style="font-size:15px;"> ‘I think…’ Ellie spoke after a loaded pause and her voice sounded strange. ‘That might be quite a good idea, don’t you, Sarah?’
Equally strangely, Sarah had closed her eyes as though offering up a silent prayer. She opened them slowly, stared at Ellie for a second and then turned her head towards Rick.
The gaze was so intense it rang alarm bells that were positively deafening. What the hell was going on here?
‘Yes.’ Sarah sounded perfectly calm, which was weird in itself. ‘It is a good idea. Can we go now, please?’
Josh had been diagnosed with leukaemia here at Queen Mary’s and it became rapidly obvious that he was a favourite patient amongst the paediatric oncology staff that got summoned to the emergency department. One of the registrars even called his consultant, Mike Randall, who said he would be coming in to see what was happening.
A lot was happening. Numerous blood tests and a chest X-ray. An exhaustive physical examination, abdominal ultrasound and a lumbar puncture. Jet changed into scrubs and simply went on shift early but Rick was left with little to do but be there and observe, feeling somewhat ridiculous in his dinner suit and the bow-tie, which had come undone but he wasn’t about to bother retying it.
Sarah would have probably felt absurdly overdressed, too, in that long frock and with the flowers still in her hair but it didn’t seem to occur to her. As pale as her nephew, she was there by his side for every moment. Holding his hand for the blood tests and curled protectively close to his head throughout the lumbar puncture procedure. Rustling in her long dress as she walked beside his bed when it was rolled to a different area. She said little but seemed grateful to have Jet and Rick there to smooth the admission process and the transition of care to the oncology department.
Josh was just as stoical as Sarah. The hospital environment and these frightening and painful procedures were a part of life for both of them now and they were in it together. With every passing minute, Rick became more aware of the striking bond between these two. Of their courage. Josh didn’t cry, even once, and Rick was left convinced that Sarah was a vital component of any treatment for this child. The gentle way she touched him, almost constantly, and the way she held direct eye contact throughout the worst moments, infusing him with both strength and comfort, touched something very deep in Rick.
All his younger patients had families that loved them and would do anything they could to help but he’d never witnessed a bond quite like this. They were both special but Sarah…she was astonishing.
By the time the consultant, Mike, arrived, the early testing was complete and Josh had been moved to a private room in the children’s ward. Surprisingly, Max turned up at the same time.
‘What are you doing here, man?’ Rick asked. ‘It’s your wedding night! ‘
‘Ellie sent me in with some clothes for Sarah and to find out what’s happening. How’s Josh?’
‘I think we’re about to find out.’ Rick tilted his head to where Mike was gripping Sarah’s hand.
‘I hoped it would be an outpatient appointment when we got to see you again,’ the older doctor was saying. ‘You’ve only just come down from Auckland, haven’t you?’
‘Yesterday,’ Sarah confirmed wryly.
They both looked at the still figure of the sleeping child on the bed beside them. He had a pulse oximeter on a finger and an IV line snaking up from a heavily bandaged elbow to the stand supporting bags of medicated fluids.
‘Let’s step outside for a minute so we don’t wake him up,’ Mike suggested. ‘He’ll be worn out by now, I suspect.’
He raised his eyebrows as they reached the two men standing by the door. ‘Rick…this is a bit out of your field, isn’t it? And, Max…didn’t I hear you were getting married today?’
‘I did. Sarah was our bridesmaid and Josh was the pageboy.’
‘Ahh…’ Mike’s smile was warm. ‘And there I was thinking you’d all dressed up on my account.’
He pulled the door almost closed behind him and they drifted closer to the window where they could still see Josh. The ward was quiet ant the corridor dimly lit, with evening visiting hours well over. A baby began crying somewhere and a child’s voice called out for her mother. It was a subdued and slightly miserable background.
Mike spoke softly. ‘We still haven’t got all the results back yet, of course. And I’ve scheduled a bone-marrow biopsy and MRI scan for tomorrow morning.’
Sarah made a low sound of distress that cut Rick like a sharp blade. Mike’s face creased in sympathy.
‘I know. I’m sorry. The good news is that his fever’s dropped and his lungs are clear. There’s no significant change in the size of his liver or spleen and his kidney function’s looking good. Even better, this doesn’t look like CNS involvement. I think the symptoms are probably due to a virus and we’ve got treatment under way to deal with it. Antivirals and antibiotics to cover all the bases.’
‘He was going to try and go back to school this week. Said he’d wear a mask even if it made him look like a freak.’
Mike shook his head, dismissing the possibility. ‘We’ll have him in here for a bit. I want to make sure he’s still in remission. If not, we’re going to have to get back into a pretty aggressive chemotherapy programme.’
Sarah closed her eyes and Rick could sense her struggle in trying to find the strength to face what was coming. He felt helpless.
‘What about HSCT?’ he asked Mike. ‘That’s going to be the best option, isn’t it?’
Mike’s expression was grim. ‘No siblings, unfortunately. Sarah’s the only family and she’s nowhere near a match. Nothing’s come up on the bone-marrow register and she hasn’t been able to trace Josh’s father.’ He turned to Sarah. ‘You didn’t get any further in your hunt in Auckland, did you?’
Her eyes were open now. She was staring at Rick but her gaze flicked back to Mike.
‘Actually, I think I did. Quite by chance and only because of Josh being admitted for the chest infection. One of the nurses in the ward had been working there for ages and she seemed to know everybody.’
‘And?’ There was an undercurrent of excitement in Mike’s tone.
‘I’ve got a possibility to chase up. I…I’m just not sure how co-operative he might be.’
‘You think he’d refuse to help?’ Rick could hear more than a hint of outrage in his own voice.
‘He might. He doesn’t even know he’s got a son yet.’
Rick gave a dismissive snort. ‘Tough. It’s not as if he’s had to take any responsibility so far, is it?’
‘No.’
Sarah’s agreement was cautious. She was giving him an odd look, as though wondering why he was pushing this, but there was an element of something like hope in her face and that made Rick feel good. Very good. He was helping here.
‘But that’s not exactly his fault,’
