Читать книгу Small-Town Midwife - Jean Gordon C. - Страница 12

Chapter Four

Jon tested the doorknob to the midwifery practice. It had been locked when he’d tried it on his way to his office earlier. This time the knob turned. He hesitated. He’d exercised great restraint yesterday morning by not going over to Autumn’s place to ask about her unexpected delivery on Saturday. Her car hadn’t been in the driveway when he’d left for church, but it had been when he’d returned. After giving her a few hours to catch up on her sleep, he’d glanced out and she’d been gone again.

Today, he had the good excuse of wanting to introduce himself to Kelly, along with finding out how the delivery had gone. He pushed the door open and looked around the empty waiting area. Two warm brown leather couches in the corner framed an oval coffee table, forming an inviting sitting area. Matching leather chairs were positioned a couple of feet away along the wall, one on each side of a combination table-magazine rack. A desk sat on the opposite side of the room, and paintings of a mountain scene and the monthly stages of pregnancy hung on the wall in between. He walked over and checked them out. They were both done by the same artist, probably a local.

“Can I help you?”

Jon turned.

“Dr. Hanlon?”

He nodded.

“It’s good to finally meet you,” the attractive, middle-aged woman with auburn hair said. “I saw you briefly at the lake on Saturday.”

He glanced behind her down the short hall. “You must be Kelly.”

“Yes.” She extended her hand. “Kelly Philips. Good to meet you. I would have introduced myself when I picked up Autumn, but I was kind of in a hurry.”

“Understandable.” He shook her hand. “And call me Jon.”

The office door opened, and Autumn’s voice rang out. “I’ve got coffee.”

Jon tightened his grip on Kelly’s hand, prompting a raised eyebrow from her. He quickly released it.

Autumn backed into the room. “I have your latte, a large regular for Jamie and my mocha.” She turned around, and the cardboard tray dipped dangerously to one side. “Jon.”

“Good morning.”

“Hi.” She righted the tray and handed Kelly her coffee.

“I stopped in to introduce myself to Kelly and see how your delivery went on Saturday.”

“It was really Kelly’s delivery.” Autumn looked to the other midwife. “Is Jamie getting the exam room ready? I’ll take her coffee to her.”

“I’ll take it, although I don’t know if either of us will be able to enjoy the coffee. Our nine-thirty appointment called and asked if she could come at nine.” Kelly checked her watch. “I heard the door open and close and came out to see if she was here and found Jon.”

Autumn lifted her mocha and handed the tray with Jamie’s coffee to Kelly.

“Why don’t you take Jon to your office and fill him in on the birth while I get ready for my appointment?” Kelly said.

Autumn pressed her lips into a pink-tinged slash.

Jon set his jaw. Evidently, talking with him was that distasteful.

“Maybe he’d like to go with you on your home visit with the new mother this morning,” Kelly said.

“Was there a problem?” he asked. Autumn had said Saturday that she didn’t know whether the mother had had any prenatal care.

“No.” Autumn drew out the O. “Why?”

“The home visit. Or do you do that with all of your home births?”

The office door opened, and a visibly pregnant young woman in a calf-length navy blue skirt and three-quarter-length-sleeved white cotton maternity T-shirt walked in, followed by two little girls. Jon guessed they were about two and three. The little girls wore matching sundresses with white T-shirts underneath.

“Hi,” the woman said. “Am I seeing you, Kelly or Autumn today?” She dropped her gaze as soon as she noticed him.

He’d have to ask Autumn if this was a family from the traditional religious sect his delivery nurse had told him about. Apparently, Dr. Ostertag had experienced problems with a couple of the families because they insisted on using only female midwives or doctors. He’d had concerns about an emergency arising when he was the only doctor available. Fortunately for Dr. Ostertag, none had.

“You’ll be seeing me,” Kelly said. “Let’s make sure your information is up to date.” She and the mother-to-be stepped over to the desk.

