Читать книгу The Surgeon's Favourite Nurse - Teresa Southwick, Teresa Southwick - Страница 7

Here comes trouble.

Hope Carmichael knew more about trouble than she ever wanted to and recognized it instantly. The man who’d just walked into her office had the big T written all over him.

Jake Andrews, M.D. Dr. GQ. That’s what the Mercy Medical Center nurses called the hotshot trauma surgeon.

She could see why. The charcoal suit probably had an Armani label. His snappy red tie said follow me home if you’re looking for a good time. And the sexy grin aimed straight at her was all about who he intended to have that good time with. Simply put, his fabulous dark hair, chiseled jaw and charismatic career made him a chick magnet.

“Hi. I’m Jake Andrews—Dr. Andrews,” he added.

Hope stood behind her desk. Ordinarily she would have walked around it to shake someone’s hand. This time she didn’t and wasn’t sure why. “I know who you are.”

“I didn’t think we’d met.”

“Because your memory is infallible?” she asked, trying to control the nerves tweaked by his shameless scrutiny.

“Because a pretty lady like you is unforgettable.”

Oh, please. If she had a nickel for every time she’d heard that line before.

Actually, she’d never heard it before.

Hospital gossip had warned her about him. Two out of the three doctors in his medical practice had recently married and officially resigned from the bachelor ranks. Jake Andrews was the last playboy standing. Her new job meant she’d have to deal with him—whether she wanted to or not.

Two weeks ago she’d arrived in Las Vegas to assume her duties as trauma coordinator of Mercy Medical West, the hospital’s third campus which was a few months away from opening its doors. She’d done her employment orientation at the main campus and someone had pointed out Jake Andrews to her, which was why she knew him. Definitely a capital T for trouble.

“You’re correct,” she said. “We haven’t been formally introduced.”

“A situation I’m here to rectify.” He held out his hand. “Let’s make this official.”

She hesitated to touch him and knew she didn’t cover it very well because she was out of practice with men in general and a man like him in particular. Although out of practice would imply that at some point she’d been competent with his type, which was so not the case.

Finally she reached across the desk to place her hand in his. “I’m Hope Carmichael, Dr. Andrews.”

“A pleasure. And call me Jake.”

Maybe it was his take-no-prisoners smile or his touch, but Hope felt a blast of heat that was nuclear in scope. With good reason she’d hesitated to touch him, but there was no uncertainty when she quickly pulled her fingers from his.

“It’s nice to meet you,” she said.

“Likewise. So, I’m curious. How did you know who I was?” One corner of his mouth quirked up.

His ego was asking and she resisted the urge to roll her eyes, but on the inside she was groaning. It was a good thing her job was to organize the new hospital’s trauma department and not choose the doctor who would run it, the job this surgeon was campaigning for. If she got a vote, it would be firmly in the no column.

“Process of elimination,” she finally said.

“Excuse me?” He didn’t look puzzled, just amused.

“The other two candidates for trauma medical director have already stopped by to introduce themselves.”

“Worthy adversaries both.” He moved closer and rested a hip on the corner of her desk, a blatantly masculine pose. “But neither of them is going to get the job.”

Hope refused to give in to the very strong urge to put space between herself and Doctor Dashing because she suspected he would notice. There probably wasn’t much those piercing gray eyes missed and even the slightest retreat would give him more intimidation quotient than he already thought he had.

She remembered his competition for the position—Dr. Robert Denton and Dr. Carla Sheridan, both in their forties. The former was a small, studious man who reminded her of Albert Einstein. The female doctor was all business. If she had charm or a sense of humor, both had been well concealed. Jake Andrews had set both his charm and humor on stun.

“It’s my understanding that the hospital board hasn’t made a final decision about who gets the contract.” She sat behind the desk and looked at him. “How can you be so sure the position is yours?”

“Because the appointment means more to me than it does to either of them. And I’m the best trauma surgeon in Las Vegas.”

