Angels In The Snow

Her stomach took a dive. ‘Hello, Daniel.’

He unzipped the neck of his jacket roughly, as if it was choking him. ‘Stella?’ His voice was hoarse and shocked and suddenly she couldn’t breathe because the memories were out of control.

His breath hot on her neck; his skilled, knowing hands on her trembling body; that same husky voice murmuring her name.

She gazed back at him, the only man who’d ever had this effect on her.

In London she’d hoped to meet someone who would make her forget Daniel. But how did you forget a face as absurdly handsome as his? How did you forget six feet two of arrogant masculinity? Who, out of the many doctors she’d met during her period of self-imposed exile, would have been capable of abseiling into a narrow ravine and masterminding the rescue of a severely injured boy?

Who would have had the ability to make her care so much that when it had ended, part of her had ceased to function?

Remembering the agony was what saved her. Stella turned back to the patient, reminding herself that ‘Caring of Cumbria’ liked long walks and was looking for commitment. ‘Hello, Sam.’ She walked over to the stretcher and smiled at the white-faced boy. ‘I hear you’ve had a bit of an exciting day.’

He looked impossibly young and he turned his head to look at Daniel, fear and hero-worship mingling in his eyes. ‘You promised you wouldn’t leave me. You said—’

‘I know what I said.’ Daniel’s voice was rough and he curved his hand over the boy’s shoulder. ‘And I’m not leaving you. But I do need to try and sort out that leg of yours. Trust me. Just do as I say and you’re going to be all right.’

Always In control. Always in charge.

Trust me.

Stella gritted her teeth. Trust me to break your heart. But she noticed that his hand stayed on the boy’s shoulder, providing the contact and reassurance that was so obviously needed as he gave the other doctors a series of instructions.

She guided the stretcher alongside the trolley. ‘We’re just going to move you across, Sam.’

‘You’re working here?’ Daniel’s harsh interruption made her flinch and Stella gently removed the blanket covering the boy.

Wasn’t it obvious? ‘I’ve called the radiologist.’

‘Wait.’ His hand covered hers, stopping her. ‘We move him on my count, not before.’

She’d forgotten what it was like, working with him. When he was in Resus, he was the one in command. Which was why this particular hospital had such impressive success rates, she thought dryly. Her heart thumping, Stella glanced down at the strength of his fingers covering hers and gently eased her hand away. ‘Fine. On your count.’

Registering her withdrawal, his jaw tensed and his eyes narrowed dangerously. ‘Why did no one tell me you were back?’

‘Because the medical staff aren’t usually interested in nursing appointments,’ Stella said calmly, wondering if he was even aware that the other medical staff in the room were watching them, wondering what was going on.

Nothing was going on, she told herself firmly. Nothing, except an awkward first meeting.

They transferred the boy from stretcher to trolley, and Daniel gave Stella a fulminating look that warned her that the conversation was far from over. Then he turned back to the frightened child and proceeded to demonstrate how he’d earned his reputation as a ferociously talented emergency doctor.

Maintaining a casual flow of conversation that distracted the boy, he examined him thoroughly, his skilled hands looking for injuries he hadn’t already identified

‘How’s that pain, Sam?’

‘It’s OK.’ But the boy’s face was grey and Daniel glanced towards one of his colleagues.

‘Is that line in yet?’

‘Just about to do that now.’ The more junior doctor was obviously keen to ask questions. ‘So what’s the Gustilo classification? Was there extensive tissue loss? Much bone exposure? This is an orthopaedic emergency, right?’ His tactless observation drew a terrified sound from the boy and he clutched Daniel’s arm.

‘I feel sick.’

Panic, Stella thought to herself and Daniel gave him a warm smile.

‘You’re doing fine, Sam. I’m not worried and if I’m not worried, you don’t need to be worried.’ He glanced towards the doctor who had spoken and Stella saw his eyes narrow dangerously. ‘Get that line in,’ he murmured softly, ‘and I’ll talk to you about the case later.’

And about other things, Stella thought to herself. Daniel Buchannan was too much of a perfectionist to allow the younger doctor’s slip to pass without comment.

‘Just breathe for me, Sam,’ she said softly. ‘I’m going to attach these wires to you so that we can monitor your pulse and blood pressure without having to disturb you.’

The boy looked at her gratefully. ‘You probably think I’m a baby.’

‘Babies don’t climb in Devil’s Gully.’ Stella wrapped the blood-pressure cuff around his arm. ‘I’ve seen it from the top. Never had the nerve to go down.’

