The Registrar's Convenient Wife. Kate Hardy
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‘Mind if I join you?’
Eliot glanced up from the journal he’d been reading, looking surprised. ‘Sorry?’
Well, obviously he’d been concentrating—but Claire still felt her face grow hot, and was annoyed at herself. She wasn’t going to lose her cool for anyone. ‘Mind if I join you?’ she repeated.
‘No, feel free.’
‘Great.’ She plonked her tray opposite him and sat down. ‘I’m glad I’ve caught you. I wanted to apologise for yesterday.’
He frowned. ‘Apologise?’
‘I was a bit snappy with you. Bad day.’
‘Right.’
‘I’m not normally like that. Well, not unless I’m unhappy with a patient’s care—then, I growl a lot,’ she added with a grin. ‘How are you settling in?’
‘Fine. I like the unit—everyone’s friendly and it seems like a well-oiled machine.’
‘They’re a nice bunch,’ Claire said. ‘As well as being the best medics in the hospital.’
‘Not that you’re biased, of course.’
She hadn’t expected that. So far, he’d been serious whenever he’d spoken to her. A dry sense of humour and a twinkle in those green eyes...now, that was dangerous. And looking at his mouth instead of his eyes was a very big mistake—because his mouth was perfect. Wide, generous and with a killer smile. The sort of mouth she could imagine against hers. Exploring her body. Making her—
No. Even if he was free, it couldn’t work. He’d probably want a family, in time, and she couldn’t do that. Best not to start something that could only end in tears. It took a huge effort, but she managed to turn the conversation back to work and their patients.
* * *
Something had spooked her, Eliot thought. But he couldn’t think of anything he’d said that might have upset her. All he knew was that that beautiful grin—the one that had made his pulse rocket—had disappeared and she was back to being the brisk, chirpy professional he’d seen on the ward.
Professional was the only relationship they could have anyway. He knew that. He’d spent most of a sleepless night telling himself that. If it came to a choice between Claire and Ryan, there was no contest. He wouldn’t choose anyone over Ryan. But if only he could have had both...
* * *
Later that afternoon, Eliot looked at the baby in front of him and frowned. He had a nasty feeling about this. The baby had been born a few weeks early and the vernix—the waxy substance that protected the baby’s skin from the amniotic fluid in the womb—wasn’t the usual white colour: it was yellow. The baby’s skin was definitely yellow, too. And there was a definite abdominal mass which felt to him as if the spleen and the liver were both swollen, a condition known as hepatosplenomegaly. One look at the notes confirmed his suspicions.
‘Got a moment, please, Claire?’
‘Sure.’ She looked up from her notes. ‘Problem?’
He handed her the notes.
She sucked her teeth. ‘Are you thinking rhesus haemolytic disease?’
‘Looks like it. Mum’s rhesus negative, the baby’s jaundiced and there was definite hepatosplenomegaly when I examined him.’
‘Better get the cord blood tested for blood group and the Coombs test, plus haemoglobin and bilirubin levels.’
* * *
The first two tests would confirm the diagnosis of rhesus haemolytic disease, and the second two would tell them how serious the condition was. Claire shook her head. ‘How on earth was this missed? Rhesus-negative mums are supposed to be tested for D antibodies at booking, twenty-eight weeks and thirty-four weeks. She could have had anti-D injections and the baby would have been fine.’
‘First baby, and she was a bit slapdash about going to the clinic.’ He coughed. ‘Apparently the dad’s rhesus negative as well.’
Claire frowned. ‘If the mum’s blood group is negative and the baby’s blood group is positive, the dad’s must be positive, too.’ Then she bit her lip. ‘Ah. This might get messy,’ she said softly. ‘Want a hand?’
‘Please. She might tell you a bit more than she told me.’
‘Claire the dragon, scaring her into it, you mean?’ she teased.
‘Claire the woman,’ he said. Then wished he hadn’t when she blushed. Very prettily. Because again it made him want to know what she looked like when she’d just been thoroughly kissed. By him. ‘Girl power,’ he said hastily.
‘Right.’ She didn’t say anything, but he had a nasty feeling she’d been able to read his mind. The problem was, he couldn’t read hers. Claire was unattached—Tilly had told him that much—but why? Was it that she’d concentrated on her career and hadn’t met the right man yet?
Well, he wasn’t the right man for her either. Because he came as a package, the kind of package that very few women would be interested in taking on.
‘Estée, this is Claire Thurman, our senior registrar and acting consultant,’ he said.
‘What’s wrong with Miles?’ Estée asked, her face pinched and drawn.
‘We’re doing some blood tests to find out, but Eliot thinks it’s rhesus haemolytic disease. If he’s right...’ Claire took a swift look at the baby ‘...and I’m pretty sure he is, then we can help Miles and he’ll be fine.’
‘What’s rhesus haemolytic disease?’ Estée asked.
‘People’s blood type is grouped into A, AB, B or O, and then it’s either rhesus positive or negative. When you’re pregnant, some of the baby’s red blood cells leak into your system,’ Claire explained. ‘That’s perfectly normal and doesn’t usually matter at all—but if your blood group is rhesus negative and your baby’s blood group is rhesus positive, the leak of blood into your system makes your body produce antibodies. This won’t affect you at all, but it might affect your baby in any future pregnancies, because if any future baby is rhesus positive, the tiniest leak of blood will make your body produce antibodies, which can cross the placenta and attack the baby’s red blood cells. The baby’s red blood cells change in shape and don’t last for as long as they should do, so the baby can become very anaemic and jaundiced. If the baby’s really badly affected, it might turn into a condition known as hydrops fetalis—meaning that the baby’s tissues are very swollen—and there’s a much greater risk of stillbirth. So that’s why, if we knew you’re rhesus negative, we’d give you an injection of something called anti-D, which stops your body producing these antibodies.’
Estée bit her lip. ‘Right.’
‘It