The words ignited something in his eyes that hinted at a fire in the belly. A need for victory. Determination to succeed. A passion for power. Hope didn’t remember either of the other doctors exhibiting a similar vibe.

“If it’s what you want, then I hope the vote goes your way,” she said.

“Me, too. Even more now.” His eyes gleamed again as he looked her over with an expression of admiration and approval.

“Are you flirting with me?”

“Not very well, if you have to ask.”

Almost as soon as the words were out she wanted them back. He might think she was fishing for compliments, but nothing could be farther from the truth. Part of her was surprised that the thought of flirting even entered her mind. She’d thought the ability to detect it had died two years ago with Kevin on their first wedding anniversary.

Dr. Andrews hadn’t exactly confirmed or denied flirtatious intentions, but that really didn’t matter. The game required two to play and she wasn’t interested. More important, this conversation had already taken a different tone and direction from her meetings with the other two doctors in line for the top trauma job. It was time to fix that.

To do it, Hope knew she needed to take control, but the shimmy in her belly and the buzz in her head made thinking a challenge.

“Here’s the thing, Doctor—”

“It’s Jake. Remember?”

She was trying not to. This encounter and its ripple of sexual awareness were disturbing, to say the least. The longer he perched on the corner of her desk looking all hot and sinful, the more she wanted to see his bluff, round the desk and raise the temptation factor. That’s what the old Hope would have done. There were a lot of reasons it was a bad idea, not the least of which was that she wouldn’t take the chance of letting a man close to her.

Flirting led to feelings and that equaled a potential for pain. Losing Kevin had hurt. A lot. She’d rather feel nothing than hurt that much ever again.

“Jake—”

His name on her lips stopped her. Jake—a strong, masculine, heroic name. And wasn’t that the stupidest thing that had ever crossed her mind. She didn’t want a man and she especially didn’t want a hero—although hospital gossip didn’t paint Jake Andrews as the type to throw his cloak—or his surgical mask—over a puddle for a lady. He was more rascally rogue than white knight.

“You were saying?” Idly he picked up a supply order list from a stack of papers on her desk and looked it over.

“I’m here to do a job and—”

“You’re from out of state, right?”

She nodded. “Texas. Mansfield, a town halfway between Dallas and Fort Worth.”

“I thought I heard some Southern comfort in your voice.”

Was he flirting again? She couldn’t tell. This was no time for her blarney meter to crash.

“Like I said, I was hired to organize the trauma department and have it ready when Mercy Medical West opens its doors to patients.”

“Tell me about yourself, Hope.” It sounded like he was testing out her name on his lips. “Wait, let me guess. You have sisters named Faith and Charity.”

She had to smile. “As a matter of fact …”

His laugh was rich with humor. “Am I good, or what?”

She refused to comment without her own independent confirmation, and pigs would fly before that happened. “Faith is older. Charity younger. I’m in the middle.”

“What made you want to be a nurse?” he asked suddenly.

“A strong desire to help people and make a difference. From the time I was a little girl it’s all I ever wanted to do.”

“So it was a calling of the heart. Not because it’s a profession with pretty good pay for a woman who might need to support herself and her family?”

Funny that he should zero in on that because it’s exactly what happened. And it was her fault that the man she’d loved had been in the wrong place at the wrong time.

“Nursing is a noble profession,” she said, a little more sharply than she intended. “And there’s a critical need, like so many other causes.”

“Causes? Plural.” He looked thoughtful. “Such as?”

“Feeding the hungry. Houses for the homeless. Teen pregnancy. Global warming. Vaccinating children in third world countries.”

“Saving the spotted owl?”

“If necessary, to preserve an ecosystem,” she said, lifting her chin a notch. “You’re making fun of me.”

“Heaven forbid.” His expression was exaggerated innocence. “Community service isn’t just for criminals anymore.”

“You don’t believe in helping others?”

“I’m a doctor.” Again he hadn’t answered.

“That’s about helping people for money.”

“It’s my job, yes.”

