Читать книгу The Baby Doctor's Bride - Jessica Matthews, Jessica Matthews - Страница 8
ОглавлениеCHAPTER TWO
FROM the expression on Ivy’s face, Ethan had obviously startled her speechless. He wouldn’t blame her if she told him to buzz off, after they’d parted on less than friendly terms. Part of him hoped she wouldn’t, but if she did he would go back to his rented cabin with his conscience appeased.
Her surprise disappeared and her face settled into more impassive lines, as if she wanted to believe but wouldn’t allow herself to do so. “You’re offering to help?”
“Yes.”
“If this is some twisted idea of a joke…”
“It isn’t. It’s a sincere offer.”
“Forgive me, but I’d never dreamed… You’re actually willing to help me.” She narrowed her coffee-colored eyes in obvious suspicion as she dug her hands into her white lab coat.
“For a few weeks.” He’d thought about extending on open-ended offer without a set final date as he planned to live in the area until the end of the summer, but he wanted—no, needed an escape clause. Helping a colleague in dire straits for a few weeks should be enough to appease his conscience.
“Several hours ago you said you weren’t interested. What prompted you to change your mind?”
“Does it matter?” he countered, unwilling to explain how, after her you-don’t-have-children comment, his former colleague and old friend’s phone call had tipped the scales in her favor.
“Try something different,” Stewart Trimble had urged. “I understand your reasons for steering clear of medicine, but you still have a lot to give.”
“I don’t,” Ethan had replied flatly. “The proverbial well is dry.”
“Temporarily, perhaps, but you aren’t a quitter, Ethan,” Stewart had said. “Pediatricians aren’t limited to treating infants, you know. After bumming around the country for the last six months, don’t you owe yourself the old college try? What would it hurt to agree to a locum job in a practice where the worst thing you’ll treat is a sore throat and an occasional cough? Maybe your well isn’t as dry as you think.”
Plenty, he’d wanted to say, but in the end the combination of seeing Ivy’s exhaustion, the new load of guilt she’d leveled on him, and Stewart’s thought-provoking encouragement had prompted him to drive into town and offer his services on a limited scale for an equally limited amount of time. It would be a trial period, he’d consoled himself as the distance to Ivy’s clinic had shortened. That was all. At the end of the three weeks she’d asked for he’d have a better idea of what he’d do with the rest of his life.
As an added bonus, perhaps he could get the attractive Ivy Harris out of his head. His fiancée had been every bit as beautiful, but he’d soon learned that beauty usually only went skin deep.
She cleared her throat, bringing him back to the present. “No,” she admitted. “Although I want to be sure you won’t fill in for a day and quit the next because you changed your mind.”
“I finish what I start. If I agree to help you for three weeks, then I won’t leave you high and dry.” His former colleagues at the children’s hospital could attest to that. Once he’d tendered his resignation in St. Louis, he could have walked away, but through sheer force of will he’d struggled through another month until a replacement could be found.
She fell silent, apparently digesting his information. “OK. When can you start?”
“Whenever you like.”
She laughed, the lighthearted sound easing the residual tightness in his chest that hadn’t left him since the day his son had died. “I’d say immediately, but tomorrow is soon enough.”
“Tomorrow it is,” he said. “But I have a few conditions.”
A long-suffering expression flitted across her face, as if she half expected him to list requirements she couldn’t possibly meet. “Something tells me I need to sit down to hear this,” she said wryly as she did exactly that. “OK. Give me your terms.”
“First of all, I’ll earn the same salary you do and pay the same expenses.”
She blinked twice owlishly, as if he’d surprised her—which he probably had. “That isn’t what I initially offered you.”
“As I said earlier, I don’t take advantage of a colleague. Especially one who’s starting out.”
“Thanks.” She sounded dubious, as if she were afraid he’d spring something worse on her.
He did. “Second, I won’t treat babies.”
“None at all?”
“Infants aren’t my forte,” he said flatly. “I’ll take on all the school-age kids and adolescents who walk through the door, but anyone under the age of three is yours to deal with.”
