The Patient Nurse

He came out scowling. “The catheter was taken out last night and put back in this morning. Why?”

“He didn’t void for eight hours. It’s standard procedure…”

He stared her down. “He’s been throwing up and not drinking very many fluids. The longer that catheter stays in, the more risk there is of infection. I want it taken out and left out until and if he complains of discomfort. Is that clear?”

“Yes, sir,” she said.

“Who had the catheter taken out?” he asked abruptly.

She only smiled at him.

“Never mind,” he said heavily, knowing that torture wouldn’t drag a name out of her. His eyes went over her oval face. Her cheeks were red but the rest of her face was pale and rather puffy. He scowled. He’d never noticed that before. It was the sort of look he often found in heart patients.

She put the chart back up. “The technicians are run off their feet on this shift. I wish we had someone staying with him who could give him cracked ice. That would stay down.”

“Hasn’t he any family?” he asked, touched by her concern.

“A son, in Utah,” she replied. “He’s on his way here, but he won’t arrive until tomorrow.”

“Tough.”

“Very.”

He glanced toward one of the patient’s wives who was trotting down the hall with a foam cup and a plastic pitcher. “Where’s she going?” he asked.

Noreen actually smiled, her eyes lighting up. “The Jamaican technician, Mrs. Hawk, told her where the ice machine and the coffee machine were. She’s been saving everyone steps ever since. She even gets towels and washcloths and blankets when she needs them, instead of asking anyone.”

“This is unusual?”

“Well, there are three other women who come to the door and ask us to give their husbands water when they’re thirsty—about every five minutes, after they’re brought in here after surgery.”

“Nurses used to do those things,” he reminded her.

“Nurses used to have more time, fewer patients, less paperwork and not as many lawsuits to worry about,” she returned, and sighed.

He searched her face and the frown came back. “Do you feel all right?” he asked with evident reluctance.

Her face closed up. “I’m a little tired, like everyone else on this shift. Thank you for seeing about Mr. Harris, sir.”

He shrugged. “Let me know if he has any further bouts of nausea.”

“Yes, sir.” She was polite, but cool, remote.

His dark eyes narrowed as they met her gray ones. “You don’t like me at all, do you?” he asked bluntly, as if he’d only just realized it.

She laughed without humor. “Isn’t that my line?”

She turned without meeting his gaze and went back to work, apparently dismissing him from her mind.

He left the ward, but something was nagging at the back of his mind, something he couldn’t quite put his finger on. He was uneasy, and he didn’t know why. Vacations, he thought, were supposed to relax people. His seemed to have had an opposite effect.

Behind him, Noreen was trying to calm her renegade heartbeat, forcing herself not to look after the tall, dark man to whom she’d secretly given her heart so long ago. He’d never known, and he never would. Isadora had brought the tall man home and Noreen’s heart had broken in two. Not for her, the dark warm eyes, the sensuous smiles. Isadora, the pretty one, the flirting one, married the man Noreen would have died just to kiss. She’d kept her painful secret for six long years, through the four years of Ramon’s marriage, through the past two searing years of accusation and persecution. Her heart should have worn out by now, but it kept beating, despite its imperfection that grew worse daily.

The time would come when she might not have time to get to a doctor. Not that it mattered. Her life was one of sacrifice and duty. There had been no love in it since the death of her parents. She’d felt lost going to the big, lonely house that accepted her only reluctantly. She’d been Isadora’s private servant, her aunt’s social secretary, her uncle’s gofer. She’d been alone and lonely most of her adult life, hopelessly in love with her cousin’s husband and too proud to ever let it show.

He hated her now, blamed her for something that wasn’t really her fault. Even in death, he still belonged to beautiful Isadora. Noreen turned her mind back to her chores, shutting him out, shutting out the past and the pain. She accepted her lot, as she always had, and went about her work.

Chapter Two

Noreen went home to her lonely apartment and wished, not for the first time, that she had a cat or a dog or something to keep her company. But the apartment house had strict rules about pets. None were allowed, period. It was a lovely old Southern home, two story, with antiquated plumbing and peeling paint on the walls. But its four residents considered it home, and it boasted a small garage maintained just behind it for the residents who drove.

