luck in Cardiology,’ she told Lucy as they parted company. Lucy was having a difficult time in her placement, and if yesterday was anything to go by Jade couldn’t expect to fare much better. It looked as though her consultant was given to asking searching questions whenever they met up for patient reviews or ward rounds, and it seemed she would have to get used to thinking on her feet.
The first hour or so of the morning was spent in going over the case notes of patients who had been admitted to the paediatric ward the previous day, followed by a visit to the neonatal unit.
‘How are we going to assess this child?’ Professor Farnham wanted to know as they stopped by a cot. He was in his fifties, tall and dark haired, slimly built, a man whose whole body and manner hinted at ceaseless energy and a thirst for knowledge. ‘What are we looking for?’
Jade drew in a deep breath and checked the baby’s file. The baby was only three days old, a tiny, preterm infant who whimpered softly in his crib. His arms flailed weakly and his mouth quivered as he gave a helpless cry. More than anything, she wanted to pick him up and hold him to her, to feel his warm, soft body in her arms.
Instead, she tried to dredge up all she had learned about neonatal problems. ‘The history shows that he has had several seizures,’ she said. ‘He’s been vomiting and he isn’t feeding well, according to his mother.’ The mother wasn’t around to hear their discussion, thankfully. The nurse had taken her into the office so that she could talk to her about any worries that might be weighing her down.
‘The first course of action would be to take blood tests and check serum chemistries. I’m thinking there might be a problem with the levels of calcium or magnesium in the blood. Then I would do urine tests in case of any renal problems. We should get an ECG as well, to check for any cardiac rhythm abnormalities.’ She hesitated momentarily. ‘The mother has a history of diabetes, so it’s possible there might be some connection between that and the baby’s problems.’
‘Good thinking.’ The professor beamed. ‘I’ll leave you in charge of all that. Depending on the results of the tests, we might need to do some X-rays later. Let me know when the reports come back from the lab.’
‘I will.’
He swept out of the room a minute or so later, and Jade let out a long, slow breath. Was this just a foretaste of her upcoming clinical examination finals? She was going to be a junior doctor soon, so she needed to have these skills at her fingertips.
At least Ben hadn’t been around to witness her being put on the spot once again. Paediatrics was a new specialty for her, and she’d had to do a lot of research over the last few weeks to give her an idea of the kind of things she might be dealing with. Even so, she was a bit worried about putting on a good show.
She gently stroked the baby’s silky hair, and then lightly traced a line over the velvet-soft skin of his tiny hand. He gripped her finger, clinging on to her, his eyes widening and his mouth puckering in eager anticipation. She chuckled, enjoying the moment.
‘You’re a little sweetheart, aren’t you?’ she murmured. ‘I wish I didn’t have to put you through all these tests, but I have to find out what’s wrong with you so that we can put it right. I’ll be really gentle, I promise.’ She gazed at him for a moment or two longer and then carefully withdrew her finger from his grasp. ‘I have to go and find a syringe, and some vials, and some forms for the lab. I’ll be back in a minute.’
When she returned a short while later, she was startled to find Ben standing by the cot. He looked good. He was smartly dressed in dark trousers and a crisp linen shirt with the cuffs rolled back, showing forearms made golden by the sun. His tie was a silk blend, in a subtle blue-grey design that complemented the pale blue of his shirt. He looked every bit the doctor who was in full control of everything around him.
He had set up a monitor to record the baby’s heart rate—it was slow, she noticed. He was checking the baby’s case file, and every now and again he glanced at the infant and his eyes crinkled in a faint smile. He looked up as Jade approached.
‘Hello, there,’ he said, his gaze moving over her appreciatively. ‘I was hoping we would meet up again fairly soon. I know it’s likely to be a bit hit and miss, because you have lectures and study periods every so often.’
‘That’s right,’ she acknowledged, ‘but not today. Professor Farnham has asked me to do a work-up on young Sammy.’
He nodded. ‘Yes, the professor told me.’ He looked at the baby and frowned. ‘According to the records, Sammy’s having fairly frequent seizures, some heart rhythm abnormalities, and his blood pressure is low. Not a good start in life, is it?’
She shook her head. ‘I must confess I’m a bit overawed working with newborns. Perhaps you’ve put your finger on the problem. It’s the emotional factor—it seems so unfair that they’re burdened with illness from the moment they arrive in the world.’
He laid a hand on her shoulder in a gesture of support. ‘I’m sure you’ll get used to it, given time. You’re here to help them through it … try looking at it that way.’
‘I will.’
He glanced at the trolley she had prepared. ‘I see you’re set up to take blood samples. Are you okay with that?’
She pulled a face. ‘I don’t usually have a problem taking blood from adults, or even from older children, like teenagers, but babies are different, aren’t they? They look so fragile, and they don’t know what’s happening to them, and I suppose it’s a bit daunting.’
‘Would you like me to hold him and distract him while you do the business?’
A feeling of relief ran through her. ‘Would you mind? That would be really good.’
‘Not at all.’ He lifted the baby from the cot and held him carefully in the crook of his arm. He seemed perfectly at ease with his precious bundle, and Jade watched him, unexpectedly sidetracked for a while by the tenderness of the moment.
‘Now, then, young Sammy,’ Ben murmured, ‘what can we do to keep your mind off things?’ He was thoughtful for a second or two, and then he reached into his trousers pocket and drew out his keys. ‘Here we are. Just the thing.’
He looked at Jade, and said quietly, ‘All set?’
She nodded, and Ben jangled his keys to distract the baby while she took the blood sample. It was all over in a matter of seconds.
Relieved, she labelled the vials and smiled at Ben. ‘Well, I have to say it would be great to have you around every time I have to do that.’
‘I’ll see what I can do about it,’ he said, laughing. He placed the baby back in the cot and took a moment to settle him, before turning to watch as she began to write out the lab forms. Her ponytail fell softly against her cheek, and she brushed it back out of the way.
‘I like your hair,’ he observed softly. ‘It’s beautiful, like silk.’
She gave him a startled look, pausing as she sealed the vial in its plastic pocket. ‘Thank you. The truth is, I like my sleep too much and so I didn’t have time to do more than just tie it back this morning.’ She dropped the needle into the sharps bin and began to tidy up the equipment she had used.
‘At the café bar you had it pinned up, I recall.’ His smoky, grey-blue eyes glimmered as his glance moved over her. ‘Either way, you’re a knockout. I somehow get the feeling you’re not going to be too good for my blood pressure whenever we’re around one another.’
She had a vague suspicion that could work both ways. ‘Well, I’m sorry about that,’ she murmured, ‘but I’m sure you’ll manage somehow.’ She liked him, but she wasn’t going to respond to his flirting. She couldn’t. Her time with Ewan had taught her that flirtation could get out of hand, and lead to some heavy involvement, and before you knew it you were embroiled in a situation that was bounding out of control. She couldn’t go through that again. It had been over months ago but she was still