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‘At least you grew up in heat. Growing up on a dairy farm in the rainbelt of southern Victoria was no preparation at all.’ He tipped his head back and gulped his drink down.
She tried to look away but her gaze was transfixed on the movement of his Adam’s apple against his corded, muscular neck.
‘That view’s pretty amazing isn’t it?’
She coughed, choking on her water while her cheeks flared with heat. Had he seen her blatant staring?
He swept his arm out at the panorama of green and grey mountains that ringed the village, their lower aspects carved and defined by terraces of emerald-green rice paddies. ‘It looks so stunning and yet it makes life so damn hard for the locals.’
‘Floods?’ She’d seen debris, evidence that the Song Da River had in the past broken its banks.
‘Floods and mudslides are one problem. The narrow valley means the river becomes a raging torrent and there’s little room to escape. Add in the remoteness of the area, not being on a trade route and the government rightly cracking down on the opium-growing and it all means money is tight and so are ways to earn it.’
‘What about tourism?’ A thirst for knowledge gripped her.
‘That’s helped Lai Chau but it’s only the really intrepid tourists that come out here.’ He sighed. ‘We even have trouble attracting local health workers. Sung, who you met when we arrived, could earn a lot more further south.’
‘But she’s here because she loves the place.’
His gaze intensified, as if he was really looking at her for the first time. ‘How did you work that out so quickly?’
She shrugged, feeling slightly uncomfortable at his scrutiny and yet energised. This was the first sign he’d shown that he didn’t think she was as flaky as his snap judgement had deemed her to be. ‘You don’t have to speak the language to understand. Observation is a telling tool.’
‘True.’ He recapped his water bottle.
‘So what brought you here?’ She’d wanted to ask that question since they’d met, but as he’d spent most of their travelling time listening to his MP3 player or avoiding her at the hotel, the opportunity hadn’t arisen.
‘Work.’ The single word snapped out quickly. ‘Are you ready for work?’
His abruptness startled her. ‘Absolutely.’
He raised his brows. ‘That’s a favourite word of yours.’
‘Is it? Have I used it before?’
He laughed, a deep, melodious sound that wrapped around her like a blanket on a cold night, comforting and secure.
Scaring her down to her core.
No man had ever meant security in her world—only tyranny and fear. She created her own security. Keeping a distance from people meant keeping safe. She had no intention of changing.
His face became more serious. ‘We’re starting with a mother and baby clinic. You’re on weighing and measuring babies. Then Sung can take you gardening. I hope you’ve got a green thumb. The home garden is one of the keys in battling child malnutrition.’ He grinned, a wide smile, his almond-shaped eyes crinkling around the edges.
For the first time she caught a glimpse of Asia in his face, around his eyes and cheeks. Nah, you’re imagining that. Surely people called him Dr Thông because that name was as close to Tom as the language allowed. A farm boy from Victoria, Dr Tom Bracken was as Aussie as they came.
He walked in front of her, his strong brown legs striding quickly over the short distance to the clinic. She suddenly realised he’d neatly steered the conversation away from himself. He hadn’t answered her question at all.
A line of women dressed in colourful clothing snaked around the thatched clinic, their heads covered in fabric that looked strikingly similar to Scottish tartan. Long dresses of green, red, blue and black were covered in intricate embroidered patterns—a collage of colour. Babies almost rigid from being overdressed, sat upright in their papooses, nestled against their mothers’ backs.
The first time Tom had come to this region he’d thought he’d left Vietnam. The hill tribe minorities were very different from the coastal people and not much was familiar.
He glanced over at Bec, observing her reaction. Her tanned oval face was flushed with heat and loose strands of hair clung to her temples, glued there by sweat. But curiosity danced on her face, melding with respect as she bowed to the mothers, cooed to the babies and gently coaxed the toddlers away from their mothers’ legs. And she achieved it all with hand signals and smiles.
She’s done this before. Grudging admiration surfaced, which he quickly tempered. It’s early days. ‘Remember to use Hin.’
‘Yes, Doctor.’ Her eyes twinkled for an instant, their animation suddenly fading to match her almost blank expression. As if it was wrong to enjoy some light-hearted banter.
He couldn’t work her out. For a woman who’d been so determined to come with him on this trip she’d been extremely tense around him. She was far more relaxed with the patients.
But he didn’t have time to think about that. They were there to work. ‘Any child who falls into the red zone when you put the mid upper arm circumference bracelet on them is cause for concern.’
She nodded, her face now serious, all traces of teasing gone. ‘Right, I give them a swing in the weigh sling and I measure them on this.’ She rolled out a bamboo mat and placed the measuring stick next to it. ‘Any children needing supplemental feeding I’ll keep here with their mothers. Between Hin, Sung and me, we’ll have it sorted.’ She washed her hands with quick-dry antibacterial solution. ‘You’d better skedaddle and see the men.’
