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‘I’ll make a start on the stitches now,’ she murmured. ‘Can you feel anything when I press here—or there?’
‘No, it’s okay.’
She concentrated on her work for the next few minutes. ‘I’ve noticed that you have a nasty cough,’ she said after a while. ‘When I’ve finished here, I think it would be a good idea if I run the stethoscope over your chest, to see what’s going on in your lungs. I’ll take your temperature as well—if that’s all right with you?’
He frowned. ‘What will you do if you find out there’s something wrong?’
‘It depends on what I find. If there’s an infection you might need to take a course of antibiotics. I can give you a prescription for those, and our pharmacy will dispense them for you.’
He nodded. ‘All right.’
She finished suturing his hand and began to clear away the equipment she had used. While she was doing that a commotion started up, somewhere outside the treatment room, and a hum of deep male voices reverberated through the department.
Rees was looking anxious again, and she told him, ‘That’ll be members of the bikers’ club, come to present the hospital with a cheque from their fund-raising efforts. They’ve done that ever since we treated some of their friends here a few years back. As soon as I’ve examined your chest, I’d better go and make sure they’re being looked after.’
There were a lot of crackles and signs of infection coming from his lungs, she discovered. ‘It sounds as though you have bronchitis,’ she murmured. ‘I’ll ask the nurse to take you along to X-ray as soon as she’s put a dressing on your hand. That way we’ll know for certain what’s going on in your lungs.’ She studied him closely. ‘I’ll be back to see you in a while, when I have the results. All you need to do is sit back and take it easy. Are you happy to go along with that?’
He seemed to relax. ‘Yes, that’s okay.’
She studied his pale, tired features. What had happened to this boy? Had he been living rough on the streets? It was cold outside at this time of year and he only had a thin jacket. He looked clean enough, though, and it was possible he had been staying with a friend. Perhaps she was letting her imagination run away with her?
Still, her instincts were urging her to do what she could to help him out. ‘I brought some food in with me, to serve to the people who are here for the ceremony…Would you like something to eat after your X-ray? I’ll see if we can rustle up a cup of tea for you, too, while we’re about it.’
His face brightened for the first time since she had gone to see him. ‘Yes, please…if that would be all right?’
‘Of course it will. I’ll find someone to bring a tray over to you.’
She hurried away. No doubt Josh was still tending to his patients, and she knew that the specialist registrar was busy in theatre, so unless someone from Management had put in an appearance at the presentation, the bikers were being left to their own devices—and that wouldn’t do at all.
As things turned out, though, she needn’t have worried. The chief administrator was there in Reception, and all due ceremony was being given to the burly bikers who had turned up en masse. A few bemused patients looked on from the waiting room, curious to know what was going on. And a man from the local newspaper was there, taking photos as the manager accepted a cheque from the leader of the bikers’ group—a huge fellow, clad in leather biker’s gear and sporting a tangle of wild black hair.
Alison asked one of the ward assistants if she would take a tray of food and a cup of tea to Rees in the treatment room, and then went to watch the proceedings.
Josh, against all the odds, put in an appearance a short time later, stepping up to the front of Reception in order to address the gathering of people. He began by thanking the bikers for their generous donation, and assured them that it would be put to good use.
The hospital managers, he said, would be exhilarated to know that a good portion of this money would be available for new diagnostic equipment, and when Christmas came around any children unfortunate enough to be in hospital at that time would surely find to their joy that Santa, after searching their homes in vain, had after all managed to discover their whereabouts. He brought chuckles from the crowd, and Alison couldn’t help thinking that his impromptu speech was better than anything she had imagined it might be.
Bringing his speech to a close, he smiled, an action that lit up his features in a way that made Alison go unexpectedly weak at the knees. Standing next to her, Katie, her flatmate, said in a low voice, ‘Oh, wow. That man is way too good-looking. How can any of us be expected to work at our best with him around? It’s very difficult to concentrate when you’re running a fever.’
Alison giggled softly. ‘I’m with you on that one. Of course you could always plead that you need his personal attention…the touch of his cool hand on your brow.’
