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THE PASSION OF PATRICK MACNEILL
Virginia Kantra
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Contents:
Prologue
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
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Prologue
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The high, terrible keening of a child in pain went on and on. Outside in the hall, Dr. Kate Sinclair narrowed her eyes, concentrating fiercely on a stack of medical charts. She wouldn't think, she couldn't think, about the five-month-old baby on the other side of the door. In six days, she was leaving Jefferson University Hospital, leaving the burn center, for a fellowship in pediatric surgery at Auburn. While her mother cried and her cat protested, she'd spent the Family Weekend from Hell packing up ten years of medical texts and mismatched dishes. If she weren't so behind in her paperwork, she'd be loading her life into a rental trailer at this very moment.
Kate rubbed two fingers between her brows, trying to erase the lines of tension that always formed over her nose. The child behind the door wasn't even her patient, she reminded herself. He had an immunologist, the attending pediatric surgeon and the director of burn medicine pulling for him. He didn't need her.
One of the interns staggered out into the corridor and leaned against the wall. "Good Lord." He blotted his upper lip with the back of his hand. "How do you stand it?"
Kate capped her pen. Emotion made ineffective doctors. She knew that, and the intern would learn it. "How are they doing in there?"
"They're almost done changing his dressings."
Sharon Williams, a burn unit veteran, paused on her way back to the nurses' station. "How's our little Iron Man?" she asked the resident.
"Who?" Kate asked.
"Baby MacNeill. Tough little guy. He was admitted over the weekend. How's he doing?"
The intern rubbed his face again. "It— He— Swaim seemed pleased."
Swaim was the burn unit director. If things went well at Auburn, if Kate's evaluations were good, there was a chance he'd call her back to the burn center to complete her training. She hoped so. Burn medicine fascinated her. The power to take a severely injured survivor along all the slow steps to new life nude her feel good in a way that nothing else ever had.
She allowed herself a professional question. "Any sign of infection?"
"No."
"Good. That's good." She hesitated, and then offered, "Typically, patients who endure this kind of pain don't seem to remember much of it."
The crying broke into a series of gurgling sobs, horrible to hear.
Kate bit her lip. "Anyway, that's what they say."
The metal double doors at the other end of the hall swung open, and a tall man in green scrubs blew in like a weather system, crackling with energy, big and dark, eyes a stormy blue. In spite of his clothes, Kate didn't think he was on staff at the hospital. He wasn't the kind of man a woman, even a woman like her, could forget meeting. Instinctively, she straightened her spine.
Swift, intense, he strode toward them. "Are they done yet?"
Kate bristled at his tone, as peremptory as any surgeon's. Before she could speak, Sharon stepped forward, smoothly blocking his way. "Let me just make sure, Mr. MacNeill."
He nodded once, sharply, before she disappeared into the room.
So, Kate thought, studying him, this must be little Iron Man's father.
Impulsively, she spoke. "Can I get you anything?" He didn't even look at her, all his attention focused on the baby's weak cries on the other side of the door. His big hands curled and uncurled at his sides.
"No."
Sharon came out, holding the door. "They're ready for you now."
He brushed past her without a word, ignoring the doctor and the assisting nurse and the procedure tray. Before he was three strides from the door, Kate heard his deep voice soften and change.
"Hey, buddy. Hey, Jack-o. It's Daddy. They're all done now, okay? You be tough, okay? I love you, buddy."
The crying stopped.
Kate looked at Sharon. Tears stood in the nurse's eyes. "That's all that's keeping him going," she said. "All that's keeping either of them going."
The question popped out before Kate could remind herself that she had no business inquiring into a patient's personal life. And not even her own patient, at that. "The mother?"
Sharon shook her head, her usually placid face set. "Killed. In the same accident that burned the boy. Same damn drunk driver."
