Читать книгу Stars Through the Mist - Betty Neels, Бетти Нилс - Страница 7

THE OPERATING THEATRE was a hive of industry, its usual hush giving way to sudden utterances of annoyance or impatience as the nurses went briskly to and fro about their business. Sister Deborah Culpeper, arranging her instruments with efficient speed on the trolley before her, found time to listen to the plaintive wail of her most junior nurse, who was unable to find the Langenbeck retractors she had been sent to fetch, while at the same time keeping an eye on Bob, the theatre technician, who was trying out the electrical equipment needed for the various drills which would presently be needed. She calmed the nurse, nodded approval of Bob’s efforts, begged Staff Nurse Perkins to get the dressings laid out in their correct order and glanced at the clock.

One minute to nine o’clock, and as far as she could see, everything was ready. She swung the trolley round with an expert kick and then stood, relaxed and calm, behind it, knowing that in a few minutes the rest of the staff would follow suit; she never badgered them or urged them on, merely saw to it that each nurse had her fair share of the work and time enough in which to do it. She looked ahead of her now, apparently at the tiled wall opposite her, aware of every last move being made, nothing of her visible beneath the green gown which enveloped her, only her dark eyes showing above the mask. She looked the picture of calm self-assurance, and her nurses, aware of their own hurried breath and rapid pulses, envied her. A quite unwarranted feeling, as it happened, for despite her outward tranquillity, Deborah’s heart had quickened its pace to an alarming rate, and her breath, despite her efforts to keep it firmly under her control, had run mad. She gave her head a tiny, vexed shake, for it annoyed her very much that she should behave so stupidly whenever Mr van Doorninck was operating; she had tried every means in her power to remain uncaring of his presence and had mastered her feelings so well that she could present a placid front to him when they met and subdue those same feelings so sternly that she could scarcely be faulted as a perfect Theatre Sister; only on his operating days did her feelings get a little out of hand, something which she thanked heaven she could conceal behind her mask. She looked up now as the patient was wheeled in, arranged with nicety upon the operating table and covered with a blanket, to be followed immediately by the opening of the swing doors at the further end of the theatre and the appearance of two men.

Deborah’s lovely eyes swept over the shorter, younger man—the Registrar, Peter Jackson—and rested briefly upon Mr van Doorninck. He was a very tall man with broad shoulders shrouded, as was every one else, in green theatre garb. His eyes above the mask swept round the theatre now, missing nothing as he walked to the table. His good morning to Sister Culpeper was affable if somewhat reserved, and his glance from under heavy lids was brief. She returned his greeting in a quiet, detached voice and turned at once to her trolley, wondering for the hundredth time how it was possible for a sensible woman of twenty-seven to be so hopelessly and foolishly in love with a consultant surgeon who had never uttered more than a few brief conventional phrases to her. But in love she was, and during the two years in which she had worked for him, it had strengthened into a depth of feeling which had caused her to refuse two proposals of marriage. She sighed soundlessly and began the familiar ritual of arranging the sterile sheets and towels over the unconscious form on the table.

She worked with speed and care, knowing exactly how the silent man on the other side of the table liked them arranged; in two years she had got to know quite a lot about him—that he was even-tempered but never easy-going, that when the occasion warranted it, he could display a cold anger, that he was kind and considerate and reticent about himself—almost taciturn. But of his life outside the theatre she knew very little; he was yearned over by the student nurses to whom he gave lectures, sought after by the more senior female staff, and openly laid siege to by the prettier, younger nurses. No one knew where he lived or what he did with his spare time; from time to time he let drop the information that he was either going to Holland or had just returned. The one fact which emerged from the wealth of rumour which surrounded him was that he was not married—an interesting detail which had increased the efforts of the young women who rather fancied themselves as his wife. And once or twice he had mentioned to Deborah that he had parents in Holland, as well as brothers and a sister who had been to England to visit him. Deborah had longed to ask questions and had restrained herself, knowing that if she did he would probably never tell her anything again.

She finished the preliminaries, glanced at him, and at his ‘Ready, Sister?’ gave her usual placid ‘Yes, sir,’ and handed him the towel clips which he liked to arrange for himself. After that she kept her thoughts strictly upon her job—scalpel, artery forceps, retractors, and then as he reached the bone, the lion forceps, the Langenbeck retractors, the rugines, the bone levers—she handed each in turn a second or so before he put out his hand to receive them, admiring, as she always did, his smooth technique and the sureness of his work. Not for nothing had he won a place on the top rung of the orthopaedic surgeon’s ladder.