“Getting back to your question,” Autumn said as she turned on her heel and led Jon down the short hall to her office, “we make a home visit after all of our births, even the ones here at the center.” She halted at the door.

He didn’t know what he’d said to prompt the irritation in her voice. He was interested in the extra degree of care. “That must involve a lot of time. Have you found it cost-effective in the long run?”

She pushed the door open and motioned him to a couch that matched the ones in the waiting room. A coffee table was positioned in front of it. He sat at the far side. She placed her mocha on the table, opened the messenger bag slung over her shoulder to remove her iPad and sat at the opposite end.

“I haven’t done a cost analysis. Kelly may have. It’s her practice.”

Autumn worked for Kelly? That surprised him. He’d assumed she was a partner since Autumn had always said she wanted to practice near her hometown.

“I’m sure she’d be happy to share with you if she has.” Autumn touched the iPad screen to open her notes.

Jon pulled a paper pad and pen from his pocket. He knew digital medical records and notes were the way, but he still preferred pen and paper for his personal notes.

She rattled off the details of the birth while he scribbled on the paper.

He looked up. “The Apgar scores assessing the baby’s physical condition?”

“Seven at birth, eight at five minutes and nine at ten minutes.” Autumn read the results of the test.

* * *

As he recorded the Apgar scores, Autumn couldn’t help feeling he was scoring her, too. On what, she wasn’t sure. She tried to read the rest of his notes, but the combination of reading upside down and his handwriting made them indecipherable.

“I like that you did the third test. Seven isn’t a bad score, but you can’t be too careful with a new life.”

Or a mother’s life, Autumn thought, a flashback to her friend Suzy’s delivery filling her mind.

“You don’t agree?” he asked.

“No.” She cleared her throat. “I mean yes, I agree.” For the first time since he’d arrived in Ticonderoga.

“You frowned.” He shook his head. “Never mind.”

Autumn closed her notes. “That’s it.” She waited for him to stand and leave.

“About that home visit Kelly mentioned—”

“I understand if you have other things to do.”

“Nothing I can’t do later. What time are you leaving?”

She checked her watch. “In about twenty minutes. They live a half hour away, and the visit will take a couple of hours.”

“That long?”

Autumn’s mood lightened. The visit would take up the whole morning. This was his first official day on the job. Surely he couldn’t give up that much time. “More or less.”

Jon pressed his lips together as if trying to come up with a response.

She suppressed a smile waiting to hear how he’d work his way out of going on the home visit with her.

“You’ll have to drive,” he said. “I rode my bike.”

Her thoughts jumped to her clutter-strewn car. As if it mattered. She didn’t need to impress him. But he would need to sit somewhere. “I know. I heard you take off.”

His eyes sparked and the corner of his mouth tugged up.

A tingle started in her stomach and bubbled through her, giving Autumn an inkling of why all of the female staff at Samaritan Hospital had fawned over him. No! She mentally doused the feeling. She was not about to become the newest member of the Jonathan Hanlon fan club.

“I was up getting ready for work. I couldn’t help but hear.” It wasn’t as if she was keeping track of his comings and goings, if that’s what he thought.

Jon stood. “I’ll see you in twenty minutes.”

“Meet me in the parking lot.” That would give her a chance to move the towels and swim gear she’d stashed in the front seat to the trunk and toss out the remnants of her fast-food breakfast and miscellaneous trash. She had the twins’ car seats in the back, since she was picking them up at day care today for Anne on her way back from the home visit and taking them to the lake. “The blue Outback.”

“I know.”

She warmed before it struck her. Of course he knew. Her car had been parked in front of the duplex for most of the weekend. “Right.”

He let himself out of the office and Autumn went in search of a plastic trash bag—ditching the brief thought she’d had of ducking into the ladies’ room to touch up her makeup and check her hair.

