‘Actually, we’ve got one. But A and E just phoned to say they’re sending us an elderly lady with a chest infection, so I’ve put her name up on the board already. She should be up in the next ten minutes.’
Cassidy gave a nod as the rest of the day-shift staff appeared, gathering around the nurses’ station for the handover report. She waited patiently, listening to the rundown of the thirty patients currently in her general medical ward, before assigning the patients to the nurses on duty and accepting the keys for the medicine and drugs cabinets.
She heard the ominous trundle of a trolley behind her. ‘I’ll admit this patient,’ she told her staff. ‘It’ll get me back into the swing of things.’
She looked up as Bill, one of the porters, arrived, pulling the trolley with the elderly woman lying on top. A doctor was walking alongside them, carrying some notes and chatting to the elderly lady as they wheeled her into one of the side rooms. He gave her a smile—one that could have launched a thousand toothpaste campaigns. ‘This is Mrs Elizabeth Kelly. She’s eighty-four and has a history of chronic obstructive pulmonary disease. She’s had a chest infection for the last seven days that hasn’t responded to oral antibiotics. Her oxygen saturation is down at eighty-two and she’s tachycardic. The doctor on call wanted her admitted for IV antibiotics.’
For a moment the strong Australian accent threw her—she hadn’t been expecting it. Though goodness knows why not. Her hospital in the middle of Glasgow attracted staff from all over the world. His crumpled blue scrubs and even more crumpled white coat looked as though he’d slept in them—and judging by his blond hair, sticking up in every direction but the right one, he probably had.
She didn’t recognise him, which meant he must be one of the new doctors who had started while she was away on secondment. And he was too handsome by far. And that cheeky twinkle in his eye was already annoying her.
After three months away, some things appeared to have changed around the hospital. It was usually one of the A and E nurses who accompanied the patient up to the ward.
Cassidy pumped up the bed and removed the headboard, pulling the patslide from the wall and sliding the patient over into the bed. The doctor helped her put the headboard back on and adjusted the backrest, rearranging the pillows so Mrs Kelly could sit upright. Cassidy attached the monitoring equipment and changed the oxygen supply over to the wall. The doctor was still standing looking at her.
For a second she almost thought he was peering at her breasts, but as she followed his gaze downwards she realised her name and designation was stitched on the front of her new tunics.
She held out her hand towards him. ‘Cassidy Rae. Sister of the medical receiving unit. Though from the way you’re staring at my breasts, I take it you’ve gathered that.’
His warm hand caught her cold one, his eyes twinkling. ‘Pleased to meet you, Dragon Lady. I hope your heart isn’t as cold as your hands.’
She pulled her hand away from his. ‘What did you call me?’
‘Dragon Lady.’ He looked unashamed by the remark. ‘Your reputation precedes you. I’ve been looking forward to meeting you, although from what I hear it’s usually you who does the name-calling.’
She folded her arms across her chest, trying to stop the edges of her mouth turning upwards. ‘I’ve no idea what you’re talking about.’ She picked up the patient clothing bag and bent down, starting to unpack Mrs Kelly’s belongings into the cabinet next to her bed.
‘I heard you called the last lot Needy, Greedy and Seedy.’
She jumped. She could feel his warm breath on her neck. He’d bent forward and whispered in her ear.
‘Who told you that?’ she asked incredulously. She glanced at her watch. Ten past seven on her first morning back, and already some smart-alec doc was trying to get the better of her.
‘Oh, give me a minute.’ The mystery doctor ducked out of the room.
It was true. She had nicknamed the last three registrars—all for obvious reasons. One had spent every waking minute eating, the other hadn’t seen a patient without someone holding his hand, and as for the last one, he’d spent his year sleazing over all the female staff. And while the nursing staff knew the nicknames she’d given them, she’d no idea who’d told one of the new docs. She’d need to investigate that later.