The patient was a young man with a malignant tumour of the femur; his only chance of recovery was extensive excision, a proceeding which Mr van Doorninck was undertaking now. Beyond a muttered word now and then to his registrar or a request for some special instrument, he spoke little; only when the operation was three parts completed and they were stitching up did he remark: ‘There’s a good chance of complete recovery here—as soon as he’s fit we’ll get him fitted with a leg—remind me to talk to Sister Prosser about him, Peter.’

He turned away from the table and took off his gloves to fling them into one of the bowls and walked out of the theatre, back into the scrubbing-up room, leaving Peter to supervise the removal of the patient and Deborah to organise the preparation of the theatre for the next case, reflecting as she did so that Sister Prosser, plain and plump and fifty if she was a day, was the most envied member of the nursing staff, because she saw Mr van Doorninck every day, and not only that, he took coffee with her frequently, and was known to have a great respect for her opinion of his patients’ conditions.

The morning wore on; a child next with a Ewing’s tumour over which the surgeon frowned and muttered to Peter, knowing that his careful surgery offered little hope of a permanent cure, then an old lady whose broken thigh was to be pinned and plated. It was like a carpenter’s shop, thought Deborah, expertly changing drills and listening to the high whine of the electric equipment Bob was obediently switching on and off; what with drills and saws and mallets, it was a noisy way to spend a morning, although after five years of it she should be used to it. She had always been interested in bones and when she had finished her training and had had an opportunity of taking the post of staff nurse in the orthopaedic theatre, she had jumped at the chance, and a year later, when the Theatre Sister had retired, she had taken over her job, content with her lot—there was time enough to think about getting married in a year or two, in the meantime she would make a success of her new post, something she had done in a very short time so that there still seemed no urgency to take the idea of marriage seriously.

She was twenty-five when Mr van Doorninck walked into the theatre unit one day, to be introduced as the new orthopaedic consultant, and from that moment she had felt no desire to marry anyone at all, only him. She had realised how hopeless her wish was within a short time, and being a girl with common sense, had told herself to stop being a fool, and had accepted numerous invitations from a number of the younger doctors in the hospital. She had taken trips in fast sports cars, attended classical concerts, and visited cinemas and theatres, according to her escorts’ tastes, but it hadn’t helped in the least; she was left with the feeling that she had wasted her time as well as that of all the young men who had taken her out, for Mr van Doorninck’s image remained clearly imprinted inside her head and refused to be budged.

She had come to realise over the last few months that there was only one way of escape from his unconscious toils; she would have to leave Clare’s and start all over again somewhere else. Indeed she had already put this plan into effect, searching the Nursing Times for a suitable post, preferably situated at the furthest possible point from London.

They had a break for coffee after the old lady’s fragile bones had been reinforced by Mr van Doorninck’s expert carpentry. The talk was of the patients, naturally enough, but with their second cups, the two men began a discussion on the merits of the Registrar’s new car and Deborah slipped away to scrub and relieve Staff for her own elevenses. They were still discussing cars when the theatre party reassembled around the table again to tackle a nasty shattered elbow, which Mr van Doorninck patiently fitted together like a jigsaw puzzle with Peter’s help, several lengths of wire, a screw or two, and the electric drill again. That done to his satisfaction, he turned his attention to the last case, added hastily to the list at the last minute, because the patient had only been admitted early that morning with a fractured pelvis after he had crashed on his motor bike. It took longer than Deborah had expected. Half way through the operation she signed to Staff and one of the nurses to go to lunch, which left her with Bob and a very junior nurse, who, though willing and eager to please, was inclined to blunder around. It was long past two o’clock when the case left the theatre, and Mr van Doorninck, with a politely worded apology for running so far over his usual time, went too. She wouldn’t see him again until Thursday; he operated three times a week and today was Monday.

The afternoon was spent doing the washdown in the theatre, and Deborah, on duty until Staff should relieve her at five o’clock, retired to her office to attend to the paper work. She had discarded her theatre gown and mask and donned her muslin cap in order to go to the dining room for her late dinner; now she spent a few moments repairing the ravages of a busy morning—not that they showed overmuch; her very slightly tiptilted nose shone just a little, her hair, which she wore drawn back above a wide forehead, still retained the smooth wings above each cheek and the heavy coil in her neck was still firmly skewered. She applied lipstick to her large, well-shaped mouth, passed a wetted fingertip across her dark brows, put her cap back on, and stared at the result.

