Loe raamatut: «Carrying The Surgeon's Baby»

CHAPTER ONE
Seattle, six months later

“WOW.” EMILY LOOKED again at the ultrasound scan that her colleague Dr. Ruchi had sent her from her hospital, which was in a small town that was sandwiched between Portland and Seattle. She leaned back in her chair and stared at the ultrasound again.

“Yeah, the conjoined twins have two separate spines, they share a lot of nerves at the base of the spine. They also share a liver, part of their colon and there are three kidneys between the two babies.”

“I’m glad to see they have four fully formed limbs and separate genitalia.”

Dissecting a liver and separation was easier when the separation gave each twin the chance of being able to survive on their own. The twins didn’t share a heart or a brain, and shared organs that could easily be split. It was promising, risky but promising.

It was whether or not all limbs would be fully functional or whether the twins survived their birth. That was the scary part, surviving.

“Yes, that is a positive,” Dr. Ruchi said.

“And the parents have consented to being moved up to Seattle and me preforming the surgery?” Emily asked as she zoomed in on the most recent scan of the babies in utero.

“Yes. The mother was informed that her twins were conjoined and she was given all the details about the risks of separating them postdelivery, but chose to proceed with the birth.”

Emily felt a faint kick and looked down at her belly. At six months pregnant there was no longer any hiding her baby bump. And it hit her hard when Dr. Ruchi said that the patient had chosen to proceed with the birth. What a hard decision for a mother to make. She was glad that she didn’t have to be put in that position to make a choice. Her baby was, so far, healthy.

“When are you planning to deliver them?”

“Well, I’m not. I would rather send the parents up to Seattle and have her in your care. My hope is that the mother remains on bed rest with yourselves pending a delivery by C-section in a few weeks, once the babies are more developed. It’s important that the twins are delivered there so they can benefit from your immediate expertise. You’re one of the best pediatric surgeons in the country and have done successful separations before.”

“Sure, of course. I would be happy to, but my concern is about the bundle of nerves that the twins share. That worries me. I can work with them on separating the liver and kidneys, even the colon, but for the nerves I would need a world-class neurosurgeon who was familiar with this kind of work to assist me with that part of the operation.”

“I have a neurosurgeon for you.”

As soon as Dr. Ruchi said the words, Emily’s stomach did a flip, a flop and then nose-dived to the bottom of her shoes and she found herself trying not to let her breakfast make a second appearance.

“You...what?” Emily asked, relieved that Dr. Ruchi could not see her expression over the phone, because she knew exactly who Dr. Ruchi was referring to.

“Dr. Ryan Gary. He’s agreed to fly to Seattle from San Diego and help with the case. This is my patient, I delivered her first child and I really want you and Dr. Gary to handle the separation.”

Dr. Ruchi was right about Ryan. He was the best. He’d done separations before. She just didn’t know if working with a man she had just sent divorce papers to would be a touch too awkward.

Her previous relationship had ended badly. So badly it had crushed her. Which was why Emily had been wary of getting into any kind of personal relationship with another surgeon.

Not just wary...determined she was never going to again. So her one-night stand with Dr. Ryan Gary had been a huge mistake. It had been an amazing night, but it had been bad for her afterwards. She was pregnant and alone. She regretted it.

No, you don’t.

She wasn’t going to disappoint Dr. Ruchi by telling her that she couldn’t work with Dr. Ryan Gary because he’d been the one to knock her up after a drunken night in Las Vegas. That night in Vegas had been the biggest mistake of her life.

And when she’d reached out to Ryan to tell him about the baby, she’d found he’d left for a tour of duty providing medical aid abroad in war-torn countries. He’d never responded to her, even when she’d sent him divorce papers.

Which was fine. She’d get the divorce finalized one way or another.

Emily hadn’t planned to have a family now, or raise a baby alone, but waiting around for Ryan to respond to her wasn’t going to stop her from doing just that.

“Emily, are you okay?” Dr. Ruchi asked, interrupting her train of thoughts.

“What?” she asked. “Yes, sorry. Dr. Gary, you say?”

“Yes. Is there a problem?” Dr. Ruchi asked. Emily could hear the concern in her friend’s voice. It had taken Emily years to pick up on social cues like this. She didn’t always get them, but since Robert had left her five years ago, and now, on the verge of becoming a single mother, she could tell when someone was concerned about her. She saw it enough in the way people spoke to her, like they felt sorry for her.

“Nope. I might have to clear it with the chief of surgery first. I mean, we do have pretty top-notch neurosurgeons at SMFPC.”

Liar.

