Which was crazy.
Apart from the fact he never mixed work and relationships, it would be impossible here anyway. He was only here for six months, and she was involved. The best he could hope for was a good working relationship. Which meant defusing any embarrassment right from the start.
âDoctor,â he finished lightly. âYes. I didnât get a chance to introduce myself to you at the ball on Saturday. Theo Petrakis.â He held out his hand.
âMadison Gregory. Everyone calls me Maddie. Welcome to the ward.â She took his hand.
Using her right hand. And heâd kissed her right wrist on Saturday night, touched his lips to the pulse point.
The impulse to do it again shocked him, it was so strong. He just about managed to shake her hand and then drop it again. âI was making coffee. The kettleâs hot. What can I get you?â
âIâm impressed. Youâre well trained,â she teased.
He shrugged. âI donât mind taking my turn to make coffee. I certainly donât intend to pull rank and expect my team to run around after me.â
âDougâll be pleased to know his departmentâs in safe handsâand that you share his attitude towards the team,â she said. âThanks. Thatâll be a lot of milk and no sugar for me, please. And a little bit of cold water, too, so itâs cool enough to drink.â
A trick most doctors learned very early on, Theo knew. If you waited for your drink to cool, the chances were you wouldnât even get a first sip before you were called to a patient. âBusy morning, hmm?â he asked.
She nodded. âBut I love mornings like this. When things look as if theyâre going to go pear-shaped, and all the worst-case scenarios are running through your head while youâre maintaining absolute calm to stop the mum and her partner worryingâand then suddenly it all works and you end up with a new mum and dad, all misty-eyed and cuddling their little miracle. That first moment when the whole world seems brand new.â
Clearly she loved her job. And he knew what she meant: those first moments with a newborn baby always took his breath away, too.
He made the coffee the way sheâd specified and handed the mug to her.
âThanks.â She took a sip. âOh-h-h. This is perfect. Just what I needed.â
She seemed to be about to say something else, but then her pager bleeped. She glanced at the readout, then sighed and put the mug on the draining board. âSorry. Iâll finish it later. I have to go. The emergency department needs a second opinion on a pregnant patient with back pain.â
âCan I come and observe?â he asked.
She blinked, looking faintly surprised. âWell, if you really want to, sure. Iâm not worried about someone senior observing me,â she added, âbut four would definitely be a crowd and I had intended to take my fourth-year students down with me.â
âYour students?â
His surprise must have sounded in his voice because she admitted, âStrictly speaking, I suppose theyâre your students, but before Doug went on sick leave he agreed I could take over the mentoring side of things. And Sanjay and Nita are doing really wellâespecially Sanjay, whoâs blossomed since heâs been with us. I want to keep his confidence up.â
Theo raised an eyebrow. âI thought only consultants were mentors.â And she was a registrar, wasnât she?
âLook, Iâll explain on the way down to ED. If you want to observe, weâd better not take the students with us this timeâitâs not fair to our mum to have too many people in a cubicle with her, especially as sheâs in the emergency department and probably panicking like anything right now. Plus Sanjay and Nita really need to meet you properly before you observe them.â
Theo had to suppress a smile at the way Madison was taking control when officially she was his junior, but he liked her confidence and the way her first thoughts were for other peopleâs well-being. âSure.â
She stopped off at the reception desk and rang down to the emergency department to reassure them that she was on her way, then ushered him out of the department.
âSo talk me through the mentoring stuff,â he said.
âYou know as well as I do, we have a recruitment crisis in our specialty,â she said. âAll the surveys say that students donât want to work in obs and gynae because they have such a bad time on rotationâeither theyâre made to feel they get under the feet of the midwives, or theyâre stuck in the furthest corner of an operating theatre watching a Caesarean.â
âSo they never really get to do any of the work and they donât feel part of the team.â
âExactly,â Madison said. âWeâre organised nowadays so the team means a whole department, rather than the old way of having a âfirmâ of a consultant, registrar and house officers who always work together, and in a way thatâs a shame because it makes it harder for junior doctors to settle into the team. I really think students need a single point of contact in a department to help them feel theyâre really part of whatâs going on. Yes, they have to sort out their logbooks and what have you, but they also need proper contact with patients and they need real jobs to do if theyâre to get the best out of their attachment.â
âResponsibilities for something practical, such as a departmental audit,â Theo suggested.
