Читать книгу Dr Ferrero's Baby Secret - Jennifer Taylor, Jennifer Taylor - Страница 7

‘THERE’S a hint of sluggishness about the way the right eye reacts.’

Kelly carefully erased all expression from her face as she turned to Luca. She hadn’t expected him to solicit her opinion after what had happened yesterday, although she wasn’t going to let him know that.

‘Si. That is what I thought as well.’

He took the light from her and bent over the child once more. Kelly breathed a sigh of relief. At least it appeared they agreed on something and that had to be a step in the right direction. If they could carry on this way then she might be able to stay on here.

Her heart gave a little flutter at the thought but she damped it down. She wasn’t going to rush into making a decision now it appeared that Luca had given her a stay of execution. She glanced round in surprise when Letizia suddenly stepped forward and rudely elbowed her aside.

‘Perhaps there is a blockage,’ the registrar suggested as she took Kelly’s place. ‘If an excess of cerebrospinal fluid has been collecting inside the skull, it could have caused the child to have a seizure. We shall need to operate to relieve the pressure.’

‘It is one option,’ Luca agreed calmly. He looked at Kelly and raised his brows. ‘Do you agree with Letizia, Kelly? Should we opt for surgery?’

‘I don’t think it’s possible to say for certain at this stage,’ Kelly replied, ignoring the venomous look the other woman gave her. She directed her answer to Luca, refusing to be deterred from making her point. ‘It will need a CT scan to prove if there is a blockage or not.’

‘Indeed it will, which is why we should not be too hasty.’ Luca glanced at Letizia. ‘If you could arrange for Alessandro to have a CT scan we shall decide how to proceed once we have seen the results.’ He shrugged. ‘It could be that there is infection still present so we need to check on that, too.’

‘You wish to do a lumbar puncture?’ Letizia suggested immediately.

‘No. A lumbar puncture should never be performed if there is a chance that intracranial pressure has been raised,’ he said reprovingly. ‘Blood tests will suffice for now.’

He moved away from the bed, indicating that he needed a word with the ward sister. Kelly followed the group as they all trooped to the next bed. Letizia gave her a look of loathing as she swept past her and went to the phone. Kelly sighed. She had a nasty feeling that she had made herself an enemy even though she had never intended to do so. Still, she could hardly have gone along with Letizia’s suggestion when she hadn’t agreed with her.

The rest of the round passed smoothly, although Kelly took care to keep out of Letizia’s way. There was a morning clinic after it was over so she made her way to the outpatients department on the ground floor. Aldo, one of the cleaners, was mopping up some orange juice which had been spilled on the floor and he paused to speak to her. He was learning English and loved to practise whenever he had the chance.

‘It is a beautiful day, dottoressa,’ he said, smiling shyly at her.

‘Si, Aldo, molto bello,’ Kelly replied. She knew from her own experience of learning Italian how important it was to practice and was more than happy to help. She left him to get on with his work and carried on to the office. Serafina, one of the reception staff, smiled when Kelly went in.

‘Buongiorno, Kelly. You have a long list today, I’m afraid. There are several children whom Dr Ferrero asked specifically to see as well so do you know if he will be along soon?’

‘He shouldn’t be long now,’ Kelly assured her, picking up the list. As Serafina had said, it was a long list and she doubted if she would be finished in time for lunch, not that it worried her if she had to work through her break. Her patients came first and they always would.

She put the list back on the desk and picked up the stack of files the receptionist had prepared for her. ‘I’ll make a start,’ she began, then glanced round when the door opened as Luca arrived. He reached past her and picked up the list, and Kelly felt her breath lock in her throat when his arm brushed her shoulder. She couldn’t seem to breathe so that it was left to him to speak.

‘There is a case I would like to discuss with you, Kelly.’ He glanced at her and she realised that he had no inkling what was happening to her. His tone was perfectly level when he continued and contrarily she couldn’t help the feeling of disappointment that swept through her. ‘It will be easier if we do it after clinic is over so come to my office when you have finished your list.’

He didn’t wait for her to reply before he left—didn’t need to, either. He was in charge and she was there to carry out his instructions. However, as the door closed behind him, Kelly knew that their working relationship had nothing to do with the way she was feeling right then.

She hurriedly left the office and went to the consulting room the registrars used. A plastic strip bearing her name had been slotted into place on the door and she stopped to look at it, needing to remind herself who she was: Dr Kelly Carlyon. Junior Registrar. Clinical Care.

