from down the corridor, followed by the sound of thudding feet. They both sprang to the door at once, yanking it open and spilling out into the hallway.
“What is it?”
The nurse was red faced, gasping for breath. “There you are. I need help. Jack’s struggling to breathe—he needs to be intubated. The spots must be causing his airway to swell.” She glanced from one to the other. “Tell me we’ve got a pediatrician who can do this?”
Their eyes met.
They didn’t have pediatric intensive care facilities. They were an ER—not a PICU. Their options were limited.
Sawyer grabbed a gown and a mask. “I’ll do it.” He started to run down the corridor before she could ask any questions. “Get me a portable ventilator,” he shouted over his shoulder.
Her head flooded with thoughts. What did the plan say? Were there algorithms for intubating smallpox patients? Were there risks attached to ventilating this child and possibly allowing the spread of disease?
There was no time to think. There was only time to act.
Sawyer had already sprung into action.
And for once she agreed.
CHAPTER FIVE
EVERYTHING HAPPENED IN a blur. A portable ventilator seemed to appear out of thin air.
The fear that had been hanging around everyone, crystallizing in the air, was pushed to one side.
Jack’s stats were poor, his lips tinged with blue, but his face was red with the strain of struggling for breath.
Intubating a child was never easy. Particularly a child who was panicking. Sawyer was at the bedside in a flash. “Give me some sedation.”
The nurse next to him nodded, pulled up the agreed dose and handed him the syringe.
Sawyer leant over Jack. The panic flaring behind the little boy’s eyes was obvious. Sawyer tapped his arm at the point where Jack’s cannula was sited. “I know you’re having trouble, little man. But I’m going to help you sort that out. I’m going to give you something to make you a little sleepy then put a tube down your throat to help you breathe. It will make things much better.”
On a normal day he would have given a child some time to ask questions. Then again, on a normal day he wouldn’t be doing this. He administered the drug quickly, waiting for Jack’s muscles to relax.
A few seconds later his little body sagged and the whole team moved seamlessly. Sawyer positioned himself at the head of the bed. “Give me a straight-blade laryngoscope and the smallest ET tube you’ve got.”
Callie pulled the light closer, trying to aid him as he slid the tube into place. It didn’t help that it was the middle of the night and there was no natural light. It would be tricky to intubate a partially blocked airway, not something that she would ever wish to attempt. It had been a long time since she’d been in an emergency situation like this. DPA callouts usually involved febrile kids and adults and lots of sick bowls and emergency commodes.
On occasion, people got really sick and died. But Callie didn’t usually get involved in that side of things. She was usually left to consider the big picture—the spread of disease.
Watching a little kid struggle for breath was something else entirely.
She gave a sigh of relief as Sawyer slid the tube into place and attached the ventilator. There was a murmur between him and nurse standing at the bedside as they set the machine. Callie frowned. Who was she? She didn’t recognize her.
In fact, she didn’t recognize half the people in this room. Was this what happened in the case of a medical emergency? Isolation procedures were ignored?
She squeezed her eyes shut as she tried to rationalize her thoughts. Isolation procedures weren’t being ignored. Everyone in here had the regulation disposable gowns, masks and gloves in place. But there was a whole host of new people in this room—not just the restricted one or two.
One of the residents was talking in a low voice to the parents, trying to calm them. Another nurse was standing next to the half-pulled curtain next to Ben. She was leaning over him, obviously trying to distract him from the events surrounding him, telling him a long-winded version of the latest kids’ movie.
Another guy came through the door. “You wanted a pediatrician? You’ve got one.”
Callie’s head shot up. “Where on earth did you come from?”
She couldn’t see his face properly behind his fitted mask but his eyes flitted over to her and then instantly away. His priority was obviously the child, not the surrounding bureaucracy. “Upstairs,” he said, as he walked over to the bed and started to fire questions at Sawyer, who turned to face him.
“Wish you’d got here five minutes ago,” he said.
Callie was incredulous. “Upstairs? What do you mean, upstairs? This unit is closed. There’s no one going out and no one coming in.” Her hands were on her hips.
She was watching her whole world disintegrate around her. The first rule of quarantine: no one in, no one out. “Which door did you come through? Who let you through? Didn’t you realize there was a quarantine in force down here? Do you know you’ve put yourself at risk by walking into this room?”
