of tea for you, Dr T., before you start,’ she said brightly, ‘and a couple of Hazel’s fairings. I saved them for you.’
‘Thank you, Doris,’ he said tightly, and held his breath until she’d shut the door. The last thing he could do was eat, it would choke him, but there was no way he could tell Doris that. She’d kill him if he didn’t eat Hazel’s biscuits, he thought, dropping down into his chair and dragging his hands over his face before flattening out the crumpled page and reading the letter again.
It didn’t make any more sense the second time. Or the third.
Maybe the tea would help.
He cradled the mug in his hand and stared blankly out of the window. It was slack water, the boats in the harbour swinging every which way in the squalling wind. He knew the feeling. He’d been swinging at anchor himself ever since Annabel had died five years ago, unsure of what the future held, of which way the tide would turn.
For a time he’d thought Kate was getting married, but then he’d heard on the grapevine that it was over now, and with Rob out of the way, he’d thought that maybe now, with both of them widowed—but then this, out of the blue. He’d never expected this. Never expected that she’d go…
She couldn’t leave. She couldn’t. She’d lived in Penhally for ever, her entire life. He’d known her since she was twelve, dated her when she was fifteen and he was seventeen, left her at eighteen to go to university, intending to come back for her—but then he’d met Annabel, and everything had changed.
Except Kate. She’d stayed the same—sweet, funny, kind—but those soft brown eyes had held reproach and disappointment ever since. Or maybe he’d imagined it, but all he knew was that every time she looked at him, he felt guilt.
He shut his eyes and sighed. God knows, there was enough to feel guilty about in the past thirty-odd years.
He folded the crumpled letter and put it in his pocket. He could go round there this evening, see if there wasn’t a way he could convince her to stay—but there was no point, he thought grimly. She’d made up her mind, and maybe it really was for the best.
He’d miss them both, but especially Kate—Kate he’d depended on for her kindness and common sense when he’d been in turmoil, Kate who’d managed the practice for years before she’d returned to midwifery and become a firm favourite with the mums.
Kate he’d loved, all those years ago.
Had loved, and lost, because of his own stupid fault. His chest felt tight just thinking about it, and he stared out of the window again, trying to imagine the practice without her. His life, without her. She couldn’t go. He couldn’t let her.
There’s nothing here for me any more.
Particularly not an emotionally bankrupt old fool like him. He had no choice but to let her go. No power to do anything else. The least he could do was do it with dignity.
He pushed the tea aside, strode to the door and yanked it open. ‘Mr Pengelly, would you come in, please?’
He tried to concentrate, tried to give the man his attention while he described his symptoms, but the letter was burning a hole in his pocket and judging by the feel of it the acid was doing the same thing to his stomach.
‘Sump’n’s goin’ on out there,’ Mr Pengelly said, jerking his head at the window.
‘Hmm?’ Nick dragged his mind back into the room and listened, and then he heard it over the rain and his clamouring thoughts. The sirens wailing, the rapid footsteps as Oliver Fawkner ran to his car outside Nick’s window and shot off up the road. He was on call today, acting as First Responder in the event of a serious accident as part of those duties, and he’d obviously been called out to the emergency.
‘The sirens,’ Mr Pengelly said unnecessarily.
‘Yes,’ Nick said, blanking it out of his mind as he examined him, weighed him, checked his blood pressure, listened to his chest. He was a heart attack waiting to happen, and if he had one, it wouldn’t be Nick’s fault. He’d given him sage advice for years, and it was time to lay it on the line.
More sirens. It was a big one, he thought, and eyed his patient firmly. ‘Right, Mr Pengelly, I think we need to have another look at your lifestyle. You’re overweight, you’re unfit, you don’t take your drugs regularly, and then you come in and tell me you have chest pain, but you don’t seem to be prepared to do anything about it and if you go on like this you’ll kill yourself. We need to check your cholesterol level again. It was high last time, and you’re still smoking, aren’t you?’
‘Ah, but I’ve cut down, Doc’
‘To what?’
He hesitated, then under Nick’s uncompromising stare he sighed and came clean. ‘Only twenty a day now.’
Only? ‘That’s twenty too many. Make an appointment on your way out for a fasting cholesterol test first thing one morning, as soon as possible, and then we’ll review it, but you need to start exercising and attend the stop smoking clinic—’
‘Must be a big’un. There’s the chopper coming now,’ he said, gesturing at the window again, just as the phone rang, and Nick frowned and reached for it, irritated that the man didn’t seem to be paying any attention.
‘Excuse me a moment—Tremayne.’
‘It’s Sue. I’m sorry to disturb you, but Oliver rang. Kate’s had an accident, and they’re airlifting Jem to hospital. He said you’d better get over to St Piran’s.’
He felt the blood drain from his head, and sucked in a breath. ‘What’s wrong—? How bad is he—is he—?’
‘Head and pelvis, he said, but he was quite insistent that you should go, Nick. Kate’s going to need you. And he said to tell her not to worry about the dog, he’ll sort it.’
The dog? He mumbled something and cradled the phone with a clatter. ‘Um—Mr Pengelly, I have to go. I’m sorry. Make the appointment, if you wouldn’t mind, and we’ll talk again when we get the results.’
‘So—do you want those biscuits?’
The man was a lost cause. ‘Help yourself,’ he growled, and got to his feet and went out to Reception, his legs moving automatically. ‘Right, Mr Pengelly needs a fasting cholesterol ASAP with a follow-up appointment,’ he told Sue. ‘I’m going to St Piran’s—can you get Sam to cover my surgery for me?’
And without waiting for her reply, without even pausing to pick up his coat, he strode briskly out of the doors into the lashing rain.
The drive to St Piran nearly killed him.
His stomach was in knots, adrenaline pouring through his veins, and with no one to distract him his thoughts were free to run over all the things that could be wrong, and all the things that could go wrong as a consequence.
The list was hideous, and just thinking it all through made him want to retch.
He called Ben’s mobile from his hands-free. His son-in-law would be there today, in A