She opened her mouth as if to argue, then simply nodded, as if she’d decided she could live with that particular stipulation. In a town without obstetrical services there couldn’t be more babies, especially newborns, than she could handle on her own.
“OK,” she said calmly. “Anything else?”
“Isn’t that enough?”
Her face warmed. “I’d say so. But at this point I can’t afford to be choosy. I appreciate anything and everything you’re willing to do.” She rose. “I’m usually here by seven-thirty most mornings, and our first patients are scheduled for nine.”
“What about referrals?”
“I send any child who needs a specialist north to Wichita or south to Oklahoma City,” she continued, “depending on the parents’ preference and insurance requirements. My goal is to bring in a pediatric endocrinologist and allergist once a month for scheduled appointments, but with everything that’s happened I haven’t had a chance to organize the clinics. Walt and I have other plans we hope to implement, but, as they say, Rome wasn’t built in a day.” Her smile was rueful.
Ethan saw the enthusiasm, the confidence, the full-steam-ahead attitude he’d seen in every new board-certified physician. Faith in one’s skills and the miracles of modern medicine made a man, or a woman, feel invincible and ready to conquer the world. For an instant he wanted to advise her to enjoy that feeling, because she’d lose it soon enough.
Idly, he wondered if he’d made a huge mistake by coming here. Seeing Ivy Harris every day would be like looking in a mirror, reminding him of what he’d once been like and showing him what he was now. A jaded physician didn’t pair well with an eager, idealistic one, but he’d already committed himself and he couldn’t back out now. Not because he cared about Ivy’s opinion, but because keeping his word was a matter of family honor. He might be the only Locke left, but his personal integrity was something he intended to hold on to with both hands.
“In the meantime,” Ivy continued, “if you have a patient who needs a referral, check with Heather, my nurse, or Billie, our receptionist.”
“You only have one nurse?”
“At the moment. But don’t worry. I’ll find another RN. They aren’t as difficult to come by as doctors,” she tacked on wryly. “If you’d like, I can show you around now, or we can wait until morning.”
“Don’t you have a hundred and one things to do before you can call it a day?” He turned her own words against her, although he found himself unwilling to leave for reasons he didn’t quite understand.
She smiled tiredly. “Yeah, but it won’t take long to give the nickel tour. We can start—” Her cellphone rang and she glanced at the caller ID display. “This might take a few minutes. Feel free to wander around on your own.”
Ethan sauntered past the receptionist’s desk as he ignored Ivy’s one-sided conversation. He stepped into the first patient room and saw the required glass canisters of cotton balls, cotton-tipped applicator sticks and tongue depressors standing on the counter, next to an otoscope to look into the ear canal. A biohazard container for needles and syringes hung on the wall.
Inside the cabinets and drawers he found the odd assortment of other necessities, including facial tissues, blood pressure cuffs in different sizes for little arms, as well as various kits and irrigation solutions. As far as he could tell Ivy had stocked her office with everything a general pediatrician might need, probably to avoid sending her patients on a lengthy drive elsewhere.
He sensed Ivy’s presence at the door before she uttered a word. Turning, he saw the slight frown on her face.
“Problems?” he asked.
She nodded. “I have to go. There’s been an accident. A truck collided with a van carrying six children, ages nine months to eight years old.”
It would be daunting to treat that many cases at once, especially if those six were critical. Clearly Jed wouldn’t be much help, because he’d have his hands full with the adults involved.
All afternoon he’d convinced himself he’d do nothing more than swab sore throats, peer into achy ears and listen to a few asthmatic lungs. Unfortunately fate had thrown another curve ball at him. No doubt Stewart would laugh his fool head off if he knew the situation Ethan had landed in without warning.
She waited silently, but he saw the unspoken plea in her eyes. The way he saw it, he had three options. He could ignore her silent request and simply say goodbye—an option which appealed mightily because he technically wasn’t on duty until tomorrow; he could do nothing—in which case she’d probably beg; or he could put his plans for dinner and a quiet evening at home aside and volunteer.
