The Maverick Doctor and Miss Prim
Auteur
Scarlet Wilson
Lezers
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Hoofdstukken
12
Chapter One
Chicago
“OKAY, BEAUTIFUL, WHAT you got for me?” Sawyer leaned across the reception desk as the clerk glared at him.
Miriam cracked her chewing gum. “You’ve been here too long—you’re getting smart-mouthed.”
“I’ve always been smart-mouthed.”
“And get a haircut.”
He pushed his shaggy light brown hair from his eyes then tossed his head. “The long-haired look is in. Besides—I’m worth it.”
The clerk rolled her eyes and picked up three charts. “You can have two sick kids with chicken pox in room six or a forty-three-year-old female with D&V behind curtain two.” They lifted their heads in unison as the noise of someone retching behind curtain two filled the air.
He shuddered. “Give me the kids.” He grabbed the charts and walked down the corridor. His eyes skimmed the information on the charts. Ben and Jack Keating, aged six and seven, just returned from abroad with chicken pox.
He pushed open the door. Unusually, the lights were dimmed in the room. The two kids—brothers—lay on the beds with a parent at each bedside. Alison, one of the nurses, was taking a temperature. She walked over to him, her pregnancy bump just starting to emerge from her scrub trousers. “Sickest kids I’ve seen in a while,” she murmured.
He gave her a smile, his natural instinct kicking in. “You safe to be in here?”
She sighed. “After three kids of my own it’s safe to say I’m immune.”
Sawyer crossed the room quickly, leaving the charts at the bottom of the beds. Alison was right. These kids didn’t look good. Chicken pox could be a lot more serious than a few itchy spots.
“Hi, I’m Matt Sawyer, one of the docs. I’m going to take a look at Ben and Jack.” He extended his hand towards the mother then the father, taking in their exhausted expressions before turning to the sink, washing his hands and donning some gloves.
He walked over to Ben. In the dim light it was difficult to see his face, but it looked as if it was covered in red, bumpy spots. “Hi, Ben, I’m just going to have a little look at you.”
The six-year-old barely acknowledged that he’d spoken. He glanced at the cardiac and BP monitor, noting the increased heart rate and low blood pressure. At first touch he could feel the temperature through his gloves. He pressed gently at the sides of Ben’s neck. Unsurprisingly his glands were swollen. There were a number of spots visible on Ben’s face so he peeled back the cover to reveal only a few angry spots across his chest but a whole host across his forearms.
The first thing that struck him was that all of the spots were at the same stage of development. Not like chicken pox at all—where spots emerged and erupted at different times.
Alarm bells started ringing in his head. Be methodical. He heard the old mantra of his mentor echoing around him.
He moved to the bottom of the bed and lifted Ben’s foot.
There. The same uniform spots on the soles of his feet. He stretched over, reaching Ben’s hand and turning his palm over. Red vesicular spots.
He tasted bile in the back of his throat and glanced across the room to where Alison had switched on her telepathic abilities and had already hung some bags of saline and was running through the IV lines.
“Where were you on vacation?”
The boys’ father shook his head. “We weren’t on vacation. I was working. We’ve just come back from three months in Somalia. I work for a commercial water-piping company.”
Somalia. The last known place for a natural outbreak of this disease.
“Were any of the locals you came into contact with sick?” There were a million different questions flying around his head but he didn’t want to bombard the parents.
Mrs Keating nodded. “We were in the highlands. A lot of them were sick. But we didn’t think it was anything too serious. We actually wondered if we’d taken a bug to them—we were the first people they’d come into contact with in years.”
His reaction was instinctive. “Step outside, please, Alison.”
“What?” The nurse wrinkled her brow.
He raised his voice, lifting his eyes and fixing them on her, praying she would understand. “Wait outside for me, please, Alison.”
The atmosphere was electric. She was an experienced nurse and could read the expression on his face. She dropped the IV lines and headed for the door.
“Is something wrong?” Mr. Keating started to stand.
Sawyer crossed to the other bed. Jack was lying with his back to him. He wasted no time by pulling the white sheet from across Jack’s chest and tugging gently on his shoulder to pull him round.