Fortunately Noreen and a medical student seemed to be the only people in residence who owned cars. There was a MARTA bus stop on the corner, and here in midtown, everything was accessible. Noreen, however, liked the freedom her car gave her. It was small and old, but it managed to keep going, thanks to the mechanic down the block who charged only a tiny fee to tinker with it when necessary. While she made a good salary at the hospital, Noreen still had to cut corners to make ends meet.

She’d never lacked for material things when she lived with her aunt and uncle and Isadora, but her life had been emotionally empty. Here, with her few possessions around her, she was at least independent. And if she lacked for love and companionship, that was nothing new. She wondered occasionally if her aunt had minded having to hire a housekeeper and social secretary after Noreen’s expulsion from the family home. She’d never had to pay her niece for these services. It would never have occurred to her.

Ramon had moved to a new apartment, she recalled, after Isadora’s tragic death. He hadn’t been able to face going home to the scene of his beloved wife’s last hours, for which he still blamed Noreen. She’d tried and tried to make him listen to the truth, just after it happened. But, maddened with grief and pain, he’d refused to let her speak. Perhaps he preferred the heartless image he’d endowed her with since their first meeting. God knew, he’d never really looked at her anyway.

She recalled with pain her first sight of him, getting out of a stately Jaguar in front of her aunt and uncle’s huge, sprawling mansion. His black hair had shone in the sun. His tall, athletic form in a staid gray suit had made him seem leaner, more imposing. As he entered the house, the impact of his liquid, coal black eyes in a handsome, blemishless dark face had caused Noreen’s heart to stop dead for an instant. She’d never known such sensations in her life. She’d flushed and stammered, and Ramon had smiled almost mockingly at her momentary weakness. It had been, she recalled painfully, as if he knew that her knees had gone weak in that instant. He was worldly, so perhaps her reaction was one to which he’d become accustomed. But God knew, amusement had been his only expression. He’d turned right away from Noreen after the quick, indifferent introduction, right back to his beautiful Isadora.

“Don’t think that he noticed you at all,” Isadora had said mockingly that evening, “despite the calf’s eyes you were making at him. Imagine a man like that looking twice at you!” she’d added, laughing.

Noreen hadn’t been able to meet those demeaning blue eyes. “I know he belongs to you, Isadora,” she’d said quietly, tidying up after her cousin.

“Just remember it,” came the curt reply. “I’m going to marry him.”

“Does he know?” Noreen couldn’t resist asking the dry question.

“Of course not,” her cousin murmured absently. “But I’m going to, just the same.”

And she had, only two months later, with her aunt as matron of honor and one of her set as bridesmaid.

Ramon, courteous to a fault even to strangers, had puzzled over the selection. Two days before the wedding, while Isadora enthused over her bridal gown with her mother, Ramon had paused in the doorway of the kitchen, where Noreen was taking tiny tea cakes out of the oven, to ask why she wasn’t participating in the wedding.

“Me?” Noreen had asked, sweating from the heat of the kitchen, where she’d been sent to make pastries for afternoon coffee.

He’d frowned at her appearance. “Do you never wear anything except jeans and those—” he waved an expressive dark hand “—sweatshirts?”

She’d averted her eyes. “They’re comfortable for working around the house,” she’d replied.

She could feel him watching her while she slid the cakes onto a china plate and placed the cookie sheet into the stainless-steel sink for washing.

“Isadora doesn’t like to cook,” he murmured.

“I imagine you won’t mind having someone else do it,” she replied uncomfortably. She hated having him even this close, she was so afraid of giving herself away. “Anyway, Isadora’s much too pretty to waste time on domestic chores.”

“Are you jealous of her,” he’d asked, “because she’s pretty and you aren’t?”

The mocking tone of the question had brought her pale gray eyes up flashing. She almost never talked back, but he seemed to bring out latent temper in her that she hadn’t realized she possessed.

She remembered standing up straight, glaring at him from a face flushed with heat and temper, her dark blond hair hanging in limp ringlets from the bun atop her head. “Thank you so much for reminding me of the qualities I lack. I don’t suppose it would occur to you that I’m capable of looking in a mirror?”

His eyes had sparkled, for the first time, at her. His eyelids had come down over that glitter and he’d stared at her until her unruly heart had gone crazy in her chest.

