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“I’ve been working in the Teligu Hospital for a little more than two years.” The words flowed over her delicate shoulder.
“And you’re already the head nurse?”
She chuckled low in her throat. “Yeah, and sometimes nutritionist, health inspector and ward housekeeper. Around here we do it all.”
Her dry mirth punctuated her earlier anger. “We all pitch in. Locals are hired to do some of the work but there’s always something needing to be done. Like today.”
“How many are on staff?”
She turned round, her eyes having gone serious. “Including you and me? Not enough.”
“Why not?”
“For the same reason you’re only here for a short while.” She looked out across the compound as if taking it in for the first time. “Lack of supermarkets, malls and night life …” Her voice trailed off into a soft, accepting voice, which told Court she’d run out of energy to fight.
He said nothing for a while. For some reason he wished he could commit to staying forever just to see her happy. That was an odd thought. “So what does the hospital need most?”
“Doctors. Not for a couple of weeks or months. Staff willing to commit to staying for a year or more. Pharmacists, nurses, a hospital director, or any other medical professional you can think of, we could use them all. And the money to encourage them to stay longer and …” she paused for effect “… a children’s clinic.”
“What about doctors and nurses local to the area?” He would continue to pepper her with questions as long as she agreed to answer them.
“No native doctors. For pretty much the same reason others don’t stay.” Her voice strengthened, a steel edge entering it with her passion for the subject. “If they get out of the villages, they find they like the life at the coast. And the money. There’re five full-time nurses. We’re training local women, and some go off to school with the help of the government.”
“Doctors?”
“Just Dr. Roberts full time, we fill in with visiting doctors. For the next couple of weeks it will be Dr. Roberts and you. But Dr. Roberts will take a few days of vacation next week. He’s not had any time off in months.” She finished with a flourish.
The more she spoke, the more animated Maggie became. He couldn’t take his eyes off the petite woman who spoke like a lioness protecting her young. What would it be like to have someone who loved so unconditionally in his corner?
Court leaned back. “We’ve more help. Another doctor flew in with me.”
“Really?” She seemed excited by the news. “Great. We’ll be able to do the clinic in one of the neighboring villages after all.”
They’d reached a simple, cinder-block structure, covered by a tin roof. She opened the screen door and held it for him. He stepped into the tile-floored room. A lamp illuminated two well-used chairs and a small bare table in the sitting area. A ceiling fan produced the only air circulation.
“There’s a small kitchen area, bedroom and bath through there.” She pointed in the direction of a dark doorway.
Her skirt brushed against his cargo pants as he moved to tug on a light pull so he could see down the hall.
She shifted, putting distance between them. “You can fix your own meals or we’ve a mess hall. Since there’s no food stored here, I’ll be by at six-thirty in the morning to show you where you get breakfast. If we have a few minutes before rounds, I’ll take you around the hospital. Clinic starts promptly at seven-thirty.”
Her words were all but rolling over each other. Did he make her nervous? He would’ve never imagined anyone could rattle this unflappable woman.
Stepping out the door, she warned, “Be sure and latch the screen before you go to bed.”
Maggie was running. And she wasn’t half as impressed with him as he’d like. She certainly shared no love for his family’s philanthropic endeavors. Missy Maggie reminded him of his favorite kind of candy, hard on the outside, gooey in the center. He’d like to find out what other surprises she hid.
The next morning Court started down the bungalow’s short hall as a knock sounded at the door.
Maggie stood outside the screened entry. She wore a scooped-neck shirt and a floral skirt, hiding what he imagined were enticing curves. Her chestnut hair hung from the nape of her neck secured by a rubber band. She looked shiny, natural and young. And completely out of place in this stark land.
“I didn’t think you’d be up,” she said through the wire mesh.
“You told me six-thirty, and it’s six-thirty.” He pushed the door open, stepping out.
The glint in her eye suggested she might be laughing at him. “We’ll see if you feel this chipper tomorrow morning.”
He still felt the same chill from her that had been present the day before. He fell into step beside her as they took a different path from last night. This one ended at a long, low building adjacent to the hospital.
“This is what we affectionately call the mess hall.” She led the way to a short buffet line set up at one end.
It resembled a military mess hall he’d seen in pictures.
“The food’s prepared for the in-patients Monday through Saturday. Families bring the meals in on Sunday. Most of us find it easier to eat here than to go to the town market daily.” After filling her plate, she moved toward an empty table.
“Hey, Court,” John Weber, the doctor who had flowm in with him, called. “Come join us. Tell us where you disappeared to yesterday.”
“Sure.” He and Maggie took chairs at the table. “Maggie, you haven’t had a chance to meet John Weber. He works with the foundation. This is Lisa Mills and Jen Skindowski.” He directed a hand toward first the blonde and then the brunette woman sitting beside the doctor.
She nodded to the women and shook hands with John. “I’m sorry. I thought you were the pilot.”
John laughed. “No, I’m a general practitioner. The pilot would be Court. It’s his jet.”
Court shrugged when her piercing gaze came back to him. She didn’t look impressed. Did she think he should sell the plane and offer the money to the hospital?
