But this was different. If he missed the tests tomorrow, he’d have to wait another two weeks before his routine appointment came up. There were another four obstetricians at CRMU. Sean had probably just asked him first as a matter of routine. He took a deep breath. ‘No. Sorry, tell him I have obligations that I can’t break. He’ll need to ask someone else.’
Bonnie hesitated and took a little step towards him. ‘Jacob?’
He shook his head. He couldn’t have this conversation with her—not right now. He swept past her, before her light perfume started to invade his senses. ‘Tell him to ask Isabel. I’m sure she’ll oblige.’
He carried on down the corridor. One look from Bonnie’s confused blue eyes was enough for him. He had to be so careful. She’d been hurt badly by her husband. He’d already done damage when he’d torn down the Christmas decorations. For the next two days it would be best if he could avoid her. He’d find a reason to work late tonight. And another reason to stay out of her way tomorrow. His tests were in the afternoon. Then he’d just have to wait twenty-four hours to find out his results.
He glanced at his watch. He needed to have a conversation with Dean Edwards about a baby in Special Care. He could go there. Bonnie would be tied up in the labour suite for the rest of the day.
He sucked in a breath as he pushed open the swing doors. Forty-eight hours. Forty-eight hours, then he’d know if his life was about to begin, or could be about to end.
CHAPTER TEN
SOMETHING WAS WRONG. She could feel it in her bones.
Jacob was avoiding her—and avoiding Freya. Last night he’d come home when they’d both been in bed. When she’d got up and gone downstairs to make a cup of tea and talk to him, it had been obvious he had other things on his mind.
It was painful. It was embarrassing to be around someone that had kissed her so passionately a few days before and now acted as though he didn’t want her around.
Maybe it stung so much because she actually cared. She cared what Jacob thought about her.
And caring was the one thing she shouldn’t be doing.
Jacob had told her about his mother. But there was something else he was keeping from her. And it made her uncomfortable.
She deserved better than that—Freya deserved better than that.
Worse than anything, she didn’t even feel as if she could call him on it. They weren’t even in a proper relationship. She had no right to ask where he was going, or what he was doing. She just had that horrible sensation of being taken for a fool.
It didn’t help that she was staying in his house. In fact, it made things ten times worse. If she’d met him through work and they’d maybe just shared a kiss, or gone on a date, she would be able to take a step back and distance herself.
Living under one roof made things a whole lot more complicated.
She tapped at the computer screen. It was only a few weeks until Christmas and the choices seemed even more limited than the last time she’d looked. Seven flats—all within her price range. All white, bland, soulless rooms in a range of buildings she wasn’t sure she wanted to stay in.
Two in tower blocks. Three in areas that were less than salubrious. And that hadn’t come from Jacob—a few of the other members of staff in the labour suite had recounted tales of staying in some of the surrounding areas. One looked in the same state as the motel she and Freya had stayed in, and another was nearer Freya’s school but was a tiny one-bedroom flat.
She clicked on another that flashed by on the top of her screen. This time it was a beautiful two-bedroom flat well out of her price range. A large, spacious flat with original polished floorboards like Jacob’s and the same bay-style windows dressed with the kind of curtains she’d imagined for his house.
She pressed the delete button quickly. She was being stupid. Even her house search reminded her of him.
She scribbled down the details of the tiny one-bedroom flat. She’d phone the agent later. How much space did she really need anyway? As long as the place was heated and didn’t suffer from damp it would be fine. It had the essential ingredients. It was near Freya’s school and it would be a place to call their own.
A tiny shiver crept down her spine. It had always been her intention to find somewhere for her and Freya to stay. She’d allowed herself to be distracted by Jacob. She’d let herself be influenced by him when he’d told her everything she’d looked at was unsuitable. In a few short weeks, she and Freya had become comfortable in his home.
The sharp man she’d met on her first day had all but vanished. Once you scratched beneath the surface with Jacob Layton there was so much more. He was just good at hiding all the stuff that was really important. His sense of humour, his warmth, his vulnerability and his strength.
