Also, my undying gratitude to Dan and
Marjorie Baird, Steve Burnett, Bill and Clara Howard, Gary Jackson, Ren Johnson, Wayne Johnson, George Keele, Koret Family House, Michael Lehners, Make-A-Wish, Alan Mentzer, Sue Ross, Justice Thomas Steffen, Peter Umphress, Dennis Widdis, and Doctors Mitchell Berger, Jay Chamberlain, Kathy Eckert, Michael Edwards, John Shields, Joseph Walker and their staffs. Thanks for being there.
Reno, Nevada
She couldn’t face going home tonight. Dr. Emma Shields scribbled notes on the last patient’s case file before she set it on top of the stack to be sorted by her office staff. She peered at the brass clock on the wall and blinked. Was it really that late? No wonder she was bleary-eyed. She sighed and returned her attention to her work. Anything to delay going to her lonely apartment.
A short knock sounded on the open door.
“Come in,” she called without looking up.
“You plan on staying here all night?”
Emma lifted her head. As she removed her reading glasses and dangled them from her fingers, she sat back in her comfy executive chair.
Too comfy. She stifled a yawn.
Sonja, her head nurse, stood in the doorway, prim and proper in her whites with red stars stamped on her smock. Sonja smoothed her graying hair and showed a crinkly smile.
“Nope, I’m about finished,” Emma replied. “What’s keeping you here so late?”
“I got those pathology reports you requested from Dr. Tanner and sorted them for tomorrow. You’ve already got your messages, so I think I’ll call it a night.”
“Good night.” Emma reached for another pile of paperwork stacked neatly on her desk.
Tidy and in control. That’s what her receptionist called her. Emma couldn’t help that she liked order. She’d had enough chaos in her life to last an eternity.
Sonja turned to leave, but paused. “Oh, before I forget, Mr. Williams called again.”
“Mr. Williams?” Emma shook her groggy head. “Remind me.”
“He has the little girl with a brain tumor. He’s called twice this week. He’s asked if we’ll work with his doctors at the University of California Hospital in San Francisco, to administer her chemotherapy protocol.”
“And did you tell him we deal only in adult oncology?”
“Yes, but he says you’re the doctor most highly recommended by Dr. Meacham, his neurosurgeon.”
“Larry Meacham?”
“None other.”
An impatient huff escaped Emma’s lips. “The next time I see Larry at a medical convention, I’ll have to remind him I don’t take pediatric cases anymore.”
Not since I lost Brian.
Sonja didn’t budge and Emma found it difficult to hide her irritation. “Where’s the tumor located?”
“It’s on the hypothalamus.”
Not good. The hypothalamus was a pea-size gland that told the pituitary gland what to do.
“Inoperable?”
Emma didn’t really need to ask. She’d seen it before in adult patients, time and time again, but this was an innocent child. God could be so unfair.
A rush of bitterness swept her. She’d grown comfortable with her anger and no longer tried to fight it.
Sonja nodded. “Yep, so they’re starting chemo.”
“What drugs will the child be on? How often do they need to be administered?”
“I’m not sure. He didn’t say.”
Emma tilted her head, longing to remove the too tight clip at the back of her neck and free her long hair. “No, I don’t want to take this patient.”
I can’t work with another child with cancer. I just can’t.
“But it’s so sad, Dr. Shields. The little girl’s a baby—only six years old.”
Emma’s heart squeezed. Brian had been five.
She shook her head. “I’m very sorry, but administering drugs to a growing child is a lot different than dealing with adults.”
“But she’s been through so much already. She had her first surgery here in Reno, then they rushed her to U.C.S.F. for a biopsy. She’s had several more surgeries since then, to drain cysts and install a VP shunt. Her father’s agreed to begin a chemo protocol as soon as he can find an oncologist. You know there isn’t a single pediatric oncologist in this city.”
Yes, Emma knew. “But there are five other doctors in Reno that specialize in adult oncology. Refer Mr. Williams to one of them.”
Sonja quirked her brows. “He’s already tried and they said no. If you’ll let me, I’ll take full charge of overseeing her protocol.”
Emma almost groaned. Certified to administer chemotherapy drugs, Sonja was one of the best nurses at her job. She was also too generous. A widow and grandmother of two, Sonja had been Brian’s nurse when he had been ill, caring for him tenderly, reassuring Emma that everything would turn out all right.
It hadn’t turned out all right and the night Brian died, Sonja had sobbed as bitterly as Emma.