Emergency: single dad, mother needed

  Gabe enjoyed being with Holly, no matter what they were doing

  He’d felt that way years earlier, before she’d married Tom, and somehow the passing of time hadn’t changed a thing. If anything, the desire to be with her seemed to have only grown stronger. Especially since their kiss.

  Because she was free. No longer with his friend.

  But now he was the one with responsibilities. An emotional young boy, suffering from nightmares and reeling from the recent loss of his mother. A boy who desperately needed a father to hold on to.

  Dear Reader,

  Emergency: Single Dad, Mother Needed is the story of Dr. Gabe Martin and Dr. Holly Davidson. After Gabe’s sister dies, he gladly takes custody of JT, his young nephew, even though instant parenthood is more challenging than any patient who has come through his emergency department. Life gets even more complicated when Gabe sees Holly, the new infectious-disease specialist and a woman from his past. He can’t ignore the instant chemistry between them. All too soon, Gabe discovers he needs Holly, not just to love and to cherish, but to save JT’s life.

  I hope you enjoy Holly and Gabe’s story. I always like hearing from my readers, so please visit my Web site at www.lauraiding.com and drop me a note.

  Happy reading!

  Laura Iding

  EMERGENCY: SINGLE DAD, MOTHER NEEDED

  Laura Iding

  TORONTO • NEW YORK • LONDON

  AMSTERDAM • PARIS • SYDNEY • HAMBURG

  STOCKHOLM • ATHENS • TOKYO • MILAN • MADRID

  PRAGUE • WARSAW • BUDAPEST • AUCKLAND

  EMERGENCY: SINGLE DAD, MOTHER NEEDED

  Michele, I love you.

  Thanks for being my sister and my best friend.

  CONTENTS

  PROLOGUE

  CHAPTER ONE

  CHAPTER TWO

  CHAPTER THREE

  CHAPTER FOUR

  CHAPTER FIVE

  CHAPTER SIX

  CHAPTER SEVEN

  CHAPTER EIGHT

  CHAPTER NINE

  CHAPTER TEN

  CHAPTER ELEVEN

  CHAPTER TWELVE

  CHAPTER THIRTEEN

  CHAPTER FOURTEEN

  EPILOGUE

  PROLOGUE

  JT STOOD outside in the cemetery between his Uncle Gabe and his grandma. The man wearing all black except for a white collar was talking about what a wonderful person his mom had been and how much she’d be missed. He dug the toe of his shoe into the soft earth, sad because he already missed his mom. He had been waiting and waiting at Uncle Gabe’s for her to pick him up. But she hadn’t come.

  Uncle Gabe said JT was going to live with him now. He was glad ’cos he liked Uncle Gabe but he still thought maybe his mom might come. They told him his mom was up in heaven but he didn’t know why they had to put her in the ground first. Maybe she’d be so good in heaven that God would send her back down to earth to be with him.

  Grandma was crying. JT felt bad. He’d cried when they’d first told him how his mom had got hurt but now he couldn’t cry anymore. There was a heavy rock sitting on his chest, but he couldn’t cry.

  He tipped his head back, looking up at the tops of the trees near the gravesite. Was his mom already up there, looking down at them? Uncle Gabe had explained all about how heaven worked. Uncle Gabe said that his mom would always be there for him, watching over him like an angel. JT wished she didn’t have to be an angel.

  He wanted her to come back and be his mom.

  Something small moved near the gravestones. It looked like a baby kitty, except the face had dark circles around the eyes. Not a kitty, but a baby raccoon. He watched the way the baby raccoon moved one way and then the other, as if it might be confused.

  When the man in black stopped talking, the grownups came over to talk to Uncle Gabe and Grandma. JT ducked away when no one was looking. When he got close to the gravestone he discovered the baby raccoon on the ground was shaking as if it were scared.

  Maybe Uncle Gabe would let him keep the baby raccoon as a pet? JT crossed over but the baby raccoon tried to get away, hiding in the grass. He quickly caught it in his hands, but it nipped at his finger. Surprised at the sharp pain, he let it go.