‘Bonnie? Can you come and give us a hand? We’ve just been phoned. We’ve got a woman who is thirty-two weeks pregnant with twins coming in by ambulance. They think the babies are in distress.’ Karen, one of the junior midwives, was at the door.
Bonnie clicked the window on the computer to close it and stood up quickly. ‘No problem, Karen.’ She walked out of the office and across to the treatment room to wash her hands and put on an apron. ‘Which room are you preparing?’
Karen glanced over at the whiteboard. ‘Room 3, I think. That’s the biggest. I’ll go and page the on-call obstetrician.’
Bonnie felt her stomach flip over. One of the obstetricians was off sick. There was every chance Jacob would now be on call.
She finished the final checks in the room just as the ambulance crew wheeled the patient in. ‘Hi, Bonnie. This is Eleanor Brooks. She’s thirty-two weeks pregnant with twins. Hasn’t felt well the last few days and fainted in the street around thirty minutes ago.’
Bonnie moved over to the side of the bed and grabbed the edge of the sheet as the paramedic pulled Eleanor over on the patient slide board.
‘Hi, Eleanor, I’m Bonnie, the sister in the labour suite. Let me help you off with your jacket and we’ll see how you’re doing.’
Eleanor gave a nod and shrugged her shoulders out of her jacket, letting Bonnie pull it away as she lay back against the pillows. Her colour was poor and it only took Bonnie a few seconds to wind the blood-pressure cuff around her arm and start to inflate it.
Karen appeared again with the paperwork and spoke in a low voice for a few minutes with the ambulance crew.
‘Eleanor, is there someone I can phone for you?’
Eleanor nodded towards her bag. ‘My mobile is in there. My husband is John, but he works offshore on the rigs. You might not be able to get him. My mum’s number is in there too. She lives in Cambridge.’
Karen glanced in Bonnie’s direction; Bonnie gave her a silent nod. ‘Is your husband up in Aberdeen?’ She was calculating in her head how long it would take to helicopter him back from the rigs to the mainland, and then down to Cambridge. She blinked at the reading on the screen from the BP cuff. Karen’s eyes widened.
‘Have you seen your community midwife lately, Eleanor?’
Eleanor’s blood pressure was unusually high. Any woman with a twin pregnancy was normally monitored quite closely. Eleanor shook her head. ‘I had an appointment last week but she was off sick, and this week I wasn’t feeling well enough to go, so I missed it.’
Karen scribbled a little note on the paperwork. ‘I’ll go and make these calls, chase up the obstetrician and arrange for Eleanor’s notes.’
Bonnie gave a nod. ‘Eleanor, can you tell me how you’ve been feeling this past week?’
‘Awful.’ The one-word answer said everything.
‘Did you call your midwife for some advice?’
Eleanor sighed. Her eyes were half closed; it was obvious she was tired. Her legs and ankles were puffy. Bonnie bent over and gave the skin a gentle squeeze between her fingers, the imprint of he
r fingers clearly denting the skin.
‘I didn’t want to bother my midwife. I thought I’d feel better in a day or so. Everyone’s had a viral thing lately. I was sure I had the same.’
Eleanor moved uncomfortably, ignoring Bonnie at her ankles and taking a little gasp of breath as she pressed her hand against her right-hand ribs.
‘Eleanor? Are you having pain?’
Eleanor grimaced and nodded. The pain was too high up to be a labour pain, but it could indicate something else. The pain seemed to pass quickly and she relaxed a little. ‘I’ve been tired. Really tired. But that’s normal for twin pregnancies, isn’t it? I’ve been feeling a bit sick too. I’ve had a headache for the last few days. I actually vomited twice yesterday—I’ve never done that before. And usually I’m peeing all the time, now I’m hardly peeing at all.’
Alarm bells were going off in Bonnie’s head. Eleanor was showing some signs of pre-eclampsia. It wasn’t that unusual in twin pregnancies, but Eleanor’s condition seemed to be taking a dangerous turn.