Kate's rubber ball of a heart bounced once, uncontrollably. She looked beyond Sharon into the room where the five-month-old lay swaddled and sightless, gasoline burns covering almost a third of his once-sturdy little body. His father hovered over his crib, big hands braced on the protective rails. Apparently he'd been warned not to touch his son because of the risk of infection. He bent down until he was almost nose to nose with the child in the crib.
Like a flower turning to the sun, the baby turned his gauze-bandaged head in the direction of his father's voice. Kate listened for the familiar strained cheerfulness of parents in a child's hospital room and heard only strength and love.
"You hold on, Iron Man. Daddy's here. I love you. It's been a tough day, huh? Maybe you should get some sleep now."
And before the door closed, she heard the man singing a rough lullaby in a soft, deep baritone voice.
"Hush, little baby, don't say a word, Daddy's gonna buy you a mockingbird…"
Kate wouldn't let it get to her. She never let this stuff get to her. Turning back to her medical charts, she was dismayed to note that her hands were shaking.
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Chapter 1
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Some days Patrick MacNeill hated doctors. The whole know-it-all, knows-best profession. He hated his dependence on their schedules almost as much as he hated his need for their expertise. He'd measured away too much of the last four years on the smug, uninformative faces of waiting-room clocks.
Pacing the rows of blue and green upholstered chairs, he glanced again at the clock over the nurses' station. Swaim was already twenty minutes late. Patrick wondered if their appointment with the reconstructive surgeon would even last that long. But after two years of hospital stays and another two of routine physicals, this examination was a necessary preliminary to the surgery Jack needed. And whatever his boy needed, Patrick would make damn sure he got.
"Daddy? I'm finished."
The impatience knotting Patrick's chest dissolved. He strode toward the child-sized table and chairs occupying one corner of the room.
"Yeah? Let me see."
The four-year-old pushed his art pad toward a corner of the table, angling it so his father could see. Patrick leaned over, dropping a hand to Jack's shoulder as he studied the picture.
Eagles. His son had drawn eagles, carefully detailed and purposely composed: a nest at the top of a vertical cliff, three small bald heads with open beaks and a taloned adult with meticulously rendered feathers hanging in the sky above. At Jack's age, Patrick suspected, he'd still been drawing balloon-headed stick men and endless pictures of airplanes like hotdogs with wings.
He cleared his throat, gently tightening his grip on the small, sharp bones and growing muscle under his palm. "Well, now. That looks fine."
Jack's hand, still curled from clutching his crayons, pointed. "That's the daddy eagle with the fish."
"I can see that. It looks good, buddy."
The boy tilted back his head and grinned at his dad from under the brim of his baseball cap. "How about great?"
"Great, huh?" Patrick rubbed the side of his nose, pretending to consider. "Yeah, okay. I think we can say this one looks great."
> Jack giggled with satisfaction.
A crisp, feminine voice broke in on their rapport. "Mr. MacNeill? Can you come this way, please."
Patrick looked up. A pretty nurse in the loose white coat and scrubs worn by all the burn center staff stood in the open doorway. The sexy softness of her body under the oversize jacket contrasted pleasantly with her cool, tart voice and sharp, intelligent eyes. Surprised with himself for noticing—it had been years since he'd looked at a female with even passing interest—Patrick scooped up his son's art tablet.
"Okay, Jack-o, put away your crayons."
The nurse frowned slightly. "Please. We're running behind schedule this morning."
Patrick raised his eyebrows. "We noticed," he said, and had the pleasure of watching her flush. He waited until Jack had his crayons neatly aligned in their box before giving him a gentle push toward the door. "Let's go."
The nurse preceded them down the hall to the examining rooms, her curling light brown hair bouncing with indignation. Patrick followed, admiring the gentle sway of her backside under the limp white coat He allowed himself a grin at his own expense. Obviously his libido was trying to make up for lost time. The little bossy nurse wasn't even his type, nothing at all like … Holly.
His heart clenched at the memory of his late wife. With practiced discipline, he shoved the vision into a closet in his mind and slammed the door.
"This way, please."