She stood up and adjusted Mrs Kelly’s venturi mask, taking a note of her thin frame and pale, papery skin. Another frail, elderly patient, just like her gran. She altered the alarms on the monitor—at their present setting they would sound every few minutes. With a history of COPD, Mrs Kelly had lower than normal oxygen levels.
‘How are you feeling?’ She picked up the tympanic thermometer and placed it in Mrs Kelly’s ear, pressing the button to read her temperature then recording her observations in the chart. Mrs Kelly shook her pale head.
She sat down at the side of the bed. ‘I need to take some details from you, Mrs Kelly. But how about I get you something to eat and drink first? I imagine you were stuck down in A and E for hours. Would you like some tea? Some toast?’
‘Your wish is my command.’ The steaming cup of tea and plate of buttered toast thudded down on the bedside table. ‘See, Mrs Kelly? I make good on my promises.’ He shook his head at Cassidy. ‘There was nothing to eat down in A and E and I promised I’d get her some tea once we got up here.’
‘Thank you, son,’ Mrs Kelly said, shifting her mask and lifting the cup to her lips, ‘My throat is so dry.’
He nodded slowly. Oxygen therapy frequently made patients’ mouths dry and it was important to keep them hydrated.
Cassidy stared at him. Things had changed. She couldn’t remember the last time she’d seen a doctor make a patient a cup of tea. It was almost unheard of.
She smiled at him. ‘Makes me almost wish we could keep you,’ she said quietly. ‘You’ve obviously been well trained.’
His blue eyes glinted. ‘And what makes you think you can’t keep me?’
‘I imagine A and E will have a whole load of patients waiting for you. Why did you come up here anyway? Was it to steal our chocolates?’ She nodded towards the nursing station. The medical receiving unit was never short of chocolates, and it wasn’t unknown for the doctors from other departments to sneak past and steal some.
He shook his head, the smile still stuck on his face. He held out his hand towards her. ‘I forgot to introduce myself earlier. I’m one of yours—though I dread to think what nickname you’ll give me. Brad Donovan, medical registrar.’
Cassidy felt herself jerk backwards in surprise. He looked too young to be a medical registrar. Maybe it was the scruffy hair? Or the Australian tan? Or maybe it was that earring glinting in his ear, along with the super-white teeth? He didn’t look like any registrar she’d ever met before.
Something twisted inside her gut. No, that wasn’t quite true. Bobby. For a tiny second he reminded her of Bobby. But
Bobby’s hair had been dark, not blond, and he’d worn it in a similar scruffy style and had the same glistening white teeth. She pushed all thoughts away. She hadn’t thought about him in months. Where had that come from?
She focused her mind. This was a work colleague—albeit a cheeky one. She shook his hand firmly. ‘Well, Dr Donovan, if you’re one of mine then maybe I should tell you the rules in my ward.’
His eyebrows rose, an amused expression on his face. ‘You really are the Dragon Lady, aren’t you?’
She ignored him. ‘When you finally manage to put some clothes on, no silly ties. In fact, no ties at all and no long sleeves. They’re an infection-control hazard.’ She ran her eyes up and down his crumpled scrubs, ‘Though from the look of you, that doesn’t seem to be a problem. Always use the gel outside the patients’ rooms before you touch them. And pay attention to what my nurses tell you—they spend most of their day with the patients and will generally know the pati
ents ten times better than you will.’
His blue eyes fixed on hers. Quite unnerving for this time in the morning. His gaze was straight and didn’t falter. The guy was completely unfazed by her. He seemed confident, self-assured. She would have to wait and see if his clinical competence matched his demeanour.
‘I have been working here for the last two months without your rulebook. I’m sure your staff will give me a good report.’ She resisted the temptation to reply. Of course her staff would give him a good report. He was like a poster boy for Surfers’ Central. She could put money on it that he’d spent the last two months charming her staff with his lazy accent, straight white teeth and twinkling eyes. He handed her Mrs Kelly’s case notes and prescription chart.
