The Baby Emergency

by Carol Marinelli

  ‘Any wet nappies?’ Shelly asked, flicking through the obs chart.

  ‘Three. He was moderately dehydrated when he came to us but the IV fluids have kicked in now. He’s still very sick, though.’

  Shelly nodded in agreement. Her brief assessment of Kane had done nothing to reassure her. He was working hard with each rapid breath, using his stomach muscles, his tiny nostrils flaring, all dangerous signs. ‘I’ll get Ross to have another look at him,’ Shelly concluded, anxious to get back to her small charge. ‘Thanks for that.’

  Ross was already at the cot side, rubbing his stethoscope between his hands to warm it before placing it gently on the baby’s rapidly moving chest as Angela stood anxiously wringing her hands, every bleep of the monitors making her jump slightly, every tiny jerking movement Kane made causing her to step forward anxiously, bombarding Ross with questions as he tried to listen to the baby’s breathing.

  ‘He’s hungry,’ Angela said the second Shelly entered. ‘The sister in Emergency said he might be able to have a bottle once he got up to the ward.’

  Pulling the stethoscope out of his ears, Ross straightened, carefully zipping up the oxygen tent and pulling up the cot side. ‘He can’t have a bottle at the moment, Angela, he’s too exhausted to feed.’

  ‘But he isn’t settling.’

  Shelly could hear the slightly hysterical note creeping into Angela’s voice and stood back quietly as she carried on with her outburst.

  ‘They said they were going to put a tube down his nose and give him the milk that way, but they haven’t even done that. No one seems to be doing anything. He’s not even on any antibiotics!’

  ‘Look, why don’t you sit down for a minute?’ Ross started, but his well-meant words only inflamed Angela further.

  ‘I don’t want to sit down,’ she shouted. ‘I want someone to tell me what’s being done for my baby.’

  ‘I know you’re upset—’ Shelly started.

  ‘Oh, what would you know?’ Angela snapped, turning her fury on Shelly, her face livid.

  ‘That you’re exhausted, and terrified?’ Shelly ventured, her stance relaxed, her voice calm and sympathetic. ‘That you’ve probably had more people offering their opinions and telling you what might be, could be, should be done than you can even count?’

  Mistrusting eyes finally made contact and Angela gave a grudging nod.

  ‘Well, you’re on the children’s ward now, and Ross is the doctor and Melissa and I are the nurses looking after you and your son tonight. If you’ll let us, we can tell you what we’re going to be doing, but shouting and getting upset is only going to unsettle Kane—can you see that?’

  The nod Angela gave wasn’t so grudging this time, more sheepish, and Shelly felt her heart go out to the other woman as she burst into noisy tears. ‘I’m sorry, it’s not you, I’m just so scared, he keeps getting worse.’

  ‘He’s been sick for a few days, hasn’t he?’ Shelly asked gently.

  ‘Since the weekend. I thought it was just a cold at first then he got this cough and then he started wheezing. I haven’t slept for the last two nights.’

  ‘Kane has bronchiolitis,’ Ross broke in, gently taking Angela’s arm and guiding her to a chair before pulling one up for himself. ‘It’s a respiratory virus that can be particularity nasty in young babies. Now, because it’s a virus antibiotics aren’t going to do any good, none at all,’ he emphasised as Angela opened her mouth to argue. ‘What Kane needs at the moment is what we call supportive care. That means he needs to be kept warm and rested, with lots of oxygen to help him breathe and fluids through a drip to keep him hydrated. All of this we’re doing for him, and this in turn gives his body a chance to concentrate on fighting the virus. If we give him a bottle now he wouldn’t be able to cope with it, he simply hasn’t got enough energy to feed. If we give him one at this stage he could become a very sick little boy indeed.’

  ‘What about the tube they were talking about?’ Angela asked hopefully, her mind still focussed on her baby getting fed, but Ross firmly shook his head.

  ‘The tube we would pass is very small and fine, but it would still upset him while we passed it and I don’t want to cause him any more distress, that’s why I’m going to try and not to do any blood tests or anything that might upset him, for now we just want him to rest. Kane’s getting what he needs from the drip and we can give him a dummy to settle him.’

  ‘He keeps spitting it out.’ Angela’s voice was rising again, her shredded nerves ready to snap at any moment, but Ross carried on chatting, his voice amicable and easy.

  ‘We can soon fix that.’

