Summer Fling: A Bride for Glenmore
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‘On an island, it’s impossible to keep secrets.’ She opened the window a crack and the breeze blew in and lifted her hair. ‘They have a habit of following you. Better to get it all out in the open.’
Ethan stared at her profile and then turned his head away to stare out of his own window. If she knew his secret, she’d probably stop the car and push him off the cliff. ‘I’m not in the habit of talking about my sex life.’
‘Right.’ She shifted her grip on the steering-wheel. ‘But I wasn’t asking about your sex life, I was asking about your love life.’
It occurred to him that she would have got on well with his last girlfriend. You don’t have a heart, Ethan. You’re not capable of intimacy.
‘I’m here because you advertised for a doctor. Logan told me he needed help.’
‘He does need help. But that wouldn’t be enough to attract a mainlander to a place like Glenmore. And Logan told me that you’re a hotshot. First in everything. Top of your class.’
‘Being a good doctor isn’t about exam results.’
‘Well, it’s good to know we agree on something.’ She shifted gear and slowed down to take a corner. ‘Anyway, we’re just pleased to have you here. It’s been a tough few months. I don’t know whether Logan mentioned it but he lost his wife almost a year ago.’
Ethan stiffened and the throb in his head intensified. ‘Yes,’ he said quietly, forcing his body to relax. ‘He mentioned it.’
‘It was a hideous time.’ Kyla’s voice was soft and her hands tight on the wheel. ‘Awful.’
Ethan felt the sickness rise inside him. ‘How did she die?’
‘Having the baby.’ Kyla shook her head slowly. ‘It seems so wrong, doesn’t it? In this day and age to die having a baby. You read about maternal mortality rates but you don’t actually think it’s going to happen to anyone you know. You think that if you monitor carefully, everything will be all right. But it wasn’t all right. And I know Logan still blames himself even though he did absolutely everything that could have been done. She had an undiagnosed cardiac condition.’
Ethan took a deep breath. ‘And how’s he managing with the little girl? It must be difficult.’
‘How did you know they had a girl?’ She shot him a surprised look, her blue eyes narrowed. ‘Did I mention it?’
‘Logan mentioned it,’ Ethan said, correcting his mistake swiftly. ‘Kirsty. Eleven months.’
‘That’s right. She’s a sweetie. She isn’t walking yet but her crawling could earn her a speeding ticket and she’s into everything. Gives us all grey hairs. And Logan manages. He’s a great father and he has a lot of help from the islanders. One of my aunts runs the café on the quay along with one of my cousins, and they often take Kirsty for him during the day.’
‘One of your aunts?’
‘My grandmother was obviously preserving the future of the island. My mother was one of six.’ She grinned at him. ‘I have five aunts and eleven first cousins. Some of them have moved away, of course, but most of them still live on the island, which is handy for Logan. He hasn’t cooked himself a meal for months, lucky creature. It’s useful to have family around, isn’t it?’
It was a concept so alien to Ethan that he found it impossible to answer. To avoid the inevitable questions, he took the conversation off on a different tangent. ‘You don’t like cooking?’
‘Not one of my skills, but I do like eating.’
‘And Logan has worked here since he finished his training?’
‘No. He worked in London for a while, gaining the experience he needed to be able to work in a place like this. Out here it’s the real thing, Dr Walker. No back-up. It takes skill and confidence to deal with that. Most islanders escape for a while just to see if the grass is greener on the other side and when they discover that it isn’t …’ She gave a slight shrug of her shoulders as she flicked the indicator and turned the car into a small car park ‘… they come back again. We’re here. This is Glenmore Medical Centre.’
It was larger than Ethan had expected, a modern building with clean lines and glass, attached to a stunning house, painted white and with several balconies that faced towards the sea. ‘Your brother lives here.’
‘Yes. The surgery is attached to the house and, of course, people take all sorts of liberties, banging on his door when he’s in the bath and that sort of thing.’ She smiled and switched off the engine. ‘But he loves it here.’
‘From what I’ve heard, your brother is well qualified. He could have worked anywhere.’
‘That’s right. He could.’ She reached into the back seat for her bag, her movements swift and decisive. ‘And he chose to work here, where he grew up—where his talents really count for something. On Glenmore you’re not one of hundreds of doctors, you’re the only one. Sometimes you’re the only person who can make a difference. You’re truly needed.’
