The med-surg unit was on the opposite side of the floor from the surgical suites. Working her way through the labyrinth of halls with her lab coat thrown on over her scrubs, Alex could hear the whine of a saw grow louder the closer she came to her destination.
A small crew was framing a doorway near the third-floor elevators, presumably to lead to the roof garden on the new wing presently under construction. The noise was awful but unavoidable, and undoubtedly contributed to the agitation of the nurse who bore down on her the moment she stepped through the unit’s doors.
Everyone knew Kay Applewhite. And everyone knew the irascible nurse hated disruption. When she was on duty, she ran the floor as tightly as any sea captain ever ran a ship, and she didn’t tolerate anything that upset hospital routine or her patients. Despite her grandmotherly appearance, she was a stickler for schedules, did everything by the book and had little compassion for whiners, slackers or malcontents. With her family grown and gone, her work was her life and she didn’t hesitate to let everyone know that forty years of nursing had taught her that those who helped themselves, providing they were capable, healed far faster than those who were coddled.
The nurses called her General Sherman behind her back.
She took it as a compliment.
Figuring she was about to get a reminder to shut out the noise, Alex leaned against the heavy door to get it to close faster while Kay, her gunmetal-gray curls permed too tightly to move and elbows pumping, kept coming down the wide, door-lined hall. Below the cuffs of her white scrub pants, her orthopedic shoes squeaked like a pack of chattering mice.
“I’m so glad you’re here, Dr. Larson.” Lowering her voice when she reached Alex, she turned with a squeak to accompany her to the nurses’ station. “I need to talk to you about the compound femur that came through Emergency last night,” she muttered, referring to the patient by injury the way staff often did. “But before I forget, Mr. Malone’s assistant has been looking for you. She needs to talk to you about him, too. That woman’s the epitome of patience and tact,” Kay said, speaking of Mary Driscoll, “but when she came out of his room, I could tell he even has her exasperated.”
“We’ve already spoken.” Looking as unruffled as she sounded, Alex stopped at the nurses’ station with its computers and banks of files. “What kind of trouble is he giving you?” she asked, watching the short, stout woman slip behind the long white counter and hand over a chart.
“Beside the fact that he’s demanding and uncooperative,” the woman said, her tone as flat as the metal cover of the chart Alex had just opened, “he’s now refusing his pain medication. He was due for it over an hour ago.”
Alex’s head came up.
“He says he doesn’t want anything but aspirin,” Kay continued, seeming gratified by Alex’s swift frown. “We tried to explain that he needs something stronger, and that even if we wanted, we can’t give him anything his doctor hasn’t ordered.” Her expression pruned. “He also wants some financial newpaper I’ve never heard of and a fax machine for his room.”
Ah, yes, Alex thought, the fax machine. “I heard about that,” she murmured, not sure which feeling was stronger, displeasure or dread. “What room is he in?”
“Three-fifty-four.”
“How are his vitals?”
“Better than they should be. I took them myself. Blood pressure’s a little high, though.”
A rueful smile touched Alex’s mouth. “Now there’s a surprise. I’ll take care of him,” she promised, feeling her guard go up even as she stood there. She hated confrontations. Especially when her reserves were low. And they were now. She’d managed exactly five hours of sleep between Harrington’s compound femur and an impacted radius and ulna. Some idiot had actually tried to catch a safe his accomplice had dropped from a second-story window.
“I also need to see Brent Chalmers and Maria Lombardi. And Dr. Castleman’s and Dr. McGraw’s patients, too,” she added, pulling a slip of paper from her pocket on which she’d written their patients’ names. Castleman and McGraw were the other two doctors in the orthopedic clinic that Alex had joined two years ago. Whoever was on weekend call from the clinic checked on all the clinic’s patients.
“I’ll pull their charts for you right now,” Kay assured her. “I know you’re anxious to get out of here today. I heard you and Dr. Hall talking in the cafeteria yesterday,” she explained when Alex, clearly puzzled by her comment, glanced back at her. “You were telling her how you hoped things would be quiet this weekend because the Chalmers boy will be staying with you while he goes through his therapy and you need to clean your guest room.
“I know it’s none of my business,” she continued, her keen hazel eyes softening, “and I won’t say a word about what you’re doing if you don’t want me to, but I think it’s really nice the way you take in some of these kids. That Brent’s a sweet boy,” she pronounced, speaking of a shy sixteen-year-old Alex had operated on two weeks ago. “He deserves a break.”
The sharp ping of a patient call light echoed over the clatter of a lunch cart being wheeled by and a page for an orderly to report to Three G.
“I can’t say the same for that man, though,” she muttered, noting on the panel behind her that the light for room three-fifty-four was lit.
Alex didn’t bother telling Kay not to repeat what she’d overheard in the cafeteria. Her plans for Brent were hardly confidential and if Kay had overheard her talking with Kelly, her obstetrician friend who’d talked her into taking her last houseguest, someone else had probably overheard, too. But finding time to put sheets on the guest bed wasn’t the only reason Alex hoped the rest of the weekend passed quietly. She and Tyler had plans with friends for an early dinner that evening. And tomorrow, she needed to take him to the mall for new shoes.
“Give me a minute with Mr. Harrington,” Alex said, wanting the nurse to hold off answering the light as she headed for his room herself. She wasn’t going to be any more rested when she finished her rounds, so she might as well face the showdown now.
The image of a long hot bath flashed, unbidden, into her consciousness.
Practically groaning at the delicious thought of it, she paused outside his door, indulging herself a full two seconds before drawing a breath that pulled her five feet, five inches into the perfect posture she’d learned from Miss Lowe’s School of Tap and Classical Ballet. Releasing it the way she’d learned in Lamaze class, knowing a person could get through anything if she just kept breathing, she walked into the room.
Her first thought was that the man had no concept of the word rest. The ceiling-mounted television was on, the volume muted. Stock quotes ran in a continuous ribbon beneath a talking head.
Her patient wasn’t watching the television, though. The head of his bed was partially raised and the upper half of his body was hidden by an open newspaper.
Walking past the empty bed by the door, her glance skimmed from the metal external fixation device stabilizing the breaks in his elevated leg, over a long expanse of sheet and settled on the headlines of the Wall Street Journal.
He didn’t move, but it was apparent he knew someone was there. Presumably, the nurse he’d rung for.
“I just need the blinds adjusted. If you don’t mind,” he expanded with far more civility than she’d expected. “It’s too bright in here to focus.”
His deep voice still held a rasp from the airway, but there was strength to it now and the smoky undertones sounded as if they belonged there.
“You can’t focus because you’re barely twelve hours out of surgery and your eyes are still affected by the sedatives. Give it time.”
Her tone was conversational, her manner deliberately relaxed