‘Izzy!’ Beth, an RN she’d worked with over the years, was racing past. ‘Cubicle four…Everyone’s tied up…She just presented…’
Except Jess had been right.
There would be no gentle easing in, Izzy fast realised as Les, the porter, relieved her of her bag. Beth brought her up to speed as best she could in short rapid sentences as they sped across the unit.
‘About twenty-three weeks pregnant, though she’s vague on dates,’ the rapid handover went on. ‘She won’t make it to Maternity, I’ve put out a call…’
‘Who’s seen her?’ Izzy asked as she squirted some alcohol rub on her hands.
‘You,’ came Beth’s response
Oh, yes!
She’d forgotten just how unforgiving Emergency could be at times. Just then she saw Ben, wrapping a plastic apron around himself, and Izzy was quite sure he’d take over and usher her off to Section B.
‘Have you got this?’ Ben said instead, calling over his shoulder as he sped off to Resus.
‘Sure!’
‘Her name’s Nicola,’ Beth said as Izzy took one, very quick, deep breath and stepped in.
‘Hi, there Nicola. I’m Izzy Bailey, the emergency registrar.’ Izzy wasn’t sure who looked more petrified, the student nurse who’d been left with the patient while Beth had dashed for a delivery pack or the mother-to-be who brought Izzy up to date with her rapid progress even before Izzy had time to ask more questions—it was Nicola who pulled back the sheet.
‘It’s coming.’
‘Okay.’ Izzy pulled on some gloves as Beth opened the delivery pack, Nicola was in no state to be sped across the floor to Resus. ‘Let Resus know to expect the baby,’ Izzy said. ‘Tell them to get a cot ready.’ She took a steadying breath. ‘Emergency-page the paediatric team.’
‘Vivienne!’ Beth instructed the student nurse to carry out Izzy’s instructions, and Vivienne sped off.
‘There’s going to be a lot of overhead chimes,’ Izzy explained to Nicola, ‘but that’s just so we can get the staff we need down here quickly for your baby.’
The membrane was intact, Izzy could see it bulging, and she used those few seconds to question her patient a little more, but there were no straightforward answers.
‘I only found out last week. I’ve got a seven-month-old, I’m breastfeeding…’
‘Have you had an ultrasound?’ Izzy asked.
‘She’s just come from there,’ Beth said for Nicola, but, as was so often the case in Emergency, a neat list of answers rarely arrived with the patient. They would have to be answered later, because this baby was ready to be born.
He slipped into the world a few seconds later, just as a breathless midwife arrived from Maternity and the overhead speaker chimed its request for the paediatric team to come to Emergency. He was still wrapped in the membrane that should have embraced him for many months more and Izzy parted it, using balloon suction to clear his airway. He was pale and stunned, but stirring into life as Izzy cut the cord. Though outwardly calm, her heart was hammering, because difficult decisions lay ahead for this tiny little man.
‘You have a son,’ Izzy said, wrapping him up and holding him up briefly for Nicola to see. Though seconds counted in the race for his life, Izzy made one of the many rapid decisions her job entailed and brought the baby up to the mother’s head, letting her have a brief glimpse of him. Nicola kissed his little cheek, telling him that she loved him, but those few brief seconds were all there was time for.
Beth had already raced over to Resus, and Izzy left Nicola in the safe hands of the midwife and student nurse as she walked quickly over to Resus holding the infant. A man, dressed in black jeans and a T-shirt, joined her. Walking alongside her, he spoke with a heavy accent.
‘What do we know?’
‘Mum’s dates are hazy,’ Izzy said, and though he had no ID on him, there was an air of authority to him that told her this was no nosey relative. ‘About twenty-three weeks.’
‘Mierda!’ Izzy more than understood his curse—she was thinking the same—this tiny baby hovered right on the edge of viability. At this stage of pregnancy every day in utero mattered, but now he was in their hands and they could only give the tiny baby their best care and attention.
‘Diego.’ Beth looked up from the warming cot she was rapidly preparing. ‘That was quick.’ The chimes had only just stopped summoning the staff, but he answered in that rich accent, and Izzy realised he was Spanish.
‘I was just passing on my way for a late shift.’ He had taken the baby from Izzy and was already getting to work, skilfully suctioning the airway as Izzy placed red dots on the baby’s tiny chest. ‘I heard the call and I figured you could use me.’
They certainly could!
His large hands were rubbing the baby, trying to stimulate it, and Izzy was incredibly grateful he was there. His dark hair was wet so he must have stepped straight out of the shower before coming to work. He had gone completely overboard on the cologne, the musky scent of him way too heavy for a hospital setting. Still, she was very glad he was there. As an emergency doctor, Izzy was used to dealing with crises, but such a premature baby required very specific skills and was terrifying to handle—Diego was clearly used to it and it showed.
‘Diego’s the neonatal…’ Beth paused. ‘What is your title, Diego?’
‘They are still deciding! Sorry…’ Dark brown eyes met Izzy’s and amidst controlled chaos he squeezed in a smile. ‘I should have introduced myself. I’m Nurse Manager on the neonatal unit.’
‘I guessed you weren’t a passing relative,’ Izzy said, but he wasn’t listening, his concentration back on the baby. He was breathing, but his chest was working hard, bubbles at his nose and lips, and his nostrils were flaring as he struggled to drag in oxygen.
‘We need his history,’ Diego said as he proceeded to bag the baby, helping him to breathe. He was skilled and deft and even though the team was just starting to arrive he already had this particular scene under control. ‘You’re late.’ Diego managed dry humour as the anaesthetist rushed in along with the on-call obstetrician and then Izzy’s colleague and friend Megan.
Her fragile looks defied her status. Megan was a paediatric registrar and was the jewel in the paediatric team—fighting for her charges’ lives, completely devoted to her profession. Her gentle demeanour defied her steely determination when a life hung in the balance.
Megan would, Izzy knew, give the baby every benefit of every doubt.
‘Ring NICU.’ This was Diego, giving orders, even though it wasn’t his domain. They urgently needed more equipment. Even the tiniest ET tube was proving too big for this babe and feeling just a touch superfluous as Megan and Diego worked on, it was Izzy who made the call to the neonatal intensive care unit, holding the phone to Diego’s ear as he rapidly delivered his orders.
Though Megan’s long brown hair was tied back, the
