An unbearable pressure built behind her eye sockets. Her heart battered her ribs until it shook her whole body, until it felt pulped. So that was how it felt to be really exposed to his wrath. Where did it come from? Was that how he saw her? Or…
Her streaking, stricken thoughts came to a stuttering halt when his eyes squeezed shut. His teeth made a bone-scraping sound as he shredded a string of murderous self-abuse.
She vaguely felt Tuia fidgeting behind her and Moie growing restless. Roque had kept his voice level, his face impassive as he’d delivered his razing summation, but his aggression had been unmistakable and, to her, devastating.
He lowered his head and a bass, shaken groan escaped him. “Jewel—perdoe-me… Deus!” His eyes suddenly rose to hers, black now, shimmering. Their impact punched her breath out. “But how can I ask you to forgive me? That was unforgivable—and nothing to do with you. Believe me, Jewel, forgive me, please…”
His gaze fell again and, moved beyond endurance, she reached out and cupped his cheek. His hand immediately covered hers, his lips turning into her palm in a beseeching kiss that should have burned through it. But it wasn’t that that succeeded in bringing the tears she hadn’t shed in all her ordeals. It was the naked pain in his eyes.
He spoke, his lips still in her palm, his subdued words vibrating in her flesh, booming in her bones. “It was my mother… She was visiting so-called friends, a huge sentimental mistake I tried everything to stop her from making. The town knew what she’d once done for a living and when she fell sick, the doctors assumed fever and consciousness disturbance were an exacerbation of an untreated venereal disease. They started her on antibiotics, antipyretics and sedatives. By the time they suspected their unsubstantiated diagnosis and did an ECG, her myocardial infarction had destroyed most of the cardiac muscle. They called me then. I arrived in time for her last breath.”
Oh, God. Oh, God.
It was all she could do, for their audience’s benefit, to crush back a distressed wail and the urge to envelop him in a frantic hug, to absorb his anguish into herself.
This man she’d married and left, never suspecting how incredible he was, how unique. That he wasn’t ashamed of his mother, that he hadn’t judged or blamed her said volumes. Another man would have writhed for ever in a misogynistic hell, damaged and nurturing endless psychoses. She’d clearly been a good mother to him and he’d as clearly loved her. His unabated anguish at losing her proved just how much he had.
Then an epiphany hit her, hard. Was losing his mother through the prejudice and negligence of other doctors what drove him? Was he saving her in every patient he treated? No wonder he’d come running when he’d suspected she was a prima donna who was only playing doctor, to protect his people from her incompetence. And considering what he’d suffered through most of his life, it was amazing he’d had that much control and grace, dealing with her deliberately ignorant prejudices.
Her hand was still pressed to his cheek. She was enervated by emotion. But she just had to tell him, she had toshow muchshow much…
“I can’t tell you how sorry I am for your loss, Roque,” she choked. “I wish you’d told me before…”
He held her streaming eyes for an endless moment then pressed another kiss into her palm, thankful, apologetic, the fever pitch of emotion leveling. He wiped away her tears, his fingers gentle, cherishing. “Obrigado, Jóia, for making me wish I had.”
With that he turned to Moie and Tuia and made profuse apologies in every indigenous and sign language he knew. Then he turned to her and his smile almost knocked her heart out of her.
“You were going to tell me your diagnosis?” he purred.
She recovered with every iota of control she had and mumbled, “Are you asking for it so you can knock it?”
“I wouldn’t dare.” His eyes sobered and the sincerity in them buffeted her. “I’m truly sorry about that outburst, Jewel. I’d be more than an idiot to belittle your skills. You were right. As a surgeon my clinical powers lie elsewhere. I have differential diagnoses that need more tests to settle on one. But you’ve settled on one. So tell me.”
“It’s—it’ss” Great. Now she was stuttering. Very convincing and authoritative. She tried again, aiming for both qualities, and blurted it out instead. “It’s bilharziasis.”