Sam closed his eyes. ‘My mum is going to kill me.’

‘She’ll just be glad you’re all right.’ Stella looked at the monitor, noticing the rapid pulse rate and the low blood pressure. She looked at Daniel and he inclined his head briefly, but said nothing that would worry the boy.

‘I’m going to give you something else for the pain and sickness in just a moment, Sam,’ he said gently, checking the boy’s abdomen. ‘Stella, I want to do a FAST scan. There might be some bleeding here.’

Stella reached for the machine, still talking to the boy. ‘I can’t believe you climbed that bit of the mountain,’ she said briskly, reaching for the drugs that Daniel was going to need. ‘It’s a tricky route, even in summer. Steep.’ She talked as she worked, keeping the boy’s attention.

‘It was snowy and I went too close to the edge.’

Picturing the scene, Stella suppressed a shudder. The boy had been lucky to escape with his life. Knowing the harsh, unforgiving terrain, she also knew that Daniel must have risked his own life to save the child. ‘That story is going to get you lots of sympathy over Christmas,’ she said lightly. ‘And bigger presents.’

The child’s face brightened slightly. ‘Do you think so?’

‘I’m sure.’ Stella grinned and put the syringes on a tray. ‘Start planning your Christmas list now.’

The boy managed a smile and then groaned as a spasm of pain took hold. The groan turned to a sob and he looked at Daniel, his eyes terrified. ‘Am I going to die? I feel sick. And dizzy. Like everything is far away.’

When he needed reassurance, he looked at Daniel, Stella noticed. He’d bonded with the man who had saved his life.

‘You’re not going to die.’ Daniel spoke firmly, his hand still on the boy’s shoulder. ‘If patients die, I get fired. And I need the money.’

The sound the boy made was halfway between laughter and a sob. ‘To run that fancy sports car you told me about?’

‘Yeah—that and other things.’

‘Women?’

Daniel’s eyes gleamed. ‘They’re expensive things, women.’ Without moving his eyes from the patient, he held out his hand and Stella slipped the syringe into it, knowing exactly what he wanted.

‘Morphine and cyclizine.’

‘I know my leg is a mess,’ Sam murmured, still looking at Daniel. ‘I saw it before you put the splint on. It looked disgusting. And that other doctor said it was a medical emergency.’

‘It’s nothing we can’t deal with,’ Daniel said smoothly, checking the drug before administering it. ‘Take no notice of my colleague. We doctors love drama—makes us feel powerful and important. Don’t you watch the TV? It’s how we pull the girls. There’s a pretty nurse in the room. He’s trying to impress her.’

The boy gave a weak grin. ‘Those medical dramas mostly make me feel sick.’

‘Me, too,’ Daniel said blithely, dropping the empty syringe back onto the tray. ‘Probably why I’m still single. I haven’t got what it takes to pull the girls. All right, Sam, this is what we’re going to do. I’ve just given you another dose of medicine for pain and sickness because I can see that’s starting to bother you again. And now my friend here is going to put another needle in your vein.’

The boy’s eyes closed. ‘I still feel sick.’

‘That will pass in a minute,’ Daniel murmured, his gaze flickering to the monitor that displayed the boy’s pulse and blood pressure. ‘I’m right here, Sam. Don’t you worry. Everything is going to be fine. In three weeks’ time, you’re going to be eating your turkey and opening those presents.’

How could he possibly think he wouldn’t make a good father? Stella wondered numbly. For a man who claimed to know nothing about children, he was astonishingly empathetic.

Sam obviously agreed because he never took his eyes from Daniel’s face. ‘I’ll never forget you climbing down that slippery bit,’ the boy mumbled. ‘You deserve a medal or something.’

Daniel grinned, moving to one side while the radiologist prepared to take the X-rays. ‘Unfortunately I never get what I deserve. What was your reward supposed to be for battling through the snow and wind?’

‘My adventure badge. But I don’t suppose I’ll get it now because I didn’t finish the trip.’ The boy moaned as the radiologist moved his leg slightly. ‘I wish I’d never signed up for it.’

‘You were unlucky, that’s all. When you’re recovered give me a call and I’ll take you up there. The views are fantastic from the top. You’ll get your adventure badge—I’m sure about that.’ Daniel was working, examining the boy properly and murmuring instructions in a voice so calm that the boy remained unaware of the seriousness of his injuries. ‘Stella, how are the distal pulses?’

