A few seconds later the doctor emerged, shook hands with the young shepherd and climbed up into the cab.
As they pulled away, a broad smile broke up his rugged features, and he turned to her, his eyes twinkling.
‘He’s had a quiet week on the farm, and they’ve been taking advantage of the fact to do a little honeymooning. He wondered if he might have done her any harm!’
Jamie chuckled. ‘Judging by his smile, you set his mind at rest!’
He nodded, and the smile faded. ‘On that score, but I’m still concerned about the baby’s size, and to a certain extent its position. The head’s engaged, and all I can feel is hands and feet and bottom, So I think we may end up with a malpresentation. Of course there’s nothing to stop it turning; it’s still pretty active. I’ve told him to bring her in to the branch surgery on Tuesday and bring a urine sample—I just want to check she’s not become diabetic during her pregnancy, but she hasn’t got any of the other symptoms. It could be deceptive, of course, but I think I’ll get her sent along to the hospital for a scan.’
Jamie’s brow creased into a frown. ‘Do you think she’ll have problems with delivery, then?’
He shrugged. ‘Could be. Her pelvis isn’t bad, but that baby seemed big enough now, and she’s still got six weeks to go.’
‘Trudy next?’
‘Uh-huh. That’s back the way we’ve come and on a bit further.’ They headed down the track, turned left at the end and made good speed along the narrow, twisting road back to the coast. Then they ran along beside the loch again, sometimes so near to the water that Jamie felt she could touch it. The darkness was creeping in, and with it her tiredness, but the peace and tranquillity took the edge off her discomfort and she relaxed back against the seat and closed her eyes.
Seconds later she was being shaken gently awake by a massive hand cupping her shoulder, and as she straightened she found herself inches away from his startling slate-grey eyes.
‘I went to sleep—I’m sorry,’ she said breathlessly, and he nodded slightly. ‘It’s the drive—I left early this morning.’
He nodded again. ‘You should be tucked up in bed somewhere, not gadding about the countryside. We’re at Trudy’s house—do you want to come in, or stay here and rest?’
She looked around. They were parked outside a little terraced cottage in the middle of a village—if you could call it that. Out here, where neighbours were few and far between, a cluster of five or six houses probably did count as a village, Jamie thought, and it was here that Trudy lived.
‘Come in?’
‘Come on, then.’
He swung down from the seat, hefting his bag like a handful of feathers, and strode up to the door.
It was answered by a small girl who looked about seven at the most, but turned out to be Trudy, small for her age because of her temperamental health.
‘Hello, Dr Rob!’ she said with a gappy smile, and he ruffled her hair and hugged her against his side with one long arm.
‘How’s my girl, then? What’s this I hear about you not feeling too good?’
‘Oh, I feel fine, but I had jellyfish in my effluent and Mum though I ought to call you. I told her it was just fibrin, but she panics!’
Jamie stifled a grin, but Rob was dead-pan and serious.
‘Did you save it for me to look at?’
‘Of course!’ She gave a cheeky grin and led the way through to the little sitting-room. ‘Mum, Dr Rob’s here. He’s brought a visitor. Come away in and sit down. Would you like a cup of tea?’
‘No, thank you. Trudy, come here and sit down and let me see this effluent. I expect Dr Cameron here would like to see it too. You’re sure you feel quite well?’
‘Uh-huh—I’ll get it.’
She skipped off, and her mother gave a weary smile. ‘She should be in bed by now, but I thought—I’d hate to neglect her and have anything dreadful go wrong. Like that sore throat—I’ll never forgive myself for that, but she always had them, and I thought it was just one more …’
Rob laid a hand on her knee and squeezed gently. ‘You had enough on your plate, Mrs Douglas. Your husband had just left you, your MS was progressing fast and furiously—no one could possibly blame you, and I’m damn sure Trudy doesn’t. And I think you did the right thing to call me tonight. Ah, Trudy, let’s see your jellyfish.’
He held up the bag of yellow-coloured fluid which had been used to dialyse Trudy, and frowned at it. ‘You sure you haven’t been fishing in the loch?’
She giggled. ‘I fell in yesterday—maybe some of the jellyfish swam inside then!’
He lowered the bag. ‘Did you fall in?’
‘No, of course not! I was just teasing you.’
‘Hmm. I’m never sure with you, young lady. Well, I reckon that’s all right, but I think we need to have a look at you. Could you just lie down on the settee and let me see your tummy?’
Once again Jamie was fascinated, but this time by Trudy. Just beside her tummy-button was a neat little hole through which emerged a catheter with a connector on the end, linked to another length of tube that ran to an empty bag. The skin around the exit site was clean and pink and healthy, and Rob nodded and covered the little girl up.
‘How’s your weight?’
‘Fine—going up a bit, but I’ve grown, so I think that must be why. I tried drinking less in case it was a fluid build-up but I got dehydrated——’
Trudy, come and talk to me or the clinic before you alter your fluid intake, love.’
The child instantly looked crestfallen, and he sat beside her and engulfed her little hand in his.
Trudy, I’m very proud of the way you’ve learnt to understand your condition and deal with all your problems, but there are times, and things, that you don’t know enough about. You know, the health service pay me and the people in the CAPD clinic a lot of money to help people like you—it’s cheating them if you won’t let us!’
She looked up at him, her serious face melting into a loving smile. ‘I didn’t want to worry you. You always look so tired…’ Her little hand came up and cupped his cheek, and he flushed slightly and hugged her.
‘Don’t you worry about me. I’m fine. Anyway, Dr Cameron here is going to help me for a little while. Let me take your temperature and blood-pressure. Any chest pain, swollen ankles or shortness of breath?’
She shook her head, temporarily silenced by the thermometer.
‘Peaceful, isn’t it?’ Rob joked, and Trudy punched his arm gently.
He grinned and took the thermometer out of her mouth. ‘Fine. Good. I’ll put some heparin in the next couple of bags to keep the fibrin down, so it doesn’t clog the tube, then I want to know if it comes back again or if the effluent quantity is down. OK?’
Trudy nodded sagely. ‘Shall I ring the clinic?’
He tapped her on the end of her nose. ‘No, madam, you shall not, I’ll do it. I’ll see you again in a day or two. Now, how about going to bed?’
He was quiet on the way back to the surgery, and so was Jamie. In fact, she was too shocked and moved to speak, her thoughts trapped by the tremendous courage of the little girl whose life was destined to be dominated by her dialysis. Over and over again medicine