He stared at her. She felt herself shrinking. “I think…”
After she had muttered the qualification, her prior conviction reasserted itself. The signs and symptoms were too definitive.
She tried again, with more confidence this time. “He has symptoms of both types of the flatworm infestation. Urinary-tract symptoms are painful urination with bleeding at the end. Gastrointestinal symptoms are diarrhea, dysentery, also liver involvement, evidenced by vomiting blood, ascites, lower limb edema and enlarged liver and spleen.”
Roque’s smile broke out slowly and a full orchestra swelled in her ears. “Who needs gadgets when I have you?”
This man was out to kill her today!
“It fits his condition perfectly. But…” He rubbed his jaw. “The open waters of the Amazon are not known for harboring the parasite’s snail host. So where could he have gotten infected?”
“I tried to ask Tuia if there’s a body of water where only he went, but that was where sign language failed.”
“It has to be a side-stream or a stagnant—Wait!” His hand gripped hers. “I noticed plots of land hacked out of the jungle and planted with maize. Those were flooded, perfect for the snail to live in. And only the men farm it there.”
“So all the other men who also farm are probably infected.”
He nodded. “But none as advanced as Moie here. That was an incredible piece of diagnosis, bela.”
His praise left her shaking with the effort to suppress the urge to throw herself into his arms. “Wait until we make sure before you start praising my acumen, Roque.”
“We’ll run tests but I can’t think of another diagnosis now. You cracked this one open with a touch, amor.”
Amor. He’d been saying that constantly, in mockery, in seduction. Now it felt as if he meant it. Could it be…?
“But we have a dilemma.” He seemed oblivious to her state. Or she was a better actress than she’d thought. “Bilharziasis is one thing—probably the first of many—that I didn’t come prepared for. I don’t expect you have any Biltricide in your pharmacy?”
Biltricide, the drug of choice, which had a 100 percent cure rate with a single oral dose, was stocked in their pharmacy, thanks to Inácio. She told him.
“Maravilhoso. I’ll have to let Inácio humiliate me in another chess game in reward for his foresight. But while the drug will cure Moie’s worm load, we must now treat his complications. So, amor, while I run tests, you tell the others to get the drug from the riverboat and educate the tribe in eradicating the snail host and preventing re-infection.”
She nodded, performed her chore then hurried back to find Roque explaining it all to Moie and Tuia. She didn’t understand most of what he said, but she could tell from a few words here and there, from his expression and tone and their reactions, that in extreme care and compassion he made them understand that, though some irreversible damage had occurred, if Moie followed their instructions and didn’t get re-infected, he’d improve until he could lead an almost normal life.
Then he rose and gently escorted Tuia and her still soundly asleep child out. He came back as she settled on Moie’s other side, his eyes settling on her. “So—what’s your treatment plan, Jóia?”
She cleared her emotion-clogged throat. She could tell he wasn’t testing her, just reveling in this incredible alliance as much as she was.
“Diuretics for his ascites, then a TIPS procedure.” This came out too breathless. “Thank God you’re here to do it.” And this came out too fervent.
“No other reasons to thank God I’m here?”
She tried not to give him too complete a victory, gave him a dismaying, “None.” It came out too swooning
.
In answer, he gave her an inscrutable look.
With a booming heart, she administered pre-procedure medications, asked, “Conscious sedation or general anesthesia?”
“You can handle general?” There was no surprise in his voice, just—wonder? She nodded, fluttering. “Let’s go for concious. Better for his general condition.”
Then he started the procedure and it felt so right to be assisting him, as if she’d trained all those years to that end. Was that somehow true?
The minutes passed as he performed the complicated sequence. Then he finally murmured, “Done.”
And in under an hour for a procedure notorious for lasting three.
He withdrew his catheter and she jumped with a dressing to the puncture site. They continued their fluent interaction, finishing off the post-procedure care.
With Moie sleeping peacefully, she took off her surgical garb, struggled up on numb legs to rush out to Tuia with the good news. And Roque’s arms caught her.
