Clutching her stomach.
‘Who—?’ She stopped at what was obviously her bedroom door and seemed to gather strength. ‘Who...?’
‘I’m Noah McPherson.’ He frowned with concern. She was bending with pain, and while he watched, one hand went from her stomach to her shoulder. ‘Surgeon.’
‘Surgeon,’ she gasped. And then she paused and tried to focus. ‘Oh, hell... Noah?’
And he got it. He’d worked with her. He’d watched her as a jilted bride. She’d slapped him, hard.
‘Addie,’ he said blankly.
But she was no longer listening. She was clutching her side, focussing inward. ‘Noah...’ She struggled to find words. ‘Oh, help. Noah, I don’t want... Of all the people... But I think I need...’ Her knees seemed to buckle and she dropped to a crouch.
And any confusion he was feeling faded in the face of medical need. He stooped before her, pushing the tangle of curls back from her eyes. ‘What’s happening? Addie, tell me.’
‘I think... No, I know that I’m pregnant,’ she gasped, struggling to breathe. ‘Test...positive. Ten weeks. I haven’t had an ultrasound yet but now...pain like you wouldn’t believe. My shoulder hurts. And... I’ve started... I’ve started to bleed. I’ve had...endometriosis. It’s a risk and these are classic symptoms. I think my pregnancy’s ectopic. I want her so much. Oh, Noah, I’m losing my baby.’
* * *
His brief tour of the hospital with Henry had been enough for him to find the right people, fast, and without exception Currawong Bay’s nursing staff were appalled.
No one seemed to have guessed Addie was pregnant. From the orderly who came running to help him get her across to the hospital, to the nurses, even to the hospital cook who appeared from the kitchen because she couldn’t believe what she’d just heard, they were horrified.
Noah was horrified himself, but he had to put his dismay on the backburner. The hospital used the town’s family doctors as backup. They could care for their own patients when they were in hospital, but it seemed none had specific surgical training.
If this was indeed an ectopic pregnancy, then this was his call.
‘I need...a scan,’ Addie breathed as they wheeled her along the veranda.
‘I’m onto it,’ he told her. He touched her face, lightly, in an attempt at reassurance. ‘Addie, let me do the worrying. You know I’m a surgeon. I might not know as much as you do about pregnancy complications but I know enough to cope with this. Trust me?’
‘I... Yes.’ And she caught his hand. For a moment he thought it was to push it away but instead it turned into a death grip as more pain hit. ‘I don’t...have a choice.’
She didn’t. It was, indeed, an ectopic pregnancy.
A scan showed an embryo growing in the right fallopian tube rather than the womb. Such pregnancies were doomed from the start, and internal bleeding was now threatening her life.
He didn’t have to explain it to Addie. She watched the screen with him, her face racked with distress. Pain relief was kicking in. The nurses were prepped, the theatre was ready but they were waiting for the anaesthetist. Apparently he was on his way, pulled from his son’s football game.
‘I wanted this baby so much,’ she breathed. ‘Oh, Noah... I have endometriosis. Scarring. If the other tube’s damaged...’
She’d know the odds. Rupture meant an increased risk of future infertility, and if she already suffered from endometriosis the odds were even worse. It was a hard call, treating a doctor, Noah thought. It was impossible to reassure her when she knew the facts.
She’d also know that he was a second-best doctor right now. What she needed was a specialist obstetrician, and the hospital had only one. Addie.
But if Noah hadn’t decided to come a couple of days early there wouldn’t be any surgeon within an hour’s reach. For the first time Noah was hit with the drama of country medical practice. Him or no one.
‘Please...’ Addie was weeping in her distress. Once more her hand caught his. ‘I know I’ve lost my baby but I can’t...please, I can’t be infertile.’
‘I’ll do what I can,’ he said gently. ‘Addie, you know I can make no promises.’ He was administering pre-meds, willing the unknown anaesthetist to hurry.