The nurse stood aside to admit them to a narrow box with hospital-approved art on hospital blue walls: anatomical diagrams and a photocopied warning to the staff to wash their hands.
"Yucky pictures," Jack commented.
Patrick heard his son's need for reassurance. "Absolutely."
Surprisingly, the nurse laughed, her face softening as she focused on Jack. "They are pretty awful, aren't they? I've been after them to get some real pictures for ages. Up on the table now."
With approval, Patrick noted she didn't try to lift the boy but let him climb up unaided. Patrick sat in the small, uncomfortable chair provided for parents, folding his long legs under the seat to avoid tripping the nurse.
"So tell me why you're here," she invited.
He opened his mouth to reply. He didn't see what good it would do—they were here to keep their appointment with Swaim, obviously—but he knew the medical drill by now. Give a history and another and another, until you finally gave it to the one person who could do something to help you.
"I have a scar," Jack piped up.
It didn't need pointing out. Patrick waited for the nurse to falter, to make some mistake, but her expression was only mildly interested. "Mmm. That's what it says on your chart. Do you mind if I have a look?"
Jack shook his head vigorously. "No" He pulled off his baseball cap.
It looked better, Patrick thought, with the detachment of experience and a father's foolish hope. And it could have been so much worse. Jack had sight in both eyes and a smile and a nose. He had eyelashes and one and a half eyebrows. A clear plastic mask worn in the first year had flattened the worst facial scars on his left cheek. His left ear was deformed, and be probably would never grow a full head of hair on that side. What he had, a soft, dark fuzz, was cut short.
"Like a fighter pilot," Patrick had told him. "Like mine."
The nurse approached the table, smiling as she touched a finger to the discarded cap. "So you're a Durham Bulls fan. Do you go to a lot of games?"
Releasing his breath, Patrick gave the nurse points for her matter-of-fact approach. Jack hated to be treated like a baby. Which was fine, but where the hell was the doctor?
Jack tilted his head to give the nurse better access to his ear. "Some. My dad takes me."
Patrick stood. "Excuse me, but when is Dr. Swaim coming in?"
The curly-haired woman flushed, looking suddenly younger and less self-possessed. "I'm sorry. I should have introduced myself. Dr. Swaim had to go out of town. I'm Dr. Kathryn Sinclair."
Not a nurse. Another doctor. And he'd just offended her with his unthinking assumption. Damn. He didn't mind alienating members of the medical profession, but he needed her cooperation.
Patrick wanted—Jack needed—to see Swaim. The reconstructive surgery Jack's doctor had proposed would take several operations spaced weeks apart. Patrick wanted it over and done with before Jack started kindergarten in the fall.
He accepted the hand this substitute doctor held out to him, noting it was small and strong and cool. A nice hand, for a doctor or a woman. "When is Dr. Swaim coming back?"
"I don't know." She inhaled once, sharply, and then favored him with a practiced doctor-to-patient smile. "Mr. MacNeill, I'm sorry about the confusion. We're short-staffed this morning. But I assure you I'm well qualified to examine Jack. I've been studying medicine for almost fourteen years, the last two as a senior fellow in reconstructive surgery at this hospital. I did my pediatrics training at Auburn. There is nothing Dr. Swaim could do for you this morning that I can't."
Patrick ran his hand through his hair. "Look, Dr.…?"
"Sinclair."
"Dr. Sinclair." He committed it to memory. "I'm not questioning your qualifications. But I don't think anybody, however well trained, can schedule another doctor's surgery. Particularly when she doesn't know when that doctor's coming back."
The curly-haired doctor frowned, glancing at Jack. Bored with the adults' conversation, he'd opened his crayon case and sprawled on his stomach, drawing on the white protective roll that covered the examining table. His sneakers, enormous on the ends of his thin legs, waved in the air.
"What surgery?" Dr. Sinclair asked.
Patrick sighed. He'd known this was a waste of time. "Jack's."
"No, I mean… What type of surgery?"