  ‘How?’ Angela snapped.

  ‘Glycerine.’ Ross gave an easy shrug as Angela immediately shook her head.

  ‘You’re not supposed to put anything on their dummies, it says so in all the books. The child health nurse said—’

  ‘Kane’s very sick,’ Ross interrupted gently. ‘He needs to rest, and if a smear of glycerine on his dummy achieves that, then it’s merited.’

  ‘Ross.’ Shelly gave him a wide-eyed look and Ross frowned slightly at the interruption. ‘Can I have a quick word, please?’

  ‘What’s up, Shelly?’ Following her outside, there was a slight impatience to Ross’s stance. ‘I’m trying to calm the mother. Pulling me outside isn’t really helping.’

  ‘I know that,’ Shelly responded. ‘But putting anything on the babies’ dummies really is frowned on. Tania will have a fit…’

  ‘Tania isn’t here,’ Ross pointed out. ‘And if she was I’d tell her what I’m about to tell you. That baby’s sick—any further slide in his condition and he’ll be on a ventilator in intensive care. Now, given this hospital hasn’t even got an intensive-care cot, that will mean sending him and Angela for a ten-minute jaunt in a helicopter. Now, if a bit of glycerine on a dummy can prevent that, I’m all for it.’

  ‘But, Ross.’ Shelly pulled at his sleeve as he turned to go, the contact tiny but enough to throw her, the sleeve of his white coat new and crisp, the solid bulge of his forearm, even the scent of his aftershave wafting over as he turned to go, all enough to distract her. Shelly fumbled to finish her argument.

  ‘I know it seems petty, but the department has strict guidelines on this. The dental damage—’

  ‘Shelly.’ Ross’s voice was quiet, but his words were very clear as he spoke, his eyes looking right into hers, unblinking, unwavering. ‘Let’s get this little guy through tonight, huh? Lose this battle and tooth decay will be something Angela can only dream about.’

  Shelly’s eyes were wide with surprise as Ross turned and went back to Kane. His words made sense, good sense, and in truth Shelly felt ridiculous arguing about such a tiny detail, but rules were rules…But it wasn’t Ross’s little lecture that had left her reeling.

  The few years in the bush had changed him. That easygoing, eager-to-please guy was gone, and in his place, just as gorgeous, just as stunning, was a rather more confident version, a man who knew what he wanted, and would make sure he got it.

  Heading to the treatment room, Shelly took a while to find the little-used jar.

  ‘The contraband’s arrived,’ Ross said dryly as Shelly joined him at the bedside, Angela looking on anxiously, still dubious that it would work.

  ‘It’s just while he’s sick,’ Shelly said confidently, noting the tiny smile of appreciation on the edge of Ross’s lips as she put aside her own misgivings and beckoned for Angela to come closer. ‘What’s more, it’s something you can do for Kane to help him settle.’

  Her words hit the mark. As Angela took the dummy, Shelly went into greater detail, showing Angela how to open the tent, how she could slip her hands in and even put her head in the cot to cuddle and speak to her child. Thankfully the glycerine worked and after a few goes baby Kane finally took his dummy. With the tent delivering a high dose of concentrated oxygen, he lay back exhausted, his little arms and legs flopping outwards like a washed-up frog as he drifted into a spent sleep.
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br />   ‘How’s he doing?’ Melissa’s knowledgeable eyes scanned the monitors and baby in a moment.

  ‘He’s asleep, his saturations are ninety-two on thirty-five per cent oxygen.’

  ‘Turn it up to forty per cent,’ Melissa said after a moment’s thought. ‘Let’s give him as much help as we can.’

  Ross nodded his approval as Shelly fiddled with the flow meter.

  ‘Come and have a cup of coffee,’ Melissa offered to Angela.

  ‘I’d rather not leave him. Can I have it in here?’

  ‘Sorry, but the last thing you or the staff will be thinking of if Kane gets worse suddenly is a hot cup of coffee balanced on the locker.’

  ‘Fair enough.’ Angela was positively meek now, but even Shelly thought Ross was pushing things with what he said next.

  ‘Go and have a coffee.’ Ross’s voice was assured. ‘And then come back and have a lie-down.’

  ‘I’m not sleeping,’ Angela flared. ‘How can I sleep when he’s this sick? What if he gets worse?’