‘I’ve written Mrs Kelly up for some IV antibiotics, some oral steroids and some bronchodilators. She had her arterial blood gases done in A and E and I’ll check them again in a few hours. I’d like her on four-hourly obs in the meantime.’ He glanced at the oxygen supply, currently running at four litres. ‘Make sure she stays on the twenty-eight per cent venturi mask. One of the students in A and E didn’t understand the complications of COPD and put her on ten litres of straight oxygen.’
Cassidy’s mouth fell open. ‘Please tell me you’re joking.’
He shook his head. The effects could have been devastating. ‘Her intentions were good. Mrs Kelly’s lips were blue from lack of oxygen when she was admitted. The student just did what seemed natural. Luckily one of the other staff spotted her mistake quickly.’
Cassidy looked over at the frail, elderly lady on the bed, her oxygen mask currently dangling around her neck as she munched the toast from the plate in front of her. The blue tinge had obviously disappeared from her lips, but even eating the toast was adding to her breathlessness. She turned back to face Brad. ‘Any relatives?’
He shook his head. ‘Her husband died a few years ago and her daughter emigrated to my neck of the woods ten years before that.’ He pointed to a phone number in the records. ‘Do you want me to phone her, or do you want to do that?’
Cassidy felt a little pang. This poor woman must be lonely. She’d lost her husband, and her daughter lived thousands of miles away. Who did she speak to every day? One of the last elderly patients admitted to her ward had disclosed that often he went for days without a single person to speak to. Loneliness could be a terrible burden.
The doctor passed in front of her vision again, trying to catch her attention, and she pushed the uncomfortable thoughts from her head. This one was definitely too good to be true. Bringing up a patient, making tea and toast, and offering to phone relatives?
Her internal radar started to ping. She turned to Mrs Kelly. ‘I’ll let you finish your tea and come back in a few minutes.
‘What are you up to?’ She headed out the door towards the nursing station.
He fell into step beside her. ‘What do you mean?’
She paused in the corridor, looking him up and down. ‘You’re too good to be true. Which means alarm bells are ringing in my head. What’s with the nice-boy act?’
She pulled up the laptop from the nurses’ station and started to input some of Mrs
Kelly’s details.
‘Who says it’s an act?’
Her eyes swept down the corridor. The case-note trolley had been pulled to the end of the corridor. Two other doctors in white coats were standing, talking over some notes. She looked at her watch—not even eight o’clock. ‘And who are they?’
Brad smiled. ‘That’s the other registrars. Luca is from Italy, and Franco is from Hungary. They must have wanted to get a head start on the ward round.’ He gave her a brazen wink. ‘I guess they heard the Dragon Lady was on duty today.’
She shook her head in bewilderment. ‘I go on secondment for three months, come back and I’ve got the poster boy for Surfers’ Paradise making tea and toast for patients and two other registrars in the ward before eight a.m. Am I still dreaming? Have I woken up yet?’
‘Why?’ As quick as a flash he’d moved around beside her. ‘Am I the kind of guy you dream about?’
‘Get lost, flyboy.’ She pushed Mrs Kelly’s case notes back into his hands. ‘You’ve got a patient’s daughter in Australia to go and phone. Make yourself useful while I go and find out what kind of support system she has at home.’
He paused for a second, his eyes narrowing. ‘She’s not even heated up the bed yet and you’re planning on throwing her back out?’
Cassidy frowned. ‘It’s the basic principle of the receiving unit. Our first duty is to find out what systems are in place for our patients. Believe it or not, most of them don’t like staying here. And if we plan ahead it means there’s less chance of a delayed discharge. Sometimes it can take a few days to set up support systems to get someone home again.’ She raised her hand to the whiteboard with patient names. ‘In theory, we’re planning for their discharge as soon as they enter A and E.’
The look on his face softened. ‘In that case, I’ll let you off.’ He nodded towards his fellow doctors. ‘Maybe they got the same alarm call that I did. Beware the Dragon!’ He headed towards the doctors’ office to make his call.
