Читать книгу One Night With The Italian Doc: Unwrapping Her Italian Doc / Tempted by the Bridesmaid / Italian Doctor, No Strings Attached - Carol Marinelli - Страница 11
CHAPTER FIVE
Оглавление‘I NEED SOMEONE to buddy this,’ Beth called, and Louise went over to the nurses’ station to look at the CTG tracing of one of Beth’s patients.
The policy at The Royal was that only two experienced midwives could sign off on a tracing and so a buddy system was in place.
It was way more than a cursory look Louise gave to the tracing. They discussed it for a few moments, going over the recordings of the contractions and foetal heart rate before Louise signed off.
It was a busy morning and it sped by. At lunchtime, as Anton walked into the staffroom, had he had sunglasses then he would have put them on. There was a silver Christmas tree by the television and it was dressed in silver balls. There were silver stars hanging from the ceiling—really, there was silver everything hanging from every available space.
‘Have you been at the tinsel again?’ Anton said to Louise, who was eating a tuna salad.
‘I have. I just can’t help myself. I might have to go and speak with someone about my little tinsel problem—though I took up your suggestion and went with a theme in here!’
‘I cannot guess what it was.’
Anton chose to sit well away from her and, for something to do, rather than listen to all the incessant gossip, he picked up a magazine.
Oh, no!
There she was and Louise was right—the underwear was divine.
‘Christmas Holly’ said the title and there a stunning Louise was in the stockings she’d had on last night but now he got the full effect—bra, stockings and suspenders. Anton turned the page to the Mistletoe range, and the shots, though very lovely and very tasteful, were so sexy that Anton felt his body responding, like some sad old man reading a porn magazine, and he hastily turned to the problem page, just not in time.
Oh, God, he was thinking about swiping the magazine, especially when he glimpsed the Holly and the Ivy shots.
‘Ooooh.’ Louise looked over and saw what he was reading. ‘I’m in that one.’ She plucked it from his hands and knelt at the coffee table and turned to the section in the magazine as a little crowd gathered around.
She was so unabashed by it, just totally at ease with her body and its functions in a way that sort of fascinated Anton.
‘You’ve got a cleavage,’ Beth said, admiring the shot.
‘I know,’ Louise said. ‘Gorgeous, isn’t it?’
‘But how?’
Anton closed his eyes. These were women who spent most of their days dealing with breasts and vaginas and they chatted with absolute ease about such things, an ease Anton usually had too, just not when Miss Louise was around.
‘Well,’ Louise said as Anton stared at the news, ‘they take what little I have and sort of squeeze it together and then tape it—there’s a lot of scaffolding under that bra,’ Louise explained. ‘Then they pad the empty part and then they edit out my nipples.’
‘Wow!’
‘I wish they were real,’ Louise sighed.
‘Would you ever get them done?’ Beth asked.
‘No,’ Louise said, as Anton intently watched the weather report. ‘I did think about it one time but, no, I’ll stick with what I’ve been given, which admittedly isn’t much. Hopefully they’ll be massive when I get pregnant and then breastfeed.’
‘Anton!’ Brenda popped her head in to save the day. ‘I’ve got the husband of one of your patients on the phone. Twenty-eight weeks, back pain …’
‘Who?’
‘Emily Linton.’
‘Merda.’ Anton cursed under his breath and then took the phone while trying to ignore Louise, who was now standing over him as Hugh brought him up to speed.
‘Okay,’ Anton said, as Louise hopped on the spot. ‘I’ll come down now and meet you at the maternity entrance.’
‘Back pain, some contractions,’ Anton said. ‘Her waters are intact …’ As Louise went to follow him out Anton shook his head. ‘Maybe Emily needs someone who is not close to her,’ Anton said.
‘Maybe she needs someone who is close to her,’ Louise retorted. ‘You’re not getting rid of me.’
Anton nodded.
‘Brenda, can you let the paediatricians know?’
‘Of course.’
They stood waiting for the car and Anton looked over. Louise was shivering in the weak winter sun and her teeth were chattering. ‘Emily isn’t the most straightforward person,’ Louise said. ‘She acts like she doesn’t care when, really, she does.’
