Buch lesen: «A Month To Marry The Midwife»

CHAPTER ONE

FOUR DAYS LATER, outside Ellie’s office at the maternity ward at Lighthouse Bay Hospital, a frog croaked. It was very close outside her window. She shuddered as she assembled the emergency locum-doctor’s welcome pack. Head down, she concentrated on continuing the task and pretended not to see the tremor in her fingers as she gathered the papers. She was a professional in charge of a hospital, for goodness’ sake. Her ears strained for a repeat of the dreaded noise and hoped like heck she wouldn’t hear it. She strained...but thankfully silence ensued.

‘Concentrate on the task,’ she muttered. She included a local map, which after the first day they wouldn’t need because the town was so small, but it covered everywhere they could eat.

A list of the hours they were required to man the tiny doctor’s clinic—just two in total on the other side of the hospital on each day of the week they were here. Then, in a month, hand over to the other local doctor who had threatened to leave if he didn’t get holidays.

She couldn’t blame him or his wife—they deserved a life! It was getting busier. Dr Rodgers, an elderly bachelor, had done the call-outs before he’d become ill. She hummed loudly to drown out the sound of the little voice that suggested she should have a life too, and of course to drown out the frogs. Ellie concentrated as she printed out the remuneration package.

The idea that any low-risk woman who went into labour would have to be transferred to the large hospital an hour away from her family just because no locum doctor could come was wrong. Especially when she’d had all her antenatal care with Ellie over the last few months. So the locum doctors were a necessary evil. It wasn’t an onerous workload for them, in fact, because the midwives did all the maternity work, and the main hospital was run as a triage station with a nurse practitioner, as they did in the Outback, so actually the locums only covered the hospital for emergencies and recovering inpatient needs.

Ellie dreamed of the day their maternity unit was fully self-sufficient. She quite happily played with the idea that she could devote her whole life to the project, get a nurse manager and finally step away from general nursing.

She could employ more midwives like her friend and neighbour Trina, who lived in one of the cliff houses. The young widowed midwife from the perfect marriage who preferred night duty so she didn’t lie awake at night alone in her bed.

She was the complete opposite to Ellie, who’d had the marriage from hell that hadn’t turned out to be a marriage at all.

Then there was Faith who did the evening shifts, the young mum who lived with her aunt and her three-year-old son. Faith was their eternal optimist. She hadn’t found a man to practise heartbreak on yet. Just had an unfortunate one-night stand with a charismatic drifter. Ellie sighed. Three diverse women with a mutual dream. Lighthouse Bay Mothers and Babies. A gentle place for families to discover birth with midwives.

Back to the real world. For the moment they needed the championship of at least one GP/OB.

Most new mums stayed between one and three nights and, as they always had, women post-caesarean birth transferred back from the base hospital to recover. So a ward round in maternity and the general part of the hospital each morning by the VMO was asked to keep the doors open.

The tense set of her shoulders gradually relaxed as she distracted herself with the chore she’d previously completed six times since old Dr Rodgers had had his stroke.

The first two locums had been young and bored, patently here for the surf, and had both tried to make advances towards Ellie, as if she were part of the locum package. She’d had no problem freezing them both back into line but now the agency took on board her preferences for mature medical practitioners.

Most replacements had been well into retirement age since then, though there had also been some disadvantages with their advanced age. The semi-bald doctor definitely had been grumpy, which had been a bit of a disappointment, because Dr Rodgers had always had a kind word for everyone.

The next had been terrified that a woman would give birth and he’d have to do something about it because he hadn’t been near a baby’s delivery for twenty years. Ellie hadn’t been able to promise one wouldn’t happen so he’d declined to come back.

Lighthouse Bay was a service for low-risk pregnant women so Ellie couldn’t see what the concern was. Birth was a perfectly normal, natural event and the women weren’t sick. But there would always be those occasional precipitous and out-of-the-ordinary labours that seemed to happen more since Ellie had arrived. She’d proven well equal to the task of catching impatient babies but a decent back-up made sense. So, obstetric confidence was a second factor she requested now from the locums.

The next three locums had been either difficult to contact when she’d needed them or had driven her mad by sitting and talking all day so she hadn’t been able to get anything done, so she hadn’t asked them back. But the last locum had finally proved a golden one.