  JT sucked the small drop of blood off his finger and watched the baby raccoon run away. Maybe it was too young to be a pet. He thought it must be a boy raccoon, lost and missing his raccoon family.

  Just like he missed his mom.

  CHAPTER ONE

  One month later…

  DR. HOLLY DAVIDSON hadn’t even hung up her coat on the back of her office door when her pager chirped. First day on the job as the pediatric infectious disease specialist at the Children’s Medical Center and she was more than a little nervous. She glanced at the text message: Stat ID consult needed in ED.

  Okay. She blew out a breath. Guess she didn’t have to worry about keeping busy. Trying to ignore her sudden anxiety, Holly tossed her purse into the bottom desk drawer and then quickly headed down the hall toward the elevators.

  Several people nodded or smiled at her as she passed them. The anonymity of working with a sea of faceless strangers was a welcome blessing after the speculative looks and abruptly dropped conversations she’d endured for the year after her divorce.

  She jabbed the elevator button with more force than was necessary. Well, now things would be different. She’d come home to Minneapolis, Minnesota after five and a half years to make a fresh start, and to keep an eye on her ailing mother.

  Keeping her chin up, Holly entered the busy arena of the ED. A couple of residents hovered around the central nurses’ station, laughing and talking with the nurses. She wanted to warn them not to mix business with pleasure, but doubted her wise advice would be welcome.

  “Excuse me, I’m Dr. Davidson. Which patient needs an ID consult?” she asked the unit clerk seated like a queen on her throne at the center of the main desk.

  “Just a minute,” the woman muttered, before picking up the constantly ringing phone. “Emergency Department, this is Susan. May I put you on hold for a moment? Thank you.” Susan didn’t seem at all frazzled as she glanced up at the list of patients. “ID consult? Mark Kennedy in room twelve.”

  “Thanks.” Holly let Susan go back to her incessant phone calls and walked over to the computer terminal near room twelve, one of the many isolation rooms they had in the ED. She needed to get a little more information about her patient before she examined him.

  She logged into the system, relieved her brand-new passwords worked without a hitch, and quickly entered Mark Kennedy’s name to access his current medical record information. He was a fourteen-year-old who’d just entered his freshman year at a boarding school. He’d been brought in for nausea, vomiting, severe headache and stiff neck, complaints he’d had for the past two to three days.

  Bacterial meningitis? Or the less severe viral meningitis? She hoped the poor kid had the less serious type but was afraid it was more likely he had bacterial meningitis, given his history of being a freshman in boarding school. They needed a lumbar puncture to make a definitive diagnosis. Had one been done? She scrolled down to read the notes, seeing there was a notation about the LP being performed. The name of the ED attending physician, Dr. Gabriel Martin, registered just as a deep male voice behind her said her name.

  “Holly?”

  Her heart leaped at the familiar sound of Gabe’s voice. She had to brace herself before turning to face him, knowing the smile on her lips couldn’t possibly be reflected in her eyes. “Hello, Gabe. How are you?”

  The shock on his face didn’t make her feel any better. “You’re back?”

  “Yes. I moved home a few weeks ago. My mother has
some kidney failure as a result of her diabetes.”

  “I’m sorry to hear that.”

  They stared at each other for a long moment, the awkwardness painful. Hard to believe they had once been friends. A friendship she’d helped to ruin, long before Gabe had walked out as the best man on her wedding day.

  “It’s good to see you.” His statement was polite but the reserved apprehension on his face said just the opposite. “Welcome home.”

  “Thanks.” She hadn’t been prepared to see Gabe again, assuming he’d moved on with his life and his career. Since he was still here at the Children’s Medical Center, his career obviously hadn’t changed. On a personal level, though, she suspected they were both very different from the carefree residents they had once been. She swallowed hard and looked over toward the isolation room. “Is Mark Kennedy your patient?”

