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‘Oh.’ June settled back in the bed and forced herself to breathe calmly through the next contraction.
‘I’ve a tablet here for you that should help the contractions ease off while we wait. It’s also used as a blood-pressure tablet so I need to check that before I give it to you.’
Emily wrapped the blood-pressure cuff around June’s arm and pumped it up to check. Normal. Good. ‘I’ll check again in thirty minutes and if you’re still having contractions we’ll give you another then.’
June was well settled before the sound of voices drifted to her room. Emily completed her paperwork and put the chart in the tray at the end of the bed. ‘Ah. Here’s your doctor.’ Lily brought Dr D’Arvello into June’s room.
Lily winked from behind his shoulder and Emily chewed her lip to keep back the smile.
‘Hello, there.’ His eyebrows rose when he recognised Emily. He glanced at her badge. ‘Sister Cooper?’
‘Doctor.’ He looked less immaculate than he had earlier today, with a subtle darkness of new growth over his strong chin and his hair unruly across his forehead as if he’d repeatedly pushed it back. Unfortunately he looked even more wickedly attractive.
‘Ah.’ She saw him file that away before he turned to their patient with a smile that had June relax back into the bed. Nearly as good as calming breaths, Emily thought, with a tinge of sardonic amusement.
‘And this is June, who is expecting twins?’ He shook June’s hand. ‘I am Marco D’Arvello. Congratulations.’ He pulled the chair across and sat down as if it wasn’t really midnight and he hadn’t been at work all day.
Like he had all the time in the world to talk to June. Emily liked that. Not what she needed—to find something else she liked about this guy—but she was pleased for June.
June breathed through another contraction, though this one lasted less than twenty seconds. Marco frowned. ‘She still threatens labour?’
‘That one was shorter after just one dose of the Nifedipine.’
‘Good.’ He smiled at June. ‘Your babies are better off inside at their age so we hope the contractions stop. I’ve looked at your ultrasounds, June, and your twins have a problem that I think I can help you with.’
June squared her shoulders. ‘What sort of problem.’
He smiled. ‘I like a woman who gets straight to the point.’ Emily tried not to file that away.
‘Because your babies share the one placenta, even though they use their own part of the placenta, it seems there’s an extra blood vessel connecting their blood supply that shouldn’t be there. The problem with that is one twin often gets the lion’s share of oxygen and nutrients while the other can be quite disadvantaged.’
‘Is it dangerous?’ June was nothing if not focussed. Emily felt like hugging the girl.
‘For the less fortunate foetus, it certainly can be.’
June turned to look at Emily and then back at Marco. ‘You said you can help?’
He nodded. ‘I offer you the option of an operation with a small instrument that enters your uterus through the abdomen and seals off the unwanted blood vessel between the twins. We use a tiny laser.’
June’s eyes widened with distress? ‘A laser? Near my babies? And you’ve done this before?’
‘Dozens of times.’ He smiled and Emily felt soothed just watching him. ‘Believe me …’ he smiled again ‘… I would do it very carefully but the risks are greater if I do not attempt this closure of the extra vessel.’
He was skilled with reassurance, too, Emily thought, but she could see June’s apprehension so she tried to help with the little she knew. ‘It sounds like science fiction, doesn’t it?’
She gestured to Marco. ‘Dr D’Arvello is consulting here on a secondment. Intrauterine surgery is his specialty and he’s here to help our obstetric and paediatric surgeons increase their skills.’
June narrowed her gaze. ‘So you’re the expert?’
‘Si.’ Marco nodded.
‘So you don’t deliver babies, then?’ June frowned. ‘Just laser them?’
White teeth flashed as he grinned, and Emily could feel her own mouth curve because he just made her want to smile. ‘But no. I am present for many births. Thankfully, only few babies need what I offer and a normal birth is always a joy.’ He glanced at Emily. ‘You would agree, Sister Cooper?’
‘Of course.’ Emily wondered if he did see many normal births. Nowadays, at Sydney Harbour Hospital anyway, obstetricians were usually only called when complications occurred. Or for hands-on service for their private patients, but perhaps it was different in Italy.
June had thought it through and now she nodded. ‘So what happens now?’