Dr Southwell, the elderly widower and retired GP with his obstetric diploma and years of gentle experience, had been a real card.

The postnatal women had loved him, as had every other marriageable woman above forty in town.

Especially Myra, Ellie’s other neighbour, a retired chef who donated two hours a day to the hospital café between morning tea and lunch, and used to run a patisserie in Double Bay in Sydney. Myra and Old Dr Southwell had often been found laughing together.

Ellie had thought the hospital had struck the jackpot when he’d enquired about a more permanent position and had stayed full-time for an extra month when the last local GP had asked for an extended holiday. Ellie had really appreciated the break from trying to understand each new doctor’s little pet hates.

Not that Dr Southwell seemed to have any foible Ellie had had to grow accustomed to at all. Except his love of surfing. She sighed.

They’d already sent one woman away in the last two days because she’d come to the hospital having gone into early labour. Ellie had had to say they had no locum coverage and she should drive to the base hospital.

Croak... There it was again. A long-drawn-out, guttural echo promising buckets of slime... She sucked in air through her nose and forced herself to breathe the constricted air out. She had to fight the resistance because her lungs seemed to have shrunk back onto her ribcage.

Croak... And then the cruk-cruk of the mate. She glanced at the clock and estimated she had an hour at least before the new doctor arrived so she reached over, turned on the CD player and allowed her favourite country singer to protect her from the noise as he belted out a southern ballad that drowned out the neighbours. Thankfully, today, her only maternity patient had brought her the latest CD from the large town an hour away where she’d gone for her repeat Caesarean birth.

It was only rarely, after prolonged rain, that the frogs gave her such a hard time. They’d had a week of downpours. Of course frogs were about. They’d stop soon. The rain had probably washed away the solution of salt water she’d sprayed around the outside of the ward window, so she’d do it again this afternoon.

One of the bonuses of her tiny croft cottage on top of the cliff was that, up there, the salt-laden spray from waves crashing against the rocks below drove the amphibians away.

She knew it was ridiculous to have a phobia about frogs, but she had suffered with it since she was little. It was inextricably connected to the time not long after her mother had died. She knew perfectly well it was irrational.

She had listened to the tapes, seen the psychologist, had even been transported by hypnosis to the causative events in an attempt to reprogram her response. That had actually made it worse, because now she had the childhood nightmares back that hadn’t plagued her for years.

Basically slimy, web-footed frogs with fat throats that ballooned hideously when they croaked made her palms sweat and her heart beat like a drum in her chest. And the nightmares made her weep with grief in her sleep.

Unfortunately, down in the hollow where the old hospital nestled among well-grown shrubs and an enticing tinge of dampness after rain, the frogs were very happy to congregate. Her only snake in Eden. Actually, she could do with a big, quiet carpet snake that enjoyed green entrées. That could be the answer. She had no phobia of snakes.

But those frogs that slipped insidiously into the hand basin in the ladies’ rest room—no way! Or those that croaked outside the door so that when she arrived as she had this morning, running a little late, a little incautiously intent on getting to work, a green tree frog had jumped at her as she’d stepped through the door. Thank goodness he’d missed his aim.

She still hadn’t recovered from that traumatic start to her day. Now they were outside her window... Her hero sang on and she determined to stop thinking about it. She did not have time for this.

* * *

Samuel Southwell parked his now dusty Lexus outside the cottage hospital. His immaculate silver machine had never been off the bitumen before, and he frowned at the rim of dust that clung to the base of the windscreen.

He noted with a feeling of unreality, the single Reserved for Doctor spot in the car park, and his hand hovered as he hesitated to stop the engine. Doctor. Not plural. Just one spot for the one doctor. He couldn’t remember the last time he’d been without a cloud of registrars, residents and med students trailing behind him.

What if they wanted him to look at a toenail or someone had a heart attack? He was a consultant obstetrician and medical researcher, for heaven’s sake.

At that thought his mouth finally quirked. Surely his knowledge of general medicine was buried miraculously in his brain underneath the uteruses? He sincerely hoped so or he’d have to refresh his knowledge of whatever ailment stumped him. Online medical journals could be accessed. According to his father it shouldn’t be a problem—he was ‘supposed to be smart’!

Maybe the old man was right and it would do him good. Either way, he’d agreed, mainly because his dad never asked him to do anything and he’d been strangely persistent about this favour. This little place had less than sixty low-risk births a year. And he was only here for the next four weeks. He would manage.