“And what made you want to be a doctor?” she asked, echoing his question.

He glanced at the paper in his hands. “I’m smart. In school I excelled in math and science. And doctors make a lot of money.”

“So it’s not about helping people,” she accused.

“By definition what I do helps people. For doing it I’m well compensated,” he said, putting a finer point on it.

“Wow,” she said wryly. “Let’s all pause and feel the love.”

He looked up and met her gaze. “Medicine is a business. Surgery is invasive intervention to save or improve a patient’s life. But still a business. You know that as well as I do because in addition to your nursing credential and working as a trauma nurse manager, you have a master’s degree in healthcare administration.”

“How do you know all that?”

“I made it my business to know.” He let that sink in, then added, “I checked up on you because we’ll be working together. People will be watching when this facility opens. If we fail, it will be very public and with a direct impact on my reputation. I don’t take chances with my career.”

So a successful launch of this campus was all about him. How was he arrogant? She needed more than the fingers on two hands to count the ways. “There’s certainly a lot of bastard in you.”

“Thanks.” He stood away from the desk and straightened to his full and impressive height. “Coming from a Birkenstock-wearing, granola-munching, bleeding heart liberal like yourself, that’s high praise.”

“I’m glad you think so.” Could they possibly be more philosophically opposed? She hadn’t meant to call him names, but it just popped out. The guy pushed her buttons, all the wrong ones. Apparently her diplomacy meter had also crashed. “I have a lot of work to do. If you’ll excuse me—”

“About your work—I asked for a particular type of surgical instruments. They’re from a German manufacturer and are specifically calibrated. Is there another list?” He pointed to the paper he’d replaced on her desk. “I don’t see what I requested on that one.”

She knew the brand he meant and it was out of the question. “You don’t see them because they weren’t ordered.”

“Just like that?”

“Too expensive.” She blew out a breath. “Every surgeon has a favorite, but it’s my job to whittle down the list to the most commonly used.”

“Even if the most common ones result in limitations that prevent the patient from getting the best possible results?”

Was this his way of pushing back, being difficult, punishing her for the bastard remark? It had been out of line, but so was his flirting. And it had provoked her own fight-or-flight response. She wasn’t running, unless you counted taking this job in Las Vegas to avoid painful memories back home.

“If you’re half as good as you think you are, Jake, you can use a potato peeler and a watermelon scoop to get a positive outcome.”

“And what if that doesn’t fly with me?”

“Then I might have to conclude that you can only make do with one product and suggest that perhaps you need to take another class or something.” She stood, but still had to look up at him and knew this wasn’t a good time to notice how he towered over her. The silence grew bigger and more awkward until she felt compelled to fill it. “Jake, you’re not my boss.”

“Yet.”

“Even so—”

“I’ll see you tonight, Hope.” His grin was highlighted with smug self-confidence that was darn sexy. And hot.

The resulting sizzle and burn fried all the electrical impulses in her brain, but she managed to stay on her feet and avoid embarrassment. Then she realized he was waiting for a response and tried to remember what he’d said. “Tonight?”

“The hospital’s private open house for state and city officials. Dignitaries on parade. It’s where we get to show off. There’s a rumor that the governor plans to drop in.” He stopped in the doorway and slid his hands into the pockets of his slacks. “You’ll be here, right?”

“I’m giving guided tours of the trauma department. But why are you coming?”

“It would be rude to miss the moment when they announce my name as the new trauma medical director.”

He flashed a wicked grin before sauntering out of her office. She took a deep cleansing breath, but it didn’t help. Her pulse was pounding. Her heart was racing. And she was pretty sure if she looked in a mirror, her face would be flushed. Wasn’t it just her luck that the most arrogant, annoying, exasperating man on the planet had put the color back in her cheeks.

Also just her luck that this was the most alive she’d felt in a very long time.

Trouble had definitely paid her a visit and she would do her level best to avoid it tonight.