‘And you love it.’
‘Oh, yes.’ She pulled the bag into her lap and then paused, a wistful smile on her face. ‘As it happens, I’ve tried leaving. I’ve tried living in other places but they never feel right. When I’m here on Glenmore, somehow everything falls into place and I know I’m home.’
‘It must be nice to feel that way about a place.’
‘Everyone has somewhere that feels like home,’ she said cheerfully as she opened the car door. ‘Where is it for you? London?’
Ethan sat in silence, thinking about the question. ‘That depends on your definition of home. Is it the place where you were born or the place where you grew up?’
She paused with her on the door as she considered the question. ‘It’s not necessarily either. Home is the place where you feel completely comfortable. You arrive there and suddenly you can’t remember why you ever left because it’s the only place you really want to be.’
Ethan studied her face for a moment. ‘Then I don’t think I have a home,’ he said quietly, ‘because I’ve never felt that way about anywhere.’
CHAPTER TWO
KYLA opened the boot and removed the box, trying not to stare as Ethan Walker uncurled his powerful body from the front seat of her car and stretched.
All the way in the car she’d been aware of him. Aware of the shadow of stubble darkening his jaw, of long, masculine leg brushing against hers and the long, searching looks he kept casting in her direction. She’d felt those looks—felt him looking at her—and something about the burning intensity of his gaze had disturbed her so badly that she’d driven fast to keep the journey as short as possible.
Her nerve endings had snapped tight and she’d been breathlessly conscious of every movement he’d made during the short journey.
She knew everyone who lived on the island. She was used to men who were safe and predictable. And she sensed that Ethan Walker was neither.
When her brother had given her the lowdown on the new island doctor, she’d conjured up a vision of a bespectacled, wiry academic who’d spent his life looking down a microscope and seeing patients from the other side of a large desk.
She hadn’t expected to be knocked off her feet by the sight of him.
It wasn’t just the handsome face and the athletic body that made it hard not to stare at him. It was the air of quiet confidence and the dark, almost brooding quality that surrounded him. She sensed that his emotions were buried deep inside him. Were those emotions responsible for the hard, cynical gleam in his eyes?
And what was he doing up here in the wilds of Scotland?
He’d evaded her question but she wasn’t a fool. If Logan was right, then Ethan had been on the fast track. Hadn’t he said that Ethan had been the youngest consultant they’d ever had in the hospital? A single-minded, ambitious over-achiever? Why would a man with that sort of career ahead of him suddenly leave it to work in a backwater?
It had to be something to do with his love life.
Hadn’t he ignored the question when she’d asked it? Which was entirely typical of a man, she thought to herself, because since when did men ever talk about their feelings? They were all completely hopeless.
She slammed the boot shut, deciding that it would be interesting to get some answers. And interesting to spend some time with him.
The thought surprised her because it had been a long time since she’d found herself wanting to spend time with a man.
The problem with island life, she reflected as she slipped the postbag onto her shoulder, was that she knew absolutely everyone. There were no surprises. She wasn’t suddenly going to look at Nick Hillier, the island policeman, and feel a hot flush coming on. She wasn’t going to go to bed dreaming of Alastair and his fishing boat. She knew everyone on the island as well as she knew her family.
But Ethan—Ethan was a surprise. A surprise that promised to make the long days of summer more interesting than usual.
Her mouth curved into a smile as she anticipated the days ahead.
It would be interesting, she decided, to find out more about him.
She pushed open the surgery door.
Her brother was sprawled in a chair at the reception desk, hitting keys on the computer. ‘I’ve a full list here, Kyla. Did you book these in?’
‘And good morning to you, too.’ Her eyes scanned her brother’s face, looking for signs of strain. Tiredness. Logan was the toughest person she knew but all the same she worried about him. He was doing all right, she decided. She was proud of him. ‘Have you been here all night?’
‘It certainly feels like it.’ He pushed the chair away from the computer and stretched. His hair was dark and touched the edge of his collar, but his eyes were as blue as hers. ‘I need every second of the day to see these patients. We have to stop booking them in.’
Kyla threw him an exasperated look. ‘Well what do you expect me to do, you idiot? Tell them to go away and pick another day to be ill?’
‘Nice to get some proper respect around here,’ Logan drawled, but there was a twinkle in his eyes. ‘I’m just pointing out that there’s only one of me and at the moment I’m spread rather thinly.’