‘Tonight we give you the second injection to encourage your twins’ lungs to mature in case premature labour cannot be stopped.’ He glanced at Emily who inclined her head in agreement. ‘And please, no more food or fluids until after we operate tomorrow morning.’
June chewed her lip as the closeness of the operation sank in. ‘What time will they come for me?’
‘It will be soon after breakfast.’ He smiled. ‘Which is not for you.’
She pretended to sigh at that and Emily wanted to hug her for being so brave, though the anxiety lay clearly behind her joking manner. ‘Thank you, Doctor.’
Marco narrowed his eyes and studied her. ‘You have a mother’s courage. Would you like something to help you sleep? Sister could give you something to help you relax.’
‘No. Thank you. I guess I won’t be doing much tomorrow and I can catch up then.’
Marco stood up. ‘Bene. Goodnight, then.’ He caught Emily’s eye. ‘May I have a word with you, Sister?’
Emily nodded. ‘One minute.’ And smiled at June. ‘I’ll be back soon. Would you like a drink of water before I take it away?’
June swallowed half a glass and Emily collected the water and followed him out to the desk, where he was writing up his orders for the night.
CHAPTER TWO
EMILY glanced at the clock. A quarter to one. Dr D’Arvello would have little sleep before his surgery day. She wondered if he was as used to lack of sleep as she was.
From her height above where he sat at the desk she couldn’t help noticing the thickness of his dark hair. No sign of grey but he must be in his mid-thirties. A few years older than her and so much more experienced with the world. That deficit hadn’t bothered her before. Why should it now? Silly. ‘You wished to see me, Doctor?’
His dark eyes swept up from the notes and over her face. He smiled and she found herself grinning back like a goose before she could stop herself. ‘I did not know you were a midwife at your daughter’s visit this morning.’
It felt so long ago. ‘It’s not important?’
He frowned. ‘But I would have offered more explanation if you wished. Is there more I can tell you?’
‘No. Thank you.’ She shrugged, a little embarrassed to admit it. ‘Of course I have researched the internet and read what I can find. I think I understand the operation well enough.’
He nodded. ‘Sometimes I wish my clients would not look up on the internet but I am sure you picked well with your sites. The procedure is fairly simple. Perhaps a little more complicated than June’s surgery, but over almost as quickly.’
He stood up, towered over her again, and seemed to hesitate. ‘And will you have to come to work tomorrow night after your daughter’s operation?’
Her stomach dropped with a tinge of alarm. Was there bad news he hadn’t mentioned? ‘Actually, I’m not.’ Did he think she would be too upset?
Still he frowned. ‘So when will you sleep?’
‘I’ll go home as soon as Annie is out of surgery. So I will sleep when she does, afterwards.’
‘You will be tired.’ He handed her the completed notes and she took them and stared at the pages. Not really seeing his looping scrawl. Looked anywhere but his face. It had been a while since anyone had wondered if she was tired and his kindness made her feel strange. This whole conversation was surreal because she was so ridiculously conscious of him.
She risked a glance. ‘I was just thinking the same for you.’
He shrugged his manly shoulders and she felt her stomach kick. This was crazy. She was way too aware of this man, this transient doctor. ‘I sleep less than four hours a night. Always have done.’
‘And I survive on about the same. I’m used to it.’ She opened the folder at the medication page. She needed to get this injection for June happening. The last one had been given twelve hours ago at the regional hospital. ‘So we have something in common.’
He wasn’t ready to let her go. ‘Perhaps we have more than that.’
She blinked. ‘I don’t know what you mean?’
He smiled but there was mischief that made her cheeks pink again. ‘A concern and empathy for our patients.’
What had she thought he meant? ‘Oh. Of course. Well, thank you for your concern. I’ll just go for the hydrocortisone for June.’
‘Perhaps one more thing?’ He held up one finger. ‘The reason I asked.’
She stopped. ‘I’m sorry?’
‘Tomorrow night. Because your daughter will be in the hospital. Perhaps you will need diversion from worry. It is Friday.’
She didn’t get it. ‘And?’
‘A favour. I have promised myself a dinner on your so beautiful Sydney Harbour. I am only here for a month. It would be more pleasant to have company.’
Good grief. He was asking her out. On a date? ‘I’m sure lots of ladies would love to be your company.’
He shrugged, as if aware what she said was true, not with conceit but with disinterest. ‘I would prefer you.’
