Bride for Glenmore (6 page)

‘Ow—you have got to stop doing that, sweet pea, or Daddy is going to be bald and that is not a “good look”, as your Aunty Kyla would say.’ Logan wrapped his daughter’s tiny fist in his hand and planted a noisy kiss on her cheek. ‘Pull someone else’s hair. Kyla has plenty.’

‘Ethan?’ Kyla moved over to Ethan’s side and touched his arm. ‘Are you all right?’

It was a moment before he even noticed she was there. ‘Of course.’ His voice was flat. ‘Why wouldn’t I be?’

‘I don’t know. You just seem—’

‘Tired,’ he supplied, his gaze cool as he turned to look at her. ‘It’s been a long day and it was a long night before that. I probably should have made my excuses and had an early night instead of accepting the invitation.’

Was that what was wrong? He was tired?

Kyla glanced towards her niece and then back at him, searching for clues. She wanted to ask a question but she had no idea which words would lead her to the right answer. Why would the sight of a strange baby affect him so badly? It didn’t make sense. ‘She’s sweet, isn’t she?’

There was a long silence and Ethan’s knuckles were white as he gripped the bottle of beer. ‘I don’t know much about babies,’ he said hoarsely, lifting the bottle to his lips and drinking deeply, ‘but I’m sure she’s very sweet.’

He was a loner, Kyla reminded herself. A man who clearly had no experience of family. It was perfectly natural that he wouldn’t be comfortable with babies. But somehow none of her reasoning made her feel better and Evanna’s words of warning rang in her head.

‘I had a call from the Infirmary on the mainland,’ Logan said, strolling across to them. ‘Doug’s doing well. They’re going to keep him in for a few more days, review his drugs and then send him back.’

‘We’re going to have to add him to our cardiac rehab list,’ Kyla said, her eyes still on Ethan. ‘We need to try and get him to take some exercise. Evanna runs a class at the community centre once a week. When he’s recovered, I’ll talk to him about it.’

‘It’s Leslie who is going to need the support.’ Logan winced as Kirsty grabbed another hunk of hair. ‘She rang me from the hospital with loads of questions.’

‘Don’t they answer questions in hospital?’

Logan gave a laugh. ‘She doesn’t trust them. She wanted to hear it from me.’

Kyla rolled her eyes. ‘What’s it like to enjoy such godlike status?’

‘Exhausting. Leslie is coming back over tomorrow to check on Andrea. She’s staying with a schoolfriend but obviously she was pretty upset about the whole thing and worried about her dad. Those prawns are done, Ethan. There’s a plate there and some of Evanna’s lemon mayonnaise on the side. Help yourself.’

‘Bit of a handful, our Andrea, by all accounts.’ Kyla reached for a plate and held it while Ethan removed the prawns from the barbecue.

The tension in his body had lessened and Kyla watched as he shelled prawns and drank beer, chatting to Logan and occasionally tending the barbecue.

Had it been her imagination?

Maybe. Certainly he seemed fine now and he even handed Kirsty some bread to chew.

‘I had Sonia Davies from the library in my antenatal clinic today,’ Evanna said, speaking directly to Logan. ‘She really wants a home birth.’

The smile faded from Logan’s face. ‘I won’t do home births,’ he said gruffly, ‘you know that. Don’t even bother asking me.’

Evanna bit her lip. ‘It’s her second baby and she’s—’

‘I won’t do home births.’

‘Logan, she isn’t—’

‘She can go to the community maternity unit on the mainland. It has all the advantages of home births, with none of the risks. This is an island, Evanna. I know you’ll tell me that if something happens she can be transferred, but will it be fast enough? We do wonders here, but we have to be realistic. I can’t provide neonatal intensive care and neither can I perform uterine surgery on a woman with an uncontrollable haemorrhage.’ His tone harsh, Logan turned away and helped himself to another beer. Evanna glanced helplessly at Kyla, who gave a brief shake of her head to indicate that she should drop the subject.

They both knew what was behind Logan’s intransigence. Catherine.

Feeling awful for him, Kyla strolled over to her brother and put a hand on his arm. ‘Mum rang last night.’ She kept her tone neutral. Steady. ‘She’s thinking of coming back over for Dad’s birthday and spending a few days with her grandchild. They’re missing her terribly. They loved the last set of photos you sent, especially the one of her sitting in the laundry basket.’

He was silent for a moment and then he breathed out heavily and she saw his shoulders relax. ‘It would be good if they came. Kirsty loves to see them.’