That earned him another of the gorgeous smiles. âAbsolutely. On our ward, we have two students at a time on attachment. Iâm responsible for bedside teaching, and they attend my clinic and theatre sessions.â
âAre you pure obstetrics?â Theo asked.
She nodded. âThough Iâm interested in foetal medicine as well.â
âSo what about the gynae work?â
âI liaise with the consultants and the other registrars so the students get sessions with them, tooâbut Iâm still their point of contact if theyâre worried about anything, or if they want to see more of a particular subspecialty outside pure obstetrics. I also get them to spend time with the midwives, so they develop a rapport and a bit of respect for our colleagues, as well as a chance to see some low-risk births.â
âInstead of thinking that life in our ward is all epidurals and emergency sections,â Theo agreed. âThat sounds good. I notice you have a sensory room here.â
âAnd a water-birth suite. We want our mums to have the best, most natural and relaxing experience possible. Our midwives are fantastic, and we only intervene when weâre asked for help.â
âAmen to that,â he said feelingly.
The emergency registrar met them practically at the door and gave them a swift handover. Theo recognised the manâs voiceâhe was the one whoâd swept Madison off her feet at the ball. Yet Madison didnât greet him as if there was anything more than a professional relationship between them. And Iris had said that Madison hadnât met the man to come between her and her career. So did that mean she was single after all?
Crazy. He shouldnât even be thinking about her like that.
And yet he couldnât take his eyes off her. There was something about her. Something that made him want to break all his personal rules.
Which was even crazier.
The registrar introduced them both to the patient, then left to see the next on his list.
âMrs Ellis, Iâm Madison Gregory and this is Theo Petrakis,â Madison said. âEd called us from the maternity department. I understand youâve been having back pain.â
Mrs Ellis nodded. âAnd it hurts here.â She pointed to her groin, and clearly the movement hurt her because she grimaced.
âHas it been going on for long?â Madison asked.
âIâve had twinges for the last week, but today itâs absolute agony.â She dragged in a breath. âPleaseâIâm not going to lose the baby, am I?â
âAches and pains are pretty common in pregnancy and they donât necessarily mean that youâre miscarrying or thereâs a problem with the baby,â Madison reassured her, âbut youâve done exactly the right thing coming to see us. Do you mind if I examine you?â
With the patientâs permission, she examined Mrs Ellis gently but effectively, then listened to the babyâs heartbeat. âThatâs nice and strong, so try not to worry too much. The babyâs doing just fine. But what we need to do is stop this pain. Do you get the pain all the time, and does anything make it feel worse or better?â
âItâs only there some of the time. Itâs worse when Iâm going upstairs or getting dressed or turning over in bed,â Mrs Ellis explained.
Given where the pain was and the description, Theo knew exactly what the problem was. But rather than muscling in, he waited for Madison, who smiled at Mrs Ellis and squeezed her hand. âThe babyâs in absolutely no danger. What youâve got is something called symphysis pubis dysfunctionâSPD for short. It sounds a lot scarier than it is, and an awful lot of women get it. At eighteen weeks, youâre practically halfway through pregnancy, and thatâs the most common time to start noticing the pain.â
She sat down next to the bed, drew a notebook and pen from her pocket, and sketched a swift diagram to show their patient. Theo liked the way she was managing this: focusing on the patientâs worries, making it easy for her to understand. That kind of empathy would make her a brilliant consultant, as Iris had said. And on a personal levelâ¦
No. No involvements. Heâd made his decision years ago: he wasnât going to settle down, get married and have children. Sure, he datedâhe was only humanâbut he always made sure his dates knew he wasnât able to offer anything long term. If that meant people thought he was a shallow playboy, then fineâhe could live with that. As far as he was concerned, other people didnât have to know the real reason behind his decision. He wasnât prepared to put the woman he loved through childbirth, knowing first-hand what could happen when everything went wrong. And no way was he going to go through what his father had gone through.