‘You can repair the tube.’ Her voice was blurred from the drugs and pain and shock. ‘You must. Please.’
He knew he couldn’t. So must she if she was thinking straight. If they’d caught things before the rupture then maybe but now...
‘Addie, you know...’
‘I do,’ she whispered. ‘But please... I’m sorry I slapped you.’
And that made him smile. Of all things to be thinking... ‘If I’d been you that day, I might have slapped me, too.’
‘It should have been Gav.’ She took a deep breath, fighting for strength, but there was still spirit. ‘To let me get to the church... Toe rags, both of you.’
‘We were indeed toe rags,’ he said gravely. ‘Addie, is there anyone we should be contacting? You need some support. Your mum?’ He hesitated. ‘The baby’s father?’
‘No.’ It was a harsh snap.
He wanted to stop but he had to know. Addie was suffering internal bleeding. Where the hell was the anaesthetist? If they didn’t get in soon... ‘Addie, we need next of kin at least.’
‘Next of kin’s this baby.’
‘Addie...’
‘There’s no one,’ she snapped. ‘Mum died three years ago. Gav’s mother doesn’t speak to me, and Gav’s long gone. And this baby’s father is a number from a sperm bank. So if I die on the operating table feel free to donate everything to the local cats’ home. But, oh, Noah...’ Her voice shattered on a sob and her grip on his hand tightened. He was no friend but he knew her from the past and it seemed that right now he was all she had.
‘You will... The tubes... You will try.’
‘I will.’
‘Despite the slap.’
‘Maybe even a little because of the slap,’ he said ruefully. ‘You were treated appallingly that day.’
And then he looked up as a redheaded beanpole burst through the door.
‘Hey,’ the beanpole said, heading for Noah and holding out his hand in greeting. ‘You’ll be our new surgeon. Noah? I’m Cliff Brooks, anaesthetist.’ He grasped Noah’s hand and then turned his attention to the patient. And stilled in shock. ‘What the...? Addie!’
‘It’s ectopic,’ Addie said weakly. ‘I’m... I was... Oh, Cliff, it’s ectopic.’
‘Bugger,’ Cliff said, and then added a couple more expletives for good measure. ‘We didn’t even know... I’m so sorry, love.’ He then proceeded to be entirely unprofessional by stooping and giving Addie a hug.
‘Hell, Ad, this is the pits but don’t worry. I’ll be watching our new surgeon every step of the way. Let’s get you into Theatre and get things cleared. And if you want to be pregnant... This’ll just be a blip. Maryanne had two miscarriages before she had Michael, and now we have four boys. Hiccups are what happens when you start a family. Don’t cry, love, don’t cry.’
So he hugged and Noah turned away and headed for the sinks. He felt like he’d felt on Addie’s wedding day. Helpless. And...he had no right to comfort her, so why did it seem so wrong that it wasn’t him who did the hugging?
* * *
An ectopic pregnancy was always a grief. Growing in the fallopian tubes instead of in the womb, there was no chance a baby could survive. Someday someone might figure a way such a pregnancy could be transplanted to the womb, Noah thought, but that day was a long way off.
By the time of the rupture, the embryo was lifeless. The pressure was on to save the mother. Preserving fertility had to come second. When a woman had a complete family and there was no need to try and make future pregnancies viable, the surgery was much simpler but now... Noah was calling on skills he barely had.
‘You focus on your end. Leave everything else to me,’ Cliff growled, and at least Noah could stop thinking about blood pressure, about the logistics of keeping a haemorrhaging patient alive, and focus purely on the technical.
Except he couldn’t quite, because this was Addie.
Separation of personal to professional...how hard was that? He’d glanced at Cliff as Addie had slipped under, and he’d seen grimness in the man’s expression. He wasn’t the only one caught in personal distress for the woman they were operating on.
But why did he feel like this?