Kyla slammed the post down on the reception desk. ‘Well, despite what you may think, I don’t spend my time going round the Island drumming up business for your surgeries. Can I help it if people think you’re the answer to their problems? Anyway, there isn’t just one of you any more.’ She turned with a wave of her hand. ‘I brought you reinforcements from the ferry, Dr Ethan Walker. I expect you already know that because he’s the only stranger that stepped off the ferry this morning so I dare say the jungle drums have been beating for the last half an hour. Treat him well and perhaps he’ll help you with your surgery.’
‘Ethan—pleased to meet you.’ Logan straightened and the two men shook hands while Kyla tilted her head to one side and studied them both. They had a similar physique and yet they were entirely different. Both dark, both tall, both broad-shouldered, but the resemblance ended there. While her brother looked rough and rugged, as though he’d just strode off the hills, Ethan was smooth and slick. City slick, Kyla thought as she turned away and started stacking the post neatly for Janet, their receptionist, to open later. He was a man who looked … she searched for the right term … expensive.
And he probably wasn’t going to last five minutes in a place like Glenmore.
The two men were deep in conversation when the phone rang. Reaching over the desk, Kyla lifted the receiver, her hair falling forward.
‘Glenmore Medical Centre.’ Her voice was bright and friendly and she ignored a look from Logan that warned her that trying to cram another patient onto his morning list would put her life at risk. ‘Hello, Janet! How are you doing?’ She straightened and pulled a face. ‘Oh, no—that’s awful! I’m so sorry to hear that. Don’t move her. Logan will be right over.’
She replaced the receiver to find Logan gazing at her in disbelief. ‘Remind me to fire you and replace you with a moody, scary battleaxe who frightens away patients. If you’ve booked me a house call two minutes before my morning surgery starts then I’m going to strangle you with my bare hands,’ he growled. ‘What do you think I am? Superhuman?’
‘A good doctor.’ Kyla scribbled the details on a scrap of paper and then walked across and gave him a swift kiss on the cheek. ‘A good but exceptionally moody doctor. That was our Janet. She popped round to check on her mum this morning and found her collapsed on the floor.’
‘Gladys?’ Logan’s frown changed to a look of concern and Kyla thrust a piece of paper into his hands.
‘You see? You care really, you know you do. You just hide it well. This isn’t going to wait, Logan. She needs to be seen right away.’
‘I have surgery—I can’t be in two places at once.’
‘Well, I think the place you need to be is with Mrs Taylor. Janet thinks she’s broken her leg. You go. I’ll keep the patients happy. Evanna and I will see the ones that we can and the others will just have to wait.’ Kyla waved a hand towards the door. ‘Go forth and heal, oh great one. I can sing and dance and generally entertain them while you swan off like a knight in shining armour.’
‘I’ll start your surgery.’ Ethan stepped forward, cool and unflustered, watching the exchange between them with puzzled curiosity. ‘Why not?’
Logan ran a hand over the back of his neck. ‘Because you’ve been travelling all night? Because you must need a shower and a rest? Because you don’t know the patients or the island? How many more reasons do you need?’
Ethan gave a faint smile. ‘I’m used to travelling and the shower and the rest can wait. As for not knowing the patients or the island … ‘he gave a dismissive shrug of his broad shoulders ‘… I don’t see why that should that be a problem. Presumably Kyla’s on hand if I need help. Keep your mobile on. If I have any questions, I’ll call you.’
‘All right, then. If you’re sure.’ Without further argument Logan reached for his bag. ‘If she’s fractured her hip, I’m going to need the air ambulance, Kyla. I’ll call you.’
‘You do that.’ Kyla watched her brother stride through the door and then picked up a set of keys. ‘All right, Dr Walker. Looks like you’re on duty. I’ll show you your room then I’ll fetch you a cup of coffee. Hopefully that will see you through until we have time for something more—’ She didn’t finish her sentence because the surgery door crashed open and a large man staggered in. His face was pale and shone with sweat, his hand pressed against his chest.
‘Doug!’ Kyla was by his side in a flash, her arm sliding around him in an instinctive offer of support. ‘What’s happened? Are you ill?’
‘Pain.’ His face was contorted in agony and tiny drops of sweat clung to his forehead. ‘Terrible pain in my chest. I was down in the basement, shifting crates of beer, when I started to feel funny. A bit sick, to be honest. Then it hit me all of a sudden. It’s like an elephant on my chest.’
