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‘This is Susan Wilde. She was very sick in the ambulance,’ the paramedic said as they lifted her from their stretcher onto the trolley. ‘She was playing tennis when she suddenly complained of a headache and collapsed.’
Christy covered the woman with a blanket while she listened to the handover and then Billy arrived and started his examination.
‘Mrs Wilde? Can you remember what happened?’
The woman turned her head slowly and looked at him blankly, as if she was having trouble focusing and concentrating. ‘Don’t know… Pain…’ She groaned. ‘Neck, head.’ Her eyes drifted shut again and Christy checked her observations quickly.
‘Her pulse is down and her BP is up,’ she said quietly. ‘I’ll get you a venflon so that you can put a line in and we’ll give her some oxygen straight away.’
Billy stared at her and then nodded. ‘OK. Yes. Good idea.’ He ran a hand through his hair and let out a breath. ‘I might just give Mr Garcia a call. Ask him to take a look at her.’
‘You get a line in and I’ll call him for you,’ Christy advised, handing him the necessary gear and then attaching ECG electrodes to the patient’s chest. ‘He’s going to want you to have obtained venous access. It looks as though she might have had a subarachnoid haemorrhage.’
‘Right.’ Taking the tourniquet from the tray she’d handed him, Billy slid it onto the patient’s arm and pulled it tight. As he searched for a vein and slid the venflon into place, Alessandro walked into the room.
‘Everything all right in here?’
‘I was just going to come and ask your advice,’ Billy confessed, releasing the tourniquet and raising his eyebrows as Christy handed him a selection of bottles. ‘What are those for?’
‘BMG, FBC, clotting screen and U and Es,’ Christy said calmly, reaching for the forms to go with the bottles and filling out all of them except the doctor’s signature. ‘I’ll just go and arrange for a chest X-ray because it’s obvious that you’re going to need one of those.’
She thought she saw a flicker of amusement and admiration in Alessandro’s eyes as she walked towards the phone.
By the time she’d finished, Alessandro was examining the patient, who by now was so drowsy she could barely answer and was making little sense at all.
Christy was just wondering whether the woman had actually lapsed into unconsciousness when she gave another groan, rolled onto her side and vomited weakly.
Christy got the bowl there in time and Alessandro frowned.
‘We need to give her some morphine and an anti-emetic. Christy, I want you to arrange an urgent CT scan and contact the neurosurgeons.’
‘I’ve already arranged the scan and the neurosurgeons are on their way down.’ Christy drew up the drugs that he’d requested and gave them to him to check while Billy stared in amazement.
‘You called the scanning department already? When did you arrange that?’
‘At the same time that I arranged the chest X-ray. It seemed sensible.’ Christy checked the woman’s observations on the monitor. ‘She’s showing signs of raised intracranial pressure, do you want to give her some IV mannitol?’
‘We’ll do the scan straight away and discuss it with the neurosurgeons,’ Alessandro said, a strange light in his eyes as he looked at her. ‘I’d forgotten what it was like to work with you.’
She gave him a cool look. ‘Had you?’ He thought of her as the mother of his children, she realised suddenly. He didn’t really see her as an individual any more.
Didn’t think she was a capable nurse.
‘Is there anything else you need?’ she asked. ‘Because her sister is in the waiting room and she needs an update. I can send Donna through to help you here and go with her to the scanner.’
‘Go and talk to the sister,’ Alessandro said immediately, ‘and tell her I’ll be able to tell her more once we’ve done the scan and talked to the neurosurgeons.’
Christy pulled off her apron, washed her hands and then walked towards the relatives’ room.
CHAPTER FOUR
‘SO WHAT’S it like having your wife under your nose in the department,’ Jake asked cheerfully as he piled butter onto a baked potato and dropped two bars of chocolate on his tray.
‘Surprisingly good. At least she knows what she’s doing, which is more than can be said for half the people I’m expected to work with at the moment.’ Alessandro eyed Jake’s tray with disbelief as they stood in the queue, waiting to pay. ‘Blackwell, you do realise that the contents of your tray are likely to give you a heart attack before morning?’
Jake shrugged. ‘Chocolate and baked potatoes are the only edible objects in this restaurant. And I don’t see why you’re surprised about Christy. She was always a brilliant nurse. The brightest I ever worked
with.’