Normally he had no problem asking a beautiful woman to dinner. So why was this difficult? He just wanted to enjoy a diversion with this woman, not ask her to have his babies. Why stumble around like a callow youth when she obviously wanted to get on with her work?
It seemed his offer was the last thing she’d expected. He did not think shock was a good reaction and waited with unusual tension while she recovered.
‘Well, I guess you won’t run away because you find I have a teenage daughter.’
‘This has happened?’
‘Imagine.’ She turned away. ‘Anyway. Thank you. But, no, thank you. I don’t date.’
‘But this is not a date. Just kindness on your part.’
She raised her eyebrows. ‘Really? Tricky. Then perhaps I could let you know tomorrow. In the mean time, you could keep looking. Now I must get back to June.’
‘Bene. Of course. Buonanotte.’
‘Goodnight.’
Marco left the ward with a smile on his face. It had seemed fortuitous to find the woman who had whispered through his brain at odd moments all day, unexpectedly, on this maternity ward.
A midwife, no less, and someone he would see a little of in the course of his work. And he had planned to dine on the harbour at some stage, though perhaps not tomorrow. And she intrigued him—though a conquest might not be easy. Always a challenge he could not resist.
But with sudden clarity he’d realised that Emily would be unlikely to leave her daughter unattended, except for work, when they lived together. So it had to be tomorrow or the next night or not at all. He smiled to himself. Perhaps her doctor could keep Annie in an extra night for rest. Bad doctor.
He didn’t know why he was so sure there was no man in Emily’s life, but she had the look of an untouched woman, and he trusted his instincts. She said she did not date. At least that instinct had been correct. A date would be good for her.
She hadn’t said yes but that made it all more interesting. The degree of anticipation he could feel building already made him smile. He’d brushed off the need for appreciation and commitment, had had it leached out of him throughout his dark childhood, but a harmless dalliance could hurt no one and he would give much for Emily Cooper to look on his invitation with approval. But not until tomorrow would he find out.
Emily’s night passed quickly and thankfully without time for the distraction of Marco D’Arvello’s unexpected invitation. June’s premature contractions settled, but the arrival of two women in labour, one after the other, left little time for her to work out how she was going to turn him down.
When Emily finished her shift the sun shone through the windshield straight into her eyes as she drove home to the little cottage above the pier at Balmain East she’d inherited from her gran.
On night duty public transport didn’t work. Through the days she caught ferries. She couldn’t actually see Sydney harbour from her windows but the swish of the wash on the shore from passing boats floated in her window at night as she dressed for work.
Annie was pacing the front veranda as she waited for her mother to arrive home.
‘Why did you have to be late, today of all days?’
Emily carried her bag into the house and tried not to sigh. ‘We’ve been busy. I didn’t dawdle for the fun of it.’
Annie dropped her complaints and hugged her mother warmly. ‘Sorry. I’m nervous …’ she twisted her fingers … and started to worry we’d be late.’ She shook her head. ‘And baby was awake and moving most of the night. It’s almost as if she’s nervous too.’
‘I wouldn’t be surprised if she was. Babies pick up on their mother’s mood.’
Annie tilted her head and studied her mother. ‘Well, I can see you need a cup of tea so maybe I can pick up yours too. I made you raisin toast!’ It was a large statement. In case Emily didn’t get the significance she added, ‘Even though I’m starving myself because I have to fast.’
Emily was pleased to see after the initial stress Annie had calmed down. And was being nice. Though the last thing she wanted to do was eat. Her stomach was in knots about Annie’s hospital visit and impending anaesthetic for both her and her tiny granddaughter. ‘Thank you for that. Saves me a few minutes while I shower and dress.’
Three hours later Emily put down the crossword. The surgery seemed to be taking for ever. The waiting-room magazines needed to be tossed into the bin and replaced. Still, Emily had flicked through them all. She’d chewed her nails down to the quick. Now she was onto the edge of her finger. Come on!
At ten-thirty the theatre doors swung open and Marco D’Arvello strode through them. It seemed his focussed glance searched until he found her sitting along the wall.
She bolted upright off her chair as if on a spring. In seconds he was at her side. ‘It is good. All went well.’
