Slowly, slowly she calmed down…
For about eighteen seconds.
* * *
Someone else, Felicity realised as she was given handover on her early shift the next morning, hadn’t had a very good night either.
Jessica Hammel had been given gel to ripen her cervix the previous evening and had spent an uncomfortable night. She had just started to complain about her contractions and had vomited, but there were no regular strong contractions to speak of, and Dr Habib was on his way to see her.
‘Just keep an eye,’ Martha the charge nurse said.
It was obviously nice for Jessica to see Felicity’s familiar face when she walked in to greet her and her husband, Garth.
‘How are you doing?’ Felicity asked, but Jessica didn’t answer. She closed her eyes and clutched her stomach as a wave of pain hit.
‘They’re coming more regularly now,’ Garth said to Felicity, rubbing his wife’s back, as he had done on four occasions before.
Instinctively Felicity’s hand moved to the patient’s stomach, to feel the strength of the contraction.
‘She doesn’t look well,’ Garth said, and privately Felicity agreed with him. Helen was standing by the bed, assessing her new midwife, and Garth was concerned for his wife and trying to tell himself he was imagining things. ‘Mind you, it’s been a while…’
Felicity nodded, worried that there was no tightening. She looked over to the CTG to confirm her findings. Jessica wasn’t having a contraction, although clearly she was in pain.
‘Helen?’ She gave that wide-eyed smile that was familiar to nurses the world over, which meant help was required, and then smiled back to her patient, who was opening her eyes now that the pain had passed, two hands on her stomach now, both Felicity and Helen, assessing the odd situation.
‘I’m paging Dr Habib now…’ Helen said—not that Jessica noticed. She was vomiting again, and her blood pressure was low as Felicity checked it. Far from being supernumerary now, she laid Jessica down and applied oxygen. She tried to comfort Garth too as she inserted an IV, and Helen urgently typed in the message to be sent directly to the doctor’s pager.
‘What’s going on?’ Garth was taking deep breaths, trying to stay calm, and all Felicity could do at this stage was answer him honestly. ‘I’m not sure, but Dr Habib is on his way.’
‘Is it the baby?’
Felicity’s eyes flicked to the foetal monitor, to the strong, regular heartbeat, and swallowing a fraction she shook her head. ‘The baby seems fine. Dr Habib will be here soon.’
In moments in fact, and Dr Habib was instantly concerned. He examined his patient and it was clear his excellent reputation was well earned. He didn’t dither. Instead he told Helen to summon the on-call surgeon, and Felicity’s heart tightened several times as she heard the word Karim.
He must have rolled out of the on-call bed instead of his undoubtedly more luxurious one at the palace, because he was there in a matter of moments, dressed in navy theatre scrubs. Instantly he commanded the room. And yet in an unexpected but very kind touch he nodded to Garth and very briefly shook his hand, explaining who he was, before he palpated Jessica’s abdomen.
‘I’m Karim Zaraq—the surgical consultant on call.’
Whether Garth knew of his title was irrelevant to him and irrelevant to Karim at this hour. Felicity watched as a very calm surgeon assessed a very ill patient and came to a rapid decision.
‘Your wife has to go straight to Theatre. Till I get her there I cannot be sure, and there is no time to confirm my diagnosis with ultrasound, but I believe your wife has an intestinal obstruction. I need to operate—along with Dr Habib.
‘Ring Theatre and alert them.’ Karim nodded to Helen, who was already on it as Felicity prepared a trolley for the urgent run to Theatre. ‘I need you to sign a consent form,’ Karim said to Jessica’s stunned husband, scribbling on paperwork as he spoke. Calm but concerned, he explained that though he had a provisional diagnosis until he operated he could not know exactly what was wrong—and that it was better in this case to act rather than wait and investigate. He held the man’s eyes as he offered the pen, and added that he would do everything he could to save Garth’s wife and his baby. Garth didn’t hesitate.
Felicity and Helen both dashed with the patient to Theatre. Jessica bypassed Reception and was moved straight through to the operating room. Felicity and Helen pulled on shoe-covers and caps, and helped the porters and theatre staff to move the patient to the operating table as the rest of the theatre staff methodically and rapidly set up. The anaesthetist was lovely—Felicity caught a waft of an American accent as she chatted to her semi-conscious patient—and then it was all under control. Jessica was Theatre’s patient now. An anaesthetic was about to be administered; her stomach was being prepped. Felicity and Helen were politely thanked, which meant they must leave, because—as the theatre charge nurse said—‘We’ll take it from here.’
Felicity wasn’t looking for him, but her eyes found him. She saw him scrubbing up at the sink, washing each nail in detail. He glanced up and for a second held her eyes. With her eyes she wished him all the best for the operation, told him that she missed him, that she needed to talk to him, and his eyes told her the same.
And then he was back to his nails, back to doing what surgeons did—saving lives.
Jessica got the little girl she was hoping for. She was a gorgeous baby too, bonny and pink and covered in vernix. The baby was soon returned to the labour ward, where Garth met his daughter and spoke to Dr Habib, and then came the arduous task of waiting for news on his wife.
She had had an intestinal obstruction, Dr Habib explained, and considerable adhesions which had been caused by the tummy tuck. It would be a complicated procedure but, Dr Habib added, ‘Her surgeon asked me to pass on that he is quietly confident that your wife will be fine.’
Felicity watched as Garth blew out his breath and she did the same. She was so grateful, as she popped in regularly on father and daughter, that Karim hadn’t kept this man waiting. He had been aware of the agony of waiting and had offered some much needed hope.
It took a couple of hours for hope to be formally delivered.
Karim, tired but elated, smiled as he walked into the nursery, where Felicity was checking the baby’s temperature as Garth watched anxiously on.
‘Your wife is fine.’ He got straight to the point. ‘It was a difficult operation because there were a lot of adhesions. I had to remove some bowel, but I achieved a healthy anatomises—’ He frowned and checked himself. ‘A good union. There is no colostomy.’ He carried on with the good news as Garth stood, tears streaming down his face, and then Karim moved onto the not so good—which, after all Jessica had been through, sounded like a walk in the park. ‘She will stay in Recovery for a couple more hours and then she will be looked after on my surgical ward by my team. Of course she is postnatal, and has had a Caesarean section, but I would prefer that my team watch her. They know my ways, know the things I like to be called for…’
Helen was here now, telling Felicity to go on her break, and Karim didn’t hang around—as Felicity moved off, so did he. Her respiration rate increased as she walked towards the staffroom, her heart pounding as she felt his eyes
