The Nurse He Shouldn't Notice

“In fact, you could call it his baby, he loves it so much.” John took a bite of scrambled egg.

“I imagine a plane makes it easy to get around,” she mumbled. What she left unsaid made him uncomfortable.

“John, did you get the equipment taken care of?”

“Yeah, the director put it in storage. I made sure it was handled carefully. So tell me about the big emergency yesterday.” John kept his focus on Court.

“Truck and cart accident. Cart lost. A child with a clean fracture. An old man who needed a couple of stitches. The girl was doing well when I checked on her at midnight.”

Maggie’s head jerked up. “You went to check on her in the middle of the night?”

“Don’t sound so shocked. I like to keep a personal eye on my patients.” He’d failed to check on a patient once and he’d never make that mistake again, even if he was still a long way from feeling comfortable around children. She gave a nod of approval. It felt good to think her opinion of him had taken at least a slight upturn. Something about how she’d reacted to the girl being injured made him believe the children routinely received her special attention.

Lisa asked Maggie a question about the facility, and they began discussing the hospital and the area. There were additional questions about the people and the type of care they most often required. Court listened, impressed by how involved Maggie was with her patients. She clearly loved her work and the Mamprusi people.

She pushed her plate away and said to the group, “If you’re finished, why not join Court for a tour?”

Court lagged behind the others as Maggie pointed out buildings within the compound.

She turned to the nurses. “Don’t go outside the fence after dark and only with a companion during the day. It isn’t like at home. There’s no police or law like you’re used to.”

Inside the hospital building she pointed out the pharmacy, office area, supply area, and the two ORs. She led them to the women’s ward where the beds looked to be World War II surplus. Family members were sitting or sleeping on the floor around their loved ones.

Jen asked, “Why’re there people everywhere?”

“We ask families to help care for their loved ones. There’s not enough staff to do it all,” Maggie explained.

Had he been wrong in his evaluation of the hospital’s application? Maybe, but he wasn’t ready to concede that so early in the visit. He couldn’t let her emotional play on the situation get in the way of a comprehensive evaluation.

The men’s and the children’s wards were much the same. Leaving the latter, Maggie stopped and looked straight at Court. “You’re the pediatrician so you need to know we don’t tell the parents if their child is dying because they’ll desert them.”

If her intent was to drive home the point the hospital could use foundation money to hire additional stuff, she’d done it. With one-two punches.

He’d been born in a small jungle clinic but he’d been reared around glistening state-of-the-art hospitals in Boston. Aware of the type of work the foundation supported, he’d still never been in a hospital this primitive.

“It’s time for rounds,” Maggie said. “Lisa and Jen, I’ll leave you to help out in the children’s ward. One of the staff members will show you what needs to be done. Doctors, we’ll meet Dr. Roberts in the men’s ward.”

Court looked out the window of the hallway linking the two buildings while they walked. The line of people waiting, sitting or standing stretched as far as he could see. He couldn’t keep the amazement out of his voice. “Are all those people waiting to be seen?”

“Yes. We see around three hundred a day. And do eight to twelve surgeries.”

He whistled. She made it sound like there was nothing to it.

She met his look. “Another reason we have difficulty keeping doctors and nurses.”

They entered the men’s ward. “Dr. Roberts, I brought you help. Gentlemen, I’ll see you later in clinic.” Maggie turned and left.

* * *

Maggie looked across the packed dirt yard in the direction of the patient clinic. She scanned the crowd of people waiting in the open-air treatment area. With relief, she spotted Court’s dark-haired head. He had stepped out of the building, deep in conversation with one of the local orderlies who spoke English.

She hadn’t spoken to Court since earlier in the morning. Lunch was taken in shifts, so she had no idea how his day was going. She’d bet he wouldn’t have any trouble sleeping tonight. A couple of times from a distance she’d had a chance to watch him work. His personality didn’t endear him to her but she’d grudgingly admit he was a good doctor, maybe one of the best they’d seen in some time.

He stopped speaking to the tall man, looked up and met her gaze, like he’d known she needed him. A tingle zipped along her spine. She waved him in her direction and walked to meet him halfway.

There were two small furrows between his brows. “Is something wrong?”

