The Nightingale Nurses Page 16

  He sank back down on the settee and gulped his brandy. The burning in his throat briefly numbed the pain he felt. His limbs were so heavy, he couldn’t move. He wanted to stay there for ever, staring into nothing.

  In the middle of his despair, he suddenly thought of Dora. He desperately wanted to talk to her. Somehow he knew she would understand, be able to take his pain away . . .

  He stopped himself. It was wicked of him to be thinking of another woman when Ruby had been through something so terrible, had just lost their baby. He had to be strong for her. She needed him, now more than ever, and he had made a promise to her.

  He refilled his glass and downed it in one. Then he sank his head in his hands and, in the gathering darkness of the sitting room, where no one could see him, Nick Riley cried.

  Chapter Eighteen

  ‘DR ADLER’S LOOKING very spruced up these days, don’t you think?’ Penny Willard commented.

  Dora squinted across the waiting room at the doctor, who was crouching down to reassure a crying child. There was certainly something different about him. He’d trimmed his shaggy mane of dark curls and his white coat was well pressed for once.

  ‘I can’t remember the last time he asked me to sew a button on for him,’ Penny said.

  ‘Maybe he’s got someone else to sew them on for him?’

  He’d certainly had a spring in his step since Esther Gold came in to have her stitches taken out. He’d also stopped working late into the night and sleeping on benches. He hadn’t said anything, but everyone knew he and Miss Gold were walking out together.

  ‘Do you think he’ll bring her to the ball?’ Penny asked.

  Dora rolled her eyes. With the Founder’s Day Ball only a matter of weeks away, it was all Penny seemed to talk about.

  ‘At least he’s got someone to go with,’ Penny sighed, her chin in her hand. ‘I still can’t find anyone to take me.’

  ‘You could always go on your own? Lots of the other girls are.’ She’d heard some of her set making plans to go together. They made it sound so much fun, Dora wished she could go with them. But Joe had already bought their tickets.

  ‘Doesn’t look as if I’ve got much choice, does it?’ Penny said. ‘It’s all right for you, you’ve got a boyfriend to take you. You’re one of the lucky ones.’

  ‘Aren’t I just?’ Dora muttered.

  At that moment, Nick emerged from the corridor behind them, pushing an empty wheelchair. His expression was even surlier than usual.

  ‘He looks happy,’ Penny remarked. ‘I wonder if he’s coming to the ball?’ She smiled. ‘I’ll ask him, shall I?’

  ‘I wouldn’t—’ Dora started to say, but Penny was already calling out to him as he passed.

  ‘Will you be bringing your wife to the ball, Mr Riley?’

  He whipped round to scowl at them. ‘What?’

  ‘The Founder’s Day Ball. I wondered if we’d be meeting Mrs Riley there? Or are you thinking of going by yourself?’ Penny gave him a slow, lazy smile. ‘Because if you are . . .’

  ‘I don’t know anything about a ball, and I don’t want to know either!’

  He barrelled past them, pushing the empty wheelchair as if it was a battering ram.

  ‘Well!’ Penny watched him go, eyes wide with astonishment. ‘I didn’t think he could get any more bad-tempered, but he’s managed it. What do you suppose that was about?’

  ‘I haven’t got a clue.’ Dora frowned. But she understood him well enough to know when he was angry, and when he was upset. And Nick Riley was definitely upset.

  Before Nick had reached the double doors, they crashed open and a heavily pregnant woman staggered in, on the arm of a middle-aged man. He looked so sick and white-faced, it was hard to tell which of them needed treatment.

  ‘Help me, please!’ he begged. ‘My wife’s having a baby!’

  ‘Well, she can’t have it here!’ Sister Percival appeared, brisk as ever. ‘You need the Maternity ward. It’s out of the doors, turn right—’

  She started to direct him, but the man cut her off. ‘You don’t understand,’ he cried. ‘It isn’t due for at least another month. But she fell down the stairs and now her waters have broken. That’s not right, is it? It shouldn’t have happened now.’

  Sister Percival took a step back, assessing the situation. Then she turned to Penny. ‘Ring the bell,’ she ordered, in a clipped voice. ‘And you,’ she called to Nick. ‘Bring that wheelchair over here immediately.’