Some choices. Two would make him a heartless jerk and one would ruin the rest of his already ruined day. Having decided to fill in out of guilt, he might as well get started, he decided reluctantly, although it had been a while since he’d used his general pediatric skills. Still, he had an advantage: unlike the pre-term neonates he’d treated, the children he’d work with now could point him in the right direction.
“Would you like me to assist?” he asked, hoping she’d refuse.
She positively beamed, and took a step forward. For a moment she wore such a supreme look of relief that he thought she might kiss him.
He wouldn’t have minded. In fact, just the possibility of feeling her lips against his sent blood rushing through his body. Geesh, having such a strong physical reaction on the basis of merely thinking about a kiss plainly indicated he’d been alone for too long.
Yet, physical attraction or not, he didn’t have any business letting his imagination run away from him. He carried too much emotional baggage right now to consider any sort of relationship, even a platonic one.
Instead of kissing him, as he’d both feared and anticipated, she grabbed his hand and squeezed gently. “Oh, thank you. I’d love it if you would. Mind you, if it’s all minor stuff you can leave, but it would be great to have you nearby. Just in case things get complicated.”
It already was, he thought wryly, deciding her touch could easily become addictive. She was warm and vibrant, in a world which had been cold and colorless, but rather than allow himself the luxury of enjoying it to the fullest he mentally distanced himself at the same time as he abruptly extricated his hand from hers. Emotionally entangling himself with a pretty woman who’d want more from him than he could possibly give was a prescription for more heartache. He’d seen the light in one woman’s eyes fade into accusation and disgust. He wasn’t about to experience that again.
“Then shall we go?” he asked, his voice impersonal.
Her face turned a rosy hue, as if she recognized his brushoff. “Yes,” she said, her tone several degrees chillier than it had been before. “We should.”
As he followed her down the hallway that connected their clinic to the hospital, he noticed her demeanor toward him had turned from warm-hearted to strictly professional. Yet when she called a fellow named Ted she went back to being congenial and bubbly again. Clearly she’d chosen to save her friendly overtures for someone who wanted them, which was perfectly fine with him.
Yes, it was best for everyone concerned if they kept their relationship on a businesslike footing during the few weeks they were together. But, while it was the logical thing to do, he couldn’t deny the sense of loss that swept through him.
With one phone call to Ted Burns, the hospital’s CEO, Ivy had gotten Ethan consultant status so he could begin treating patients.
“It’s all set,” she said, as soon as she’d slipped her cellphone into her pocket. “You have temporary privileges with final approval contingent on you coming in tomorrow to show your credentials and sign the necessary paperwork.”
“So soon? I’m impressed.”
His surprise grated on her nerves. It was as if he hadn’t expected anyone in town to be efficient. “We don’t all work at Lew’s speeds of slow and slower yet,” she said smartly.
He raised an eyebrow. “I’m glad to hear it.”
No, she decided with some disappointment, Ethan Locke wouldn’t win the Friendliest Doctor of the Year award. Wariest, perhaps, or Gruffest, or Most Reluctant, or even Most Mysterious—but Friendliest? Not a chance.
But what did it matter if he frowned all day long, never spoke more than a few words and kept to himself? As long as he was kind to the patients and proved himself competent she would be one happy doctor.
Yet, regardless of how she’d characterized him, she also knew that people were a product of their experiences. What had made Ethan Locke so determined to isolate himself?
Whatever his reasons, she could either respond in kind or treat him as she did everyone else. The choice was easy to the point that it wasn’t a choice at all.
She bestowed one of her usual smiles on him as she led the way toward a cart near the ambulance bay that held protective gear. “We’re not as hung up on bureaucracy as other places, and we’re more flexible, but don’t forget to see Ted first thing in the morning. He’ll bend what can be bent, but only so far.”
“See Ted first. Got it.”