‘Mum’s worried she’s missing all the best bits.’ Kyla gave his arm a gentle squeeze and then let go and helped herself to a baby tomato. ‘I just hope she’s here when Kirsty takes her first steps or we’ll never hear the last of it.’

Logan’s eyes settled on hers and she smiled gently, watching as some of the strain left his face. ‘I’m all right,’ he said roughly in Gaelic, and she gave a brief nod and replied in the same language.

‘I know you’re all right.’

And then she turned and caught Ethan looking at them, a curious expression on his handsome face.

He was a complex character, she thought as she strolled back over to Evanna. Deep. A real thinker. But that didn’t mean anything was wrong.

She thought back to the way he’d looked when he’d first seen Kirsty.

It had just been her imagination working overtime, Kyla decided, her face brightening as one of her aunts arrived along with two of her cousins. She’d spent too long listening to Evanna’s gloomy observations.

Ethan was a serious person, there was little doubt about that.

Some people were.

That didn’t mean he had demons.

CHAPTER FIVE

T
HE
next two weeks passed so quickly that it seemed to Kyla that they hardly had time to breathe between patients.

Doug McDonald came home from hospital, very subdued and worried about doing anything, and Kyla called in every day to check on his progress and reassure him. She knew that Ethan had called several times, too, and was pleased that he’d bothered.

Two weeks had been enough to prove to her that he was an excellent doctor. He’d settled into the routine and seemed to have no problem handling even the trickiest of cases. Remembering how some previous locums had panicked at being confronted by such complex cases with no local hospital support, Kyla was impressed.

But she still didn’t feel she was any closer to knowing or understanding him.

He ran on the beach every morning as the sun rose, pounding hard across the sand and up onto the cliffs, pushing himself to the limit. Then he’d return to the cottage, shower and drive up to the village in time for morning surgery.

He was serious and committed but revealed absolutely nothing about himself to anyone.

Occasionally he joined her and Logan for supper and sometimes she saw him on his own in the garden, sitting on his own, staring out to sea.

Perhaps that was what came of living in a big anonymous city where you were one of millions, Kyla thought. You forgot how to relate to your fellow man.

She was clearing up after an immunisation clinic when Janet buzzed through and asked if she’d see an extra patient.

‘It’s Mary Hillier. She wants you to take a look at Shelley. Logan’s gone out on a call and Ethan is back to back with patients so I don’t like to bother him.’

Kyla thought of the six calls she had to make and the paperwork waiting for her attention. ‘Of course, Janet. Send her in.’

She couldn’t remember the last time Mary had come to the clinic for anything other than routine checks so the fact that she was asking for an appointment meant that she was must be really worried about something.

She tipped a syringe and needles into the sharps box and washed her hands just as Mary tapped on the door and walked in.

‘Sorry to bother you, Nurse MacNeil,’ she said in a formal voice, gently pushing Shelley into the room. ‘I just wondered if you’d take a look at something for me.’

‘Of course. What’s the problem?’

‘It’s not me, it’s Shelley. She’s got these bruises all over her.’

‘Bruises?’ Kyla smiled at the girl. ‘How are you, Shelley? I saw you play in that netball match at the beginning of term. You were fantastic.’

Shelley blushed. ‘You were watching?’

‘I came down to give a talk to some of the children on healthy eating and I couldn’t resist poking my nose in. So, where are these bruises? Can you show me?’

Shelley hesitated and then lifted her top. ‘They’re everywhere, really. And I’ve got these on my legs.’ She slid her trouser legs up and Kyla bent down to take a closer look.

‘How long have you had them?’

‘They’ve just come up in the last few days,’ Shelley muttered. ‘At first I thought I’d just banged myself, but now they’re everywhere so I don’t think it’s that. I didn’t fall or anything.’

‘Have you been ill, Shelley?’ Kyla reached for a thermometer and checked the girl’s temperature.

‘No. Nothing.’

Mary looked anxiously at Kyla. ‘Does she have a temperature?’

Kyla shook her head and forced a smile that she hoped was reassuring. ‘No. Her temperature is fine. Why don’t we ask the doctor to take a look at her? I’m just going to pop across to Dr Walker and see if he can fit her in.’

She left the room but Mary caught up with her in the corridor. ‘Nurse MacNeil…’

Kyla turned and saw the worry in the other woman’s face. She reached out and touched her on the arm, acknowledging the concern. ‘I doubt it’s what you’re thinking, Mary,’ she said softly, ‘but we’ll get it checked out immediately. Dr Walker is very, very good. If there’s anything for us to be worrying about, he’ll tell us soon enough. He trained at one of the top London hospitals, you know. You go back to Shelley or she’ll pick up on your worry.’

