by Anne Fraser
‘Jai.’
‘Jai, we’re going to help you.’ She bit her lip and glanced at Flynn. ‘I’ll ring Darwin.’
Flynn shook his head. ‘No, I need you here. He needs two IV lines, his eyes need a saline lavage and we’ll probably have to intubate.’ He pulled his stethoscope up to his ears. ‘Jenny, get wet packs for Jai’s face and chest. We need to cool his skin. After you’ve done that, get Darwin on the phone and tell them we have severe facial burns and to send the air ambulance. I’ll talk to them as soon as Jai’s stable.’
‘Yes, Doctor.’ Jenny headed toward the cupboard with the sterile packs.
Mia hesitated, wondering where to put the monitor dots. ‘His chest is burned and the monitor dots—’
‘It can’t be helped.’ Flynn was in triage mode. ‘Put the dots onto the burned skin. We need levels.’
She ripped the backing paper off and quickly put the dots in place, trying not to think about how the burned skin would eventually come off with the dot. A moment later the ECG bleeped reassuringly but she knew that hypovolaemic shock and a constricted airway were their biggest challenges.
Flynn pulled the stethoscope out of his ears. ‘He’s developing stridor.’
She pulled open a drawer on the cart. ‘Do you want to intubate first or put in the IV lines?’ Both were vital.
‘We’ll keep a close eye on him and put the lines in first. That way, if he arrests we’ll have access for drugs.’
‘He needs morphine as soon as possible.’ She passed Flynn a tourniquet, alcohol swab and cannula. ‘You start and I’ll have the line primed by the time you’re in.’
‘Thanks.’ A smile carved through the worry that lined his face, travelling along his cheeks, unusually free of stubble.
She soaked up his smile, letting it trail through her, lighting her up from the inside and warming her in a way she’d never known before.
It’s just a smile of thanks. It’s not specifically for you. But she ignored the voice and held onto the feeling.
Clamping the IV tubing with her hand, she let the Hartmann’s solution fill the chamber before letting go and releasing the liquid in one quick gush to avoid air bubbles.
She hung the litre bag of fluid onto the pole.
‘I’m in.’ Flynn withdrew the trocar and connected the drip. ‘You insert one into his left arm and I’ll check his breathing.’
Mia wrapped the blood-pressure cuff around Jai’s arm and pumped it up. ‘BP one hundred on sixty.’ She re-pumped the cuff, using the band of pressure to make the young man’s veins rise. ‘Jai, just one more needle and then we’ll give you something for the pain.’
Jai’s only response was a moan through lips swollen to three times their normal size.
Mia’s heart tore. He must be in agony. Her fingers palpated the largest vein and she slid the needle in quickly, surprised Jai wasn’t more peripherally shut down. Grabbing an ampoule, she snapped it open and with a skill honed over many years she drew up the clear liquid into the syringe. ‘Check ten milligrams of morphine.’
Flynn read the ampoule. ‘Check. When you’re ready, please set up for a tracheostomy.’
She plunged the morphine into the rubber bung of the IV. ‘Do you think he has oesophageal and laryngeal burns?’
His black brows drew together. ‘With all this swelling I can’t imagine I’d be able to visualise the vocal cords, let alone pass an endotracheal tube.’ He walked to the sink and washed his hands.
Mia quickly assembled what they needed—a scalpel, Betadine, tracheostomy tube, suture thread, saline and a syringe to fill the balloon of the tube. Opening a sterile cloth, she draped it over a trolley and then added two pairs of gloves, along with the other items.
‘Jai, I have to tilt your head back.’ With both hands gloved, she carefully placed them against his ears and hyper-extended their patient’s neck. Then she picked up his hand. ‘You’ll feel the sting of the local anaesthetic and after that just some pushing and pulling.’
Jai murmured something incomprehensible and she hoped the morphine had sedated him.
Flynn snapped on his gloves and infiltrated the area with local anaesthetic before swabbing it. ‘Just in case you ever have to do this, the trachea is generally two finger-breadths above the sternal notch.’ He demonstrated how to measure.
