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Evanna glanced towards the little girl but she was playing happily with the basket of toys in the corner of the room, apparently oblivious to the conversation. ‘And you say that she’s out of breath the whole time.’
‘I’ve watched her playing with other kids. She’s different. She’s just so out of breath when she runs around,’ Jenny said quietly. ‘And it seems to be getting worse.’
Could it be asthma? ‘Has she ever suffered from eczema?’ Evanna asked a series of questions and then stood up. ‘I’m going to see if one of our doctors is available to see her.’
She lifted the phone and spoke to Janet who told her that Logan was with his last patient. She waited for his light to flash on and tapped on his door.
‘I wondered if you could see a patient for me.’ She was trying desperately to think of him as a doctor and not as a man. A man who was currently fantasising about some unknown but incredibly fortunate woman.
‘Who is it?’
‘Helen Price. They moved into the Garrett property in the spring. She’s extremely breathless on exertion. Funnily enough, Ann Carne mentioned her to me. She wondered if she was asthmatic and the mother thinks that, too, but—’
‘But you don’t think so.’
‘Well, obviously you need to take a look at her but, no, I’m not sure about asthma. There’s no family history of atopy, no wheezing and no night cough. On the other hand, she is getting chest infections every winter.’ Evanna broke off and gave an apologetic smile. ‘Look, you’re the doctor. I just have a funny feeling about her.’
‘Then I’ll see her, of course. Send her in.’ His eyes lingered on hers. ‘Why don’t you stay while I examine her?’
Evanna nodded. ‘I’ll do that. And I think we ought to invite Jenny, the mother, to the beach barbecue. Her husband works away a lot and I think she’s a bit lonely. Janet doesn’t think she’s really settled into island life.’
‘Invite her. Good idea.’
‘Are you going?’ She didn’t know what made her ask the question. He didn’t usually go. And she shouldn’t care whether he was going or not.
He studied her face, his blue eyes speculative. ‘Probably.’
And suddenly Evanna wished that she hadn’t asked the question. Of course he’d be going. Why hadn’t she thought of that? The beach barbecue would be the perfect opportunity to deepen his relationship with the woman he fancied. And that was good, she told herself firmly. Last year he hadn’t attended and she’d spent the entire evening worrying about him, alone in his beautiful big house with a six-month-old baby for company. She’d left early and taken him a plate of food and they’d sat in his garden, chatting about all sorts of things. Normal things. Things designed to distract him from the death of his wife.
‘I’m glad you’re going.’ She braced herself and smiled. ‘Everyone will be thrilled to see you there.’ She backed towards the door, wondering why he was studying her so intently. ‘I’ll just fetch Helen and her mother.’
When she returned, Logan was thorough and professional, questioning Jenny in detail and then examining the little girl.
Finally he unhooked the stethoscope from his ears and gave a brief smile as he handed Helen a colouring book and crayons. ‘Do you want to colour that for me, Helen? I just need to talk to your mum.’
&
nbsp; Helen grabbed the book with a delighted smile and a mumbled, ‘Thank you,’ and immediately lay on her stomach on the floor and started colouring.
Logan sat back down at his desk. ‘Has anyone ever mentioned to you that she has a murmur?’
‘A murmur?’ Jenny stared at him. ‘You mean a heart murmur?’
‘That’s right.’ Logan’s voice was quiet as he tucked the stethoscope into his pocket. ‘When I’m using the stethoscope on her chest I’m listening to the sounds that her heart makes. A heart murmur is basically an extra sound.’
‘Are you telling me that you think she has something wrong with her heart? Oh, my gosh.’ Jenny’s face drained of colour and she lifted a hand to her mouth. ‘How can you possibly know that from just listening?’
‘I don’t know, for sure. And a number of young children would be found to have heart murmurs and yet have structurally normal hearts. But given her history of breathlessness and the fact that her weight is lower than average for her age, I’d like to refer her for some more tests. I think we do need to check this out further.’
‘I thought it was asthma,’ Jenny whispered. ‘She gets all these chest infections.’
‘Yes. I read that in her notes.’
‘No one ever mentioned her heart before. Are you saying that chest infections can be linked to heart disease?’ Jenny’s eyes were wide. ‘What exactly do you think is wrong?’
Logan hesitated. ‘It’s impossible for me to give a definitive diagnosis just by listening to her chest. I’d like you to go to the mainland and see the paediatric cardiologist. He’ll do an echocardiogram, which will allow him to look at the structure of the heart. He’ll also probably do a chest X-ray and an ECG, to see how the heart is working. All of that is non-invasive and won’t hurt Helen at all.’
‘I can’t believe this.’ Jenny ran a hand across her face and took several deep breaths. ‘I.’ She struggled with tears and Evanna reached across to borrow Logan’s phone.