She had been told times out of number that she was a very pretty girl, indeed, one or two of her more ardent admirers had gone so far as to say that she was beautiful. She herself, while not conceited, found her face passably good-looking but nothing out of the ordinary, but she, of course, was unaware of the delight of her smile, or the way her eyes crinkled so nicely at their corners when she laughed, and those same eyes were unusually dark, the colour of pansies, fringed with long curling lashes which were the envy of her friends. She pulled a face at her reflection and turned her back on it to sit at the desk and apply herself to the miscellany upon it, but after ten minutes or so she laid down her pen and picked up the latest copy of the Nursing Times; perhaps there would be a job in it which might suit her.

There was—miles away in Scotland. The hospital was small, it was true, but busy, and they wanted an energetic working Sister, able to organise and teach student nurses the secrets of orthopaedics. She marked it with a cross and went back to her writing, telling herself that it was just exactly what she had been looking for, but as she applied herself once more to the delicate task of giving days off to her staff without disrupting the even flow of work, several doubts crept into her mind; not only was the hospital a satisfying distance from Mr van Doorninck, it was also, unfortunately, an unsatisfying distance from her own home. Holidays, not to mention days off, would be an almost impossible undertaking. She went home to Somerset several times a year now, and once a month, when she had her long weekend, she drove herself down in the Fiat 500 she had bought cheap from one of the housemen. She frowned, trying to remember her geography, wondering if Somerset was further away from the northern coasts of Scotland than was London. She could always spend a night with her Aunt Mary who lived on the edge of a hamlet rejoicing in the incredible name of Twice Brewed, hard by Hadrian’s Wall, but even then she would have to spend another night on the road. And what was she going to tell her friends when they found out that she intended to leave? She had no good reason for doing so, she had never been anything but happy until Mr van Doorninck turned up and destroyed her peace of mind, and even now she was happy in a way because she was sure of seeing him three times a week at least. She frowned. Put like that, it sounded ridiculous—she would have to find some really sensible reason for giving in her notice. She picked up her pen once more; she would puzzle it out later, when she was off duty.

But there was no opportunity; she had forgotten that it was Jenny Reed’s birthday and that they were all going out together to the cinema, so she spent the rest of the evening with half a dozen of the younger Sisters and shelved her problems.

There wasn’t much time to think next day either, for the three victims of a car crash were admitted in the early hours of the morning and she was summoned early to go on duty and open up the theatre. Staff was already there when she arrived and so was the junior nurse, her eyes round with excitement as she began the humbler routine tasks which fell to her lot.

‘Oh, Sister,’ she breathed, ‘they’re in an awful bad way! Lottie Jones—she’s on nights in the Accident Room, she says they’ve broken every bone in their bodies.’

Deborah was putting out the sharps and needles and collecting the electrical equipment. ‘In which case we’re going to be here for a very long time,’ she remarked cheerfully. ‘Where’s Nurse Patterson?’

That young lady, only half awake, crept through the door as she put the question, wished her superior a sleepy good morning and went on to say: ‘They’re mincemeat, Sister, so rumour has it, and where’s the night staff? Couldn’t they have at least started…?’

‘It’s not only our three,’ Deborah pointed out crisply. ‘They’ve had a busy night, the general theatre has been on the go since midnight. Get the plaster room ready, will you, Nurse, and then see to the bowls.’

She was on the point of scrubbing up ready to start her trolleys when Mr van Doorninck walked in. She looked at him twice, because she was accustomed to seeing him either in his theatre gown and trousers, or a selection of sober, beautifully cut grey suits, and now he was in slacks and a rather elderly sweater. It made him look younger and much more approachable and it seemed to have the same effect on him as well, for he said cheerfully, ‘Hullo—sorry we had to get you up early, but I wanted you here. Do you suppose they could send up some coffee—I can tell you what I intend doing while we drink it.’ He glanced around him. ‘These three look as though they could do with a hot drink, too,’ a remark which sent Patterson scurrying to the telephone to order coffee in the consultant’s name, adding a gleeful rider that it was for five people and was to be sent up at once.

Deborah led the way to her office, offered Mr van Doorninck a chair, which he declined, and sat down herself behind her desk. She had taken off her cap and had her theatre cap and mask in her hand, but she put these down now and rather absent-mindedly began to thrust the pins more securely into the great bundle of hair she had twisted up in such a hurry. She did it with a lack of self-consciousness of which she was unaware and when she looked up and caught his eye, she said, ‘Sorry about this—there wasn’t much time, but I’m listening.’

