Johnâs wort? My cousin takes that.â
âSome studies show itâs effective with depression,â Rachel said. âBut it reacts with some medicationsâit makes the drugs go through the body too quickly so they donât work properly. The Pillâs one of the drugs it reacts with, so if youâre going to take St Johnâs wort youâll need to use an extra method of contraception.â
âI never thought of that,â Teresa said, blinking in surprise. âItâs a natural remedy. I just assumed itâd be safe to take.â
âIt can be, if youâre not taking any other medications,â Rachel said. âBut if you do go into the chemist for a complementary remedy, itâs always worth having a chat with the pharmacist before you buy it, just to check itâs going to suit you and wonât interfere with anything else youâre takingâand also how long you should take it for.â
Teresa nodded. âThanks, Rachel.â
Rachel smiled back. âThatâs what Iâm here for.â
When Teresa left, Rachel waited a while before buzzing her next patient in. Teresaâs worries had made her own doubts resurface. Supposing Oliver was having an affair? Would he agree to see a relationship counsellor? Or would the suggestion be the thing to push him over the edge and make him leave her?
She shook herself. Ridiculous. They had a strong marriage. Theyâd been together for fourteen years, despite the initial opposition of his family. Two gorgeous children. Oliver wouldnât walk out on them...would he?
* * *
Oliver buzzed his first patient in. âGood morning, Mrs Porter. How are you?â
âFine. Well, um, look, I donât want to waste your time, Dr Bedingfield. Itâs a bit silly.â
âThatâs what Iâm here for,â Oliver said with a smile. âWhatâs the problem?â
âI keep getting pins and needles in my hand. Iâve been waking up in the night and my handâs just numb until I shake it or rub it.â
âDo you get it during the day as well?â
âNot really. Itâs a lot worse at night,â Hayley said.
âIt sounds as if it might be carpal tunnel syndrome,â Oliver said. âThe bones in your wrist form a tunnel, called the carpal tunnel, and the main nerve in your handâthe median nerveâgoes through it, together with other tendons and ligaments. When the tendons get swollen for any reason, they squash the median nerve and thatâs what causes the pain and tingling. May I take a look at your hand?â
âItâs the left one.â She held it out for inspection.
âDoes it affect your fingers at all?â
âMy thumb, first finger and middle finger,â she said.
A textbook caseâbut he needed to check a couple of things. âOK. Iâm going to ask you to do a couple of things which will tell me where the problem is.â He started with Tinelâs testâtapping over the carpal tunnel in the wrist to see if he could reproduce the tingling. âHow does that feel?â
âMy fingers are tingling,â Hayley admitted.
Positive: so next heâd try Phalenâs test. âI want you to flex your wrist for me, as hard as you can.â He smiled as she followed his instructions. âYes, thatâs perfect.â He kept half an eye on the second hand of the clock as he spoke. âHave you ever had pins and needles in your hand before?â
âA bit, when I was pregnant.â
He nodded. Rachel would probably know about that. She did all the antenatal appointments at the practice. âYou often get carpel tunnel syndrome in the last few months of pregnancy.â
âThatâs what Rachel said.â
Rachel, not âDr Bedingfieldâ, he noticed. Rachelâs styleof medicine was very different from his own. âIs there a possibility youâre pregnant at the