Sarahâs arms. The frantic look left her eyes and in the examining room she watched calmly as Sarah swiftly administered an anticonvulsant medication. The seizure, however, proved ofsuch severity and duration that Sarah called for an ambulance to take the child to hospital to be admitted for observation. Privately she thought the boyâs high fever was only masking a more serious disorder. She grieved for the mother, and the anxious years ahead, squeezing her hand tightly as the young woman climbed into the ambulance to go with her son. These incidents involving children were deeply heart-wrenching for everyone, doctors and patients alike, but for the sake of her other patients Sarah had to refocus in order to deal with her caseload for the afternoon. It didnât help knowing sheâd have to tell Megan Copeley the results of her mammogram.
Not good.
Meganâs fat-rich, low-fiber diet alone had increased her risk of breast cancer by a factor of six. Despite every warning and every lecture Sarah gave her, sheâd been unable to wean herself off it.
âBut, Sarah, I canât go without all the foods I enjoy. Neither can my family. Mealtimes would be so dull. Jeff wouldnât stand for it. Thereâs no history of breast cancer in my family, anyway.â
There was now. Sadness crept up behind Sarahâs fixed resolve to maintain a professional detachment. She could picture Megan sitting opposite her in a state of shock. Megan was only a handful of years older than her. Thirty-five, with two beautiful children. Some days Sarah could hardly bear the terrible burden and responsibility of being a doctorâtelling patients their fears were confirmed or breaking totally unexpected bad news. There was no way out of telling the truth, of telling patients that life as they knew it was over. It was her job to help them deal with it. She knew she was a good doctor. She knew her patients liked and respected her, but sometimes she wanted to pull a curtain and hide behind it. To weep.
What Sarah didnât know as she agonized for Megan Copeley and tried to swallow the lump in her throat was that tragedy was about to strike her.
Not for the first time. Sarah was no stranger to loneliness, grief and despair. She had walked, talked and slept with it for years. Could she ever put the loss of her own child, her baby, behind her? Never. A mother doesnât suffer a blow like that and continue serenely on with life. Maybe sheâd learned a deeper, fuller understanding her patients seemed to recognize, but the grief and the insupportable loss would go on forever.
Baby Dempsey, who had lived only a few hours. Sheâd already named her in her mindâRosalind (Rose) after the grandmother she recalled with such love. From time to time, although it was fifteen years ago, she relived the long, empty months leading up to the birth. Hidden away with a middle-aged married couple Ruth McQueen had found. She relived the birth itself, which had taken place in a private clinic. My God, the pain! Her patients didnât have to tell her anything about that, not realizing because of her single status and lack of family that sheâd given birth to a child. She remembered the morning after when sheâd awakened, wanting to get up, to go to her baby. Sheâd wanted to tell Rose not to fear, sheâd make something of herself. For both of them. Donât be afraid, my little one. My little one. There were moments when she could remember nothing but the feel of her baby against her breast. So fleeting a time!
Miss Crompton always told her she had what it took to be anything she wanted.
âYou work hard, Sarah, and I see a future far beyond this little outback town. Youâre one pupil I know in my bones is going to make a name for herself. You have it here.â At this point Miss Crompton always tapped her head.
She mightâve had the brains, but emotionally sheâd been frail. At fifteen