Identical. His face was covered. Red, deep-seated round vesicles. All at the same stage of development, a few covering his chest but mainly on his forearms. He opened Jack’s mouth. Inside, his oral mucosa and palate were covered. He checked the soles of his feet and the palms of his hands. More identically formed red spots.
He could feel chills sweeping his body. It couldn’t be. It couldn’t be. This disease had been eradicated in the seventies. No one had seen this disease since then.
Then a little light bulb went off in his head. Hadn’t there been a suspected outbreak a few years ago that had turned out to be chicken pox? The very thing that this was presumed to be? He ran the list of other possibilities in his head. He knew them off by heart. Anyone who’d ever worked in the DPA did.
But the more he stared at the spots the more convinced he became that it was none of the alternatives.
“How long since the spots appeared?”
The mother and father exchanged glances. “A few days? They had a rash at first then the spots developed. They’ve got much worse in the last day. But the boys had been feeling unwell before that—headaches, backaches, vomiting. We just thought they’d picked up a bug.”
Sawyer felt as if he was in a bad movie. Why him? Why did this have to happen while he was on duty?
Would someone else recognize this? Realize the potential risks? Or would they just chalk it up to a bad dose of chicken pox and discover the consequences later? He’d put all this behind him. He’d walked away and vowed never to be involved in any of this again. He was in the middle of Chicago—not in some far-off country. Things like this didn’t happen here. Or they shouldn’t happen here.
And right now that was he wanted to do again. To walk out that front door and forget he’d ever seen any of this.
He looked at the long inviting corridor outside. He wasn’t a coward. But he didn’t want this. He didn’t want any of this. The kind of thing that sucked you in until it squeezed all the breath from you.
A shadow moved outside the door.
But there was the killer. A pregnant nurse standing outside that door. A nurse who had been working with him and had contact with these children. Could he walk away from her?
He glanced upwards. It was almost as if someone had put her here so he couldn’t walk away. His conscience would never allow him to do that.
If only he didn’t know she was pregnant. If only that little bump hadn’t just started to emerge above her scrub trousers. That would make this a whole lot easier.
Then he could walk away.
He took a deep breath and steeled himself. He was a doctor. He had a duty of care. Not just to his colleagues but to these kids.
These very sick kids.
He looked back at the parents. “I need you to think very carefully—this is very important. Did you fly home?”
They both nodded.
“When, exactly, did you first notice the rash on the boys? Before or after you were on the plane?”
The parents looked at each other, screwing up their foreheads and trying to work it out.
A detailed history could wait. He knew enough already. He wasn’t part of the DPA any more. This was their job, not his. The notification part he could handle—setting the wheels in motion so the processes could take over.
Isolation. Containment. Diagnosis. Lab tests. Media furore.
In the meantime he had two sick kids to take care of and staff members to worry about. Let the DPA do their job and he could do his.
He pulled his smart phone from his pocket and took a picture of Jack’s spots and then Ben’s. “Wait here.”
Alison jumped as he flung the door open. “What on earth’s going on?” She matched his steps as he strode down the corridor to Reception. “Don’t you think you can get away with speaking to me like that. I want to know what you think is wrong.” He watched her as subconsciously her hands went to her stomach. This day was just about to get a whole lot worse.
“Did you touch them?”
“What?” She wrinkled her nose.
“The spots. Did you touch the children’s spots?”
She must have read the fear he was trying to hide behind his eyes. “I think I did.” She looked as if she might burst into tears. Then realization dawned. “I think I had gloves on.” Her voice grew more determined. “No, I’m sure I had gloves on.”
“And when you took them off, did you touch any other part of your skin?”
Her face crumpled. “I don’t think so. But I can’t be sure.”
His hands landed on her shoulders and he steered her into the nearest free room. He knocked the water on with his elbows and pulled the hand scrub over, opening up a scrub brush for her. “Scrub as if you were going to Theatre and don’t stop until I tell you.”