* * *

Jon pushed the back door to the birthing center open to see Autumn standing by her car stuffing things into a canvas bag with a mountain logo on it. The morning sun brought out silvery highlights in her pale blond hair. She set the bag on the pavement next to a white plastic bag and leaned into the open door. When she stood, she had two swim noodles in one arm and an inner tube in the other. She tossed the noodles over the seat into the back of the car and pressed her key tag to open the trunk.

“Need a hand?”

Autumn dropped the tube and it rolled toward Jon. He caught it and walked it back to her.

“You want it in the trunk?”

“Yeah, but I’ll have to rearrange a few things first.” She brushed by him and lifted the back hatch door, standing to one side as if she wanted to block his view of the storage area.

His curiosity got the best of him and he stepped behind her and peered over her shoulder. “Interesting collection of equipment,” he said, taking in the jumble of toys, a beach bag, her oxygen tank, an orange EMT bag with a stethoscope looped over the top of one pocket and an inflatable birthing pool mostly folded into its “Birth-in-a-Bag” canvas container.

Pink tinged her cheeks as she made room for the inner tube, reminding him of the wholesome touch of innocence that had first attracted him to her when they’d met at Samaritan Hospital. It was that quality that had prompted him to ask her roommate, Kate, out, rather than Autumn. Kate was more of a party girl. He knew she wouldn’t expect anything long-term, and that observation proved true. Contrary to the scuttlebutt that had spread through the Labor and Delivery wing, his breakup with Kate bruised her ego far more than her heart.

Autumn had struck him as a longtime kind of woman, and he’d known they both were at Samaritan temporarily. That thought had made it easier on him when she’d turned him down when he asked her out. He’d known that his timing wasn’t right, but there was something about Autumn that had compelled him to ask anyway.

“There.” She stepped back, causing him to jump out of the way.

He hadn’t realized how close together they were standing.

She waved over the cleared-out spot next to the beach bag. “I have to pick the twins up from day care on my way home and take them to their swim lesson at the lake. Anne has a web conference after her class this morning.”

Jon bit back a smile, getting a bittersweet kick out of the easy way Autumn went on about her family without knowing she was doing it. He lifted the tube into the car, and she closed the hatch.

Autumn got in and started the vehicle. “The visit is up in Schroon Falls. If you’ve driven Route 9 from the medical center in Saranac Lake, you’ve gone through it.”

“No, I’ve always taken the interstate.”

“Yeah, the Northway is a lot faster.”

His mind went back to Friday, when the drive to Crown Point had seemed interminable on the interstate Autumn called the Northway. “I take it your visit this morning isn’t off the interstate.”

“Right, but unless time is a real factor, I tend to avoid the Northway. I get that from my dad. He never takes a highway if he can take a byway. It drives Anne crazy sometimes.”

He could see that. In the case of these home visits, unnecessary time on the road would mean less time with that patient or another patient or in the office. “But you take the interstate when you’re called for a delivery.” He figured that was a given.

She shrugged. “It depends. We usually have time.”

Jon shifted in his seat. She seemed so nonchalant about it. As he was all too aware, a birth could be a life-and-death situation. Of course, rural Upstate New York wasn’t rural Haiti. He looked out the window at the mountain rising to his right. But it wouldn’t be unusual for a home-delivery patient’s house to be an hour from lifesaving equipment at the birthing center or the medical center in Saranac Lake.

The natural break in their conversation drew out into a lull that made the drive time drag. Might as well check in with the office. He pulled out his smartphone and touched the mail app, tapping the side of the phone while he waited for it to open. It took a moment for him to notice the no-signal icon in the right-hand corner.

“Do you often have trouble getting reception around here?”

“All the time,” Autumn said. “It doesn’t matter which service you use.”

“That could be a problem.”

“If you need to make a call, I’m sure Megan would let you use her house phone. We’ll be there in five minutes.”

“It’s not important. I was trying to check my office email. What I meant was for being on call.”

