did look fab-u-lous in his hospital-issue scrubs.
Obviously, he didn’t spend his days inside, baking. Not with the taut definition in his upper arms, the strength in his neck and shoulders, the taper of his waist, the…Abby gulped. Focus! He is not a Christmas package waiting for you to unwrap him. He’s a highly respected emergency physician.
But she’d really like to unwrap Dirk.
Focus! Focus! Focus!
“Hello, Mrs. Youngblood,” he greeted the thin lady with streaky brown-blond hair and pinched facial features. “The nurse was just telling me about your lab results. It appears you have a serious urinary-tract infection. Tell me what’s been going on.”
Dirk examined the patient while the lady told him of her symptoms, when they’d started and how they’d gotten much worse during the night to the point she’d decided she couldn’t wait until morning to check in with her primary care provider.
“No history of kidney stones?”
Mrs. Youngblood shook her head, her expression easing very little. “My husband has them, but I never have. Are they contagious?”
“No. You can’t catch kidney stones from another person.” Dirk pressed on her thin abdomen, attempting to palpate organs. “Any vaginal symptoms?”
“I don’t think so,” she denied, her hand guarding her belly as Dirk examined her. “It just really burns when I urinate. And feels like my bladder is going to turn inside out when I go, too.”
“Have the medications given since you’ve arrived helped?”
“Yes.” Although you sure couldn’t tell it by the woman’s grimace. “When I first got here I was miserable. The pain hasn’t completely eased, but I’m a lot better.”
Dirk washed his hands then turned to his patient. “I’m going to write a prescription for some antibiotics. You’ll need to follow up with your primary care provider within the next couple of days.” He began writing out orders. “Do you need a note for work?”
The woman shook her head. “I work from home as a medical billing clerk.”
“Great.” Dirk turned to Abby, meeting her eyes for the first time since they’d entered the room, and he smiled.
A real smile that reached those gorgeous blue eyes and pierced right into her heart.
Relief flooded Abby. Did he have any idea as to the lethalness of his smile? Probably. She soaked up every drop of his potency, letting the intensity of her emotions flow through her veins.
“Mrs. Youngblood,” he said, his gaze flicking back to his patient. “The nurse will get you ready for discharge. If you have any additional problems or get worse before morning, I’d suggest you return to the emergency department for a recheck.”
An hour later, the emergency department was in full swing. Every bay was full. Both physicians and the nurse practitioner on duty were at full stretch.
Abby adjusted a breathing mask over an asthma patient’s mouth and nose, preparing to administer a beta-agonist medication via a nebulizer to rapidly open up the restricted airways.
“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 enough 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
