‘No. I— Yes, but it doesn’t matter.’
‘Busy night?’
‘Sort of.’ His gaze darted to the corridor and back to her. ‘What are you doing here, Tasha?’
Because she was watching his face, she saw the fevered expression in her brother’s eyes and the way the flush spread across his cheekbones. The signs pointed to one thing...
He had a woman in the room.
But why be so secretive about the whole thing? His marriage to Rebecca was over—there was no reason why he shouldn’t have a relationship. Surely he wasn’t embarrassed about her knowing he had a sex life? It was no secret that women found her brother irresistible.
Still, it was a relief to find an explanation for his weird behaviour and she was about to tease him unmercifully when she remembered that she couldn’t afford to antagonise him.
Instead, she gave him a playful punch on the arm. ‘I thought I’d just drop in and see you.’
‘Before breakfast?’
‘I’m an early riser.’
‘You mean you’re in trouble.’ His dry tone reminded her that her brother knew her too well.
Tasha thought about everything that had happened over the last month. Had she done the wrong thing? ‘Not trouble exactly,’ she hedged. ‘I just thought it was a long time since we’d had a good chat. Is there somewhere we can talk?’ She glanced at the on-call room but he jerked his head towards the corridor.
‘My office. Let’s go.’
Feeling like a schoolgirl on detention, Tasha slunk after him through the department, aware of the curious stares of the staff. The main area was packed with patients, including a young girl lying on a trolley, holding her mother’s hand. Noticing that the child was struggling to breathe, Tasha moved instinctively towards her just as a doctor swept up in a white coat. With a murmur of apology, Tasha moved to one side, reminding herself that this wasn’t her patient. Or even her hospital. She didn’t work here, did she?
She didn’t work anywhere.
Her stomach lurched. Had she been impulsive and hasty? Stupid?
It was all very well having principles, but was there a point where you should just swallow them?
Trapped by sudden panic, she paused. The conversation drifted towards her. ‘Her hay fever has suddenly made her asthma worse,’ the mother was telling the young doctor. ‘Her breathing has been terrible and her eyes and face are all puffy.’
Tasha gave the child a sympathetic smile, wishing she was the one taking the history and searching for the problem. The fact that her hands ached to reach for a stethoscope simply renewed her feeling that she might have done the wrong thing.
Medicine, she thought. She loved medicine. It was part of her. Not working in a hospital made her feel like a plant dragged up by its roots and thrown aside. Without her little patients to care for, she was wilting.
Biting her tongue to stop herself intervening, she followed her brother down the corridor but something about the child nagged at her brain. Puffy eyes. Hay fever? Frustrated with herself for not being able to switch off, she quickened her pace. It wasn’t her business. This wasn’t even her department. And anyway, what did she know? She was feeling so battered and bruised by the events of the past few weeks she didn’t trust herself to pass opinion on anything, not even the adverse effects of a high pollen count. Feeling really dejected, she followed her brother into his office.
It was stacked with books and medical journals. In one corner was a desk with a computer and an overflowing tray of paper. Tasha noticed that the photograph of Rebecca had gone and she felt a stab of guilt that she hadn’t asked how he was. Was she was turning into one of those awful people who only thought about themselves? ‘How are you doing? How are things with Rebecca?’
‘Cordial. Our separation is probably the first thing we’ve ever agreed on. It’s all in the hands of the lawyers. Sit down.’ Josh shifted a pile of medical journals from the chair to the floor but Tasha didn’t feel like sitting down. She was filled with restless energy. The stability of her brother’s life contrasted heavily with the instability of her own. She’d been sailing along nicely through life and now she’d capsized her boat and she had no idea where the tide was going to take her.
The lump in her throat came from nowhere and she swallowed hard.
Damn.
Not now.
As the only girl in a family of four older brothers, she’d learned that if you cried, you never heard the last of it.
Fighting the emotion, she walked to the window and opened it. ‘I love Cornwall.’ She closed her eyes and breathed deeply. ‘I’ve lived in so many places since I became a doctor and yet this is still home. I can smell the sea. I can’t wait to pick up my surfboard. I’ve been trapped in a city for too long.’ The plaintive shriek of a seagull made her open her eyes and for a moment the memories threatened to choke her.
Home.
‘So, what brings you banging on my door at this unearthly hour—what have you done?’ Josh sounded distracted. ‘Please tell me you haven’t killed a patient.’
‘No!’ Outrage was sharp and hot, slicing through the last of her composure. ‘Far from it. I saved a patient. Two patients, actually.’ Tasha clenched her fists, horrified to realise just how badly she needed someone else to tell her she’d done the right thing. That she hadn’t blown her career on a childish whim. ‘I had an incident—sort of. You know when you just have a feeling about a patient? Perhaps you haven’t actually had test results back from the lab, but sometimes you don’t need tests to tell you what you already know. Well, I had one of my feelings—a really strong feeling. I know it wasn’t exactly the way to go about things, but—’
‘Tasha, I’m too tired to wade through hours of female waffle. Just tell me what you’ve done. Facts.’
‘I’m not waffling. Medicine isn’t always black and white. You should know that.’ Tasha’s voice was fierce as she told him about the twins, the decisions she’d made and the drug she’d used.
Josh listened and questioned her. ‘You didn’t wait for the results of the blood cultures? And if it wasn’t on the hospital-approved formulary—’
‘They had it in stock for a different indication. You remember I went to the conference of the American Academy of Pediatrics last year? I told you about it when we met for supper that night. The data is so strong, Josh. We should be using it in Britain, but it’s all money, money, money—’
‘Welcome to the reality of health-care provision.’
‘The drug is at least fifty per cent more effective than the one I was supposed to use.’
‘And three hundred per cent more expensive.’
‘Because it’s good,’ Tasha snapped, ‘and research of that quality comes at a price.’
‘Don’t lecture me on the economics of drug development.’
‘Then don’t lecture me on wanting to do the best for my patients. Those babies would have died, Josh! If I’d waited for the results or used a different drug, they would have died.’ In her head she saw their tiny bodies as they lay with the life draining out of them. She heard their mother’s heartbreaking sobs and saw the father, white faced and stoical, trying to be a rock while his world fell apart. And she saw herself, facing the most difficult decision of her professional life. ‘They lived.’ She felt wrung out. Exhausted. But telling her brother had somehow made everything clearer. Whatever happened to her, whatever the future held, it had been worth the price. She didn’t need anyone else to tell her that.
‘The drug worked?’
‘Like