“It can be challenging. No one around here depends solely on a cell phone. Kelly and I give our expectant parents our home landline numbers and our cell numbers, in addition to the office number. If I’m at Dad’s or Aunt Jinx’s or an activity at church, I’ll often set my cell phone to forward my calls there to make sure I get them. Of course, the birthing center’s off-hours answering service has all of our numbers.”

Jon couldn’t imagine giving his former practice’s service his church’s phone number or any of his family members’ numbers, even if he were close to them. It seemed unprofessional. “I guess that’s the best you can do. A pager service wouldn’t work any better.”

Autumn’s expression hardened. “It isn’t that big of a deal. People get a hold of us. Neither Kelly nor I have missed a birth yet.”

He couldn’t shake the thought that they could, or he could, and the possible consequences. His cousin had died because she didn’t have a doctor at her birth to manage the complications. “I’d better call the phone company and have the landline connected.”

“Good idea. The house we’re going to is right up here.” Autumn turned left on Peaks Hill Road and followed it to the end, stopping in front of a small, boxy house.

He looked at the solar collectors on the roof. “Your dad’s work?”

She wrinkled her forehead in puzzlement. “Oh, the collectors. No. Dave, the new father, said he’d bought the system online and installed it himself. He’s interested in talking with Dad.”

Jon’s gaze went from the gleaming collectors to the blistered, peeling paint on the cottage and the dip in the wooden step to the front door.

“Ready?” she asked, swinging her door open.

He followed suit and stepped out of the car, walking around to meet her at the trunk.

She clicked the hatch open and grabbed her stethoscope from the EMT bag and a black-and-white pull-behind suitcase with pink hearts and a cartoon cat on it.

He tried to keep a straight face.

“Hello Kitty.” Autumn nodded at the bag. “My sister, Sophie, picked it for my last birthday. She thought my brown one was too dull.”

“That one isn’t dull.” He let the smile spread across his face and received a matching one from Autumn. His heartbeat ticked up a notch. He pulled his gaze from her and perused the trunk. “Need anything else?”

“Yes, can you grab the scale? It’s there under the inner tube.”

He reached under the tube for the scale, glad to have something to occupy his attention. Seriously. Undone by a smile. He’d thought himself too jaded for that.

Autumn walked ahead of him to the house. He placed his foot on the step gingerly, feeling it give a bit from his weight. She knocked on the screen door.

“Hi.” A teenager in a baggy T-shirt and cut-off sweatpants swung the door open for them. She pushed a strand of hair from her forehead. “Sorry about how I look. I don’t have anything else that fits comfortably. And I am not going to wear maternity clothes.”

This was the new mother?

Autumn laughed. “Someone should have told you that you wouldn’t fit into your regular clothes right away.”

“They did.” She grimaced. “But I didn’t believe them. I exercised and watched what I ate the whole pregnancy.”

At second glance, the girl didn’t look quite as young. He was just used to the thirty-and forty-something professional women he tended to see at his last practice.

“So, who’s your friend?” The girl motioned to Jon.

Evidently, Autumn hadn’t called ahead to tell her he was coming along.

“I’m sorry,” Autumn said. “Megan, this is Dr. Hanlon from the Ticonderoga Birthing Center. He’s interested in learning more about Kelly’s and my home-birth practice.”

The grin left Megan’s face. Autumn should have cleared his coming with the mother. And he should have thought first before he’d decided to come. A free-birther wouldn’t welcome an obstetrician tagging along. And he couldn’t stay without the mother’s agreement.

“I don’t have to stay if it makes you uncomfortable.” Of course, he had no idea what he’d do for the two hours Autumn had said the visit would take.

A gusty wail sent Megan rushing from the room before she could respond, leaving Jon and Autumn in the middle of the room facing each other.

* * *

Autumn spoke first. “I should have called and cleared your coming with Megan.” But she’d been too peeved at Kelly for suggesting she take Jon along and with him for wanting to come to think of it.

“Yes, you should have.”