  “Yes.” Gabe appeared grateful to get things back on a professional note. “He’s a fourteen-year-old boy who just moved into a boarding school dormitory six weeks ago. His symptoms are pointing to bacterial meningitis.”

  She nodded. “I agree, although we need to isolate whether the source is Neisseria or Streptococcus. I’m leaning toward the latter, since it’s often the cause of dormitory-related infections. Do you have the results of his lumbar puncture yet?”

  “No.” Gabe glanced at the computer terminal, which still displayed Mark’s information on the screen. “When I reviewed his history and examined him, I requested he be placed in isolation. Several of the nurses may have been exposed, though. If he does have bacterial meningitis, they’ll need prophylactic treatment.”

  “Of course. You’ll need treatment, too.” She turned toward the isolation cart, opened a drawer and pulled out a face mask, gown and gloves. “Have you started him on antibiotics yet?”

  “No. I thought I’d wait for your recommendation first. Especially as I don’t know the type of bacterial infection we’re fighting.”

  “Start him on broad-spectrum antibiotics,” Holly advised, trying not to notice Gabe hadn’t changed much. Tall, with dark brown hair, bright blue eyes and broad shoulders, he had a rugged attractiveness that she’d always been drawn to. Maybe there were a few more wrinkles around his eyes, but otherwise he looked good. Too good. Distracted, she focused on the situation at hand. “Mark has already had symptoms for almost three days. I’m worried he’s going to take a turn for the worse if we don’t get a jump on this.”

  Gabe nodded, agreeing with her recommendations. “I’ll get the antibiotics ordered right away.”

  “Great.” Once all her protective gear was in place, Holly stepped into the patient’s room, leaving Gabe to enter the antibiotic order in the computer.

  “Hi, Mark. Mrs. Kennedy.” She felt bad for the patient and his family, and could empathize with how it must feel to end up with an infectious disease. “My name is Dr. Holly Davidson. I’m the infectious disease specialist here.”

  “Yes, Dr. Martin told me he was calling in a specialist.” Mark’s mom looked upset, her eyes red as if she’d been crying. “Is my son going to be all right?”

  “I hope so. We’re going to start treating him immediately.” She approached the bed, shifting her attention to the patient. Gently, she placed a hand on his arm. “Mark? Can you hear me?”

  The boy was very lethargic as he opened his eyes and slowly turned his head toward her. “Yeah,” he whispered.

  Her stomach clenched. The poor boy was much worse than she’d originally thought. There was no indication in the record that he was this out of it, so maybe his neuro status had only just started to deteriorate. “Mark, we’re going to need to start an IV in your arm to give you antibiotics.” As she spoke, his eyes slid closed and he didn’t respond. She hid a flash of panic. “Mark? Are you all right?”

  “Yeah.” He answered without opening his eyes.

  She felt for his pulse, reassured herself that it was beating steadily beneath her fingers. She turned toward his mother. “Mrs. Kennedy, Mark seems to be getting worse. I’m worried the infection is affecting his brain.”

  Mrs. Kennedy’s eyes widened in alarm. “What does that mean?”

  “Just that the sooner we can start the antibiotics, the better.” As she finished speaking, a nurse came into the room carrying IV supplies. As she finished her exam, the nurse prepared to place the IV catheter into the antecubital vein in Mark’s arm.

  “Mrs. Kennedy, I’m worried about you and your family. If this is a bacterial infection, as we suspect, it’s highly contagious. You’ll need to wear a face mask to help protect yourself from getting sick.”

  The woman paled. “Contagious? What about the rest of my family?”

  “I’m afraid they may need treatment, too.” Holly made her tone as reassuring as possible. “The good news is we can treat all of you so you won’t get sick. How many siblings does Mark have?”

  “Two younger sisters. They’re only five and seven, children from my second marriage.”

  “All right, we’ll make sure everyone gets the medication they need. And we’ll probably need to tell the school too. His roommates may also need antibiotics.”

  The nurse placed the IV in Mark’s left arm, the boy barely flinching as she slid the needle into his vein. Once the IV was running, Holly hurried out and grabbed more protective gear for Mark’s mother, helping her to put the items on.

