Gina's Little Secret. Jennifer Taylor
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all the departments that were supposed to be sending someone down to see a patient, refusing to accept the usual excuse that they were short of staff. As she politely reminded them, AAU was for acute cases only. It wasn’t an overflow for the various wards. She had just finished when she heard a monitor beeping and Rosie came rushing into the office.
‘The man in bed seven can’t breathe!’ the student gabbled at her.
‘Have you put him on oxygen?’ Gina asked, getting up. She didn’t say anything when Rosie shook her head. She would run through the emergency procedures again with her later, after they had dealt with this crisis. Hurrying into the ward, she picked up the oxygen mask and swiftly fitted it over the patient’s nose and mouth. ‘Just try to breathe normally, Mr Jackson. That’s it, nice and steady now. Good. You’re doing great.’
She checked the monitor, noting that his pulse rate was much faster than it should have been and that his blood pressure was too low. Philip Jackson was forty-four years old and had been admitted via ED after complaining of being short of breath. His symptoms had disappeared since he had been on the unit and Miles Humphreys had concluded that the man had suffered nothing more serious than a panic attack. Miles had overruled her suggestion that Philip should remain there overnight for monitoring and had discharged him. Philip had actually been waiting for his wife to collect him when this had happened.
Gina bit back a sigh as she turned to Rosie. Miles wasn’t going to be happy about being proved wrong. ‘Can you ask the switchboard to page Dr Humphreys, please?’
She picked up the patient’s notes as Rosie hurried away. The best way of dealing with Miles, she had found, was to be totally clued up about every aspect of a case. There was nothing of any significance in the notes that ED had made so she delved further into the file, frowning when she discovered that Philip Jackson had undergone surgery to repair a hernia three months earlier. It hadn’t been included in the patient’s recent history, but could it have a bearing on his present condition?
Miles arrived a few minutes later. Gina’s heart sank when she saw him striding down the ward because she knew he was going to give her a hard time. Why wouldn’t he just accept that she didn’t want to go out with him? You couldn’t make someone want to be with you, as she knew from experience. Unbidden her gaze went to Marco and she felt heat flow through her when she discovered that he was watching her. She hurriedly turned away, forcing herself to concentrate as Miles demanded to know what had happened.
‘Mr Jackson has had difficulty breathing again.’ She kept her gaze on the patient but she could feel Marco’s eyes boring into her back. Had he remembered who she was? she wondered sickly. It was obvious that his memory was starting to return, so it could happen any time. What was she going to say if he asked her about her life? Could she simply ignore Lily’s existence, pretend that she didn’t have a daughter?
‘I asked you a question, Sister. If it isn’t too much to expect then I would like an answer.’
The sarcasm in Miles’s voice cut through her musings and Gina jumped. ‘I’m sorry, what did you say?’
Miles’s expression darkened. ‘I asked if any of the staff were present when the patient started to complain of shortness of breath.’
‘No,’ she replied truthfully. ‘Rosie came to fetch me when the monitor started beeping.’
‘I see. It appears that things are getting rather slack around here. If you’d been keeping a closer eye on your patients, Sister Lee, this might not have happened.’
Gina forbore to say anything. She knew that Miles would love it if she argued with him. The fact that he had discharged Philip Jackson didn’t matter, it seemed. She waited silently while Miles examined him. Although Philip was responding to the oxygen, his blood pressure was still low. He also complained of having a pain in his chest which was worse every time he breathed.
‘Keep him on oxygen for now and we’ll see how he goes,’ Miles instructed after he’d finished. ‘I’m still not convinced it isn’t another panic attack.’
‘According to his notes, Mr Jackson had surgery to repair a hernia almost three months ago,’ Gina pointed out levelly. ‘Could that have any bearing on what’s been happening recently?’
‘Certainly not.’ Miles’s tone was scathing. ‘If there was a problem following surgery, it would have shown up before now. I suggest you stick to nursing the patients, Sister, and leave the diagnoses to those of us who are qualified to make them.’
Gina’s face flamed. It was galling to be spoken to that way. The visitors at the next bed had obviously heard what Miles had said because she could see the sympathy on their faces. However, before she could say anything another voice cut in.
‘Sister has raised a valid point. It is an established fact that a pulmonary embolism can occur up to three months following surgery.’
Gina swung round, her eyes widening when she saw the grim expression on Marco’s face. He wasn’t looking at her, however; he was staring at Miles. His deeply accented tones were icy as he continued.
‘I suggest you send the patient for a scan to rule out that possibility.’
A rush of heat ran up Miles’s neck. ‘I assure you that there is no need for you to get involved, Mr … um …’ Miles stopped, obviously at a disadvantage because he didn’t know Marco’s name.
‘Andretti. Dr Andretti,’ Gina told him, placing just enough emphasis on Marco’s title that Miles couldn’t fail to notice it. ‘Dr Andretti is an expert on trauma care,’ she added sweetly.
‘Oh, I see.’ If anything, Miles went even redder. ‘Thank you, Dr Andretti. Rest assured that I shall bear your advice in mind,’ he blustered.
Marco’s expression didn’t soften. ‘You would be better off sending the patient to Radiology rather than waste time thinking about it. If it is a pulmonary embolism then time is of the essence.’
‘I … ahem … yes, of course.’ Miles hurriedly scribbled an instruction to that effect and thrust it into Gina’s hands. ‘See that Mr Jackson is sent for a scan immediately, Sister.’
‘Of course,’ Gina murmured as Miles hurried away. She told Philip Jackson that she would arrange for a porter to take him and moved away from the bed, pausing as she drew level with Marco. She wasn’t sure why he had stood up for her, but she had to admit that it felt good to know that he had. She forced that foolish thought aside as she smiled politely at him. ‘Thank you, Dr Andretti. I appreciated your help just now.’
‘Prego!’ He shrugged, drawing her attention to the solid width of his shoulders beneath the thin hospital gown. Although there wasn’t an ounce of spare flesh on him, he had a leanly muscular physique that looked impressive in or out of clothes.
The thought was more than she could deal with and she started to move away, only to stop when he caught hold of her hand. Gina could feel the light pressure of his fingers on her skin and a wave of longing suddenly shot through her. It had been three years since she had felt his touch, three years since any man had touched her, because she’d not had another relationship since. Maybe that explained why it felt as though there was fire, not blood, running through her veins.
‘I was happy to help … Gina.’ His gaze held hers fast and she felt her heart rate increase when she saw the question in his eyes. In that second she knew that he had recognised her and panic rose up inside her.
‘Look, Marco, this really isn’t the time or the place to discuss what happened between us,’ she said urgently.
‘No? Then when would be a good time?’
His tone was even so it was impossible to guess what he was thinking. Gina struggled to regain her control. She still hadn’t made up her mind if she intended to tell him about Lily. When she had first found out that she was pregnant, she had decided to contact him. After all, he’d had a right to know that he was to be a father, although she’d planned to make it clear that she didn’t