‘Oh, don’t…don’t say that.’ Katie’s green eyes sparkled, and she wafted a hand by her face as though to fan cool air over her hot cheeks. ‘A hand on my brow would hardly do it. Now you have me imagining all sorts of things—long, sensual sponge baths and the like. Oh, my…what am I going to do? I’ll be fit for nothing for the rest of the day, and I have patients waiting to be seen.’
By now they were both chuckling, and Alison was doing her best to sober up when she became aware of Josh coming towards them.
‘Something amusing, ladies?’ he enquired. ‘Anything that you would care to share with me?’
Katie made a strange gulping sound and covered her mouth with her hand, lowering her head so that the curtain of her chestnut-coloured hair hid her features. Alison aimed a discreet tap of her foot against Katie’s leg to encourage her to restrain herself.
How on earth was she supposed to answer him? She felt as though she had been well and truly left in the lurch.
Chapter Two
ALISON shook her head and made an effort to pull herself together. ‘Take no notice of us,’ she murmured, throwing a bland gaze in Josh’s direction. ‘It’s just that having all these macho-looking bikers about the place has gone to our heads. Far too much testosterone for us to handle.’
‘Really?’ Josh’s grey eyes held a quizzical glint. ‘I noticed they seemed very taken with both of you. I overheard some mutterings about the possibility of coming over to ask for a date.’
Alison’s mouth made a wry slant. ‘Yes, well…Unfortunately for them Katie’s already been down that route, and she decided that tearing along the road at high speed on the back of a bike doesn’t do it for her—not to mention the mess it makes of her hair, being flattened under a crash helmet.’
Katie had recovered her composure by now, and chose that moment to dig her in the ribs. Alison clamped her lips shut in the vestige of a smile.
‘Alison has had first-hand experience of that, too,’ her friend interjected. ‘She seemed to find it quite exciting for a time. For myself, I’ve decided that I’d far sooner feel the wind in my hair from the passenger seat of a convertible.’ She sent him a look that would charm the birds out of the trees.
Josh grinned. ‘Spoken like a true connoisseur. You look like a girl who was born to the high life.’
A flush of colour ran along Katie’s cheekbones, adding to the shimmering intensity of her green gaze. Alison observed the interplay between her and Josh with a cautious eye. Were they taken with one another? Or was he simply the kind of man who charmed every woman in sight?
‘I thought your speech was perfect,’ Katie murmured. ‘You said everything that needed to be said, and you kept it short, too. I’d almost go as far as to say that you must have done this sort of thing before. I certainly wouldn’t have been able to come up with anything anywhere near as good as that on the spur of the moment.’
‘Well, thanks.’ He sent her a mock suspicious look. ‘You aren’t trying to haggle for a rise, are you? Because maybe I should tell you I’m not the one who gives them out.’
‘Oh, shame. What a waste.’ Katie frowned. ‘And there I was, hoping that you’d be thoroughly mellow after all the food that Alison brought in…As if that wouldn’t be guaranteed to melt the hardest heart.’
‘Yes, I noticed the wonderful spread.’ He cast a glance towards the far side of the room, where the impromptu buffet had been laid out on a couple of trolleys. ‘It all looks very impressive—and most of it home-made, too, from the looks of things.’
Katie nodded. ‘You should have seen our kitchen last night. There was flour everywhere, and lovely smells coming from the oven.’ She paused, thinking about it. ‘I can’t imagine what came over her. In fact, with all that home baking going on I began to wonder if she was getting broody.’
‘No way,’ Alison put in, pretending to be affronted. ‘Anyway, you know perfectly well that I’m off men—ever since Rob led me a merry dance.’ She stopped, suddenly becoming aware that Josh was listening with interest. He didn’t need to know about her unhappy foray into so-called love, did he? ‘Well, anyway, never mind that…Let’s just say it was an experience to take to heart, and one that’s all in the past.’
She was on her guard now where men were concerned. Rob was history—a sad lesson that she shouldn’t lose her heart to any man with a wandering eye. And maybe that should include steering clear of those like the one not too far away, who managed to ooze charisma as though it was a new aftershave.
She pulled in a quick breath and started again. ‘As to the baking session—it was all because of the Christmas cake, you see,’ she said, as though that explained everything. ‘I felt I had to make a start on it.’