She was a member of Luca’s team now and nothing more. She had to forget that he was the man she had loved with all her heart if she intended to stay here. There must be no more looking back at the past, and definitely no repeat of what had happened just now.

Heat suffused her as she recalled the way his arm had brushed against her. It had been the most fleeting contact yet she could feel her skin tingling as it had always done whenever Luca had touched her. Luca had been the most wonderful lover. She’d had little experience when they had met, but he had taught her to how to give love and how to receive it as well. She had come alive in his arms, but she mustn’t make the mistake of thinking it could happen again. Luca was a married man now and even if she stayed, he could never make her feel like that again.

A sob rose in her throat as she hurriedly entered the office but she forced it down. Dropping the files onto the desk, she took off her jacket and put on a clean white coat. She smoothed down the collar then checked her appearance in the mirror over the handbasin, wanting to be sure that everything was in order before her patients arrived.

Her dark red hair was neatly coiled at the nape of her neck in the style she favoured for work. She’d decided to wear a touch of make-up that morning to bolster her courage and the slick of lip gloss and coat of mascara added to the overall picture of a woman in control of her life. On the outside, at least, she looked much the same as she always did. It was only her eyes that betrayed her inner turbulence.

Pain lanced through her as she studied the shadows that clouded their sea-green depths. The fact that Luca had been completely unmoved when they’d touched just now hurt unbearably. Once, she would have confidently claimed that he’d loved her as much as she had loved him, but she’d been wrong. Luca hadn’t loved her then and he most certainly didn’t love her now.

‘Come in.’

Luca steeled himself as the door opened but it was only Serafina with some messages for him. He thanked her, shaking his head when she asked him if he wanted a cup of coffee. ‘No. Grazie.’

He managed to hold his smile until she left but the tension was starting to tell on him. All morning long he had tried to forget how it had felt when he had brushed against Kelly but he’d failed. He could still feel it deep inside him—her softly yielding flesh, her smooth firm skin, her heat.

He swore softly, fluently, using the language he had learned as a child growing up in one of the poorest parts of Italy. The people in charge of the children’s home where he had been sent to live had called it gutter language and had washed out his mouth with soap and water, but even that hadn’t stopped him. It had been the only way he had been able to release the pain and anger that burned inside him.

It hadn’t been until he had finished his degree that he had taught himself not to say the ugly words out loud. The anger had still been there, of course, along with the painful memories of his childhood. It had only been when he had met Kelly that they had started to fade. She’d made him see that he was no longer that ragged, unkempt urchin but a man whom a woman could love. The man Kelly had loved.

How it hurt to know that he could have had a lifetime of her love if things had been different. It wasn’t that he had thrown it heedlessly away—he’d had no choice. Sophia had needed him and he couldn’t have lived with himself if he had abandoned her and her unborn child. He had traded one kind of love for another and he didn’t regret his decision. He had loved Kelly with all his heart, but she hadn’t needed him like Sophia had done.

Luca jumped when there was a second knock on the door. ‘Come in,’ he called, picking up the bundle of messages so it would appear as though he had been doing something useful instead of sitting there, daydreaming.

He heard the door open and footsteps cross the room but he didn’t look up. He didn’t need to. He knew it was Kelly, he could smell her scent, hear her breathing, feel her presence in every fibre of his being. He allowed himself a single, glorious second to savour the sensations that washed through him then banished them to where those memories resided. He had indulged himself enough for one day.

‘How was clinic?’ His tone was cool, distant, polite, the voice he used with all his staff. Luca Ferrero, the physician, gave away nothing about himself, neither the man he was today nor the child he had been. He didn’t fraternise with his colleagues because he didn’t have the time. Every second of every day was devoted either to his work or his son and that’s how he intended it to continue, especially now that Kelly was here. Kelly was the one person who could make him question the path he had chosen, the only one who could make him want more than he had.

‘Fine. Most of the children were follow-up cases so there were no problems.’

‘Bene.’ He glanced up at last, felt his heart lurch, and swiftly recovered. So maybe she was standing in a patch of sunlight that was setting her glorious hair alight but it made no difference to him. He was centred, focused wholly and exclusively on his job.

She shifted slightly and his heart jolted again as he watched her slender body move beneath the white coat. He knew that he would never actually do it, but he longed to get up and walk around the desk, unbutton that coat and peel it off her then set to work on that prim little blouse which she wore underneath.