She’d just dismissed him. He tried to suppress the rising indignation sweeping through him. He should be pleased she was competent and he could get on with what he needed to do. Hell, he wasn’t there to hold her hand.
He shook off the mantle of reluctance to leave her and headed over to greet the men.
Three hours later, drenched in sweat, and fighting visions of sliding into a clear, cool stream and lying under a waterfall, Bec examined her fiftieth child. She knew the stats about child malnutrition in Vietnam, and this village unfortunately skewed the average upwards.
And yet some children thrived. Were the families better off? Or did they just do things differently? She scribbled a note to herself. This was the sort of stuff she had to find out. She planned to question Sung closely when they went on their village vegetable garden tour. She had to maximise every moment of working there.
Her snap decision to come to the village was turning out to be the right thing after all. She hugged the knowledge to herself. It wasn’t like she and Tom were spending any real time together anyway.
Tom had happily left her alone to run this clinic while he did his work. A plan rolled out in her head. They’d spend their days here involved in their own projects. She could work and learn, and still stick to her rule of keeping a safe distance. It was a win-win situation.
She glanced up to the next person in line. A woman stepped forward, her face impassive, carrying a toddler who lay limp and listless in her arms.
Dehydration. Bec’s radar kicked in the moment she saw the sunken eyes in the child’s small face. ‘Hin, I need you. Can you, please, ask this mother how long her child has been sick and what the symptoms are?’
The interpreter, an easygoing young man in his twenties, spoke rapidly to the mother who responded and looked beseechingly at Bec as she sank to the ground, laying the child on the mat.
Bec knew why. This little girl was desperately ill. And she’d stake a bet the mother was pretty sick, too.
‘She says the child has water coming from her bottom and she has been vomiting,’ Hin succinctly translated.
‘Has anyone else in the family been sick?’
More rapid-fire dialect spun around Bec. She desperately wished she could understand the words. But she could understand the emotions behind the words.
‘This woman has been sick today. She has been vomiting and has had pains in her legs.’
‘Tell her we can help.’ Diarrhoea and vomiting were pretty common out here but Bec was worried by the complaint about pains in the legs.
Hin relayed Bec’s words and then listened. ‘She says many are sick. Some are here in the line, others are too sick to walk.’
Bec closed her eyes for a moment and breathed out a long, slow breath. She touched the woman’s shoulder reassuringly while her mind raced. ‘Right. Hin, you go with Sung and talk to everyone who’s waiting. Find out who has these symptoms and put those people together in another line.
‘Ask if they have relatives who are sick as well. Draw a mud map of the village and mark on it every household that is sick. I’ll be back in a minute.’ She grabbed her hat and ran out of the hut toward the men’s clinic. So much for working on her own.
‘Tom!’ She stood outside the hut and called, not wanting to barge into the clinic and undo the trust he’d built up.
He appeared almost immediately, smiling when he saw her. ‘Finished already?’
She shook her head, ignoring the feeling in her gut his smile created. ‘No, I think I’m just starting. I need your help.’
He raised his brows. ‘Really? How so?’
She took no notice of the gentle jibe—she knew her independence and distance could sometimes grate in a team situation. ‘I have a woman and child with severe dehydration.’
‘That’s pretty common, Bec. You’ll need to mix up the oral rehydration solution.’ A perplexed look crossed his face. ‘I’m pretty sure I unpacked those boxes and stacked them in the women’s hut when we arrived. Do you want me to look?’
Again, his thoughtfulness surprised her. She wasn’t used to men acting like this. Not toward her, anyway. ‘Thanks, but I know where the sachets are. My real concern is that this woman is complaining of diarrhoea, vomiting and leg cramps.’
His head snapped up, his dark eyes meeting hers. ‘Does anyone else have the symptoms?’
She nodded slowly, knowing exactly where his mind was going. To the same conclusion she’d drawn. ‘I’ve got Hin and Sung questioning the villagers. It sounds like cholera, doesn’t it?’
‘Damn it!’ He ran his hands through his hair. ‘Cholera’s so contagious. It races through a community like wildfire. We need to set up a separate clinic, isolate all the affected people, start treatment and find the source.’
‘As I have the first few patients in my hut, I guess we make that the isolation ward.’ All thoughts of barrier nursing came pouring back into her head. ‘Do we have chlorine to kill the bacterium?’
Worry lines scored his forehead. ‘We do, but we also need it to wash their clothes. A laundry will have to be set up…I need to speak with the village elders.’
‘Sung and I will get started on the makeshift quarantine area. I need to get the electrolyte solution into that child. I’ll see you the moment you’re back from meeting with the elders.’ Please, don’t be too long.
‘Good plan. I’ll be back as soon as I can.’
Did he read minds? ‘Great.’ She turned to go.
‘Bec.’ One syllable and yet it held both caution and concern.
She spun back to see his face filled with a mixture of authoritative control and unease.