She looked pale, as if she might keel over. But her reactions were automatic, pumping the scrub, covering her hands, wrists and forehands and moving them methodically under the running water.
He watched the clock. One minute. Two minutes. Three minutes. Four.
“Sawyer?”
He nodded. “You can stop now.”
“Do you know what it is?” She was drying her hands now.
“I think I do. I’m just praying that I’m wrong. Come with me.”
They reached the desk. Miriam had her back to them and was chatting loudly on the phone.
Sawyer leaned across the desk and cut the call.
She spun around. “What are you doing?”
“We’re closed.”
“What?” Several heads in the surrounding area turned.
“You don’t have any authority—”
“I do. Get me Dr. Simpson, the chief of staff, on the phone.” He turned to face the rest of the staff. “Listen up, folks. As of now, we have a public health emergency. The department needs to close—right now.” He pointed at Miriam. “Let Dispatch know not to send us any more patients.”
He turned to one of the security staff. “Lock the front doors.”
The noise level around him rose.
He put his hand on Alison’s arm, pulling her to one side. “I’m sorry, honey, but that isn’t chicken pox. I think it’s smallpox. And we need to contact the DPA.”
Atlanta
Callie Turner stowed her bag in her locker and nodded at a few of her colleagues getting changed. She glanced in the mirror and straightened her skirt, taking a deep breath as she gave herself a nervous smile and pulled at her new haircut—an asymmetric blonde bob.
It was meant to signify a new start—a new beginning for her. It had looked fabulous in the salon yesterday, expertly teased and styled. Today it just looked as if she was halfway through a haircut. This would take a bit of getting used to.
First day at the DPA.
Well, not really. An internship and then a three-year specialist residency training program completed within the DPA. All to be part of the Disease Prevention Agency. Eleven years in total of blood, sweat and lots of tears.
All to fulfil someone else’s dreams. All to pay homage to someone else’s destiny.
Today was the first day of the rest of her life.
She pushed open the door to the telephone hub. “Hi, Maisey.”
The short curly-haired woman looked up. “Woo-hoo! Well, look who picked the lucky bag on her first day on the job.” She rolled her eyes at Callie. “Go on, then. Who did you upset?”
Callie laughed and pulled out the chair next to Maisey. “No one that I know of. This was just my first shift on the rota.” She looked around. “It’s kind of empty in here. Where is everyone?”
Maisey gave her a sympathetic glance. “You should have been here two hours ago. They’re assembling a team next door. We’ve got a suspected outbreak of ebola.”
Callie’s eyes widened. First day on the job and she was assigned to the phones. The crazy calls. While next door the disease detectives were preparing to investigate an outbreak. She bit her lip. “Who took the call?”
Maisey smiled again. “Donovan.”
Callie sighed. Typical. The person who took the call usually got to assemble and lead the team. Donovan had a knack of being in the right place at the right time.
Unlike her.
She stared at the wall ahead of her. Someone had stuck a sign up: “NORMAL PEOPLE DON’T PHONE THE DPA.”
Never a truer word was said. The phone next to her started ringing. She bent forward and automatically picked it up. It would be a long day.
Four hours later she’d spoken to three health officials, crazy bat lady—who phoned every day—two over-anxious school teachers, five members of the public, and two teenagers who’d obviously been dared by their friends to ring up. Right now all she could think about was a large cappuccino and a banana and toffee muffin.
Her stomach grumbled loudly as she lifted the phone when it rang again. “DPA, Callie Turner, can I help you?”
“This is Matt Sawyer at Chicago General. I’ve got two kids with suspected smallpox.”
She sat up instantly as her brain scrambled to make sense of the words. All thoughts of the muffin vanishing instantly. This had to be a joke. But the voice didn’t sound like that of a teenager, it sounded like an adult.
“Well, aren’t you going to say anything?” He sounded angry. Patience obviously wasn’t his strong point.
She took a deep breath. “Smallpox has been eradicated. It’s no longer a naturally occurring disease, Mr. Sawyer.”
“Listen, honey, you can call me Doctor. Dr. Matt Sawyer. Ringing any bells yet?”
