As a rule, she wasn’t good with people, but she enjoyed the interaction with her patients, devoting herself to their care and doing her best for them while they were in her charge. Outside her professional life, once she shed her work persona, she avoided people as much as possible. She knew that her nickname around the hospital was the Ice Maiden but it didn’t bother her. The people who dubbed her that knew nothing about her or her life. She got on all right with most of her colleagues in the work environment, but any kind of social interaction made her uncomfortable.
She had a few people she counted as friends. One was A and E doctor Annie Webster, who was currently recovering from a frightening incident when she had been attacked while on duty three weeks ago, an assault that had nearly killed her. It had been a scary time and still made Francesca shiver when she thought of it. She had been on call in A and E when the assault had occurred and had done the ultrasound scan that had shown the flooding of blood into Annie’s pericardium from the stab wound to her heart.
Annie was now home and making a good recovery from the emergency thoracotomy that had saved her life. Francesca had been to visit her friend several times and, in the process, she was getting to know Annie’s fiancé, Nathan Shepherd, another trauma doctor who had recently come to Strathlochan to be with Annie. Theirs was a romantic story—not that Francesca had much time for romance. Not for herself, anyway. But she was very glad Annie was happy.
Francesca thought of the few other friends she had allowed into her life since her return to Strathlochan, including married doctors Cameron Kincaid and Ginger O’Neill, who ran the local Ackerman Centre for self-harm and eating disorders. Then there were nurse Gina McNaught and her Italian fiancé, Dr Seb Adriani, now working at the town’s new multi-purpose drop-in centre, and Frazer and Callie McInnes, both connected to Strathlochan’s air ambulance. Callie was a paramedic, but she had given up her flying role now she was pregnant, while flight doctor Frazer was considering returning to a hospital-based job when the baby was born.
Generally, though, she preferred animals to people, Francesca acknowledged. Animals didn’t let you down, didn’t judge you, didn’t lie or deceive.
‘It was a shock to discover you and your mother had left Strathlochan. We had no clue where you had gone,’ Sadie continued, startling Francesca from her wayward thoughts and surprising her even more that her absence had been noted at all. ‘And I’m so glad I’ve seen you today, lass. I had no idea you were home.’
Home. Francesca was relieved that she was behind the older woman so Sadie could not see her reaction to that word. She didn’t want to think of home, of childhood and all that meant. Once she had finished school after her Highers exams and had been old enough to make her own decisions, she had packed up and gone, deaf to the inducements, threats and promises of change. She’d ended up in Edinburgh where she had done her four-year training to be a diagnostic radiographer, a career that appealed to her interest in science and technology and, through her sporting activity, in anatomy and physiology.
Coming back to Strathlochan to take this job had been an act of defiance as much as anything else. It had been something she had felt she had to do and to face, even if no one but her understood the significance of it or knew of her inner struggle. She had carved out a good life here, had faced the demons and the memories, had moved on and was more settled than she had ever imagined she could be. The job provided constant variety and gave her independence to make decisions. Unlike some of her colleagues, she didn’t even mind the night shifts…indeed, she enjoyed them. Especially given the way the forward-thinking Trust ran Strathlochan’s hospital and medical services.
The local health board’s innovative management was one of the things that had impressed her so much when she had taken the job back here. Thought had been given to improving working conditions for doctors, nurses and other clinicians. While they still worked hard, and for long hours, their shifts had been changed from the old-style patterns still in place in many hospitals. In Strathlochan most now worked a rotation of five days on, two days off, three nights on and three days off. It had worked well and the majority of staff appreciated the schedule. It not only improved general quality of life, but it had created good teamwork and aided patient care.
Arriving back in the A and E department, Francesca checked Sadie back in at Reception and asked to speak to the doctor in charge of her case. She was relieved to discover it was Nathan Shepherd, not only because she felt comfortable working with him but because she knew his reputation for looking after his patients was fantastic. Sadie was in the best of hands. She gave Nathan the X-ray images, which showed a clean, straightforward Colles’ fracture of the radius near the wrist, a common injury and one which, in Sadie’s case, showed no displacement or angulation and which would need no manipulation. She also took a moment to inform him of Olivia Barr’s dereliction of duty.
From the anger and resignation in Nathan’s dark eyes, she didn’t imagine he was surprised at the news. ‘I’ll take care of it, Francesca,’ he promised, and she knew the transgression would not go unpunished.
‘How’s Annie doing?’
A rare smile softened his handsome face. ‘She’s getting better every day. Thanks for asking. Are you coming round to see her again soon?’
‘I’ll pop in on my way home after work,’ she promised. ‘I have my days off next week before starting a night shift so I’ll ask her if she’d like to have lunch then.’
‘Annie will be delighted. She always loves seeing you—you’re a great friend.’
Francesca gave a nod and stepped back, both warmed and yet unsettled by Nathan’s words, still edgy at the very concept of friendship and being emotionally close to people, even those she liked as much as she did Annie. ‘I’ll just say goodbye to Mrs Devlin, then I have to get back to the unit.’
‘Is she special to you?’ Nathan queried with evident interest.
‘I grew up here in Strathlochan.’ She paused, unsure what to say, how much to explain. ‘She was good to me when I was young.’
‘I’ll take care of her.’
Grateful for his understanding, she went to see her charge settled in the cubicle where Nathan would discuss her fracture and explain what was to be done. Francesca lingered a moment longer, feeling the pull of the past and stirrings of her childhood affection for this woman.
‘Are you going to be all right?’ A frown of concern creased her brow. The nature of her job meant she usually had only a brief connection with each patient, but she always did her best for those in her care. ‘Will you be able to get home?’
‘My next-door neighbour brought me in and is waiting for me.’
Partially reassured, Francesca smiled. ‘And will you be able to manage while your arm is in plaster? Is there anything I can do to help? Any shopping you need picked up?’ The offer was out before she could retract it, but the woman was shaking her head, her eyes twinkling with amusement.
‘It’s kind of you to worry about me, lass, and I much appreciate your thoughtfulness. But as soon as Luke hears what I have done he’ll be insisting I go to stay with him so he can take care of me. That boy would wrap me in cotton wool given half a chance,’ Mrs Devlin confided with a laugh.
Luke.
Francesca closed her eyes. Her heart lurched and she suddenly found it hard to breathe. Luke…the youngest son. So different from his scary, no-good father and bullying, troublesome brothers. Just hearing his name brought an overwhelming welter of emotions. To say she’d not thought of Luke in ages would be a lie. He had invaded her thoughts and her dreams with worrying regularity during the last decade. Seeing his mother again had opened up thoughts and feelings she had long tried to lock away because there was too much pain and longing and confusion. Luke, who had left town ten years ago when he had been eighteen. They’d had an unusual friendship. Nothing more. Yet she had built Luke up in her lonely teenage mind as her hero, had looked to him as her protector. Which was why her sixteen-year-old heart had been so broken, and why she had felt so betrayed when he had gone without a