She was shouting. She couldn’t help it. Next she would have infected people running down the streets and the media crucifying the DPA for not handling the outbreak appropriately. Evan Hunter would be on the phone telling her she was a failure.
“Callie.” It was Sawyer. He was right in front of her, his pale green eyes visible above the mask. “Calm down. We put out a call for a pediatrician. We can’t handle these kids ourselves.”
“You did what?” She couldn’t believe it. This was the problem with delegating. Mistakes got made. People did things they shouldn’t. People did things that put others at risk. “Who gave you the right to do that?”
“I did.” Sawyer’s voice was calm but firm. “Decisions like this get made all the time. I’m in charge of the clinical care of these patients. And, as much as I don’t like to admit it, this is getting beyond my level of expertise.” He nodded towards the pediatrician. “Dan’s great. We discussed the risks a little earlier. He knows he’ll need to be vaccinated.”
“It’s much more than that!” She exploded. She couldn’t help it. “Once he’s vaccinated he may be able to look after these children but it’ll put him out of commission for the general hospital for nearly a month. There’s no way a doctor exposed to the smallpox virus through vaccination can be near anyone who is immuno-compromised. “Did you even think about that, Sawyer? Did you even consider it? And it’s not just him. Who are all these people?” Her hand swept around the room. “They’ll all need to be vaccinated too!”
“Stop it.” She could sense his gritted teeth beneath the mask. He leaned closer, “You’re making a scene and, quite frankly, it’s not helping. Do you really think you’re telling me anything I don’t know or haven’t already discussed with Dan? Do you really think these people don’t already know the risks attached to coming into this room?”
She could feel the tiny hairs stand up at the back of her neck—and not in a good way. But he wasn’t finished. “The difference between you and me, Callie, is that I know when I’m beaten. I know when to look for other options—options not in the plan. It’s time you learned some new skills. Not everything in life is down in black and white.”
He turned and walked away from her, leaving her stunned. She watched the second hand tick around on the clock on the wall in front of her. Less than twenty minutes ago she’d almost been in a compromising position with him.
Then, in the blink of an eye, everything had changed.
He made her want to cry. He made her want to scream. He was truly and utterly driving her crazy. The tears had automatically pooled at the corners of her eyes.
And it wasn’t just the fact he behaved like an insubordinate teenager. It wasn’t just that standing near to him made her hair stand
on end or that sometimes there was wisdom in his words, even though they weren’t in the plan.
It was the fact that in the midst of all that she just didn’t know what she thought of him. She didn’t know how to feel around him.
She was focused. She was precise. She followed the plan. Most of the time she’d helped develop the plan. And back in Atlanta these had seemed smart, comprehensive plans. Back in Atlanta they had seemed to cover every eventuality.
But they didn’t cover the Sawyer element.
Not at all. They didn’t cover the get-under-your-skin clause.
A smell drifted past her nostrils. What was that? She glanced at her watch—it was nearly five in the morning. Where had the time gone?
“Pizza,” came the shout from down the corridor. She walked quickly along the hallway. She had to get out of there. She didn’t have any pediatric skills and Dan clearly had things under control.
She also needed a chance to regroup.
Twenty pizza boxes were being descended on from every angle. It was like a plague of locusts. Someone was reading the tops of the boxes, shouting out what was in each one. “Hawaiian. Ham and cheese. Vegetarian.” Arms appeared from everywhere, grabbing at the outstretched boxes. “Tuna and pineapple? Who on earth ordered that?”
A smile broke over her face. Alison had taken her responsibilities very seriously earlier when Callie had asked her to organize food for the patients and staff.
She’d asked what Callie’s favorites were and so far she’d magicked up banana and toffee muffins and her favorite pizza. She pushed her way to the front. “That’s mine.” She held out her hand for the box.
The guy behind the desk wrinkled his nose in disgust. “Take it,” he said as he moved on to the one underneath.
She smiled and drifted off with her pizza box. She’d learned early on as a junior doctor that ordering takeout was a whole new skill. Order something simple that everyone liked and you would never see it. Sweet and sour chicken, pepperoni pizza, chicken tikka masala, all would disappear in a blink of an eye. Order something a little out the ordinary and no one would touch it with a bargepole.