“You may feel a little shaky and jittery after the medication starts working,” she warned her patient. “The process that causes the bronchial tubes to dilate also speeds up the heart rate. Don’t let the reaction alarm you as that’s a natural and expected response to the medicine.”
She turned on the nebulizer and waited to make sure the patient’s wheezing slowed before she stepped out of the bay to check on her next patient.
Dirk was with him—a morbidly obese man who’d woken up with a sharp tightness in his chest that took his breath. They’d started him on meds immediately on arrival, done tests, including an EKG that showed left ventricular hypertrophy and a possible blockage. They’d stabilized him while awaiting the results of his cardiac enzyme tests.
“I read your chest X-ray, Mr. Lytle. Your heart is enlarged, showing signs of your high blood pressure and congestive heart failure, but that shouldn’t have caused you to wake up with chest pain. I don’t see anything acute on the films, but your troponin level is slightly elevated. That’s a myocardial muscle isoenzyme that elevates when the heart isn’t getting enoug
h oxygen. I’m going to admit you to the cardiac-care unit for close observation. The cardiologist on call has been notified you’re here and will be by soon. He’ll schedule you for a cardiac catheterization, likely for in the morning. That way, if there are any blockages, he can repair them immediately.”
Abby began to prepare to have the patient transferred to the cardiac-care unit while Dirk answered the questions of the patient and his wife.
The rest of the night passed quickly. The E.R. was still bustling come shift change. An hour past time for her to have left, Abby clocked out, exhausted and feeling a little woozy.
Dirk had still been with an abdominal pain patient who’d come in minutes before shift change. Abby had offered to stay, but the day-shift nurse had taken over and had things under control.
She’d felt relieved at the reprieve, and surprised at how tired she was. The night had been busy, but no more so than dozens of others she’d worked, but she just wanted to go home, crawl into bed and pass out.
She rarely got sick, but definitely her stomach churned at the thought of breakfast. Maybe she’d just skip her usual light meal before going to bed. Hopefully, she’d feel better once she got some sleep.
She hoped she wasn’t coming down with something, especially so close to Christmas.
Regardless, no way would she let a little nausea and fatigue get her down when she had a date with Dirk for the Christmas party on Saturday evening.
CHAPTER FOUR
“DON’T tell me you unwrapped a Christmas present early and found Dr. Kelley inside, because if that’s the case, I’m changing what I put on my wish list for this year.” Medical floor nurse Danielle Booker draped her arm around Abby’s shoulder on Saturday night at the hospital Christmas party being held in the ballroom of a nearby hotel.
Abby glanced away from where she watched Dirk talk with a couple of other physicians. When the conversation had turned to golf, she’d excused herself. She’d needed a few moments to breathe. Dirk had been the perfect attentive date, but the tension between them was so palpable it threatened to cut off her windpipe. Between that and his obvious discomfort at being at the party, Abby was wound tighter than a spool of ribbon.
“I’m waiting.” Danielle tapped her slinky black high heels against the ballroom floor. “Were you such a good girl this year that Santa arranged for Dr. Kelley to be in your stocking?”
“Now isn’t the time for details about my relationship with Dirk.” Not to mention that she didn’t know how to define their relationship.
“You’re admitting you have a relationship with Dirk?” Her friend put emphasis on the use of his given name rather than his title of Dr. Kelley.
He’d been Dirk from the moment she’d glanced into his eyes and felt as if she were drowning in a blue sea of Christmas ribbon. With all her volunteering with the community outreach program, she hadn’t found the time to call her best friend and they’d been on different shifts at the hospital. She hadn’t told anyone about the morning she’d spent with Dirk. Perhaps if their relationship hadn’t ended almost as fast as they’d started… And if they’d ended, what was tonight about? And why did she fluctuate between giddy and the need to protect her heart?
“I’m not admitting anything. Not here.” Abby’s gaze shifted to him again. Just looking at him made her feel as if she was all tangled up and would never be able to free herself. “But I like him, if that’s what you’re asking.”
“You like him? Girl, that isn’t ‘like’ I see in your eyes,” Danielle teased, her grin growing bigger in direct proportion to Abby’s face growing hotter. “You are so telling me everything soon.”
“Everything,” Abby agreed. Which was what? Dirk hadn’t called or even talked to her at the hospital other than about patients and to confirm what time to pick her up. After his Santa debut and him asking her out for tonight, she’d jumped every time her phone had rung, hoping he’d call. She’d been disappointed every time. Disappointed that he hadn’t made any effort to talk to her outside the parameters of work.
Until tonight.
Tonight, he’d been a considerate date, if quiet, taking her white faux-fur wrap and gloves to the designated coat room, ensuring she had everything she wanted to drink and eat, even making the comment that her goodies tasted better than the ones supplied by the party’s caterer.
Yet that ever-present awkwardness, awareness, kept her slightly on edge, not letting her completely relax, making her stomach stay slightly knotted with tension. That’s why she’d needed a breather. Being so close to Dirk, his hand occasionally resting possessively on her back, she’d been on the verge of swooning from lack of air.
On the verge of grabbing his hand and dragging him to a room and kissing him like crazy in hopes of abating whatever this burn inside her was.
Abby covered her mouth with her hand, biting back a slight smile at what Dirk would do, say, if she marched over to him and did just that. Bet that wouldn’t do a thing to ease the edginess she’d sensed about him all evening. Because of her? Or the Christmas party?
Danielle eyed her a moment, taking note of exactly what Abby wasn’t sure, just that her friend’s smile faded. “You okay? You look flushed.”
Any flush on her face was from her thoughts, not from not feeling okay. Actually, the bug that had been bothering her earlier in the week was sticking around. But, fortunately, by the time Dirk had arrived she’d been fine. When he’d looked at her as if she was more mouth-watering than any piece of peppermint candy, had told her she was beautiful, well, she’d been over the moon.
If she’d stop trying to label whatever was happening between them and could just enjoy the fact that something was happening, everything would be wonderful.