Anton nodded and watched as, even though she was terrified for her friend, Louise’s lips spread into a wide smile as the car pulled up.
‘Come on, trouble,’ Louise said, helping her friend into a wheelchair.
‘I’m sure it’s nothing,’ Emily said, as Louise gave directions.
‘Hugh, go and park the car and meet us there.’
Once Hugh was out of earshot, Emily let out a little of her fear. ‘It’s way too soon,’ Emily said. Her expression was grim but there were no tears.
‘Let’s just see where we are,’ Anton said.
Though Anton would do his level best to make sure that the pregnancy remained intact, Emily was taken straight through to the delivery ward, just in case.
‘I had a bit of a backache last night,’ Emily admitted. ‘At first I thought it was from standing for so long yesterday. Then, late this morning, I thought I was getting Braxton-Hicks …’
Louise was putting on a foetal monitor as Anton put in an IV line and took some bloods, and then, as Hugh arrived, Anton looked at the tracing. ‘The baby is looking very content,’ Anton said, and then he put a hand on Emily’s stomach as the monitor showed another contraction starting.
‘I’m only getting them occasionally,’ Emily said.
But sometimes you only needed a few with a baby this small.
‘Emily,’ Anton said when the contraction had passed, ‘I am going to examine you and see where we are.’
But Emily kept panicking, possibly because she didn’t want to know where they were, and nothing Hugh or Anton might say would reassure her.
‘I need you to try and relax,’ Anton said.
‘Oh, it’s so easy for them to say that when they come at you with a gloved hand!’ Louise chimed in, and Anton conceded Louise was right to be there because Emily let out a little laugh and she did relax just a touch.
‘How long are you here for?’ Emily asked Louise, because even though Louise had yesterday told her she was on an early today, clearly such conversations were the last thing on Emily’s mind at the moment and it was obvious that she wanted her friend to be here.
‘I’ve just come on duty,’ Louise lied, ‘so I’m afraid that you’re stuck with me for hours yet.’
Anton examined Emily and Louise passed him a sterile speculum and he took some swabs to check for amniotic fluid and also some swabs to check for any infection.
‘You are in pre-term labour,’ Anton said. ‘You have some funnelling,’ Anton explained further. ‘Your cervix is a little dilated but if you think of a funnel …’ he showed the shape with his hands ‘… your cervix is opening from the top but we are going to give you medication that will hopefully be able to, if not halt things, at least delay them.’ He gave his orders to Louise and she started to prepare the drugs Anton had chosen. ‘This should taper off the contractions,’ he said as he hooked up the IV, ‘and these steroids will help the baby’s lungs mature in case it decides to be born. You shall get another dose of these in twenty-four hours.’
Louise did everything she could to keep the atmosphere nice and calm but it was all very busy. The paediatricians came down and spoke with Anton. NICU was notified that there might be an imminent admission. Anton did an ultrasound and everything on there looked fine. Though the contractions were occasionally still coming, they started to weaken, though Emily had a lot of pain in her back, which was a considerable concern.
‘Content,’ Anton said again, but this time to the screen. ‘Stay in there, little one.’
‘And if it doesn’t?’ Emily asked.
‘Then we have everything on hand to deal with that if your baby is born,’ Anton said. ‘But for now things are settling and what I need for you to do is to lie there and rest.’
‘I will,’ Emily said. ‘First, though, I need a wee.’
‘I’ll get you a bedpan!’ Louise said.
‘Please no.’
‘I’m afraid so.’ Louise smiled. ‘Anton’s rules.’
Anton smiled as he explained his rules. ‘Many say that it makes no difference. If the baby is going to be born then it shall be. Call me old-fashioned but I still prefer that you have complete bed rest, perhaps the occasional shower …’
‘Fine.’ Emily nodded, perhaps for the first time realising that she was going to be there for a while.
Hugh and Anton waited outside as much laughter came from the room, mainly from Louise, but Emily actually joined in too as they attempted to get a sterile specimen and also to check for a urinary tract infection.
Bedpans were not the easiest things to sit on.
