to support them all. This was one time when she needed someone to support her. Lucy wouldn’t be able to lean on Scarlett, she had enough to deal with. Ruby might need to be the one to offer her mother comfort now.
As the medical team began to set up for the lumbar puncture Ruby found herself, along with the rest of her family, being ushered out of Rose’s cubicle.
The ICU had suddenly become a hive of activity and Ruby had to stop and wait as another patient was wheeled in and she was separated from the others by the barouche. As the bed was pushed past her she caught a glimpse of a solidly built man and she immediately wondered what had happened to him.
What had brought him to the ICU? There were usually only a couple of reasons why young men ended up here—accidents, usually involving vehicles, or serious illness. She turned her head, watching as he went past. Despite the oxygen mask covering his face, he looked too well to be seriously ill. His face was tanned and his colour was good and the one arm that she could see poking out from under the blankets was also tanned and well muscled. He looked robust and healthy enough.
She could see the outline of a cradle that was keeping the weight of the blankets off his leg and was suggestive of a lower-limb fracture. A motorbike accident, she decided before she ducked around the end of his bed to catch up with Scarlett and their mother.
They were hovering in the corridor, looking lost. They looked unsure what to do as they waited for the doctors to finish with Rose. Ruby was exhausted. It had been a crazy day—emotional, upsetting and stressful. She didn’t want to pace the hospital corridors, waiting for Rose’s procedure to be completed, she needed a shower and some fresh air to give her some strength to face what was yet to come.
‘Does anyone mind if I go and have a shower while the doctors are with Rose?’ Ruby asked.
She knew Lucy would wait and she knew Scarlett wouldn’t let her wait alone. Ruby also knew that she should offer to stay too. Hadn’t she just told herself she would need to be the one to offer support to her mother? But she couldn’t do it. She knew she’d go crazy with the tension of waiting and that would inevitably lead to her picking a fight with Lucy, something neither of them needed. She told herself it was best for everyone if she got away from the hospital and cleared her head before she exploded.
‘I’ll give you a lift to our place, if you like,’ Jake offered, when no one insisted she stay.
‘Don’t you want to wait with Scarlett? There’d be a shower in the hospital I could use, surely?’ She knew Scarlett would be able to organise a shower for her in the staff facilities at the hospital but she would prefer to get outside. She really wanted a chance to get some fresh air at the same time.
‘It’ll be nicer to shower at our house,’ Scarlett replied.
‘It’s only five minutes to home and your bag is still in my car,’ Jake said. The two of them were giving her permission to leave and she wasn’t going to argue further.
‘Are you sure you don’t mind ferrying me around?’ she asked him, as they left the hospital and returned to his car.
‘Not at all. I’m just doing whatever needs to be done at the moment—chauffeur, cook, liaison person.’
‘Liaison person?’
‘Between your family and the medical team,’ he explained. ‘It’s difficult for Scarlett and your mum to ask the right questions, they’re too close. It seems to work best if I do it.’
‘How can you do all that and go to