nodded. Looking at the patient, he could see Jane was already in the process of opening. “Good, then let’s get this patient ready to receive his new liver. He has a family waiting.”
Here in this OR Grant was in control, the best at what he did. He appreciated order. Outside, life was more difficult, unexpected. Now that his father and stepmother were gone, he had to admit to a tinge of guilt over his father dying with their relationship in shambles. When Grant had learned his father hadn’t updated his will after Lily’s birth he’d found it difficult to believe. With his brother unavailable, Grant had been the next in line to receive custody of Lily. He couldn’t let his newborn sister be taken by state services, could he? How would his father have felt about that? He didn’t want to give her up to Evelyn’s aunt and uncle either. This was one task he would demonstrate himself worthy of.
“Doctor, the organ is here.”
A man entered, carrying a cooler. The pace would pick up and Grant would have to apply all his energy to seeing that the bad liver was removed and the new one put into place. He wouldn’t have time to think about Lily.
With the blood vessels clamped off and the organ removed, Grant inspected the new one. “It looks good. Let’s get this done.” Gently he placed the liver into the cavity and began stitching the vessels to it. The phone of the OR wall rang. Grant continued to work.
“Dr. Smythe, it’s for you.”
His brow wrinkled. “Who is it?”
The nursed asked, then called, “It’s a woman who says she’s your nanny.”
“What the hell?” he murmured. Louder, he said, “I can’t speak to her right now.”
The nurse relayed the message. “She is being rather insistent.”
He huffed. “Jane,” he said to the fellow, “would you please check for bleeding and start closing while I get this?”
A soft mumble followed him to the phone. His colleagues must find the situation curious. It was out of character for him to take a call while in the OR. He had a good relationship with his team but he was also known for not tolerating interruptions during surgeries.
He resisted grabbing the phone out of the nurse’s hand. “This had better be good,” he growled into it. “I’m in the middle of surgery.”
There was silence on the other end. Finally a voice said, “It’s Sara Marcum. I’m sorry, I had no idea that they would put me through to the OR.”
That eased his aggravation a little. “Now that you have me, what do you need?”
“It’s late. Since we had no time to talk I wanted to know if I’m supposed to stay the night. I didn’t come prepared for that. I have a father who is expecting me home.”
Grant hadn’t thought of that as he’d rushed out of the house. He’d just assumed... “Yes, I am going to need you tonight. Every night. If you’ll please just make do for now, I promise tomorrow I’ll give you a full list of your responsibilities. I need to get back to my case.”
“I have responsibilities as well but I’ll be here with the baby until you come home.”
“Thank you.” He hung up the phone. What responsibilities? Could hers be more important than a baby or a lifesaving transplant? He paused for a second. Hadn’t she said something about being evicted? Maybe she had gigantic problems as well. He’d get this transplant patient taken care of first and then head for the house. Losing a nanny again wasn’t what he needed.
As he returned to the table his team gave him questioning looks over their masks. He shrugged. “I was given custody of a baby and have a new nanny. Now, can we get this patient closed and out to ICU?”
* * *
Sara hung up the phone. Dr. Smythe hadn’t been happy with her call but he’d left her no choice by leaving so abruptly. With an eviction on the horizon she needed the money this job would bring, but she wouldn’t allow anyone to treat her unprofessionally. He had almost done so by all but throwing the child at her and leaving.
It was time to find that nursery. Sara cradled the baby in her arms and, with the diaper bag slung over her shoulder, she climbed the wide circular staircase to the second floor. Going along the passageway, she searched each room for one that looked like a baby’s room. At the end of the hall, across from the master bedroom, she found a small slice of heaven.
The walls were painted the palest pink. She’d had a pink room growing up. It had been that color when her mother had left. When this little girl became old enough, would she think she had done something wrong to make her mother leave, as she herself had? She hoped not.
Above a snowy-colored crib draped in rosy colored netting was the name ‘Lily’ in white letters on the wall. Lily. Pretty name.
Sara had been in such a hurry on the phone she’d forgotten to ask Lily’s name. It was nice to have one to call her. Sara looked down into the big eyes watching her. The baby looked like a Lily. The disadvantage to knowing her name was that it was another step closer to giving them a personal connection. Knowing someone’s name made you care more, the very thing Sara wanted to guard against.
The regal room fit Lily perfectly. Moving across the thick carpet of a similar quality to what was downstairs, Sara placed the baby in the bed.
What had Dr. Smythe been thinking? Only about himself, handing his child over without so much as telling Sara her name?
The medical field was a small world and she’d heard talk about the young dynamic doctor who did surgery with skill and precision. Still, to give your baby to someone you didn’t know and rush off without concern spoke of self-centeredness, even neglect. Hadn’t her mother done something similar with her? Sara had grown up thinking she’d caused her to leave. No child should wonder something like that.
Locating the diaper stacker on the closed double doorknob, she had Lily changed in no time. Her job as a nursing aide during her school years had been teaching summer help how to change diapers. Back then she’d enjoyed working with babies. Now she usually steered clear of them.
Lifting Lily off the bed with her little limbs flailing, Sara went to the rocker next to a window that looked down over the garden. A large oak limb hung just outside. Every child should have such an idyllic place to live. Sara watched Lily as she placed the nipple of the warmed bottle to hungry lips.
For a brief time Sara would dedicate herself to meeting Lily’s physical needs. The emotional ones would be seen to by her father. Sara wouldn’t let herself get too close. She was well aware of how hard it was to pull away.
With Lily settled in her crib, Sara chose the bedroom nearest the nursery as hers for the night. It had been an exhausting day and she was soon asleep.
* * *
Grant returned to the house around midnight. The surgery had gone well and all he wanted was a soft bed and some sleep. He had spent the travel time out to Highland Park thinking about what he’d have to do to get permanent custody of Lily. Could he marry just to keep her? Some part of him hated the possibility of losing her while the other worried about making such a drastic decision. Was he the best choice to raise her? Would his father be pleased he was taking such an interest in Lily?
The
