A Consultant Beyond Compare Read online

  Jessica nodded, and hurried away. Katie was relieved. At least if the child had something to do, it would stop her from dwelling on the awfulness of the situation.

  She rummaged in her bag, spilling some of the contents out onto the grass as she hastily searched for her phone. Finding it, she called for an ambulance. If only the paramedics who had attended the accident up ahead had stayed around for a few moments longer…but they hadn’t, and she had to deal with this calamity all by herself.

  That thought barely had time to sink in before Jessica came back, and Katie’s eyes widened when she saw that her sister wasn’t alone. The man from the café was with her, his face taut with concern, a line indenting his brow. He came to kneel down beside her, so close that they were almost touching one another. Katie felt her senses swim.

  ‘Have you managed to clear his airway?’ he asked.

  She gave herself a mental shake. ‘Not really. I’ve brought his tongue forward and done what I can, but he’s bleeding heavily and I can’t manoeuvre him properly to resuscitate him because his jaw is broken.’

  ‘Let me see what I can do.’

  He made as though he would move her to one side but she resisted, saying quietly, ‘No, thank you. I believe I’ll manage.’ She gave him a determined blue stare. She couldn’t imagine why he thought he would know any better than she did about what needed to be done. ‘I’m going to improvise an airway. There’s no way he can be intubated in the usual way, even if there was any time to wait.’

  He frowned, his eyes narrowing, as Jessica leaned over to hand her a plastic straw and then placed the first-aid kit down on the ground beside her.

  Jessica’s jaw dropped as Katie opened up the box and took out a small sharp knife. ‘What are you going to do?’ she asked breathlessly.

  ‘I’m going to make a small incision in his throat and put the straw in place so that he can get air into his lungs.’ She looked up at her sister. ‘Perhaps you should turn away for a while. You might not want to see this.’

  Jessica swallowed hard but steadfastly continued to watch what was going on. Beside her, Katie felt the man stiffen.

  She sent him a quick glance. ‘Maybe you should look away, too,’ she said. The last thing she needed was for him to pass out through squeamishness. Anyway, it was unsettling, having him watch her every movement.

  He shook his head. ‘Do you know what you’re doing?’ His whole body was poised as though he was ready to intervene at any second. Katie could feel the warmth emanating from him, almost as though he was touching her, and her skin began to tingle in response.

  ‘Yes, it’s all right.’ Her voice was husky and she cleared her throat. ‘I’m a doctor.’ As she spoke, she was already feeling for the thyroid cartilage, and within seconds she began to make the incision. Once she had established that she had managed to puncture the cricothyroid membrane she opened up the fissure with a finger and inserted the drinking straw a little way into the trachea. Breathing into the tube, she was relieved to see that the man’s chest began to rise.

  ‘Is he going to be all right?’ Jessica’s eyes were wide.

  ‘I hope so. I think he has some broken ribs, and there may be a skull fracture, but at least he’s breathing now, and we’ve managed to buy some time for him. We can’t do much more until the paramedics get here with proper equipment.’

  She eased back a fraction and saw that Alex was checking the man’s pulse. ‘There’s a strong possibility he’ll go into shock,’ he said. ‘We don’t know for sure how long he might have been lying here. His heart rate is rapid, but the pulse is weak, and I suspect his blood pressure is way down. He must be bleeding internally.’ He was already getting to his feet. ‘I’ll go and get my medical bag from the car. We can at least put in an IV line and try to get some initial fluids into him.’

  Katie stared up at him. ‘You’re a doctor?’

  He nodded briefly, but he was already moving away from her, and after a moment Katie released a long breath. She hadn’t realised how keyed up she had been, having him so close beside her that his shoulder had almost brushed against hers. It had been like being surrounded by an electric force field strong enough to make the air crackle.

  She blinked. So he was a doctor, too? No wonder he had tried to intervene. She tried to absorb this new revelation and at the same time keep a check on her patient. Alex seemed to think they had met before, but surely she would have remembered him if they had been at medical school together? After all, he wasn’t the kind of man you would easily forget. He was incredibly good-looking, with strong features and grey-blue eyes that seemed to penetrate deep into her soul. Just being around him had the power to stop her in her tracks.