Yeah, she did have a problem with his arrival. When he hadn’t responded to her emails about being pregnant she’d assumed he’d wanted out.

Emily had been hurt again by a man, but she could raise this baby on her own. She didn’t need help. She didn’t want Ryan back in her life, but it would be best for the patients. He was an excellent surgeon.

“I’ve already cleared it with your chief,” Dr. Ruchi said gently. “I wanted to make sure that I had you on this case. I didn’t want him to pass off my patient to another pediatric surgeon!”

Emily chuckled. “Ana, you know that I’m Head of Pediatrics.”

Ana sighed and then laughed. “Okay, so I wanted to make sure that he’d allow Dr. Gary to practice there too.”

“And it’s okay, I take it?” Emily teased.

“It is. Thank you for doing this, Emily. There’s no one else I trust. Both you and Ryan have done separations and done them successfully, with both twins surviving. I know that you can do this.”

“I know that I can too,” Emily admitted. What she didn’t say was that she wasn’t sure that she could do this with Ryan.

Although he was one of the best at separation surgeries. It was just that part of her wanted to throttle him for not responding to her. She wasn’t sure that was conducive to a good working environment.

It can be if you ignore it. He’s a surgeon, you’re a surgeon. He’s a professional and so are you.

She shook that thought from her head. Her admiration for him, her attraction to his confidence, his charm and his devilishly handsome good looks was what had got her into this mess in the first place.

When she had been with him she hadn’t felt awkward or anxious. It was like his confidence had rubbed off on her. He’d made her feel desirable.

“When will they arrive?” Emily asked.

“I’ve emailed you her chart and all the paperwork. I’m planning on sending them by air ambulance tomorrow, but Dr. Gary will be arriving sooner. He arrived in Portland last night, when I spoke with him about the conjoined twins. He’s taking the helicopter in. He should be there soon. He’s accompanying another pediatric patient with a spinal injury who arrived this morning. Thank goodness he was here.”

Emily glanced at her pager. That was another patient she’d been waiting on.

Great, he was going to be working with her on that case too?

“Okay. Thanks, Ana. I’ll take care of your patient. Just let me know when you think the transport with your patient will be arriving and I’ll meet her.”

“Will do. Thanks, Emily.”

Emily disconnected the call and then groaned, burying her head in her hands.

This can’t be happening.

After the debacle with Robert, when he hadn’t been able to handle her promotion and her acceptance as a pediatric attending, she’d sworn she would never open her heart to a fellow surgeon again. She didn’t want to deal with professional jealousy in her personal life.

It was awful.

For five years she’d managed not to date anyone. She didn’t trust men. Until that conference in Vegas when Ryan had swept her off her feet. She had been a weak fool and he’d been, oh, so charming.

When Ryan hadn’t responded to her messages about the baby she’d mentally kicked herself for falling into that trap again.

It had hurt to know that she’d been used like that, but she’d moved on. She wasn’t going to wallow in self-pity, she had her work and this baby. She was going to make sure that she was a strong role model for her child, even if it scared her senseless to do this on her own.

Now he was on his way here and there was no hiding her pregnancy.

At least with him in Seattle she could finally get him to sign the divorce papers.

You’re a professional, Emily. You’ve got this.

She took a deep, cleansing breath. This would be no different than dealing with the angry, pushy parents who screamed at her staff because their child’s elective surgery had been canceled because a child with traumatic injuries was being rushed to the hospital.

She could deal with those people with grace, decorum and a firm hand, so she could deal with Ryan and his arrogance.

He might be a neurosurgeon, and he was one of the best in the world, but she was a more than competent pediatric surgeon, who had carried out the most successful separations of conjoined twins on the western seaboard.

She could handle Ryan for a short period of time for the sake of a patient.

Can you?

She could deal with patients and their parents because it was her job. When it came to her relationships, things went downhill fast.

Robert had often belittled her near the end of their relationship. He’d made fun of what she lacked. Differences between herself and others she’d fought hard to understand her whole life.

That moment she’d met Ryan in Vegas it had become personal and she wasn’t sure she could handle him. She was afraid he’d see what she lacked.

He’d see her vulnerabilities.

Her pager went off. The air ambulance was coming in.

Her heart did a flip-flop.

Deep breath. You’ve got this.

Emily picked up her pager and placed it in the pocket of her white lab coat. She stood up and stretched. Her baby did a little scramble across her belly and she couldn’t help but smile.

Yeah. She could do this.

She’d faced a lot worse, a lot more adversity, dealing with her mild form of high-functioning Asperger’s, which meant she’d never quite fitted in. But she could handle this.