‘Three cases,’ he began. ‘The first is a young man—a boy, I should say, fractured pelvis, left and right fractured femurs, I’m afraid, and a fractured patella—fragmented, I shall have to remove the whole thing. The other two aren’t quite so bad—fractured neck of femur, compound tib and fib and a few ribs; the third one has got off comparatively lightly with a comminuted fracture of left femur and a Potts’. I think if we work the first case off, stop for a quick breakfast, and get the other two done afterwards—have you a list for Mr Squires this morning? Doesn’t he usually start at eleven o’clock?’

Deborah nodded. ‘But it’s a short list and I’m sure he’ll agree to start half an hour later if he were asked.’

‘How are you placed for staff? Will you be able to cover both theatres? You’ll be running late.’

It was Staff’s half day before her days off, but he wouldn’t know about that. Deborah said positively: ‘I can manage very well; Bob will be on at eight o’clock and both part-time staff nurses come in.’

She made a show of consulting the off-duty book before her. She wouldn’t be able to go off duty herself, for she was to be relieved by one of the part-time staff nurses; she would have to telephone her now, and get her to come in at one o’clock instead.

‘When would you like to start?’ she wanted to know calmly.

He glanced at his watch. ‘Ten minutes, if you can.’

She got up from her chair. ‘We’ll be ready—you’ll want the Smith-Petersen nails, and shall I put out the McLaughlin pin-plate as well? And will you want to do a bone graft on the tib and fib?’

‘Very probably. Put out everything we’ve got, will you? I’ll pick what I want, we can’t really assess the damage until I can get the bone fragments away.’

He followed her out of the office and they walked together down the wide corridor to the scrubbing-up room, where Peter was already at one of the basins. Deborah wished him good morning and went to her own basin to scrub—ten minutes wasn’t long and she had quite a lot to do still.

The operation lasted for hours, and unlike other jobs, there was no question of hurrying it up; the broken bones had to be exposed, tidied up, blood vessels tied, tissue cut away and then the pieces brought together before they were joined by means of pins or wires, and only then after they had been X-rayed.

Mr van Doorninck worked steadily and with the absorption of a man doing a difficult jigsaw puzzle, oblivious of time or anything else. Deborah, with an eye on the clock, sent a nurse down to breakfast with the whispered warning to look sharp about it; Staff went next and when Bob came on at eight o’clock and with him the other two student nurses, she breathed more freely. She still had to telephone Mrs Rudge, the part-time staff nurse, but she lived close by and with any luck she would be able to change her duty hours; she would worry about that later. She nodded to Bob to be ready with the drill, checked swabs with the junior nurse, and tidied her trolleys.

The case was wheeled away at long last, and as the patient disappeared through one door, Mr van Doorninck and Peter started off in the opposite direction. ‘Twenty minutes?’ said Mr van Doorninck over his shoulder as he went, not waiting for her reply.

‘You must be joking,’ Deborah muttered crossly, and picked up a handful of instruments, to freeze into immobility as he stopped abruptly. ‘You’re right, of course—is half an hour better?’

She said ‘Yes, sir,’ in a small meek voice and plunged into the ordered maelstrom which was the theatre. Twenty minutes later she was in her office, her theatre cap pushed to the back of her head, drinking the tea Staff had whistled up for her and wolfing down buttered toast; heaven knew when she would get her next meal…

She certainly didn’t get it at dinnertime, for although the second case proved plain sailing, even if slow, the third presented every small complication under the sun; the femur was in fragments, anyone less sure of himself than Mr van Doorninck might have felt justified in amputating below the knee, but he, having made up his mind that he could save the limb, set to work to do so, and a long and tedious business it was, necessitating Deborah sending Mrs Rudge to the second theatre to take care of Mr Squires who had obligingly agreed to take his list there, and she had taken two of the nurses with her, a circumstance which had caused Staff Nurse Perkins to hesitate about taking her half day, but it was impossible to argue about it in theatre; she went, reluctantly.

The operation lasted another hour. Deborah had contrived to send the nurses to their dinners, but Bob she didn’t dare to send; he was far too useful and understood the electric drills and the diathermy machine even better than she did herself—besides, she was scrubbed, and at this stage of the operation there was no question of hampering Mr van Doorninck for a single second.