It would be vastly different from the peaks of drama skimmed from thousands of women and babies passing through the doors of Brisbane Mothers and Babies Hospital. Different being away from his research work that drove him at nights and weekends. He’d probably get more sleep as well. He admired his father but at the moment he was a little impatient with him for this assignment.

‘It’ll be a good-will mission,’ Dr Reginald Southwell had decreed, with a twinkle in his eye that his son had supposedly inherited but that his father had insisted he’d lost. ‘See how the other half live. Step out of your world of work, work, work for a month, for goodness’ sake. You can take off a month for the first time in who knows how long. I promised the matron I’d return and don’t want to leave them in the lurch.’

He’d grinned at that. Poor old Dad. It dated him well in the past, calling her a matron. The senior nurses were all ‘managers’ now.

Unfortunate Dad, the poor fellow laid back with his broken arm and his twisted knee. It had been an accident waiting to happen for his father, a man of his advanced age taking random locum destinations while he surfed. But Sam understood perfectly well why he did it.

Sam sighed and turned off the ignition. Too late to back out. He was here now. He climbed out and stretched the kinks from his shoulders. The blue expanse of ocean reminded him how far from home he really was.

Above him towered a lonely white lighthouse silhouetted against the sapphire-blue sky on the big hill behind the hospital. He listened for traffic noise but all he could hear was the crash of the waves on the cliff below and faint beats from a song. Edge of Nowhere. Not surprising someone was playing country music somewhere. They should be playing the theme song from Deliverance.

He’d told his colleagues he had to help his dad out with his arm and knee. Everyone assumed Sam was living with him while he recuperated. That had felt easier than explaining this.

Lighthouse Bay, a small hamlet on the north coast of New South Wales at the end of a bad road. The locum do-everything doctor. Good grief.

* * *

Ellie jumped at the rap on her door frame and turned her face to the noise. She reached out and switched her heroic balladeer off mid-song. The silence seemed to hum as she stared at the face of a stranger.

‘Sorry, didn’t mean to startle you.’ A deep, even voice, quite in keeping with the broad shoulders and impeccable suit jacket, but not in keeping with the tiny, casual seaside hospital he’d dropped into.

Drug reps didn’t usually get out this far. That deeply masculine resonance in his cultured voice vibrated against her skin in an unfamiliar way. It made her face prickle with a warmth she wasn’t used to and unconsciously her hand lifted and she checked the top button of her shirt. Phew. Force field secure.

Then her confidence rushed back. ‘Can I help you?’ She stood up, thinking there was something faintly familiar... But after she’d examined him thoroughly she thought, no, he wasn’t recognisable. She hadn’t seen this man before and she was sure she’d have remembered him.

The man took one step through the doorway but couldn’t go any further. Her office drew the line at two chairs and two people. It had always been small but somehow the space seemed to have shrunk to ridiculous tininess in the last few seconds. There was a hint of humour about his silver-blue eyes that almost penetrated the barrier she’d erected but stopped at the gate. Ellie was a good gatekeeper. She didn’t want any complications.

Ellie, who had always thought herself tall for a woman, unexpectedly felt a little overshadowed and the hairs on the back of her neck rose gently—in a languorous way, not in fright—which was ridiculous. Really, she was very busy for the next hour until the elderly locum consultant arrived.

‘Are you the matron?’ He rolled his eyes, as if a private thought piqued him, then corrected himself. ‘Director of Nursing?’ Smooth as silk with a thread of command.

‘Acting. Yes. Ellie Swift. I’m afraid you have the advantage of me.’

The tall man raised his eyebrows. ‘I’m Samuel Southwell.’ She heard the slight mocking note in his voice. ‘The locum medical officer here for the next month.’ He glanced at his watch as if he couldn’t believe she’d forgotten he was coming. ‘Am I early?’

‘Ah...’

Ellie winced. Not a drug rep. The doctor. Oops.

‘Sorry. Time zones. No Daylight Saving for you northerners from Brisbane. Of course. You’re only early on our side of the border. I was clearing the decks for your arrival.’ She muttered more to herself, ‘Or someone’s arrival...’ then looked up. ‘The agency had said they’d filled the temporary position with a Queenslander. I should have picked up the time difference.’