“So you’re not quite a doormat, then?” he’d prompted.

“No, no soy,” she replied in the perfect Spanish she’d been taught in school, “y usted, señor, no es ningún caballero.”

His eyebrows had gone up with her assertion that he was no gentleman. “Que sorpresa eres,” he murmured, making her flush again with the intimacy of the familiar tense—only used between close friends or relatives—when she’d used the formal. What a surprise you are! he’d said.

“Why, because I can speak Spanish?” she asked in English.

He smiled, for once without sarcasm. “Isadora can’t. Not yet, at least. I intend to teach her the most necessary words. Of course, those aren’t used in public.”

From a distance of years, she looked back with faint curiosity at the way he’d taunted her with his feelings for Isadora. It had been that way from the beginning. It grew much worse as the couple celebrated their first anniversary.

Noreen hadn’t ever been sure why she was invited to the party. She hadn’t planned to go, either, but Ramon had sent a car for her.

Hal and Mary Kensington welcomed her enthusiastically in front of their guests, and then ignored her. Isadora seemed furious to see her there and had pulled her to one side during Ramon’s brief absence, with curling fingers whose nails had almost broken the surface of her skin.

“What are you doing here?” she’d demanded furiously. “I didn’t invite you to my anniversary celebration!”

“Ramon insisted,” Noreen said through her teeth. “He sent a car.”

The other woman’s delicate blond brows arched. “I see,” she murmured. She dropped her cousin’s arm abruptly. “He’s getting even,” she added with a harsh laugh. “Just because I had Larry over to dinner while he was away operating in New York.” She shifted abruptly. “Well, he’s never home, what does he expect me to do, sit on my hands?” Her eyes ran over Noreen angrily. “Don’t imagine that he sees stars when he looks at you, sweetie,” she continued hotly. “He only made you come so that he could make me jealous.”

Noreen had caught her breath. “But, that’s crazy,” she’d said, choking. “For heaven’s sake, Isadora, he doesn’t even like me! He cuts at me all the time!”

The other woman’s deep blue eyes had narrowed. “You don’t understand at all, do you?” she’d asked absently. “You’re such a child, Norie.”

“Understand what?”

Ramon had come into the kitchen then, his face hard. “Why are you hiding in here?” he asked Isadora. “We have guests.”

“Yes, don’t we?” she replied with a pointed look at Noreen. “I should have asked Larry,” she added.

Ramon’s eyes had flashed furiously. Isadora darted under his arm and back to her guests, leaving Ramon with only Noreen to take his burst of temper out on.

And he had.

“The charlady, in person,” he’d commented coldly, glaring at her eternal jeans and sweatshirt. “You couldn’t wear a dress for the occasion?”

“I didn’t want to come,” she replied furiously. “You made me!”

“God knows why,” he returned with another cold survey of her person.

She couldn’t think of anything to say to him. She felt and looked out of place.

He’d moved closer and she’d backed away. The expression on his face had been priceless. Sadly, her instinctive action had led to something even worse.

“Do I repulse you?” he’d murmured, coming closer until she was backed to the sink. “Amazing, that such a shadow of a woman would refuse any semblance of ardent notice on the part of a man, even a repulsive man.”

She’d shivered at his tone and crossed her arms across her sweatshirt defensively. “A married man.” She’d hurled the words at him.

His hands had clenched by his side, although the words had the desired effect. He made no more movements toward her. His eyes had searched hers, demanding answers she couldn’t give.

“Maid of all work,” he’d taunted, “cook and housekeeper and doer of small tasks. Don’t you ever get tired of sainthood?”

She’d swallowed. “I’d like to go now, please.”

His chest had risen sharply. “Where would you like to go? Away from me?”

“You’re married to my cousin,” she’d said through her teeth, fighting down an attraction that made her sick all over.

“Of course I am, house sparrow,” he’d replied. “That beautiful, charming woman with the saintly face and body is all mine. Other men are sick with jealousy of what I have. Isadora, bright and beautiful, with my ring on her finger.”

“Yes, she is…lovely.” She’d choked.

His fury had been a little intimidating. Those black eyes were like swords, cutting at her. He hated her, and she knew it. Only she didn’t know why. She’d never hurt him.