  He came back as she was taping the makeshift breathing tube securely in place. He sank down next to her on the grass and opened up his black leather case, but this time she was prepared, and with an effort she managed to keep her pulse rate under control.

  ‘I don’t carry a lot with me,’ he said in an undertone, ‘but I have some lactated Ringer’s solution, which will help until we can get him to hospital. They talk about the golden hour, but we’re fast losing ground there.’

  Jessica was puzzled. ‘What’s the golden hour?’

  Alex was attempting to find a vein, and Katie realised that it was going to be difficult if the man’s circulation was shutting down.

  ‘It’s the maximum time lapse from when the trauma happened to arrival at hospital, if the patient is to stand a good chance of survival.’ He slid the needle into place. ‘I’m in.’ Quickly he set up the IV line and hooked up the Ringer’s solution, using an overhead branch to keep the bag above the level of the patient.

  ‘At least…’ Jessica’s voice broke, becoming thready. ‘At least he has you and Katie to look after him.’

  Alex gave her a brief smile, and perhaps he realised that she was very young and vulnerable because he said softly, ‘We’re doing everything we can for him.’

  Jessica nodded, and watched as Alex drew up a syringe. ‘What’s that you’re giving him?’

  ‘It’s an antibiotic. We haven’t been able to use sterile equipment out here, so this should help to ward off any infection.’ He sent her a thoughtful glance. ‘You seem very keen to know what’s going on. Are you thinking of going into medicine like your sister? I suppose she must be a great influence in your life, working as a doctor?’

  Jessica gave an awkward shrug. ‘I’m not sure what I want to do. I used to go and see Katie sometimes when she worked in A and E and she explained some of it to me, but she doesn’t work there now, and I’m not sure I’d be able to do that kind of job. I know Katie gave it up. She doesn’t work as a doctor any more, and I don’t know if I’m cut out for it either.’

  Alex turned his gaze on Katie, his brows meeting in a dark line. ‘Is that true? You’re not working in medicine now?’

  Katie nodded. ‘It isn’t easy to find placements these days, as you probably know. Anyway I wanted a change, so I found myself a job in a rehabilitation centre. It was good. I enjoyed working there.’ She grimaced wryly. ‘Unfortunately, the place closed down this afternoon, so it looks as though I’ll be looking through the situations vacant columns for something else first thing tomorrow.’

  He opened his mouth as though to say something, but in the distance a siren sounded, growing nearer. They both checked their patient, relieved to find that his condition was reasonably stable for the moment. Alex began to gather up the equipment they had used, closing his medical bag and handing the first-aid kit to Jessica as the ambulance arrived.

  The paramedics oversaw the patient’s transfer to the waiting ambulance, and Alex gave the team a rundown of the man’s injuries. ‘We’ll need to get a CT scan and move him to Theatre as soon as possible,’ he said. ‘I’ll follow you to the hospital and help with the handover to A and E. Martin’s on duty today, isn’t he?’

  The paramedic nodded. ‘We’ll get in touch with him and tell him to stand by.’

 
; ‘Good.’ He stood back and waited while the men made sure their patient was securely strapped in place in the vehicle. Turning to Katie, he said, ‘There’s a place for you on my team if you want it. I’m in charge of the A and E department at South Lake Hospital. I’ve been advertising for a senior house officer for a few weeks now, and so far I haven’t managed to fill the position. None of the candidates have been right for the job. If you drop by the department some time tomorrow, we could go through the application forms together.’

  Was he actually offering her a job? Katie’s mouth dropped open, but she quickly attempted to recover herself. ‘I don’t think so,’ she murmured. ‘I mean…thanks all the same, but I think I’ll take some time and look around.’

  He was frowning again. ‘I don’t understand why you’re hesitating. Didn’t you say that you were out of work and posts were hard to find?’ His grey-blue eyes homed in on her with laser-like precision. ‘I’ve seen you in action and I’ve no doubt that you know what you’re doing. You acted promptly in an emergency and you probably brought this man back from the brink. Is there a problem of some sort, a reason why you won’t consider the offer?’

