The Doctors' Christmas Reunion

CHAPTER TWO

SHE SET ALL thoughts of Chelsea—and Andy—aside as she went through her list of morning patients, pleased with some, concerned about others, mostly elderly men who seemed more aimless and depressed than ill. In other places, they could have a community garden or an allotment to work on, but out here, where water was a very scarce commodity, such a thing would be a luxury.

But her thoughts returned to Chelsea as she walked briskly to the hospital, sighing as she went in through the side entrance, where more Christmas decorations were already in place.

But Christmas cheer was the last thing on her mind as she considered the discussion she’d have to have with Andy.

Not right now, when there’d be other people around, but later on they would definitely need to talk.

Chelsea’s arrival had thrown their arrangement into disarray. It had seemed sensible to live separately within the house, mainly to avoid gossip and speculation, but Chelsea would pick up on it immediately, and word would spread around the family, and Ellie knew it would cause distress to Meg.

She pushed into the theatre changing room and found Andy already waiting for her.

‘Sorry, I was held up on my first patient and I’ve been late all morning,’ she explained.

His beautiful Ellie looked so tired and stressed that Andy wanted nothing more than to take her in his arms and hold her—to find their way back to where they’d been. But pain and grief and too many harsh words had opened up a gulf between them, and as yet, he could find no way of bridging it.

And did he even want to?

He shook his head. That was a stupid question when there was a patient waiting.

Of course he wanted to! The thought of living without Ellie was...well, inconceivable.

‘The patient is a young lad who got hit by a strand of barbed wire when he was helping his father repair a fence. Apparently, the fence strainers snapped, the wire flicked back, and a piece flew into his lower abdomen. They got it out, and cleaned and dressed the wound, but there’s a bit still in there—one of the barbs, I’d say—and it’s badly infected. I need to go in and clean it out before it develops into sepsis. He’s on IV antibiotics, and I’ll leave a drain in place for a few days if it looks at all dubious.’

Andy watched as Ellie greeted Tony, a nurse who loved theatre work, then checked the drugs and instruments he’d laid out for her.

Once upon a time, in what seemed like another life—in another country, for that matter—they’d worked together like this. The lack of specialist doctors in some of the African countries where they’d lived meant you had to do whatever was required of you, and often it was surgery—he cutting while Ellie did the anaesthetic—basic though it had been.

He held back a snort, disgusted that he could be distracted by such trivial thoughts. All that was so far in the past it was history now.

Yet how could he not watch as she spoke quietly to the boy, explaining how he’d be getting sleepy, checking the cannula already attached to the back of one small hand and smiling gently. She was so good with children—the children they would never have...

Satisfied that all was well, Ellie took up the prepared anaesthetic, and with a nod to Andy injected it, waiting until the boy dozed off before securing the oxygen mask over his mouth and nose.

How many times—?

Enough!

The past belonged in the past. Here and now, he needed one hundred percent concentration on Jonah. Electrodes already attached to his patient’s body told the monitor everything was stable, and Ellie would keep an eye on it while he cut carefully into the pale skin on the lower abdomen, Tony beside him to mop the blood and cauterise any small bleeders.

Andy glanced across the table, and by chance met Ellie’s eyes above her mask. She winked at him—something she’d done a thousand times before—a ‘going well’ kind of wink, but the sight of such a silly, insignificant facial tic brought an arrow of pain into his innermost being. One he tried to ignore...

The infection was obvious, the culprit a small piece of metal—a tiny scrap had broken free from a barb on the wire. No wonder the boy had been complaining of pain.

Andy irrigated the wound and searched for any secondary sites of infection, but everything was clean and clear.

‘I won’t leave a drain,’ he said, as much to himself as to the staff around the table. ‘In that position it could be easily dislodged, especially considering he’s an adventurous young boy.’

He closed the wound, and nodded to Ellie to reverse the anaesthetic, then stood back while Tony did the dressing.

He should go and change. This team knew what they were doing. The boy would be transferred to a bed and wheeled through to the small recovery room. Ellie was in charge of him now and would be watching over him until he was fully conscious and aware of his surroundings.

But sometimes Andy needed to watch his wife—to watch and wonder what had happened to them to end up on either side of what was now an abyss.

Was it his fault?

Those final, hurtful words about the state of their marriage had certainly marked the end of life as they’d known it, but what had brought them to that?

Did he still feel a lingering resentment about the money the IVF had cost?

But it had been he who’d first suggested IVF, so it couldn’t be that that burned inside him.

Yet something did.

He’d been keen to have a family—as keen as Ellie was—but that had been back before he’d known about the pain of loss; how much each failure would hurt, although that was nothing compared to the terrible piercing pain of losing the baby.

But worst of all had been watching Ellie’s pain and being unable to take it away from her. That was the part he’d found so bloody impossible...