‘Strong.’ Stella checked that the blood supply to the lower limb was satisfactory while the casualty officer secured the second line and took the bloods that Daniel had ordered.

‘Do you want me to uncover the wound and take a photograph?’

‘I did that at the scene. I don’t want the dressing removed. The next time that wound is being exposed to air is in the operating theatre. Camera in my left pocket.’ Daniel turned slightly so that Stella could retrieve it and she tensed as she plunged her hand into his pocket.

His eyes met hers for a moment and she backed away, her fingers clutching the camera.

‘Antibiotics and tetanus,’ Daniel said roughly, and Stella turned away to prepare the drugs, knowing that her face was pink.

This was turning out to be much, much harder than she’d anticipated.

Was this going to get easier with time?

She certainly hoped so.

It wasn’t the working together that was the problem—that was as smooth as ever. It was the emotion behind it. It was impossible to switch off.

‘Daniel?’ Ellie put her head round the door, her face worried. ‘I know you’re not officially on duty but we’re having a nightmare out here. I suppose it’s the snow and ice—the roads are lethal. I’ve got a pregnant woman coming in. She and her husband were involved in a car accident. Might you be able to—?’

‘Yes. As long as she doesn’t mind being seen by a doctor in full outdoor gear.’ Daniel injected the antibiotic into the cannula, his eyes on his patient’s face. ‘I’ve been in the mountains for eight hours. At some point I need to get back to base, drop the equipment and debrief. Where is everyone else? What’s the ETA of your pregnant woman?’

‘Ambulance Control just phoned. She’s about eight minutes away.’

‘That should give me time to get Sam down to Theatre. Give me a shout when she arrives.’ Daniel glanced at Stella. ‘Any sign of the orthopaedic guys?’

‘We’re here.’ A slim man with sandy-coloured hair hurried into the room. ‘Sorry. Black ice has kept us busy. I’ve only just got out of Theatre.’ He looked at Daniel’s bulky outdoor gear. ‘Is this a new uniform for the emergency department?’

‘Daniel?’ The boy’s hand shot out and clutched Daniel’s arm again. There was fear in his eyes. ‘Are they going to put me to sleep? Will I feel anything? Did you get hold of my mum?’

‘They are going to put you to sleep and, no, you won’t feel anything.’ Daniel’s voice was soft. ‘I spoke to your mum. She’s on her way.’

‘Will you stay with me until she gets here?’

A muscle worked in Daniel’s dark jaw. ‘Are you kidding? You’re wearing half my equipment—and it’s the expensive half. There’s no way I’m letting you out of my sight. We’re going to take you straight to Theatre and get that leg of yours stuck back together in time for Christmas.’ His glaze flickered to his colleague. ‘Are you ready?’

‘You’re coming, too?’ The man looked startled but Daniel’s gaze was cool.

‘I’ll stay with him until he’s under.’

The orthopaedic surgeon picked up the charts and gave a brief nod. ‘All right. Well, you’re obviously needed back here, so let’s move.’

‘If my pregnant patient was eight minutes away three minutes ago then I have five minutes.’ Daniel glanced at his watch. ‘I’ll be back in five minutes.’

He’d been out on an exposed mountainside for eight hours and he had five minutes in which he could have grabbed a hot drink. Instead he was going to accompany a frightened child to the anaesthetic room.

Stella gritted her teeth. All the reasons why she’d fallen in love with Daniel in the first place were still there. Nothing had changed.

‘Go.’ She started clearing Resus. ‘I’ll sort things out here.’

She barely had time to run through another bag of fluid and restock, before the paramedics arrived with the pregnant woman. After listening to the handover by the paramedics, Stella tried to make her patient more comfortable.

Her face was bleeding slightly from several small lacerations and a livid bruise was already forming over one cheekbone. ‘I’m so worried about the baby. We’ve been trying for five years—’ Her voice broke and she rubbed her hand over her swollen abdomen. ‘If anything happens to him I’ll—’

‘We’re going to check you and the baby, Fiona,’ Stella soothed, glancing towards the door as Daniel strode in. ‘This is Dr Buchannan, one of our consultants.’

Fiona looked in astonishment at Daniel’s outdoor clothing and he shrugged.

‘It’s cold in this department,’ he drawled, and she gave a choked laugh.

‘I read an article about you last summer. You’re one of three doctors in the emergency department that volunteer for the mountain rescue team.’

