felt. He could remember the first time he successfully defibrillated someone and the amazing satisfaction in getting them back. It didn’t happen nearly often enough, and Kathryn was looking at him as though he’d arranged all this as a special gift to mark her first day at work.
Good grief. She looked as though she might actually give him a hug or a kiss or something. Tim stepped back hurriedly. Fantasy was much safer. He’d never factored in that electric current that Kathryn seemed to generate around herself. He had remembered her looks well enough—the colour and curl of her blond hair, the cute upturned nose, the wide blue eyes with that hint of anxiety. He hadn’t seen her smile during that first encounter, however, and that seemed to be what was generating the current.
‘All done?’
‘Almost.’ Kathryn bit her lip, clearly trying to control her smile. ‘He thanked me, Tim, can you believe that? He looked dead only a few minutes ago and there he was sitting up and saying thank you.’
‘You did a great job,’ Tim said warmly. ‘Well done.’
‘We saved someone, didn’t we, Tim?’ Kathryn gave a tiny wriggle, like an overjoyed puppy. ‘We really saved someone.’
‘Yeah.’ Tim couldn’t prevent his own grin. ‘Don’t expect me to lay on a case like that every day, though. Consider it a ‘‘welcome to Inglewood’’ job.’ Grabbing the pile of dirty linen from the floor, he turned away. What was he saying? He didn’t want to welcome Kathryn to Inglewood.
What he really wanted was to ring the ambulance training manager and request a transfer of his probationary assistant. Yeah…right. Tim snorted as he shoved the linen into the bag inside the emergency department doors. Kathryn was lacking in confidence quite enough. He could never be so cruel as to let her think she wasn’t up to scratch as far as he was concerned.
What could he say, anyway? Sorry, but I really fancy this chick and she’s married to someone else so it’s kind of like letting a starving man look at a roast dinner in a glass box?
Besides, whatever else it had stirred up, the case had broken the ice. They were given a transfer job next, to take a patient from the emergency department to a convalescent ward in a small rural hospital well north of Wellington. It was over an hour’s drive and Kathryn sat in the back with the elderly female patient on the way there. Tim could hear her chatting happily to the woman, who was remarkably fit, considering her age was well into her nineties, and he smiled more than once as he indulged in a spot of shameless eavesdropping. Having a partner who could establish an easy rapport with a patient was a real bonus. There was nothing worse than a long trip with a totally silent set of passengers. The turn of the conversation in the back as they neared their destination made him listen even more carefully.
‘So Bill was your third husband?’
‘They say it’s third time lucky, dear, and in my case it was absolutely right.’
‘So what happened to your other husbands?’
‘The first one ran off with the wife of one of his customers. He sold cars, you know. That was in 1935 and it was a complete scandal. I was far too ashamed to try and get a divorce. It just wasn’t done in those days.’
‘So how did you manage to marry husband number two?’
‘Charlie got himself run over. In his own car yard, would you believe?’
‘That was considerate.’ Tim could hear the grin in Kathryn’s voice.
‘I thought so. Mind you, then I married Stanley and he didn’t turn out to be a good choice. He hit the bottle rather hard, if you know what I mean. Then he went and got himself killed in the Second World War. It was quite a while before I was tempted to try again but Bill and I had forty wonderful years together. Are you married, dear?’
‘Yes.’
‘Your first husband?’
Kathryn laughed. ‘Yes.’
‘How long have you been married?’
‘Five years.’
‘You look happy enough so I guess you chose the right one.’
‘I guess I did.’
Suddenly Tim didn’t feel very interested in eavesdropping any further. He turned on the radio and changed stations to find some music that wouldn’t offend their patient. Kathryn also seemed inclined to change the subject. Tim could see her on her feet, keeping one hand on a locker handle to keep her balance as she made her patient more comfortable by adjusting her pillow.
‘Would you like another blanket, Mrs Ramsey?’
‘I’m quite warm enough, thank you, dear. We must be almost there by now, mustn’t we?’
‘I think so.’ Kathryn leaned forward, poking her head into the front compartment. ‘How much further is it, Tim?’
‘Only another five or ten minutes. It’s a nice little hospital. They usually give us a cup of tea before we have to head back.’
Tim insisted on driving back to the city as well. Having something to concentrate on besides his new partner was definitely in order. Keeping the conversation strictly professional also seemed a good idea.
‘Any questions you want to ask? About this morning’s job?’
‘Yes.’ Kathryn sounded eager. ‘You said the patient was in complete heart block. I’m comfortable with recognising the shockable rhythms but it was a very condensed ECG course and I’m ashamed to say a lot of it went over my head.’
‘You can’t be expected to know everything. You’ve got a far better knowledge base than most probationary ambulance officers. You’ll find you pick up a lot on the job and you’ll have more classroom time coming up as well.’
Tim glanced in Kathryn’s direction as he finished speaking, to find her gaze fixed on his face and her eyebrows raised expectantly. She wanted to hear more than reassurance. Tim smiled as he looked ahead at the long, quiet road winding through hills dotted with sheep like mushrooms.
‘Complete heart block is third-degree heart block and it’s where the atrial contraction is normal but no beats are conducted to the ventricles.’
‘So that’s why the rate was so slow? It was a ventricular escape rhythm?’
‘Yes. And if you look at the trace you’ll find p waves that have no relationship to the QRS spikes.’
‘We’ve got a copy of that trace, haven’t we?’
‘It’s rolled up and in with the case report forms.’
Kathryn opened the box compartment of the metal clipboard the forms were attached to. She soon had several metres of trace paper uncurled over her knees, examining the recording that covered the various heart rhythms their case had presented.
‘Look, that’s where we defibrillated him! Ventricular fibrillation and straight back into sinus rhythm.’ Kathryn sighed happily. ‘Wasn’t it great?’
‘Sure was.’ Tim enjoyed a moment of the kind of enthusiasm
