abdomen, making a lake on the floor. As he concentrated on finding the source of the bleeding, pain burned through his shoulder and down his arm, just as it had done last night and most every other night. It kept him awake and daylight hadn’t soothed it any. Even his favourite highland malt whisky hadn’t touched it.
‘Pressure’s barely holding, Finn.’ The voice of David, the anaesthetist, sounded from behind the sterile screen. ‘Evie did a great job getting him stable for you.’
‘Humph.’ Finn packed more gauze around the liver. He sure as hell hadn’t been in the mood to see Evie. The sharp tilt of her chin, the condemning swing of her honey-brown hair, which matched the reproving glance from those warm hazel eyes, had rammed home how much he’d hurt her the night he’d slept with that nurse from OR.
He’d had no choice.
You always have a choice. You chose to hurt her to protect yourself.
The truth bit into him with a guilt chaser. Giving in and letting his body sink into Evie’s and feeling her body cradling his had been one of those things that just happened between two people in the right place at the right time, but the rush of feeling it had released had been wrong on so many levels. Letting people get close had no value. It just paved the way to heartache and despair, so he’d done what he’d needed to do. But a kernel of guilt burrowed in like a prickly burr, and it remained, making him feel uncomfortable, not just for Evie but for the nurse, whose name he couldn’t remember.
Finn grunted his thanks as the surgical registrar kept the suction up while he zapped another bleeder. The blood loss appeared to be easing, and with the patient’s pressure holding he was confident he was winning the battle. ‘You’re new. Who are you?’
Tired eyes—ones that could match his for fatigue and lack of sleep—blinked at him for a moment from above the surgical mask. ‘Hayley Grey. I’ve been at The Harbour a few weeks, but mostly on nights.’
More blood pooled. His chest tightened. God, this liver was a mess. ‘I don’t need your life story.’
She spoke quietly but firmly. ‘I’m not giving it. This is my final rotation. By the end of the year I should be qualified.’
‘You hope. The exam’s a bastard.’ The packs around the liver were soaked again. ‘More packs.’ He removed the old ones and blood spurted up like a geyser. Monitors screamed with deafening intent.
‘Hell, Finn, what did you do?’ David’s strained voice bounced off the theatre walls. ‘More blood. Now.’
‘It’s under control.’ But it wasn’t. Blood loss like this only meant one thing—a torn hepatic vein. Damn it, the packs had masked it and he’d been dealing with minor bleeders as a result. He pushed the liver aside and gripped the vein between his thumb and forefinger. ‘David, I’m holding the right hepatic vein shut until you’ve got some more blood into him.’ He raised his gaze to his pale registrar. ‘Ever seen a rapid trauma partial liver resection?’
She shook her head. ‘Will you use a laser?’
‘No time.’ With his left hand he pointed to a tear in the liver. ‘I learned this in the army. We start here and do a finger resection. I can have that liver into two pieces in thirty seconds.’ He was gripping the vein so hard that his thumb and index finger started to go numb. ‘Ready, David?’
‘One more unit.’
‘Make it quick.’ He pressed his fingers even harder, although he couldn’t feel much. ‘I’ll need a clamp and 4-0 prolene.’
‘Ready.’ The scrub nurse opened the thread.
‘Be fast, Finn.’ There was no masking of the worry in the anaesthetist’s voice.
‘I intend to be. Keep that sucker ready, Ms Grey.’
He released his grip and slid his fingers through the liver. The expected tingling of his own blood rushing into his numb fingers didn’t come. They continued to feel thick and heavy. ‘Clamp!’
He grabbed it with his left hand and saw surprise raise the scrub nurse’s brows.
‘Hurry up, Finn,’ David urged. ‘Much longer and there’ll be more blood in the suction bottle than in the patient.’
Blood spewed, the scream of monitors deafened and sweat poured into his eyes. You’re losing him. ‘Just do your job, David, and I’ll do mine.’ He snarled out the words as he managed to apply the clamp.
He flexed his fingers on his right hand, willing the sensation to return to his thumb and index finger. He could do some things with his left hand but he couldn’t sew. He accepted the threaded needle from the scrub nurse and could see the thread resting against the pad of his thumb. He couldn’t feel it. With leaden fingers he started to oversew the vein but the thread fell from his numb fingers. He cursed and tried to pick it up but the lack of sensation had him misjudging it. He dropped it again.
Another set of fingers entered the field, firmly pushing the sucker against his left palm and deftly picking up the thread. With a few quick and dexterous flicks, the registrar completed the oversewing before taking back the suction.
Finn’s throat tightened and he swallowed down the roar of frustrated fury that she’d taken over. That she’d needed to take over. He barked out, ‘Remove the clamp.’
Hayley removed the clamp. All eyes stared down.
The field mercifully stayed clear of blood.
‘Lucky save, Finn,’ said David from behind the screen.
Except David hadn’t seen who’d stopped the bleeding.
Brown eyes slowly met Finn’s but there was no sign of triumph in the registrar’s gaze, or even a need for recognition that she’d been the one to save the patient. Instead, there was only a question. One very similar to the query he’d seen on Luke’s face. And on Evie’s.
Don’t go there. He stared at Hayley. ‘And next, Ms Grey?’
‘We complete the resection of the right side of the liver?’
‘And you’ve done that before?’
‘I have, yes, during elective surgery.’
The pain in his arm grew spikes and the numbness in his finger and thumb remained. Any hope that it would fade in the next few minutes had long passed. ‘Good. You’re going to do it again.’ He stepped back from the table and stripped off his gloves then spoke to remind her of hospital protocol.
‘Oh, and, Ms Grey, as surgical registrar you must attend the series of lectures that start today. They count toward your professional hours. Your log book needs to be verified and notify my secretary of the conferences you wish to attend so they can be balanced off with the other registrars’ requirements.’
He didn’t wait for a reply. As chief of surgery it was his prerogative to leave closing up to the minions. The fact that today he’d needed to scared him witless.
Hayley accepted the tallest and strongest coffee the smiling barista said she could make and hoped the caffeine would kick in fast. The plan for the day had been to sleep and arrive just in time for the