In truth he’d only had a working relationship, with Gavin as well as Addie. He’d been Gavin’s boss but he’d been surprised to be asked to be best man. Gavin had obviously kept his life compartmentalised. Work, home and stuff-that-no-one-was-to-know-about. Until after the wedding fiasco when the hospital grapevine had practically exploded.
Addie had kept to herself, too, but where Gavin’s lesser-known compartment had turned out to be spectacular, Addie’s seemed anything but. The grapevine said that she worked and she looked after her mother. At the hospital she and Noah had occasionally operated or consulted together, but he’d thought her quiet, almost mousy. Technically skilled. Conscientious. Nothing special.
He’d operated on colleagues before, men and women he’d known far better than this. So now...why was it so hard to block out the thought of Addie’s distress, the sight of her face, bleached by fear and shock?
He had to block it out. Her life depended on it.
The first part of the surgery was straightforward. An incision, finding the source of the bleeding, removing the unviable pregnancy. There was inflammation around it, and bleeding from the rupture.
‘Possible to do a salpingotomy?’ Cliff queried as Noah cleared and tried to see what he was left with.
Salpingotomy was the removal of the damaged embryo and then microscopic repair and preservation of the fallopian tube. He looked at the damage under his hands and shook his head. Such microscopic surgery took real obstetric skill, skills he wasn’t sure he possessed. There wasn’t time to transfer her to Sydney for a specialist obstetric surgeon to take over, but even if there had been...
‘Not possible,’ he growled. ‘There’s too much damage to preserve it.’ It had to be a salpingectomy, the complete removal of the tube. ‘Future fertility rates aren’t so different,’ he muttered, talking to himself rather than to Cliff.
Cliff gave him a searching look and then nodded and went back to his monitors.
There was the sound of a sob from somewhere behind him—from one of the nurses.
So Addie was loved? She’d been working in this hospital for three years. A small hospital where people had come to know her.
He worked on, but as he did he was increasingly aware of the tension around him.
‘We didn’t even know she was pregnant,’ the theatre nurse, Heidi, a woman in her fifties, muttered as he completed the removal of the damaged tube. ‘There’s never been a hint of a guy. She’s been going back and forth to Sydney but only ever overnight. She never takes holidays. We thought...’ She swallowed, biting back what she thought. ‘The other tube?’
‘Looks good,’ he muttered, and felt a ripple of relief through the theatre.
‘It’s still awful.’ Heidi was still looking distressed. ‘Chances of successful pregnancy after...’
‘It’s better than death,’ Cliff said roughly. ‘The chances aren’t zero. Leave it, Heidi. We all need to be positive, for Addie’s sake.’
Noah was closing, carefully ensuring everything that could be done was done. If he’d been able to preserve the tube Addie would be facing constant monitoring over the next few weeks, to ensure there was no further growth in the tube, but at least now it was straightforward.
She’d recover. She’d get on with life.
Just as she had after the wedding, he thought. Just as she had after being humiliated to the socks, standing jilted at a church with everyone she loved around her.
Everyone she loved?
Who loved Addie?
It was none of his business, he told himself. Addie was now a recovering patient. His patient. He needed to invoke professional detachment.
Like that was going to happen.
Cliff was reversing the anaesthetic. Heidi was leaning over Addie, ready to reassure her the minute she came around. A couple of other nurses stood in the background, looking distressed and concerned.
These were her people now. They were...all she had?
Regardless, they were here for her. He, on the other hand, was part of a nightmare from a distant past, and now he’d be part of today’s nightmare.
He stepped away from the table, feeling almost light-headed. There was nothing else he could do.
‘I’ll leave her to you,’ he told the staff. ‘I... Look after her. Constant obs. Don’t leave her for a moment. I’ll check back in an hour or so but I’m on the end of the phone if I’m needed before then.’
‘Yeah, you need to unpack and settle,’ Cliff said, roughly though, and Noah knew how deeply all those around the table were affected. ‘Thanks, mate. You don’t know how grateful we are that you were here for us.’
Us?