‘Can we lay him down somewhere?’
‘In the consulting room.’
Ethan took the man’s arm and he and Kyla guided him down the corridor into the room. ‘Let’s get you up on the couch, Mr …?’
‘McDonald,’ Kyla said quickly, raising the back of the couch and helping the patient to lie down. ‘Doug McDonald. Fifty-six years of age, been treated for hypertension for the past three years. He’s taking beta blockers, an ace inhibitor and a statin.’
Ethan lifted a brow as he took Doug’s pulse and reached for a stethoscope. ‘You know every patient’s history by heart?’
‘Small community, Dr Walker. What do you need?’
‘Start with oxygen?’
‘There’s a cylinder to your right with a mask already attached, and I expect you’ll want to put a line in. I’ll fetch you the tray.’ Brisk and efficient, she reached into the cupboard, removed the tray and placed it on the trolley next to him. ‘Just breathe normally through that mask, Doug. That’s great. I’ll squeeze while you find a vein, DrWalker.’ She put her hands around Doug’s arm, watching while Ethan stroked the back of his hand, searching for a vein.
‘Do we have the facility to start an IV?’
‘Of course. I’ll run a bag of fluid through for you.’
‘You have good veins, Doug.’ He cleaned the skin, inserted the cannula with the ease of someone who had performed the same procedure successfully a million times before. Kyla gave a faint nod of approval and released her grip on Doug’s arm.
‘You’re doing fine, Doug. Dr Walker will soon have you feeling better. I’ll get the notes up on the screen for you,’ she said to Ethan. ‘That way you’ll be able to see what Logan has been doing.’ She moved over to the desk, flicked on the computer, crossed the room and grabbed the ECG machine from the corner. ‘That computer will just take a minute to wake up.’
Doug gave a grunt of pain, his hand on the mask. ‘I was always afraid that this might happen. It’s why I tried to lose weight. I managed to stop smoking but I just ate more.’ He grimaced and leaned back against the pillow as Ethan connected a bag of fluid. ‘I’ve been trying, really I have. But it’s so hard.’
‘You’ve been doing brilliantly, Doug, you know that. Don’t worry about it now,’ Kyla said quickly, wrapping the blood-pressure cuff around his other arm. ‘We just need to find out what’s happening.’ She checked his BP, showed Ethan the result and he gave her a nod.
‘Can we do a 12-lead ECG?’
‘Already on it.’ Kyla quickly stuck the pads onto the patient and applied the chest leads and limb leads. ‘Just hang in there, Douglas, you’re going to be fine. Dr Walker is a real whiz kid from the mainland. People usually pay a fortune to see him, but you’re getting him free so this is your lucky day.’
She was aware of the sardonic lift of Ethan’s dark brows but chose to ignore him. This was her territory, she reminded herself. There was no way she was going to allow herself to be intimidated by a locum doctor, no matter how slick and handsome.
Doug closed his eyes and gave a wan smile. ‘It doesn’t feel like my lucky day, hen.’
Kyla felt her heart twist at the endearment. She’d known Doug since she’d been a child. ‘Of course it’s lucky because I’m on duty,’ she said lightly, switching on the machine. ‘If you had to be ill then you’ve done it in the right place. You’re going to be OK, Doug.’ She chatted away in a steady, reassuring voice and then looked up as the door opened and a dark-haired girl in a blue uniform hurried into the room.
‘I just drove past Logan breaking the speed limit on the coast road and, judging from the look on his face, I thought you might need some help here.’ Her eyes were gentle and concerned and her ponytail swung as she moved her head. ‘Doug? What have you been doing to yourself?’
‘This is Ethan Walker, the new GP. Ethan, this is Evanna, the other island nurse. Logan’s gone to see Janet’s mother who’s had a fall and our Doug here is having nasty chest pains. Can you call the air ambulance?’ Kyla glanced up at her friend and colleague and used her eyes to transmit the message that the request was urgent. ‘Whatever happens, we’re going to need to transfer Doug to the mainland. Doug, I need to call your wife and let her know what’s happening. Is she home?’
Evanna slid out of the room without argument and Kyla felt a flicker of relief. She knew she could trust her friend to get the air ambulance to the island as quickly as possible.