‘In fact, she started the day before,’ Katie put in. ‘I saw her hugging the brandy bottle and wondered what on earth was going on. Of course she said she wasn’t actually thinking of drinking it, but I didn’t really believe her until I found her mixing currants, raisins and sultanas together with candied peel, and adding a generous slosh of brandy every now and again. Apparently you have to let the fruit soak overnight.’
There was a puzzled look on Josh’s face, and Alison hurried to explain. ‘My gran has this wonderful recipe that she gave to me. Since she’s coming over to my parents’ house for Christmas I thought I would bake her cake and surprise her with it.’
‘And you have to start all that several weeks beforehand?’ He was frowning.
She nodded. ‘So I’m told. I popped the mix in the oven last night, and while I was about it I thought I’d bake a few treats for today. Then Katie started to help, and between us we seem to have been a little bit carried away.’
‘I don’t know about that—it’s just as well we made stacks of stuff,’ Katie said. ‘It’s a wonder there was anything left to bring after Taylor and Sam from the flat upstairs caught wind of what was going on. And then Tom’s children from next door came in, wanting to sample everything, and pleading to be allowed to lick the bowl after she’d emptied the cake mix into the baking tin. They ate so much I was surprised they weren’t sick.’
Alison grinned. ‘It was lovely to see them happy, though, wasn’t it? Things haven’t been so cheerful in their house of late.’
‘No, that’s true enough.’ Katie frowned. ‘Imagine having the threat of being turned out of your own house hanging over you. Tom and Martha must be beside themselves with worry.’ She glanced around. ‘Anyway, I’d better get back to work. My lunch break is nearly over, and I still have a list of patients as long as my arm. I’ll go and grab a bite to eat first, though.’
Alison nodded agreement. ‘Me, too. And then I must go back to my own patients.’ She sighed. ‘There’s no rest for the wicked, is there? Though it has been good to take time out.’
Josh went with them, glancing around the reception area. People had been busy putting up tinsel garlands over the last couple of days, and there were one or two sparkling bells adorned with red and silver ribbon. He didn’t look impressed, thought Alison. In fact she couldn’t be certain of his reaction…More resigned than anything else, probably.
He moved on, and soon started making his own inroads on the buffet, sampling a mince pie and adding a fruit turnover to his plate. ‘I need sustenance,’ he said. ‘I have to operate in a while. It looks as though our motor crash victim is going to need a repair to his heart’s main blood vessel.’
‘Oh, I’m sorry.’ Alison sent him a fleeting glance. ‘That’s bad news, isn’t it? For the patient, I mean. Obviously you must have done the aortogram?’
He nodded. ‘It showed a pseudoaneurysm. I believe there’s a small tear in the vessel, so the nurses are preparing him for surgery now.’
‘I hope it goes well.’ It meant that the patient’s heart would be linked to a bypass machine for a short time, while Josh inserted a repair graft in the leaking artery.
She lingered for a minute or two to chat, before heading back to Rees in the treatment room. Katie and Josh were deep in conversation when she left, and she doubted they would have noticed her departure.
The boy set aside his tray while she put up the X-ray film in the light box and carefully studied it. ‘There’s definitely an infection there,’ she told him after a while, ‘and you have a raised temperature. I think we’ll start you off on antibiotics and keep you here for a few hours in our observation ward. Are you okay with that?’
He nodded. She guessed he was in no hurry to go back out into the cold, and perhaps he had nowhere to go. That was a worrying thought. Strictly speaking she had no real reason to keep him here under observation, or admit him to hospital overnight—which was what she would have preferred to do. That would give her more of a chance to talk to him, and hopefully encourage him to tell her more about the circumstances that brought him here. She wanted to help him in any way possible.
‘All right, then,’ she murmured. ‘I’ll arrange for a nurse to take you to the observation ward next door and get you settled.’
‘Will it be all right if I take the food with me?’
She chuckled. ‘Yes, of course. We’ll make sure that goes along with you. I think, since your blood sugar was low, it’s important to feed you. We also need to bring down your temperature and generally look after you.’ She sent him a quick glance. ‘I don’t want to send you away from here while you’re clearly unwell, and you haven’t given us an address. I’m worried that there’s no family around to take care of you.’ She hesitated. ‘Are you living at home?’