His vision blurred as he pictured his hands moving down the row of tiny pearl buttons until the very last one had been unfastened. He knew from experience that her skin would be barely darker than the fabric—milky-pale, smooth, unblemished—and shuddered. He would slowly open her blouse, breathe in her scent, feel the warmth of her skin, pull her to him and…

‘You said that you wanted to discuss a case with me.’

Her voice was sharp; it cut through the image that was playing in his head with rapier-like speed so that he almost gasped out loud. He managed to quash the sound before it emerged, but it shook him to know how close he had come to disaster. What the hell was he doing, playing such dangerous mind games?

‘That’s right.’ He stood up and went to the filing cabinet, waving her to a chair as though he didn’t care where she sat or what she did. It wasn’t true because he cared a lot, cared deeply about whether she was going to stay or leave, and how much time he could spend with her.

He slammed the drawer, wishing he could lock his thoughts away as easily. ‘The patient’s name is Domenico del Pietro, a fifteen-year-old boy who lives in Palau with his parents.’ He handed her the file and sat down. ‘He was referred to us following a number of consultations with his own doctor.’

Kelly frowned as she read through the case history. ‘Fever, headache, muscle pain, tenderness, nausea. A general feeling of tiredness and malaise.’ She looked up. ‘There’s nothing here about his mental state. How did he appear when you saw him?’

‘Somewhat depressed,’ Luca replied, inwardly smiling. It seemed that Kelly was already thinking along the right lines, not that he was surprised. She’d always been extremely sharp, quick to diagnose and accurate, too, which was more important. He carried on feeding her information, wondering how long it would take her to reach the same conclusion he had arrived at. ‘His teachers have also noticed a definite loss of concentration in recent months. Domenico is usually an A-grade student but his work has suffered of late.’

‘Any panic attacks or sleep disturbance?’

‘None reported.’

‘Has a full neurological assessment been carried out?’

‘Not yet. Domenico is due to come into hospital tomorrow and we shall do it then.’

‘I imagine you’ve ruled out mononucleosis. He’s the right age for it so it must have been your first thought.’

‘It was, but the tests came back negative.’ He leant back in his chair. ‘So, Kelly, have you any suggestions?’

‘ME.’ She placed the file on the desk. ‘The symptoms are all indicative of myalgic encephalomyelitis.’

‘And you ascribe to the school of thought that says ME is an actual illness and not the result of a psychiatric disorder like depression?’

‘Yes, I do.’ She met his gaze across the desk. ‘I don’t doubt that anyone who suffers from ME also suffers from depression—who wouldn’t when you’re feeling ill all the time? However, I’m convinced there is a physical cause for it. Most people who present with symptoms of ME have had a viral infection, haven’t they?’

‘Domenico had an upper-respiratory tract infection six months ago.’

‘And it was after that his symptoms appeared?’ she said.

‘Si,’ Luca agreed, enjoying watching her piecing together the puzzle.

She nodded as she picked up the file and glanced at the lab results. ‘Recent tests show everything is normal, which is what I would have expected. It’s rare that the lab comes up with anything in a case of ME.’

‘It is. So what do you recommend?’

‘That we wait for the results of the neurological tests and go from there,’ she said promptly.

‘Which is exactly what I have decided to do.’ Luca smiled, unable to hide his satisfaction. It was good to know that his faith in her hadn’t been misplaced. ‘Maybe you would like to be involved in this case, Kelly. It will be good experience for you to follow the boy’s progress.’

‘I’d like that. Thank you.’ She briefly returned his smile then stood up. ‘If that’s all, I’d better get back. We overran this morning and Serafina has rebooked a couple of cases for this afternoon. I want to read through their notes before I see them.’

Luca frowned as he checked his watch. ‘Surely you’re due for a break.’

‘It doesn’t matter. I’d rather be prepared than left floundering when a patient arrives.’

She went to the door, not giving him a chance to object. Luca sighed as she left because what could he have said? That she should stop work and take a break? He wouldn’t dream of saying that to any other member of his team and he mustn’t single out Kelly for special treatment. If she wanted to work through her break that was her decision. He understood. How many times had he missed a meal—several meals—because he’d been too busy to stop?

He put the file away then settled down at his desk. He phoned his housekeeper first to check that Matteo was all right then pulled out the report he was working on. If Kelly was going to work through her lunch-break, he would too. In a funny way it made him feel less guilty about her working so hard.

He caught himself up short. He had to stop worrying about Kelly and let her get on with her life. Once he started interfering, he might not be able to stop.