He forced himself to concentrate on what Madison was saying, just in case she decided to throw a question or two his way.
âBasically your pelvis is in two parts and itâs held together by a joint called the symphysis pubis, which is strengthened by lots of ligaments. When youâre pregnant, your body produces a hormone called relaxin, which softens your ligaments to make it easier for you at birthâbut that also means your pelvis can move during pregnancy, and the movements are what cause the pain.â
âCan you make it stop?â Mrs Ellis asked.
âIâm going to give you a support belt, which will help, and you can take paracetamol to help with the painâthatâs perfectly safe for the baby. Iâm also going to refer you to a physiotherapist, who can teach you some exercises for your tummy and pelvic floor that wonât hurt the baby but will help ease the pain. I canât promise youâll get an appointment with the physio today,â Madison warned, âbut if I can do it, I will.â
âThank you.â Mrs Ellis wiped away the tears that had started to spill over. âI was so scared I was going to lose the baby.â
âItâs always the first thing that goes through your mind,â Madison sympathised, âbut youâre going to be absolutely fine. Even better news is that there are a few things you can do to help make the pain go away.â
This was his cue, he thought. âWhy donât I tell Mrs Ellis while you talk to the physios?â Theo suggested.
Her eyes narrowed for a moment, as if she thought he was trying to take over; but then she nodded, clearly realising that this was going to save them some time. âIs that all right with you, Mrs Ellis?â
âThatâs fine. I donât mind talking to student doctors.â
She thought he was a student? Well, it was an easy mistake to make. Madison had been planning to bring her fourth-year students with her, and no doubt the emergency department had cleared it with Mrs Ellis first. Theo just about managed to suppress his grin, though as Madison left the cubicle he could see amusement all over her face. Well, he could live with it. Telling Mrs Ellis that actually he was Madisonâs boss wasnât going to achieve anything other than make her feel awkward and embarrassedâand his patientâs comfort was much more important than his dignity.
He talked her through the things she could do to help herself, and was just discussing the birth plan with her when Madison swished the curtain aside, carrying a support belt. âIâm sorry, Mrs Ellis. The physiotherapy department is completely booked up todayâbut Iâve persuaded them to squeeze you in first thing in the morning, just before their list starts. For now, Iâm going to show you how to put this belt on and thatâs going to take some of the strain for you.â
âThank you so much,â Mrs Ellis said, looking relieved that she wasnât going to have to suffer pain for much longer.
âMy pleasure.â Madison smiled at her. âDo you have any questions, or has Mr Petrakis already answered them?â
âMr Petrakis said I should put it in my birth plan to make sure I get the most supportive birth position, and it might affect my pain relief. Will I have to have a Caesarean?â
âIâm not going to rule it in or out at this stage,â Madison said gently. âWeâll see how you go. But I will promise you that weâll do the best for you and your baby.â
âWill I get it again if I have more children?â Mrs Ellis asked.
âWe honestly donât know,â Theo replied. âYou might not get it at all, or it might be not as severe, or it might be worse. It really, really varies. But the best advice we can give you is to leave a good two years between pregnanciesâif you do get SPD next time round and your babyâs not walking yet, youâre going to find lifting really hard.â
When Madison had fitted the support belt and checked that Mrs Ellis had transport home, she and Theo walked back up to the ward.
âSo are you happy that I know what Iâm doing, or do you want to supervise me with some more cases?â she asked.
