MRI scan to rule out any problems within the brain, like subdural bleeding, for instance.’ Catherine ran her finger down the list, checking off each test and its conclusion. ‘Dr Williams has eliminated labyrinthitis, which is often a cause of dizziness, because there was no sign of inflammation in your inner ears. She has also discounted Ménière’s disease because you’ve not experienced any deafness or tinnitus—that ringing in the ears which is symptomatic of the disease. You’ve also had three pregnancy tests and all have proved negative.’
Catherine glanced at the woman as she came to the end of the list and noticed how Lauren had quickly averted her eyes. Had it been the mention of the pregnancy tests which had caused that reaction? she found herself wondering.
She picked up a pen and pretended to jot down some notes while she gave herself time to think. Maybe that was the cause of Lauren’s frequent visits to the surgery, the fact that she and her husband had been trying—unsuccessfully—to have a baby? The stress of not conceiving could certainly cause physical symptoms such as dizziness. However, if that were the case, then why was Lauren so reluctant to talk about the problem and seek help? Catherine decided to tread carefully rather than ask her outright.
‘I think another pregnancy test would be in order today just to rule out that possibility again.’ She took a sample jar out of the drawer and passed it across the desk but Lauren shook her head.
‘I’m not pregnant, Dr Lewis. I…I know that for a fact.’
‘I see.’ Catherine sat back in her chair and studied her quietly. ‘Are you and your husband trying for a baby by any chance?’
‘No!’ Lauren laughed bitterly. ‘A baby’s the last thing we need at the moment.’ She made an obvious effort to collect herself. ‘Anyway, that really has nothing to do with why I came today. I just thought—hoped—that you might be able to shed some light on these dizzy spells I keep having all the time.’
‘I wish I could. However, it does appear that you’ve had all the tests available, which seems to suggest that the problem isn’t anything physical.’ Catherine chose her words with care. ‘Stress can often be a major contributing factor in a situation like this, Mrs Hoskins. Is there anything worrying you at the moment? Maybe something stressful happening at work or a situation at home which needs resolving?’
‘No, of course not! Everything is fine…perfectly fine, both at work and at home! It’s just these dizzy spells. That’s all.’ She stood up abruptly. ‘Anyway, I won’t waste any more of your time, Dr Lewis. Thank you for seeing me. Good day.’
Catherine hurriedly got up and followed her to the door. Despite what Lauren had said, she sensed there was something very wrong. ‘Please, don’t rush off, Mrs Hoskins. I’d really like to try and get to the bottom of this problem.’
‘It doesn’t matter, Dr Lewis. As you said, I’ve had all the tests available so there doesn’t seem much else you can do.’
She quickly left the room. Catherine frowned as she watched her hurrying along the corridor. She couldn’t help wondering if she should go after her. It was disquieting to have provoked such a reaction from a patient…
‘Problems?’
Matthew had come out of his consulting room and paused when he saw her standing in the corridor. Catherine shrugged, trying to ignore the surge her pulse gave. He had been already hard at work when she had arrived that morning so it was the first she’d seen of him that day. She couldn’t help thinking how well the blue of his shirt set off the colour of his eyes, making them sparkle like sapphires.
She hurriedly chased away that fanciful thought before it could take hold. ‘I’m not sure.’
‘You’re not sure?’ Matthew grinned. ‘Oh, wow, that must be a first!’
Catherine stared at him in bewilderment. ‘What do you mean?’
‘That I never thought I’d hear you admit there was anything you weren’t sure about.’ His eyes danced with laughter, making her long to smile back. She managed to curb the urge but it was a struggle all the same.
‘I don’t know what you mean,’ she retorted, turning to go back into her room.
‘Don’t you?’ Matthew followed her inside and propped himself against the doorjamb as he treated her to a considering look. ‘So the fact that you’ve not made any attempt to ask my advice isn’t an indication that you prefer to go it alone in the face of whatever adversity?’
His tone couldn’t possibly have caused offence, but Catherine knew that he was still making a point. She hadn’t made any attempt to seek him out even though there had been several occasions when maybe she could have done with his help. Oh, not that there had been anything that she hadn’t been able to deal with, of course, but there had been a couple of instances when it would have been helpful to supplement a patient’s history with a bit more background information.
It was galling to admit that she had allowed her personal feelings to influence her to such a degree. It had never happened before and she couldn’t understand why it had happened now. It was difficult to keep the worry out of her voice when she replied.
‘Everything has been fairly straightforward so far.’
‘I see. So it wasn’t because you were afraid to ask my advice, then?’
‘Afraid?’
Her heart surged into her throat as that remark he’d made about her being vulnerable sprang to mind again. She wasn’t sure why it bothered her so much. Maybe it was this feeling she had that Matthew could see more than she wanted him to that troubled her. To the world at large she had always presented such a confident front yet she knew that underneath it she wasn’t really like that. Inside there was someone completely different, a woman who had fears and uncertainties she had never told anyone about. Did Matthew suspect that? It was that question which worried her most of all.
‘Yes.’ He sighed. ‘I’d hate to think that I came across as unapproachable so if you have a problem, please, don’t be afraid to ask my advice. If there is any way that I can help you, Catherine, then you only have to say the word.’
He grinned. ‘Although I’m not trying to set myself up as some sort of oracle, you understand, or claim that I have all the answers. There is a hidden agenda to that offer. It means that I can pick your brains whenever I need help!’
Catherine felt an immediate rush of relief when she realised that she had completely misread the situation. Matthew was simply trying to promote a closer working relationship, not trying to uncover her innermost secrets.
She smiled back, feeling the tension oozing out of her. ‘The old two heads are better than one theory?’ She laughed when he nodded. ‘Well, I’m a firm believer in it, too, so I’ll take you up on your offer straight away. What do you know about Lauren Hoskins? I know she’s Glenda’s patient but has Glenda ever mentioned her?’
‘She has, actually. She had a word with me the last time Lauren came to see her because she, too, was puzzled. Evidently, Lauren has had every test under the sun and they’ve all come back negative.’
‘That’s right.’
Catherine turned to the computer so she could check through the patient’s case history once more. She started nervously when Matthew suddenly appeared at her side and bent to look over her shoulder.