He’d moved aside then, with that innate courtesy and formality that was part of him.

“I grew up in a barrio in Havana,” he murmured quietly. “My parents struggled to get through college, to educate themselves enough to get out of the poverty. When we came to the States, we rose in position and wealth, but I haven’t forgotten my beginnings. Part of me has nothing but contempt for those people in there—” he jerked his head toward the living room “—content in their pure country-club environment, ignorant of the ways poverty can twist a soul.”

“Why are you talking to me like this?” she’d asked.

His face had softened, just a little. “Because you’ve known poverty,” he replied, surprising her. She hadn’t realized he knew anything about her. “Your parents were farmers, weren’t they?”

She nodded. “They didn’t get along very well with Aunt Mary and Uncle Hal,” she confided. “Except for public opinion, I’d have gone to an orphanage when they were killed.”

He knew what she meant. “And would an orphanage have been so much worse?”

The question had taunted her, then and now. It was as if he knew what her life had been like with the Kensingtons, her father’s brother and sister-in-law, and beautiful Isadora. Ridiculous, of course, to think that he understood.

On the other hand, she wondered if Isadora had ever understood him, or how his childhood had shaped him into the adult he was now. He never refused an indigent patient, or turned his back on anyone who needed help. He was the most generous man she’d ever know.

Isadora hated that facet of his personality.

“He gives money away to people on the street, can you believe it?” Isadora had asked at Christmas the second year of her marriage. “We had an unholy row about it. They’re the flotsam of the earth. You don’t give money to people like that!”

Noreen didn’t say a word. She frequently contributed what little she could spare to a food fund for the homeless, even volunteering during holidays to help serve it.

One day during the holidays, to her amazement, she’d found Ramon putting on an apron over his suit to join her at the serving line.

“Don’t look so shocked,” he’d said at her expression. “Half the staff sneaks down here at one time or another to do what they can.”

She’d ladled soup at his side for an hour in the crowded confines, sick with gratitude for her own meager income and a roof over her head as the hopeless poor of the city crowded into the warmth of the hall for a hot meal. Tears had stung her eyes as a woman with two small children had smiled and thanked them for their one meal of the day.

Ramon’s hand had come up into hers with a handkerchief. “No ¡hagas!” he’d whispered in Spanish. Don’t do that.

“I don’t imagine you ever shed tears,” she’d muttered as she wiped her eyes unobtrusively with the spotless white handkerchief that smelled of exotic spices.

He’d laughed softly. “No?”

She glanced at him curiously.

“I care about my patients,” he told her quietly. “I’m not made of stone, when I lose one.”

She averted her eyes to the soup and concentrated on putting it into the bowls. “Latins are passionate about everything, they say,” she’d murmured without thinking.

“About everything,” he’d replied in a tone that made her shiver inexplicably.

She’d tried to give him back the handkerchief, but he’d refused it at first.

His eyes had been cruel as they met hers over it. “Put it under your pillow,” he’d chided. “Perhaps the dreams it inspires will make up for the emptiness in your life.”

Her gasp of shock had seemed to bring him to his senses.

“I beg your pardon,” he’d replied stiffly. And, taking the handkerchief back, he’d shoved it into his slacks pocket as if the sight of it angered him.

Over the years there had been other incidents. Once she’d been summoned by Isadora to drive her downtown when Ramon had refused to let her use the Jaguar.

She’d barely been admitted by the flustered maid when she heard the furious voices coming from the living room.

“I’ll spend what I like!” Isadora was yelling at her husband. “God knows, I deserve a few luxuries, since I don’t have a husband! You spend every waking hour at the office or in the hospital! We never have meals together! We don’t even sleep together…!”

“Isadora!” Noreen had called, to alert her cousin to her appearance before the argument got any hotter.

“What’s she doing here?” Noreen heard Ramon ask furiously as she walked toward the living room, hesitating for a second at the open door.

“She’s driving me to the mall,” Isadora had told him hatefully, “since you won’t!” She glanced toward Noreen. “Well, come in, come in,” she called angrily. “Don’t stand out there like a shadow!”

Ramon’s hot glance told her what he thought of her and her usual, off-duty attire. She was the soul of neatness on the job, in her ward, but she still dressed like a farm girl when she was off duty.