She frowned. Matt Sawyer? The name seemed familiar. Who was he? And why was he speaking to her like that? She put her hand over the receiver and hissed at Maisey. “Hey, who’s Matt Sawyer?”
Maisey’s eyes widened instantly, the disbelief on her face obvious. She skidded her wheeled chair across the room next to Callie. “You’re joking, right?”
Callie shook her head and pointed to the phone.
Maisey bent forward and pulled the phone away from her ear, replacing it with her mouth. “Outbreak, dead pregnant wife, disappeared off the map.”
The pieces of the puzzle started to fall into place and become vaguely familiar. Of course. She had heard of this guy. In fact, everyone in the DPA had heard of this guy. He was like a dark, looming legend. But it had been way before her time.
Her training and natural instincts kicked in. There was a protocol for this. She pushed her chair under the desk and pulled up a screen on her computer. “Hi, Dr. Sawyer. Let’s go through this.”
The algorithm had appeared in front of her, telling her exactly what questions to ask, why and when. She started to take some notes.
“You said you’re at Chicago General. Whereabouts in the hospital are you?”
She could almost hear him sigh. “The ER.”
“What are the symptoms?”
“Two kids, returned from Somalia a few days ago. Ages six and seven. Very sick. Febrile, uniform red spots mainly on their faces, forearms, palms and soles. A few on their trunks. Low blood pressure, tachycardic, swollen glands.”
She was typing furiously. Somalia. The last known place to have a natural outbreak of smallpox. It did seem coincidental.
But there were a whole host of other diseases this could be. She started to speak. “Dr. Sawyer, have you considered chicken pox, herpes, scabies, impetigo—”
“Stop it.”
“What?”
“I know you’re reading from the list. I’ve considered all those things. It’s none of them. Check your emails.” He sounded exasperated with her.
“What do you mean?”
“Lady, do I have to tell you everything twice? Check your emails. I just sent you some photos. Have you ever seen spots like that?”
She clicked out of the algorithm and into her emails. Sure enough, there it was. Everyone in the DPA had a generic email address starting with their full name. He was obviously familiar enough with the system to know that. There was no message. She opened the attached photos.
Wow.
The phone was still at her ear and she moved her face closer to the screen to examine the red spots. No. She hadn’t seen anything like that before—except in a textbook.
“Show the photo to Callum Ferguson,” the low voice growled in her ear.
Callum Ferguson. The only person in their team who’d actually been through the last smallpox outbreak. The only person who’d seen the spots for real. Only someone who’d worked here would know something like that. This phone call was definitely no hoax.
“Give me two minutes.” She crossed the room in big strides, throwing open the door to the briefing room where the ebola team was assembling.
“Callum, I need you to take a look at something urgently.”
“Kind of busy in here, Callie.” The large Scotsman looked up from the floor, where he was packing things into a backpack. Callum was well past retirement age but nothing seemed to slow him down, and his age and experience made him invaluable on the outbreak team.
She lowered her voice, trying to avoid the glare coming across the room from Donovan.
“It’s Matt Sawyer on the phone. He needs you to look at something.”
Callum looked as though he’d just seen a ghost. His hands froze above his pack. He started to stutter, “Wh-what?”
She nodded and he stood up wordlessly and followed her out of the room.
In the few seconds she had been away from her seat, everything had changed. Her boss, Evan Hunter, was standing in front of her computer, staring at her screen, his two deputies and Maisey at his side. The phone receiver was still lying on the desk.
No one spoke. They just moved out of Callum’s way as he reached the screen. His heavy frame dropped into Callie’s chair and he glided under her desk.
“Well?”
Evan Hunter wasn’t renowned for wasting time. The scowl on his face was fierce and made Callie raise her eyebrows. Hadn’t someone told her there had been no love lost between him and Matt Sawyer in the past?
Callum, normally red faced, looked pale. He turned to Evan Hunter and nodded. “I’m sure. I never thought I’d see this again,” he whispered.
Everything around them erupted.
