caught him looking at her and quickly glanced away. Could she tell that he’d just figured out who she was? Years before, she’d trampled over his heart without so much as a backward glance. He’d joined the army intent on seeing the world and had expected her to wait for him. Maybe it had been a lame plan, but it had been the best he could come up with at eighteen. When he’d gotten out of bootcamp, she’d disappeared. When he’d tracked her down, she’d broken up with him. Over the phone!
The skittish nurse shoved something toward him. He jumped back from sorting through memories to the present. She gave him a kit, avoiding his eyes. It was a Foley catheter kit.
“Make yourself useful,” Jan said, jabbing the plastic-covered box at him then quickly turning away.
He glanced at the naked patient lying on the gurney. The young man was in and out of consciousness, and Beck hoped when he catheterized him, for the patient’s sake, he’d be out of it.
As he opened the sterile package and started to set up, he glanced back at Jan, who was completely wrapped up with hanging a unit of blood. She chewed on her lower lip, like she used to whenever she’d concentrated on anything. How had he missed it? All the parts were there, though skewed a bit by time.
Thirteen years had made some major changes to both of them.
Before inserting the catheter, he looked at her one more time. Sure enough, it was January Stewart…the biggest love and the worst heartbreak of his life.
* * *
Jan had managed to avoid Beck after the gunshot-wound patient had been prepped and awaited transfer to surgery. She’d passed him off on a younger nurse who was already captivated by his strikingly handsome looks and who gladly agreed to assist him. As long as Gavin didn’t find out and he got emergency practice, it would make no difference which nurse assisted Beck.
He didn’t react or seem to mind.
Anyhow, there was a group of needy residents with an assortment of patients to keep her busy. And she was.
She’d spent thirteen years putting her life in order. Just because Beck had been her big love in high school it didn’t mean they had anything to reminisce about. Their horrible ending tugged at Jan’s conscience. But now was not the time to relive the past. It couldn’t be changed.
She tamped down the memories and tried not to cringe. Not today. Not when the emergency department was crawling with patients.
Jan escorted her next patient into the last available ER room and handed the young man a gown. “What seems to be the problem?”
“I think I have an infected spider bite, and now it’s spreading.”
He showed her his thigh. She put on a disposable glove and gently touched a red, raised, angry-looking boil. It was warm and definitely infected.
“How long have you had this?”
“About a week now.”
She noticed little pimple-like satellite areas budding around it. “Any fever?”
The patient shook his head no. “But it keeps getting bigger.”
Before she could put the digital thermometer into his mouth, a shadow fell on her.
“Looks like MRSA.”
She glanced over her shoulder and found Beck. Methecillin-resistant staph aureus was a perplexing condition, cropping up in and out of hospitals. How he could make a snap diagnosis like that astounded her. And blurting it out right in front of the patient showed poor judgement.
“I’ll have Dr. Riordan take a look,” she said, dismissing Beck.
“You play team sports?” Beck walked around her and faced the patient.
“I’m on a football team.”
“Anyone else have ‘spider bites’?”
“You know, a couple other guys might, come to think of it. We thought we got ’em on our last away game.”
Beck glanced at Jan. “Trust me, its MRSA. If we don’t treat it properly now, he runs the risk of developing myositis. Rather than wasting time treating with the wrong antibiotic, I’d lance and drain it, get a culture tonight. Save the cost of an expensive antibiotic and a return visit to the ER.”
“We’ll be right back.” Jan strained a smile at the patient, excused herself from the bedside and escorted Beck out of the room by his elbow. “What are you doing?” she said, once in the hall. “The kid hasn’t even been examined by a doctor yet, and you’re already diagnosing and treating him?”
“I’ve been in the military for years and I’ve seen MRSA all over the place. Believe me, it’s a waste of time treating him with antibiotics alone, especially if the staph infection is resistant to it. He’ll just be back in here next week with more of those boils, and they’ll be ten times worse.”
Jan glared at him, until he gave her a sarcastic smile. She hated it when he grinned so smugly like that. Just like the time standing by the lockers in high school after art class when he’d first figured out how much she’d liked him. She spun around and strode down the hall to Dr. Riordan’s office. He’d obviously figured out who she was. Her only line of defense? Avoid him!
“Dr. Riordan, can you do a quick examination of a spider bite?” She glanced down the hall to find Beck already gathering the equipment he’d need to lance and drain the eruption, and her face went angrily hot. She bit back her thoughts and followed Dr. Riordan down to the exam room, hoping he’d put Beck in his place.
After doing a quick assessment and patient interview the doctor said, “Looks like MRSA.”
So much for back-up.
“We can either treat you with broad-spectrum antibiotics, which may or may not help, or we can open and drain the area tonight, stitch you up and send you home. We’ll get culture results in forty-eight hours and make sure you’re on the right antibiotic. Then you can follow up with your primary-care physician next week.”
Jan felt conspired against as she chewed her lower lip and had the patient sign the consent for the procedure. She started to leave the room when Beck rolled his tray of equipment inside.
“Stick around,” he said. “I’ll need your help.”
The exam room took on a red cast as she swallowed her anger and nodded her head, knowing this was a one-man job. As long as he didn’t let on that he knew who she was, she’d play along with his little game, even if it meant her blood pressure getting elevated.
With her throat growing sorer by the minute, and her nasal congestion getting worse, she’d avoid him tomorrow by calling in sick to work.
* * *
Beck finished the last stitch and turned to Jan. “You can take it from here.”
She nodded dutifully, but refused to look at him. He smiled at the patient, who thanked him, then left the room.
It was almost more than he could do not to grab her by the arm and drag her down
