regarded Sara, in spite of the fact that she was now a qualified and highly proficient doctor in a busy A and E department. All their pride was definitely focused on their glamorous, vivacious, younger daughter.
In a strange way, he could even understand it, to a certain extent. He’d certainly been blinded by Zara’s lively attractions when she’d set out to captivate him. What man wouldn’t have been flattered to have such a stunning woman hanging on his every word in such an ego-stroking way?
How could he not have realised that she was all outward show with very little substance beneath it? Why had it taken him so long to recognise that Sara was worth a dozen of her self-centred twin?
Well, there was nothing he could do about it now. He was married, and even though he knew it had been one of the worst decisions of his life, he was not a man who broke a promise, so he certainly wouldn’t go back on a solemn vow. He would just have to be content with the fact that Sara had agreed to carry a child for the two of them … two children, in fact, he recalled with a sudden surge of the same incredulous delight that had swamped him when he’d learned of it. Although how Zara would respond when he told her that she would shortly be learning to cope with being a mother to not one but two newborn babies …
‘Zara?’ he called softly, stifling a sigh of resignation. His wife was not going to be in a happy mood when she saw how late it was, even though it had been her sister’s welfare and that of the babies she carried that had caused the delay. She was almost fanatical about preserving her looks with adequate sleep and certainly didn’t like eating at this hour. ‘I’m sorry I’m late, but it was unavoidable. Your sister had a rather …’ He broke off with a puzzled frown.
She hadn’t so much as stirred, even when he’d lowered himself wearily to the edge of the bed. Something rustled as it slid to the floor between the side of the bed and the cabinet—a letter she’d been reading before she’d fallen asleep? Perhaps it was a glamorous new contract she’d wanted to gloat over while she’d waited for him to come home?
He reached out and touched her hand … her curiously lifeless hand.
Suddenly, he switched into doctor mode as all the hairs went up on the back of his neck in a warning that something was seriously wrong.
‘Zara!’ he called sharply as he leant forward to take a closer look at the silent figure. He’d been standing in the doorway wool-gathering for several minutes and only now was he noticing that she was so completely still that she didn’t even seem to be breathing.
‘Zara, wake up!’ he ordered harshly, his fingers automatically searching her wrist to find a pulse. ‘Zara!’ He heard the panic bouncing back at him from the expensively decorated bedroom walls when there was no sign of any rhythm under his fingertips. Was that because his ordinarily rocksteady hands hadn’t stopped shaking from the moment he’d heard that Sara had been knocked down? Frantically, he probed her slender neck and breathed a sigh of relief when he felt the reassuring throb of the artery under his fingertips.
It was slower than it should be … much slower … and her skin felt cold and clammy. It was no wonder that he hadn’t been able to see her breathing because her respiration was so shallow as to be almost imperceptible.
But at least she was breathing and her heart was beating, so that gave him precious time to try to make a diagnosis so that he could help her survive whatever had happened to her.
But first …
‘Emergency. Which service do you require?’ said a crisp voice in his ear as he continued to make his examination, trapping the phone in position with one shoulder.
‘Ambulance,’ he said tersely. ‘My wife has had some sort of collapse. Her pulse and respiration are both depressed and her pupils are fixed and dilated.’ He managed to give the operator his address even as he reeled with horror at the possibility that Zara was imminently going into cardiac arrest.
Without some secure means of administering oxygen and the supplies to set up an IV line he had no way of improving her tidal volume or boosting her systolic pressure above 80. At the moment it must hovering around 70 because her femoral pulse was barely perceptible. If it dropped below 60 the carotid pulse would disappear, too, and she would be just minutes away from irreversible brain damage and death …
‘Come on! Come on!’ he urged as he transferred her swiftly to the floor and began carefully controlled cardiac compressions to boost the volume of blood going to her brain, desperate to hear the sound of a siren drawing closer.
The weight of his guilt was almost crushing as he kept automatic count inside his head. If he’d come home when he’d said he would, rather than hovering over Sara and waiting till she was settled in her room, would he have arrived in time for Zara to tell him that she was feeling ill?
Would he have been able to prevent her collapsing in the first place?
A sudden hammering on the front door made him realise that he’d completely forgotten to release the catch for the ambulancemen to get into the flat.
‘She’s in here,’ he directed as he quickly led the way back to the bedroom and dropped to his knees beside her again. ‘Her systolic must have been close to 70 when I found her because her femoral pulse was barely palpable and her pupils were fixed and dilated.’ He glanced across at the man who dropped to his knees on the other side of the body to begin his primary survey, and they came face to face for the first time.
‘Dr Lomax!’ the paramedic exclaimed, clearly shocked to see him, but he immediately became the consummate professional. ‘Do you know what happened to her, sir?’ the paramedic asked as he bent over the ominously still figure between them to check her pulse and respiration rates for himself.
As he did so, Dan heard the man’s foot strike something to send it skittering under the bed but no one even bothered to glance at it. At the moment nothing mattered more than giving Zara a chance to continue her vibrant life.
Out of the corner of his eye Dan saw the man’s colleague depositing an oxygen cylinder on the carpet and he reached out for it, leaving him free to set up the defibrillator with the swift ease of much practice.
He was ashamed to see how badly his own hands were trembling as he fumbled to tighten the mask against her face, blocking out the heart-stopping thought that Zara might already be in need of the defibrillator’s violent charge to reset her heart rhythm. It was several horrified seconds before he remembered that it could also be used as a valuable monitoring and diagnostic tool.
‘I’ve no idea what happened to her,’ he said, dragging his thoughts back to the question he’d been asked, frustrated when he saw that the man was having trouble finding a vein. But, then, with her blood pressure so low, it was hardly surprising. Still, he had to fight the urge to take over and do the job himself. They needed to get the IV started and the lactated Ringer’s running into her veins as soon as possible to get her blood pressure up. If she’d had some sort of spontaneous bleed that had caused a catastrophic drop in her blood pressure …
‘I came home from work to find her lying on the bed,’ he continued, forcing himself not to waste any time second-guessing, even as the need to do something urged him to continue CPR. ‘At first, I thought she was sleeping, but when I tried to wake her …’ he shook his head in disbelief. ‘That’s when I realised how ill she was.’
‘Do you know if she’d had any alcohol to drink before you found her?’ he asked, and Dan almost smiled.
‘It’s unlikely. She never drinks anything stronger than a white wine spritzer … too many calories,’ he added.
‘Do you know if she’s taken any drugs, sir?’ the young man asked as he peeled the gel pads from their protective backing and positioned them swiftly on Zara’s chest, and even though Dan knew that the questions were necessary for him to do his job, the suggestion shocked him.
‘No!’ he exclaimed immediately, horrified at even the thought that this bright beautiful woman might have wanted to kill herself. Then he remembered a conversation he’d