He didn’t answer, but after a moment or two he shook his head.
‘Have you been living out on the streets?’
He hunched his shoulders, and Alison wondered if she should take that as a yes.
‘If you feel that you need to talk to someone about anything that’s bothering you I’m here to listen, you know. Nothing you say will go any further unless you want it to.’
He returned her gaze, not quite meeting her eyes. He appeared to be deep in thought, and for a second or two she was hopeful that he might be about to confide in her. But then he slumped back against his pillows without saying anything, and the moment was lost.
She left him in the care of a nurse, and went to tend to her other patients. With any luck Rees would pluck up the courage to open up to her later on. She just needed to win his trust.
For the next few hours she concentrated all her efforts on looking after the sick and injured. She hoped Josh’s patient was doing well in the operating theatre. Still, she had seen Josh at work in the resuscitation room, and it was plain to see how effective he was in a crisis situation. No wonder he had been chosen to replace Dr Meadows. He was immensely skilled. There was no hesitation, no doubt, not a single moment when he wasn’t in complete control.
That didn’t change when he came back down to A&E some time later. He simply turned his attention to overseeing the work of his subordinates, and that was when Alison felt the first stirrings of unease. He began to leaf through all the patients’ charts.
She went to check through the test results at the desk.
‘Would you care to explain this to me?’ he said, coming over to her a few minutes later. He was frowning as he held out a folder. ‘I don’t see any major problem with this patient, and yet young Rees is still here. By all accounts he could have been discharged some time ago. You’ve examined him and given him the appropriate treatment. Why haven’t you sent him on his way?’
Alison’s spirits plummeted. Was Josh Bentley one of the new breed of ‘time is money; patch them up and move them out’ doctors? How she hated that emphasis on efficiency at all costs. Somehow she had believed he would have better judgement than that.
Alison remained silent for a moment, glancing through the glass door of the observation ward. Rees was dozing peacefully, his face bleached of colour against the stark white of his pillows, and she couldn’t help feeling that he was exhausted, worn out by a combination of factors. The boy’s hair was an unruly tangle of black silky strands, crying out for the tender hand of a mother figure to smooth it into place. Surely Josh wasn’t expecting her to wake him up and turf him out into the cold, soulless streets to fend for himself? What kind of man was he?
His dark brows rose in expectation.
‘The boy’s running a temperature,’ she said, ‘and he has a chest infection. Also, he’s looking gaunt, and I don’t think he’s been eating properly. I prefer to wait for the results of tests, query pneumonia, before I decide what to do. It occurred to me that it might be wise to keep him in overnight.’
Josh gave her a long, thoughtful look. ‘We both know he isn’t that ill. I’ve seen the X-ray film. Besides, I heard he went walkabout for a while and a nurse had to go looking for him. What’s going on here, Alison?’
‘Walkabout?’ She frowned. ‘Where did he go?’
‘The nurse wasn’t sure. She found him in the corridor heading back to the ward. He must have slipped out through the security door when a visitor left.’
‘Did he say where he’d been?’
‘Only some vague comment about trying to find a washroom.’ From his expression it was clear that he was unconvinced by that explanation. ‘The nurse said he appeared to be on edge. She decided he must be feverish and led him back to bed.’
‘Perhaps that’s the truth of it.’ Alison sighed. ‘He’s definitely unwell. I wanted to keep him here so I have a little more time to see if I can get him to open up to me. We don’t know anything about his background, or what will happen to him once he leaves here. He won’t say anything about his parents, and he’s refused to give an address.’
‘Hmm. I can see why you’re concerned, but that isn’t really our problem, is it? Besides, he might be on the run from the law. As to staying here, I already have Management on my back, emphasising the necessity to stick to targets and maximise throughput. Rees isn’t seriously ill, and we’re not obliged to notify the authorities about our worries since he insists he’s sixteen. We haven’t been asked to look out for anyone answering his description.’
