Читать книгу The Fling That Changed Everything - Алисон Робертс - Страница 10

CHAPTER THREE

THE MEDICAL CLINIC on Atangi was staffed by an older local nurse, Marnie, who met them at the door after Jack had landed the helicopter on the football field across the road. He shut the chopper down and came with her in case he needed to go back for a stretcher.

‘Try not to scare her,’ Marnie warned. ‘I had a hard job persuading her to come in at all and she might try and do a runner. Not that she’ll get very far, mind you...’

‘What’s her name?’ Lia asked. ‘And what’s the story?’

‘Her name’s Sefina. She lives out past the edge of the village and keeps to herself, of course...’

Of course? A warning bell rang for Lia. She wanted to ask why it was expected that this Sefina would keep to herself but the nurse was still speaking quietly.

‘I went out there on my way home for lunch because she missed her appointment for Joni’s fifteen-month vaccinations last week and I wanted to remind her how important it was that she brings him in.’

‘Joni?’

‘Her kid. Anyway, when she finally answered the door, it was obvious something bad had happened. She said she had a fall on the rocks at the beach yesterday but...’

Lia touched her arm to slow their progress towards the consulting room. She needed to ask this time.

‘But what?’

‘Everyone knows what her husband, Louis, can be like after a few drinks,’ Jack muttered. ‘Is that what you’re thinking, Marnie?’

The older woman shrugged and looked away. ‘It’s none of my business,’ she said. ‘I only went there because of Joni...’

Lia raised her eyebrows at Jack. What on earth was going on here? This was a village and surely everybody knew everybody else’s business—and looked out for them?

‘It’s a long story,’ Jack said quietly. ‘I’ll fill you in later.’

Sitting in the middle of the consulting-room floor was a small boy with coffee-coloured skin and a mop of wild curls. At the sight of strangers entering the room, his face crumpled and he let out a wail of fear and made a beeline for his mother’s legs for something to cling to.

The boy’s mother couldn’t help, however, because she was currently vomiting into the handbasin at one side of the room.

Lia went swiftly to her side.

‘Sefina? I’m Lia. I’ve come to help you.’

Her patient looked up as she turned the tap on and Lia was shocked by the injury to her face. One eye was so swollen it was closed and there was a cut above it that needed suturing. And even on Sefina’s dark skin the bruising around the cut was obvious. She was also shocked at how young she was. Barely more than a teenager, by the look of it, and she was a mother already.

‘I’m fine. I didn’t want to come in here... Marnie shouldn’t have called you.’

‘I know.’ Lia kept her smile as reassuring as her tone. ‘But we’re here now so let me give you a check-up? I’m new in this job so I have to make sure everything’s done properly. You’re my first patient, even.’

She wanted to let Sefina know that she didn’t know anything about whatever it was that was keeping this young woman isolated from her community and that she was offering treatment without any kind of judgement. She wasn’t going to be fobbed off, however. She’d seen more than a tinge of blood in that basin before the tap had been turned on and that was a red flag for injuries that could be internal.

‘Marnie shouldn’t have called you. I’m fine.’

The repetition of something that had just been said rang another warning bell for Lia. The head injury was clearly enough to have caused concussion or possibly a more serious brain injury.

‘Do you know what day it is today, Sefina?’

‘Marnie shouldn’t have called you.’ Sefina had turned away from the basin. ‘Joni... Come on...we’re going home...’

She started to bend over to pick up her son, who was still clinging to her legs, but then she clutched her abdomen and doubled over with a cry of pain.

Supporting her weight, Lia had to let her slide to the floor when it became obvious she couldn’t get as far as the bed. Whatever this girl’s injuries were, they needed more investigation than it was likely to be possible to do in this small clinic.

‘Jack?’ Lia knew he was waiting right outside the door and, sure enough, he appeared instantly.

‘We’re going to need the stretcher,’ she told him. ‘I don’t think Sefina’s going to be walking anywhere just now.’

It was impossible to start examining Sefina with Joni now trying to scramble into her arms. Lia lifted the toddler and turned to find Marnie watching, her arms folded over her ample chest.

‘Can you look after Joni, please, Marnie? I need to examine Sefina.’

‘No-o-o...’ Sefina struggled to sit up but fell back with a cry of pain.

The hesitation and then grudging compliance from the nurse was enough to anger Lia. Whatever the village had against this young girl, it was not acceptable to be taking it out on an innocent child. By the time Jack returned, Lia was tight-lipped. She met him in the waiting room.

‘We have to get Sefina back to the hospital. Her abdomen’s rigid and I suspect she’s bleeding from a ruptured spleen. On top of that she’s got a head injury and there’s no way of telling how serious it is. She needs a CT scan to rule out a brain bleed.’

Jack was nodding. ‘Let’s go, then.’

‘There’s another thing,’ Lia snapped. ‘I’m not leaving her baby here. I think there’s a high chance these injuries weren’t accidental. There’s no way I’m letting that little boy go back to his father and I’m getting the feeling that no one else around here wants to take care of him.’

‘Louis isn’t his father,’ Jack told her.

Lia blinked. Was that what the problem was? Had Sefina cheated on her husband and everyone knew that? Did her low-life husband think it gave him an excuse to beat her up to within an inch of her life?

‘All the more reason to take Joni with us, then.’

‘It’ll be a rough flight.’

‘So we’ll strap him in. Or I’ll hold him. There’s not much I can do for Sefina en route, anyway. I’ll give her some pain relief and get some fluids up and then what we need to do is get her to hospital as soon as possible. Hopefully before this weather gets any worse.’

* * *

Sam, Hettie and Anahera were waiting in the emergency department of Wildfire Island’s hospital, having been alerted to the incoming trauma patient via radio.

Jack and Manu, the hospital porter, were wheeling the stretcher. Lia had her arms full with a very frightened-looking small child. Sam had heard of the child, of course. Everybody in this community had. But he’d never seen him. Or his mother, for that matter. Good grief, she looked so young...

‘Let’s get her onto the bed.’ Sam positioned himself at the head. ‘On the count of three. One, two...three...’

Sefina was transferred smoothly from the stretcher to the bed. Lia moved closer to Sam but still had to raise her voice over the crying of the child she was holding.

‘This is Sefina Dason,’ Lia said. ‘She’s sustained head and abdominal trauma. GCS is down at fourteen. Repetitive speech and vomiting. Her abdo’s rigid and her blood pressure is low at one hundred over forty. Up from ninety over forty after a litre of saline. She’s in sinus rhythm and tachycardic at one-three-five, and has a resp rate of thirty. Her oxygen saturation was ninety-five per cent. It’s come up to ninety-eight on oxygen. She’s had ten milligrams of morphine. Provisional diagnosis is a ruptured spleen and concussion.’