As Ivy shrugged on the familiar yellow gown, vinyl gloves and face shield, she noticed Ethan doing the same. “We’ll wait out—”
Nancy Martinez, the middle-aged nurse who was in charge of the department, approached at a near-run. “I just heard. ETA of the ambulance is three minutes. We’re getting the Ellerbe twins.”
Ivy’s heart sank. The twins were nine months old and their parents’ pride and joy. “Marybeth?”
“She was driving,” Nancy said, her forehead furrowed with concern. “Apparently she’d taken the kids in her daycare to Wichita Zoo today, and was coming home when a truck ran a stop sign and plowed into her. Luckily she’d already delivered several of the kids at their homes before it happened, otherwise we’d have three more patients.”
“I assume you know the family?” Ethan asked.
“I grew up with Marybeth’s husband and I know his mother quite well. By the way, Ethan, this is Nancy, our E.R. charge nurse. She’s worked here for years, and knows everything there is to know about the hospital. So if there’s anything you need, she’s your go-to person.” She turned to Nancy. “This is Dr. Ethan Locke. He’s helping us out temporarily.”
An ambulance siren wailed in the distance. “Come on,” she said. “We’re being paged.”
The heat, coupled with her protective gear, blasted her after being in the air-conditioned facility. Almost immediately a host of other staff members materialized to surround them.
“Everybody!” Ivy called out to the assembled group as the ambulance approached the loading dock. “This is Dr. Ethan Locke, and he will be helping us for the next few weeks. He’s a pediatrician and he comes highly recommended.”
Actually, she didn’t have any recommendations about him at all, other than Lew’s observation that he’d been a physician at the prestigious children’s hospital in St. Louis. He could be a doctor who couldn’t hack the job, but her instincts said that wasn’t the case. He had too much intelligence shining out of his eyes that no amount of cynicism and rudeness could disguise. Her biggest consolation lay in Nancy, who knew her stuff and would alert Ivy if his decisions were questionable.
Having done all she could to stack the odds in the victims’ favor, she riveted her attention on the emergency vehicle. Even with the back doors closed she heard the babies’ cries.
She glanced at Ethan, and was surprised by his stone-faced demeanor and grim expression, but she couldn’t ponder the reasons for it now.
Before the vehicle edged to a complete stop, she drew a bracing breath and yanked open the doors. Inside were two babies strapped into their infant seats, kicking and screaming in stereo, two older children—girls about five and six—who were doing their best to console the inconsolable babies, and a sandy-haired boy about seven years old, strapped to a backboard and sporting a c-spine collar, an IV line, a mask and a tank of oxygen between his legs.
“Packed house,” Ivy commented to the paramedic over the frightened wail of the babies. “What do you have?”
“One with abdominal injuries and four ambulatory—if you consider a car seat being ambulatory,” Ben Kovacs, the paramedic, reported. “I gave those two a preliminary once-over.” He motioned to the little noise-makers. “From their volume, I think they’re more scared than hurt, so I left them in their car seats for easy transport.”
“Crying is good. I’d be more worried if they weren’t making a sound.” Ethan had stationed himself near the boy’s gurney, but Ivy knew they couldn’t move the stretcher until the littlest ones were out of the way. Ben had truly packed the victims inside.
“They’ve only stopped long enough to take a breath and catch their second wind,” Ben said wryly. “I figured you could check them out more thoroughly to make sure they were OK.”
Ivy handed one carrier to Ethan before she reached for the other, noticing the huge tears clinging to soggy eyelashes, the red screwed-up faces and runny noses. By the time she’d handed the other infant to waiting nurses Ethan had already passed his bundle to someone else. He’d obviously hadn’t taken time to give the baby more than a passing glance, if that.
“Put them in Room One and I’ll be there in a minute,” Ivy directed, and she waved the older girls forward out of the corner where Ben had squeezed them.
“Suzy and Emma only have bumps and bruises,” Ben reported, his attention focused on the boy in front of him. “They could have waited, but I thought they should get away from the scene as soon as possible. Some things a kid shouldn’t see,” he finished in a low voice.