“In fact, you could call it his baby, he loves it so much.” John took a bite of scrambled egg.
“I imagine a plane makes it easy to get around,” she mumbled. What she left unsaid made him uncomfortable.
“John, did you get the equipment taken care of?”
“Yeah, the director put it in storage. I made sure it was handled carefully. So tell me about the big emergency yesterday.” John kept his focus on Court.
“Truck and cart accident. Cart lost. A child with a clean fracture. An old man who needed a couple of stitches. The girl was doing well when I checked on her at midnight.”
Maggie’s head jerked up. “You went to check on her in the middle of the night?”
“Don’t sound so shocked. I like to keep a personal eye on my patients.” He’d failed to check on a patient once and he’d never make that mistake again, even if he was still a long way from feeling comfortable around children. She gave a nod of approval. It felt good to think her opinion of him had taken at least a slight upturn. Something about how she’d reacted to the girl being injured made him believe the children routinely received her special attention.
Lisa asked Maggie a question about the facility, and they began discussing the hospital and the area. There were additional questions about the people and the type of care they most often required. Court listened, impressed by how involved Maggie was with her patients. She clearly loved her work and the Mamprusi people.
She pushed her plate away and said to the group, “If you’re finished, why not join Court for a tour?”
Court lagged behind the others as Maggie pointed out buildings within the compound.
She turned to the nurses. “Don’t go outside the fence after dark and only with a companion during the day. It isn’t like at home. There’s no police or law like you’re used to.”
Inside the hospital building she pointed out the pharmacy, office area, supply area, and the two ORs. She led them to the women’s ward where the beds looked to be World War II surplus. Family members were sitting or sleeping on the floor around their loved ones.
Jen asked, “Why’re there people everywhere?”
“We ask families to help care for their loved ones. There’s not enough staff to do it all,” Maggie explained.
Had he been wrong in his evaluation of the hospital’s application? Maybe, but he wasn’t ready to concede that so early in the visit. He couldn’t let her emotional play on the situation get in the way of a comprehensive evaluation.
The men’s and the children’s wards were much the same. Leaving the latter, Maggie stopped and looked straight at Court. “You’re the pediatrician so you need to know we don’t tell the parents if their child is dying because they’ll desert them.”
If her intent was to drive home the point the hospital could use foundation money to hire additional stuff, she’d done it. With one-two punches.
He’d been born in a small jungle clinic but he’d been reared around glistening state-of-the-art hospitals in Boston. Aware of the type of work the foundation supported, he’d still never been in a hospital this primitive.
“It’s time for rounds,” Maggie said. “Lisa and Jen, I’ll leave you to help out in the children’s ward. One of the staff members will show you what needs to be done. Doctors, we’ll meet Dr. Roberts in the men’s ward.”
Court looked out the window of the hallway linking the two buildings while they walked. The line of people waiting, sitting or standing stretched as far as he could see. He couldn’t keep the amazement out of his voice. “Are all those people waiting to be seen?”
“Yes. We see around three hundred a day. And do eight to twelve surgeries.”
He whistled. She made it sound like there was nothing to it.
She met his look. “Another reason we have difficulty keeping doctors and nurses.”
They entered the men’s ward. “Dr. Roberts, I brought you help. Gentlemen, I’ll see you later in clinic.” Maggie turned and left.
Maggie looked across the packed dirt yard in the direction of the patient clinic. She scanned the crowd of people waiting in the open-air treatment area. With relief, she spotted Court’s dark-haired head. He had stepped out of the building, deep in conversation with one of the local orderlies who spoke English.
She hadn’t spoken to Court since earlier in the morning. Lunch was taken in shifts, so she had no idea how his day was going. She’d bet he wouldn’t have any trouble sleeping tonight. A couple of times from a distance she’d had a chance to watch him work. His personality didn’t endear him to her but she’d grudgingly admit he was a good doctor, maybe one of the best they’d seen in some time.
He stopped speaking to the tall man, looked up and met her gaze, like he’d known she needed him. A tingle zipped along her spine. She waved him in her direction and walked to meet him halfway.
There were two small furrows between his brows. “Is something wrong?”
Her voice lowered. “I need you to look at a wound. I’ve been checking it weekly but it doesn’t seem to be improving.” She led him toward a young woman sitting on a portable examination table.
“Raja, this is Dr. Armstrong,” Maggie said. “He’s going to look at your leg.” Court gave Raja a reassuring smile. “Tell her I would like her to lie back,” he said to Maggie.
She relayed his message.
Court supported Raja’s back as he helped her lie back on the table. Maggie moved to the other side of the table, facing him.
He raised the cloth bandage from the wound. The smell of infection wafted into the air. Maggie saw the slight jerk of Court’s cheek only because she watched him. She was grateful he didn’t let on to the frightened Raja how bad the situation was.
Apparently his bedside manner extended to women if not children. If he didn’t like children then why in the world had he become a pediatrician? That ironic twist made him interesting for some reason. Was there more going on with Dr. Armstrong than he was letting on?