She put her hand on Eleanor’s arm. ‘I know I’ve just got you into bed. But do you think you could manage to give me a urine sample? I know you said you’re hardly peeing right now, but if you could squeeze something out that would be great.’ She hesitated for a second. ‘I’m also going to call the phlebotomist to take some bloods.’
Eleanor gave a little sigh and swung her legs around while Bonnie brought a commode into room. Right now, she didn’t even want Eleanor walking into the separate bathroom. She wanted to monitor her at all times.
Karen came back into the room as Bonnie was helping Eleanor back into bed. She pressed the button on the blood-pressure monitor again. Karen held up some foetal monitors. ‘I thought you might want me to attach these? And Sean is outside.’
Bonnie nodded as she wheeled the commode towards the door. ‘Will you stay here until I get back?’ Karen gave the tiniest nod of her head. They were both aware of the seriousness of the situation.
It only took Bonnie two minutes to dipstick the small sample of urine and put the rest in a collection bottle for the lab.
Once she’d washed her hands she went back outside. But Sean wasn’t alone. He’d been joined at the desk by Jacob.
Her stomach flipped over. This was work. He couldn’t avoid her—no matter how much he tried to.
Sean turned to face her. ‘Can you give me an update?’
Bonnie nodded. Aware that Jacob still wasn’t really looking at her.
‘Eleanor Brooks is thirty-four. She’s thirty-two weeks pregnant with twins. I’ve not seen her notes, but I’m assuming her pregnancy has been unremarkable up until now. She collapsed in the street earlier today. She has upper-right-quadrant pain, pitting oedema in her ankles, her blood pressure is one-sixty over one-ten. Pulse eighty-seven. I’ve just tested her urine and it’s positive for protein.’
She watched as Sean scribbled some notes. ‘There’s more. She’s had a headache the last few days, vomited twice yesterday and she’s been very tired.’
Jacob frowned. ‘Hasn’t she seen a midwife at any point?’
Bonnie felt automatically defensive. ‘She should have. She was last seen three weeks ago. The week after that, her midwife was sick, and last week she felt too unwell to attend. She didn’t call in to speak to the midwife as she thought she just had a virus.’
Jacob started to swear under his breath. ‘This is looking like HELLP syndrome. Do you mind if I come with you, Sean? We might need to do an emergency twin delivery.’
‘Glad of the help,’ Sean said quickly. He handed some blood forms to Bonnie. ‘Can you get these done as an emergency?’
‘No problem.’ She took them as Sean and Jacob walked into the room to assess Eleanor. Five minutes later the ward clerk arrived with the notes and the phlebotomist answered her page. Bonnie flicked through the notes. Nothing untoward. All Eleanor’s previous appointments had shown a healthy developing pregnancy.
The missed appointments were unfortunate. She just wished Eleanor had phoned her midwife when she’d started to feel unwell. Maybe her condition could have been picked up sooner. HELLP was serious. It could be life-threatening for both mother and babies.
Symptoms could be vague but it always started with pre-eclampsia. One of the crucial tests was the blood work and the quickest turnaround time from the lab would be just over an hour. Eleanor was already showing some of the classic signs.
Sean and Jacob came out of the room, both talking in low voices. The phlebotomist arrived, picked up the blood forms and went to collect the samples that would be needed.
‘I think we should prepare and contact the anaesthetist anyway. Give her an ace-inhibitor to try and bring her blood pressure down and don’t leave her alone.’ Those last words were aimed at Bonnie. It was the first time his eyes had connected with hers.
There was something wrong—which was stupid, because she knew that already. But the look in Jacob’s eyes? It was almost blank. As if there had never been anything between them, and there never would be.
Focus. She sucked in her breath. There was a patient to deal with. But as soon as Eleanor’s condition was under control, Bonnie was definitely calling the letting agency.
She’d become too attached to him. They’d become too attached to him, too quickly. It was time to take stock. To take a breath.