He looked down again at Addie and thought, This is your family. The hospital staff.
It was all she had?
Why did that feel so bad?
‘Do you have everything you need?’ Heidi asked, and he pulled himself together.
‘Yes. Thank you. I won’t be far away. Keep continual obs on her until I say not.’ He’d already said it but it seemed important to say it again. She couldn’t be left alone.
‘Of course we will,’ Heidi told him, and turned back to Addie. Noah was free to go.
After cleaning up post-op, he walked out onto the veranda and then further, out to the cliffs overlooking the beach.
Addie had lost her baby.
A baby...
Sophie...
For a moment he felt so dizzy he thought he’d be ill.
How could he ever have thought he could get away from this grief through work? He should have taken a job as a street cleaner for six months. Anything.
To lose a child...
‘Get a grip,’ he told himself, fiercely, as if it was important to make himself hear. ‘You can’t stop being a doctor because you’ve lost...’
‘I haven’t lost. Not yet.’
It felt like he had. Where was Sophie now? If he didn’t win...
‘Move on,’ he told himself harshly. ‘One step in front of the other, for as long as it takes.’
* * *
The grief was with her almost before she woke, almost before she remembered why she was grieving. It washed across her like a great black wave, swallowing all.
‘Hey.’ Heidi was holding her hand. ‘Hey, Addie. You’re okay.’
‘My baby... I’ve lost...’
‘Oh, Addie, we’re so sorry. Yes, you’ve lost the baby but our new surgeon was wonderful. He’s so skilled. He thinks...we all think that things will be fine.’
Fine. She let the word roll around her head as reality seeped back.
Noah was here, and he thought things were fine.
She should have hit him harder.
* * *
He unpacked, headed back out to the veranda and thought about a walk, but first he needed to check on Addie again. She should be on the other side of the anaesthetic, and the reality of what had happened would be sinking in.
There’d been no call from the nurses so things must be o
kay physically. But not only had she lost her baby, she’d know the chances of future pregnancies were now reduced. Future pregnancies weren’t impossible but it’d be a concern adding to the grief of her loss.
The nurses would look after her. They knew her and cared for her. As for him... He’d been there when she’d been jilted. He’d been there when she’d lost her baby. He was someone she could well never wish to see again, he conceded, but she might have questions. He owed it to her to answer them if she did.
To lose a child... If someone could answer his questions...
Don’t go there, he told himself savagely. He needed to block it. This was all about Addie.
He headed back into the hospital and a young nurse turned from the phone at the front desk, greeting him with relief.
‘Mr McPherson. We were hoping you might not have left the hospital. We have a ten-year-old coming in from down the coast. He fell trying to reach a bird’s nest and his dad thinks he’s broken his leg. He should be here in about twenty minutes. I know you’re not supposed to start until Monday, but seeing you’re here...’
So much for taking the weekend to get acclimatised, he thought ruefully. Work started now.
But...was work Addie?
Professionally only, he told himself.
He’d come to Currawong Bay to put a failed marriage behind him and to cope with an interminable wait. And Addie? Had she come here for the same reason? If so, the last person she’d want to see would be him, but for now he was her doctor. She’d have to wear it. She’d had enough pain today to mean the little more his presence added shouldn’t make too much difference.
* * *
Addie lay back on the pillows and stared at the ceiling and thought...blank.
Nothing, nothing and nothing.
She might have known it would never work. For the last few weeks she’d been gloriously, ridiculously happy. The first twinges of morning sickness had been met with joy. She was going to be part of a family.
Admittedly it’d be a very small family—one mother and one baby—but it would be a family nonetheless. Here, in this hospital, she had the support around her to make it happen. This was a lovely little community and they’d welcomed her with open arms. There was one grumpy nurse administrator but she’d even been able to manoeuvre that into a working relationship. In the three years she’d been here she’d helped deliver countless babies, she’d made good friends, and she knew she could count on the staff and the community to help her.
The Baby They Longed For Page 2
