That decision, for whatever reasons it was made, had proved brilliant.
Orchestrated by Frank, and aided by time-tested business practices and public relations techniques, the turnabout in the hospital was immediate and impressive. New equipment and new physicians underscored the corporate theme of “A Change for the Better,” and the remaining opponents of the facility—mostly in the poor and uninsured sectors of the community—experienced increasing difficulty in finding a platform from which to voice their concerns.
In just a few years, Ultramed-Davis Regional Hospital had been transported from the backwater of health care to the vanguard.
“Hang on, Doc,” the ambulance driver called over his shoulder to Zack. “We’re here.”
Zack braced himself against Annie’s stretcher as the man swung a sharp turn and backed into the brightly lit ambulance bay. Alerted by the ambulance radio, a team of three nurses dressed in blue scrubs and an orderly wearing whites was poised on the concrete platform.
Before Zack could even identify himself, two of the nurses, with tight-lipped efficiency, had pulled Annie’s stretcher from the ambulance and sped past him into the emergency ward.
Zack followed the stretcher to a well-equipped room marked simply, TRAUMA, and watched from the door as die team transferred Annie to a hospital litter, switched her oxygen tubing and monitor cables to the hospital console, and began a rapid assessment of her vital signs. One nurse, apparently in charge, listened briefly to Annie’s chest, then took up a position at the foot of the bed, supervising the evaluation.
“Excuse me,” Zack said to the woman, who wore a white lab coat over her scrubs. “Could I speak to you for a moment?”
The woman turned, and Zack felt an immediate spark of interest. She was in her early thirties, he guessed, if that, with short beach-sand hair, fine, very feminine features, and vibrant, almost iridescent, blue-green eyes. Instinctively, and quite out of character for him given the situation, Zack glanced at her left hand. There was no ring.
“I … I’m Dr. Iverson, Zachary Iverson,” he said. Had he actually stammered? “I’m a neurosurgeon due to start on the staff here tomorrow. That woman we just brought in is … I mean was … sort of like my governess when I was young. Mine and my brother Franks.”
“Now there’s a name I recognize,” the woman said, cocking her head to one side as if appraising a painting in a museum.
“Yes,” Zack said. Several seconds passed before he realized that he had not yet finished explaining what he wanted. He cleared his throat. “Well. Frank said he would arrange for a cardiologist—a Dr. Cole, I think he said his name was;—to come in and take over Annie’s care. Has he arrived yet?”
“No,” the woman said thoughtfully. “No, he hasn’t, Doctor.”
Her expression was at once coy and challenging, and Zack, often oblivious to women’s attempts at nonverbal interplay, felt ill-equipped to respond with an expression of his own.
“I see,” he said finally, wondering if he was looking as flustered and restless as he was feeling. His ego was goading him to be assertive—to remind the woman that, while he might have momentarily been taken aback by her, he was, at least until the arrival of Dr. Cole, in charge. He cleared his throat again and, unconsciously, stood more erect. “Well, then,” he went on, with a bit more officiousness than he had intended, “would you please have someone call him again, I’ll be in there with Mrs. Doucette. Just send him in as soon as he gets here. Also, could you order an EKG and a portable chest X ray.”
“Certainly, Doctor,” the woman said as he strode past her and into the room.
Bravo, his ego cheered. Well handled. He glanced back over his shoulder. The woman had not yet moved. “Could you call the lab, too, please,” he ordered, wishing her eyes would stop smiling at him that way. “Routine bloods.”
“Certainly,” she said. “Cardiac enzymes, too?”
Damn her cool, Zack thought. “Yes, of course,” he responded. “Have them draw extra tubes as well. Dr. Cole can order whatever else he wants when he gets here.”
He walked to the bedside without waiting for an acknowledgment of his request, and forced himself not to look back.
Annie’s eyes, still closed, were beginning to flutter.
“I’m Dr. Iverson,” he said to the two nurses who were attending her. “How’s she doing?”
“Her pressures up to a hundred over sixty,” one of them, a husky, matronly woman in her fifties, said. “She’s moved both arms and both legs, and it looks like she’s about to wake up.”
