And especially with Naomi.
CHAPTER THREE
NAOMI tried to sleep in the following morning, especially since she was off work until five o’clock when it would be time for her to take over her call shift.
But she woke up every hour, starting at seven in the morning, and finally gave up at ten. She dragged herself out of bed, knowing there was no way she’d manage to get any rest until she went back to the hospital to follow up on her trauma admissions from the night before.
Especially Emily. And Tristan. Had their parents survived the crash? She hoped there was someone close to them who could come and support them during this time of crisis.
After taking a quick shower, she dried her hair, appreciating the ease of her simple, chin-length bob. She didn’t use much make-up, especially when she was only going to be on call later anyway. She pulled on a pair of trim black trousers and an electric-blue blouse topped with her white lab coat. Outside, the sun was shining brightly, no sign of the heavy fog from the night before that had caused such devastation after the baseball game.
Her house wasn’t far from Children’s Memorial Hospital. For practical reasons she preferred to live close to the hospital. After Andrew had left, she’d kept the house as she’d paid most of the mortgage anyway. He hadn’t argued, happy to take the cash buyout, which hadn’t been a surprise considering how hard he’d tried to convince her they’d needed to move to a bigger and better place outside the city limits.
Reminders of her ex-husband made her frown. She’d been devastated at losing their baby, and when Andrew had moved out during one of her extended call shifts, she’d been shocked. How could he have been so cold? So callous?
When she’d tried to talk to him, he’d told her he’d been thinking of leaving her anyway, because of her erratic schedule and long hours. The discovery of her infertility had convinced him there was no hope for them. He hadn’t wanted to go through the stress and agony all over again.
As much as she’d tried to tell herself she was obviously better off without him, she had never felt so lonely.
Naomi pulled into the designated private parking garage reserved for physicians and shook off thoughts of Andrew as she strode into the hospital. She didn’t bother with the elevator but took the stairs to the third-floor pediatric intensive care unit.
Rick was standing at the main desk when she walked in and he glanced at the clock with a puzzled frown. “You’re a little early, aren’t you?”
“Couldn’t sleep.” She lifted a shoulder in a half-shrug, feeling self-conscious after the way she’d gotten so emotional on him last night. “How are things going?”
“So far, good.” Rick’s gaze slid from hers and her gut clenched, knowing he was holding something back. With unspoken agreement, they walked down the hall towards the physician conference room.
“Emily? How’s Emily doing?”
Rick didn’t say anything but steered her toward the conference room, which for once was empty of residents. He turned to face her, his expression grim. “She had a rough night, Naomi. They’ve decided to place her on the heart transplant list.”
“What?” Shocked, she could only stare at him. “She needs a new heart? How? Why?”
He nodded. “They took her back to surgery this morning, because she’d continued to bleed. During the surgery they decided they didn’t have any choice but to put her on a Heartmate.”
A Heartmate was an external device that took over the work of the heart. It was often used as a bridge to a transplant. But pediatric organs were rarely available. It was possible that Emily would be forced to live much of her life on the device. If she could manage to avoid a life-threatening infection, that was.
“Poor Emily.” She had to blink back tears. “Does her family know? Tristan?”
“Her parents are patients at Trinity Medical Center, but the nurses in the ICU over there brought Emily’s mother over during the night. Emily’s father was too sick to be moved.”
The poor family. How awful to be hospitalized in different places. Especially when Emily’s life hung in the balance. “If she dies, it’s my fault.”
Rick sighed and scrubbed a hand over the back of his neck. “Naomi, don’t do this to yourself. Emily was crushed by a car. If she dies, it’s not your fault.”
Yes, it would be her fault, but there was no point in arguing. The trauma department had a monthly morbidity and mortality review, and this case would certainly be discussed, along with her performance during surgery. The best thing a surgeon could do was to own up to their mistakes and learn from them. The fact that Emily would have died without the Heartmate was serious enough.
“Naomi?” She started, realizing Rick had been talking to her, his blue eyes bright with concern. “Are you sure you’re all right?”
“I’m fine.”
“You saved the lives of five pediatric trauma patients last night. Don’t the others count at all?” his exasperated tone grated on her nerves. “Give yourself a break, would you? Or were you responsible for the DOA on the scene, too?”
She grit her teeth, knowing he was right, even if she didn’t appreciate his sarcasm. “Yes, the other patients do count.” She pulled herself together, knowing Emily was still alive. Maybe a miracle would happen and the youngster would get a new heart, sooner rather than later. “How are the families dealing with everything?”
“As well as can be expected. As you know, both Brown parents are patients in the adult ICU at Trinity, and so is the father of the Dupont family. The Winthrop parents are here—their son was injured only because he’d gone along with the Dupont family for the ride.”
“Some ride.” She sighed. “Okay. Thanks for filling me in.”
Rick tucked his hands in the pockets of his lab coat. “Are you heading back home or do you have an hour to spare?”
“I have time,” she said, wondering what he wanted to talk about. Maybe he wanted to give her some friendly advice on how to handle multiple trauma victims in a mini-disaster. Heaven knew, she could use the education.
“Great. I thought maybe we could talk about the goals for the community education committee.” He glanced up at the clock on the wall. “We could grab a quick lunch in the cafeteria.”
She wasn’t very hungry. Emily’s condition weighed heavily on her shoulders, but at the same time she didn’t want to keep Rick from eating, especially as he was post-call. He looked pretty good for a guy who’d no doubt been up most of the night. “Are you sure you want to do this now? You probably didn’t get much sleep last night. We can always talk about the community education plan later.”
“Believe it or not, I got about four hours of sleep between four and eight this morning.” He led the way out of the conference room, through the PICU and to the elevators. “At this point, I need to stay up or I won’t sleep tonight, when I’m supposed to.”
She knew what he meant. Being post-call wreaked havoc on a body’s sleep cycle. Stepping into the elevator beside him, she caught a whiff of his aftershave and the musky scent filled her head, teasing her pheromones. Her pulse kicked up and she took a subtle step back, hoping the distance would help. He wore a shirt, tie and smart trousers this morning, reminding
her of how great he’d looked the night before in a suit, when he’d come in to help her with the MVA victims.
She frowned, a kernel of resentment unfurling in her belly. Wait a minute. She’d given up her chance to become pregnant to help him out. How dared he use the time to go out on a date?
The elevator doors opened and she led the way into the cafeteria, telling herself to drop it. In truth, she was glad to have been there when so many trauma patients had needed her. Even if she