The Greek Doctor's New-Year Baby. Kate HardyЧитать онлайн книгу.
Iâm Madison Gregory and this is Theo Petrakis,â Madison said. âEd called us from the maternity department. I understand youâve been having back pain.â
Mrs Ellis nodded. âAnd it hurts here.â She pointed to her groin, and clearly the movement hurt her because she grimaced.
âHas it been going on for long?â Madison asked.
âIâve had twinges for the last week, but today itâs absolute agony.â She dragged in a breath. âPleaseâIâm not going to lose the baby, am I?â
âAches and pains are pretty common in pregnancy and they donât necessarily mean that youâre miscarrying or thereâs a problem with the baby,â Madison reassured her, âbut youâve done exactly the right thing coming to see us. Do you mind if I examine you?â
With the patientâs permission, she examined Mrs Ellis gently but effectively, then listened to the babyâs heartbeat. âThatâs nice and strong, so try not to worry too much. The babyâs doing just fine. But what we need to do is stop this pain. Do you get the pain all the time, and does anything make it feel worse or better?â
âItâs only there some of the time. Itâs worse when Iâm going upstairs or getting dressed or turning over in bed,â Mrs Ellis explained.
Given where the pain was and the description, Theo knew exactly what the problem was. But rather than muscling in, he waited for Madison, who smiled at Mrs Ellis and squeezed her hand. âThe babyâs in absolutely no danger. What youâve got is something called symphysis pubis dysfunctionâSPD for short. It sounds a lot scarier than it is, and an awful lot of women get it. At eighteen weeks, youâre practically halfway through pregnancy, and thatâs the most common time to start noticing the pain.â
She sat down next to the bed, drew a notebook and pen from her pocket, and sketched a swift diagram to show their patient. Theo liked the way she was managing this: focusing on the patientâs worries, making it easy for her to understand. That kind of empathy would make her a brilliant consultant, as Iris had said. And on a personal levelâ¦
No. No involvements. Heâd made his decision years ago: he wasnât going to settle down, get married and have children. Sure, he datedâhe was only humanâbut he always made sure his dates knew he wasnât able to offer anything long term. If that meant people thought he was a shallow playboy, then fineâhe could live with that. As far as he was concerned, other people didnât have to know the real reason behind his decision. He wasnât prepared to put the woman he loved through childbirth, knowing first-hand what could happen when everything went wrong. And no way was he going to go through what his father had gone through.
He forced himself to concentrate on what Madison was saying, just in case she decided to throw a question or two his way.
âBasically your pelvis is in two parts and itâs held together by a joint called the symphysis pubis, which is strengthened by lots of ligaments. When youâre pregnant, your body produces a hormone called relaxin, which softens your ligaments to make it easier for you at birthâbut that also means your pelvis can move during pregnancy, and the movements are what cause the pain.â
âCan you make it stop?â Mrs Ellis asked.
âIâm going to give you a support belt, which will help, and you can take paracetamol to help with the painâthatâs perfectly safe for the baby. Iâm also going to refer you to a physiotherapist, who can teach you some exercises for your tummy and pelvic floor that wonât hurt the baby but will help ease the pain. I canât promise youâll get an appointment with the physio today,â Madison warned, âbut if I can do it, I will.â
âThank you.â Mrs Ellis wiped away the tears that had started to spill over. âI was so scared I was going to lose the baby.â
âItâs always the first thing that goes through your mind,â Madison sympathised, âbut youâre going to be absolutely fine. Even better news is that there are a few things you can do to help make the pain go away.â
This was his cue, he thought. âWhy donât I tell Mrs Ellis while you talk to the physios?â Theo suggested.
Her eyes narrowed for a moment, as if she thought he was trying to take over; but then she nodded, clearly realising that this was going to save them some time. âIs that all right with you, Mrs Ellis?â
âThatâs fine. I donât mind talking to student doctors.â
She thought he was a student? Well, it was an easy mistake to make. Madison had been planning to bring her fourth-year students with her, and no doubt the emergency department had cleared it with Mrs Ellis first. Theo just about managed to suppress his grin, though as Madison left the cubicle he could see amusement all over her face. Well, he could live with it. Telling Mrs Ellis that actually he was Madisonâs boss wasnât going to achieve anything other than make her feel awkward and embarrassedâand his patientâs comfort was much more important than his dignity.
He talked her through the things she could do to help herself, and was just discussing the birth plan with her when Madison swished the curtain aside, carrying a support belt. âIâm sorry, Mrs Ellis. The physiotherapy department is completely booked up todayâbut Iâve persuaded them to squeeze you in first thing in the morning, just before their list starts. For now, Iâm going to show you how to put this belt on and thatâs going to take some of the strain for you.â
âThank you so much,â Mrs Ellis said, looking relieved that she wasnât going to have to suffer pain for much longer.
âMy pleasure.â Madison smiled at her. âDo you have any questions, or has Mr Petrakis already answered them?â
âMr Petrakis said I should put it in my birth plan to make sure I get the most supportive birth position, and it might affect my pain relief. Will I have to have a Caesarean?â
âIâm not going to rule it in or out at this stage,â Madison said gently. âWeâll see how you go. But I will promise you that weâll do the best for you and your baby.â
âWill I get it again if I have more children?â Mrs Ellis asked.
âWe honestly donât know,â Theo replied. âYou might not get it at all, or it might be not as severe, or it might be worse. It really, really varies. But the best advice we can give you is to leave a good two years between pregnanciesâif you do get SPD next time round and your babyâs not walking yet, youâre going to find lifting really hard.â
When Madison had fitted the support belt and checked that Mrs Ellis had transport home, she and Theo walked back up to the ward.
âSo are you happy that I know what Iâm doing, or do you want to supervise me with some more cases?â she asked.
âI wasnât checking up on you,â Theo corrected. âI wanted to get a feel for how you worked, and Iâm going to be doing the same with all the staff. Mentoring isnât just for students, you know.â
She looked surprised. âWhat do you mean?â
âWhatever the stage of your career, you need development or youâre going to feel stuck in a rut and be miserable. The last department I worked in had a policy of job enrichment, and that worked really well. If you donât already have that here, maybe we can introduce itâand Iâll make sure I liaise with Iris, because I want the midwifery team to be happy with any changes we make and they might have some good suggestions, too.â
She smiled at him. âI like the way you think. Iâm going to enjoy working with you.â