Ivy’s imagination filled in the blanks. “Come on, girls. Let’s go where I can make sure you’re okay, too.” Grabbing their hands, she helped them hop off the back bumper into the care of a young certified nurses’ aide, Robyn.
With the extraneous people out of the way, Ben released the latch holding the gurney in place. Between the three of them they pulled the stretcher out of the emergency vehicle and snapped the wheels in place before rolling their patient inside. Through it all, Ben gave his report.
“Tommy, here, is the worst. He was sitting behind the driver on the same side of the van where the truck plowed into them. BP is low, pulse is rapid.” Ben rattled off the numbers.
“I’ll look after him,” Ethan told Ivy as he helped guide the gurney into the trauma room. “You take care of the rest.”
Ivy hesitated. “Are you sure?”
“You’re the one in charge of babies,” he reminded her.
“OK.” Yet she found herself unable to leave. Not because she didn’t trust him—OK, maybe she had a few doubts—but mainly because she felt as if she were throwing him to the wolves by asking him to handle a trauma in a place where he’d never stepped foot until now.
For the first time since she’d accepted his offer she wondered if she’d made the right decision to bring in a relative unknown.
“Do you know how old he is?” she heard Ethan ask Ben.
“He’s seven.”
One advantage to a small community was that everyone knew everyone, which worked out nicely during times like these. Someday she’d know everyone in town by sight, too, but she’d been gone for years and hadn’t been back nearly long enough to have that ability today.
Ethan leaned over the moving gurney as he lightly gripped the boy’s hand. “Hi, Tommy. I’m Ethan, and we’re going to make you feel better soon.”
He sniffled. “I want…my mommy,” he sobbed.
“I know,” Ethan soothed. “We’re going to get your parents here as soon as we can. Can you tell me where you hurt?”
One hand fluttered to his abdomen. “Stomach. My chest.”
They rolled the gurney into the trauma room, and an instant later they’d moved Tommy, still strapped to the backboard with his head immobilized, to a hospital bed.
“Just hang on a little bit longer while we run some tests and take a few pictures,” Ethan told the youngster kindly. “Can you do that for me, sport?”
Tommy’s lower lip trembled. “I’ll…I’ll try.”
Ethan stroked a wayward lock of hair out of Tommy’s eyes. “Fair enough.”
Ivy had been afraid Ethan didn’t have a compassionate cell in his body, but his simple, kindly actions blasted away her lingering doubts. He might be gruff, but he cared about his patients.
What in the world was he doing in Danton? Even if he wanted an extended vacation, she would have guessed a more exotic, touristy place would have been his choice.
“If you don’t need me anymore, Doc,” Ben said to Ethan, “I gotta go back. They were using the Jaws of Life to extricate the driver of the van when we left, and because they aren’t back yet…”
“Marybeth?”
Ben looked surprised. “Do you know her?”
“Only what Nancy told us before you arrived. And if Nancy says we can manage on our own, then we’ll see you later.”
The nurse looked surprised, but pleased he’d consulted her. “We’ll be OK. See you later, Ben.”
“Thanks for your help,” Ethan seconded, before he addressed Nancy. “Start another IV, large bore needle with lactated Ringer’s.”
An instant later he patted the boy’s hand and began examining his abdomen and chest. Suddenly he cocked his head and frowned, as if he’d heard something he didn’t like.
Ivy listened, too, and recognized the distinctive wail of babies—the same noise she’d blocked out earlier.
“Still here, Dr. Harris?” Ethan mentioned idly.
Caught in the act! But it had been worth it, because she’d seen enough to rest easier in the abilities of her temporary partner. “I’m leaving now,” she promised, doing just that.
Yet as she examined the twins, ordered a few precautionary X-rays and lab tests, as well as a bottle of formula for each, she found herself impatient to return.
Funny thing how Ethan’s training and previous experience as a general pediatrician seemed to surface from out of nowhere as he examined his young patient. Apparently it was true that some things, like riding a bike, just weren’t forgotten, because from the moment Ethan saw the bruises on Tommy’s torso, the abdominal rigidity, cool clammy skin and shocky vital signs, he knew what to do. Grateful that he wasn’t in over his head as much as he’d feared, he relaxed a bit and mentally ran through the diagnostic protocol.