But then Emily stopped laughing. ‘Louise, I’m scared if I wee it will come out.’
‘You have to wee, Emily,’ Louise said, and gave her friend a cuddle. ‘And you have to poo and do all those things, but I’m right here.’
It helped to hear that.
‘I’ve got such a bad feeling,’ Emily admitted, and Hugh gave a grim smile to Anton as outside they listened to Emily expressing her fears out loud. ‘I really do.’
‘Okay.’ Louise was practical. ‘How many women at twenty-eight weeks sit on that bed you’re on, having contractions, and say, “I’ve got a really good feeling”? How many?’ Louise asked.
‘None.’
‘I had a bad feeling last night,’ Louise admitted. ‘You can ask Anton, you can ask Rory, because I left five minutes after you and I came in early just to look at the board to see if you had been admitted, but I don’t have a bad feeling now.’
‘Honest?’
‘Promise,’ Louise said. ‘So have a wee.’
‘I’m going to give her a sedative,’ Anton said to Hugh.
‘Won’t that relax her uterus?’ Hugh checked, and then stopped himself because he trusted Anton.
‘I want her to sleep and I want to give her the best chance for those medications to really take hold,’ Anton said. ‘You saw that her blood pressure was high?’
Hugh nodded—Emily’s raised blood pressure could simply be down to anxiety but could also be a sign that she had pre-eclampsia.
‘We’ll see if there’s any protein in her urine,’ Anton said. If she did that would be another unwelcome sign that things were not going well.
Louise came out with the bedpan and urine sample, which would be sent to the lab.
‘Can you check for protein?’ Anton asked.
Louise rolled her eyes at Hugh. ‘He thinks that because I’m blonde I’m thick,’ she said to a very blond Hugh, who smiled back. ‘Of course I’m going to check for protein!’
‘He’s blondist,’ Hugh joked, but then breathed out in relief when Louise called from the pan room.
‘No protein, no blood, no glucose—all normal, just some ketones.’
‘She hasn’t eaten since last night,’ Hugh said, which explained the ketones.
‘I’ve put dextrose up but right now the best thing she can do is to rest.’
It was a very long afternoon and evening.
Louise stayed close by Emily, while Anton delivered two babies but in between checked in on Emily.
At eight, Louise sat and wrote up her notes. It felt strange to be writing about Emily and her baby. She peeled off the latest CTG recording and headed out.
‘Can you buddy this?’ Louise asked Siobhan, a nurse on labour and delivery this evening.
‘Sure.’
They went through the tracing thoroughly, both taking their time and offering opinions before the two midwives signed off.
‘It’s looking a lot better than before,’ Siobhan said. ‘Let’s hope she keeps improving.’
Around nine-thirty p.m. Anton walked into the womb-like atmosphere Louise had created. The curtains were closed and the room was in darkness and there was just the noise of the baby’s heartbeat from the CTG. Emily was asleep and so too was Hugh. Louise sat in a rocking chair, her feet up on a stool, reading a magazine with a clip-on light attached to it that she carried in her pocket for such times, while holding Emily’s hand. She let go of the magazine to give a thumb’s-up to Anton, and then she put her finger to her lips and shushed him as he walked over to look at the monitors—Louise loathed noisy doctors.
All looked good.
Anton nudged his head towards the corridor and Louise stepped outside and they went into the small kitchenette where all the flower vases were stored and spoke for a while.
‘She’s still got back pain,’ Louise said, and Anton nodded.
‘We’ll keep her in Delivery tonight but, hopefully, if things continue to improve we can get her onto the ward tomorrow morning.’
‘Good.’
‘You were right,’ Anton said. ‘There was something going on with her last night.’ He saw the sparkle of tears in Louise’s eyes because, despite positive appearances, Anton knew she was very worried for her friend.
‘I’d love to have been wrong.’
‘I know.’
‘Anton …’ Louise spilled what was on her mind. ‘I bought a crib for the baby a few days ago.’
‘Okay.’
‘It was in a sale and I couldn’t resist it. I didn’t tell Emily in case she thought it bad luck …’
‘Louise!’ Anton’s firm use of her name told her to let that thought go.