Then the name sank in. ‘Southwell?’ A pleasant surprise. She smiled with real warmth. ‘Are you related to Dr Southwell who had the accident?’ At the man’s quick nod, Ellie asked, ‘How is he?’ She’d been worried.

‘My father,’ he said dryly, ‘is as well as can be expected for a man too old to be surfing.’ He spoke as if his parent were a recalcitrant child and Ellie felt a little spurt of protectiveness for the absent octogenarian. Then she remembered she had to work with this man for the next month. She also remembered Dr Southwell had two children, and his only son was a consultant obstetrician at Brisbane Mothers and Babies. A workaholic, apparently.

Well, she certainly had someone with obstetric experience for a month. It would be just her luck that they wouldn’t have a baby the whole time he was here. Ellie took a breath and plastered on a smile.

First the green frog jumping at her from the door, then the ones croaking outside the window and now the Frog Prince, city-slicker locum who wasn’t almost retired, like locums were supposed to be.

‘Welcome. Perhaps you’d like to sit down.’ She gestured at the only other chair jammed between the storage cupboard and the door frame. She wasn’t really sure his legs would fit if he tried to fold into the space.

He didn’t attempt to sit and it was probably a good choice.

There was still something about his behaviour that was a little...odd. Did he feel they didn’t want him? ‘Dr Southwell, your presence here is very much appreciated.’

It took him a couple of seconds to answer and she used them to centre herself. This was her world. No need to be nervous. ‘We were very relieved when someone accepted the locum position for the month.’

He didn’t look flattered—too flash just to be referred to as ‘someone’, perhaps?

Ellie stepped forward. Bit back the sigh and the grumbles to herself about how much she liked the old ones. ‘Anyway, welcome to Lighthouse Bay. Most people call me Swift, because it’s my name and I move fast. I’m the DON, the midwife, emergency resource person and mediator between the medical staff and the nursing staff.’ She held out her hand. He looked at her blankly. What? Perhaps a sense of humour was too much to hope for.

His expression slowly changed to one of polite query. ‘Do they need mediation?’ He didn’t take her hand and she lowered it slowly. Strange, strange man. Ellie stifled another sigh. Being on the back foot already like this was not a good sign.

‘It was a joke, sorry.’ She didn’t say, ‘J. O. K. E.,’ though she was beginning to think he might need it spelled out for him. She switched to her best professional mode. The experience of fitting in at out-of-the-way little hospitals had dispatched any pretensions she might have had that a matron was anyone but the person who did all the things other people didn’t want to do. It had also taught her to be all things to all people.

Ellie usually enjoyed meeting new staff. It wasn’t something that happened too often at their small hospital until Dr Rodgers had retired.

Lighthouse Bay was a place more suited to farming on the hills and in the ocean, where the inhabitants retreated from society, though there were some very trendy boutique industries popping up. Little coffee plantations. Lavender farms. Online boutiques run by corporate women retreating from the cities looking for a sea change.

Which was where Ellie’s new clientele for Maternity rose from. Women with considered ideas on how and where they wanted to have their babies. But the town’s reliable weekend doctor had needed to move indefinitely for medical treatment and Ellie was trying to hold it all together.

The local farming families and small niche businesses were salt-of-the-earth friendly. She was renovating her tiny one-roomed cottage that perched with two other similar crofts like a flock of seabirds on the cliff overlooking the bay. She’d found the perfect place to forget what a fool she’d been and perfect also for avoiding such a disaster again.

Ellie dreamed of dispensing with the need for doctors at all. But at the moment she needed one supporting GP obstetrician at least to call on for emergencies. Maybe she could pick this guy’s brains for ways to circumvent that.

She glanced at the man in front of her—experience in a suit. But not big on conversation. Still, she was tenacious when there was something she wanted, and she’d drag it out of him. Eventually.

In the scheme of things Lighthouse Bay Maternity needed a shake up and maybe she could use him. He’d be totally abreast of the latest best-practice trends, a leader in safe maternity care. He should be a golden opportunity to sway the sticklers to listen to the mothers instead of the easy fix of sending women away.

But, if he wasn’t going to sit down then she would deal with him outside the confines of her office. She stood and slipped determinedly past him. It was a squeeze and required body contact. She’d just have to deal with it. ‘Would you like a tour?’