Jake didn’t dislike obligatory hospital functions, but he rarely anticipated one with as much enthusiasm as he did now. And there was only one reason.

Hope.

He’d parked his car in the lot outside Mercy Medical West on the corner of Warm Springs and Durango roads, then leaned into the cold January wind as he walked toward the brightly lit facility.

The bilevel architectural design combined with artistic touches and made this house of healing pleasing both to the eye and the spirit. On each floor of the building walls were painted a different color—blue, lavender, green or yellow—and the furniture and floors were done in coordinating shades.

Medical equipment was state-of-the art, the latest technology available. This hospital was going to be the jewel in Mercy Medical’s crown and it would do the same for his career. Maybe, finally, he could silence the voice inside him that warned he would always be that homeless white-trash kid who would never be good enough for the prom queen.

When he got to the facility’s double glass doors, they whispered open and released the noise from the crowd inside. Men in dark suits and women in cocktail dresses jammed the usually quiet, serene lobby. Waiters in black pants and crisp white shirts circulated with trays of food and glasses of champagne.

Jake scanned the gathering, searching for a blonde, but not just any blonde. There was a certain shade of honey in Hope’s hair and she had the prettiest hazel eyes he’d ever seen.

But it was her mouth that amped up his anticipation. Very defined, full lips curved up at the corners and were just about the most tempting thing he could imagine, and he could imagine a whole lot of temptation. If Hope Carmichael had been as provocative as a potato, he could have put her out of his mind, but his life had never been that simple or uncomplicated.

Jake glanced at his watch. The shindig had been under way for almost two hours and judging by the crowd concentrated in this area, tours of the facility were complete. So if she wasn’t jumping through hoops for dignitaries, where was she? Before he could decide what to do about that question, the president of the hospital’s board of directors introduced himself over a microphone. Jake located former Congressman Edward Havens on a dais set up for the occasion.

Ed introduced the governor, senator, mayor—blah, blah, blah. Then he ticked off the names of the campus president, department directors, etcetera. Finally he made eye contact with Jake and smiled, before announcing that the contract for trauma medical director was going to Dr. Jake Andrews.

Jake nodded, waved, smiled politely at everyone applauding around him and mentally high-fived himself. He loved it when a plan came together, and in this case the plan was all about his career and long-term financial security. All the hard work had paid off. He would be able to write his own ticket now. No one would ever again look at him like he was something worse than dirt on their shoes.

Searching faces in the crowd, he still didn’t see Hope. Suddenly he had an overwhelming urge to tell her “I told you so.” He wandered the facility and was oddly disappointed when his search didn’t produce the result he wanted. On his way back to the lobby, he passed the closed door of her office and tried the knob. When it turned, he pushed into the room and saw her there.

“Knock, knock,” he said, then softly tapped his knuckles on the door.

She looked startled before her eyes widened in recognition. “Doctor … Jake,” she corrected.

He walked inside and closed the door. Her desk was littered with computer equipment and stacks of folders. Around the perimeter of the room were moving boxes with flaps opened. The office paraphernalia inside looked as if it had been rifled through but not put away. So she was still settling in.

“How about a tour?” he asked.

“Sorry. You’re too late.”

Her eyes went from surprised to sad and he wondered what would make such a pretty lady unhappy. Then he wondered why he would notice at all. Or why he should care. It could have something to do with her bastard remark earlier. He liked that she didn’t scrape, bow and kiss his ass. That kind of crap got old real fast.

Jake slid his hands into the pockets of his slacks. “You’re missing the party all locked away in here.”

“It’s work to me, and I’m taking a five-minute break.”

“Want some company? I’d like to talk to you about something.”

Her gaze turned suspicious which was better than sad. “You’re not here to pester me about getting Bugs Bunny bandages, are you?”

“Something like that.” He moved closer, near enough that the sweetly sensuous scent of her perfume nearly made his eyes cross. “I was looking over the names and certifications on the trauma team and wondered why there was no admitting specialist in the group.”