  Suddenly the whole room was galvanised into action. Dr McKay appeared, and within moments Dora found herself in the consulting room with him and the woman.

  ‘I – I tripped and took a tumble down the stairs,’ she stammered as Dora helped her on to the bed. She was older than Dora had first thought, in her late-thirties. Her eyes were wide with terror in her thin face. ‘I blacked out for a couple of minutes, and when I came to . . .’

  ‘Shh, try to calm down, love.’ Dora held the woman’s hand. ‘The doctor is just going to have a listen to the baby’s heart, see what’s going on.’

  But one glance at Dr McKay’s face as he listened with his ear trumpet to the woman’s distended abdomen told her that all was not well.

  ‘The heartbeat is very slow,’ he said. He gently pressed the woman’s belly, feeling around for the baby’s position. ‘How long have you been having contractions?’

  ‘I’m not sure . . . Quite a while, I think. My waters broke an hour ago.’ The women looked from one to the other. ‘Is my baby all right?’

  ‘I’ll have a better idea about that when I’ve examined you properly.’ Dr McKay was already scrubbing his hands under the tap.

  The woman whimpered softly, her mouth moving in silent prayer as he examined her. She clung to Dora’s hand, her nails digging into the soft flesh of her palm so hard it was all Dora could do not to cry out.

  ‘It seems as if the baby’s brow presentation,’ Dr McKay said, when he’d finished. ‘We’re going to have to operate immediately.’

  ‘Noooo!’ The woman let out a wail that echoed around the consulting room. ‘My baby can’t be born now, it’s too soon!’

  She struggled to get up, fighting Dora off as she tried to hold her down.

  ‘It’s our only chance, Mrs Edgar,’ Dr McKay said. ‘Your baby is on its way whether we like it or not. The best we can do is give it a helping hand.’ He forced lightness into his voice, but Dora could see from his face how serious the situation really was. ‘Prep her for surgery,’ he instructed in a low voice. ‘I’ll get Sister Percival to telephone down to Theatre.’

  They rattled down the corridors to Theatre, Nick pushing the wheelchair, Dora at his side. Mrs Edgar sobbed all the way.

  ‘Will they save my baby?’ she begged Dora. ‘Please, Nurse, will they save him?’

  ‘They’ll do their best, Mrs Edgar.’ She gave the woman’s hand a reassuring squeeze. It felt inadequate in the face of such cataclysmic grief.

  ‘It’s our first,’ she sobbed. ‘We’ve been trying for so long, we started to think we couldn’t have kids. And then . . . it happened. We . . . we called it our little miracle—’

  Dora shot a sidelong look at Nick. He was gritting his teeth so hard, she could see the muscles knotting in his jaw.

  Helen emerged from the scrub room as they came through the double doors, very businesslike in her Theatre dress, her dark hair completely hidden by a cotton cap.

  ‘Has she been prepped?’ Dora nodded. ‘What about her stomach?’

  ‘She says she hasn’t eaten for at least five hours.’

  ‘Urine?’

  ‘I’ve already taken a sample.’

  ‘Very good.’ Helen gave Dora a warm smile, suddenly more like her room mate again. ‘I’ll take over now, thank you.’

  The rattle of the empty wheelchair was muffled by the thick white-painted stone walls as they made their way back to the lift.

  ‘Will it be all right?’ Nick asked suddenly. ‘The baby, I mean. Will it survive?’ />
  Dora glanced sideways at him. His knuckles were white as they gripped the handles of the wheelchair.

  ‘I don’t know,’ she admitted. ‘There was a heartbeat, so hopefully if the baby is delivered soon . . .’

  Nick took a packet of cigarettes out of the pocket of his brown overalls, shook one out and stuck it between his lips.

  ‘Ruby lost ours,’ he said flatly.

  His words were like a punch in the stomach, knocking the air out of her. Dora swung round to face him. ‘When?’

  ‘Yesterday.’ His voice was calm but his hands were shaking so much he could hardly hold the lighted match still. ‘I thought you’d want to know, being her friend.’

  ‘I’m so sorry,’ Dora whispered.

  He nodded, blowing a stream of smoke towards the ceiling. His eyes were fixed on the lift doors.

  ‘She’s taken it hard.’

  ‘And what about you?’

