LITMIR.BIZ

       Chapter Two

      ‘OBSTETRIC Team to Emergency.’

      Izzy heard the chimes as she tossed her coffee and sandwich wrapper in the bin and did a little dance at the sliding door that refused to acknowledge her, no matter how many times she swiped her card. An impatient nurse behind her took over, swiping her own card, and Izzy tailgated her in.

      They’d start her in Section B.

      Of that she was sure.

      Writing up tetanus shots and suturing, examining ankles and wrists…Despite her assured words to Jess earlier, Izzy was actually hoping for a gentle start back and was quietly confident that Ben would have arranged for one.

      ‘Obstetric team to Emergency.’

      The chimes sounded again, but Izzy wasn’t fazed. It was a fairly familiar call—frenzied fathers-to-be often lost their way and ended up bringing their wives to Emergency rather than Maternity.

      Izzy glanced at her watch.

      In ten minutes she’d be starting her first shift…

      Walking through another set of sliding doors, which this time opened without the use of her card, Izzy found herself in the inner sanctum of the emergency unit.

      She’d timed it well, Izzy thought to herself.

      By the time she’d put her bag in her locker, it would be almost time to start, which meant that she could bypass the staffroom, the small talk…

      ‘Izzy!’ Beth, an RN she’d worked with over the years, was racing past. ‘Cubicle four…Everyone’s tied up…She just presented…’

      Except Jess had been right.

      There would be no gentle easing in, Izzy fast realised as Les, the porter, relieved her of her bag. Beth brought her up to speed as best she could in short rapid sentences as they sped across the unit.

      ‘About twenty-three weeks pregnant, though she’s vague on dates,’ the rapid handover went on. ‘She won’t make it to Maternity, I’ve put out a call…’

      ‘Who’s seen her?’ Izzy asked as she squirted some alcohol rub on her hands.

      ‘You,’ came Beth’s response

      Oh, yes!

      She’d forgotten just how unforgiving Emergency could be at times. Just then she saw Ben, wrapping a plastic apron around himself, and Izzy was quite sure he’d take over and usher her off to Section B.

      ‘Have you got this?’ Ben said instead, calling over his shoulder as he sped off to Resus.

      ‘Sure!’

      ‘Her name’s Nicola,’ Beth said as Izzy took one, very quick, deep breath and stepped in.

      ‘Hi, there Nicola. I’m Izzy Bailey, the emergency registrar.’ Izzy wasn’t sure who looked more petrified, the student nurse who’d been left with the patient while Beth had dashed for a delivery pack or the mother-to-be who brought Izzy up to date with her rapid progress even before Izzy had time to ask more questions—it was Nicola who pulled back the sheet.

      ‘It’s coming.’

      ‘Okay.’ Izzy pulled on some gloves as Beth opened the delivery pack, Nicola was in no state to be sped across the floor to Resus. ‘Let Resus know to expect the baby,’ Izzy said. ‘Tell them to get a cot ready.’ She took a steadying breath. ‘Emergency-page the paediatric team.’

      ‘Vivienne!’ Beth instructed the student nurse to carry out Izzy’s instructions, and Vivienne sped off.

      ‘There’s going to be a lot of overhead chimes,’ Izzy explained to Nicola, ‘but that’s just so we can get the staff we need down here quickly for your baby.’

      The membrane was intact, Izzy could see it bulging, and she used those few seconds to question her patient a little more, but there were no straightforward answers.

      ‘I only found out last week. I’ve got a seven-month-old, I’m breastfeeding…’

      ‘Have you had an ultrasound?’ Izzy asked.