Читать книгу The Midwife's One-Night Fling: The Midwife's One-Night Fling / Baby Miracle in the ER - Carol Marinelli, Carol Marinelli - Страница 14

CHAPTER FOUR

‘HOW WAS THE FILM?’ Stella asked as Freya walked with her from the changing room.

‘Great,’ Freya answered. ‘It’s well worth seeing.’

She was saved from further questioning as the overhead chimes went off, summoning the Trauma Team to Casualty.

She certainly wasn’t about to tell Stella that they’d never actually made it to the cinema, as she knew Stella would just read more into it than there had been.

It was unusually quiet, so Freya took the lull in proceedings as a chance to check stock. She had just pulled out the suction catheters and was ticking the order form when the overhead chimes went off again.

They were a common occurrence in a busy hospital such as this, but the summons that came was one that Freya hadn’t yet heard.

‘Obstetrics Squad to Casualty.’

Freya wasn’t a part of the Obstetrics Squad. She had been told about it during her interview, though. Each Maternity shift, a senior midwife carried a pager and would attend to any obstetric emergency elsewhere in the hospital, along with an obstetrician and anaesthetist.

New staff had to attend at least three off-unit emergencies as an observer, and then Dr Mina had to approve them before they were made a part of that team. But just because she wasn’t part of the team it didn’t mean that there was nothing for Freya to do.

She ran down to the equipment room and opened up the door, and was pulling out the emergency trolley as Stella and Kelly came running from opposite directions.

‘Dr Mina’s already down there,’ Stella informed Kelly, who held the pager for the Obstetrics Squad today. ‘Freya, go and observe.’

Freya nodded. She was nervous about this role, yet keen for the experience.

The chimes were pinging again.

‘Here...’

It was Len the porter, who had caught up and took over the other side of the trolley, allowing Kelly to run on ahead.

There was everything that might be required, including a neonatal cot, even though there would be one in Emergency. The trolley was set up for any eventuality.

As she swept into Casualty, Freya acknowledged that she was nervous but consoled herself that she was just there to observe. Even if she never made the team it would be good experience for when she went back to Cromayr Bay.

When.

There was no time to dwell on that word, though it jolted her.

Richard was at the head of one of the resuscitation beds and only briefly glanced up when she came in.

‘Next bed,’ he said, clearly knowing that she wouldn’t have been down there before. He gestured with his head to a curtained area beside him, from behind which came the sound of equipment and people, and above all that the screams of a woman.

They were terrified screams and the woman sounded in pain.

‘Thanks.’ Freya stepped in and saw there was organised chaos taking place.

Dominic, his registrar, was at the head of the bed and the trauma team were around the woman. So too was Dr Mina, tiny in green scrubs and yet authoritative all the same.

She had a Doppler on the woman’s stomach and there was the sound of a rapid heartbeat.

‘Stay back and observe,’ Kelly said. ‘You’ll be doing this yourself soon.’

There wasn’t actually room for her to do anything but observe.

An older woman dressed in scrubs was talking to the patient. ‘You’re okay, Louise,’ she said in an Irish brogue. ‘We’re taking care of you now...’

Louise had on a hard collar, and from what Freya could make out she had been involved in a high-impact motor vehicle accident. There was blunt trauma to her chest and abdomen as well as a head injury.

And she was twenty-six weeks pregnant.

‘Louise.’ Kelly moved near the head of the bed. ‘Your baby has a strong heartbeat...’

But nothing would calm the woman. Louise Eames was absolutely terrified and perhaps, after her head injury, confused too.

There were also concerns that she had abdominal bleeding.

‘I’m May, the Unit Manager in this madhouse.’ The Irish woman stepped back and spoke to Freya as Kelly took over reassuring the patient. ‘I’m a midwife myself. All looks well but, as you know, pregnant women can mask symptoms. I’m worried that she’s worse than her observations are showing.’

It was nice to be talked through it all. Most of it Freya knew, but she hadn’t actually seen the Obstetrics Squad in action.

‘I’ve told NICU to hold a cot, in case she has to be delivered.’ May said. ‘Here’s Richard now.’

Richard spoke for a moment with Dominic, and then Dominic stepped out—Freya guessed to take over the patient in the next bed.

‘Hello, Louise.’

He spoke as if they had already met, Freya thought. There was just something so reassuring about his voice.