Emily sagged. Thank God. A strange buzzing began in her ears and her face felt funny, numb. The room began to tilt. His arms came up to steady her shoulders and he steered her back into a sitting position. His head dipped towards her with concern. ‘Sit. Not so fast. Have you eaten?’
‘What?’ The room stopped its slow turn and the humming noises in her ears faded away. She closed and opened her eyes slowly.
‘Emily? Have you eaten?’
His hands left her shoulders and she felt strangely bereft, almost tempted to catch them back. ‘Must have got up too fast.’
‘Si.’
Had she eaten? She couldn’t remember. ‘Um. Raisin toast three hours ago.’
‘Come. We will go for a cocoa and some more of your raisin toast before you drive home and go to bed. Annie is not yet awake but will be back in the ward in about thirty minutes. I will return with you then to see her.’
Now she felt silly. Imagine if she’d fainted at his feet. ‘I’m fine. Just stood too fast. I’m sure you have better things to do than drink cocoa with me.’
‘I cannot think of one.’ He shrugged with that Latin assurance Italian men seemed to have and her brain couldn’t function enough to think of a good excuse to decline. She had to admit the thought of not being alone for another thirty minutes was attractive.
He went on. ‘I believe the prognosis for both your Annie and our friend June’s babies has improved significantly. I can do no more for the moment.’ He searched her face and seemed satisfied. ‘Your colour has improved. But another half an hour of waiting without food will not help.’ He held out his hand. ‘Come.’
Bossy man. Though she was feeling better. ‘You say that a lot.’
He looked puzzled. ‘What is that?’
She dropped her chin and deepened her voice in imitation. ‘Come!’
He inclined his head. ‘I will attempt to refrain.’
They smiled at each other. Such quaint speech patterns and it seemed he could cope with teasing. Luckily. What had got into her? She picked up her bag and glanced at her watch.
‘Then thank you. A hot drink would be nice. I start to get cold when I need to sleep. Just twenty minutes and I’ll come back.’
‘Si. Your daughter should be back in the ward soon after that.’
They turned a few heads when they walked into the tea shop in the hospital grounds. Or Marco did, Emily thought as necks swivelled. She didn’t actually know many of the staff, having worked in Maternity on nights most of her career, and not a frequent visitor to the kiosk either, but she’d bet someone would recognise them and spread the word.
This place was a minefield of gossip. Another reason she preferred nights.
There was Head of Surgery Finn Kennedy and Evie Lockheart, her friend she was to have coffee with later in the week with Lily. Evie was hospital royalty and heiress to the Lockheart fortune.
Evie and Finn sat, head to head, engrossed in a deep and meaningful conversation, and to her surprise Evie slid her hand across the table and gripped Finn’s hand. Emily couldn’t help wondering if something terrible had happened.
Evie’s father had been kind to her all those years ago when she’d been a sixteen-year-old mother of an ill prem baby, and he’d been the one who’d suggested she would make a great nurse. He’d even provided the reference needed to start work as an unskilled nurse assistant until she could manage the extra burden of study. She liked Evie.
Finn, she was just happy to stay out of his way. He was a grouch. The hospital’s most experienced surgeon, though rumours had begun to circulate that he suffered some kind of medical problem that was threatening his career.
Emily had enough on her plate. She didn’t want to get anywhere near more drama and she steered Marco to the furthest corner of the kiosk.
More heads swivelled their way and instead of ducking her head she lifted her chin and smiled and nodded back.
Maybe she was sick of being boring. Ungossipworthy. Now she was the mother of a pregnant teenager, cavorting with the new Italian O and G consultant, and flaunting it all in the daylight hours, she may as well hold her head up.
Something had changed her. Marco sensed the stiffening of her shoulders and resisted the sudden urge to take her elbow. Surely she was used to people admiring her? Even bruised around the eyes from lack of sleep, she was a stunning woman.
He’d thought her attractive yesterday, but seeing her this morning when he’d left Theatre, she’d reminded him of a fragile Madonna and a strange urge to protect her had welled uncomfortably in his throat. A sudden desire to cradle her worried face in his hands and reassure her.
No doubt she would have something to say about him trying that and he shook off the uneasiness that feeling left him with. She stopped at a table that couldn’t be described as secluded but it seemed it would do. Marco pulled out her chair.
‘You are smiling? Something amuses you?’