Her voice lowered. “I need you to look at a wound. I’ve been checking it weekly but it doesn’t seem to be improving.” She led him toward a young woman sitting on a portable examination table.

“Raja, this is Dr. Armstrong,” Maggie said. “He’s going to look at your leg.” Court gave Raja a reassuring smile. “Tell her I would like her to lie back,” he said to Maggie.

She relayed his message.

Court supported Raja’s back as he helped her lie back on the table. Maggie moved to the other side of the table, facing him.

He raised the cloth bandage from the wound. The smell of infection wafted into the air. Maggie saw the slight jerk of Court’s cheek only because she watched him. She was grateful he didn’t let on to the frightened Raja how bad the situation was.

Apparently his bedside manner extended to women if not children. If he didn’t like children then why in the world had he become a pediatrician? That ironic twist made him interesting for some reason. Was there more going on with Dr. Armstrong than he was letting on?

Court touched the skin around the worst area of the injury.

“How did this happen?” His eyes flickered upward toward her for a second, before his attention returned to Raja’s leg.

“The water barrel she’d been carrying on her head slipped. As it fell it hit her leg, making a gash. She lives so far away she didn’t come in to get it stitched.”

He looked up. Their gazes met. Held. The confirmation of her diagnosis showed in his eyes. His stone-faced look was the opposite of the emotional upheaval she felt. A mixture of sorrow, pain and disappointment all rolled within her.

Didn’t he have any feelings about what was going to happen to Raja? Maggie blinked. At least he could show some regret for what was to come.

Court spoke to Raja again and helped her to sit up. “Maggie, could I speak to you a moment?”

They stepped a few paces away before Court stopped. “You do know the leg has to come off, don’t you?”

Maggie nodded, looking at the ground.

“It’s too far gone. If she didn’t live in these deplorable conditions…” A tone of remorse filled his voice. “Why didn’t you say something to Dr. Roberts about this earlier?”

Maggie’s head jerked up and she met his gaze. “Don’t be too quick to issue blame. Around here the people have to work hard every day to eke out some kind of existence.” The hopelessness of the situation, her inability to make a real difference washed over her but she bowed her back and continued. “Coming to us means giving up a day of labor, and sometimes walking ten miles or more. When they get here they have to wait in line for hours because we’re so short-staffed. It’s not that they don’t want help, it’s just that it takes so much effort to get it. And as for me not informing Dr. Roberts, I did. He and I have been doing all we can.”

“I didn’t understand—?

??

“No, you didn’t. You need to be here longer than twenty-four hours before you start judging us.” All of a sudden she felt tired to the bone. Her shoulders slumped. Just one night she’d like to fall asleep knowing she’d offered the best medical care possible in the world. That would never happen here.

Court stared at her a moment. “I wish I knew another way but if her leg isn’t removed then the gangrene could spread and kill her. Do you want me to tell her?”

With your emotionally distant attitude, I don’t think so. “She’s my friend. I’ll explain.” Maggie turned to go back to Raja but jumped when Court’s hand on her shoulder stopped her. His touch comforted. For a second his eyes showed a glimpse of compassion before they became shuttered again.

“I wish it didn’t have to be this way.”

He sounded as if he meant it. Maybe the ice doctor did have a heart. “I do too,” she said. His hand fell away when she turned back to Raja.

CHAPTER TWO

COURT ran a hand across his face. Swiveling his head from side to side, he worked the kinks out of his neck. He gazed into the night sky. It’d been a long, horrible day. He’d done a rotation in the largest emergency room in Boston but nothing had compared to the volume of people this primitive clinic saw each day. This hospital needed at least two more full-time physicians.

He’d expected to have to care for patients on this trip but nothing like the magnitude he’d been presented with that day. And the number of children. It was almost overwhelming. With great fortitude he’d managed to care for the first one through to the twentieth. Thankfully his training went into autopilot mode and he found some semblance of comfort, a return of a modicum of confidence. Still, he’d be lying if he said he wasn’t glad to see the day done.

Finished with the last patient, he’d headed to the mess hall for a bite to eat. Dr. Roberts had come by and asked him to assist with removing Raja’s leg. Court had explained he wasn’t qualified. Dr. Roberts responded, “Here we do it all. I’ll show you where to scrub in.”