‘That’s right.’ Daniel glanced at the monitor that Stella had connected to the patient, tracking the readings. ‘There’s Sean Nicholson, although we do keep telling him he’s getting a bit too old for tramping up in the hills. And there’s Ben—both of whom are treating other patients, which is why you have me. Technically I’m off duty but there’s no rest for the wicked. I see Stella’s already given you oxygen.’ He turned to Stella. ‘I’d forgotten what it’s like to work with a nurse who is always one step ahead of me.’

Stella’s hands trembled slightly as she attached Fiona to the CTG machine. ‘This will help us get a feel for how your baby is doing.’ She adjusted the elastic until she was satisfied with the reading. ‘Daniel—do you want me to call Obstetrics and get someone down here?’

‘I’ll take a look at her first. Monitors only tell you so much—I learned that lesson as a medical student when the monitor told me a woman wasn’t having contractions. She delivered the baby five minutes later. I was more shocked than she was.’ Daniel took off his jacket, washed his hands and pulled on a pair of gloves. ‘Have you had any problems in the pregnancy, Fiona? Anything you think I should know about?’

If sexual attraction was enough to hold two people together then they would have stuck like glue, Stella thought helplessly, watching the flex of his biceps as he worked.

‘It’s all been really easy.’ Fiona twisted her wedding ring round her finger. ‘I’ve been doing everything by the book. It’s our first baby. And I’m terrified.’ Her voice wobbled. ‘Do you have kids?’

Stella’s gaze met Daniel’s briefly.

‘No.’ There was a sudden coolness to his tone. ‘I don’t.’

‘It changes you,’ Fiona said simply. ‘All I care about is this baby. I suppose that’s part of being a mother.’

Daniel didn’t respond and Stella stayed silent, too.

Marriage, motherhood, maternity—Daniel’s three least favourite topics of conversation. And she should know. They’d had that conversation on numerous memorable occasions. Memorable for all the wrong reasons.

‘It’s natural to be concerned about the baby.’ Daniel spoke the words the woman needed to hear, but Stella sensed that part of him was detached.

‘Babies are surprisingly resilient,’ she reassured the woman. ‘And we’re going to check him very carefully.’

Daniel conducted a thorough examination and Stella knew that he’d shut the conversation out of his mind with ruthless efficiency. He was looking for clinical signs that might suggest a problem. He wasn’t thinking about babies or emotion.

He was palpating Fiona’s abdomen when she gave a little gasp of fright and shifted on the trolley.

‘Oh!’ Her eyes widened with panic. ‘I think I’m bleeding. Oh, God, am I losing it? Please don’t say I’m losing the baby.’

More comfortable with a medical emergency than an emotional one, Daniel was cool and calm as he examined her. ‘Stella—give my brother a call, will you? Tell him I need him down here.’

Meeting his gaze briefly, Stella moved to the phone and spoke to Switchboard.

Fiona put her hand over her eyes and started to cry. ‘I can’t believe I’m bleeding. I wish I’d never left the house. We were going Christmas shopping. I know there’s another three weeks to go but I wanted to get it out of the way in case something happens. And now I’ve made it happen.’ Great tearing sobs shook her body and Stella slipped her arm around the woman’s shoulders, trying to imagine how she’d feel in the same position.

‘You haven’t made anything happen,’ she soothed. ‘You must try and calm down, for the baby’s sake.’

‘If I lose this baby—’

‘Fiona.’ Daniel reached for an IV tray, nothing in his voice betraying the fact that he was concerned. ‘I want you to relax and trust me. My brother is one of the best obstetricians in the country and he will take a look at you.’

‘One of the best?’ Patrick strode into the room, a mocking gleam in his eyes as he looked at Daniel. ‘I’m not one of the best. I’m the best.’

Fiona blinked in shock and Stella sighed.

‘Yes, they’re twins. Don’t worry, you’re not seeing double. Both of them as arrogant as the other.’

Fiona gave a feeble smile. ‘Are they as good as they seem to think they are?’

‘Fortunately, yes.’ Stella adjusted one of the probes. ‘Or maybe I should say unfortunately. I don’t know. It makes them unbearable to be with, but I suppose it’s good for the patients. Patrick? Do you want to take a look at this CTG trace?’

‘I’m looking.’ Patrick stood next to her, studying the trace in silence. ‘All right—so there are a few dips there.’

Stella looked up and found Daniel glancing between her and Patrick. Then he focused on his brother’s profile, so like his own. His jaw tightened, his blue eyes glittered dangerously and Stella felt a rush of trepidation. He’d obviously registered the fact that Patrick hadn’t been surprised to see her.