She concentrated on his every word and action. He always did this—he turned every situation into a teaching one and generously passed on his knowledge. The more time she spent with him, the more she realised what a special man he truly was. Did Brooke have any idea what she’d given up?
A bubble of anger burst inside her at the pain that woman had caused him, was still causing him, and she found herself vigorously snapping the scalpel onto the blade handle and slapping it into his palm. ‘So it’s a horizontal cut.’
‘Yes, it is. Right through the skin and muscle, and down to the third or fourth ring of cartilage.’ He dextrously cut and enlarged, ready for the tube. ‘Pass the tube.’
With one hand she swabbed the blood that oozed from the cut and with the other she picked up the tube. ‘How much pressure do you need to apply to insert the tube?’
He frowned as he tried to insert the plastic tube. ‘More than you think you need.’
She gave him a dry smile. ‘That’s about as precise as my grandmother saying, “Add a glug of soda water” to a recipe.’
The deep grooves that bracketed his mouth twitched. ‘Medicine isn’t always precise but the moment you feel the resistance disappear you know that the tube is in the trachea.’ He leaned toward Jai. ‘Just breathe normally, Jai.’ He immediately checked Jai’s respirations using his stethoscope.
Mia could see the rise and fall of Jai’s chest and his respirations were less rapid. ‘You’re in the right place?’
‘I am.’ Dimples carved deeply into his cheeks, giving him a look that radiated waves of charisma.
Charisma that showered down on her, releasing a jet of desire, which blasted its way through her. The room swayed. She quickly injected saline into the balloon of the tube to hold it in place, glad she had a reason to lower her gaze because without one it would have been stuck like glue to Flynn’s face.
‘Now we’ve maintained his airway, I want you to clean Jai’s eyes and I’ll stitch this in place.’
Flynn’s voice was all business, as it should be. She was the one being unprofessional with these crazy flushes of desire. She gave herself a shake and briskly twisted the top off the saline.
She only had room-temperature saline, which should be warm enough but would probably feel cold to Jai. ‘I have to clean your face now and it might feel cold.’ The magnesium dust from the cracker had impregnated his eyes and skin.
Being as gentle as she could, she poured the saline over his eyes and wiped from the inner aspect outwards, removing as much muck as she could. Blindness was a real possibility.
The young man shuddered under her ministrations and she hated causing him more discomfort. He had a long road ahead of him. ‘Normally I’d put cling wrap on burns but these are filthy. What do you want me to use?’
‘Wash them with chlorhexidine and then slather them with SSD cream.’ Flynn snipped the suture thread with the scissors. ‘Jenny, what time is the air ambulance expected?’
‘It left Darwin. Should be here at nine. They sending a doctor and nurse. Walter, he gone to light fires at the airstrip.’ Jenny turned to go. ‘I go see Alice.’
‘Thanks, Jenny.’ Mia smiled at the worried health worker as she disappeared out the door. She turned back to Flynn. ‘If they’re an hour away, should we catheterise him so we have an accurate fluid picture?’
Flynn nodded. ‘Good idea. I’ll do that, you clean up the burns.’
They worked together, anticipating each other, falling into an unspoken routine driven by the emergency mantra. They’d established an airway, maintained circulating volume, and were now dealing with the burns.
She kept sneaking glances at Flynn as he w
orked, watching how his hair curled over his collar, how his hair had a few silver strands at his temples, and how gentle his hands were with Jai.
For weeks she’d been telling herself he was just a doctor. Her occasional doctor. Sure, she’d been attracted to him but she’d been able to put that aside. But today she’d learned too much about him for her to think of him only as a sexy doctor. When he’d told her his story, he’d moved from colleague to wounded man. A man who needed a friend. It had seemed as natural as breathing to hold his hand in the church and give him the support she knew she would have welcomed had she been in the same situation.
And tonight he’d returned her friendship with his caring concern for her and she’d misconstrued it for something else. In a moment of insanity she’d tried to kiss him with a pathetic brush of lips that had been more on his cheek than his mouth. Thank goodness for the fireworks which had arrived with perfect timing, saving her from further embarrassment.