  ‘He probably is going to get a bit worse.’ Ross’s eyes held Angela’s terrified ones. ‘And then he’s going to start getting better, and when he does he’s going to have you running in circles, feeding him, amusing him, spoiling him rotten…’ He gave a tiny smile and to Shelly’s amazement Angela gave a reluctant one back. ‘You need some rest, you need to try and trust us to look after your baby, and you’re going to be right next to him.’ He gestured to the camp bed, his eyes never leaving Angela’s face. ‘And if anything happens, we’ll wake you.

  ‘I promise,’ he added.

  ‘You’ve got the A team on tonight,’ Melissa broke in, her brisk, efficient voice such a contrast to Ross’s calm one, but somehow the balance worked. ‘Your baby’s in good hands. Now, come and have a coffee with me while we go through the admission forms. I need to know his little ways, what formula he has, how you generally settle him, that type of thing.’ Technically the job was Shelly’s, she was looking after cots tonight so the admission was hers, but Shelly was more than happy to defer to Melissa. They were a team and Melissa was what Angela needed right now—someone a touch more authoritative, less close in age, someone to lean on.

  ‘She’ll be right now,’ Ross said quietly as Melissa led Angela out. ‘That’s why I wanted to just get them up here. The poor woman was beside herself down in Emergency. A slice of Melissa’s cake and a bit of a rest and she’ll be a new woman.’

  He was right, of course. Ross was always right when it came to dealing with women, Shelly mused, fiddling again with the flow meter to get the concentration right now that the cot was zipped up and Kane was quietly resting. Someone must have given Ross a glimpse of the rule book the day he hit puberty, told him how to turn on that winning smile and work that velvet voice to gain maximum impact. Oh, he wasn’t a flirt, he didn’t turn on the charm to beguile people, it was all just so damned effortless with him and it would be so, so easy to let it go to her head.

  To forget that the smile she was privy to right at this very second was the same gorgeous smile he used on everyone.

  Even Kane.

  ‘Cute, isn’t he?’ Ross murmured. ‘I love fat babies.’

  Shelly gave a little laugh at his simple description, her eyes taking in the sleeping infant as a woman for a moment, not as a nurse. ‘Matthew was like that.’ Her voice was soft, her mind dancing backwards, remembering him soft and warm in her arms, that delicious baby smell filling her nostrils, Matthew’s dark curls soft and warm against her arm as she’d held him close and nursed him. ‘The child health nurse even had to tell me to cut down on his feeds he got so big.’

  ‘A little Buddha?’

  ‘That’s what I used to call him.’ Shelly looked up with a start then righted herself. It was hardly an original nickname. ‘He’s nothing like that now, though, he’s the fussiest eater in the world.’

  ‘Unless it’s ice cream?’ Ross caught her eye as she gave a small nod. ‘I’d love to see him.’

  ‘I’ve got some pictures in my bag,’ Shelly said lightly. ‘I’ll get them out when we’ve got a moment.’

  ‘I meant I’d like to meet him.’ Suddenly the tension was palpable, his eyes not moving, taking in every flicker of her startled reaction. ‘See for myself if he’s as cute as his mum.’

  ‘Flatterer.’ Shelly shrugged off his compliment with a smile and picked up the obs charts, which really didn’t need filling in just yet. Holding his gaze would just have been too hard. ‘Anyway, he’s a bit tricky with strangers.’

  She wanted this to be over, didn’t want Ross working his winning ways on her, didn’t want their friendship moving out of the safe confines of the ward, terrified her cool façade might slip and he’d register the shift in her feelings. But Ross simply refused to take the hint, whipping the safety net from under her with one stroke of his silver tongue and sending Shelly into freefall.

  ‘That’s easily solved.’ His words were slow and measured but the effect was instantaneous. Shelly’s heart rate surely matching the monitor bleeping rapidly beside her as Ross plunged her world into confusion. ‘Don’t let me be a stranger, then, Shelly.’ Wrapping his stethoscope around his neck, he gave her a tiny questioning smile as she stood there, trying to think of something to say, eternally grateful when Melissa appeared with a very groggy Angela and the awful loaded silence was broken.

  ‘One exhausted mum,’ Melissa fussed, tucking in the sheets around Angela as she climbed gratefully into the camp bed, ‘and one sleeping baby.’

  ‘You’ll wake me,’ Angela checked as Melissa flicked off the main ward light, leaving only the cot-side lamp on, and gestured for them all to leave.

