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The Doctor's Tender Secret
Kate Hardy
On the hectic Pediatrics' ward of London City General, love just isn't running smoothly for Dr. Brad Hutton and Dr. Zoe Kennedy.They may have been instantly smitten with each other, but the secrets they have kept locked away make their future together uncertain.For Brad, the solution lies in putting his past behind him. But Zoe's secret goes a lot deeper, and to reveal it all she needs to find the courage to trust Brad completely. Only then can their powerful feelings win out….Life (and love) in the fast lane at LONDON CITY GENERAL
“I’ll see you tomorrow.”
For a moment Zoe thought that Brad was going to lean down and kiss her, and her senses went into overdrive. She could almost feel his mouth on hers.
No. She was never, ever going to suffer that mixture of pity and revulsion in another man’s eyes. That meant no kissing—because kissing led to touching, touching led to removing clothes, and removing clothes would reveal the scars that nobody in London City General knew about. The scars that meant any man would reject her.
“See you tomorrow,” she said, slipping inside the gateway and closing the wrought-iron gate firmly between them. “Thanks for seeing me home.”
Dear Reader (#ulink_c661a535-841a-5e7a-9efb-7a5f2b6d80b9),
I was planning my next book when three doctors leaped into my head and hijacked me! Zoe, Judith and Holly trained together, are best friends, and work together at London City General in east London.
Zoe’s the clever one, a real high-flyer who’s never found love, until she meets gorgeous Brad, on secondment to Pediatrics from California. Can she heal his broken heart—and can he help her feel less haunted by the secret she hasn’t even told her best friends?
Judith’s the glamorous one who delivers babies by day and sings at hospital fund-raisers by night. She falls in love with Kieran, the new maternity consultant. But after a discovery threatens to tear their love apart, can she teach him to believe in her—and in himself?
Holly’s the “prickly” one with a soft heart—but it’ll take a special man to get close enough to find out! She chose the fast-paced life of the E.R. to help her forget her lost love. But when David walks into her life again, will it be second time lucky?
The best bit about working on a trilogy was that I didn’t have to say goodbye to my characters. They made appearances in each other’s stories! I loved being able to explore a hospital’s community and see how different departments work together, and I hope you enjoy life in the fast lane at London City General as much as I did.
With love,
Kate Hardy
The Doctor’s Tender Secret
Kate Hardy
www.millsandboon.co.uk (http://www.millsandboon.co.uk)
CONTENTS
Cover (#u3fa29529-2151-5320-8e1c-6103d9f33968)
Dear Reader (#ulink_01b2b5b8-e41a-56bf-8bed-c9907e621207)
Title Page (#uc32f0880-fd44-5b63-a9ce-9ba2e140b8c7)
CHAPTER ONE (#ulink_c0141994-32da-55c9-94e8-141bb3b03a52)
CHAPTER TWO (#ulink_c3d58c76-9acb-5449-8ea2-6fffc6b8e703)
CHAPTER THREE (#ulink_438c3dd0-5673-5239-bbcc-0855525505fd)
CHAPTER FOUR (#ulink_9813de03-c8e8-5737-be63-25f98b166792)
CHAPTER FIVE (#litres_trial_promo)
CHAPTER SIX (#litres_trial_promo)
CHAPTER SEVEN (#litres_trial_promo)
CHAPTER EIGHT (#litres_trial_promo)
CHAPTER NINE (#litres_trial_promo)
CHAPTER TEN (#litres_trial_promo)
CHAPTER ELEVEN (#litres_trial_promo)
CHAPTER TWELVE (#litres_trial_promo)
CHAPTER THIRTEEN (#litres_trial_promo)
CHAPTER FOURTEEN (#litres_trial_promo)
EPILOGUE (#litres_trial_promo)
Extract (#litres_trial_promo)
Copyright (#litres_trial_promo)
CHAPTER ONE (#ulink_68befecb-b7c4-5b5f-9287-eb4771c27406)
BRAD HUTTON was beginning to regret his decision to oversee the paediatric assessment unit this morning. They’d had a non-stop string of cases, from suspected poisoning to asthma attacks to viruses where the GP didn’t want to risk missing meningitis. The parents had all been so worried that they’d hardly heard a word he’d said and he’d had to repeat everything three times. He’d barely had time to draw breath.
