St Piran's: The Brooding Heart Surgeon. Alison RobertsЧитать онлайн книгу.
make this department her own. Maybe that was the real reason for the resentment he could detect. That he was in charge again.
It would be a bit of a blow to anyone’s ego, wouldn’t it, being bumped from a position as top dog? Everybody had known that his replacement was temporary but nobody had expected him to return so abruptly. Maybe Anna had secretly thought he might never return from Iraq. To add insult to injury, it wasn’t the first time Luke had taken the position from her. He’d been the winner three years ago when he’d been chosen over her for the prestigious role of head of St Piran’s specialist heart surgery unit.
Yes. That could well explain the death glare he’d caught from over the top of the mask as Anna had finally entered the theatre. She stood outside the cluster of staff around the operating table now, gowned and masked, her gloved hands held carefully away from her body. Taller than average, he noted in that split second of noticing her arrival, and her eyes were green. Very cool right now because she was displeased and that made them seem hard—like uncut emeralds. Unusual enough to make a lasting impression. As did her body language. The way she was standing so absolutely still. It advertised the kind of attention to detail, like not contaminating anything, that came from being not only well trained but highly disciplined.
He’d heard that about her from James as they’d scrubbed in together. That his missing assistant was skilled and meticulous. Uncompromising. Single because she chose to be. Or maybe no man could compete with a job that someone lived and breathed to the exclusion of anything else.
‘She’s good,’ James had added. ‘Very good. You’ll be pleased she’s taken on the job of Assistant Head of Surgery. With the reputation she’s built here, she could have gone anywhere she chose.’
James obviously respected Dr Bartlett but he’d also said he didn’t really know her. Not on a personal level. The way his sentence had trailed off in a puzzled tone had suggested that maybe she didn’t have a personal level.
It was James who acknowledged her presence now, however.
‘Anna! That was quick.’ He gave his colleague a closer glance and frowned. ‘No go, huh?’
‘No.’ The word was crisp. The attempt to save someone in the emergency department had failed. That was that. An unsuccessful case. Time to move on to the next. ‘Want me to take over?’
‘If that’s all right with Luke. I am rather late to start my ward round now and I’ve got my own theatre slot this afternoon.’ James sealed another small blood vessel with the diathermy rod and then looked up at the surgeon across the table. ‘Luke? Have you met Anna already?’
‘No.’ His response was as curt as Anna’s verdict on her emergency case had been.
He carried on with the long, vertical incision he was making in his patient’s chest, not looking up until James moved in to control the bleeding.
She was standing closer to the table now. A mask covered the lower half of her face and a disposable hat hid her hair and ears. All he could see were those green eyes and for a split second the accusation in them hit home.
Yesterday he had been supposed to meet the woman who’d looked after his job for eighteen months, but there’d been that hassle at his house with a burst pipe and there had been no water supply. There’d been a problem getting power reconnected as well, after such a long period of being empty, so he’d had no way of recharging the battery for his mobile phone when it had died. The hassles had underscored the fact that he wasn’t exactly thrilled to be back here anyway and … and she hadn’t waited for him, had she? He’d been less than an hour late but she had gone home and hadn’t left any message other than the theatre list for this morning.
And now she was glaring at him as if accepting her belated assistance for this surgery was only the first challenge he had coming his way. Well, she could take her attitude and deal with it on her own time.
‘If you plan to assist,’ he said curtly, ‘now’s the time to start. I don’t like my surgeries being disrupted and I’d prefer to start the way I mean to go on.’
A tense silence fell around them as James stepped back and Anna smoothly took his place. The familiar ache in Luke’s leg kicked up a notch but that only served to increase his focus. He turned his head to the scrub nurse hovering over the trolley beside him.
‘Sternal saw, thanks.’
The nurse jumped at his tone and handed him the requested item with commendable speed. Then the whine of the saw cut into the silence he could still feel around him. Luke concentrated on splitting the bone beneath his hands. For a short time at least, he had no need—or inclination—to look at the woman now opposite him.
So this was Luke Davenport.
The war hero she’d been hearing so much about in the last few days. Too much. As if it hadn’t been bad enough to have her position as head of department cut short, no one hesitated in rubbing salt in the wound by telling her how marvellous Luke was. What a great surgeon. And soldier. How he’d single-handedly saved everybody he had been with when they had come under attack, dragging them from a burning vehicle despite his own badly broken leg and then providing emergency care that had kept them alive until help arrived.
She could believe it. One glance from a pair of the most piercing blue eyes Anna had ever seen and she knew she was meeting someone just as ambitious and determined as she was herself. Two horizontal frown lines at the top of his nose, between dark eyebrows, added to the intensity of the glance and made her catch her breath. To have him treating her like a junior fresh out of medical school might be unacceptable but it wasn’t totally surprising. This man had seen and dealt with things she couldn’t begin to imagine experiencing.
‘An honourable discharge from the army,’ someone had said. ‘He’s up for a medal.’
St Piran’s was so lucky he had come back. The hospital, the patients, the whole damn community was feeling lucky. Anna had had to hide disappointment strong enough to morph very easily into burning resentment. Had to try and smile and pretend she felt lucky that she was being given the opportunity to be the hero’s assistant from now on.
No wonder the guy was so full of himself he hadn’t even bothered to come and introduce himself yesterday. She’d given him the courtesy of sending an apology for being late for this theatre case and look at his response! He didn’t like his surgeries being disrupted. The voice had been deep and the words clipped. This was a man who was not only used to giving orders, he expected them to be obeyed.
Anna’s spirits—already well dampened by the unsuccessful struggle to save a life in Emergency—slipped a little further. The only way through this, as she’d discovered with any previous difficult episode in life, was to focus on her work to the exclusion of anything else.
It wasn’t hard. ‘Good grief,’ she couldn’t help but comment when the rib spreaders were locked into position and the target of this surgery was exposed. ‘Look at that.’
The sac of membrane enclosing the heart had calcified and become a thick, white casing—a kind of scar from the inflammation a virus had caused and so solid it was preventing the heart from beating effectively. Luke was about to perform a pericardectomy and peel this hard layer away from the heart tissue. A tricky, fiddly procedure that Anna had studied but never performed herself.
She would have been happy enough to do the surgery if a better option hadn’t been available, but she would definitely have preferred to have the patient on bypass and a still heart to work with. Luke was sparing this man the additional risk of being on a heart-lung machine. He was going to do the procedure with the heart moving beneath his scalpel.
‘Your investigations showed the extent of the calcification.’ Luke sounded mildly surprised by her exclamation of astonishment. ‘Right-sided filling was poor and the stroke volume was abysmal. It’s a wonder he’s been able to function at all.’
‘The first sign that it was anything serious only came when he collapsed at work three weeks ago.’
Anna