âI wasnât checking up on you,â Theo corrected. âI wanted to get a feel for how you worked, and Iâm going to be doing the same with all the staff. Mentoring isnât just for students, you know.â
She looked surprised. âWhat do you mean?â
âWhatever the stage of your career, you need development or youâre going to feel stuck in a rut and be miserable. The last department I worked in had a policy of job enrichment, and that worked really well. If you donât already have that here, maybe we can introduce itâand Iâll make sure I liaise with Iris, because I want the midwifery team to be happy with any changes we make and they might have some good suggestions, too.â
She smiled at him. âI like the way you think. Iâm going to enjoy working with you.â
A feeling, Theo thought, that was very much mutual.
Even though for the rest of the day he was in clinic and she was in Theatre, Theo was aware of Madison all afternoon. To the point that, when their shifts ended and he found himself in the locker room at the same time as her, he said, âCome and have a coffee with me.â Seeing a slightly nervous look on her face, he added, âLook, I donât mean coffee as in a date. I know youâre involved with the guy in the emergency department.â
âThe guy in theâ¦?â She looked mystified for a second, then smiled. âOh, you mean Ed.â
âThe one who called you down to Mrs Ellis,â he confirmed.
âIâm not involved with Ed.â
âThen youâre free.â Even though he knew he ought to be sensible about it, he couldnât help mentally punching the air. And then he caught the expression on her face. âTo take pity on the new boy, that is,â he said swiftly. âIâve spent the last five years working in the Midlands, so I donât know the area at all, and I could do with someone to show me where I can get some good coffee around here.â
She shrugged. âThe hospital canteenâs OK.â
âThey do espresso?â he checked.
âOh. You mean serious coffee.â For a moment, he thought she was going to give him the brush-off. Then she smiled. âI know the perfect place.â
She led him to a small café not far from the hospital. âGiovanniâsâitâs Italian?â he asked.
She nodded.
âA little family place. Sounds good to me.â
âActually, itâs a chain,â she corrected. âBut itâs a good one. And Iâm very glad thereâs a branch just round the corner from the hospital. They do the best coffee in Londonânot to mention these fantastic organic chocolate brownies.â
She ordered a frothy cappuccino and a brownie, and shook her head when he ordered a double espresso. âThat much caffeine is seriously bad for you, Theo. How on earth do you sleep?â
âIâm used to it.â He smiled. âEspresso is the nearest I can get to Greek coffee outside home. Unless you happen to know a decent Greek restaurant around here?â
She shook her head. âIâm afraid Greek coffee is a taste I havenât acquired. Itâs all the bits.â She grimaced. âThat thick gloopy stuff at the bottom.â
He laughed. âYouâre not supposed to drink it to the last drop. And the kaimakiâthe frothâis gorgeous, if itâs made properly. Like an espresso. But I admit itâs an acquired taste, and I canât drink it sweet, the way my father does.â He paused. âI enjoyed working with you today. Youâre as good a doctor as you are a dancer. Intuitive and empathetic.â
To his pleasure, her eyes widened slightly. So she wasnât entirely indifferent to him, then? She felt this same weird pull, the chemistry between them?
âThank you.â She inclined her head. âIâm sorry I didnât get the chance to thank you for the dance at the ball.â
He shrugged. âYour friend was ratherâhow should I say?âintent on seeing you.â
She rolled her eyes. âPut it down to too much champagne. On his part, not mine.â
âI hear you organised the ball. And that you made enough for half a scanner.â
âOnly the first half of it.â
âThatâs still a pretty big achievement.â
She shrugged it off. âI was part of a committee.â
âBut the ball was your idea?â
âThe music was.â She grinned. âOne of these days Iâm going to convert these philistines and make them admit that the old songs are the best.â
âSo you donât like modern music?â
âI just like something I can sing along to. The kind of stuff that puts a smile on your face when you hear it because itâs so full of verve. And I donât care if people think itâs old-fashioned: I like it.â She took a sip of her coffee. âI suppose itâs because itâs the stuff I grew up with. Dad always had it playing in the garage when he was tinkering with a car. Dean Martin, Frank Sinatra, that sort of stuff.â
He couldnât help smiling. âSo would I be right in guessing that your favourite films are musicals?â
âAbsolutely. You canât beat a good Gene Kelly film,â she said, smiling back.