Mary bit her lip but gave a nod and returned to the treatment room.

Kyla knocked on Ethan’s door and walked in.

He was reading something on the computer screen and had a pen in his hand. ‘Yes?’

‘It’s me. And you can put that frown away, Dr Walker, because I don’t scare easily.’ She kept her tone light and saw a glimmer of a smile in his eyes.

‘I’m sure you don’t. Can I do something for you?’ He was wearing a dark, well-cut suit and he looked formal and more than a little remote.

‘I hope so.’ Trying not to be intimidated by the suit, Kyla came straight to the point. ‘I’ve a patient I’m worried about. Eleven-year-old girl with bruising all over her body. My first reaction is to panic and think meningitis, but she looks well, apart from a bit tired, perhaps. Her temperature is normal and she’s not been ill.’

‘If meningitis even floats through your head, I’ll see her straight away.’ Ethan put the pen down on the desk and stood up. ‘What’s your second reaction?’

Relieved and impressed that he was taking her so seriously, Kyla came straight out with it. ‘Leukaemia. I don’t want to be dramatic but it has to cross your mind, doesn’t it?’

‘There are many possible diagnoses,’ Ethan said calmly as he walked round the desk. ‘Leukaemia is just one.’

‘I know, but—’ Kyla broke off and bit her lip. ‘You should know that Shelley’s mother, Mary, had a sister with leukaemia. She died about three years ago. Mary hasn’t asked a direct question and obviously she doesn’t want to frighten the child, but I can see from her eyes that she’s frantic with worry.’

Ethan walked towards the door. ‘Then the sooner I see her, the better. I’ll have a better idea once I’ve examined her and obviously I’m going to need to do some blood tests. Bring her in.’ His tone was crisp. Direct. ‘I’ll examine her here. And you’d better stay, if you have the time, given that you know the history.’

‘I’ll stay.’ She wasn’t going anywhere until she knew what was happening.

Ethan examined the child thoroughly, aware of the tension in Mary’s body as she stood to the side of him, watching.

He questioned Shelley at length and then smiled at her. ‘I’m going to need to take some blood from you, just to run a few routine tests. Is that all right?’

Shelley pulled a face. ‘Will it hurt?’

‘A bit,’ Ethan said honestly, reaching behind him for the tray he’d prepared. ‘But not much and not for long. Kyla?’

Kyla handed him a tourniquet and he tightened it round the girl’s arm, stroking the skin as he searched for a good vein.

Kyla kept up a steady stream of chat. ‘So did your netball team go over to the mainland and play the girls at St Jude’s last week?’

A smile spread across Shelley’s face. ‘We thrashed them. Sixteen to one.’

‘Brilliant.’ Kyla turned to Ethan. ‘The school is so small here that every single girl is in the netball team!’

‘But we’re still the best,’ Shelley said quickly, and Ethan smiled, mentally blessing Kyla for her distraction skills.

‘Sharp scratch coming up, Shelley,’ he said smoothly, and slid the needle into the vein.

Shelley didn’t stop talking. ‘Mia Wilson was the best. She got it in the net about fourteen times.’

‘Well, she’s tall, of course, so that helps,’ Kyla murmured, handing him a piece of cotton wool. ‘And her mum is the sports teacher, which is another distinct advantage.’

Shelley laughed and Ethan withdrew the needle and pressed with the cotton wool.

‘I’ll do that while you sort out the sample,’ Kyla murmured, her fingers sliding over his as she took over the pressure.

Her hands were so much smaller than his, her fingers slim and delicate and Ethan felt a sudden burst of heat erupt inside him.

Gritting his teeth and rejecting the feeling, he turned away and labelled the samples carefully. ‘I’m going to send these off. As soon as I get a result, I’ll be in touch.’ Seeing the anxiety in Mary’s eyes, he turned to Kyla. ‘Can you take Shelley to your treatment room and find her a plaster, please? I don’t seem to have one here.’

To her credit, Kyla immediately picked up on his intention. ‘Useless doctors,’ she said cheerfully, slipping her arm through Shelley’s and leading her towards the door. ‘They can do all sorts of fancy, complicated things but when it comes to something simple like a plaster, you can forget it. We girls will see you in Reception in a minute.’

Ethan waited until the door closed behind them and then turned to Mary. ‘I understand that you’re very worried about this.’

Mary was stiff, her fingers gripping her handbag. ‘Do I have reason to be?’

‘Obviously, until I have the results back, I can’t be sure what it is, but I’m pretty confident that it isn’t leukaemia.’

