Just a Family Doctor. Caroline Anderson
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shook her head. ‘No, sorry. She went home a few weeks ago. There are a couple of girls of your age, though. I’m sure you’ll get on with them.’
Claudia nodded and scrambled up onto the bed, triggering a coughing fit that ended in her vomiting. Allie was prepared. It was a frequent occurrence with CF children, and she was ready with a paper bowl.
‘She’s really gone downhill the last few days,’ her mother Jayne explained. ‘She’s been coughing more and more—Dr Barrett thought she should come in and get it sorted. She’s got pneumonia this time—I suppose it makes a change from Pseudomonas.’
Allie nodded. ‘Yes, she’s down for gentamycin. That should clobber it. Can’t have you feeling this poorly, can we?’ she said with a smile for Claudia, who was flopped against the backrest looking exhausted.
‘She hasn’t been sleeping all that much,’ Jayne said, and Allie could tell by the bags under her eyes that Jayne hadn’t, either.
‘When’s the new baby due?’ she asked.
‘Three weeks, but I may not make it that long. I’ve got dodgy ligaments in my pelvis and it’s so painful. I have to wear a belt round my hips to support it, and it’s getting really tiresome, not to mention difficult to move around, so they might induce me early.’
As if the poor woman didn’t have enough on her plate. ‘It’ll soon be over,’ Allie said comfortingly, and then turned back to Claudia. ‘All right, poppet? Feeling a bit better?’
She nodded, but it was only politeness. She looked awful, poor kid, and Allie wanted to hug her.
‘Dr Jarvis’ll be here in a minute, I expect, and he’ll check you over and get your IV line in. Then we can get some bug-zapper into you and you should start to feel a bit better.’
Claudia nodded again, and Allie flipped open her file and took out the sheet at the front with all the labels on. They were printed with name, address, next of kin, hospital number and so forth, and were stuck on anything to do with the patient. It saved hours of copying and potential inaccuracy—when they were right.
Allie checked, on the principle that one could never be too sure. ‘Are all your details still the same? Address, phone number and so on?’
Jayne nodded. ‘Yes, nothing’s changed.’
‘Good.’ She stuck Claudia’s labels on the charts, clipped them to the end of the bed and took her temperature and blood pressure. The respirations she’d already done surreptitiously while Jayne had been talking, and they were up, as she’d expected.
‘Fancy a cup of tea?’ she asked Jayne when she’d finished.
‘Oh, I’d love one. Can I make it?’
Allie shook her head. ‘You sit there, I’ll find someone to do it for you. Weak, black, no sugar—is that right?’
‘How did you remember that?’ Jayne asked softly, and looked near to tears. Allie guessed that this pregnancy had been very difficult for her. She had a horrendous obstetric history, by all accounts, and it was touch and go whether this one would be all right. Still, at least she was almost there. That was a huge improvement.
‘I have a very retentive memory for useless information,’ she told Jayne now, and with a smile, she left them alone and found Pearl, the Jamaican ward orderly. ‘You couldn’t take a cuppa to Jayne Hall, could you? She’s over there. Weak, black, no sugar.’
‘I remember, darlin’, don’t worry. I know Jayne very well. Sometimes I think she lives here. Sure, I’ll take her a cup of tea. I was just goin’ to ask her myself.’
Allie left Jayne in Pearl’s capable hands, and thought not for the first time what a gift to the ward the matronly woman was. She was possessed of infinite kindness and patience, and seemed to be able to keep order with the bored and naughty children absolutely effortlessly. They all adored her, and it was mutual. She would have made a wonderful nurse, but perhaps she was more useful as an orderly, because she never had to do anything unpleasant to the children and that made her easier to trust.
Allie checked on Amy Fulcher who had come back from Theatre yesterday after she’d gone off duty. She was looking better already, much more comfortable, and her mother was slumped in the big vinyl armchair beside her, sleeping.
It seemed a shame to wake either of them, so Allie left them to it for a little while. Sleep was probably more useful than anything to the baby at the moment, and the mother was exhausted.
She looked across at Claudia’s bed and saw Mark had arrived and was chatting to them. He had one hip hitched up on the edge of the bed, and he was smiling and teasing Claudia into smiling back. He was good with children, she realised, and wondered why he didn’t go into paediatric surgery.
He’d been so keen, so certain of his choice—
She shook her head. She was still stunned by his revelation, and was trying to reconcile herself to the bitter fact that there could be no future for them beyond the immediate one of a few dates—except maybe, because he was the only man she’d ever felt like this about, a brief affair.
Nothing lasting. Nothing permanent. No happy ever after. Just something to remember him by when he moved on.
She swallowed hard and found herself something to do at the other end of the ward, away from him and his laughing eyes and wide, ready smile that made the sun come out.
Her reprieve was short-lived, though, because he asked her to assist him with Claudia’s intravenous line. He was putting in a long line, not as long as a Hickman line that went all the way to the heart, but one that went into the arm in the crook of the elbow and up into the top of the chest.
‘As you know it lasts longer than a needle cannula,’ he explained to Jayne and Claudia, ‘and this treatment’s going to take a couple of weeks. We don’t want to have to keep putting in another line and messing you about, do we, Claudia?’
Claudia shook her head, and they moved her into the treatment room where they undertook the more sterile procedures. Allie was the ‘clean’ nurse, and a younger staff nurse was the ‘dirty’ nurse, the one who handled the outside of the packets and opened them for Allie, who was scrubbed and gowned and ready to assist.
Mark scrubbed as well, and then they settled down with Claudia to insert the line into her little arm. It was splinted straight, and would stay like that until the line came out, which was a bit restricting but one of the penalties for not having to have the line changed constantly.
Her mother was there, of course, supportive as ever, and Allie wondered how Mark would deal with Claudia and her independent attitude. Her mother had brought her up as far as possible with input and control over her illness, and her quiet courage and calm dignity were terrifying.
As for Mark, it was the first time Allie had seen him doing any procedure, and she was impressed. Claudia cried, of course, but only a little, and he was very kind and gentle with her, and it was over in no time. Allie secured the end of the line with tape and made sure the splint that kept her elbow straight was comfortable, and then she was given the first dose of antibiotic through it.
It seemed such a shame to have to put her through it, Allie thought sadly, but it was a small price to pay to combat the germs in her chest which were playing havoc with her breathing and damaging the already fragile structure of her lungs.
‘All right now?’ Mark asked, checking his handiwork and smiling at Claudia.
She nodded, looking wan and exhausted against the white pillows. Allie wanted to cry for her. She wanted to cry for all of them, but she couldn’t, of course, so she smiled and hugged and dished out sensible advice and struggled on.
Just like Jayne, she thought with sympathy, struggling on with her softened pelvic ligaments so that every movement made the two ends of her pubic bones scrape together at the synthesis, the join in the middle at the front. It wasn’t a joint anyone was ever aware of, unless something like this happened.