Flynn was hiding out on Kirra and wanted no part of a relationship.
Not that she could offer him that even if he wanted one.
A sudden thought, clear and dazzling, burst in her head. Perhaps they’d met so she could help him move on, show him that the actions of one woman shouldn’t derail his life. Perhaps her job was to bring him back from hiding and make him realise how much he was missing by retreating from the world.
Flynn deserved the happy-ever-after she’d never know, and she was determined he would have it.
CHAPTER SEVEN
MIA placed the phone back on its cradle.
‘How is he?’ Jenny asked the same question she’d asked every morning. It had been a week since Jai had been airlifted to Darwin and soon after transferred south to Adelaide for specialist burns treatment.
‘He’s still in Intensive Care but they’re weaning him off the respirator so this is good news.’ Mia tried to sound positive but it was early days yet. Burns victims often faced their hardest challenge a couple of weeks after the initial injury.
‘He’s not coming home for a long time.’ Susie sighed and patted Jenny’s shoulder.
Mia nodded as Susie spoke the words she hadn’t wanted to say. When islanders left Kirra they often pined for their beloved home, their well-being so intrinsically linked to their traditional lands. Not only did Jai have a huge physical battle on his hands, he was also a thousand kilometres from his home and his family.
‘But as soon as he’s well enough he’ll be transferred back to Darwin and then his family can visit him and we can organise a roster of people to go over.’ Mia scribbled an idea on a yellow sticky note. ‘Perhaps we can raise some money for ferry fares by having a fete?’
Susie’s white teeth flashed as she smiled. ‘That’s a good idea, Sis.’
Happiness spread through Mia. She constantly trod a fine line, being the non-indigenous team member. She was there to teach, not to preach, and not every idea she had worked but this one seemed to be well received. ‘We could ask the child-care centre to do face painting and have a barbecue stall and…’ She caught sight of Flynn who had unexpectedly appeared in the doorway, as was his wont. ‘And we could have a dunk tank with Dr Flynn as the target.’
‘Hey, I heard that!’ Flynn sounded affronted but his hazel eyes crinkled in a warm smile, which he directed straight at her.
She hugged it close.
The two health workers giggled.
‘That Jimmy, he has a good throwing arm,’ Susie teased, before turning to Mia. ‘All nurses get taken on bush camp and your turn is tomorrow.’
‘Bush camp? What’s that?’
‘We take you out and tell you about bush tucker and bush medicine. We all camp out and you cook dinner for us.’ Susie spoke as if this was an everyday event.
‘Really?’ She glanced at Flynn for confirmation. He’d walked over to her whiteboard, which actually looked yellow due to the number of sticky notes stuck to it.
He turned back from reading the board and gave her a knowing smile. ‘Really.’
A strand of unease started to vibrate inside her, and she had an overwhelming feeling she was on the outside of an ‘in’ joke. ‘Hang on a minute, let me get this straight. During the day, you collect the food for me to cook that night?’
‘No, you have to gather or catch food first.’ Susie grinned cheekily. ‘But I can light the fire for you.’
Visions of being very hungry stamped themselves all over her brain. ‘Do I have to build my own bark humpy as well?’
Jenny giggled. ‘No, we use tents.’
The two health workers ambled off to give their community the latest news of Jai.
She slapped the sticky note about the fete onto her whiteboard and turned to see Flynn studying her, his expression uncharacteristically serious. ‘What do you know about this?’
‘It’s something they do when they like you.’
She chuckled with scepticism. ‘What, take me out into the bush and leave me to starve?’
His sober look vanished with a wink. ‘You’ll only starve if you’re lousy at fishing or a bad spear thrower.’
Laughter bubbled up, bringing with it a sensation of pure joy. ‘Thank you so much. That information is very reassuring.’
‘It’s a great opportunity to experience some Kirri culture.’
She knew it would be. ‘I’m really honoured I’ve been asked even if I am going to be hungry.’ She sat down on the edge of the desk, catching the scent of his aftershave and enjoying the freshness of the citrus tang. ‘I kind of like the idea of a women-only camp, sitting around the fire talking about some of the common issues that are faced by women around the world.’