‘Only drink the bottled water from our supply and only eat the food that Sung has prepared. I don’t need you getting sick.’
A rush of emotion swirled inside her, battering the protective guard she’d erected long ago, frightening her.
Keep a safe distance.
She took in a deep breath and reinforced her guard. His caring tone, the worried look on his face didn’t indicate concern for her. It was concern for the village. He needed all the help he could get to deal with this epidemic.
She tossed her head and flashed him her best ‘don’t boss me’ look, similar to the one she’d used in Hanoi. The one that hid her true feelings. ‘The same goes for you, too, Tom. I don’t want to waste rehydration solution on someone who should have known better.’
She ran back to the clinic, thankful that the huge job in front of her wouldn’t allow any time to think about a broad-shouldered, dark-haired doctor with deep worry lines between his chocolate-brown eyes. Lines she longed to smooth out.
‘Tom, I’m sorry, but I think we need another IV.’
He glanced up from examining a woman whose eerie calm worried him intensely. She clung to life by a thread. In three days they hadn’t lost a patient and he didn’t want this woman to be their first.
Bec stood next to him, petite and exhausted from days of almost non-stop work. She should have been prostrate with fatigue but her strength and implacable determination kept her going.
She’d organised a remarkable clinic in a short space of time and with limited resources. Everyone who entered the isolation ward washed their hands and feet at the chlorine station beside the door.
Patients lay on bamboo mats with one member of their family to care for them. Bec had organised the healthy men into a team to dig a new latrine and the area around the clinic had been quarantined with a fence. Fires burned continuously outside, boiling water to make it potable. Further away, women boiled the clothes of the sick.
‘We’ve got plenty of oral solution but intravenous packs are getting low.’ She worried at her bottom lip with her top teeth.
His blood surged.
Fury at himself immediately followed. What the hell was wrong with him? Vomiting patients surrounded him, he was cloaked in heat, operating in the most basic of medical facilities, and now his body was reacting like a hormone-fuelled teenager’s.
Bec was a nurse, a much-needed colleague, nothing more.
Make that your mantra. ‘If we have a patient who needs an IV, we insert it. And we hope the new supplies arrive before we run out.’ He rose slowly, weariness vibrating through him.
‘Can you insert the IV now, please? Then you need to take a break.’ Clear, violet-blue eyes bored through him.
Indignation bristled. ‘You should talk. You’ve been going for longer than me. I get to sit down when I do my daily briefings with the elders. So I’ll insert the IV, you do another oral rehydration round and then we’ll both take a break.’
She held his gaze, her mouth firm. Suddenly, the corners twitched upwards and she smiled. ‘Fair enough. But only because the local health worker from the next village has arrived to help.’
Her smile took away the tension that seemed to dog her.
He couldn’t help grinning back. ‘Deal.’
Hin explained to the mother of the child about inserting the IV and Bec held both the mother’s and the child’s hands. Tom continued to be amazed at how she seemed to channel supportive care and understanding to these women and children.
Somehow he managed to slide the cannula into the almost collapsed veins of the dehydrated child. As he reached to release the tourniquet, Bec moved forward to tape the needle securely to the skin.
Their hands collided, his palm gently skating over her fingers.
She flinched, her hand suddenly rigid, hovering over the child’s arm. Tension vibrated up her arm and through her body. A moment stretched out, her hand suspended, fingers taut.
He glanced at her as he released the tourniquet. Her colour, usually tanned and healthy, had faded to ivory. Her skin stretched tightly across her high cheekbones.
She moved jerkily, her fingers flexing before she quickly taped the drip in place. ‘I can’t believe how effective the oral rehydration solution is. I would have thought antibiotics would have been required.’ The words had rushed out, tumbling over each other.
Her reaction to an accidental touch mystified him completely. But an inexplicable need to protect her surged inside him. He matched her conversation, hoping to put her at ease. ‘It’s amazing what some salt water, sugar, potassium, magnesium and other electrolytes can do.’
He ran his hand through his hair. ‘Although it’s the glucose that does the trick. It means the sodium moves into the gut, taking the electrolytes and fluid with it, and that’s the key to rehydration. Simple yet so effective and life saving.’
‘Talking simple but effective, I can smell the rice soup Sung’s made for us.’ Bec stood up, her usual ‘in-control’ demeanour back in place. ‘Let’s go.’ She waited for him to start walking, as if she didn’t trust he would follow her.
‘We need a complete break so how about we eat outside?’ He led the way, hearing her gentle, uneven footsteps behind him, her slight limp more audible than noticeable.
They sat under the shade of a tree, clutching their bowls of rice soup as reverently as if they were highly coveted and rare French truffles.
Bec had chosen a position that left a good metre between them. He noticed she did that a lot. In the truck coming up she’d sat so close to the door that if she’d been any closer she would have been outside the vehicle. And the flinching thing when they’d inserted the drip. What had that been about?
