The Fifth Day of Christmas. Betty Neels
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Something wakened her in the pitch darkness, a sound, not repeated. She switched on the torch to find that it was just after six o’clock, and sat up in bed, the better to listen. The sound came again—a hoarse croak. She was out of bed, thrusting her feet into her slippers as the list of post-operative complications liable to follow an appendicectomy on a diabetic patient unfolded itself in her still tired mind. Carbuncles, gangrene, broncho-pneumonia…the croak came again which effectively ruled out the first two, and when she reached her patient’s bedroom and saw Mary’s flushed face as she lay shivering in bed, she was almost sure that it was the third.
As she approached the bed Mary said irritably, ‘I feel so ill, and I can’t stop coughing—it hurts.’
‘I’ll sit you up a bit,’ said Julia with a calm she didn’t feel. Sudden illness on a hospital ward was one thing, but in an isolated house cut off from the outside world, it was quite a different matter. She fetched more pillows and propped the girl up, took her temperature which was as high as she had expected it to be, and gave her a drink, while all the time she was deciding what to do. Presently, when Mary was as comfortable as she could be made, Julia said,
‘I’m going to send someone for the doctor—once we’ve got you on an antibiotic you’ll feel better within hours. Will you stay quietly until I come back?’
She found the stranger in the third room she looked into, lying on his back on a vast fourposter bed, fast asleep. She put out an urgent hand and tapped a massive shoulder and he opened his eyes at once, staring at her with a calm which she found most comforting.
Before she could speak he said reflectively, ‘The hair’s a little wild, but I still think you’re a beautiful girl. What’s the matter?’
Julia swept her long black hair impatiently on one side the better to see him. ‘My patient—she’s ill. I’m afraid I must ask you to go and find a doctor or a telephone or—or something. I can’t ask the ambulance men to go; they’ve got to go back to London today and they must have a night’s sleep.’
He had sat up and swung his legs over the side of the bed. ‘And I, being a man of leisure, am the obvious one to sacrifice on the altar of frostbite and exposure.’
Julia just stopped herself in time from wringing her hands. ‘I’d go myself, but who’s to look after Mary if I do?’
‘A moot point,’ he conceded, and stood up, reassuringly large. ‘And before I detect the first rising note of hysteria in your very delightful voice, I must tell you that I am a doctor.’
Julia’s first reaction was one of rage. ‘You beast,’ she said roundly, ‘letting me get all worried!’
He smiled at her and lifted her neatly to sit on the bed and then sat down beside her. ‘I am of the opinion that if I were not a doctor I should even now be meekly dressing myself, preparatory to tramping miles in search of aid, while you coped with great competence with whatever crisis has arisen. Now, let’s have the bad news.’
She shivered, and was glad when he put an arm around her shoulders.
‘My patient’s a diabetic—an unstabilised one. She had appendicectomy followed by peritonitis two weeks ago. She made a good recovery although she isn’t very co-operative and has had several slight comas. She wanted—insisted on coming home and it was arranged that she should travel from St Clare’s in London by ambulance. We had a job getting here, but on the whole she had a comfortable journey and her usual diet and insulin. Her TPR was normal last night. She’s loaded with sugar and acetone now and her temp’s a hundred and three.’
He got off the bed, taking her with him. ‘Well, you pop back to the patient and make soothing sounds while I put on some clothes and fetch my case—it’s locked in the car just outside the door.’ He gave her a gentle push. ‘Go along now, there’s a good girl.’
Mary was restless when Julia got back to her. She said as soon as she caught sight of her, ‘I’m going to die, and there isn’t a doctor.’
Julia gave her another drink of water and then went to build up the fire. ‘Yes, there is.’ She explained about his arrival during the night in a few brief words because Mary was too feverish to concentrate on anything. ‘He’ll be here in a moment,’ went on Julia soothingly, ‘he’ll take a look at you and then prescribe something which will have you feeling better in no time.’
She went and got the case history notes and the charts and diets she had prepared so carefully for the nurse who was to have taken over from her, laid them neatly on a table and then hastily plaited her hair. She had just finished doing that when the doctor knocked on the door and came in.
Not only had he donned his clothes, but a faultless professional manner with them, which somehow made the whole situation seem normal and not in the least worrying. He knew what he was about, for he dealt with his patient gently and with a calm air of assurance which convinced her that she was already getting better, and then went to bend over Julia’s papers, lying ready for them. When he had finished reading them he looked up and asked,
‘Is there a doctor’s letter?’
‘Yes,’ said Julia, ‘it’s in my room.’ She didn’t offer to fetch it. ‘I think I should see it—I’ll take full responsibility for opening it, Nurse. Would you fetch it?’
She did so without a word, not sure as to the ethics of the case, and stood quietly by while he read it. Which he did, refolding it into its envelope when he had finished and adding some writing of his own before handing it back to her.
‘Penicillin, I think, Nurse. Shall we give her a shot now and repeat it six-hourly? And the insulin—she’s been on Semilente, I see. We’d better increase it this morning and test every two hours until this evening. Now, diet…’
He went away when he had given Mary her penicillin and told her cheerfully that she would be out of bed in a couple of days, leaving Julia to reiterate all he had said before she went to dress. Once more in uniform and intent on perching her cap on her neatly arranged hair, she turned in surprise when there was a tap on her door.
‘Tea,’ said the stranger, ‘and if you’ll tell me where the ambulance men are I’ll wake them for you.’
Julia took the proffered cup. ‘How kind,’ she said with surprise, and felt suddenly downcast when he answered carelessly,
‘Oh, I’m handy about the house,’ for it made him sound as though he were married. She said hastily because she wanted to change the trend of her thoughts, ‘Is the weather better?’
He sat down on the end of the bed and started to drink the ambulance men’s tea. ‘No—the snow’s in drifts—the car’s almost covered and so is the ambulance. There’s no snow at present, but there’s more to come as far as I can see in this light. The fog has lifted, but the ground’s like glass.’
She sipped her tea. It looked as though they would be there for another day at least and she was surprised to find that she didn’t mind in the least. When he asked, ‘What’s your name?’ she answered without hesitation. ‘Pennyfeather, Julia Pennyfeather.’
‘Miss Pennyfeather—it is Miss?’
She nodded. ‘You’re drinking Willy’s and Bert’s teas,’ she pointed out.
‘I’m thirsty. Don’t you want to know my