Only anticipation held her up as he captured her head in both hands. He groaned her name, moved feverish fingers and eyes over her eyelids and lips, and her knees melted.
He ravaged her senses just being near him. Then he took her lips. With the voracity of a predator unleashed on a prey that had been long kept an inch out of reach. With the cherishing of a man fearing for his only sustenance in life.
When her whimpering became incessant, he severed the deep kiss on a frustrated snarl, kept mashing their lips together as he rasped, “Senhora Da Costa, we must do this together often. Very, very often.”
CHAPTER ELEVEN
WHAT was “this?”
Roque’s statement had been revolving in her mind since they’d been invited to stay at the Manis village three days ago.
Had “this” meant working together? Or was “this” that soul-shattering kiss afterwards? If he’d meant the latter, inflaming her, giving her glimpses of heaven then stepping back and leaving her stumbling back into hell, he could forget it.
And it seemed he had. There’d been many almosts and nearlys since, but no repeat performance. Certainly no follow-up.
She felt as if he was waiting for something. Some sign from her? What more signs could she give him? She’d told him how much she wanted him, after he’d walked away, saying not now, spouting inexplicable stuff. Then she’d stepped back, too, deciding to give up rather than shrivel in the torment of his baffling decrees of courtship and anticipation, and he’d snared her again, got her to admit in surrender louder than words that she was his for the taking. And he’d stepped away again.
He had to be taking his revenge. What else explained his maddening behavioral yo-yo? Though it was still incredible just working and interacting with him, she was so raw by now she felt that if he so much as looked at her she’d bolt.
He was looking at her now as he entered their vaccination tent. He was always looking at her. She didn’t bolt. She never did. She couldn’t miss one second of the heart-pulping intensity and poignancy of anything she could have of him. It would soon be over anyway. Then she’d never have even that again.
He stopped by her table, wearing only shorts and an open shirt. She tried to convince her senses not to overload.
He nodded a smiling greeting at Inácio and Madeline, cast a look at their set-up, fingered her stack of vaccination cards then his gaze stopped at hers, his smile taking on an elusive quality. “You didn’t join me in my morning list.”
His statement was devoid of irritation, soft, almost cajoling. She wondered why because he did have reason to be irritated. She had said she would join him. But when Madeline had come running to her, she’d already decided to take the morning off from ambiguity and frustration. There was the afternoon list to contend with and the rest of the expedition in which to resume heartache after all, and she’d needed a break to recharge, to be able to continue in all the nerve-racking uncertainty. And then she’d known he’d handle everything alone just fine.
“Um, yeah, Madeline and Inácio ran into some big problems here and needed my assistance more.” And that was also the truth. “You finished already?”
“I actually only did six cases, waiting for you to show up, then decided to see what was holding you up. I thought you’d be swamped in some other thing, so I came to help.” He made an encompassing gesture with his hand. “But this place is deserted. So what’s going on? Where are your patients?”
She gave him what she hoped was a serene look. “Hiding. Horror tales have spread about the torture we’re inflicting here and its consequences.”
Madeline gave an exaggerated sigh. “Yeah, we thought you left us the easy chore when you turned vaccination over to us. Little did we know, eh? First the tongue-lolling struggle to convince the elders yesterday that sticking needles into the healthy is to protect them from catching possibly fatal diseases from newcomers. Then they ordered everyone to brave our needles—not that brave is the right word here.You’d think we were killing them, for all the hassle they gave us.”
Inácio nodded in resignation. “We managed to vaccinate sixty out of a projected three hundred. Then this morning they converged here again, agitated, and we burned up Montoya’s translation software to convince them that inflammation of the injection site is a normal reaction, and that fever, malaise, muscle aches and other systemic symptoms are natural, especially as they’ve never been exposed to the antigens, and that symptoms will be gone in a couple of days.”
“Sounds you were doing just fine so far,” Roque commented. “Where’s the but?”