Slipping her stethoscope around her neck, she left her office and headed straight for the elevator that would take her to the helipad on top of the SMFPC.

“Teal, you’re with me,” she said, speaking to Dr. Amanda Teal, a surgical intern who was hovering around the nurses’ station, working on her charts. “Bring a gurney and meet me on the helipad, stat.”

“Of course, Dr. West.” Teal ran off. The doors to the elevator dinged as they opened and Emily got on, pushing the button and code for the roof. Her nerves were shot. She stepped into the alcove and waited. It was a sunny day, and from her vantage point on the roof of Seattle Maternal Fetal Pediatric Center she could see Puget Sound clearly and the ferries on the water.

She closed her eyes and drank in the peace and quiet of a late spring morning. Then she heard the distant whirr of the helicopter and she could see the bright orange of the medical helicopter coming across the Seattle skyline.

Her heart skipped a beat.

Get a grip.

In response, she crossed her arms and bit on her bottom lip as she grounded herself to deal with facing Ryan again.

This was just about work. This was about saving lives. Children’s lives, and that was a job she took seriously. There were going to be no pleasantries. Nothing.

As the helicopter came closer, getting ready to land, she moved back to the shelter of the elevator alcove, her short blonde hair being tossed out of the neat and tidy angled bob as the wind picked up.

Dr. Teal was waiting in the alcove with a gurney.

Emily nodded to her, because it was no use talking to her over the roar of the chopper blades as the medical helicopter gently landed on the roof.

Once the helicopter had landed, the blades of the chopper began to slow and the doors of the helicopter opened.

“Come on,” Emily shouted to Dr. Teal as the engines began to power down.

They ducked and ran toward the open door. The paramedics were in action, getting ready to transfer the child to her care.

As she approached the helicopter, she caught sight of Ryan and her heart did a flip-flop again. He hadn’t changed much in the last six months. He was just as handsome as ever. He took her breath away. His light brown hair was perfectly tousled, those stunning blue eyes focused on the patient and paramedics. Ryan still had the scruff on his strong jaw, but it didn’t hide the delectable cleft in his chin.

Get a grip.

And just as she was telling herself that, his gaze went from the patient to her. His blue eyes widened in shock, but only for a moment. It was if he was surprised to see her, like he hadn’t expected her to be here, but she found that hard to believe. She looked away and moved toward the paramedic as she and Dr. Teal stepped up to take over care of the patient.

The only way she was going to survive this was to treat him like every other surgeon she dealt with, at a distance and professionally.

Which was what she should’ve done six months ago in Vegas, instead of letting down her guard and letting him sweep her off her feet.

Maybe because you needed that?

Emily shook that thought away.

“Patient is male, ten years old and sustained a spinal injury while riding an ATV. Patient suffered a break in his spine between C7 and T3. Dr. Gary has induced a state of medically induced coma and hypothermia,” the paramedic said as they slid the stretcher out of the helicopter onto the gurney.

“Hypothermia?” Emily asked.

“To preserve the spinal cord so maybe he can walk again,” Ryan said from across the stretcher as he helped load the patient onto the gurney.

Emily didn’t say anything to him.

“We’ve got it from here,” she said to the paramedic.

The paramedic nodded and handed her the chart. Emily placed it on the end of the gurney and began to wheel the patient toward the elevator. She could feel that Ryan was looking at her but she didn’t care. They had to get this patient to the ICU and stabilized. The only things she wanted to discuss with Ryan was work and signing the divorce papers.

That was it.

And now was not the time to discuss the divorce.

Dr. Teal had called the elevator and the three of them got the patient’s gurney onto the elevator while Emily pushed the code for the floor holding the ICU. As the doors shut, she could hear the roar of the helicopter engine come to life again. She wished that Ryan had got back on that helicopter.

Inducing hypothermia on an adult in a traumatic spinal injury often had a good outcome, but a pediatric patient? It was frowned upon.

What was Ryan thinking? Was he this arrogant that he believed he was God or something?

“What the heck were you thinking, inducing therapeutic hypothermia in a pediatric patient?” Emily berated. She was so angry, but it really wasn’t about his method of treatment. She wanted to scream at him for ignoring her for the last six months.

For not responding about the baby.

For hurting her. But she couldn’t say those things in front of Dr. Teal so she attacked him over his treatment choice to blow off the anger she felt in that moment of seeing him again.

Dr. Teal’s eyes widened and for one moment Emily felt bad for exploding in front of her intern, but it was only for a moment, because when she looked across the gurney at Ryan he was smiling. That charming, arrogant smile that had got her into trouble in the first place.

“It’s good to see you too, wife.”