‘No.’ Douglas turned his head, his face pale and sweaty and his voice urgent. ‘You’re not to worry Leslie. She’s got enough on her mind at the moment with our Andrea going through a rebellious phase. She doesn’t need this. I’m having a heart attack, I know I am. It’ll be too much for her.’
‘She loves you, Doug,’ Kyla said firmly, starting the machine and watching the trace. She didn’t like what she saw but she was careful not to let her worry show on her face. But she was definitely calling his wife. ‘You’re a partnership. A team. What do you think she’d say when she discovers that you’ve flown off on a minibreak to the mainland and left her here?’
ST elevation, she thought to herself, studying the pattern. She’d seen it often enough in her short time in A and E.
Doug gave a wan smile and shook his head. ‘She’s always on at me to leave the island for a break.’
‘Well, there you are, then.’ Kyla stood to one side so that Ethan could watch the trace. ‘There’s ST segment elevation in two leads. I expect you’ll want to give him heparin and reteplase. I’ll get it ready.’
Ethan looked at her and she saw approval and a flicker of surprise in his eyes. ‘Do we have morphine and GTN spray?’
‘Of course.’ The question amused her. So he thought he was working in a backwater, did he? She unlocked the drug cupboard, found what she needed and prepared it, listening as he talked to Doug.
‘I’m afraid the ECG shows that you’re right about the heart attack, Doug. Probably caused by a blood clot in one of the vessels leading to your heart.’ His tone was calm and steady. ‘I’m going to give you a drug that will break it down.’
‘One of those clot-busters I’ve been reading about?’
‘That’s right. We need to get the blood flowing back through that artery for you. Before I give it, I need to ask you a few questions.’
Doug winced, his face pale behind the mask. ‘I ought to warn you that I hate quiz night at the pub. I never go. If you’re about to start on capital cities, you can forget it. I left school at sixteen and went out on my father’s boat.’
Ethan smiled. ‘You don’t suffer from any bleeding disorders? Haven’t had surgery lately?’ He asked a series of rapid questions and then took the drugs from Kyla. ‘How long does the air ambulance usually take to arrive and where do they land? I’m not sure he’s stable enough to travel.’
‘The paramedics are skilled and you can go with him. They carry a defibrillator, along with all the other gear you’re likely to need.’
Ethan administered the drug carefully. ‘And they can fly here?’
‘Oh, yes, providing the weather is all right, and today it should be fine.’ Kyla took the empty syringe from him and disposed of it with swift efficiency. ‘We need to call the hospital and fill out details for the transfer.’
‘If I go with him, that will leave you with no doctor.’
Kyla smiled. ‘Logan’s still on the island and he won’t be long, I’m sure. Don’t make the mistake of thinking that you’re indispensable, Dr Walker,’ she said cheerfully, her eyes sliding to Doug’s taut features. ‘We nurses are extremely versatile.’
His gaze followed hers and he frowned and checked Doug’s pulse. ‘How’s the pain now? Any improvement?’
Doug nodded. ‘Better,’ he rasped, just as Evanna came back into the room.
‘Air ambulance will be here in fifteen minutes,’ she said in her calm, gentle voice. ‘I’ve explained to the patients in the waiting room that there will be a delay until Logan gets back.’
Kyla looked up. ‘Did you call him?’
‘Yes. Mrs Taylor has a nasty laceration of her leg and she’s very shaken up but nothing’s broken. He’s going to bring her back here to be sutured and I’ve said that one of us will spend some time in the home with her, discussing how to avoid falls.’
Kyla frowned as she reached for the phone. ‘She ought to join your exercise class, Evanna. Did she trip over something?’
‘Not sure. Janet just found her at the bottom of the stairs. It was fortunate that she didn’t break anything or we’d be keeping the ambulance busy today.’ Evanna glanced at her watch. ‘If you don’t need me here, I’ll get started. I’m going to filter Logan’s patients and see as many as I can for him.’
She left the room and Kyla handed Ethan the phone. ‘You’ll want to speak to the head of the coronary care unit at the Infirmary. His name’s Angus Marsh. He’s a nice guy.’ She walked over to Douglas. ‘It’s time we let your wife know what’s going on. This is an Island, Doug. She’ll see the air ambulance and pretty soon someone is going to tell her who the patient was. The first thing she’ll do is worry and what will be going on in her head is going to be worse than the real thing. The second thing she’ll do is kill me.’