“I want cervical and lumbar spine X-rays, as well as chest and abdominal films,” he told Nancy, guessing that the two people lingering in the background were the lab and X-ray techs. “A CBC, basic chemistries, liver enzymes, renal function, amylase, type and cross-match for two units, coag studies, and a urinalysis. Stat. Any chance we can get a CT scan?”
Nancy shook her head. “Sorry. We’ve been trying to raise money for a scanner, but haven’t yet.”
The scan would have ruled out intra-abdominal or peritoneal bleeding, but if one wasn’t available then he’d have to depend on other tests to make his diagnosis. For the first time since he’d left St. Louis he realized how fortunate he’d been to have every resource available.
He stepped aside to allow the techs to work, remaining nearby to watch Tommy’s monitors, guess at his weight and double-check his mental calculations for the amount of fluid replacement.
By the time Ivy rematerialized he’d run a nasogastric tube and ruled out a stomach injury, gotten a baseline hemoglobin level from the lab, studied the films and decided the spine immobilization could be discontinued—although he’d feel better if a radiologist had given his seal of approval.
“Reinforcements have arrived,” she said cheerfully. “What can I do?”
“Find a surgeon in the next thirty minutes.”
“I wish. What’s the problem? Internal bleeding?”
Ethan pulled her aside. “I think his spleen’s ruptured. I don’t have a second hemoglobin level yet, but he has all the signs, especially abdominal pain and tenderness, pain in his left shoulder, and being shocky. The question is, do you want to observe him here and then Medevac him out when we know for certain, or move him close to an O.R. now, before he needs one?”
“Do you really have to ask?” Her tone was wry.
“I’d vote to move him out now, but this is my first day on the job,” he reminded her. “I’m still learning your protocol.”
“The only protocol I have is that I make a point never to gamble with my patients’ lives. I’d rather give them an unnecessary helicopter ride than hold them here until it’s too late.” She met his gaze. “Do you have a problem with that?”
“Not at all,” he admitted. “I’d hoped you’d agree with me.”
“Then I’ll make the arrangements.”
“As an FYI,” Ethan mentioned before Ivy got too far, “Ben said they were using the Jaws of Life to free this Marybeth person, so she might need to catch a chopper ride, too.”
“I’ll notify the air dispatch.”
After making the flight arrangements, Ivy ran into Jed outside the trauma room. The same age as Walt, Jed was looking as haggard as Ivy felt.
“Busy day for you, too?” she commiserated.
He smiled. “I haven’t worked this hard in years. How Walt did it all by himself is a mystery. Not to mention downright miraculous.”
Ivy chuckled. “I have to agree.”
The ambulance bay doors whooshed open and the E.M.T. crew wheeled in another victim. At the same time the main doors at the other end of the department flew open, and a crowd of frantic adults rushed through.
“Have fun with that group,” Jed murmured, before he sprinted toward the incoming gurney and disappeared inside the trauma room where Ethan and Tommy already were.
Immediately Ivy was surrounded by parents asking after their children. After trying unsuccessfully to get a word in edgewise, she gave an unladylike whistle.
Complete and utter silence followed.
“Who belongs with Suzy and/or Emma?”
A young couple and a single woman raised their hands.
“Tommy?”
“He’s our son,” another couple said.
Ivy smiled. “Dr. Ethan is with him right now, but I’ll let him know you’re here. The rest of you—” she glanced at the other parents “—come with me.”
She led her group to a nearby treatment room, where she paused in the hall. “Both Suzy and Emma are fine,” she told them. “They have some bruises and bumps, and will be sore for a couple of days, but nothing that a few hot baths and plenty of rest won’t cure.”
“Are you sure?” The woman who’d identified herself as Emma’s mother asked.
