LITMIR.BIZ

      Heading back to the department, happy that Judith wasn’t if exactly cheered at least feeling a bit better, Harriet eyed the whiteboard, planning her next move. She wasn’t sure what reached her senses first, the deep voice or the heady scent of his aftershave, but for reasons she couldn’t even begin to fathom, every sense was on high alert as an all-too-familiar request met her ears.

      ‘Who is in charge?’

      Harriet felt her confident introduction dissipate into a croak.

      ‘That would be me,’ she somehow managed, dragging her eyes upwards. Incredibly tall, he was easily a good few inches taller than Drew who stood at six-one, but there was nothing remotely slender about him. Ciro was an absolute brute of a man, impossibly wide shoulders, the short-sleeved theatre blues displaying muscular forearms, dusted with dark hairs. Even his hands, holding out a casualty card towards her, were somehow sexy—olive-skinned and long-fingered. Harriet immediately felt incredibly guilty for even noticing they were utterly devoid of a wedding ring.

      ‘The sister who was on before was very dismissive, but I am preocupado…’ Ciro hesitated. ‘Worried,’ he corrected, and even though she’d already guessed what he was alluding to she gave a small appreciative nod when he translated his word effectively. ‘Very worried and concerned about this patient.’

      Grateful for something to concentrate on other than this divine specimen, she took the casualty card and skimmed through the notes written by the evening doctor Ciro had taken over from, cutting through the medical jargon in a moment and summing up the bare facts. ‘Alyssa Harrison, fifteen years old. Fell at a ballet rehearsal, lacerated scalp, sutured, neuro obs stable, ready for discharge. What’s concerning you, Doctor?’

      ‘A lot, I think.’ His voice was serious, and he gestured to an empty cubicle. ‘Can I speak with you for a moment?’

      ‘Of course!’ Harriet agreed, but nothing was that simple in Emergency. Before heading off, she flagged down a passing RN with the words, ‘I won’t be long,’ and, handing the drug keys to Susan, she added, ‘Dr Delgato wants a word in private.’

      ‘Lucky thing.’ Susan grinned. ‘Take as long as you need—I would.’

      Thankfully the short walk allowed her blush to fade. No man had even come close to causing such a reaction in her and Harriet didn’t even need to glance at the ring that adorned her own finger to know that whatever she was feeling was inappropriate.

      ‘It would appear straightforward.’ Ciro wasted no time getting to the point. ‘Alyssa was seen and stitched before I arrived on duty—she had no neurological signs, etcetera, but the doctor who saw her suggested we keep her in for a few hours for head-injury observations, which have all been normal. Now her mother is very keen to get her home.’

      ‘But?’ Harriet asked, because clearly there was one.

      ‘I don’t think this young girl is well at all, I’m not happy to discharge her, yet she doesn’t want to get undressed for a full examination,’ Ciro said grimly.

      ‘A lot of fifteen-year-olds wouldn’t,’ Harriet ventured, ‘especially…’ Her voice trailed off, but in the interests of patient care she cleared her throat and boldly continued, ‘Well, you’re a young man, good-looking—’

      ‘I have taken that into consideration,’ Ciro broke in, apparently not remotely embarrassed by Harriet’s rather personal observation. ‘She is swathed in legwarmers and a cardigan. All I have managed is to roll up her sleeve, check her blood pressure and take a small look at her ankles while I checked her reflexes. That was enough for me to see that this girl is not just thin, but I would say anorexic and severely malnourished. Her ankles are swollen and oedematous, which would suggest severe malnutrition, and her arms are very thin. Now, usually you would have the parent helping, telling the child not to worry, that it is a doctor examining her and this needs to be done, but instead the mother is agreeing with the daughter when she says that she doesn’t want to get undressed and loudly insisting that any further investigations are unnecessary and that she wants to take her home.’

      ‘OK.’ Harriet chewed her bottom lip as she realised the possible gravity of the situation, listening intently as Ciro continued.

      ‘I took her pulse for a full five minutes and she is having arrhythmias. I suggested that we put her on a monitor and do an ECG and some bloods, but the mother again refused. She said that she would take her to the family doctor tomorrow. It is my belief that the mother knows her daughter is grossly underweight, knows that if she is examined properly she will be kept in hospital, and is trying to avoid it.’

      ‘Have you managed to speak to Alyssa alone?’

      ‘No.’ Ciro shrugged, his shoulders moving just a fraction. ‘Sister…’

      ‘Harriet,’ she corrected automatically.

      ‘Harriet, I do not overreact.’ He stared unblinkingly at her. ‘I do not make problems when there are none. I have asked for the most senior nurse to come with me, as I am going to attempt again to examine Alyssa properly, and if the mother again refuses then I am going to have to get…’ Again he paused, again Harriet guessed he was trying to find the right word—only this time she attempted to help him.

      ‘Heavy?’ Harriet suggested, and from his slightly bemused expression clearly that wasn’t the word he’d been searching for!

      ‘If the mother doesn’t comply, then the polite requests and friendly small talk ends and I will call the mother into the interview room and tell her that unless the daughter is examined and treated properly tonight, not only will I be consulting with the paediatrician but also the Department of Community Services, because, although it may be unusual circumstances, Alyssa is at risk.’

      ‘You’ll get heavy!’ Harriet summed up for him with a smile.

      ‘Very!’ Briefly he smiled back as the alternative meaning of the word dawned on him, but it faded quickly, his voice slightly urgent when he spoke. ‘Harriet, this is not good.’

      She believed him.

      Despite the fact she hadn’t even observed him with a patient, had only known him for a few moments, Harriet knew, as nurses just did, that this was a voice of experience talking, knew to go along with his hunch in the knowledge it would be reciprocated; that one day when it was Harriet that was concerned, that when everything on paper told her that the patient was fine, she’d be able to turn to him and tell him that today or tonight or whenever the time came to follow a hunch, she was worried about a patient.

      And he would listen.

      ‘Let’s go and get Alyssa examined and speak with Mrs Harrison, shall we?’

      ‘Are

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