Fate is Remarkable

      Betty Neels

       www.millsandboon.co.uk

      CHAPTER ONE

      IT WAS QUIET in the consulting room, if the difficult, rasping breaths of the patient were discounted. From somewhere behind the closed door came the steady, subdued roar of a great many people, interrupted at intervals by a nurse’s voice calling the next in line. Sister Sarah Ann Dunn stood quietly, holding layers of woolly garments clear of the patient’s shoulders, so that Dr van Elven could get at them in comfort. He was a large man, and very tall, and the patient was fat. He bent, his handsome grizzled head an inch or so from the starched bib of Sarah’s apron, his grey eyes looking at nothing while he listened and tapped, then listened again. Presently he came upright with the deliberation which characterised all his movements, said, ‘Thank you, Sister,’ and turned his back, as he always did, while she dealt with hooks and eyes and zips. She fastened the last button, gave its owner a reassuring little pat and a friendly smile, and said, ‘Mrs Brown is ready for you, sir.’ It was one of the nice things about her, that she never forgot people’s names, however hard pressed she was. Patients were still people to her, and entitled to be treated as such. Dr van Elven strolled back from the X-rays he had been studying, glanced at her briefly from eyes half shut, and nodded. It was her cue to leave him with his patient for a few minutes—an arrangement which suited her very well, for it gave her time to have a quick look round OPD and make sure that everything was going smoothly.

      The hall was still quite full, for it was the orthopaedic consultant’s afternoon as well as the gynaecologist’s clinic and the medical OP she was taking. Both staff nurses were busy, but she could only see one student nurse. She made her way along the benches and turned into the narrow passage leading to the testing room. There were two nurses in it, carrying on such an animated conversation that they failed to see her for several seconds. When they did, they stopped in mid-sentence, their eyes upon her, presenting very much the same appearance, she imagined, as she had done when she had been caught in a similar situation as a student nurse. She said now, half smiling:

      ‘If you two don’t do your work, we shall all be late off duty, and there’s no point in that, is there? If you’re not doing anything here, go back to Staff Nurse Moore, please.’

      She didn’t wait to hear their apologies, but gave them a little nod and went back the way she had come, hurrying a little in case Dr van Elven was waiting. All the same, she stopped for a brief word with several of the patients sitting on the benches, for after three years as OPD Sister, she was on friendly terms with a number of them.

      Mrs Brown was on the point of going as she went into the consulting room, and the doctor said at once:

      ‘Ah, Sister, I have been suggesting to Mrs Brown that she should come in for a short time, so that I can keep an eye on this chest of hers—I daresay you can fix a bed? In three or four days, I think; that will give her time to make arrangements at home.’

      He was looking at her steadily as he spoke and she said immediately:

      ‘Yes, of course, sir. I’ll get someone to write and tell Mrs Brown which day to come.’ She smiled at the elderly, rather grubby little woman sitting in front of the doctor’s desk, but Mrs Brown didn’t smile back.

      ‘It’s me cat,’ she began. ‘‘Oo’s going ter look after ‘im while I’m in?’ She sat silent for a moment, then went on, ‘I don’t see as ‘ow I can manage …’

      ‘Perhaps the RSPCA?’ suggested Sarah gently.

      Mrs Brown shook her head in its shapeless hat. ‘‘E’d pine. I’m sorry, doctor, for you’ve been ever so kind …’

      He sat back in his chair, with the air of a man who had all day before him, and nothing to do. ‘Supposing you allow me to—er—have your cat while you are in hospital, Mrs Brown? Do you feel you could trust him to my care?’

      Mrs Brown’s several chins wobbled while she strove for words. It was, to say the least, unusual for an important gentleman like a hospital specialist to bother about what became of her Timmy. She was still seeking words when he continued, ‘You would be doing me a great favour—my housekeeper has just lost her cat after fifteen years, and is quite inconsolable. Perhaps looking after your Timmy for a week or so might help her to become more resigned.’

      The old lady brightened. ‘Oh, well now, that’s different, doctor. If ‘e’s going ter make ‘er ‘appy, and it ain’t no trouble …’

      She got up, and he got to his feet too. ‘No trouble—I’ll see that your cat is collected just before you come in, Mrs Brown. Will that do?’

      Sarah ushered her out, competently, but without haste, laid the next case history on the doctor’s desk, put up the X-rays, and waited. He finished what he was writing, closed the folder and said in his rather pedantic English:

      ‘A pity Mrs Brown wasn’t referred to me earlier. There’s very little to be done, I’m afraid. Chronic bronchitis, emphysema, and congestive heart failure, not to mention all the wrong diet for I don’t know how many years.’ He picked up the next folder, frowning. ‘If her home conditions were not too bad, I could patch her up enough to get her back there for a little while …’

      Sister Dunn said nothing, for she knew that nothing was expected of her. She had been working for Dr van Elven for a number of years now; he was rather a taciturn man, kind to his patients, considerate towards the nursing staff, and revealing on occasion an unexpected sense of humour. She was aware that he was not, in fact, addressing her, merely speaking his thoughts out loud. So she stood quietly, patiently waiting for him to rid his mind of Mrs Brown. The little pause in the day’s work did not irk her in the least; indeed, it gave her the opportunity to decide which dress she would wear that evening for dinner with Steven—the newish black would have been nice, but she particularly wanted to look young and gay. It would have to be the turquoise crêpe again. He had seen it a good many times already, but it suited her and she thought he liked it. Besides, it made her look a lot younger than her twenty-eight years … she looked a little wistful for a moment, although there was not the slightest need, for she looked a lot younger anyway, and was possessed of a serene beauty which she would keep all her life.

      Her face was oval, with wide grey eyes, extravagantly lashed by nature; she had a delicious nose, small and straight, and a soft curving mouth. Her hair curled a little and she wore it neatly pinned when she was in uniform, and loose in an unswept swirl around her neck when she was off duty. She had a pretty figure too, and a quiet, pleasant voice—everyone who knew her or had met her wondered how it was that she had reached the age of twenty-eight without getting married. She sometimes wondered herself; perhaps it was because she had been waiting for someone like Steven to come along—they had known each other for three years now, and for the last two she had taken it for granted that one day he would ask her to marry him. Only he hadn’t—she knew that he wanted a senior post, and just lately he had been talking about a partnership. Last time they had been out together he had observed that there was no point in marrying until he was firmly established.

      She frowned a little, remembering that last time had been more than a week ago. He had telephoned twice since then to cancel the meetings they had arranged. He was Surgical Registrar at St Edwin’s, and she had always accepted the fact that his work came first and because of that she had made no demur and no effort to waylay him in the hospital; but tonight should really be all right—she hoped that they would go to that restaurant in Monmouth Street where the food was good and the company gay. She suddenly wanted to be gay.

      She came out of her brown study with a start to find Dr van Elven staring at her with thoughtful eyes. She smiled.

      ‘I’m sorry, sir,’ she said. ‘Do you want the next patient? It’s old Mr Gregor.’

      The