Evan pressed his hand on Callum’s shoulder. “You’re off the ebola team. This is yours—it couldn’t possibly be anyone else’s, seeing as Matt Sawyer is involved. You’re the only one who’s ever managed to assert any control over that loose cannon. I want you all over him. Pick your team.” He looked at his watch. “It’ll take ninety minutes to fly to Chicago. I want you packed and ready to go inside four hours.”
He turned and swept out the room, his deputies scurrying after him. Callie was shaken. Had this really just happened?
Callum’s voice continued in low tones on the phone. He wasn’t even looking at the algorithm she’d pulled up on the screen. His eyes were still fixed on the photo.
“You’re sure there’s no possibility that this could be intentional—a biological terrorist attack?” He was scribbling notes as he listened. There were a few more mumbled questions before he replaced the receiver.
“Was it him? Was it definitely Sawyer?” Maisey looked fit to burst.
Callum nodded. “It was him.” He stood up slowly, obviously still in thought. “I guess that means he’s all right, then.” He touched Callie’s arm. “Get ready, Dr. Turner. This could be the experience of a lifetime.”
“I’m on the team?” She could barely contain her excitement. It was only made slightly better by the look of disgust on Donovan’s face over the other side of the room.
Callum smiled at her. “You know the rules, Callie. You took the call—of course you’re on the team.”
“I’ll be ready in half an hour. Let me get the updated plans.” She rushed off, her heart thumping in her chest.
First official day on the job and she was on the outbreak team investigating an apparently eradicated disease. Isabel would have loved this.
* * *
Callie shoved her bag in the overhead locker and sat down next to Callum. Everything was happening so fast. She hadn’t even had time to think.
The doors of the plane were already closed and they were starting to taxi down the runway. The cabin crew was already in their seats—the safety announcement forgotten. The normal rules of aviation didn’t seem to apply today.
This was the biggest team she’d ever been part of. There had to be around thirty people on this plane. Other doctors, epidemiologists, case interviewers, contact tracers, admin personnel and, most worrying, security.
Callum had the biggest pile of paperwork she’d ever seen. He was checking things off the list. “Vaccines—check. Protocols—check. N95 filtered masks—check. Symptom list—check. Algorithm—check. Three-hundred-page outbreak plan...” his thumb flicked the edges of the thick document “...check.”
He leaned back in his seat. “And that’s just the beginning.” A few minutes later they felt the plane lift off. Ninety minutes until they reached their destination.
“What have you done about containment plans?”
He nodded at her question. “I’ve identified a suitable building for a Type-C containment. Arrangements are currently being made to prepare it. In the meantime we’ve instructed Chicago General to switch their air-conditioning off. We don’t want to risk the spread of the droplets. They don’t even have suitable masks right now—only the paper ones, which are practically useless.”
He shook his head. “Those spots were starting to erupt. These kids are at the most infectious stage of this disease.”
Callie shuddered. A potentially deadly disease in an E.R. department. Her mind boggled.
It didn’t matter that she was a completely rational person. It didn’t matter that she specialized in infectious diseases. There was still that tiny human part in her that wanted to panic.
That wanted to run in the other direction.
The strange thing was that there were colleagues at the DPA who would kill to be in her shoes right now. Her very tight, uncomfortable shoes. Why hadn’t she changed them before they’d left? Who knew how long she would be on her feet?
She hesitated. “Who are you relaying the instructions to right now?”
His eyes fixed on the papers in front of him. He didn’t look so good. “The chief of staff at Chicago General is Max Simpson. He’s following our instructions to the letter. Or rather Matt Sawyer is following our instructions to the letter. He’s the only one with any experience down there.”
There were small beads of sweat on his brow. He reached into his top pocket and pulled out some antacids.
“You okay?”
He nodded as he opened the packet and popped three in his mouth.
Callum was the calmest, most knowledgeable doctor she’d ever worked with. She’d worked side by side with him through lots of outbreaks. She couldn’t ask for a better mentor. But even he looked a little scared. Maybe it wasn’t just her after all?
Or maybe it was something else entirely.
She lowered her voice. “He was your protégé, wasn’t he?”