“Honestly, Norie, haven’t you got any other clothes?” Isadora asked angrily.

“I don’t need any others,” she replied, refusing to supply her relative with the information that her salary barely covered her apartment rent and gas for the car, much less fancy clothes.

“How economical you are,” Ramon purred.

Isadora had glared at him, jerking up her purse and cashmere sweater. “You should have married her!” She threw the words at him. “She can cook and clean and she dresses like a street person! She probably even likes children!”

Noreen had colored, remembering being with Ramon in the soup kitchen downtown at Christmas.

“How would you know how street people dress?” Ramon asked his wife coolly. “You won’t even look at them.”

“God forbid,” she shuddered. “They should round them all up and put them in jail!”

Noreen, remembering the woman and two little children who’d accepted their meal with such gratitude, felt sick to her stomach and turned away, biting her tongue to keep it silent.

“Spend what the hell you like,” Ramon told his wife.

Isadora’s eyebrows had risen an inch. “Such language!” she’d chided. “You never used to curse at all.”

“I never used to have reason to.”

Isadora made a sound in her throat and stalked out, motioning curtly to Noreen to follow her.

Just a week before Isadora died, she was taken with a mild bronchitis. Ramon had promised to accompany a fellow surgeon to Paris for an important international conference on new techniques in open-heart surgery. Isadora had pleaded to go, and Ramon had refused, reminding her that flying in a pressurized cabin on an airplane could be very dangerous for someone with even a mild lung infection.

Typically Isadora had pouted and fumed, but Ramon hadn’t listened. He’d stopped by Noreen’s station in the cardiac unit at O’Keefe’s and asked her to stay with Isadora in their apartment and take care of her in his absence.

“She’ll find a way to get even, if she can,” he’d said, curiously grim. “Watch her like a hawk. Promise me you won’t leave her if she takes a turn for the worse.”

“I promise,” she’d said.

“And get her to a hospital if there’s any deterioration at all. She has damaged lungs from all that smoking she used to do, and she’s very nearly asthmatic,” he’d added. “Pneumonia could be fatal.”

“I’ll look after her,” she’d said again.

His dark eyes had searched hers relentlessly. “You’re nothing like her,” he’d said quietly.

Her face had gone taut. “Thanks for reminding me. Are there any other insults you’d like to add, before you go?”

He’d looked shocked. “It wasn’t meant as a insult.”

“Of course not,” she’d replied dryly. She’d turned back to her work. “I know you can’t stand the sight of me, Ramon, but I do care about my cousin, whether you believe it or not. I’ll take good care of her.”

“You’re an excellent nurse.”

“No need to butter me up,” she said wearily, having grown used to the technique over the years. “I’ve already said I’ll stay with her.”

His hand, surprisingly, had caught her arm and jerked her around. His eyes were blazing.

“I don’t use flattery to get what I want,” he said curtly. “Least of all with you.”

“All right,” she’d agreed, trying to loosen his painful grip.

He seemed not to realize how tight he was holding her arm. He even shook it, having totally lost his self-control for the first time in recent memory. “Make her understand why she can’t go on the plane. She won’t listen to me.”

“I will. But you should be pleased that she wants your company so much.”

His grip tightened. “One of the men who will be at the conference is her lover,” he said with a short laugh. “That’s why she’s so eager to go.”

Noreen’s face was a study in shock.

“You didn’t know?” he asked very softly. “I can’t satisfy her,” he added bluntly. “No matter how long I take, whatever I do. She needs more than one man a night, and I’m worn to the bone when I get home from the hospital.”

“Please,” she’d whispered, embarrassed, “you shouldn’t be telling me this…!”

“Why not?” he’d asked irritably. “Who else can I tell? I have no close friends, my parents are dead, I have no siblings. There isn’t a human being on earth who’s ever managed to get close to me, until now.” He searched her face with eyes that hated it. “Damn you, Noreen,” he whispered fervently. “Damn you!”

He dropped her arm and stalked off the ward, leaving her shaken and white with shock. He really hated her. That was when the mask had come down and she’d seen it in his eyes, in his face. She didn’t know why he hated her. Perhaps because Isadora had said something to him…