‘Yes, there’s no problem. I’ve only got one more patient to see and he hasn’t arrived yet.’ Anna glanced at her watch. ‘In fact, if you send her straight in to see me then I should be able to catch the courier. He’s due in about ten minutes to collect today’s samples.’
‘Fine. The lab won’t have any excuse for not getting the results back to us early next week, then.’ Ben sounded relieved and she frowned.
‘Is it that urgent?’
‘Yes and no.’ He sighed when he saw that she didn’t understand. ‘I’ve been trying to get this woman to have a blood test for months but each time I suggest it she finds some sort of excuse. I’m not sure what the problem is, to be honest.’
‘I see. Why did she come to see you in the first place?’ Anna asked curiously, thinking that it was a strange situation.
‘She’s been suffering from night sweats and hot flushes,’ he explained. ‘She’s in her mid-forties so I did suggest that it was probably the first sign of the menopause, but she got really upset by the idea. I’m hoping that she will accept it once we get the results of the blood test, then I can start her on HRT.’
‘A lot of women find it difficult to come to terms with the fact that they are reaching that stage in their lives,’ she observed softly.
‘I know, and I’m sympathetic to how they feel, believe me. However, this patient seems unusually loath to accept the idea. She’s so adamant, in fact, that I’m starting to wonder if I’m simply opting for the easy answer.’ Ben frowned thoughtfully.
‘What?’ Anna asked impulsively. She gave a little shrug when he looked at her. ‘I can tell that you’re trying to make up your mind about something.’
He laughed and she felt a shiver run down her spine when she heard the unaccustomed warmth in his voice. ‘You’re far too perceptive, Anna. It wouldn’t be easy to pull the wool over your eyes.’
‘Oh, I’m as gullible as the next person, believe me,’ she replied, feeling the tiny stab of pain that speared her heart. She couldn’t help wishing that she hadn’t been quite so trusting in the past year. If she’d realised what would happen, would she have decided on the course she’d taken?
It was impossible to answer a question like that so she didn’t try. She looked up, feeling a ripple of apprehension run through her when she saw how Ben was looking at her.
‘That sounded as though it was spoken from the heart,’ he said quietly.
‘Probably.’ She summoned a smile, wishing that she had hidden her feelings better. The last thing she wanted was to incite his curiosity. ‘Anyway, what’s the patient’s name and what tests do you want done?’
‘Janice Robertson. Here are her notes.’ He handed her the patient’s record card. ‘I want the full works—cell count, proteins, gases, antibodies, micro-organisms, and so on. I don’t want to overlook anything just in case I’m on the wrong track. I want to get this sorted out while I have the chance.’
‘Fine. I’ll get straight onto it.’
Anna turned away, making a great production out of finding everything she needed. She breathed a little sigh of relief when she heard the door closing. She really must be more careful about what she said! Ben had obviously been suspicious just now and she didn’t want him wondering what she had to hide.
She sighed again as she took a couple of fresh vials out of a drawer for the blood samples. She was going to have to tell people about the baby at some point. Although she had managed to disguise her pregnancy so far, the time was fast approaching when she wouldn’t be able to hide it any longer. She couldn’t help worrying how the staff at the surgery were going to react when they found out. Would they be angry that she hadn’t told them before? She really couldn’t blame them if they were.
It was a sobering thought but she tried not to dwell on it as she got ready. When Janice Robertson tapped on the door a few minutes later she had everything set up.
‘Come in,’ she called, smiling reassuringly as the woman hesitantly entered the room. ‘Hello, there. I’m Anna Clemence, the new practice nurse. Dr Cole wants you to have a blood test, I believe?’
‘That’s right.’
Anna frowned when she heard the reluctance in the other woman’s voice. She couldn’t help noticing how dejected the woman looked as she ushered her to a chair. It was obvious that Janice wasn’t keen to have the test done, although, like Ben, Anna wasn’t sure what the problem was.
‘I’ve got everything ready so you just make yourself comfortable. Have you ever had a blood test before?’ she asked soothingly, picking up the webbing strap that she would use as a tourniquet while she took the sample. Maybe Janice was frightened of needles and that was why she looked so upset. She’d seen enough grown men keel over to know how the sight of a syringe could affect some people!
‘Only when I was pregnant.’ Janice suddenly smiled so that her whole face lit up. ‘They were always taking blood from me then!’
‘I can imagine!’ Anna laughed, although it was hard to hide her amazement at the transformation in the woman. ‘There’s all sorts of things that need to be checked when you’re having a baby. I bet you got fed up with all the tests.’
‘Oh, I didn’t mind,’ Janice assured her. ‘I mean, you don’t, do you? Not when it’s to make sure that your baby’s going to be healthy.’
‘No, of course not. That’s the most important thing, isn’t it?’ Anna replied, thinking how very true that was. She tightened the tourniquet around Janice’s arm then picked up the syringe. ‘Now, all you’ll feel is a little scratch. It won’t really hurt so don’t worry.’
She deftly inserted the needle into the vein then started to draw off a small amount of blood. ‘How many children do you have, by the way?’ she asked to distract her. Although Janice didn’t appear to be worried about what was happening, it seemed safer to keep her talking.
‘Two, a boy and a girl. Susan and Richard.’ Janice sighed heavily. ‘They’re both grown up now, of course. Richard works in London and Susan is taking a gap year between finishing university and finding a job. She’s in Australia at the moment.’
Anna snapped the end off the vial and quickly filled in the label with the patient’s name, address, date of birth and the address code for the surgery. She picked up a second vial, knowing that the lab would require two samples to complete all the tests Ben had requested.
‘You must miss them,’ she observed, drawing off the second vial of blood.
‘I do. The house seems so empty without them. I don’t know what to do with myself most days. Alan—that’s my husband—is always at work, you see. He’s a builder and he has his own business. He’s been so busy recently that he’s gone from early morning until late at night. I’m on my own most of the time and it gets very lonely.’
Janice tried to smile but Anna could see the tears that had welled into her eyes. She frowned as she pressed a small adhesive dressing over the puncture mark in the crook of the woman’s elbow.
Could it be that some of Janice’s problems stemmed from loneliness? she wondered. Ben had seemed to think that it was more than just the physical signs of the menopause that were troubling her so it just seemed to fit. Although loneliness wasn’t an illness in itself, it often led to depression and that could cause a variety of symptoms ranging from mild anxiety to hallucinations in extreme cases.
‘It must do,’ Anna said sympathetically, making a note to mention it to him. ‘When you’ve been used to rushing around, looking after a family, it must be strange to have all that free time on your hands. Do you go out to work?’
‘No. I always stayed at home to look after the children. Alan’s business