It was half past two when he finally straightened his back, thanked her politely for her services and walked away. She sent Bob to his belated dinner, and when Mrs Rudge arrived from the other theatre, went downstairs herself to cold beef and salad. There was certainly no hope of off-duty for her now. Mrs Rudge would go at four o’clock and that would leave herself and two student nurses when Bob went at five. She sighed, eating almost nothing, and presently went over to the Nurses’ Home and tidied herself in a perfunctory manner, a little horrified at the untidiness of her appearance—luckily it had all been hidden under her cap and mask.

It had just turned four o’clock when the Accident Room telephoned to say that there was a small child coming up within minutes with a nasty compound fracture of upper arm. Deborah raced round collecting instruments, scrubbing to lay the trolley while telling the nurses, a little fearful at having to get on with it without Staff to breathe reassuringly down their necks, what to do next. All the same, they did so well that she was behind her trolley, scrubbed and threading needles when the patient was wheeled in, followed by Mr van Doorninck and Peter.

‘Oh,’ said Deborah, taken delightfully by surprise, ‘I didn’t know that it would be you, sir.’

‘I was in the building, Sister,’ he informed her, and accepted the towel clip she was holding out. ‘You have been off duty?’

She passed him a scalpel. ‘No.’

‘You will be going this evening?’

She took the forceps off the Mayo table and held them ready for Peter to take. ‘No,’ then added hastily, in case he should think she was vexed about it, ‘It doesn’t matter in the least.’

He said ‘Um’ behind his mask and didn’t speak again during the operation, which went without a hitch. All the same, it was almost six o’clock when they were finished and it would be another hour before the theatre was restored to its pristine state. It was a great pity that Peter had to put a plaster on a Potts’ fracture—it was a simple one and he did it in the little plaster room, but he made a good deal of mess and Deborah, squeezing out plaster bandages in warm water for him to wind round the broken leg, found her temper wearing thin. It had been a long day, she was famished and tired and she must look a sight by now and there were still the books to write up. She glanced at the clock. In ten minutes the nurses were due off duty; she would have to stay and do her writing before she closed the theatre. She sighed and Peter cocked an eyebrow at her and asked: ‘Worn out, Deb?’

‘Not really, just hungry, and I haven’t had time to do my hair properly or see to my face all day. I feel a fright.’ She could hear her voice sounding cross, but he ignored it and agreed cheerfully:

‘You look pretty awful—luckily you’re so gorgeous, it doesn’t matter, though the hair is a trifle wild.’

She giggled and slapped a wet bandage into his outstretched hand.

‘Well, it doesn’t matter, there’s no one to see me. I shall eat an enormous supper and fall into bed.’

‘Lucky girl—I’m on until midnight.’

She was instantly sympathetic. ‘Oh, Peter, how awful, but there’s not much of a list for Mr Squires tomorrow afternoon and only a handful of replasters and walking irons—you might be able to get someone to give you a hand.’

He nodded. ‘We’re on call, aren’t we?’

That was true; Clare’s was on call until Thursday. ‘I’ll keep my fingers crossed,’ she promised him. ‘And now be off with you, I want to clear up.’

It was very quiet when the nurses had gone. Deborah tugged her cap off her dreadfully untidy hair, kicked off her shoes, and sat down at her desk. Another ten minutes or so and she would be free herself. She dragged her thoughts away from the tantalising prospect of supper and a hot bath and set to on the operation book. She was neatly penning in the last name when the unit doors swung open and her tired mind registered the disturbing fact that it was Mr van Doorninck’s large feet coming down the corridor, and she looking like something the sea had washed up. She was still frantically searching for her shoes when he came in the door. She rose to her stockinged feet, feeling even worse than she looked because he was, by contrast, quite immaculate—no one, looking at him now, would know that he had been bent over the operating table for the entire day. He didn’t look tired either; his handsome face, with its straight nose and firm mouth, looked as good-humoured and relaxed as it usually did.

Deborah spoke her thoughts aloud and quite involuntarily. ‘Oh, dear—I wasn’t expecting anyone and I simply…’ She broke off because he was smiling nicely at her. ‘I must look quite awful,’ she muttered, and when he laughed softly: ‘Is it another case?’ He shook his head. ‘You want to borrow some instruments—half a minute while I find my shoes…’

He laughed again. ‘You won’t need your shoes and I don’t want any instruments.’ He came a little further into the room and stood looking at her. She looked back at him, bewildered, her mind noting that his Dutch accent seemed more pronounced than usual although his English was faultless.

‘How do you feel about marrying me?’ he wanted to know blandly.