Surprised he had to spell it out for her, Patrick said, "Multistage reconstruction on the external ear. Cosmetic work on the cheek."
"Now? At his age?"
The concern in her voice lifted the fine hairs on the back of Patrick's neck like a red indicator light flicking on in the cockpit. "Is there some reason why he shouldn't have this surgery at this age?"
"Well, I…" She bit her lip.
"What?"
He should have kept his mouth shut. Faced with a direct opportunity to disagree with one of her colleagues, the pretty little doctor closed medical ranks. He understood and admired loyalty, but at the moment hers was damned inconvenient.
She adjusted the stethoscope around her neck. "As you say, your son is Dr. Swaim's patient. I'm sure there's a sound medical reason for Dr. Swaim's decision."
"But it wouldn't be yours," Patrick guessed. He didn't know why he was trying to pin her down. Swaim was the director of the burn center. He'd treated Jack since the accident. This woman, wherever she'd been educated, however she'd been trained, was barely older than he was. She couldn't match Swaim's experience.
"I didn't say that. So." She left off fussing with the thing around her neck to shove her hands deep in the pockets of her white lab coat. "I'll have the nurse call you to set up an appointment when Dr. Swaim returns."
That suited Patrick fine. He wasn't getting anywhere with the lady doctor. In any way. "That'll be fine. Come on, buddy. Hop on down."
Jack sat up, the paper crinkling under him. "That's it?"
The doctor's face softened. "That's it."
"Aren't you gonna…"
"Nope."
"Cool." Jack jumped off the table, his sneakers hitting the floor with a double thump.
The two adults smiled at one another. She had a pretty smile, Patrick thought. Nice teeth. Big brown eyes alive with intelligent humor. Annoyed with himself for noticing, he concentrated on Jack.
"Don't forget your drawing stuff."
"Oh, right."
Importantly, Jack hurried back to the table and began to brush his crayons into the bright yellow box. By the door, Patrick shifted his weight, impatient to be gone.
"How long has he been doing that?" the doctor asked quietly.
>
Patrick straightened. "What?"
She nodded toward Jack. "Using his right hand like that."
Patrick watched closely as Jack flicked the last two crayons into the box and snapped the lid. He couldn't see anything wrong. "Like what?"
"His fingers are curled."
Patrick's heart jerked as he stared at his son's fingers. They weren't. They were fine. Scarred, sure, but straight. There had been a whole set of operations for function right after the accident. The tendon damage caused by the fire had healed.
"He always holds them like that," he said dismissively. "He's just tired. He was drawing before we came in."
Jack bumped into his legs, tugging at the pad of paper under his arm. "Do you want to see?"
She blinked. "All right. Please."
Proudly, Jack paged through his art pad and held it up. So the kid had taken a shine to the lady doctor, Patrick thought. So what? It was nice of her to take an interest. That didn't mean they had to see her again.
"That's excellent I like the way you drew the feathers. Lots of detail."
"Do you want to keep it?"
Dr. Sinclair looked uncertainly at Patrick. He shrugged.
"Thank you," she said gravely. "I'd like that very much." She didn't hug the boy, Patrick thought, the way Holly would have had she lived, the way his own mother might. Holly had been generous with spontaneous gestures of affection. Bridget MacNeill, Patrick's mother, was as openhanded with hugs as with spankings. He wondered if the doctor just wasn't naturally warm-natured or if she worried the kid might have something contagious. A doctor might think like that. Jack didn't appear to notice.
"Bye," he said, turning at the door.
She smiled then. She really did have nice teeth. "Good-bye." Over the child's head, her eyes met Patrick's. "I'll, um, speak to Dr. Swaim as soon as he gets back."
"Good. Thanks."
It was what he wanted, wasn't it? Only the best for his boy. So why, as he watched the doctor sashay down the hall in her sexless baggy coat, was he aware of a faint feeling of disappointment?
THE PASSION OF PARICK MACNEILL Page 1