It wasn’t that she’d pushed him away at the time, more that she’d wrapped herself inside it—made a cocoon of her pain—and had no longer been part of him, no, of them, cutting their oneness...

Now Andy watched Ellie sadly as she followed the trolley out of the theatre, before heading for the shower. There was nothing like water to wash away pointless suppositions and what-ifs that were too late...

Ellie waited as the youngster came around, checked he was sufficiently conscious to be given a few sips of water, and tell her who and where he was, then she departed, hurrying now, as she’d been due to see a patient at one-thirty and it was already close to two.

But her thoughts remained firmly stuck on Andy.

His skill as a surgeon was undeniable, and while still at university he’d even considered making a career of it, but during their time in Africa he’d realised that his skill lay with people; with helping them, comforting them and, yes, healing them when it was humanly possible.

And it had fired his determination to return to the isolated regions of Australia—areas always crying out for doctors—where his patients would be people he would get to know and care about, not simply a person needing an appendectomy or a new knee.

Ellie caught up as she worked through the afternoon’s patients, so had seen the last one out when Chelsea returned, laden with bags and filled with excitement.

‘You should rest,’ she told the young woman as she locked the surgery door then walked up the front steps and along the veranda to the room Chelsea had chosen.

It had belonged to one of Andy’s sisters, and although Ellie had put fresh sheets on the bed in case of unexpected visitors, she’d done little in the way of redecorating, so it still had posters of old rock bands on the walls and a bookcase full of science-fiction books that the whole Fraser family had loved to read.

Ellie half-smiled, remembering how she’d felt an utter alien herself among people who knew a genre she’d never read as well as the Frasers knew sci-fi.

After depositing Chelsea’s few possessions, Ellie showed her the nearest bathroom, then led her into the kitchen.

‘You’ll probably remember that the kitchen is the centre of the house, it’s where we mainly live,’ she said, adding rather ruefully, ‘That’s when we’re actually at home.’

And living together... She had to talk to Andy!

She’d barely finished the thought when her cellphone buzzed in her pocket.

‘Can you come back up, Ellie? Jonah’s temperature has shot up, and his heart rate is ninety-five. I’m afraid I must have missed something and he could be heading into sepsis.’

‘I’ll be right there.’

She looked at Chelsea, new in town, still uncertain of her welcome, and crossed the room to give her a hug.

‘I hate having to leave you like this on your first day here but I have to go up to the hospital, and from what Andy said I could be a while,’ she said. ‘There’s food in the fridge, or you could walk up the road and get a burger and chips. The TV in the sitting room only has a couple of channels, but feel free to use it, and there are plenty of books around the place. Do you think you’ll be okay?’

‘Don’t worry about me,’ Chelsea assured her. ‘I sat up all night on the train and I’m exhausted. If it’s all right with you, I’ll just get a drink of milk and a sandwich and go straight to bed.’

‘Bless you,’ Ellie said. ‘But I’ll leave both my and Andy’s numbers and if you’re at all worried about anything, please phone one of us.’

‘I’ll be fine,’ Chelsea assured her. ‘I have stayed here before and I know my aunt and uncle were often called out at night. You go and do your work.’

But as Ellie walked swiftly up the road to the hospital, she couldn’t help thinking of the young woman alone in the big house, and wonder just what she was thinking, not to mention what Andy was going to make of it all...

She arrived to find Andrea, a senior nurse who had specialist anaesthetic training, already in Theatre.

‘I’ll need you to assist,’ Andy said, as Ellie walked in. ‘There’s gear set out in the ante-room, and Tony will help you scrub.’

Ellie took a deep breath. It wasn’t that she hadn’t assisted in operations before. It was part of their medical training, and they’d done a lot in Africa, but surgery had always made her feel anxious, as if she had no business having her hands in someone else’s body. It was impersonal, yet at the same time deeply moving.

Shaking away the thoughts, she changed, scrubbed her hands and arms and held them up for Tony to slide on the gloves. He tied an extra apron around her waist, and she was ready.

‘Will you enlarge the wound you made earlier?’ she asked Andy as she took her place beside him.

A quick headshake.

‘It was big enough, but I must have missed something.’

The tightness of his voice told her how stressed he was—stressed because he felt he’d somehow failed the boy.

‘There was nothing obvious,’ she reminded him, ‘and you didn’t want to interfere with his bowel by poking around under it.’

She paused then added, in a deep, terrifying voice, ‘Never touch the bowel.’

Andy laughed. Her mimicry of a lecturer they’d had in third year had always been good, and the words took him back to when, as students, they and their friends had used the words in more earthy ways.

It broke his tension and he opened the wound, holding it for her to clamp so he had a clear view.