He leaned back, his fingers lacing behind his head, and his hair shone like jet in the stream of sunshine coming through the window. As he stretched, tensed biceps pushed against the soft cotton of his shirt, which rode up, exposing a band of washboard, flat stomach.
Mia gulped in a breath at the sight of toned muscles and sun-tanned skin. Skin that made her fingers tingle and long to touch it.
She quickly grasped her previous and safer train of thought. ‘You know, issues like domestic violence, dealing with a partner with an addiction and parenting issues. Shared stuff like that crosses cultural boundaries and…’ Her voice trailed away as she caught a wicked yet intoxicating glint in his eyes. ‘What?’
His laugh rumbled around her—warm and delicious like hot, chocolate sauce.
‘I hate to disappoint you but I’m coming, too.’
A surge of emotion whipped her but no way could she call it disappointment. ‘Oh, so basically this is a “roast Mia” situation?’ She gave a wry smile. ‘I’m glad I’ll be providing so much entertainment for so many.’
‘You’re good value that way.’ But the words came out on a smile. ‘In fact, seeing as it’s a long weekend and there are no visiting specialists tomorrow, I thought we could head out in an hour or so and get a twenty-four-hour head start. I could give you a few tips so you actually have a chance of finding some food when we meet up with the others tomorrow.’
Flynn and her camping out together. Alone. Her breath caught in her throat. Stop it. He’s just being his normal self and back in teacher mode again. ‘You’d help me cheat?’
He grinned. ‘It’s not cheating, just a bit of advanced information. Besides, it will be fun to see the looks on their faces when you actually present them with a feast.’
‘A feast?’ She shook her head in disbelief. ‘You have the skills to help me do that?’
His smile raced through the stubble around his lips, streaked along his cheeks and into his eyes. Eyes filled with the thrill of a challenge. ‘Mia, I have skills and talents you’ve yet to discover.’
And, so help her, she wanted to discover them.
Mia couldn’t remember enjoying herself so much as she had in the last few hours. Flynn had taken the meaning of ‘off road’ to new heights, negotiating the four-wheel-drive vehicle around palms and ancient cycads, bouncing it over ro
cks, and driving it across scorched and blackened earth.
So far she’d eaten green ants, which had an aroma of very strong English mustard but tasted like lemon and were loaded with vitamin C. She’d dipped her finger in ‘sugarbag’, the honey of the native bees, and been told that she could eat all of the waterlily and the stem made a good straw.
Her head was buzzing with information. ‘How can you tell where you are? It all looks pretty much the same to me.’
He gave her an indulgent smile. ‘I used to come out this way a lot when I was a kid. There are some lovely waterholes in the area and it was one of the few places Mum enjoyed.’
She pricked up her ears. Flynn had never mentioned his family much. ‘How long did you live here?’
‘Two years. I was eleven when we arrived.’ He turned the vehicle onto a dirt track. ‘My parents managed the art centre and helped the Kirri find distribution outlets for their art. Mum managed the small island gallery and Dad was mostly involved in the carving side of things.’ His face relaxed as if good memories were coming back to him. ‘It was dad who recognised Walter’s talent and encouraged him to start carving as a career.’
It was one of the few places Mum enjoyed. ‘But your mum didn’t enjoy living here?’
Immediately the muscles in his neck tightened. ‘Mum loved it here for the first six months but, just like the two previous places we’d lived, after the newness wore off she wanted to leave. That’s why each weekend I would ask to come out to this part of the island because when she was here she was happier. We’d sit on the top of the bright red cliffs and watch the dugong play, and I’d ask her not to leave.’
Her heart tore for the young Flynn. ‘And it worked? She stuck it out for two years?’ Mia held onto the handle over the door to steady herself as the truck hit a huge pothole.
Flynn crashed through the gears with more force than necessary. ‘She left the day after my thirteenth birthday. She took me south to Brisbane, dropped me off at boarding school, arranged to meet me in two weeks then kissed me goodbye and left me.’
Left me. ‘Until the arranged meeting?’