  He drew in a deep breath. ‘Ruby’s the one who matters, not me.’

  The lift rattled above them, on its way down.

  ‘I’d appreciate it if you’d go and see her,’ Nick said. ‘She needs a friend.’

  She’s not the only one, Dora thought, staring at his rigid profile. It looked as if it was taking him every ounce of his strength not to fall apart in front of her.

  Seeing him hurting so much made her lose control. Before she knew what she was doing, Dora had reached out to touch him. ‘Nick—’

  He jerked away from her, as if snatching his arm away from a flame. ‘No!’ He looked almost fearful. ‘I can’t,’ he said, his voice ragged with emotion. ‘I can’t do it to Ruby, not now . . .’

  The loud ping of the lift doors broke the silence. Dora stole a glance at Nick’s grim profile as he stepped forward and wrenched open the grille.

  They travelled up in the lift together, standing apart like strangers, not looking at each other. Dora ached to reach out to him, to kiss away his pain and wretchedness.

  But Nick was right, she thought. They couldn’t do it to Ruby, not after what she’d been through.

  Chapter Nineteen

  HELEN WAS MAKING sure the unconscious woman was positioned correctly on the table when Miss Feehan the Theatre Sister arrived. Helen waited tensely as she looked about her, searching for faults. Finally she seemed satisfied.

  ‘Very good,’ she said. ‘You’ll be assisting today, so get yourself ready.’

  Helen glanced around to make sure it was really her who was being addressed. ‘Me, Sister?’

  ‘Yes, Nurse.’ Miss Feehan smiled at her bemused expression. ‘Don’t look so shocked, you’ve been here nearly three months, you’ve seen how things are done. It’s high time you put your training into action.’

  ‘But what if I get it wrong?’ Helen blurted out the words without thinking.

  Miss Feehan lifted one eyebrow. ‘I hope you aren’t questioning me, Nurse?’

  ‘No, Sister. I apologise, Sister.’ Helen lowered her eyes. ‘It’s just . . . I don’t want to make a mistake . . .’

  ‘You won’t.’ There was a touch of warmth in Miss Feehan’s voice that Helen hadn’t heard before. ‘Just remember to stay within the sterile field, keep close to the surgeon and do as you’re told. And if you can do everything before you’re told to, all the better. Don’t look so terrified, Nurse Tremayne. I wouldn’t suggest it if I didn’t think you were more than capable.’

  Helen’s mind was still whirling as she headed off to scrub up. Surgeons generally preferred to work with scrubbed nurses they knew well. How would this one take to having a mere student thrust on him?

  She realised the answer to that one when she found her brother William up to his elbows in carbolic soap. He was flanked by Alec Little and a nervous-looking junior houseman.

  Suddenly it all made sense. If William were the senior doctor on duty then he would have to deal with any emergency surgery. Helen had no doubt he’d asked for her to assist him.

  ‘Ah, there you are, Nurse Tremayne.’ He greeted her with a grin. ‘I understand we’re working together today? Hurry up and get scrubbed, please. Dr Little has already put the patient to sleep and we don’t want to keep her waiting.’

  Moments later she was at the operating table beside him, the tray of instruments in front of her. Helen had never been allowed so close to an operation before, and was terrified she might faint at the first sight of blood. She winced when William’s scalpel pierced the woman’s flesh, but after that everything happened quickly, and Helen was so intent on handing him the correct instruments at the right time she barely had time to register what was happening.

  She stole a few nervous glances at him as he worked. He was so precise and calm and in control it was hard to remember he was her brother, once a gawky twelve year old who had built secret dens with her in the garden and skinned his knees while scrambling up trees.

  ‘Scissors.’ Remembering Sister’s words, Helen was ready with the instrument before he’d had time to put out his hand. ‘Right, here we go.’ William looked up, addressing his assistant. ‘I have cut the tissues down to the peritoneum, which I will now open with scissors. You’d better stand by with those towels,’ he instructed Helen.

  A second later a geyser of warm blood gushed out of the hole in the woman’s abdomen, flowing over their hands and instruments and soaking the carefully placed sheets. As Helen made a grab for a handful of fresh towels to mop it up, William reached in and eased the baby out. A lump rose in Helen’s throat as he lifted the tiny creature, bluish-grey and blotched with blood, still attached by a thick, glistening rope.

