CHAPTER FOUR

      ‘IF YOU would pop Bethany on the couch and take off her top and pants, I can examine her. I see from her notes that she was complaining of pains in her legs when you brought her in to see Dr Farrington at the beginning of December. How is she now?’

      Harry pulled back the screen and waited while Mrs Clarke settled her daughter on the examination couch. Five-year-old Bethany looked very pale and listless as her mother undressed her.

      ‘Much the same. She still keeps saying that her legs are sore. Dr Farrington said it was probably a virus because there were a lot of kiddies ill at the time with some bug or other. But it should have cleared up by now, I would have thought.’

      ‘These things can take time to work themselves out of the system,’ Harry explained, although it was unusual for a child to be ill for this length of time if it was only a viral infection. ‘Can you just explain how it all started? I’ve read Bethany’s notes but it’s better to have a first-hand account, I find.’

      ‘Well, it’s like I said, Beth kept telling me her legs were hurting. I just assumed she’d hurt them when she’d been climbing the trees in our back garden so I didn’t take that much notice at first.’ Mrs Clarke sighed. ‘She has three older brothers, you see, and she’s always trying to copy them and getting into mischief.’

      ‘A real little tomboy, are you, young lady?’ Harry smiled at the little girl, although he had to admit that there didn’t seem much sign of any mischief that day. Bethany appeared far too listless to cause any trouble. Bending down, he examined her legs, frowning when he saw that they were covered in bruises.

      ‘How did she get all these bruises?’ he asked, glancing at the mother.

      ‘I’ve no idea. I only spotted them at the weekend. If she’d been playing outside, I would have assumed she’d fallen over and hurt herself, but she’s not wanted to leave the house since Christmas.’ Mrs Clarke stroked her daughter’s hair. ‘She keeps saying that she’s too tired to play and it’s just not like her. That’s why I decided to bring her to the surgery again today. It’s not natural for a child this age to be complaining that she’s tired all the time, is it, Doctor?’

      ‘Not if she’s getting the right amount of sleep at night,’ Harry agreed, moving to the top of the couch. He gently felt around Bethany’s neck and under her arms, hiding his dismay when he discovered how enlarged the lymph nodes were in those areas. Although he would have expected to find some sign of enlargement if Bethany’s body was fighting off an infection, this degree of swelling was unusual. It could be a sign that there was something seriously wrong with the child, although he didn’t intend to rush to any conclusions. He would spend an extra few minutes checking the facts, as Grace had advised him to do.

      The thought of Grace sent a rush of heat along his veins. He had to make a determined effort to ignore it as he carried on with his examination. ‘Has Bethany complained of pain anywhere else, or have you noticed anything unusual happening recently?’ he asked, trying not to dwell on how good it had felt to hear Grace praise him like that. He knew that in all likelihood it had been necessity that had prompted those comments: she’d wanted the receptionist to think that she was happy to work with him so it wouldn’t cause any unrest within the practice. However, he couldn’t deny that it had been a boost to his ego to hear her say something good about him for a change.

      ‘Not really. It’s been her legs mainly that she’s been complaining about.’

      ‘And there’s been nothing else bothering her?’ he insisted gently, sensing that the mother was holding something back.

      ‘Well, it’s probably nothing. I told her dad about it but he just said I was fussing so I wasn’t going to mention it, but her gums have been bleeding. It’s not just when she cleans her teeth either, which is why I thought it was a bit odd.’