Nick. ‘This poor man came in at three—he’s an oncology patient with a brain tumour, but he’s got acute abdomen. He had a scan last week in Outpatients that was apparently all clear, the surgeons don’t want him to have anything till they’ve seen him, but they’re doing an aneurism repair we had in—’
‘So he’s had nothing for pain?’ Nick checked sharply.
‘Five of morphine,’ Amy said. ‘I couldn’t ask him to wait any longer, but it hasn’t touched sides, and the second-on surgeons are in Theatre as well.’ It was a regular scenario—the surgeons couldn’t asses an acute abdomen if the patient was pain free, but the surgeons were stuck in Theatre. ‘I can’t get his notes, he was seen in Outpatients last week…’
Amy really was frazzled—and from the nursing handover it made sense. It had been an extremely busy night, but nothing usually fazed Amy. Still, Alison remembered she had swapped her nights with Nick for a family thing a few weeks ago and guessed that maybe it had something to do with things.
‘If they’re in Theatre it’s not going to be this team that takes him.’ Nick was completely reasonable. He looked up at the medical roster. ‘I’ll ring Howard’s team—he’s on take today and I’ll get one of them to come down before they start rounds. I’ll go and have a quick look at him now.
‘Alison,’ he added, because she was cleaning up the night staff’s chaos, because she was the only one around, because he had to, ‘can you come with me?’
‘His daughter, Vivienne, is getting upset,’ Amy added.
‘I’ll sort it,’ Nick replied. ‘Go home,’ he ordered.
‘Thanks,’ Amy said. ‘What will we do without you?’
Nick could have sworn he felt the roll of Alison’s eyes, but chose to ignore it, heading for the cubicle instead. ‘Hi, I’m Nick. I’m an emergency registrar…’
‘So was the other one!’ A woman, presumably Vivienne, snapped. ‘Where are the surgeons?’
‘I’m going to speak with today’s team,’ Nick said, ‘but first I need to take a quick look for myself at your father.’
Jim was frail, thin and clearly in pain, and Nick didn’t prod and poke him unnecessarily, but he agreed with Amy’s finding that the problem was acute—because even if Jim’s condition was terminal, an operation might be needed to relieve his pain.
‘I need those old notes,’ Nick said once they were outside the cubicle.
‘The day receptionist is here,’ Alison said, ‘and Outpatients will be opening. I’ll ask her to track them down.’
‘Thanks.’ He hesitated. ‘Alison?’
‘Yes?’
‘Are you okay?’
‘I’m fine,’ Alison said.
‘Can we talk?’
‘About work?’ she checked, and when he pushed his tongue into his cheek, she shrugged. ‘Then sorry, no,’ Alison said, and headed for Reception.
‘How’s the flat?’ Another line she was getting used to. Libby, the receptionist, asked the question as Alison popped in to check on the location of Jim’s notes.
‘Shabbier than I remember it,’ Alison admitted. ‘I’m painting before I move in and I don’t remember a pea-green carpet when I bought it, but it must have been there.’
‘Are you replacing it?’ They stood making idle chitchat as Libby tapped away on the computer and did her best to locate the notes Nick wanted.
‘I was going to learn to live with it,’ Alison said, ‘but the more I paint, the greener it gets.’
‘You’ll get there,’ Libby said, and then she shook her head. ‘Those notes can’t have come back from Outpatients.’
‘They really need them,’ Alison said. ‘He’s been seen by Gastro and the surgeons and they’re all passing him on. He needs to be sorted. The family’s getting really frustrated and frankly I don’t blame them. Can you ring them again?’
‘For all the good it will do.’ Libby rolled her eyes. ‘I’ll go over now and have a look myself,’ she offered. ‘Could you just take these through for me?’ She handed Alison a couple of rosters but as Alison walked through, the family caught her.
‘Did you get his notes?’
‘The receptionist is going to go over to Outpatients now—’ She didn’t get to finish. Jim’s daughter let out several hours of frustration in a few caustic sentences, and Alison stood there, shaking her head a touch as a security man started to walk over.
‘I know how hard this must be—’ ‘You know nothing,’ Vivienne retorted. ‘That’s my father suffering in there, not that you care. Did you enjoy your coffee break? He hasn’t had a drink since he arrived, he’s sobbing for some water—’
‘Vivienne.’ Nick came over, gave Alison a tight, grim smile. ‘Let’s take this to an interview room.’ He’d cut right in and Alison was grateful for it, annoyed with herself for not suggesting the same thing but glad that someone else was dealing with it. Alison glanced down at them as she popped the medical rosters on the bench. They were nothing to do with her, just the doctors rosters for the next four weeks, and normally she wouldn’t have given them thought. Except today, she scanned the sheet and saw the absence of Nick’s name, saw that Cort Mason was, in fact, coming back, and it just rammed home the truth. There it was, in black and white, as if she needed reminding, that in just a few days Nick Roberts would be gone.
‘She apologises.’ Nick came over to make a phone call. ‘She’s going to say it herself—’ ‘There’s no need.’
She was close to tears all of a sudden but was determined not to let him see. ‘Libby’s gone over to Outpatients to try and find them—he was there last week.’
‘He should have been admitted last week,’ Nick said, and then, a little more tactfully, he told the voice on the end of the phone the same thing, and as Alison went to go he caught her wrist, which was the most physical he had ever been at work and the only contact in days. And she couldn’t bear it, yet she took it, waited as he concluded his call, Nick doodling on the hateful rosters as he spoke on the phone.
‘They’re going to admit him.’ He gave her the details and then there was just a slight frown as he looked her over and she didn’t like his scrutiny.
‘Are you really okay?’
‘I’ll get over you, Nick, don’t worry.’ She didn’t turn round, because for the first time since his arrival, the first time in years in fact, there were tears, not just in her eyes but trickling down her cheeks, and Alison fled to the toilets, blew her nose and told herself she was being stupid, told herself she’d warned herself that this would happen.
‘Alison?’ Ellie was just dashing in before the start of her late shift, the surprise evident in her voice at catching her friend less than strong, because over the years she’d never seen her cry. ‘Are you okay?’
‘I’m