‘Think about the barb,’ he muttered, and although she knew he was talking to himself, she understood what he was getting at. The barb could have pierced a muscle, tendon or even the bowel, and infection had developed in the second site.

But there was nothing obvious. Lecturer or not, he was going to have to touch the bowel.

He gently lifted the nearest coil of the large intestine, checking all around it for damage.

Nothing.

They irrigated the wound again, and closed it up, then all stood frowning at the monitor, which had no good news for them.

‘Hang on,’ Ellie said. ‘Didn’t someone say he was fixing a barbed-wire fence? Imagine what happened. The fence strainers broke, the loose wire would have flicked back, one barb would have pierced his skin. How far apart are the barbs on barbed wire?

‘Roughly a hand span.’ It was Andy who answered, catching on quickly to Ellie’s train of thought.

So some things hadn’t changed...

‘That means the next barb would be here,’ he said, measuring across the boy’s abdomen with his hand.

They all peered at the spot but there was no sign of damage to the skin, or any indication of infection.

‘Imagine him with clothes on,’ Ellie said. ‘Jeans, most likely, and low slung how the kids wear them these days. That barb would have hit the double layer of the pocket, possibly even a stud, so the next barb would be here...’ She used her hand to measure the distance, brushing Andy’s hand then glancing up, meeting his eyes above his mask—a flash of something as sudden and powerful as lightning flashing between them. ‘If the wire wrapped around him.’

They found the wound beneath their patient’s left hip, a tiny pinprick of a mark, surrounded by swollen, angry redness.

While Tony went for the portable X-ray machine, Ellie and Andy propped the boy on his side, careful not to touch each other after whatever it was that had flashed between them earlier.

‘From the size of it, it’s just an infection rather than another foreign object,’ Ellie said, and Andy nodded, although she could tell he was furious with himself for not checking more carefully earlier.

She opened her mouth to say, ‘You weren’t to know,’ but Andrea beat her to it.

Not that Andy would have found any comfort in the assurance. He prided himself on his physical examination of all patients, although earlier this morning the pinprick of a mark could have been all but invisible.

The X-ray showed no foreign matter in the wound, but Andy opened it up anyway. Clearing out the infection already there would lead to a quicker recovery for the boy.

‘Do you still hate it?’ Andy asked Ellie as they left the hospital an hour later. It was only when she didn’t reply that he looked around to find she’d halted, twenty or so paces behind him, and was gazing up at the night sky.

‘Still gets to you, huh?’ he teased as he walked back to join her, resting his hand on the small of her back as he had so often in the past. Often just a touch in passing, often a prelude—but he wouldn’t go there.

She smiled at him.

‘I just cannot believe how many stars there are. I know they are there, in the city and we just don’t see them for the other lights, but out here...’

She waved her arms around as if to encompass the beauty she couldn’t put into words.

‘And all yours,’ Andy said, wondering if she remembered his promise to give her the moon and the stars...

And looking at her, her clear skin luminous in the starlight, her golden-brown hair framing a face he’d always thought perfection, he wanted to take her in his arms again, take her back to that time, make her really his once more.

‘Did you ask me something?’

Her question broke the moment, although he knew the moment he’d felt had never been possible.

Thought back to his question.

‘Oh, I just wondered if you still hated surgery?’

She’d started forward but now paused again, turned back to him.

‘I’ve never really hated it so much as felt very uncomfortable. It seems so intrusive to be fumbling around inside someone else’s body.’

Ellie sighed, and shook her head as if to chase the thoughts away.

‘And speaking of bodies, I really need to talk to you about something that came up today. Shall we get a pizza and sit in the park to eat it?’

‘You’ve hidden a dead body somewhere, and need my help to bury it?’ Andy said, hoping the teasing words hid a sudden panic inside him.

Was she tired of their pretend marriage?

Was she leaving him completely?

Did she want a divorce?

Nonsense! he told himself. She’d mentioned bodies. It was something from work she wanted to discuss.

But the tension she’d aroused remained with him as he ordered their pizza, half with anchovies and half without, took extra paper napkins as they’d be eating in the park, and waited while Ellie chatted with the young girl behind the counter, blithely unaware of the torment her words had caused him.

Their marriage as a marriage might be virtually over, but could he live without the woman he loved?

The woman, he was fairly certain, who still loved him?

And could their marriage really be over?

He thought of the times when they’d tried to talk about it, as two intelligent people working out their differences. But the problem with loving someone was that you knew their sore and vulnerable spots—knew the words that would stab them in those places...

Worse still, you used those words as weapons.

So not talking had seemed easier, although Ellie deciding to make the move downstairs had left him feeling hollowed out inside. He was aware it could be a prelude to her leaving altogether for all she’d said they both needed their own space for a while.

Andy carried the pizza up to the park, which was deserted at this time of night, and set it down on a table, aware as he always was of Ellie’s warmth by his side.