* * *
Dragon Lady was much more interesting than he’d been led to believe. He’d expected a sixty-year-old, grey-haired schoolmarm. Instead he’d got a young woman with a slim, curvy figure, chestnut curls and deep brown eyes. And she was feisty. He liked that.
Cassidy Rae could be fun. There it was, that strange, almost unfamiliar feeling. That first glimmer of interest in a woman. That tiny little thought that something could spark between them given half a chance. It had been so long since he’d felt it that he almost didn’t know what to do about it.
He’d been here a few months, and while his colleagues were friendly, they weren’t his ‘friends’. And he didn’t want to hang around with the female junior doctors currently batting their eyelids at him. Experience had taught him it was more trouble than it was worth.
Distraction. The word echoed around his head again as he leaned against the cold concrete wall.
Exactly what he needed. Something to keep his mind from other things—like another Christmas Day currently looming on the horizon with a huge black stormcloud hovering over it. He’d even tried to juggle the schedules so he could be working on Christmas Day. But no such luck. His Italian colleague had beat him to it, and right now he couldn’t bear the thought of an empty Christmas Day in strange surroundings with no real friends or family.
Another Christmas spent wondering where his little girl was, if she was enjoying her joint birthday and Christmas Day celebrations. Wondering if she even remembered he existed.
He had no idea what she’d been told about him. The fact he’d spent the last eighteen months trying to track down his daughter at great time and expense killed him—especially in the run-up to her birthday. Everyone else around him was always full of festive spirit and fun, and no matter how hard he tried not to be the local misery guts, something inside him just felt dead.
Christmas was about families and children. And the one thing he wanted to do was sit his little girl on his knee and get her the biggest birthday and Christmas present in the world. If only he knew where she was...
There was that fist again, hovering around his stomach, tightly clenched. Every time he thought of his daughter, Melody, the visions of her mother, Alison, a junior doctor he’d worked with, appeared in his head. Alison, the woman who only liked things her way or no way at all. No negotiation. No compromise.
More importantly, no communication.
The woman who’d left a bitter taste in his mouth for the last eighteen months. Blighting every other relationship he’d tried to have. The woman who’d wrangled over every custody arrangement, telling him he was impinging on her life. Then one day that had been it. Nothing. He’d gone to pick up
two-year-old Melody as planned and had turned up at an empty house. No forwarding address. Nothing.
The colleagues at the hospital where Alison had worked said she’d thought about going to America—apparently she’d fallen head over heels in love with some American doctor. But no one knew where. And he’d spent the last few years getting his solicitor to chase false leads halfway around the world. It had taken over his whole world. Every second of every day had revolved around finding his daughter. Until he’d finally cracked and some good friends had sat him down firmly and spoken to him.
It had only been in the last few months, since moving to Scotland, that he’d finally started to feel like himself again. His laid-back manner had returned, and he’d finally started to relax and be comfortable in his own skin again.
While he would still do everything in his power to find his daughter, he had to realise his limitations. He had to accept the fact he hadn’t done anything wrong and he still deserved to live a life.
And while the gaggle of nurses and female junior doctors didn’t appeal to him, Cassidy Rae did. She was a different kettle of fish altogether. A fierce, sassy woman who could help him make some sparks fly. A smile crept over his face. Now there was just the small matter of the duty room to break to her. How would she react to that?
* * *
Cassidy went back to Mrs Kelly and finished her admission paperwork, rechecked her obs and helped her wash and change into a clean nightdress. By the time she’d finished, Mrs Kelly was clearly out of breath again. Even the slightest exertion seemed to fatigue her.
Cassidy hung the IV antibiotics from the drip stand and connected up the IV. ‘These will take half an hour to go through. The doctor has changed the type of antibiotic that you’re on so hopefully they’ll be more effective than the ones you were taking at home.’
Mrs Kelly nodded. ‘Thanks, love. He’s a nice one, isn’t he?’ There was a little pause. ‘And he’s single. Told me so himself.’
Her Christmas Eve Diamond Page 2