The only bright spot in PAU was his registrar, Zoe Kennedy. He’d seen her around the ward over the last few days, but this was the first time he’d actually worked with her. She made him want to start humming ‘Poetry in motion’—because that really was what it was like, watching her. The way she reassured the parents, scanned the notes, assessed the child and decided on the best treatment—fast, fluent, yet very thorough. And every decision he’d seen so far today had been spot on. She really knew her stuff.
Don’t get too interested, a voice in his head warned him. You’re in no fit state to get involved with anyone.
I’m not planning to get involved, he defended himself. I don’t know anyone in London. A friend won’t go amiss.
Just make sure that ‘friends’ is all it is.
It will be. Anyway, she’s not my type.
She couldn’t be much more than five feet three inches, whereas the girls he’d dated had always been nearer five-ten. Her hair was mouse brown and cut into a short bob, not blonde and falling almost to her waist. Her eyes were warm and brown, not cool and blue. And beneath the baggy long-sleeved sweater and loose jersey trousers she wore, he had a feeling that Zoe Kennedy was all lush curves rather than the rail-thin type he usually went for. A pocket Venus.
Yeah, definitely Venus. She had a heart-shaped face. Cupid’s-bow lips.
And she’s not Lara, the voice in his head reminded him. If you rush straight in to find Lara’s opposite, you’re not the only one who’s going to get hurt.
‘Mr Hutton?’
Then he realised that the object of his thoughts was talking to him. ‘Sorry, Dr Kennedy—Zoe, isn’t it?’
She nodded.
He held out his hand. ‘Brad. I prefer working on first-name terms.’
She shook his hand and he almost flinched as a large dose of static electricity discharged. At least, he assumed it was static electricity. The alternative was something he didn’t want to consider right now.
‘What can I do for you?’
‘I’d like a second opinion on a case.’
‘Sure. Though from what I’ve seen of you this morning, you don’t need it.’
‘Um. Thanks for the compliment. But…’
Those pink spots in her cheeks were cute. She looked young for a registrar, which meant she was clever. But the blush at his compliment proved she’d kept at least a trace of humility, so she’d treat her patients as human beings, not just academic cases. ‘OK. What have you got?’
‘Michael Phillips, aged twelve months. According to the notes, he was a floppy baby. He’s had problems feeding right from the start, with poor sucking and chronic constipation; he smiled late and didn’t roll over until he was eight months old. He’s just starting to crawl now, but it’s commando-crawling—’ in other words, he lay on his stomach and propelled himself along with his arms, like a commando under a net ‘—and if you hold him up to stand, his reflexes aren’t what you’d expect.’
‘And you’re thinking?’ Brad prompted.
‘Cerebral palsy. Probably a mixture of spastic and athetoid.’
That would account for the late development. ‘What do the parents think?’
‘The mum’s worried sick because he’s not hitting the milestones in her parenting books. The dad’s in denial and saying everyone’s making a fuss over nothing, his son is perfectly all right and will catch up by the time he goes to school.’
‘OK. I’ll come over.’
Zoe introduced him to Jenny and Dave Phillips. Brad examined little Michael. ‘Tell me, does he have any problems eating?’ he asked.
‘Of course he does. He’s a baby,’ Dave said. ‘They all dribble their food, don’t they?’
‘Michael doesn’t like finger food,’ Jenny said. ‘He likes yoghurt and he’ll eat purées, but he’s not keen on lumps.’
‘He’ll grow out of it,’ Dave insisted. ‘You’re making a fuss, Jen. He’s perfectly all right.’
She shook her head. ‘There’s something wrong, Dave. I know it.’
‘Tell her, Doc,’ Dave pleaded. ‘Tell her she’s fussing over nothing.’
‘Actually,’ Brad said, ‘I think she’s right.’
Panic flowed in Dave Phillips’s eyes. ‘What’s wrong with him, then?’
‘We’re pretty sure it’s cerebral palsy,’ Brad said.
‘But—Are you telling me my son’s…?’ Dave trailed off, as if not voicing his fears would mean that it wasn’t true. That it was only a bad dream. That everything was going to be all right.
Zoe squeezed his hand. ‘You’re both right, actually. Michael will be fine—but he’ll need some help as he grows older.’
‘But…cerebral palsy? He doesn’t even look like a retard! He’s bright, he points to things,’ Dave burst out. ‘It can’t be that!’
‘Cerebral palsy’s a motor disorder,’ Brad explained. ‘It’s Michael’s movements that are affected, not his intellect.’