“Absolutely. But if they complain about anything new in the next couple of days, be sure you bring them in. In the meantime they can have acetaminophen to ease their aches and pains.”
“Thanks, Dr. Ivy.” Suzy’s father pumped her hand. “We appreciate this.”
“Can we take our girls home now?” Emma’s mother asked.
“Absolutely.” Ivy opened the door and the two girls inside jumped up and ran to their parents. Amid hugs and tears and sniffles, the two chattered like a pair of blue jays as they described the accident.
Happy to send those two on their way, Ivy peeked into the room where the twins slept in the baby beds that someone had robbed from the medical ward, clearly worn out from their experience.
Determined to let Ethan handle the other set of waiting parents, she found him next to Tommy’s bed. “How’s he doing?” she asked, ignoring Jed and the nurses surrounding his patient for the moment.
“Stable, for the moment. His second hemoglobin level has dropped, though.”
“ETA for the helicopter, twenty minutes. Which was at least…” she checked her watch “…seven minutes ago.”
“Good.”
“His parents are waiting outside. I thought you should talk to them as you know his condition better than I do.”
He hesitated, as if hating to leave Tommy’s side.
“I’ll stay,” Nancy offered. “His vital signs haven’t changed in the last fifteen minutes. I’ll let you know if they do.”
Ivy accompanied Ethan to the nurses’ station, where the Weathers were still waiting. From the worry on their faces, they obviously expected to hear the worst.
“How is Tommy?” his father asked. “Can we see him?”
“In just a minute,” Ethan said, before he introduced himself. “Tommy’s suffered abdominal trauma and I believe he has a ruptured spleen.”
At Mrs. Weathers’s gasp, he continued, “He’s stable for the moment, but he’s going to need surgery and soon.”
“How soon?”
“Within hours, I’d say,” Ethan admitted. “Dr. Harris has called for an air ambulance. It should be here any minute now to fly him to Wichita, where a surgeon is already waiting for him.”
“Is that the only thing wrong?” Mrs. Weathers’s voice and mouth trembled. “His spleen?”
“As far as I can tell. His X-rays didn’t show any problems with his spine, although we’ll have a radiologist read them to be absolutely certain. He can also wiggle his fingers and toes, so I think it’s safe to say he’ll be running around before long. As for other conditions—his liver and kidney function tests all look good, but the surgeon will know more after he takes a look inside. Afterward they’ll continue to monitor him closely. Sometimes problems crop up a day or two after the accident. For now, the immediate problem is to stop the internal bleeding.”
“Won’t it stop on its own?” Mr. Weathers asked.
“The spleen is a highly vascular organ, which means it’s full of blood vessels. Its function is to filter all the blood as it enters the circulation. The only way to stop Tommy’s bleeding is to remove the organ.”
His parents’ faces blanched. “If his spleen is a filter, won’t he need it?”
“As important as it is,” Ethan explained, “one can live without it.”
“Can we see him, Doctor?”
“For a few minutes—until the air crew gets here. Don’t worry, they’ll send a nurse and an E.M.T., so Tommy will have excellent care while he’s flying. Mind you, though, when you see him he’ll be groggy, and may not make much sense,” he warned. “And don’t be alarmed by the tubes and monitors.” He smiled. “Your son has been a real trooper. He’s a tough little character.”
Throughout Ethan’s conversation Ivy had hung in the background. She gave him high marks for his bedside manner. Once again she wondered why a physician of his apparent caliber had been so reluctant to answer her first call for help. She was equally curious as to why he’d changed his mind. But, whatever his reasons, she was glad that he had. Considering how Tommy was the only one who’d been critically injured, she probably could have managed on her own while Walt’s nurse practitioner dealt with the twins and the two older girls. However, it was nice having another physician available. As Jed had said, it was nothing short of miraculous how Walt had managed singlehandedly.
Idly, she wondered if she could talk Ethan into sticking around to help them as long as he remained in the area. It certainly wouldn’t hurt to ask, or at least to plant that seed of an idea and see what germinated. After all, what did she have to lose?