She put her hands on her hips and her eyes narrowed. “So you want designer scalpels, Bugs Bunny boo-boo covers and a personal assistant?”

“Yes.”

“Are you aware, Doctor, that it takes a hundred and fifty million dollars of up-front money to open a facility like this?”

“I think I heard that figure somewhere.” Although he found her figure in the snug little black dress with almost-not-there straps far more interesting. Mile-high heels made her legs look incredible. One glance was better than a shot of adrenaline to get his heart pumping.

“Did you also hear that a new facility is expected to lose money at first, because there’s no revenue stream?”

“Makes sense.” Unlike the fact that he couldn’t seem to take his eyes off her mouth.

He knew she was attracted to him because he knew women and this one wasn’t very good at hiding her feelings. Her tone was full of Southern fried deference. She was trying to bow and scrape, but it was more about establishing a safe zone for herself.

She hadn’t wanted to shake his hand earlier and that was to avoid touching him. Because of her attraction. It was incredibly inconvenient that the feeling was mutual.

“My job is to keep expenditures within limits and confine losses to conform to the budget.” She let her gaze run over his pricey suit and tie before asking, “You do understand what a budget is?”

Oh, yeah. He’d learned the hard way, although having money was a prerequisite for learning how to spend it wisely. His mother hadn’t had enough to pay the mortgage after his dad left them. Their house was foreclosed on. A rented roof over your head takes first and last month fees and a security deposit. If his mom had had a chunk of cash like that she’d have been able to make the loan payment. So they ended up homeless. He’d been thirteen.

Memories of that long-ago fear and humiliation rippled through him. “My point is that an admitting specialist will more than make up for the initial salary and benefit costs in revenue recovered.”

“Really?”

“Yes, really.”

He figured she knew her stuff or she wouldn’t have been hired for this job. So this attitude of hers must be about him personally. He wasn’t sure what he’d done to tick her off, but apparently annoyance was contagious because he was feeling it, too. He’d caught it from her. Now was the time to let her know that she wasn’t the only one who knew their stuff.

“Care to explain how an admitting specialist earns their keep?” she said.

“I’m glad you asked.” He took a step forward, close enough to feel the heat from her body. “I’m sure you’re aware that per diem charges mount up fast. And I’m also certain that you’ve heard of DRGs.”

“Of course. Diagnosis-related groups.”

“Give the lady a gold star. So you also know that every medical problem, difficulty, malady or disease has a price tag. Just like a bathing suit at the mall.”

“What’s your point, Doctor?”

“An admitting specialist is necessary to set up protocols for screening every case that comes into the E.R. for insurance information, any secondary financial help the patient might have, anything that will assist in charges. Because without proper billing, codes and patient details, payment can be delayed indefinitely or denied altogether. And that kind of a loss is something your budget can’t absorb no matter how it’s structured.”

“Do you care more about money than medicine?” she challenged.

“And there’s the gray area. Best answer? We can’t afford to care more about medicine than money. You can’t have one without the other. In the end it’s a business and if we can’t meet our expenses we go out of business. If that happens, we can’t help anyone and the people of this community lose a valuable healthcare resource.”

“Maybe my short-term memory is on the blink, but aren’t you the same doctor who just hours ago, in this very spot, hit me up for pricey precision instruments?”

Hit her up? No way. She’d know if he hit on her because there’d be no question.

Jake was almost certain there was a vein throbbing in his forehead. “I don’t care about that.”

“What do you care about?” She shook her head. “Never mind. I don’t want to know. I have to go.”

She moved too fast when she tried to sidestep him and ended up unsteady on those sexy high heels. He caught her as she stumbled and pulled her into his arms.

He couldn’t say that kissing her hadn’t crossed his mind, but he’d never planned to act on the impulse. Now here she was with her curves brushing against him and the pulse in her neck fluttering as awareness flashed in her eyes.

At that moment he couldn’t think about anything but kissing her, and lowered his mouth to hers.