She took a breath.
‘Louise,’ he said again, and she met his eye. ‘That’s crazy. I’ve got Mrs Adams in room two, who’s forty-one weeks. She’s done everything, the nursery is ready …’
‘I know, I know.’
‘Just put that out of your mind.’
Louise did. She blew it away then but a tear did sneak out because Louise cared so much about Emily and she was also pretty exhausted. ‘Why did it have to be now?’ she asked.
‘I would love to know that answer,’ Anton said, and Louise gave a small smile as he continued. ‘It would save me many sleepless nights.’
‘I wasn’t asking a medical question.’
‘I know you weren’t.’
Anton stood in the small annexe and looked at Louise. Today she had been amazing, though it wasn’t just because she was Emily’s friend. Every mother got Louise’s full attention. It was wrong of him to compare her to Dahnya, Anton realised. It was futile to keep going back to that terrible day.
Louise was too worried about Emily to notice his silence and she rattled on with her fears.
‘I know twenty-eight weeks isn’t tiny tiny but …’
‘It is far too soon,’ Anton agreed. ‘She’s just into her third trimester but we’ll do all we can to prolong it. It looks like we’ve just bought her another day and those steroids are in. The night staff have arrived, Evie is on and she is very good.’
Louise nodded. ‘I know she is but I’m going to sleep here tonight.’
‘Go home,’ Anton said, because Louise really did look pale, but she shook her head at his suggestion. ‘Louise, you have been here since six.’
‘And so have you,’ Louise pointed out. ‘I didn’t think you were on call tonight, Anton, so what’s your excuse for being here?’
‘I’ll be a lot happier by morning. I just want to be close if something occurs.’
‘Well, I’m the same. If something happens tonight then I want to be here with Emily.’
‘I get that but—Louise, I never thought I’d say this to you, but you look awful.’
It was a rather backhanded compliment but it did make her smile. ‘I’ll go and lie down soon,’ Louise said, and looked over as Hugh came out.
‘Is she awake?’
‘Yes, they’re just doing her obs. Thanks for today,’ Hugh said to them both. ‘I’m going to text and ring five thousand people now. Emily told her mum and, honestly, it’s spread like wildfire …’
‘I get it,’ Louise said, because she knew about Emily’s very complex family and the last thing she needed now was the hordes arriving. ‘I’ve put her down as no visitors.’
‘Thanks for that,’ Hugh said. ‘I’m going to ring for pizza—do you want some?’
‘No, thanks.’ Louise shook her head and yawned. ‘I’m going to go and sleep.’
‘Anton?’
‘Sounds good.’
Louise handed over to Evie, the night nurse who would be taking care of Emily. ‘Promise, promise, promise that you’ll come and get me if anything happens.’
‘Promise.’
‘I’m going to take a pager,’ Louise said, ‘just in case you’re too busy, so if you page him … she nodded to Anton ‘… page me too.’
Louise went to the hotbox and took out one of the warm blankets that they covered newly delivered mums in. Brenda would freak if she knew the damage that Louise singlehandedly did to the laundry budget but she was too cold and tired to care about that right now.
‘I’ll be in the store cupboard if anything happens.’
‘Store cupboard?’ Anton said.
‘Where all the night nurses sleep.’ Louise nodded to the end of the corridor. ‘‘Night, guys. ‘Night, Hugh. I’ll just go and say night to Emily if she’s awake.’
She popped in and there was Emily half-awake as Evie fiddled with her IV.
‘You’ve done so well today.’ Louise smiled, standing wrapped in her blanket. ‘I’m just going to get some shut-eye but I’m just down the hall, though I have a feeling I shan’t be needed.’
‘Thanks so much for staying,’ Emily said.
‘Please.’ Louise gave her a kiss goodnight on her forehead. ‘Hopefully we’ll move you to a room tomorrow. I’m going to have a jiggle with the beds in the morning and give you one of the nice ones.’ She spoke then in a loud whisper. ‘One of the private ones!’
‘You’re such a bad girl.’ Evie smiled.
‘I know.’ Louise grinned. ‘Sleep!’ Louise said to Emily and then stroked her stomach. ‘And you, little one, stay in there.’