Court touched the skin around the worst area of the injury.
“How did this happen?” His eyes flickered upward toward her for a second, before his attention returned to Raja’s leg.
“The water barrel she’d been carrying on her head slipped. As it fell it hit her leg, making a gash. She lives so far away she didn’t come in to get it stitched.”
He looked up. Their gazes met. Held. The confirmation of her diagnosis showed in his eyes. His stone-faced look was the opposite of the emotional upheaval she felt. A mixture of sorrow, pain and disappointment all rolled within her.
Didn’t he have any feelings about what was going to happen to Raja? Maggie blinked. At least he could show some regret for what was to come.
Court spoke to Raja again and helped her to sit up. “Maggie, could I speak to you a moment?”
They stepped a few paces away before Court stopped. “You do know the leg has to come off, don’t you?”
Maggie nodded, looking at the ground.
“It’s too far gone. If she didn’t live in these deplorable conditions …” A tone of remorse filled his voice. “Why didn’t you say something to Dr. Roberts about this earlier?”
Maggie’s head jerked up and she met his gaze. “Don’t be too quick to issue blame. Around here the people have to work hard every day to eke out some kind of existence.” The hopelessness of the situation, her inability to make a real difference washed over her but she bowed her back and continued. “Coming to us means giving up a day of labor, and sometimes walking ten miles or more. When they get here they have to wait in line for hours because we’re so short-staffed. It’s not that they don’t want help, it’s just that it takes so much effort to get it. And as for me not informing Dr. Roberts, I did. He and I have been doing all we can.”
“I didn’t understand—”
“No, you didn’t. You need to be here longer than twenty-four hours before you start judging us.” All of a sudden she felt tired to the bone. Her shoulders slumped. Just one night she’d like to fall asleep knowing she’d offered the best medical care possible in the world. That would never happen here.
Court stared at her a moment. “I wish I knew another way but if her leg isn’t removed then the gangrene could spread and kill her. Do you want me to tell her?”
With your emotionally distant attitude, I don’t think so. “She’s my friend. I’ll explain.” Maggie turned to go back to Raja but jumped when Court’s hand on her shoulder stopped her. His touch comforted. For a second his eyes showed a glimpse of compassion before they became shuttered again.
“I wish it didn’t have to be this way.”
He sounded as if he meant it. Maybe the ice doctor did have a heart. “I do too,” she said. His hand fell away when she turned back to Raja.
CHAPTER TWO
COURT ran a hand across his face. Swiveling his head from side to side, he worked the kinks out of his neck. He gazed into the night sky. It’d been a long, horrible day. He’d done a rotation in the largest emergency room in Boston but nothing had compared to the volume of people this primitive clinic saw each day. This hospital needed at least two more full-time physicians.
He’d expected to have to care for patients on this trip but nothing like the magnitude he’d been presented with that day. And the number of children. It was almost overwhelming. With great fortitude he’d managed to care for the first one through to the twentieth. Thankfully his training went into autopilot mode and he found some semblance of comfort, a return of a modicum of confidence. Still, he’d be lying if he said he wasn’t glad to see the day done.
Finished with the last patient, he’d headed to the mess hall for a bite to eat. Dr. Roberts had come by and asked him to assist with removing Raja’s leg. Court had explained he wasn’t qualified. Dr. Roberts responded, “Here we do it all. I’ll show you where to scrub in.”
The surgery had been short and unpleasant. He always thought an operation helped. It fixed. In this case, a life had been saved yet devastated. The only saving grace was that Maggie hadn’t been there with those big accusing eyes. She had to be thinking—if he hadn’t turned the hospital down for funds, if he could see the need for outlying clinics, if he could get the supplies they needed …
Had he been a part of making a wrong decision that had hurt someone? Guilt gnawed at him, becoming a living entity in his gut that grew stronger by feeding on his doubts. He wanted to feel good about himself again, wanted to see respect for him shinning in someone’s eyes—Maggie’s.
But why should he care what she thought? He wasn’t going to get involved with her. That would be opening a door to hurt that he didn’t need, refused to accept. He’d learned at an early age that when you cared for someone you got hurt. If you didn’t want to hurt, you kept your heart and feelings locked away. Missy Maggie wouldn’t be allowed to knock on that door. Getting involved with Miss Save the World was out of the question. He had larger things to worry about in his life than trying to please her. Like what direction his career would take when he returned to Boston.
Court trudged along the path toward his bungalow by moonlight, too wired to sleep. Something moved among the trees. Stopping, he squinted in an effort to determine if it was man or beast. He’d heard talk of animals finding their way under and over the chain-link fence at night. Maggie had even made a point of warning him to lock his door.
Stepping closer, he found Maggie, sitting in a hammock. He left the path, walking with caution over the uneven ground with its dry grass clumps. The night shade flung shadows across the earth.
Maggie glanced at him as he approached. “Hey,” she said in a low voice, but not one of real welcome.
“What’re you doing out here so late?” He eased closer, trying to get a better look at her face. “You okay?”
She didn’t say anything for a long moment. “Yeah.”
