He lifted his head cautiously, body tight with the pain, but his voice seemed detached. “Then you’ll have to do it,” he said.
“You’re joking!” I snapped. “What? Douse you down with whisky and go rooting about in there with a knife and fork? What happened? You in a hurry to die now, soldier?”
He let his head drop back. “What other option is there?” he asked, sounding unbearably tired.
“Let me make a phone call,” I said, throwing a glance as much to Jacob for his permission as to Sean. “Then we’ll see.”
When neither man made any dissent, I moved over to the phone and dialled a number that I didn’t have to look up. While the line rang out at the other end I tried not to pray for the right person to answer. He did.
I didn’t bother with much of a preliminary, and didn’t mention any names, just gave him the bald facts. I asked for his help. It wasn’t easy, but I’d been driven that far before and had come out lucky.
There was what seemed like a long period of silence on the other end of the line. A careful and measured consideration. Not of the possibilities of treating the patient, but of the morality of helping me at all. And all the time I stood there watching Sean across the other side of my friends’ kitchen, and fighting the misery.
“Look,” I said at length, turning away and trying to keep the suppressed rage out of my voice. “If you’re not prepared to come and do this yourself, at least tell me what to expect when I go in there, because one way or another, that bullet’s got to come out of him tonight.” I took a shaky breath, then added, “I just think he’ll have a better chance of surviving if you do it.”
“All right, Charlotte,” said my father, “I’ll come. Keep him warm. Keep him awake if you can, and keep trying to control the bleeding. I’ll need some things, but I should be with you in less than two hours.”
I gave him directions, started to thank him, but I was already speaking into a dead line.
I turned back to Sean as I put the receiver back on its cradle. “Help’s on the way. Just you keep breathing until it gets here or my name’s going to be lower than shit.”
It was not much of a joke and, correspondingly, it raised not much of a smile, but under the circumstances it was the best any of us could muster.
“Thank you, Charlie,” Sean said quietly.
I swallowed. I couldn’t cope with him when he was being anything other than a cold and clinical bastard. “Don’t thank me,” I said bluntly. “We’re nowhere near out of this yet.”
***
Even though we were expecting it, the squawk of the drive alarm made me jump. I looked at my watch, and saw that it was precisely an hour and forty minutes since my phone call. Nevertheless, Clare quickly drew the kitchen curtains and we waited, tensed like deer, while Jacob went to the door.
When he returned a few moments later, my father was behind him.
My father strode immediately to his patient, only pausing to favour me with one brief reproving glance as he came in. He was dressed as though for a Sunday lunchtime stroll to the village pub, in dark green corduroy trousers and a wool check shirt.
Only the stiff tan leather bag didn’t quite fit. The case he’d always carried, first as a doctor, then as a surgeon, for more than thirty years. When he put that down on one of the kitchen chairs it landed with a solid thump that was unnerving.
He unfolded a pair of expensive gold-framed glasses from his inside jacket pocket, and pulled on latex gloves, moving with a deceptively slow kind of haste. As though he was aware that an outright rush would have caused panic.
“What’s his name?” he asked quietly as he slotted a stethoscope round his neck and pulled an inflatable cuff out of his bag.
“Sean,” I said.
For a moment he frowned, then the memory and the realisation hit almost at the same time, flashing over like a sparking match.
He shot a quick glance at Sean’s supine figure, but this time it wasn’t the concerned gaze of doctor to patient, but something darker, and more impenetrable. He waited until the flame had flared and died before trusting himself to speak again.
“All right, Sean,” he said, more loudly, “I’m just going to check your blood pressure.” By the time he’d done so, he was frowning again. For a moment the only sound in the room was the hiss of air escaping from the cuff as he deflated it.
“How is it?” I demanded, recognising the twin dents between his eyebrows as he peeled the stethoscope out of his ears.
“Only a little low, all things considered, but he’s young and fit, and they’re the worst,” my father said, speaking over the top of Sean like he’d suddenly gone deaf. “They maintain pressure on you right up to the point where they crash, and then they can go in seconds.”
He glanced around at the bloodied towels. “You seem to have done a fair job of stopping the bleeding, but I’d like to get some fluids into him, just to be on the safe side, I think.”
He moved me aside almost with impatience and, having been relieved of my immediate responsibility, I felt the energy and the strength slowly seep out of me. I leaned numbly against the nearest wall, limbs heavy, so that it was Clare who ended up holding Sean’s hand as my father slipped the cannula into his distended vein and taped it down.
He plugged a bag of clear liquid into the line and suspended it from the Welsh dresser to one side, seemingly unfazed by the need to improvise.
“What are you giving him?” I asked.
He flicked me a brief glance. “Hartmann’s solution,” he said shortly. “Something to keep his blood vessels inflated and his pressure up.”
I dredged my memory. “Saline? Don’t you think he needs something more than that?”
“It’s a little better than straight saline, and I’m afraid I didn’t have the time or the access to whole blood, even if I’d had a match for him,” he said, irritated. “This will do quite well, Charlotte. Don’t interfere.”
I opened my mouth, then shut it again. He was already pulling out more bottles from the magic bag, moving neatly, with precision. He used the cannula to deliver morphine, and plenty of it, although with an almost cheerful warning that even with an anti-emetic added it would probably make Sean vomit.
Even so, I watched the kinks flatten out of Sean’s spine as the opiate hit his bloodstream, releasing the pressure, gliding him down.
“All right, young man, now let’s have a look at you,” my father said as he bent over the wound, his voice cool as though this sort of thing happened all the time.
He lifted the dressing and inspected the front of Sean’s shoulder for a few moments, gently manipulating the skin around the entry site. Although his hands moved quietly, their touch sure and delicate like a concert pianist, Sean grimaced, trying not to wince.
My father gave him a hard stare over the top of his glasses. “This is not a trial by ordeal,” he said, his tone vaguely acerbic. “I’m sure it’s all very heroic to stay so silent in the face of what must be considerable discomfort, but if you don’t tell me where the pain is greatest, I’m not going to learn where that bullet lies. I’m not a vet who can work by grunts and squeaks alone. Do you understand me?”
“Yes sir,” Sean said, his face bone-white.
He resumed his inspection, but only briefly. “All right, I think I’ve found it. It’s sitting in the belly of the deltoid muscle, not too deep.”
He glanced at Jacob and Clare. “Normally, I’d prefer to do an exploratory under a general anaesthetic,” he said, adding with grim humour, “I don’t suppose either of you two happens to be a trained anaesthetist, by any chance? No? Ah well, I had to ask.”
Instead, he injected lignocaine close to the wound and we waited a few minutes for the local anaesthetic to take effect. It was like being at the dentist, being sent out into the waiting room to read old copies of the Reader’s Digest until your mouth has gone numb enough not to notice the drill.