  She shook her head. ‘There’s no problem. I just prefer to give it some thought, that’s all.’ Her chin tilted. She didn’t see why she had to lay her life bare for this man. He had dropped into her life from out of nowhere, and he could just as easily disappear into nothingness once more. Out of sight, out of mind—wasn’t that what people said? And that being the case, the spectre of working in A and E once more would disappear along with him, wouldn’t it?

  ‘I can’t stay and debate the matter with you,’ he said on a brisk note, ‘but I think you’re making a mistake.’ He pressed his lips together in a straight line. ‘I have to go.’

  He glanced at Jessica, who had gone to stand a short distance away from the ambulance, watching the paramedics make their preparations to leave. Then he turned his attention back to Katie.

  ‘How are you going to manage? Don’t you owe it to that young girl to keep a roof over her head?’ His grey eyes darkened. ‘Or maybe she comes a long way down on your list of priorities? I suppose that could explain a lot.’

  Katie straightened her back. ‘You don’t know anything about me, or my sister,’ she said. ‘How can you presume to judge me when we’ve only just met?’

  He inclined his head a fraction. ‘That’s true,’ he murmured, and his mouth indented in a vestige of a smile. ‘You’re definitely something of an enigma, Katie Sorenson…but I dare say I’ll fathom the puzzle somehow.’

  He moved swiftly away from her and headed towards his car, stopping only to say a quick goodbye to Jessica. Then he slid behind the wheel and sped away in the wake of the ambulance.

  Jessica came over to where Katie was standing. ‘Did I hear him offer you a job?’

  Katie nodded. ‘Yes. He seems to think I could find a place in his A and E department, but I told him I wanted to look around for something else. That’s why I moved here, so that I could put all that behind me and make a fresh start.’

  Jessica nodded. ‘Yes, I know, but you’ll be going to work in another A and E department at some point, won’t you? You have to, surely? You’re a good doctor, and you’re needed out there. Anyway, you weren’t ever going to stay at the rehab centre for very long, were you?’

  Katie started to walk towards her car. ‘Actually I found that it was far more rewarding than I expected. It was certainly less frantic than what I was doing at the hospital, and I wasn’t planning on making a change yet.’

  ‘But you told Alex that you were out of work now.’ Jessica shook her head, so that her glossy brown curls danced in the afternoon sunlight. ‘You can’t give up on being a doctor. It isn’t right. Just because things went wrong for you back home. I don’t care what anybody says, I know you, and I know you couldn’t have done anything wrong. You’re always so careful, so good in everything that you do. Everyone knows that…Mum says that’s why they haven’t put anything bad in your work record.’ She looked at Katie. ‘They haven’t, have they?’

  Katie bent her head a fraction, so that her chestnut curls momentarily fell across her cheek, covering her features. ‘That may be so, but I still don’t feel that I can work in A and E.’ She frowned, her blue eyes clouding. ‘I was getting on all right at the rehab centre. I liked working with the staff there, and it was good to know that I was helping people to get back on their feet after they were incapacitated.’

  Jessica put her arms around her in a fleeting hug. ‘I’m sorry it came to an end. You’ll have to tell me what happened. But even so, it seems all wrong to me that you were working there in the first place. You used to love being in Emergency. You went through all that training, and it was all you ever wanted to do, remember? Now that I’m here, you can go back to it, can’t you? And things will be easier for you because I’ll be here to tidy up and make the meals, and just as soon as I find a job I’ll be able to help out with the finances.’

  Katie smiled. Oh, for youthful innocence. Her sister made it all sound so simple. All she had to do was go after what she wanted and things would turn out fine. It was a lovely thought, and if only that was the way things worked she would be more than happy…but there was more to it than that, wasn’t there?

  Her confidence had been badly shaken, and all her hopes and dreams had crumbled about her. Life would never be quite the same ever again.