Madeline exhaled. “Yeah, a very big but. As soon as they succumbed and agreed to continue with the vaccination, the first villager we vaccinated, and a strapping man he was, had that damned one in half a million anaphylactic reaction. I left Inácio with him and ran to fetch Jewel.”
Concern leapt in his eyes as they turned on Jewel. “Why didn’t you come for me?”
“I would have if I’d had any doubt I couldn’t handle it,” Jewel said defensively. “And if I didn’t know your were already deep in a procedure by then. But even after the man was OK, everyone ran into hiding and wouldn’t come out no matter how much we begged. I sent Montoya on what is looking like mission impossible to convince them into giving it another shot—if you’ll pardon the pun—and bringing the kids along for the fun. He’s been gone an hour now. I’m beginning to think we shouldn’t hold our breath.”
Suddenly the weird watchfulness in Roque’s gaze evaporated, mischief flooding in its wake. “What would you give me if I got them all in here, in line, ready to take their vaccines with a smile and a thank you?”
“For that miracle? Anything! What would you want?”
“You know what I want.” Did she, now? Was he kidding? She knew nothing! The look in his eyes became even more bone-melting. “And under no circumstances are you not joining me for the afternoon list, or not coming to me in any crisis from here on.” He bent, took her twisting lips in a hot kiss then straightened and winked at her. “Give me ten minutes.”
He strode out of the tent, leaving her mute, Madeline fanning herself and Inácio chuckling and shaking his head.
She remained staring after him as Madeline and Inácio ribbed her, discussed her and Roque’s relationship openly, gave theories and predictions, until she growled, “Oh, shut up!”
It only made them worse.
At the end of the promised ten minutes, Roque re-entered the tent with a flourish. “Milady, your patients are queuing for your favors.”
She got up on elastic legs, stumbled outside to see this miracle for herself and, sure enough, there they were, dozens and dozens of men, women and children, looking at her as if she were a monster. She bet everyone who was unvaccinated in the village was accounted for.
She looked up at him, eyes wide in wonder. “Whew, that was short work. Just how did you get them here?”
His lips twisted. “You expect me to reveal my secrets?”
God forbid. “OK,
be inscrutable. But do it while making yourself even more useful. Let’s start with the worst. Get the men in first. Tell them it makes them great role models.”
He traced a lazy finger down her exposed arm. “As long as I end up getting what I want.” Then he turned around, leaving her wondering where the oxygen in the atmosphere had gone.
She staggered back to her table, growled another “Shut up” at Madeline and Inácio.
“But we haven’t said anything!” Madeline protested.
“You’re thinking it loud and clear. Whatever it is. And I don’t want to hear it. Now, hop to it. Ready groups of twenty at a time. Let’s give each person everything at once. DPT, pneumococcal, hepatitis A and B, MMR, chickenpox and meningococcal. Add the oral polio vaccine for the kids.”
“Yes, boss.” Inácio gave a mock bow as he opened their battery-operated fridge and extracted vials of vaccines and dilutents while Madeline readied dozens of syringes.
Roque walked in with the first ten men. “You’re giving them the full treatment? No wonder the vanguard ran screaming.”
“In fact, I made the mistake of giving Maddy and Inácio instructions to give them only part of the vaccination regimen, and it only made those partially vaccinated even more reluctant patients. But a lesson has been learned. These people won’t know what hit them. Wham, wham and wham and it’s over.”
“Shock therapy, eh? Sim, it’s probably best not to prolong the conflict.” Roque came to stand beside her, beckoned to the first man. “It’s enough that I’ll tell them later I’ll be sending other expeditions in time for their booster doses.”
“Not a word about it now. They may refuse to go through with it if they know there’ll be more jabs down the line!”
He only chuckled as the first villager, a young man with slashed cheekbones and nervous slanting black eyes, came forward.
Jewel rose, smiled at him brightly as she cleaned his skin with an antiseptic solution then gently pinched his deltoid in one hand, murmuring encouragement to him all the time. Then she administered the first shot. His eyes widened at the sight and feel of the needle sinking into his flesh. Then he dropped unconscious at her feet.
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