The Night Before Christmas. Alison Roberts

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СКАЧАТЬ he looked up. ‘Two toddlers, one of whom was sick, and you’re a single mother? That must have been a tough time.’

      She could see sympathy in his eyes. And a gentleness that made her want to cry. She pressed her lips together and looked away with a simple nod of response. She had learned to cope alone. She didn’t need this man’s sympathy.

      The silence lingered a moment longer and then she heard Jack clear his throat again.

      ‘The diagnosis of hypoplastic and dysplastic kidneys was made when Misty was three … but she didn’t go into end-stage renal failure until earlier this year. And she’s been on dialysis for the last three months?’

      ‘Yes.’

      ‘But not peritoneal.’

      ‘No. I … didn’t want her to have the catheter inserted in her tummy and do home dialysis and have to worry about infection and things. I’d already passed the first compatibility tests and there was no question about not doing a transplant. We hoped that it could be done before the need for dialysis but … what with shifting in with my mother to be closer to the hospital and Misty getting sick and then I caught that bug and …’

      Her litany of woes ended as the door opened and her surgeon came back into the room. He looked at both of them and then at the opened case notes.

      ‘Another review?’

      Jack nodded. ‘Just in case Lizzie is agreeable to the filming.’

      She could still see the sympathy in his face. The gentleness. And something else. He looked as though he really wanted to be a part of this. As though he genuinely cared.

      ‘I’m agreeable,’ she said quietly.

      ‘Excellent.’ Dave Kingsley sounded delighted. He leaned across his desk to pull pads of requisition forms from a plastic tray. ‘You’ll need a chest X-ray and an ECG to sign off your fitness for surgery. We’ll also do an ultrasound of your kidney and bladder and run off the final blood tests for kidney function and cross-match.’

      ‘But we’ve done that so many times already. I’m as close a match as could be hoped for from a parent.’ Lizzie found herself smiling at Jack. ‘Holly wanted to give Misty one of her kidneys. She was really cross when we told her you had to be eighteen years old.’

      He smiled back at her. ‘They’re identical twins, yes?’

      ‘Yes. They … don’t look exactly the same any more, though. Holly’s taller and …’ And so much healthier.

      ‘She might well catch up after the transplant,’ Dr Kingsley said. ‘And it’s good to know there might be a perfect match down the track if things don’t go perfectly this time. You do understand there’s no guarantee of success, don’t you?’

      Lizzie nodded. ‘I know the statistics are better for live donations and the treatment for any episodes of rejection are getting better all the time. The odds are in our favour.’

      ‘Very true,’ Jack put in. ‘But that’s why we do a last-minute cross-match to check compatibility again. Just in case any antibodies have sneaked in as a result of the illnesses you’ve both had recently.’

      Lizzie nodded again. She crossed the fingers of one hand in her lap, covering them with her other hand so that neither of these highly trained surgeons would see such a childish action.

      ‘I’d prefer to run the standard checks again for Hep B and C and HIV as well, even though I see that your last results were fine.’ Jack was smiling at her again. ‘I like to tick all these boxes myself for cases I’m involved with.’ He glanced at his colleague. ‘If you don’t see it as interference?’

      ‘Heavens, no. Sounds like a good quality control measure to me. Feel free to keep ticking boxes in Theatre as well,’ Dave said.

      Lizzie could swear that Jack gave her the ghost of a wink. ‘There are so many boxes to tick in there, they need a supply of extra pens. Sterilised, of course.’

      Dave was pulling sheets of loose paper from the case notes. ‘I have the consent forms here if you’re ready to sign them?’

      Lizzie nodded.

      Jack frowned slightly. ‘You’ve discussed this already?’

      ‘I know about the possible complications,’ Lizzie said.

      ‘Lizzie’s a nurse,’ Dave explained. ‘She worked in Theatre for quite a while before moving to a job in the emergency department.’

      ‘I’m not going to change my mind,’ she added firmly.

      Jack raised a single eyebrow that told them both this was one of his boxes and her breath huffed out in a resigned sigh.

      ‘OK. Go ahead. I’ve only worked part time in a general practice since the twins were born so I guess I’m pretty rusty.’

      There was an appreciative gleam in Jack’s eyes now that suggested, rather flatteringly, that he thought it would take more than some time away from the front line for her mental wheels to collect rust. Clearly it wasn’t enough to persuade him to make an exception, however. And that was good. A careful surgeon was a good surgeon. Even if he was only there in a supervisory capacity she wouldn’t be impressed by someone who wanted to cut corners.

      ‘The first thing I’ll say is that death from a kidney donation is exceptionally rare—approximately 0.03 per cent—but it has happened so I have to mention it.’

      Lizzie nodded. It was a risk she was more than prepared to take. The alternative of staying alive and watching her precious child die was unthinkable.

      ‘Other complications might include you needing a blood transfusion during surgery, a small degree of lung collapse, blood clots in your legs or lungs, pneumonia and a UTI or wound infection.’

      Lizzie was reaching for the consent form.

      Dave pointed to a line on the document. ‘This states that I’ll do the procedure laparoscopically, which should give you a much faster recovery rate, but if it’s difficult for any reason, it gives me permission to go for an open procedure. That would give you a bigger scar and mean that you were in hospital for about a week instead of three to four days.’

      ‘And Misty? How long will she need to be in hospital for?’

      ‘Probably at least two weeks. She’ll still need dialysis until the new kidney settles in and we’ll want to make sure everything’s fine before she goes home.’

      ‘But it’s possible she could be home for Christmas?’ Lizzie asked anxiously.

      ‘Absolutely.’

      Oh … yes … Dr Jack Rousseau’s smile was gorgeous, all right. It wrapped itself around Lizzie like a hug as she signed the necessary permissions for both her own surgery and Misty’s.

      Dave Kingsley’s voice sounded oddly distant for a few seconds.

      ‘Sorry, what was that?’ she said.

      ‘I said we’ll send you out to see the nurse. She’ll СКАЧАТЬ