“Good,” Zack said, aware that a portion of his thoughts, at least, were not focused on the matter at hand. He slipped his stethoscope into place and checked Annie’s heart and lungs. “Annie, it’s Zack,” he said into her ear. “Can you hear me?”
Annie Doucette moaned softly. Then, almost imperceptibly, she nodded.
“You passed out, Annie. You’re at the hospital now and you’re going to be all right. Do you understand that?” Again, a nod. “Good. Just relax and rest. You’re doing fine.” He turned to the nurse. “Dr. Cole’s due here any minute. Until he gets here, we’ll just keep doing what we’re doing.”
The nurse looked at him queerly, then glanced over at the door. Zack followed her line of sight and found himself, once again, confronting the enigmatic ocean-green eyes. This time, though, the disconcerting woman behind them stepped forward and extended her hand.
“Dr. Iverson, I’m Dr. Suzanne Cole,” she said simply.
Her expression was totally professional, but there was an unmistakable playfulness in her eyes.
Zack felt the flush in his cheeks as he reached out and shook her hand.
“I’m sorry,” he mumbled. “It was sort of dumb for me to assume … what I mean is, you weren’t exactly …”
“I know,” she said. Her tone sugested an apology for having allowed him to dig such a hole for himself. “I’m sure it was this outfit that confused you”—she indicated the blue scrubsuit—“but I just finished putting in a pacemaker.” She nodded toward Annie, who was now fully awake and beginning to look around. “You seem to have done quite a job bringing this woman back, Dr. Iverson. Congratulations.”
It was nearing midnight. Zack Iverson sat alone in the staff lounge at the back of the emergency ward, sipping tepid coffee, sorting through what had been, perhaps, the most remarkable June the thirtieth of them all, and trying to slow down his runaway fantasies concerning Suzanne Cole.
It had taken several hours to ready a bed for Annie in the coronary care unit and to effect her transfer there. During that time, Zack had stayed in the background, watching Suzanne as she managed one dangerous cardiac arrhythmia after another in the woman, balancing complex treatments against their side effects, checking monitor readouts, reviewing lab results, then, suddenly, stopping to mop Annie’s brow, or to smooth errant wisps of gray hair from her forehead, or simply to bend down and whisper encouragement in her ear.
Unlike what Zack had imagined from her cool composure during their initial meeting, she was actually quite tense and frenetic during critical moments, moving from one side of the bed to the other then back, checking and rechecking to ensure that her orders were being carried out correctly. Still, while she seemed frequently on edge, she was never out of control and it was clear that the nurses were comfortable with her ways, and even more important, trusted in them.
Who are you? his mind asked over and over as he watched her work. What are you doing up here in the boondocks?
The Judge and Cinnie had checked in twice by phone, and around ten, Frank had stopped by. He seemed restless and irritable, and although he mentioned nothing of the episode, Zack sensed that he was still quite upset by the Judge’s outburst and thinly veiled threat. Citing the need to be near the twins during the violent thunderstorm that had just erupted, he had left for home after only half an hour. But before he left, Zack had managed, in what he hoped was an offhanded way, to pump a bit of information from him regarding S
uzanne Cole.
Dartmouth-trained and a member of the Ultramed-Davis staff for almost two years, she was thirty-three or thirty-four, divorced, and the mother of a six-year-old girl. In addition, she was co-owner, along with another divorcée in town, of a small art gallery and crafts shop.
Zack had tried, with little success, for a more subjective assessment of the woman, but Frank, distracted and anxious to leave, had completely missed the point.
Now, as he sat alone, Zack wondered if it was worth waiting any longer for the woman to finish her work in the unit and, as she had promised, stop by for “a hit of decaf.” The nurses had told him that it was not that uncommon for Suzanne, as they called her, to spend the night in the hospital if she had a particularly sick patient, and this night—with Annie and her pacemaker case—she had two.
Who are you? What are you doing up here?