Mary’s teeth clamped on her lips and he could see that she was battling with tears. ‘If it is—’

‘I don’t think it is,’ Ethan said firmly. ‘There are other things that it can be, Mrs Hillier. I’m going to get these results back as fast as possible and then I’ll call you. Is it useless to tell you not to worry?’

‘Completely useless.’ Mary gave a wan smile. ‘But thank you for your thoughtfulness.’

‘So you don’t think it’s leukaemia?’ Kyla closed the door of his consulting room and stood with her back to it. ‘Really?’

‘Shelley looks well and there’s no history of trauma. I’ve examined her thoroughly and her liver and spleen feel normal and there’s no evidence of lymphadenopathy.’

‘So what are the bruises?’

‘Obviously until I see the results of the blood count I can’t be sure, but I think she probably has ITP. Idiopathic thrombocytopenic purpura.’

Kyla frowned. ‘I’ve heard of it but I don’t know much about it and we’ve certainly never had a patient. What’s the treatment?’

‘Depending on the platelet count, it may just be a case of watchful waiting. In someone of Shelley’s age the condition will probably be acute and it will resolve over a few months.’

‘And if it doesn’t?’

He gave a faint smile. ‘What’s happened to your cheerful, optimistic nature, Kyla?’

‘I just like to know the options.’ She looked away, struggling with her body’s powerful response to his smile. He was indecently attractive. ‘Mary is a friend of my mother’s. She had Shelley late in life and she’s very precious. I need to have all the facts at my disposal.’

‘In a small number of children it can be chronic, and she might have to avoid contact sports…’ he shrugged ‘…but so much depends on the blood tests. If her platelets are at a reasonable level then it becomes less of a problem. It’s really too soon to try and predict the future for her.’

‘So you’re saying that she could just recover spontaneously?’

‘That’s right.’ He studied her closely. ‘You look as worried and upset as her mother. It doesn’t do to get too involved with your patients, Nurse MacNeil.’

His comment stung and her shoulders stiffened defensively. ‘Well, that’s the theory certainly.’ She lifted her chin. ‘Try living on an island where you know everyone, Dr Walker. And, then try staying detached. It’s a pretty tall order, I can tell you. And frankly, I don’t think I’d like to be the sort of person who didn’t care what happened to her patients.’

He frowned. ‘Kyla—’

‘And now, if you’ll excuse me, I have things to do.’ She tugged open the door and left the room, taking several deep breaths in an attempt to control her temper. How dared he suggest that she was too involved with her patients?

She cared about them.

What was wrong with that?

Thoroughly unsettled, she went back to her own consulting room and finished the clearing-up she’d started before Janet had asked her to see Shelley.

Infuriating man,
she thought as she pushed a box of dressings back into the cupboard and slammed the door shut. He may be amazing to look at but he was cold-hearted and unemotional. Which made him completely wrong for her.

Evanna was right.

It would be safer to steer clear of him.

Ethan vaulted over the fence that separated the two cottages and walked up the garden.

The doors to the kitchen were open and he could see Kyla standing in front of the stove, singing along to the radio. Her blonde curls were pinned haphazardly to the top of her head and her feet were bare. She wore a pair of faded jeans that rode low on her hips, exposing a tempting expanse of smooth, tanned abdomen. She was lean, fit and incredibly sexy, and something dangerous stirred inside him.

He gritted his teeth and reminded himself that he couldn’t afford the luxury of becoming involved with this woman.

Life was about to become complicated enough without the extra dimension that a relationship would inevitably bring.

He was just working out the best way to begin what needed to be said when she glanced up and saw him. The singing stopped.

‘I have a perfectly good front door with a working doorbell.’

‘I heard you singing so I thought I’d come round the back.’ He ignored her frosty tone and strolled into the kitchen. ‘You can stop glaring at me because I’ve come to apologise.’

‘You’re saying that you were wrong?’

‘No.’ She had beautiful eyes, he decided. In fact, the whole package was beautiful. ‘I still think it doesn’t do to get too involved with patients, but I can see that it might be hard to do that on an island like this. And you’re very caring, there’s no doubt about that.’ And it was impossible not to respond to her.

Suddenly he wanted to touch her.
Really touch her.
He wanted to taste and feel and immerse himself in the woman she was.

‘Caring is what makes this community so special.’

‘I’m sure that’s true. But isn’t it also true that caring too much sometimes makes it difficult to do your job?’

A shadow darkened her blue eyes and her slim shoulders sagged slightly. ‘Perhaps. But it’s hard to change your personality, Ethan. You just have to work with what you’ve got. This is me. This is who I am.’ Her simple statement encompassed the differences between them and guilt gnawed at his insides.

She was open and honest. Transparent.