The patient was a young man with a malignant tumour of the femur; his only chance of recovery was extensive excision, a proceeding which Mr van Doorninck was undertaking now. Beyond a muttered word now and then to his registrar or a request for some special instrument, he spoke little; only when the operation was three parts completed and they were stitching up did he remark: ‘There’s a good chance of complete recovery here—as soon as he’s fit we’ll get him fitted with a leg—remind me to talk to Sister Prosser about him, Peter.’
He turned away from the table and took off his gloves to fling them into one of the bowls and walked out of the theatre, back into the scrubbing-up room, leaving Peter to supervise the removal of the patient and Deborah to organise the preparation of the theatre for the next case, reflecting as she did so that Sister Prosser, plain and plump and fifty if she was a day, was the most envied member of the nursing staff, because she saw Mr van Doorninck every day, and not only that, he took coffee with her frequently, and was known to have a great respect for her opinion of his patients’ conditions.
The morning wore on; a child next with a Ewing’s tumour over which the surgeon frowned and muttered to Peter, knowing that his careful surgery offered little hope of a permanent cure, then an old lady whose broken thigh was to be pinned and plated. It was like a carpenter’s shop, thought Deborah, expertly changing drills and listening to the high whine of the electric equipment Bob was obediently switching on and off; what with drills and saws and mallets, it was a noisy way to spend a morning, although after five years of it she should be used to it. She had always been interested in bones and when she had finished her training and had had an opportunity of taking the post of staff nurse in the orthopaedic theatre, she had jumped at the chance, and a year later, when the Theatre Sister had retired, she had taken over her job, content with her lot—there was time enough to think about getting married in a year or two, in the meantime she would make a success of her new post, something she had done in a very short time so that there still seemed no urgency to take the idea of marriage seriously.
She was twenty-five when Mr van Doorninck walked into the theatre unit one day, to be introduced as the new orthopaedic consultant, and from that moment she had felt no desire to marry anyone at all, only him. She had realised how hopeless her wish was within a short time, and being a girl with common sense, had told herself to stop being a fool, and had accepted numerous invitations from a number of the younger doctors in the hospital. She had taken trips in fast sports cars, attended classical concerts, and visited cinemas and theatres, according to her escorts’ tastes, but it hadn’t helped in the least; she was left with the feeling that she had wasted her time as well as that of all the young men who had taken her out, for Mr van Doorninck’s image remained clearly imprinted inside her head and refused to be budged.
She had come to realise over the last few months that there was only one way of escape from his unconscious toils; she would have to leave Clare’s and start all over again somewhere else. Indeed she had already put this plan into effect, searching the Nursing Times for a suitable post, preferably situated at the furthest possible point from London.
They had a break for coffee after the old lady’s fragile bones had been reinforced by Mr van Doorninck’s expert carpentry. The talk was of the patients, naturally enough, but with their second cups, the two men began a discussion on the merits of the Registrar’s new car and Deborah slipped away to scrub and relieve Staff for her own elevenses. They were still discussing cars when the theatre party reassembled around the table again to tackle a nasty shattered elbow, which Mr van Doorninck patiently fitted together like a jigsaw puzzle with Peter’s help, several lengths of wire, a screw or two, and the electric drill again. That done to his satisfaction, he turned his attention to the last case, added hastily to the list at the last minute, because the patient had only been admitted early that morning with a fractured pelvis after he had crashed on his motor bike. It took longer than Deborah had expected. Half way through the operation she signed to Staff and one of the nurses to go to lunch, which left her with Bob and a very junior nurse, who, though willing and eager to please, was inclined to blunder around. It was long past two o’clock when the case left the theatre, and Mr van Doorninck, with a politely worded apology for running so far over his usual time, went too. She wouldn’t see him again until Thursday; he operated three times a week and today was Monday.
The afternoon was spent doing the washdown in the theatre, and Deborah, on duty until Staff should relieve her at five o’clock, retired to her office to attend to the paper work. She had discarded her theatre gown and mask and donned her muslin cap in order to go to the dining room for her late dinner; now she spent a few moments repairing the ravages of a busy morning—not that they showed overmuch; her very slightly tiptilted nose shone just a little, her hair, which she wore drawn back above a wide forehead, still retained the smooth wings above each cheek and the heavy coil in her neck was still firmly skewered. She applied lipstick to her large, well-shaped mouth, passed a wetted fingertip across her dark brows, put her cap back on, and stared at the result.
She had been told times out of number that she was a very pretty girl, indeed, one or two of her more ardent admirers had gone so far as to say that she was beautiful. She herself, while not conceited, found her face passably good-looking but nothing out of the ordinary, but she, of course, was unaware of the delight of her smile, or the way her eyes crinkled so nicely at their corners when she laughed, and those same eyes were unusually dark, the colour of pansies, fringed with long curling lashes which were the envy of her friends. She pulled a face at her reflection and turned her back on it to sit at the desk and apply herself to the miscellany upon it, but after ten minutes or so she laid down her pen and picked up the latest copy of the Nursing Times; perhaps there would be a job in it which might suit her.
There was—miles away in Scotland. The hospital was small, it was true, but busy, and they wanted an energetic working Sister, able to organise and teach student nurses the secrets of orthopaedics. She marked it with a cross and went back to her writing, telling herself that it was just exactly what she had been looking for, but as she applied herself once more to the delicate task of giving days off to her staff without disrupting the even flow of work, several doubts crept into her mind; not only was the hospital a satisfying distance from Mr van Doorninck, it was also, unfortunately, an unsatisfying distance from her own home. Holidays, not to mention days off, would be an almost impossible undertaking. She went home to Somerset several times a year now, and once a month, when she had her long weekend, she drove herself down in the Fiat 500 she had bought cheap from one of the housemen. She frowned, trying to remember her geography, wondering if Somerset was further away from the northern coasts of Scotland than was London. She could always spend a night with her Aunt Mary who lived on the edge of a hamlet rejoicing in the incredible name of Twice Brewed, hard by Hadrian’s Wall, but even then she would have to spend another night on the road. And what was she going to tell her friends when they found out that she intended to leave? She had no good reason for doing so, she had never been anything but happy until Mr van Doorninck turned up and destroyed her peace of mind, and even now she was happy in a way because she was sure of seeing him three times a week at least. She frowned. Put like that, it sounded ridiculous—she would have to find some really sensible reason for giving in her notice. She picked up her pen once more; she would puzzle it out later, when she was off duty.
But there was no opportunity; she had forgotten that it was Jenny Reed’s birthday and that they were all going out together to the cinema, so she spent the rest of the evening with half a dozen of the younger Sisters and shelved her problems.
There wasn’t much time to think next day either, for the three victims of a car crash were admitted in the early hours of the morning and she was summoned early to go on duty and open up the theatre. Staff was already there when she arrived and so was the junior nurse, her eyes round with excitement as she began the humbler routine tasks which fell to her lot.
‘Oh, Sister,’ she breathed, ‘they’re in an awful bad way! Lottie Jones—she’s on nights in the Accident Room, she says they’ve broken every bone in their bodies.’