The state of infatuation with a woman was not something with which Zack was all that familiar or comfortable. A bookworm throughout his college years, and a virgin until his junior year, he had had a reasonable number of dates, and a few short-lived romances after Lisette, but no prolonged relationships until Connie. He had once described his social life in college as a succession of calls to women the day after they had met someone special.
Connie was five years younger than he, but possessed a worldliness and sophistication that he felt were missing from his life. She had an MBA degree from Northwestern, a management-track position at one of the big downtown companies, a condo in the Back Bay, a silver BMW, friends in the symphony, and an interest in impressionist painters (“Pissarro has more depth, more energy in one brush stroke, than Renoir has in a dozen canvases, don’t you think?”) and foreign films (“Zachary, if you would stop insisting on plot all the time, and concentrate more on the universality of the characters and the technical brilliance of the director, this film would mean more to you”).
Friends of his spoke to him from time to time of what they perceived might be a mismatch, but he countered by enumerating the new awareness Connie had brought into his life. Whether he truly loved the woman or not, he was never sure, but there was no questioning that he was, for most of their time together, absolutely infatuated with her beauty, her confidence, and her style.
Her decision to break off their engagement had hurt him, but not as deeply as he first thought. And over the months that followed, he had spent what free time he had flying the radio-controlled airplane he had built in high school, exercising himself back into rock-climbing shape, hiking with Cheapdog, and horseback riding with friends, along the seashore at the Cape—but not one minute at a gallery or locked in combat with a foreign film.
“Hi.”
Startled, Zack knocked over his Styrofoam cup, spilling what remained of his coffee into a small pool on the veneer tabletop.
“Hi, yourself,” he said as Suzanne Cole plucked a pad of napkins from the nearby counter and dabbed up the spill. Was there to be no end to his ineptitude in front of this woman?
“It would seem you might have reached the limit of your caffeine quota for the day,” she said.
She had changed into street clothes—gray slacks and a bulky fisherman-knit sweater—and she looked as fresh as if she had just started the day.
“Actually,” he said, “I use caffeine to override my own inherent hyperness. I think it actually slows me down.”
She smiled. “I know the syndrome. I’m surprised to find you still here, what with tomorrow being your first day in the office and all.”
“I wanted to be sure Annie was out of the woods. She’s been pretty special to me and my family. Besides, I just finished my residency yesterday. It’ll probably be months before my internal chemistry demands anything more than a fifteen-minute nap in an institutional, Naugahyde easy chair.”
“I remember those chairs well,” Suzanne said, leaning against the counter. “There’s an old, ratty, maroon one in the cardiac fellows’ room at Hitchcock that I suspected would one day have a sign on it proclaiming: ‘Suzanne Cole slept here—and only here.… ’ So, it’s a progress report you’re after. Well, the news is good. At least for the moment. Your Annie’s awake and stable, with no neurologic deficit that I can identify, although you might want to go over her in the morning. In fact, I think I’ll make her your first consult, if that’s okay. You did say you were going to do neurology as well as neurosurgery, yes?”
“Absolutely. I actually enjoy the puzzles nearly as much as I do the blood and guts.”
Her eyes narrowed.
“You sure don’t talk like a surgeon,” she said. “The ones I know have signs in their rooms like: ‘To cut is to cure,’ and ‘All the world is pre-op.’ ”
“Oh, I have those, too. Believe me. Only as an enlightened, Renaissance surgeon, mine say: ‘Almost all the world is pre-op.’ ” He pushed a chair from the table with his foot. “Here, have a seat.”
“Sorry, but I can’t,” she said. “I’ve got to go. Mrs. Doucette was my third critical admission this weekend, and I have a full day tomorrow. You ought to get some sleep, too, so you’ll be sharp for my consult. Good night, now.” She slipped on her coat and headed for the door.
“Wait,” Zack said, realizing even as he heard his own voice that the order was coming from somewhere outside his rational self—somewhere within his swirling fantasies.
“Yes?”
She turned back to him. The darkness in her eyes and the set of her face were warning him not to push matters further. He picked up on the message too late.
