an injured man on board!’ she shouted out of the window. ‘We need to get him to hospital.’
The soldiers obviously recognised her because they immediately raised the barrier and waved them through. Jude felt his spirits start to revive a little as he drove along the road. Not only had he managed to outrun the rebel faction, but he would get their patient to hospital as well. Not bad going for his first day in the country, all things considered.
‘Take a right at the end of the road and drive straight across when you reach the crossroads. Sound your horn in case anything’s coming but don’t stop.’
Jude frowned as he glanced over at her. He would have expected her to be pleased at having got back to the town but she looked almost as edgy now as she had done when they were being pursued.
‘You can relax,’ he said, injecting an extra-large dollop of honey-coated reassurance into his voice. It was a trick he employed when dealing with particularly nervous patients and it always worked. He was confident that it would work just as well now too. ‘We’re perfectly safe now.’
‘I hate to disillusion you, Dr Slater, but we won’t be safe until we’re at the hospital.’ She smiled thinly as she pointed to a gang of men standing on the corner of the road. ‘See those guys over there? They’re just waiting for someone like you to come along.’
‘Someone like me?’ Jude repeated, unconsciously slowing down.
‘Keep moving!’ She tapped him sharply on the knee so that his foot hit the accelerator and sent them shooting forward. ‘You never, ever slow down when you’re driving through the town. And it goes without saying that you never stop. Those guys will have this truck off you before you can blink.’
‘Oh, come on! You really think I’m just going to hand it over to them?’ he scoffed.
‘If they hold a gun to your head then yes I do. You’d be a fool not to.’ She looked him straight in the eyes and he could tell immediately that she wasn’t simply trying to alarm him. ‘Vehicles of any description are worth a fortune here. They’re far more valuable than a human life and I suggest you remember that.’
She didn’t say anything else but she didn’t need to; she had said more than enough. Jude’s heart plummeted as he drove through the town. He had known it wouldn’t be a picnic working here, but he had never imagined it would be this bad. By the time he pulled up in front of the hospital, he was beginning to wonder if he should have got onto the plane twelve hours or so ago.
‘Stay here while I find a porter,’ the woman instructed, jumping down from the cab.
Jude took a deep breath as she disappeared inside, determined to get himself back on even keel. Maybe the situation was far worse than he had expected but he would cope. He had to. Quite apart from the fact that he had been warned at his interview that there was only one flight per month in and out of Mwuranda, he had a lot to prove, didn’t he?
When he had left the NHS he had been completely burnt out. The pressure of working the kind of hours he had done, added to the daily struggle to find sufficient qualified staff to allow a scheduled surgery to go ahead, had ground him down. Every time he’d had to explain to a patient that an operation couldn’t take place, it had taken its toll on him. It had seemed nothing short of cruel to raise someone’s hopes only to dash them.
He’d had such high expectations when he had gone into surgery, too, a genuine desire to help those who had needed it most, but he had become disillusioned. Nevertheless, he would have carried on if it weren’t for Maddie, but her death had been the final straw. He had left the NHS and gone into the private sector. It had been either that or give up medicine altogether which he couldn’t quite bring himself to do. He had always believed that he had made the right decision, so why did he feel this need to vindicate his actions?
‘Right, let’s get him out of there.’
Jude swung round when the woman opened the cab door and felt his heart jerk like a puppet having its strings pulled. In that second he realised what was happening and bit back his groan of dismay. It was no longer enough that he proved his worth to his old mentor. Neither was it enough that he proved to himself that he could still hack it. For some inexplicable reason he needed to prove to her that he was a damned good surgeon!
‘WE’LL HAVE TO use the triage bay. Resus is full.’
Claire guided the trolley past the queue of people waiting to be seen and elbowed open the door to the triage room. Myrtle, one of the cleaning staff, had just finished mopping the floor and Claire smiled at her. ‘Thanks, Myrtle. Can you see if Dr Arnold is anywhere about? We could use his help in here if he’s free.’
‘I will go and find him for you, Sister.’
Myrtle left the room at her usual sedate pace. None of the local staff ever hurried and they seemed to find it highly amusing when they saw the foreign doctors and nurses rushing around. Claire had found their attitude frustrating when she had first arrived in the country, but she had grown used to it by now. She didn’t turn a hair when Benjamin, the porter, took his time positioning the trolley beside the bed although she could tell that Dr Slater was impatient to get on with the job.
‘On my count,’ she said quietly, determined not to let him know how unsettled she felt by his presence. She grasped hold of a piece of the blanket then checked that he and Benjamin had hold as well. ‘One. Two. Three.’
They transferred the injured driver onto the bed and then Bill Arnold arrived.
‘You were supposed to be fetching us back a new surgeon not another patient,’ he grumbled as he came into the room.
‘Stop complaining,’ Claire retorted, well used to the middle-aged Yorkshireman’s dry sense of humour. ‘I could have left the surgeon and just brought you the patient!’
‘In other words, count my blessings, eh?’ Bill laughed as he came over to the bed and held out his hand. ‘Bill Arnold. Nice to have you on board, Dr Slater. What have we got here?’
The two men shook hands before Jude briefly outlined the man’s injuries. ‘He’ll need a CT scan for starters,’ he concluded. ‘Once I have a better idea what I’m dealing with, I’ll want an MRI scan doing as well to check the full extent of soft tissue damage...’
‘Whoa! Steady on.’
Bill held up his hand and Jude immediately stopped speaking, although Claire could tell that he wasn’t pleased about being interrupted. He was probably more used to people hanging on to his every word, she thought cynically as she began to remove the patient’s clothes. Some surgeons seemed to think they ranked second only to God in the pecking order and if that were the case, Jude was in for a nasty shock. The surgeons on the team were treated exactly the same as everyone else, i.e. they were expected to knuckle down and get the job done without a fanfare.
‘Is there a problem, Dr Arnold?’ Jude asked coolly.
‘It’s Bill. I dispensed with the formalities a couple of years ago when I retired,’ the older man told him. ‘And yes, I’m afraid there could be a problem in so far as we don’t have access to the equipment you mentioned.’
‘What do you mean that you don’t have access to it?’ Jude demanded. ‘Is the radiographer not on duty today?’
‘Oh, the radiographer’s here all right,’ Bill explained easily. ‘The problem is the equipment. We don’t have a CT scanner or a Magnetic Resonance Imager in the hospital.’
‘You don’t have them,’ Jude repeated, looking so stunned by the news that Claire almost felt sorry for him. Obviously it had come as a shock to him to learn that the hospital wasn’t equipped with all the usual technology, but had he really expected that it would have been? Deliberately, she whipped up her indignation, not wanting to fall into the trap of sympathising with him.