‘I’m Dr Lewis, Consultant Anaesthetist.’

Louise screamed again.

‘No,’ he said. ‘No screaming. Save that oxygen for your baby. Now, I want to have another listen to your chest.’

‘That’s a good girl,’ Kelly said to Louise, who was quietening down—though that wasn’t necessarily a good sign.

‘We’re going to get her round for a CT,’ Dr Mina said. She and Richard discussed sedation, but Louise seemed a lot calmer now.

The CT was swift, and showed a small tear on Louise’s spleen, but everything looked fine with the baby.

‘Louise.’ Dr Mina spoke to her. ‘The hard collar can come off now and you’ll be more comfortable. The baby is doing well, but we’re going to move you now to the Intensive Care Unit, so that we can keep a close eye on both of you.’

‘Will my baby be okay?’ It was all Louise wanted to know.

‘Everything is looking fine for now,’ Dr Mina said. ‘But, Louise, if we need to deliver you, then we will.’

ICU was all ready and waiting, and absolutely the right place for Louise to be.

Freya listened as May gave a detailed hand-over to the Critical Care Nurse. It was scary for Louise to be there, no doubt, but after the noise of Emergency it was certainly a lot calmer here.

‘Thank you,’ Dr Mina said to the midwifery staff as they gathered up their equipment to leave.

Richard didn’t look up as he was already with another patient and completely focussed.

God, what a job he had, Freya thought as they headed out.

‘Poor thing,’ Kelly said, as they made their way back, but then she moved straight on to business. ‘We’ll have to check the trolley as soon as we get back,’ she told Freya. ‘Just in case we’re called again.’

‘I hope we’re not,’ Freya said.

But hope didn’t work.

Just after three the chimes went off again. Freya was taking a baby for Pat when she heard them, and they didn’t even share a glance—instead they focussed on the little life coming into the world.

Working at The Primary was, Freya thought as she came out of the delivery suite, just all so intense.

‘Were the chimes for Louise?’ Freya asked Stella, who was writing up the board against a background of screams from a woman in the bathroom.

‘Yes.’ Stella nodded. ‘Maternal compromise.’

And then there was paperwork—so much paperwork—only today Freya used it as an excuse and a reason for lingering at the nursing station until well after four, when Kelly came back.

She was wearing a pink theatre cap and still somehow brimming with energy as she and Stella commenced restocking the emergency trolley.

‘Mum dropped her blood pressure. Thankfully they were straight onto her. The baby’s out.’

He was doing well for dates, but it was Louise that was the main concern. The small tear on her spleen had extended and, as Dr Mina had explained, the signs of hypovolemia were more subtle in pregnancy.

Freya was utterly exhausted as she made her way home.

‘Cheer up, love, it might never happen,’ said the flower seller, and Freya managed not to shoot him a look.

She stepped into her flat and just flopped onto the couch—lay there staring at the peeling paint on the ceiling, feeling utterly wrung out. Every second at work she felt as if she were on a roller coaster that didn’t allow time for catching her breath, or time to reflect.

Poor Louise... She’d been incredibly well taken care of—Freya knew that—but it was all so different from everything she was used to.

Which was what she had wanted, of course. And she was certainly getting experience. But it was draining her.

Stella had told her there would be a case follow-up for Louise, in which Dr Mina would go into greater detail, and Freya was truly grateful that she’d been sent down to Casualty to observe. She really was gaining experience, and if ever a mother came into Cromayr Bay with blunt force trauma...

Freya halted herself there, but it was too late. She knew in that moment that she was imagining herself back at home, just as she had this morning.

But she wasn’t just here to gain experience. If she’d wanted that, as Richard had pointed out, she could have gained it rather more locally.

No, she had moved to London.

Freya hauled herself to the shower and then, having pulled on a robe, surveyed the contents of her fridge.

There wasn’t much. She had meant to stop and pick up a few things on her way home. Now she had neither the energy nor the enthusiasm to go out again.

A knock on the door had her padding down the hall—she guessed it would be her neighbour, as their post got muddled on occasion.

Instead it was an unexpected sight for sore eyes.

Richard.

He’d had a haircut and was clean-shaven. And he was wearing a suit, but no tie, and he looked incredibly tired but still breathtakingly handsome.

‘What are you doing here?’ Freya asked.

He tried not to notice that she wore only a robe and that her hair was wet as he answered. ‘We have a film to see.’