  ‘We should head back to my cottage,’ Katie said, pulling open her car door. ‘You can tell me what went wrong at home and why you decided to come all the way out here.’

  Jessica pulled a face as she settled herself in the passenger seat. ‘Do I have to? I’d much rather talk about you and Alex and the job at his hospital.’ She rolled her eyes in a dramatic gesture. ‘When he’s not trying to take charge of me he’s really something, isn’t he? I bet the girls back home would think he was gorgeous.’

  Katie threw her a look from under her lashes. ‘That may be so, but we aren’t going to see him again, so perhaps we should try to forget about him. We’ll concentrate on you from now on.’

  It was a brave attempt at self-protection on Katie’s part—easier to forget about it and move on. Those all-seeing, grey-blue eyes were imprinted on her mind, though, and the promise that glimmered within them would haunt her for some time to come.

  ‘Oh, phooey.’ Jessica rolled her eyes. ‘He’s a dream-boat, and you’re such a spoilsport. How can you not want to talk about him?’

  CHAPTER THREE

  ‘SO, THIS is your place?’ Jessica’s grey eyes widened as she gazed at the L-shaped, stone-built cottage in front of her. ‘I never imagined that you would buy anything like this. It’s lovely, really quaint, and so different from our place back home.’

  Katie nodded, looking up at the gabled roofs that were at angles to one another. ‘I think that’s because it’s so open here—everything around is green and peaceful, and there aren’t that many houses dotted about. You only have to look out of the bedroom window and you can see crags and fells for miles around. Mind you, once we get inside you might feel differently about it. It’s quite poky, and there’s still a lot that I have to do to make the place feel comfortable.’

  Katie started to unlock the front door, but Jessica hung back, lightly touching the silky, pale mauve petals of the wisteria that covered the front wall. ‘This is beautiful,’ she murmured, breathing in the sweet fragrance.

  ‘Yes, you’re right, it is.’ Katie paused to share the moment with her sister. ‘I ought to stop more often and take time to appreciate what I have.’ The truth was, lately all she had thought about was how much work there was to do, and how wild and overgrown the garden had become. She gave a half-smile. Having her sister here with her was already making a difference to her outlook on things.

  ‘Come through to the kitchen and I’ll make us some tea.’ She glanced at Jessica. ‘You’d better put your hold-all down. It looks heavy. You must have brought everything with y
ou bar the kitchen sink.’

  Jessica gave an awkward laugh. ‘I packed as much as I could manage.’ She looked up at Katie, biting down on her lower lip.

  ‘I know it must be awkward for you, with me turning up here like this, out of the blue, but I didn’t know what else to do. I couldn’t stay at home, not after the way Dad’s temper took off. He locked me out of the house, and it was all because I was a few minutes late getting in. I went and spent the night round at my friend’s house, but I knew I had to get away. I couldn’t stand it any more, and all I could think of was that you might take me in.’

  Jessica was silent for a moment, deep in thought. ‘You know how he is, and I’m sure that’s why you left home as soon as you could manage it. It was bad enough when you went off to medical school, but at least that was close by and you were able to come home for a few days every week. Then when you started on your house officer jobs at different hospitals, I thought I was going to lose you.’

  Katie gave her sister a hug. ‘Has it been so bad? I’m sorry if you felt that I was leaving you behind. You know I was always there for you, just a short car ride away. I kept in touch and came to see you as often as I could.’

  ‘Yes, and that was good, but now you’ve moved up here to the Lake District, and it isn’t as though you could just drop by every weekend, is it? I just didn’t think I could go on this way any longer. Dad’s always going on at me about something or other. He says I’m scatterbrained and I’ll always be troublesome.’

  ‘Have you tried talking to Mum about how you feel?’

  ‘What would be the point in doing that?’ Jessica made a hopeless gesture with her hands. ‘Mum never listens, and she certainly never takes my side. She just says, “Oh, I can’t cope with the two of you arguing all the time. You’re making my head hurt.” She always seems as though everything’s too much for her and I think she’ll be better off with me out of the way.’