‘Do you know what I’m having?’ Emily asked, and Louise just smiled as Emily spoke on. ‘Hugh knows and when I said that I didn’t want to find out, he said that he wouldn’t tell me even if I begged him.’
‘Do you want to know?’ Louise asked.
‘No, yes, no,’ Emily admitted. ‘But I want to know if you know.’
‘I do,’ Louise said, and then burst into Abba. ‘“I do, I do, I do, I do, I do,”‘ Louise sang, just as Anton and Hugh walked in. ‘But I’m not telling. If you want to know you can speak to Anton.’
‘She’s mad,’ Emily said, when Louise had gone but she said it in the nicest way.
‘Completely mad,’ Anton agreed. ‘How are you feeling now?’
‘A bit better.’
‘Any questions?’ Anton checked, but Emily shook her head.
‘I think you’ve answered them all. Presumably you know what I’m having?’
‘Of course I do,’ Anton said. ‘You know you are allowed to change your mind and find out if you want to.’
‘I want it to be a surprise.’
‘Then a surprise it will be.’
‘Are you going home now?’ Emily asked, because she had been told he was only here till six and she felt both guilty and relieved when Anton shook his head.
‘Stephanie is the on-call obstetrician tonight and she will be keeping an eye on you so that I can get some rest as I am working tomorrow. I am staying here tonight, though, and if anything changes, I have asked her to discuss it with me.’
‘Thank you.’
The store cupboard was actually an empty four-bedded ward at the front of the unit and was used to store beds, trolleys, stirrups, birth balls and all that sort of stuff. Louise curled up on one of the beds and lay there with her eyes closed, hoping that they would stay that way till morning.
She was exhausted, she’d barely had any sleep last night, but now that she finally could sleep, Louise simply could not relax. There was that knot of worry about Emily and another knot between her legs when she thought about Anton and the fact that he actually liked her.
In that way!
After half an hour spent growing more awake by the minute Louise padded out with her blanket around her.
Anton gave her a smile and she couldn’t really remember him smiling like that, unless to a patient. In fact, he didn’t smile like that to the patients.
‘Food should be here soon,’ Anton said.
Louise shook her head and instead of waiting for the pizza to arrive she had a bowl of cornflakes in the kitchen. Anton looked up as she returned with a bottle of sparkling water and a heat pack for her cramping stomach and then took two painkillers.
She tossed her now cold blanket into the linen skip and took out a newly warm one.
‘If Brenda knew …’ Anton warned, because the cost of laundering a blanket was posted on many walls, warning staff to use them sparingly.
‘I like to be warm at night,’ Louise said, and, no, she hadn’t meant it to be provocative but from the look that burnt between them it was.
She headed back to the storeroom but sleep still would not come.
Then she heard the slam of the door. Louise climbed out of the bed to tell whoever it was off for doing that but then a delicious scent reached her nose.
Pizza.
OMG.
She could almost taste the pepperoni.
Louise hadn’t said no to Anton because of some diet, she had said no because …
Well.
Because.
No, she did not want to be huddled up at the desk with him—she might, the way she was feeling this moment, very possibly end up licking his face.
God, he was hot.
Her stomach was growling, though, and it was the scent of pizza that was at fault, not her, Louise decided as she smiled and pulled out her phone.
Anton had two phones and one of the numbers she was privy to. It was his work phone and she’d call him on it at times if one of his patients weren’t well while he was off duty, or she might text him sometimes for advice.
She wondered if he’d tell her off for using it for something so trivial.
Or if he’d ignore her request, perhaps?
Anton sat eating pizza as Hugh fired off texts to family to let them know that Emily was doing well.
When his work phone buzzed, indicating a text, Anton read it and decided it might be best to ignore it.
For months he had done his best to ignore her yet since he’d see her up that stepladder it had been a futile effort at best.
He did try to ignore it. In fact, he said goodnight to Hugh and then went into the on-call room, grimly determined to sleep.
Then he read her text again and gave up fighting. He went back to the desk, picked up two slices of pizza and headed off to where perhaps he shouldn’t.