  The mask was the most important piece, and Holly reiterated the need to keep the face mask on at all times.

  Gabe walked into the room, carrying the mini-bag of IV antibiotics. The nurse took the bag from his hands and hung it on the IV pole, reprogramming the pump accordingly.

  “Please, take a look at him. I think his mental status is much worse,” she said in a low tone.

  Gabe approached Mark, calling his name just as she had earlier. After a quick exam, concern shadowed his eyes. “He needs to be intubated.” He glanced at the nurse. “Melanie, will you grab the intubation bin?” He turned toward Mark’s mother. “Mrs. Kennedy, I need to put a breathing tube into Mark’s throat to protect his airway. He’s so lethargic I’m afraid he’s going to stop breathing. I’ve already made arrangements for him to be transferred to the PICU.”

  Watching Gabe in action, Holly had to admit he was impressive. Especially the way he took the time to explain everything to Mark’s mother. Emergency medicine wasn’t her specialty and she stepped back to stay out of the way and to give him the space he needed to take care of Mark, but Gabe stopped her. “Holly, wait. I’ll need your help.”

  “Of course.” Her earlier anxiety returned as she walked back toward the bed, watching Gabe set up his equipment with deft fingers. She placed a reassuring hand on Mark’s arm, hoping and praying that somewhere deep down he’d feel her touch. “Mark, we’re going to place a breathing tube in your throat. It will be uncomfortable for a few minutes, but then your breathing will be much better.” Mark didn’t indicate that he’d heard her but that didn’t mean much. He might not be able to make his muscles obey his commands.

  “Help me position his head. With his stiff neck, I’m going to have trouble getting his head tilted to the correct angle.”

  She understood Gabe’s dilemma, and moved over to help. The nurse sat next to Mark’s mother, who’d started to cry. Holly wanted to cry right along with her but focused instead on helping Gabe place the lifesaving breathing tube in Mark’s throat. Gabe’s face was close to hers, the worry in his eyes contagious.

  “A little more,” Gabe said urgently, as he tried to slide the breathing tube down. “I can’t quite get it.”

  Mark’s neck muscles resisted the movement as she struggled to tilt his chin toward the ceiling. She met Gabe’s eyes over his face mask. “I can’t move his head back any more without hurting him.”

  Gabe nodded. “All right, then, we need a paralytic. There’s some succinylcholine in a vial on the table. Give him a milligram and see if that helps.”

  Holly’s hands were shaking as she tried to draw up the m
edication. She hadn’t been this involved in an emergency situation since she’d been a resident. The medication would help relax Mark’s muscles, but it would also stop him from doing any breathing on his own. She injected the medication and shot an apprehensive glance at Gabe. “How long before it works?”

  “Not long.” He met her gaze, as he gave Mark several deep breaths, using the ambu-bag. “Are you ready?”

  She nodded. After the third big breath, Gabe set the mask and ambu-bag aside and she helped tilt Mark’s head back to the correct angle. This time she was able to give Gabe the extension he needed. He slid the breathing tube into place, and pulled out the stylet. “Hurry. Hand me the ambu-bag.”

  After disconnecting the face mask from the end, she handed him the bag. He clipped a small device to the end of the endotracheal tube before connecting the ambu-bag, giving several deep breaths. The end-tital carbon-dioxide detector turned yellow, showing the tube was in the correct place. “Listen for bilateral breath sounds, just to make sure,” he told her.

  She tucked her stethoscope into her ears and listened as he gave more breaths. She nodded and folded the stethoscope back in her pocket with a sigh of relief. “Sounds good.”

  “Melanie, call for a portable chest X ray,” Gabe directed. “And get a ventilator in here.”

  “We have the breathing tube in place, Mrs. Kennedy. Mark’s breath sounds are good. I know this is scary, but Mark is better off now with this breathing tube in place.” Holly did her best to reassure her.

  “We’ll give him some sedation too, so he doesn’t fight against the breathing tube,” Gabe added.