had already spotted the photograph on Essie’s desk; the charge nurse was smiling for the camera, looking blissfully happy with her husband and two children. It seemed that Essie was the type who wanted everyone to be as happy and settled as she was. Well, she was happy and settled. She just wasn’t in a two-parent family. ‘Marriage isn’t for everyone,’ she said quietly.
‘You’re not married, then?’
‘Not any more.’ Not that she wanted to talk about it. Though, given the photograph on Essie’s desk, she could offer the perfect distraction. ‘But I do have a gorgeous son. Tyler.’ She took a photograph from her purse to show the charge nurse.
‘Oh, he looks a sweetie. And he’s so like you.’
‘He is,’ she agreed with a smile. ‘I’m really lucky.’ And she meant it. Tyler was the light of her life, and she loved him with a fierceness that she knew probably made her protect him too much.
‘So how old is he?’ Essie asked.
‘Eight. He started middle school last week—so this summer was the least disruptive time to move here from London.’ Louisa took a deep breath. ‘Actually, that’s why I started today, not last week—I wanted to give him a few days to settle in to his new school first.’
‘It’s always hard, changing schools, whether you’re from the local first school or not,’ Essie agreed. ‘Though I’m sure he’ll soon make friends.’
Louisa would be very, very surprised if he did. Tyler was self-contained in the extreme. Having Asperger’s meant he saw the world in terms of black and white, with no shades of grey. Other children quickly noticed that—especially as Ty was a walking encyclopaedia on his favourite subjects, and wouldn’t hesitate to correct anyone instead of just letting it go for the sake of social harmony. She’d tried to help him, inviting children home for tea after school—but Tyler had never been invited back. Probably because most of the time, when someone came over, he’d lose interest in whatever game they were playing, disappear up to his room and start drawing. ‘Maybe,’ she said.
‘Give it a week and he’ll be playing football with the rest of them,’ Essie said cheerfully.
Louisa wrinkled her nose. ‘He’s not really into football.’
‘Computer games, then?’ Essie asked. ‘Tell me about it. My eldest is glued to his console.’
‘What Ty really likes is horses. I’m going to ring round the local riding stables to see if there are any places for lessons.’ Louisa had read an article about how good riding could be for children with Asperger’s; it was just a matter of finding the right stables, one that could accommodate Tyler without making a big deal out of things. And maybe he’d find it easier to make friends with children who shared his passion.
‘Horses?’ Essie looked thoughtful. ‘Then you definitely need to talk to Dominic. He’s got a horse. He’s bound to know a good riding school locally.’
Louisa smiled politely, but she had no intention of asking a heart-throb for help. She’d already learned the hard way that heart-throbs weren’t reliable—and she’d never, ever take any risks with her son.
Essie had introduced Louisa to everyone except the resus team when her bleep went off.
‘Resus—and I’m needed,’ she said ruefully, glancing at the display. ‘Sorry. Can I leave you with Jess to open up Minors?’
‘Sure. No worries,’ Louisa said.
Her first case was a seven-year-old girl who’d fallen and bent her fingers back the previous day; now her hand was stiff and swollen.
‘I know I should’ve brought her here earlier. I thought she’d just banged herself and was making a fuss, and it’d settle down,’ Mrs Aldiss said, chewing her bottom lip.
‘That’s often the case, after a fall,’ Louisa reassured her. ‘It’s a tough one to call. Have you given her anything for the pain?’
‘I’ve been giving her paracetamol, and I put an ice pack on her hand yesterday.’
‘That’s good.’ She crouched down so she was on a level with the little girl. ‘Hello, I’m Louisa—and you’re being ever so brave, Pippa,’ she said with a smile. ‘Can I have a look at your hand, so I can see what’s wrong and make it better?’
The little girl was white-faced, but she nodded.
Gently, Louisa examined her fingers. ‘Can you make a fist for me?’ she asked, showing Pippa exactly what she wanted her to do.
The little girl tried, but her sharp intake of breath told Louisa that it was just too painful.
‘OK, sweetheart, you can stop trying now. You’ve done really well,’ Louisa reassured her. ‘I don’t want to do anything that’ll make it hurt more. But what I do want to do is see what’s making it hurt so much, so I’m going to send you to X-Ray. It’s not going to hurt, but they have special cameras there to take a picture of your bones so I can see if you’ve broken your finger or whether you’ve hurt one of the ligaments—that’s the bit that helps you bend your finger.’ She ruffled the little girl’s hair. ‘And once I know that, I’ll know how to treat you. If it’s just a little break, I’ll do what we call buddy taping—that means I’ll strap your poorly finger to the one next door, to help it mend.’
‘If it’s a big break, will she need a plaster on her hand?’ Mrs Aldiss asked.
‘It depends on the break. But I’d definitely recommend resting her hand in a sling. If you can just wait here for a second, I’ll make sure Pippa’s booked in with X-Ray and they know exactly what I want to see,’ Louisa said.
Mrs Aldiss cuddled the little girl. ‘And we’ll have a story while we’re waiting, OK, honey?’
Louisa swiftly booked a slot in X-Ray, explained what she was looking for, and then went back to her patient. Pippa’s mother was clearly near the end of the story, so Louisa waited for her to finish. ‘You’re very good at that.’
‘It’s Pip’s favourite. I’ve read it that many times, I know it off by heart,’ Mrs Aldiss said.
Louisa smiled at them and took a sticker out of her pocket. ‘I’ll see you again after you’ve gone to X-Ray, Pippa, but in the meantime I think you deserve one of my special stickers for being really brave.’
‘Thank you,’ Pippa said shyly, brightening slightly at the sight of the glittery badge.
Louisa directed Mrs Aldiss to the X-ray department, then went to collect the notes for her next patient.
The morning was busy, with a steady stream of patients; when Pippa came back after her X-ray and Louisa pulled the file up on the computer screen, she was relieved to see it was a stable fracture.
‘See this little tiny mark on here?’ she asked. ‘That’s where you’ve broken your finger. So what I’m going to do is strap it to the finger next to it, to be a buddy to keep the poorly one straight.’ Gently, she strapped up the little girl’s finger. ‘You need to rest your hand, sweetheart, so I’m going to give you a sling—that will help you keep your hand up and make the swelling go down, so it