‘A lot of children with cerebral palsy have normal or above average intelligence. There’s every chance Michael will be able to go to a mainstream school rather than a special school,’ Zoe added. ‘The condition really varies—it can be very severe, but it can also be so mild that you hardly notice.’
Dave didn’t look convinced. ‘So what is cerebral palsy, then?’
‘There are three types,’ Brad said, ‘and they all jumble the messages from the brain to the muscles. The most common form is called spastic cerebral palsy, and it’s caused by an impairment in the cerebral cortex—that’s the outer layer—of the brain.’
‘Spastic?’ Dave squeezed his eyes tightly shut. ‘Oh, no. At school, we used to say…’ He stopped, his face bright red with what Brad guessed was a mixture of shame and embarrassment.
Zoe must have guessed it, too, because she stepped in fast. ‘The word “spastic” just means “stiff”. It’s referring to his muscles—they get stiff and shorten, so the child finds it hard to control his movements. It means he has to work harder than the average kid to walk or move.’
‘The second sort’s called athetoid cerebral palsy, and it’s caused by an impairment in the basal ganglia area of the brain,’ Brad said. ‘It affects the child’s posture and, because the muscles change from being floppy to being stiff, it causes these jerky movements and the child doesn’t have any control over them. A child with athetoid CP often has speech problems because it’s hard for him to control his tongue, vocal cords and breathing. He might also have problems eating and may drool. And he’ll seem restless, as if he’s constantly moving—as if he’s only really relaxed when he’s asleep.
‘The third type,’ he continued, ‘is really rare and affects less than ten per cent of children with CP—it’s called ataxic cerebral palsy, and it’s caused by an impairment in the cerebellum part of the brain. This affects the child’s co-ordination and balance. He often has shaky hand movements and his speech is irregular, and he’ll find it hard to judge the position of things round him.’
‘Which type has Michael got?’ Jenny asked.
‘It’s very hard for us to say,’ Brad admitted. ‘The condition affects each child individually and he might have more than one type, in varying degrees.’
‘So he’s going to drool and he won’t be able to walk?’ Dave asked.
Zoe shook her head. ‘We really can’t tell at the moment. The main problem is difficulty in controlling his movements and facial expressions. He might have some learning problems—it all depends on which part of his brain has been affected. His speech might be a bit unclear, and he might find it hard to communicate—or he might have what we call a specific learning disability, say, a problem with maths or reading or drawing, if a specific part of his brain has been affected.’
Dave took a deep, shuddering breath. ‘And that’s it? Or can it get worse?’
‘Worst-case scenario,’ Brad said, ‘is that he might also have a squint or hearing loss. And around a quarter to a third of children with CP have epilepsy.’
‘But there’s a lot we can do to help, and we can put you in touch with the local support group,’ Zoe added, ‘so you can talk to other parents who’ve been through what you’re feeling right now, and they can help you.’
‘Is it curable?’ Jenny asked.
‘There’s no cure,’ Brad said gently, ‘but the good news is that it won’t get any worse. Treatment can help to improve Michael’s condition, and his disability really doesn’t mean that he can’t lead a full and independent life when he gets older.’
‘Doesn’t it?’ Dave rubbed a hand across his face.
‘The earlier we start treatment, the more we can help him,’ Zoe said.
‘So what causes it? Is it anything I did while I was pregnant?’ Jenny asked.
‘No, it wasn’t your fault at all. The risk factors include if either of you were under twenty, he was your fifth or later child, he was a twin and the other twin died, he was very light when he was born—that’s under one and a quarter kilos—or he was born more than three weeks early. Around one in four hundred babies are affected,’ Brad reassured her. ‘What happens is that part of the brain—the bit that controls muscles and body movements—fails to develop either before birth or in early childhood. It can be caused by a blocked blood vessel or a bleed in the brain, or a difficult labour, if he was very premature or ill after the birth, or he had an infection during early childhood, such as meningitis.’
‘I can’t take this in,’ Jenny said. ‘I knew there was something wrong. I knew it. But nobody would listen to me.’
‘Your health visitor did,’ Zoe said softly. ‘She referred you to us. And sometimes it’s hard to pick up—it might not show until the baby’s twelve to eighteen months old. She said that he was hypotonic when he was born—that his muscles were floppy.’
‘And sometimes you might find his muscles are spastic, or tight.’ Brad looked at Dave. ‘You might prefer the word “hypertonic”. It’s the same thing.’
