goes, we’re staying with the New York Heart Association functional classes. As you can see, mild is class one and scores two. Severe is class three and scores fourteen. If there is coronary artery disease present as well, it puts it into class four and we can add ten to the overall score.’
Luke had the score sheets projected onto the wall. He was going to cover all the non-coronary revascularisation type of patients like valve replacements and then he’d run through the more complex scoring system for patients who had arterial disease. He was being clear and methodical and making sure everyone understood. People were nodding approvingly. A system like this could make prioritising people on the waiting lists much more straightforward.
Charlotte was one of those nodding. As though she would be only too happy to be filling in the score sheets on her patients and adding her comments to the feedback that would be required. But how long would she be around to be doing that?
It was all very well having secrets but it was also annoying. When were they planning to share the information and allow arrangements to be made for Charlotte’s absence for maternity leave? For James to be covered at the time of the baby’s arrival? For a new member of staff to be advertised for, if necessary?
No wonder there was such prejudice against women in top positions. Imagine if she was pregnant herself? Even if she worked up to the last possible moment and then took minimal maternity leave, the disruption to the department would still be huge.
Unthinkable. It always had been.
So why was she watching Charlotte surreptitiously right now instead of focusing on the information Luke was presenting? Wondering what her colleague was thinking and how she’d come to the conclusion that having a baby was more important than her career. What it might be like to feel a new life growing and moving within your own body. To face the enormous responsibility of caring for that baby when it was born.
The disturbing niggle was annoyance, not envy. Luke needed to know. He had quite enough on his plate settling back into running such a busy department and working the kind of hours he did with the extra stress of recovering from a major physical injury. Maybe it wasn’t her place but Anna wanted to warn Luke. She could help him put arrangements into place to make sure they could cope with the inevitable disruptions.
Her gaze was on the head of department now. He was talking about the Canadian Cardiovascular Society’s criteria for grading angina.
‘The class is assigned after appropriate treatment, not at the time of admission or diagnosis.’
Luke stood tall but relaxed and his voice was clear and authoritative. What was the X factor in the way he presented himself that got people on side so easily? Anna found herself biting back a smile. It certainly wasn’t his warm and friendly countenance. He was always so serious, often looking grim, and he could be downright impatient with staff who couldn’t get up to speed quickly enough. He was utterly closed off on a personal level and yet he drew everyone in.
Already this department felt more cohesive than it had under her own leadership. There was enthusiasm for all sorts of projects that might otherwise have been seen simply as more paperwork and stress. In the space of just a few short weeks they had a new rostering system in place, had been chosen for this pilot centre for an important national initiative and several new research projects had been kicked off.
Maybe that X factor was because of the sense that Luke was driven, despite—or perhaps because of—the physical challenges it now incorporated. Anyone could see how hard it was for him to be on his feet all day and keep up with such a demanding schedule. This job was his life and he was going to do it so well that anyone who chose to get on board would have an unexpectedly satisfying ride.
And she was one of them. Funny how the resentment she’d felt at Luke returning to take his leading role in the department had faded so quickly. Perhaps it had been pushed away completely because she’d been watching him so carefully and the more she saw, the more compelling this man was becoming. Had she really thought she wouldn’t learn from him? It wasn’t just his technical excellence in Theatre. Apart from that momentary wobble on his first day back, Anna hadn’t seen anything that would have undermined her opinion that he was one of the best in his field. It was rare for someone so good on the practical side to be so competent at administration, but Luke really seemed to enjoy the challenge of running a large department effectively.
Yes. The closer she could stay and work with Luke the more she could benefit. She wanted them to be a close team.
How close?
The odd question came from a part of her brain that was normally closed off at work. The kind of disruptive thought that had never been a problem in the past but, curiously, had started to plague her out-of-work hours lately. She couldn’t distract herself easily right now either. She was trapped, motionless, and she had already been distracted by the people around her.
‘Scores for the ability to work or give care are a little more subjective,’ Luke was saying. ‘Especially the middle category when it’s threatened but not immediately.’
Anna’s concentration was certainly threatened. She didn’t need a sideways glance at the Alexanders to remind her of married couples amongst her colleagues. It happened all the time. Didn’t they say that you were most likely to meet the person you were going to marry amongst the people you worked with?
It wasn’t going to happen to her. The desire for a husband and family—if it had ever been there—had been dismissed long ago. About the time she’d discovered the passion she had for surgery and it had become obvious that if she was going to have any chance of getting to where she wanted to be, it had to be the only thing that mattered in her life.
Adopting a puppy had been extraordinary enough. A substitute baby? No. You couldn’t leave a baby in the house for a helpful neighbour to collect and care for while you were at work. Or leave a pile of newspaper on the floor so you didn’t have to get up in the middle of the night to deal with toileting issues. She still had to factor in collecting Crash every day from the yard he shared with June and Doug’s dogs. To take him for a walk on the beach and spend time training and playing with him. To listen to the snuffles and odd whimpers in the night from his bed in the corner of his room. All in all, it was a major upheaval in her life. Not that she wasn’t getting a lot of pleasure from it. And if it was a substitute child it was as close as she ever wanted to get, that was for sure.
No family, then. And what was the point of a husband if you weren’t planning on having a family?
A partner was something different, however.
A lover.
At this point in the meeting Anna very uncharacteristically stopped listening to anything being said around her. She was watching Luke’s hands as he shaped the size of whatever it was he was talking about. Strong, tanned, capable hands.
She couldn’t stop herself imagining them running down the length of her spine. It would be no effort to fit the curve of her bottom into their grip and he would be able to pull her against his own body with no more than the slightest pressure. It would feel lean and hard, like his face.
And he would have turned that blinding focus onto her. Those incredible blue eyes would be on her face. On her lips as he dipped his head … slowly … to kiss her.
Oh … dear Lord … With a huge effort, Anna managed to tune back into her surroundings just as the meeting was wrapping up. People were closing diaries and starting to chat. Charlotte pushed back her chair and stood up.
‘Just before