‘Gossip.’
He glanced around. ‘In a hospital as large as this?’
‘Especially in this hospital.’ She followed his gaze. Tried not to look at Evie and Finn. ‘I hate gossip. It lives and breathes other people’s business. And here I am with the handsome Italian doctor who has operated on my daughter. I’m never seen with anyone.’
‘At least you notice something about me.’
‘You’re a bit hard to miss.’
He looked around. ‘I too despise gossip.’ The memories tasted bitter in his mouth.
Emily heard the underlying resentment and wondered where that had come from. The waitress arrived as soon as they’d picked up the menu and Emily put it down again and smiled at the girl. ‘We’ve only twenty minutes. Should we order food?’
‘Sure. Promise I’ll be quick. What would you like?’
She looked at Marco. ‘Scones and cream?’
Marco smiled at the young girl and she blushed all the way to the roots of her hair. ‘One hot chocolate, one coffee black, and two scones and cream. Per favore.’ The girl nodded and sped off.
Well, that was that. She studied his face. He didn’t look tired. So maybe he really did manage on four hours’ sleep. She was beginning to droop. She stifled a yawn. ‘So tell me how it went.’
‘Very well. No complications. A simple scope and shunt away from the narrowed opening into the bladder. Initial ultrasound shows good drainage into the bladder already.’
‘Do you think my granddaughter’s kidneys will be very damaged?’
His face softened and he reached across to touch her hand. Just that one stroke made her feel better. Comforted. His hand moved back. ‘This I cannot tell. We will hope not.’
What did she expect? How could he know that? She just wanted reassurance but wisely he had promised nothing he couldn’t give. Still, she appreciated his empathy. He was a kind man.
The hot drinks and scones arrived and they both smiled at the waitress. ‘So quick. Grazie.’
‘Wow.’ Emily too was impressed. ‘Thank you.’ The girl grinned and hurried off and almost bumped into Finn, who stood suddenly from his chair, almost knocking it over.
He growled something at their waitress and shook off Evie’s hand before he stormed towards the door. Evie’s face looked white and drawn and Emily looked away. Maybe she could catch up with Evie later. Check she was okay. There was no doubt she was in love with the man who had just left her and Emily felt her heart go out to the younger woman. She’d picked a hard road there.
‘It seems our surgical chief is not happy.’ Marco too had seen.
She refocussed on the man beside her. ‘I’m sorry?’
‘Finn. We met in the States a few years ago. Got on well.’
Of course Marco would know him. They were both surgeons. She spread cream on the scone and then dropped a dollop of jam in the middle. ‘Evie’s tough. If anyone can bounce back from Finn’s ill humour, Evie can.’
‘And who is she?’
‘A medical officer here, a darned good one, but she’s more than that. Her father’s the hospital’s main benefactor, and the reason Sydney Harbour has so many ground-breaking programs.’
‘Lockheart?’
‘Yes. If rumour is to be believed, she and Finn have an on-again, off-again relationship that sometimes rattles the windows around here. But if I needed medical help, either of them would do fine by me.’
And you would do fine by me, he thought, and the premonition that this woman could rock his stable skim-the-surface world seeped into his bones with a wary premonition. ‘I realise you have a lot on your mind but have you thought about dinner this evening?’
‘No.’ Not much anyway. ‘I really can’t think of anything until after I see Annie.’
‘Of course. Forgive me.’ He was not usually this impatient.
They sipped their drinks and the silence became a little strained. She broke it. ‘So how long are you here? At Sydney Harbour?’
‘A month. Then I fly out to the US for a consultancy in New York. Last month it was London.’
She sipped her cocoa and the heat seeped into her cold edges. His life sounded a little on the cool side too.
Suddenly she wasn’t hungry. ‘It sounds a glamorous life.’ The creamy scone stared back at her. Like a red eye. She bet she had red eyes. Why on earth had this man asked her to breakfast? Kindness. That was all. Now she just needed to accept the favour and move on.
‘Si. Glamorous.’ He picked up his coffee and took a sip.
‘So where is home?’ At his frown she tried again. ‘Your family.’
His expression didn’t change but she felt stillness come over him. And the temperature dropped another two degrees. So he didn’t like questions. ‘I have no family. I rent when I need. Mostly I work.’