  ‘A baby boy,’ William announced.

  ‘Is he all right?’ Helen whispered. ‘He seems so small . . .’

  At that moment, the baby let out a thin, reedy cry, its tiny birdlike limbs flailing.

  ‘There’s your answer.’ William grinned at her, his eyes warm above his mask. He turned to Alec. ‘Do you think the grateful mother will name him after you or me?’

  ‘You,’ Alec sighed. ‘You always get the credit.’

  ‘Quite right, too.’

  Helen watched through a blur of tears as he clamped and snipped the cord. She automatically reached for the baby then, but William shook his head. ‘Not you, Nurse Tremayne,’ he said, as one of the other nurses stepped forward with a towel to receive the child. ‘Have you forgotten, you still have work to do?’

  She had forgotten, she was so used to being the one who did the fetching and carrying. But this time she could only watch as the runners washed the baby and wrapped him up in warm blankets. Meanwhile, William went to work to remove the placenta, delivering it with a heavy plop into the enamel receiving dish his assistant was holding out for him.

  ‘All done,’ he announced with satisfaction, then nodded to the junior doctor. ‘Close up for me, would you?’

  Soon the operation was over, and mother and baby were on their way back up to the Maternity ward. William and Alec joined Helen as she was instructing the junior in the best way to clean and sterilise the instruments.

  ‘You did very well, Nurse Tremayne,’ William said.

  ‘Thank you, Sir,’ Helen replied, equally formal.

  He reached over to turn on the tap over the sink. ‘So what’s this nonsense I hear about you not going to the Founder’s Day Ball?’

  ‘What’s this?’ Alec interrupted them. ‘You’re not going? Why not?’

  Helen stared at her brother, taken aback. ‘Who told you?’

  ‘I’ll give you three guesses.’ His mouth lifted at the corners. ‘Mother is terribly upset.’

  ‘And I expect you’ve been asked to try and change my mind?’

  ‘Something like that. Although I would probably say “instructed” rather than asked.’

  ‘How typical of her.’ Helen tightened her lips.

  William regarded his sister consideringly, his head on one side. ‘I know Mother can be an old battleaxe sometimes, but this ball is terribly important to her. I think she’s r
ather nervous about it, to be honest.’

  ‘Our mother, nervous? Never!’ Helen said scornfully. ‘Mother has never been nervous of anything in her life.’

  ‘All the same, she’s anxious the evening should go well. Couldn’t you just come along for half an hour? Let her know we’re all behind her? It would mean so much to her.’

  Helen saw the appeal in her brother’s brown eyes, and hesitated. With Charlie and William both urging her to go, she wasn’t sure how long she could refuse. ‘I’ll think about it,’ she murmured. ‘But I’m not promising anything.’

  ‘Good girl!’ William’s face broke into a grin. ‘Mother will be delighted.’

  ‘I told you, I’m not promising anything . . .’ Helen called after him, but he was already sauntering out of the room.

  ‘Typical William, never takes no for an answer,’ Alec remarked.

  ‘I think it’s the secret of his success,’ Helen agreed with a sigh.

  Alec turned to her, his expression serious. ‘I hope you do decide to come to the Founder’s Day Ball. I was looking forward to our first dance.’

  Helen frowned. ‘What do you mean?’

  ‘Didn’t your mother tell you? She asked if I would partner you. Not that I needed to be asked,’ he added hastily, his cheeks turning pink. ‘As a matter of fact, I was going to ask you anyway—’

  Helen stared at him, shocked. ‘When did this happen?’

  ‘About a week ago. Why?’

  ‘I’d already told her I wasn’t going by then.’ Helen’s mouth firmed. How typical of her mother, to take no notice of her wishes.

  Alec looked confused. ‘I’m sorry, have I put my foot in it?’

  Helen saw his bemused expression and felt sorry for him. ‘It’s not your fault,’ she assured him. ‘But for your information, I have a boyfriend.’

  ‘Oh!’ He blinked owlishly. ‘I’m sorry, I didn’t realise. Your mother didn’t mention it.’

  ‘I’m sure she didn’t.’ Helen picked up a towel to dry her hands.

  Alec watched her carefully. ‘I take it this means you don’t need a partner for the ball?’