“I … um … I was wondering if we might have dinner or something together sometime.”
Suzanne sagged visibly. “I’m sorry,” she said wearily. “Thank you, but no.”
Zack’s fantasies stopped swirling and began floating to earth like feathers. “Oh,” he said, feeling suddenly very self-conscious. “I didn’t mean to … what I mean is, it seemed like—”
“Zack, I’m sorry for being so abrupt. It’s late, and I’m bushed. I appreciate your asking me, really I do. And I’m flattered. But I … I just don’t go out with people I work with. Besides, I’m involved with someone.”
The last of the feathers touched down.
Zack shrugged. “Well, then,” he said with forced cheer, “I guess I should just hope that a lot of folks show up at this hospital with combined cardiac and neurosurgical disease, shouldn’t I?”
Suzanne reached out and shook his hand. “I’m looking forward to working with you,” she said. “I know we’ll be terrific.”
At that moment, from the far end of the emergency ward, a man began screaming, again and again, “No! I won’t go! I’m going to die. I’m going to die!”
The two of them raced toward the commotion, which centered about an old man—in his seventies, Zack guessed—whom the nurse, the emergency physician, and a uniformed security guard were trying to move from a litter to a wheelchair.
The man, with striking, long, silver hair and a gnarled full beard, was struggling to remain where hé was. Zack’s gaze took in his chino pants and flannel shirt, stained with grit, sweat, and grease, and a pair of tattered, oily work boots. The old mans left arm was bound tightly across his chest with a shoulder immobilizer; the tissues over his cheek and around his right eye were badly swollen by fresh bruises.
“No!” he bellowed again. “Don’t move me. I’m going to die if I go back there tonight. Please. Just one night.”
“What gives?” Zack asked.
The emergency physician, a rotund, former GP in town, named Wilton Marshfield, released his hold, and the old man sank back on the litter.
“Oh, hi, Iverson, Dr. Cole,” he said, nodding. “I thought you two had gone home.”
“We were about to,” said Zack. “Everything okay?”
He had known Marshfield, a marginally competent graduate of a now-nonexistent medical school, for years, and had been surprised to find him working in the emergency room. During a conversation earlier in the evening, the man had explain
ed that Frank had talked him out of retirement until a personnel problem in the E.R. could be stabilized. “Plucked me off the scrap heap of medicine and offered me a salary as good as my best year in the office,” was how he had put it.
“Sure, sure, everything’s fine,” Marshfield said. “It’s just that ol’ Chris Gow here doesn’t understand that Ultramed-Davis is a hospital, not a bloody hotel.”
“What happened to him?” Suzanne asked.
“Nothing as serious as it looks,” Marshfield answered, with unconcealed disdain. “He just had a little too much of the hooch he brews up in that shack of his, and fell down his front steps. Fractured his upper arm near the shoulder, but there’s not a damn thing we can do for that except ice and immobilization. Films of his facial bones are all negative, and so’s the rest of his exam. Now, we’ve got an ambulance all set to cart him home, but the old geezer won’t let us take him off the litter without a fight. Well take care of it, though. Don’t worry.”
Suzanne hesitated for a moment, as if she wanted to comment on the situation, but then nodded and backed off a step.
Zack, however, brushed past the portly physician to the bedside.
“Mr. Gow, I’m Dr. Iverson,” he said. The old man looked up at him, but didn’t speak. His face, beneath the beard and the filth, had an ageless, almost serene quality to it, but there was a sadness in his eyes that Zack had seen many times during his years of caring for the largely indigent Boston Muni patients—a sadness born of loneliness and hopelessness. There was also no small measure of fear. “Are you in much pain?”
“Not according to him, I ain’t,” the man answered, still breathing heavily from his struggles. “I wonder when the last time was he fell down the stairs like I did and broke his arm.”
“Who do you live with?”
The old man laughed mirthlessly, wincing from the pain. Then he turned his head away.
Zack looked to Marshfield for the answer.
“He lives by himself in a shack at the end of the old logging road off 219.”
Flashback (1988) Page 4
