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tree. It gets me safely to the island every time I visit.’
He caught her gaze, his eyes suddenly intense and earnest. ‘Trust me, Bec.’ He held out his hand.
Trust me. She tamped down the streak of panic those words generated. She could do many things, but the men she’d known had destroyed her faith in trust.
‘Hold onto me, step in and sit down while I steady it with my foot. It won’t sink, promise.’ His lips curved into a reassuring smile that raced to his eyes as he coaxed her into the boat.
But it wasn’t the boat trip that worried her. It was holding his hand. She could act all independent, avoid touching him and scramble into the boat on her own. She calculated that against the risk of upending the medical supplies into the salt water.
The medical supplies won. She reached out and caught his hand with her own, her fingers dwarfed in his wide palm. His heat fused with hers, racing through her, reigniting all the places that had glowed at his touch once before.
‘Nothing like an adventure, right?’ His solid, dependable tone encased her.
He was worried she was freaking out over the boat. If only it was that simple. ‘I’m always up for an adventure.’ She plastered a fake smile on her face and lowered herself into the round boat, ignoring the vague sense of loss that speared her when she let go of his hand.
Tom and the fisherman took their places in the basket boat, and the fisherman started to propel it forward using a single wooden paddle.
‘We act as counterweights so lean back and enjoy the view.’ Tom slid on sunglasses against the glare of the sun.
Sparkling turquoise water surrounded them as they headed toward an island dotted with coconut palms and golden sands. A conical mountain rose in the middle, dominating the landscape with its jungle green canopy. ‘If this was in Far North Queensland, this place would be an exclusive tourist resort. I’m guessing it became a leper colony a long time ago.’
Tom nodded. ‘The Catholic Church started this colony in the early 1900s, back in the days when the isolation of lepers from the general community was thought to be the way to stop the disease from spreading.’
‘But the world knows now that leprosy is not transmitted by touch.’
His shoulders rose and fell in a resigned shrug. ‘But in some local communities in Africa and Asia attitudes are slow to change. Lepers are still shunned. We’re working on change and some will take place in our lifetime, but it’s a long, slow process.’
She glanced up at the mountains that seemed almost to join the colony to the mainland. ‘Is the only way to get here by boat?’
‘Boat or a rugged jungle trek. Technically it’s not an island but for all intents and purposes it may as well be. It’s hard to walk when you’re missing parts of your legs. The bigger boat left earlier with Hin, the supplies and the rice that Health For Life organized.’
As gentle waves washed the boat up onto the sand, children appeared from behind the trees, waving and running up and down the beach. Tom clambered out of the boat and started unloading the packs.
‘We always get a big welcome when we visit. The kids really suffer from the isolation of the island. If one member of their family has leprosy then the whole family has to move to the village. As their parents are not welcomed in the towns they are stuck here until they’re older. Even then they can experience prejudice when looking for work or trying to attend high school on the mainland.’
The fisherman handed Bec out of the boat and she and Tom walked up the beach, toward some low-roofed buildings.
Bec mulled over how such a beautiful natural setting had become a prison. ‘So this false paradise is both a home and a hospital?’
‘It’s like any other village, except the two hundred people here can’t leave to work. Those that can grow rice and fish but the poverty here is dire. When you’re missing an arm or a leg, the physical work of farming is pretty much impossible.’
Tom grimaced. ‘There isn’t a hospital here. They have a medical clinic with health aides. If they need surgery they have to go to a provincial hospital. That creates its own set of problems. We don’t run a clinic here but we provide bandages, gauze and dressing supplies, which are always needed.’
‘What about crutches and artificial limbs?’
‘We work with some charities to source those when we have patients who need them. Today we’re going to do some skin checks and help the health workers.’ He slowed his pace. ‘Bec.’
The tone of his voice made her pause. ‘Yes?’
‘It can be pretty confronting if you’ve never seen the ravages of leprosy before.’ Again his eyes shone with concern.
The feeling of being cared for welled inside her, warming her.
Scaring her.
‘Thanks for the heads up.’ With a monumental effort she dragged her eyes away from his, away from the feeling of wanting to fall into their softness and be cared for. But she cared for herself, that was how it had to be. You’re here to work.
The clinic was L-shaped. Concrete walls were painted a bright cheery yellow and blue shutters lined the windows. The low thatched roof sloped downward and was rimmed by wide gutters to cope with the monsoon rains. Bec gave a wave to Hin, their interpreter. He stood chatting to people in an attractive courtyard dotted with flowering plants, and swept to within an inch of its life. Patients waited for their turn to see the health worker.
The peace and tranquillity of the tropical paradise setting clashed dramatically with the physical disfigurement of leprosy. Some people sat in wheelchairs—empty spaces below them where their legs should have been. Others had both legs but muscle contractures had left them bent and disfigured. One man was missing a hand, another an earlobe. Scarred eyes peered out of ulcerated faces, the cloudy whiteness of the pupils obscuring all vision.
Yet their calm smiles radiated a spirit of survival.
An elderly woman greeted her warmly, her gnarled, two-fingered hand gripping Bec’s five-fingered one. ‘Xin chào.’
Bec repeated the oft-said greeting, which came out sounding like Sin jòw. She knew immediately the task she would be working on for the day, and why a pallet of bandages had been delivered to the island.
She quickly got to work, setting up dressing packs.
‘Even with the Multi-Drug Therapy, leprosy can never be totally removed from the body. But the damage can be limited to pale-coloured skin patches.’ Tom spoke quietly while they worked together, debriding wounds. ‘Many of the villages didn’t have access to the antibiotic therapy that is offered today so by the time they got help, the bacterium that causes the lesions had led to a lot of skin thickening and nerve damage.’
‘So they get peripheral neuropathy, which adds to the problems, right?’ Bec’s mind clawed back to find any memories of leprosy from nursing lectures. ‘When part of the body is numb, the patient can’t feel properly, which puts them at risk of injury and ulceration.’
She carefully snipped away the blackened skin around the edges of the wound on the old woman’s leg, biting her lip in concentration.
Her patient gave her a toothy smile and patted her hand as if to say Don’t worry, it doesn’t hurt, keep going.
Tom’s large hands belied the way his fingers could delicately debride a wound and carefully bind it with bandages. ‘The extremities of the fingers and feet are hardest hit but the eyes can be involved and blindness is common.’
Tom spoke in Vietnamese to his patient as he taped the bandage in place.
The woman put her hands over his as her words floated out into the hot, humid air.
Tom smiled at her, shaking his head, his cheeks unusually bright for a man who seemed to take the