Patrick looked up and met his brother’s accusing gaze.

They were like a couple of stallions, Stella thought with exasperation, locked in a battle over territory. The interaction lasted less than a few seconds, but the impact was sufficiently powerful to leave her nervous of what was to come.

Why couldn’t she have fallen in love with someone mild and gentle?

Pivoting back to the patient, Daniel fastened a tourniquet around Fiona’s arm. ‘I’m just going to put a cannula in your vein, in case we need to give you some fluid. Can you straighten your arm for me?’

‘Stella—can I have a pen?’ While Daniel set up an IV, Patrick was examining the woman’s abdomen. ‘I want to mark the height of her uterus.’

Stella swiftly provided him with a pen, wishing she’d never accepted Patrick’s offer of accommodation. It was going to cause problems, just as she’d feared. She should have stayed somewhere else.

Then she frowned, cross with herself. The stable was lovely. And she could live anywhere she chose to live. It was none of Daniel’s business.

And if it was difficult for him—well, tough.

He didn’t care, did he?

‘Why are you drawing on me?’ Fiona looked at Patrick anxiously and he slipped the pen into his pocket.

‘You’ve had some blood loss. It’s possible for some of the blood loss to be concealed, trapped behind the uterus. I want to make sure your uterus isn’t bigger than it should be. Dan, is there anything else I should know about? Any neck injury? Spine?’

‘No.’

‘Then I want her nursed in the left lateral position.’

‘Fine. I’m nearly done here.’ Daniel filled the necessary bottles and dropped them on the tray.

Stella stepped forward and helped him connect the IV, the casual brush of his arm against hers sending a shower of sparks over her.

And he noticed her reaction.

His eyes shifted to her face. As a doctor, he was trained to detect changes in the human body and he was a man who knew women. A man who knew her.

‘Everything all right?’

‘Everything is fine,’ she said sweetly, wishing he wasn’t quite so astute. Nothing passed him by. Nothing. And as much as she’d hoped that working together would be smooth and easy, it was turning out to be anything but.

Focusing on the pain that went alongside loving Daniel Buchannan, Stella murmured words of comfort to Fiona and helped her turn on her side.

‘Why do I have to lie like this?’

‘Because lying flat on your back puts pressure on one of your major blood vessels and that’s not good for the baby.’ Patrick checked the baby’s heart rate. ‘That’s better. Thanks, Stella. That’s great.’

Daniel shot him a look. ‘It’s good to have Stella back, isn’t it?’ There was an edge to his tone that wasn’t lost on his brother.

‘Definitely.’ Playing with fire, Patrick smiled. ‘I was so pleased when she called me to talk through her plans.’

Stella threw him an incredulous glance. What was he doing? He appeared to be asking for a black eye for Christmas.

‘You didn’t mention it.’ Daniel adjusted the IV. ‘It must have slipped your mind.’

‘Nothing slips my mind. I just didn’t think you’d be interested.’ Calmly, Patrick checked the monitor. ‘What bloods have you taken?’

‘U&Es, FBC, cross-match, BMG, coagulation screen, rhesus and antibody status and Kleihauer—why? Did I miss something?’

‘No.’ Ignoring the snap in his brother’s tone, Patrick winked at the patient. ‘Now he’ll be unbearable.’

Fiona shifted the oxygen mask slightly. ‘Twins, both of you doctors.’ She sounded amazed. ‘One of you is an emergency specialist and one of you is an obstetrician?’

‘That’s right. My brother is the emergency specialist.’ Patrick looked at Daniel. ‘The work suits his personality. Quick and dirty. All superficial, no depth or emotion.’

Daniel’s firm mouth flickered into a smile. ‘That’s how I prefer it.’

While they bantered, the two brothers worked together seamlessly, exchanging information, conducting tests. Then Patrick moved to the side of the trolley and put his hand on Fiona’s shoulder.

‘Fiona, I think there could be some concealed bleeding behind your uterus.’ He spoke gently, knowing that the news he was giving wasn’t going to be well received. ‘At the moment everything is fine and I’m not going to interfere, but I want to transfer you to the labour ward, just to be safe. We can monitor you there and if we need to intervene, we can.’

Fiona shifted on the trolley. ‘What’s causing the bleeding?’

‘It’s possible that a small part of the placenta has come away from the uterus—we call it an abruption. I want to keep you in hospital for now, see how things develop.’