‘I know, but I’m pretty sure he’s run away from home, and if he’s living rough there’s a strong possibility his condition will quickly nosedive. I don’t want that on my conscience.’ She frowned. ‘There’s a vulnerability about him that makes me want to do everything I can to help him—and surely we have to pay some heed to the welfare of the people who cross our path? You wouldn’t send an elderly person out onto the streets if you feared for his well-being, would you?’
‘Soft as putty, aren’t you?’ His smile was gently mocking. ‘If you feel so strongly about him, why haven’t you taken steps to contact the police or Social Services?’
‘I don’t want to betray his trust…and I want to give him the chance to confide in me.’
He shook his head. ‘We’re an accident and emergency department,’ he chided softly. ‘Not a holding centre for waifs and strays.’
She glowered at him, her blue eyes sparking. Okay, ultimately he was in charge, but she wasn’t going to allow her decisions to be overridden without a fight. She trusted her instincts and they had never let her down. ‘We have spare beds and we’re not overstretched right now. I don’t see any reason for sending him away just yet.’
‘Maybe not, but you know as well as I do that the situation could change at any moment if we have a sudden influx.’
‘I prefer to base my judgements on the situation as it is at present. He’s unwell, and I know of no responsible adult who will take over his care. It’s my professional opinion that he should stay here.’
Josh was silent for a moment or two, his features taut, his mouth pursed in contemplation, and she began to wonder if perhaps she had gone too far. He was new here, and she didn’t yet have the measure of the man. For all she knew he could take offence at her arguments and have her taken off his team.
‘You may be right,’ he said eventually. ‘I’ll give you the benefit of the doubt and go along with you on this one—if only because he complained of dizziness before his fall. That being the case, you’d better go ahead and admit him overnight on the grounds of suspected pneumonia and the possibility of wound infection. But if the situation changes, and we’re overrun with trauma cases and the like, we’ll have to do some creative thinking about where to place him.’
‘That’s great.’ She stared at him, wide eyed, her face lighting up. ‘I take it all back—every bad thing I was thinking about you. You’ve shot up ten times in my estimation. In fact, I could hug you.’
‘Really? I thought you were finished with men?’
‘Ah…well, yes, that’s perfectly true. But then again, I wasn’t planning on a relationship.’ A ripple of warmth ran through her. What was the matter with her? Why couldn’t she glue her lips together and stay out of trouble?
He studied her, a glint of humour flickering in his eyes. ‘So you were thinking bad things about me, were you? That isn’t good, is it? Given first impressions and all that.’
‘Um, well, no,’ she faltered. ‘But then you did manage to redeem yourself after all, didn’t you?’ She studied him guardedly.
He chuckled. ‘Think of it as a thank-you for warning me about the presentation…and for the fruit turnovers. Let’s not forget them.’ He rolled his eyes heavenward. ‘They were out of this world.’
Her features softened in appreciation. ‘I’m glad you think so. If Management complain about Rees being here, perhaps you should offer a few to them, too.’
He sucked in a quick breath. ‘I’m afraid I can’t do that.’
She blinked. ‘You can’t? Why…? Is it because it would reek of bribery and corruption?’
He shook his head. ‘No, not that—though it’s certainly a consideration. It’s because they’ve all gone.’ His mouth turned down at the corners. ‘There’s absolutely nothing left…only crumbs.’
She laughed. ‘Oh, dear. Still, now I know I have the perfect bribe to use whenever I want something to go my way. I didn’t realise how much influence I could bring to bear. Let’s make the most of it. We’re talking turnover power!’
He was smiling when Alison left him after a moment or two to go and get on with her work.
The rest of the day passed in a flash as she was kept busy dealing with new emergencies, but she managed to find time to look in on Rees in the observation ward before the end of her shift.
He still looked weary, and she noted that despite the antibiotics his temperature was a notch higher than normal.
‘I think it would be for the best if we were to admit you overnight,’ she told him. ‘That way we can keep an eye on you while the antibiotics begin to do their stuff, and hopefully we’ll be able to bring your temperature down. We can also keep an eye on the injury to your hand at the same time. How do you feel about that?’
‘Yeah, that’s all right.’ He ran the back of his good hand over his forehead. ‘The nurse said you might want to keep me in. She said she’d find some crossword books and a couple of videos for me to watch when I’m feeling a bit better.’