She’d made a massive mistake with Robert. She’d married a man she didn’t really love. When it came to men—her previous choice hadn’t been great. Could she really trust her own judgement now?
Her heart was telling her one thing and her head another. It was all too much.
The phlebotomist appeared and waved the blood bottles at them. ‘I’ll take these direct to the lab and ask for the results to be phoned direct.’
Sean gave a nod. ‘Thanks.’ He turned to face Jacob. ‘If I speak to the anaesthetist now are you free to assist in Theatre if required?’
There was silence for a few seconds. The quiet made Bonnie look up. Jacob always responded immediately. He never hesitated over clinical care.
But this time he did. This time he glanced at his watch. She could see him swallow as if a million things were flashing through his brain. ‘I’ll need to make a call to try to delay something else.’
Sean looked just as surprised as Bonnie. ‘No problem. I can always find Isabel. She’s covering the other theatre list today—but we can cancel the routine procedures for an emergency.’
That was right. The other theatre list. The one that Jacob had refused to cover today because he had somewhere else to be. Where exactly was that?
A whole wash of memories flooded over her. Robert. Continually making excuses about where he was going or where he had been. The way he could never look her in the eye when he’d been telling her those lies. Her stomach was in knots. She hated that Jacob was following the same pattern. He could never know how much those memories and associations hurt.
Jacob wasn’t Robert. He would never be Robert. But he was definitely hiding something. It made her question herself. It made her question her judgement. Her choices had been wrong before. It felt as if she could be walking down the same path.
Where on earth was he going? And why was he being so evasive about it?
Jacob waved his hand at Sean. ‘It will be fine. Give me five minutes to make the call. Let’s just try and make sure that if we need to take Eleanor to Theatre there are no delays and we’re ready to go as soon as we get the blood results.’
Sean nodded towards Bonnie. His initial surprise had died away and now he just looked relieved that he didn’t have to go and call Isabel. What was the deal with those two?
‘I’m going to stay close by. Give me a shout if you need anything.’
Bonnie went back to the room to help Karen. It only took a few minutes to administer the blood-
pressure drugs and start some IV fluids. Karen continued to monitor the babies and Bonnie set the blood-pressure cuff for every ten minutes.
Eleanor kept her eyes closed, occasionally wincing and touching her right side. It was a clear sign that her liver was affected.
Jacob seemed impatient. He was pacing up and down the corridor, and phoned the lab twice to harass them for the blood results. She’d never seen him quite so on edge.
On one hand, she knew that he was putting the care of Eleanor and her babies first. On the other, it was obvious he was anxious to still keep his other plans.
The anaesthetist, Laura, appeared and did a quick assessment. While Eleanor’s current condition was serious she had no significant history that would cause any Theatre delays.
Laura was already dressed in theatre scrubs and tucked her hair into her hat as the phone rang. Jacob snatched it up, listening carefully before putting it back down. ‘Her blood tests confirm thrombocytopenia and liver dysfunction.’ These, combined with her other symptoms, meant that Eleanor could be at risk of liver rupture, uncontrolled bleeding or cerebral oedema.
‘Let’s go, then,’ said Laura. ‘I’ll meet you in Theatre once you’ve spoken to Eleanor.’
Things moved quickly. Eleanor’s mother arrived with news that her husband was already on the helicopter and had left the oil rig. It would still be hours before he arrived.
Eleanor’s condition was worsening. She was beginning to get drowsy, so once Jacob had explained what was happening and consented her they prepared her for Theatre in a matter of minutes and whisked her down the corridor.
Jacob and Sean disappeared to scrub and Bonnie hurried back to the labour ward.
It was three long hours before she heard anything else.
Sean walked up to the nursing station and pulled his theatre hat off his head. His mussed-up hair and tired eyes said everything. She looked over his shoulder. ‘Where’s Jacob?’
Sean shrugged. ‘As soon as we had stabilised Eleanor and the babies and everyone was happy he disappeared.’
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