  ‘Of course we’ll wake you,’ Melissa said assuredly. ‘Ross promised, didn’t he? And, believe it or not, you’re looking at a guy who actually keeps his word.’

  CHAPTER THREE

  ‘WHAT’S the problem?’ His eyes bleary from sleep, his blond hair anything but immaculate, Ross huddled into his white coat and yawned loudly as he took a seat next to Shelly at the nurses’ station.

  ‘No problem,’ Shelly said, barely looking up, concentrating instead on getting Angus to finish the training cup filled with milk that she was trying to get into him. ‘Why?’

  ‘My pager just went off.’ Pulling it out of his pocket, he peered at it closely. ‘Or at least I thought it did. I woke up with the most terrible fright.’

  ‘You were dreaming.’ Shelly laughed. ‘I thought you’d have grown out of that by now.’

  ‘I wish,’ Ross muttered. ‘Every time I’ve got a really sick one it’s the same. I lie there half-asleep waiting for my pager to go off, and when it doesn’t I wake up with a jump thinking I’ve slept through something.’

  ‘Well, you didn’t,’ Shelly said matter-of-factly. ‘Kane’s still sleeping.’

  ‘Any better?’ Ross asked hopefully, but Shelly shook her head.

  ‘Not really, that’s why I’m feeding Angus up here at the desk, so I can keep an eye on him. Nicola’s on her break and Melissa’s in room five with a child having a nightmare.’

  ‘Must be the night for it,’ Ross muttered, glancing at his watch. ‘Five a.m. already. It’s not even worth going back to bed—I’ll never get back to sleep now.’

  A loud angry wail made its way down the corridor and Shelly let out a moan. ‘Well, if you’re not going back to bed, make yourself useful and go and put cot four’s dummy back in for me—she’s been keeping me running all night.’

  ‘Sounds like she wants a bit more than a dummy,’ Ross yawned as he stood up.

  ‘Tell Tayla she’ll just have to be patient. Her bottle’s warming and as soon as I’ve finished this little one, she’ll get her turn.

  ‘And wash your hands first,’ Shelly reminded him as he wandered off. ‘Hey, little guy.’ Tickling Angus under his chin, Shelly attempted to raise a smile, but his solemn eyes wouldn’t meet hers. ‘You really wanted that milk, didn’t you?’

  ‘What are you
doing?’ Shelly grinned, looking up from Angus as Ross wandered back, dressed in a white nurse’s gown and holding an angry pink bundle in one hand and pushing a portable bassinet with the other.

  ‘What female knows how to be patient?’ Ross asked good-naturedly, settling himself in the chair and holding out the bottle. ‘Check the temperature for me.’ He shook a few drops onto her wrist and when Shelly nodded he balanced the baby on his knee and attempted to offer her the bottle, which Tayla promptly spat out, her wails of protest increasing.

  ‘You need to cuddle her in.’

  ‘In what?’ Ross asked, bouncing her up and down on his knee as Tayla’s cries gained in momentum.

  ‘Into your chest. Wrap her up more tightly in the blanket and hold her against you.’ She watched, fighting the urge to put her own patient down and interfere as Ross clumsily wrapped the baby up, leaving her little pink feet kicking in the air. Ever meticulous, Shelly liked things neat and organised but baby Tayla didn’t seem to mind Ross’s haphazard methods, her cries instantly stopping as one blond-haired arm wrapped firmly around her and pulled her in close.

  Lucky little thing, Shelly thought reluctantly.

  ‘It worked.’ Ross grinned. ‘She likes it.’

  ‘For now,’ Shelly warned briskly. ‘But that good mood won’t last long if you don’t follow it up with her bottle.’

  Ross did as he was told and soon Tayla was guzzling, batting her little blue eyes at her enthralled admirer and somehow managing to coo and drink at the same time.

  ‘Another female you’ve won over,’ Shelly said dryly.

  ‘If only they were all so easy.’ Looking over, he gave Shelly a slow smile. ‘It’s like having twins, isn’t it?’

  ‘Heaven forbid,’ Shelly said lightly, deliberately shooing away the rather cosy little images fluttering into her mind. The beginning of a shadow was dusting his chin, his eyes blinking with tiredness as he stifled regular yawns, and he looked so completely adorable Shelly felt like joining Tayla and cooing in blatant admiration.