“My what?”
“Matt Sawyer. I heard he was your protégé.”
Callum grimaced and shook his head. “Do me a favor. Don’t let Sawyer hear you call him that. That would tip him over the edge that I presume he’s currently dangling on.”
“What do you mean?” During all the frantic preparations Callie hadn’t had any time to find out more about Matt Sawyer. Only a few whispers and hurried conversations here and there.
This was her first real mission. She’d been out as a danger detective before—when she’d been completing her specialist residency training. But this was her first real chance to prove herself. To prove that she was a worthy member of the team. To prove to them—and herself—that she deserved to be there.
It didn’t sound promising if the doctor who’d made the initial call was unstable.
She looked at the pile of papers on Callum’s lap. The outbreak plans, the containment plans, the paperwork to use for contact tracing, the algorithms. A plan for everything. A piece of paper for every eventuality. Just the way she liked it. Just the way she’d learned to function best.
Rules and regulations were her backbone. The thing that kept her focused. The thing that kept everyone safe.
Callum followed her gaze. “This could get messy.”
“What do you mean? With the disease? The casualties?” She hadn’t even stopped to think about that yet. She still had her public health head on, the one that looked at the big picture. She hadn’t even started to consider the individuals.
Callum looked kind of sad. “No.” He gave a little grimace again. “With Sawyer.”
“Sawyer? Aren’t you happy to see him again?” She was confused. Hadn’t they been friends?
“Under any other set of circumstances I would be. But not here. Not like this. This will be his worst nightmare. Sawyer walked away from all this. The last thing he wants to do is be involved in another outbreak. I can’t imagine how he’s feeling.”
“He’s a doctor. He has responsibilities. He has a job to do.” She made it all sound so straightforward. Because in her head that was the way it should be.
He sighed. “Things change, Callie. Life gets in the way. Sawyer doesn’t live by anybody’s rules but his own. He didn’t even follow protocol today. He should have notified the state department first but he didn’t. He just called the DPA. He called you.” He emphasized the word as he placed a hand on his chest.
She’d missed that. Miss Rules and Regulations had missed that. In her shock at the nature of the call it hadn’t even occurred to her that Sawyer should have contacted the state department first and they should have contacted the DPA.
How could she have missed that?
She didn’t need anyone to remind her that things could change—that life, or lack of it—could get in the way. She was living proof of that.
Seeds of doubt started to creep into her mind. She’d missed the first rule of notification. And if she’d missed that, what else would she miss? Should she even be on this team?
Rules were there for a reason. Rules were there to be followed. Rules were there for everyone’s safety.
Then it really hit her. What was happening before her very eyes.
The last thing she needed to do right now was look at the wider picture. She needed to concentrate on the picture right before her.
Callum was turning gray, with the slightest blue tinge around his lips. His skin was waxy and he was still sweating. His hand remained firmly on his chest.
“Callum? Are you okay?” She unfastened her seat belt and stood up, signaling to some of the other members of the team. “That’s not heartburn, is it?”
He shook his head as she started barking out orders to the rest of the team. “Get me some oxygen. Find out how soon till we get there. Can we get an earlier landing slot? Speak to the pilot—it’s a medical emergency.”
They literally had every piece of equipment known to man on this plane. Unfortunately, most of it was in the hold. And none of it was to treat a myocardial infarction.
She cracked open their first-aid kit, monitoring his blood pressure and giving him some aspirin. She pasted a smile on her face. “Things will be fine, Callum. We’ll get you picked up at the airport and taken to the nearest cardiac unit.”
His hand gripped her wrist. “I’m sorry, Callie. I shouldn’t be leaving you to deal with this. Not with Sawyer. You two are like oil and water. You won’t mix. Not at all.” His head was shaking.
Callie’s stomach was churning. The thought of facing the legendary Sawyer herself was not filling her with confidence. But right now she would do or say anything that would relieve the pressure on Callum. Anything at all.
“Everything will be fine. You’ll see. Don’t worry about a thing, Callum. I can handle Sawyer.”
Famous last words.
