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‘Not as far off as we would’ve been if you hadn’t talked Sydney down,’ the instructor pointed out. ‘So are you next?’
He wasn’t technically part of the department for another half an hour, and he didn’t have a sponsor form; but that wasn’t a problem. He’d sponsor himself for the same amount as any of the other registrars had raised. He grinned. ‘Yeah, I’m next. Thanks.’
It didn’t take long to buckle on the harness. And going over the edge, he felt the whole adrenalin rush as he stepped backwards into nothing. It was the first time he’d really felt alive since Sienna’s death.
By the time he reached the bottom of the tower, the rush had filled his entire body.
And the first person he saw when his feet touched the ground was Sydney. The woman he’d talked over the edge. The woman who’d been full of fear, and still looked slightly dazed.
He unbuckled the harness. ‘Hey. Are you OK?’ he asked softly.
OK? No. Sydney was still shaking all over. ‘Yes,’ she lied.
Then she made the mistake of looking up. It was him. Mr Gorgeous from the top of the tower. He’d just done exactly what she’d done, and he wasn’t a nervous mess. He wasn’t even breaking a sweat.
Get a grip, she told herself, and took a deep breath. ‘Thanks for talking—well, singing—me down.’
‘No problem.’ He looked concerned. ‘Are you sure you’re all right?’
‘I have to be—I’m on duty in a few minutes.’ And she would be OK. She never let anything get in the way of work.
He touched her face gently with the backs of his fingers. ‘I take it this was your first time?’
She nodded. ‘And last. Next time one of our consultants gets a bright idea, I’m paying up and bailing out.’
He smiled. ‘The adrenalin rush hasn’t kicked in yet, then.’
‘What adrenalin?’
‘Look up,’ he said softly.
She did, and saw someone slowly walking backwards over the top of the tower.
‘You just did that,’ he said.
‘And I was stuck. Scared witless. I froze up there.’ She shook her head. ‘I didn’t think I was scared of heights or anything like that. I’ve never frozen like that before.’ Not even when she’d had the MRI scan and they’d told her the bad news. She’d managed to find a bright side. Up there had been simply terrifying.
‘But you still did it. Which makes you amazing, in my book.’
‘Amazing?’ It had been a long, long while since someone had called her amazing.
‘Amazing,’ he confirmed. ‘People like me, who do this for fun—we’re not brave. The ones with real courage are people who do it even when they’re scared, because they’re doing it to make a difference. People like you.’
Sydney wasn’t sure which one of them moved first, but then his hands were cupping her face and his mouth was brushing lightly against hers. Warm and sweet and promising—and then suddenly it spiralled into something completely different. Something hot and sensual and mind-blowing.
Or maybe that was what he’d meant by ‘adrenalin rush’.
When he broke the kiss, she was still shaking—but this time for a different reason. She couldn’t remember the last time someone had made her feel like this. And that in itself was incredibly scary.
‘Now your eyes are sparkling,’ he said softly.
‘That’s the adrenalin rush,’ she said swiftly, not wanting him to think that it was his effect on her.
‘Yeah.’ He laughed. ‘Well. Good to meet you, Sydney. And although I’d love to stay a bit longer and talk, I’d better go, because I’m starting my new job in less than twenty minutes.’
New job? It had to be at the hospital, or he wouldn’t have been up the London Victoria’s tower in the first place.
‘Nice to meet you, too. Good luck with your first shift. Which department are you working in?’ she asked.
‘Emergency.’
‘Me, too.’ It suddenly clicked. Marco. She’d been too frozen with fear to take it in before. ‘You’re Dr Ranieri, our new registrar?’ The guy on secondment from Rome.
He inclined his head. ‘Though I prefer first name terms.’
‘Sydney Collins. And I’m a much better doctor than I am an abseiler. Pleased to meet you—properly, this time.’ She held her hand out for him to shake.
Clearly she was still wobbly from the abseiling, because her knees went weak again at the touch of his skin against hers and the memory of that kiss made her skin burn.
‘So how long have you worked here?’ he asked.
‘Five years—since I qualified and did my two years’ pre-reg training. It’s a really nice department to work in. Everyone’s great. Except possibly Max Fenton, who suggested we did this abseil in the first place.’ She pulled a face. ‘I think I’ve gone off him.’
Marco laughed. ‘No, you haven’t. He’s a nice guy.’