The more Theo talked to Madison, the more he liked her. Felt a connection with her. Wanted to spend time with her. Which made her dangerous. He should stop this right now. Apart from the fact that he was only here for six months, he knew that mixing work and relationships could make life much too complicated. And he wasnât looking for a relationship in any case.
Yet his mouth seemed to have other ideas.
âI won something pretty stunning on the tombolaâa balloon flight at sunrise. Why donât you come with me?â
She went very still. âAre you asking me on a date?â
This time his head managed to overrule his heart where his mouth was concerned. âIâm asking you as a colleague and potential friend,â he said.
She smiled. âThen thank you. Iâd like that. Iâve never been in a balloon.â
âThen letâs synchronise our off-duty. When are you free?â
She took her diary from her handbag. âThursday or Friday?â
âNot this week. How about next week?â he suggested.
âTuesday and Wednesday.â
âWednesday it is,â he said. âIâll book the flight and find out what we need to know.â
CHAPTER THREE
THE night before the balloon trip, Madison couldnât get to sleep.
She must have been crazy, agreeing to this in the first place. Quite apart from the fact she wasnât a morning person and sheâd arranged to meet Theo at the crack of dawn, Theo Petrakis wasnât relationship material.
Sure, he ticked all the boxes. He was an excellent doctor, kept the team working beautifully together, and his calm, confident manner on the ward managed to calm even the most nervous parent-to-be. And, as just about every female in the hospital would attest, Theo Petrakis was drop-dead gorgeous.
But he was only here on secondment, covering Dougâs sick leave for six months or so. Then heâd move on, and Madison was perfectly happy here in London.
Sheâd already made the mistake of rushing into a relationship without a future, and she had no intention of repeating it and letting her world fall apart all over again.
All the same, she couldnât get Theo out of her head. Those dark eyes with the unexpected green and gold glintsâeyes that always seemed to be full of sunshine. That incredibly sexy smile. The dark hair, brushed back neatly from his face, that made her want to slide her fingers through it and make him look all sexily rumpled. His incredibly gorgeous mouth⦠And even though it had been a week and a half since the ball, she could still remember exactly how his lips had felt against the pulse point in her wrist.
âStop being ridiculous and go to sleep,â she told herself loudly, plumping her pillow and keeping her eyes firmly closed, even though she felt wide awake.
A feeling that didnât last when her alarm shrilled at an unearthly hour. She had to hit the snooze button three times before she could drag herself out of bed, and she was only just ready when the doorbell rang.
âKalimera, Maddie. Good morning.â
Oh, lord. Theo always wore a suit, shirt and tie at work under his white coat. In jeans, a sweater and a black leather jacket, he was absolutely stunning. Touchable.
And she really, really wanted to touch.
She hadnât felt a pull this strong since Harry. And that in itself was a warning: look where that had got her. She pulled herself together and unglued her tongue from the roof of her mouth. âGood morning, Theo.â
âReady?â he asked with a smile.
She nodded. Theo had given her the pre-flight instructions from the balloon company: to wear long sleeves and trousers, preferably in natural fibres; a hat to protect her head from the radiant heat of the burner; and sensible shoes. And although she felt slightly frumpy, wearing a thick fleece over one of the strappy camisole tops she favoured outside work, she understood the logic, and she didnât want to scrape her arms on the wicker basket.
âLetâs go, then.â
She locked the front door behind her and walked with him to the tube station. It was still dark outside, and so early that the train was practically empty, apart from a couple of bleary-eyed commuters who looked as if they still wished they were in bed.
âSo are balloon flights always this early in the morning?â she asked.
âApparently the airâs at its most stable in the first two hours after dawn and the last two hours before dusk,â Theo told her. âSo most flights are around sunrise or sunset. The ones over London are at sunrise, though we could have gone for a different take-off point and had a later flight.â He smiled. âI take it that youâre an owl rather than a lark, then?â