Autumn tensed. Even if she was in the wrong, he didn’t have to agree so readily. She waited for him to lecture her on medical protocol as she’d heard him do more than once during their time at Samaritan.

“You can unclench your hands.” He smiled the killer smile that she’d insisted to the other nurses at Samaritan had no effect on her. “What do you propose we do?” he asked.

Autumn relaxed her hands, warming at his acknowledgment that she was the person in control here. Except she wasn’t in control, nor was her reaction to Kelly’s suggestion that Jon come on the visit very professional. “Let’s leave it up to Megan. We should respect her wishes.”

“Definitely,” he agreed.

“There you go. All nice and dry,” Megan crooned as she returned, patting her son on the bottom.

Autumn held out her hands and took the baby from his mother’s arms. “Looking good,” she said, holding the little boy so that Jon could see him.

Jon rocked back on his heels and nodded slightly in the direction of the baby.

She wasn’t sure what that was about.

“Isn’t he perfect?” the new mother asked, looking from Autumn to Jon and back to her son.

Autumn drilled her gaze into Jon’s. If he wanted to observe the visit, admiring the baby would be a good start in getting Megan to agree.

Jon cleared his throat. “He’s a good-size boy, and his color looks healthy.”

Autumn resisted the inclination to roll her eyes at Megan. “I apologize for not checking ahead to ask about bringing Dr. Hanlon.”

“Jon,” he said, turning his smile on the young mother.

Her expression softened. “That’s okay.” She turned to Jon. “You’re just here to observe, right?”

That was it? One smile from Jon and Megan was fine with him being here? Autumn focused her attention on the infant in her arms, looking into his blue eyes as if he could give her an answer.

“That was the idea,” Jon said, his tone light and, to Autumn’s ears, flirtatious.

What’s wrong with me? she silently asked the baby. Jon wasn’t flirting and, if he was, why should she care? The infant scrunched his face as if he were going to cry. Right. It was Jon’s attitude. She continued her unspoken conversation. The fact that he obviously thought his good looks were a balm to the situation. And that it seemed to be true.

“Is Dave going to join us?” Autumn asked.

“No, he got a call for work last night, framing a new camp on the lake.” Megan hesitated. “We figured it was okay for him to go, since you’d be here this morning and I’m sure Mom will stop by this afternoon on her way home from work.”

Autumn caught Jon’s thin-lipped expression before Megan did. He must not approve of Dave’s not being here. While it was nice to have someone to help with a newborn, from what she’d seen, Autumn was sure Megan would be fine by herself for the day.

“Dave does construction and lawn care during the summer,” Megan said as if she had to explain. “We’ve had so much rain this year that he hasn’t had a lot of work.”

Autumn glared at Jon before turning to the new mother with a cheery, “Let’s take a look at this guy. Can I use the changing table in the bedroom?” Autumn had used the beautiful maple table to examine the baby following his birth.

Megan gazed sideways at Jon. “Ah, the bed isn’t made. We went back to sleep for a while after Dave left for work.”

Autumn forced a laugh. “We’re here to see you and the baby, not to check on your housekeeping. I’ll wash up in your bathroom and meet you in the bedroom.”

“Okay.” Megan stepped toward the bedroom.

“Jon, can you bring the scale?” Autumn pointed to where they’d left it by the door when they’d come in.

“Yeah, sure.”

Megan already had the baby on the changing table when Autumn joined her and Jon. She started undressing him. “This is a really cute onesie.”

Megan beamed. “Yes, don’t you love the little blue-and-yellow elephants? I bought it at the Hazardtown Community Church bargain shed. Mom said newborns outgrow things so fast, we should get as many things as we could there.”

Autumn placed the baby in the sling of the scale Jon was holding ready. A frown marred his handsome face.

“I know what you mean,” Autumn said. “Gram saved all of Aunt Jinx’s clothes. She’s only eight years older than I am. Dad didn’t have to buy me anything new himself until I was ready for kindergarten.”