gave him a rueful smile. ‘Can you blame me?’
‘No—and actually, it isn’t that at all. I apologise. I shouldn’t bring my baggage to work.’
The hostility in her grey eyes melted in an instant. ‘Apology accepted. And sometimes,’ she said quietly, ‘it helps to have someone to talk to—someone who isn’t involved with the situation and won’t judge you or spread gossip.’
She was offering him a shoulder to cry on, even after he’d been combative towards her in a meeting involving what was clearly her pet project? That was unbelievably generous. Then again, he wasn’t that surprised. He’d already noticed Erin’s name at the top of all the internal memos organising a team night out or a collection for someone’s birthday or baby shower. He had a feeling that she was one of life’s fixers.
Well, his life couldn’t be fixed right now. He wasn’t sure if it ever could be. ‘Thanks for the offer,’ he said, ‘but I don’t really know you.’
She shrugged, but he could see the momentary flash of hurt on her face. ‘Fair enough. Forget I said anything.’
He felt like a heel, but he couldn’t even offer anyone friendship at the moment. Not until he’d sorted things out with Caitlin and established a better relationship with her. And he had no idea how long that was going to take. Right now it felt like it was never going to happen.
‘Let’s do the ward rounds,’ he said. ‘We have Kevin Bishop first. He’s forty-five, but he has the spine of a sixty-five-year-old—it’s a really bad case of stenosis.’
‘Is that from normal wear and tear,’ she asked, ‘or is it job-related?’
‘Probably a bit of both. He’s a builder. He has two worn discs, and the sheath around his spinal cord has narrowed,’ Nate explained.
‘Which would put pressure on his spinal nerves—so it sounds as if the poor guy’s been in a lot of pain,’ she said, her face full of sympathy.
‘He’s been taking anti-inflammatories,’ Nate said, ‘but he says they don’t even touch the pain any more.’
‘So you’re looking at major surgery and weeks of rehabilitation?’ she asked. ‘If so, Mr Bishop could be a candidate for the sensory garden.’
‘No, no and no,’ Nate said. ‘He won’t be here for long. I’m planning to use an interspinous spacer device this afternoon rather than doing a laminectomy.’
‘I’ve read about that,’ she said. ‘Isn’t there a larger risk of the patient needing to have surgery again in the future if you use a spacer rather than taking a slice of bone off the area putting pressure on his spinal cord?’
‘Yes, but there’s also a much lower risk of complications than you’d get from taking off the bit of bone that rubs and causes the pain, plus it’s just a small incision and he’ll be out again in a couple of days. I’d normally use the procedure for older patients or those with higher risks of surgery,’ Nate said. ‘Kevin Bishop is still young but, given that he’s overweight and has high blood pressure, I think he’s higher risk.’
‘Fair enough. So how exactly does the spacer work?’
Nate could see that she was asking from a professional viewpoint rather than questioning his competence; he knew that Erin was a neurologist rather than a surgeon. ‘We’ll put a spacer into his lower vertebrae. It’ll act as a supportive spring and relieve the pressure on the nerve. It gives much better pain relief than epidural steroid injections, plus the spinal nerves aren’t exposed so there’s a much lower risk of scarring.’ He paused. Maybe this would be a way of easing the tension between them after that meeting. ‘Provided Mr Bishop gives his consent, you can come and watch the op, if you like.’
‘Seriously?’ She looked surprised that he’d even offered.
‘Seriously.’ Was she going to throw it back in his face, or accept it as the offer of a truce?
‘I’d really like that. Thank you.’ She smiled at him.
Again Nate felt that weird pull of attraction and reminded himself that this really wasn’t appropriate. For all he knew, Erin could be in a serious relationship. Not that he was going to ask, because he didn’t want her to think that he was interested in her. He didn’t have the headspace or the mental energy right now to be interested in anyone. His focus needed to be on his daughter and learning how to be a good full-time dad to her. ‘Uh-huh,’ he said, feeling slightly awkward, and went with Erin to see his patient.
He introduced her swiftly to Kevin Bishop.
‘I’ve reviewed the scans of your spine, Mr Bishop, and your blood tests are all fine, too, so I’m happy to go ahead with surgery today,’ he said. ‘Would you mind if Dr Leyton here sits in on the operation?’
‘No, that’s fine,’ Mr Bishop said, looking relieved. ‘I’m just glad you’re going to do it today. I’m really looking forward to being able to tie my own shoelaces again, and to stand up without my legs tingling all the time.’
‘It’s been that bad?’ Erin asked sympathetically.
Mr Bishop nodded. ‘The pain’s been terrible. Rest doesn’t help and the tablets don’t seem to work any more. My doctor said I’d have to have surgery—I was dreading the idea of being stuck in hospital for weeks, but Mr Townsend said that I’d only be in for a few days.’ He gave her a weary smile. ‘I just want to be able to play football with my kids again and get back to my job.’
‘The surgery will make things much better,’ Nate promised. ‘I know we talked about it before, but I’d like to run through the situation again to make sure you’re happy about what’s happening.’
Mr Bishop nodded.
‘Basically what happens is that the nerves in your spine run down a tunnel called the spinal canal. You’ve had a lot of wear and tear on your spine, and that makes the spinal canal narrower; that means it squeezes the nerves when you stand or walk, which is why you’re getting pain. What I want to do is put a spacer between two of the bones in your spine, and that will relieve the pressure and stop the pain. Now, you haven’t eaten anything since last night?’
‘No, though I’m dying for a cup of tea,’ Mr Bishop admitted.
Nate smiled. ‘Don’t worry, you’ll get your cup of tea this afternoon. I’ll get the pre-op checks organised now and I’m going to operate on you at two. The operation’s going to be under a local anaesthetic, but you’ll also be sedated so you won’t remember anything about it afterwards. You’ll be lying face down during the operation on a special curved mattress; that will reduce the pressure on your chest and pelvis, and also give me better access to your spine.’
‘How long will the operation take?’ Mr Bishop asked.
‘It should be about an hour or so, depending on what I find—but from your scan it looks pretty straightforward.’
‘That’s great.’ Mr Bishop smiled. ‘I still can’t believe I’ll be able to go home again in a couple of days. I thought I’d be stuck in here for weeks.’
‘You’re not going to be able to go straight back