‘His wife’s nice, too—Marina. Have you met her yet? She’s Italian, too. She’s working part time at the moment, and then she’s off on maternity leave again in a couple of months.’ She paused. ‘So you’ve done a lot of climbing and abseiling?’
He shrugged. ‘What can I say? I went through a phase of doing extreme sports.’
‘You did that sort of thing for pleasure? Are you insane?’ She shuddered. ‘I’m going to have nightmares tonight.’
He just laughed, and Sydney looked at him. He really did have lovely eyes. And a beautiful mouth. Not that she should be thinking about that kiss. It hadn’t meant anything; it had just been adrenalin whizzing through her system. She wasn’t in the market for a relationship. Not any more. ‘Do you sing many people down like that?’
‘Not on an abseil, no—it’s usually to distract little ones in the department, because it stops them being scared.’
‘Fair point.’ It was a technique she used, too. ‘Though I normally get them to sing “Old Macdonald Had a Farm” or something like that.’
He laughed again. ‘Ah, the song choice. I picked that one because it’s a happy song. It always makes me think of driving with the roof down on a summer day.’
Sydney looked at him and took in the quality of his clothes. It was a fair bet that he owned an open-topped sports car. Gorgeous to look at, a nice guy, and beautifully dressed: he was going to have women sighing over him everywhere he walked.
Though not her. She didn’t sigh over men, any more. She’d learned the hard way that it wasn’t worth the effort: the only person she could really rely on was herself.
‘I take it you’re meeting Ellen now?’ On his first day, of course he’d be meeting the head of the department. At his nod, she said, ‘I can show you to her office, if you like.’
‘Thanks, that’d be good.’
Sydney Collins was absolutely gorgeous. Chestnut hair cut into a short bob, eyes the colour of the shallow bay near his family home in Capri, and a sweet, heart-shaped face. Better still, she didn’t have the ‘look at me’ attitude that Marco disliked in women who spent hours on their appearance. Now that she wasn’t panicking about the abseil, Sydney had turned out to be good company, lively and bright. He liked her instinctively.
And that kiss … He still didn’t know why he’d done it; he wasn’t in the habit of going round kissing complete strangers. The adrenalin rush from the abseil, maybe. But his mouth was still tingling, and he’d felt that zing between them when she’d shaken his hand. There’d been a look of surprise in her eyes, so he was pretty sure it was a mutual zing.
His head was telling him this was absolutely mad—he wasn’t looking for a relationship. He didn’t want one. And yet his heart was saying something else entirely. That he hadn’t felt a connection like this for so long: he should seize the moment and put some fun back into his life.
‘Here we are,’ Sydney said with a smile as they reached Ellen’s office. ‘No doubt I’ll see you in the department later.’
‘Sure. Thanks for bringing me here.’
‘My pleasure. And thank you for getting me off the top of that wretched tower,’ she replied. She smiled again, gave him a tiny wave, and headed off to the department.
So, this was it. Meeting the director of the emergency department again, and starting his new job. Six months of working in the busiest department of one of the busiest hospitals in London. And he relished the challenge.
He knocked on Ellen’s door.
‘Come in,’ the director called. She smiled at him when he walked in. ‘Have a seat. Was that Sydney I just saw with you?’
‘Yes. She showed me the way here.’
‘I gather you rescued her earlier.’
He blinked. ‘Wow. The hospital grapevine here is fast.’
‘It certainly is.’ Ellen laughed. ‘I guess it’s one way of meeting your new team. Syd’s not a registrar yet, but she’s well on the way and she’ll be a good support for you.’ She gave him a speculative look. ‘And I hear you have a good singing voice. You do realise you’re going to get nagged into being part of the ED revue if we can get you to extend your secondment and stay past Christmas, don’t you?’
He smiled. ‘Not a problem. And maybe I can persuade some of the non-singers into forming a choir.’
‘I have a feeling you might just manage that.’ She smiled at him. ‘Come on, let me show you round and introduce you to everyone.’
He’d met half the team when a trolley came round the corner, a paramedic on one side and Sydney on the other; clearly they were heading towards Resus.
He caught snippets of their conversation as the handover continued. ‘Knocked off his bike … helmet saved him … broken arm … ribs …’
Given the situation, there was a very high chance that the cyclist would have a pneumothorax. And he’d dealt with enough cycling accidents in his time to be useful here. He glanced at Ellen. ‘Mind if I …?’
‘I was going to put you on Cubicles, to ease you in gently.’ She spread her hands. ‘But if you want to hit the ground running, that’s fine by me. And you’ve already met Syd, so I don’t have to introduce you. Go for it.’
‘Thank you.’ He quickened his pace slightly and caught Sydney up. ‘Hey. Would another pair of hands be useful right now?’
‘Considering that the driver of the car’s due in the next ambulance, yes, please,’ she said.
Within seconds Marco had swapped his suit jacket for a white coat. Although technically he was the senior doctor, he knew that Sydney had been part of the team for longer and knew her way round. ‘I’ll follow your lead.’
She looked surprised, and then pleased. ‘OK. Thank you.’ She turned to their patient. ‘Colin, this is Dr Ranieri, our registrar. He’s going to help me treat you. We’re going to sort your pain relief first and make you more comfortable, then we can assess you properly.’
He noticed that she didn’t use Entonox; clearly she suspected a pneumothorax as well, so she was using a painkiller that wouldn’t make the condition worse.
‘Where does it hurt most, Colin?’ she asked.
‘My arm. And my ribs.’
Colin was definitely getting more breathless, Marco noticed, and finding it harder to speak.
Sydney listened to his chest. ‘Decreased air entry,’ she mouthed to Marco.
‘Needle decompression?’ he mouthed back.
She nodded.
His first instinct was to offer to do it, but he wanted to see how she worked; besides, given her throwaway comment about being a better doctor than abseiler, he had a feeling she needed to do this—that she needed to prove to him that she was good at her job and not some weak lightweight who couldn’t cope. And he could always step in if she needed help.
‘I’ll hand you the stuff and keep an eye on the monitors,’ he said.
‘Thanks. Colin, I know you’re finding it hard to breathe, so I’m going to put an oxygen mask on you to make it easier for you.’ Gently, she put the mask on. ‘At the moment, you’ve got air moving into the space around your lungs and it’s causing pressure. I need to take it off; that means I’m going to have to put a needle in, but it’s not going to hurt. Is that OK?’
Colin gave a weary nod.
Marco handed her a cannula.
‘Thanks, Marco.’ She smiled in acknowledgement, and for a second Marco was lost in a mad memory about what her mouth had felt like against his.
But this wasn’t the time or the place to think about that. They had a seriously ill patient who needed their help.
She inserted the cannula in the second intercostal space, withdrew the needle and listened for the hiss of gas. ‘Great, that’s it,’ she said. ‘Colin, now I need to put a chest drain in, to take off any fluid and gases that shouldn’t be there and keep you comfortable.’ She explained the procedure swiftly to him. ‘I’m going to give you extra pain relief so you’re not going to feel anything, but I need your consent for me to treat you.’
Colin lifted the mask away. ‘Do whatever you have to. I’m in your hands,’ he mumbled.
‘OK, sweetheart. I promise I’m going to be as gentle as I can.’
Stella, one of the senior nurses, cleaned Colin’s skin and covered it with sterile drapes. Marco handed Sydney the syringe and she injected local anaesthetic, prepared the chest drain and then inserted it. He was impressed by how smoothly and confidently she did it; Ellen had been spot on in her assessment of the younger doctor’s skills.
He kept an eye on the monitors. ‘Heart and BP are both fine. Do you want me to write up the notes as you do the assessment?’
‘That’d be good. Thanks.’
She checked Colin over very gently and Marco wrote up the notes as she went. ‘Suspected multiple rib fractures,’ she said, ‘but no sign of a flail segment. That’s good news, Colin.’ She checked the distal pulses and the sensation in his broken arm. ‘I think you’ve fractured your elbow, so I’m going to refer you to our orthopaedic surgeon to fix that for you.’ Finally, she took a sample for blood gases.
‘OK, Colin, I’m all done here. I’m going to send you for chest X-ray so we can check out your ribs; I think you’ve broken several, but hopefully they’re not complicated breaks. I also want to check out your arm properly for the surgeon. Is there anyone we can call for you while you’re in X-Ray?’
‘My wife, Janey.’ He rattled off a number, which Marco wrote down.
‘I’ll call her,’ Sydney promised.
‘And I’ll take you to X-Ray,’ Marco said.
‘Do you know where it is?’ Sydney mouthed, so Colin couldn’t see.
‘I can read the signs,’ Marco mouthed back with a grin.
She gave him the cheekiest wink he’d ever seen, and he was still smiling by the time he got to the X-ray department.
