The Last Word (11 page)

Olivia grabbed her brother’s hand. “How’s Kim?”

He squeezed hers in return, the desperate pressure of his conveying his distress. “It’s not her. It’s the baby. Something’s not right with his heart.”

“Why aren’t you back there?” Olivia asked without judgment.

Hudson shook his head. “They took Kim into an operating room for a C-section. I couldn’t leave Caitlyn out here all alone.” Hudson swallowed hard. “A doctor stopped by a few minutes ago to explain our ‘options.’ There’s some kind of surgery that could fix the baby’s heart, but they can’t do it here. I gotta tell you—I didn’t understand what the hell the man was talking about. It was like he was talking in another language.” Still holding on to Olivia’s hand, he nearly crushed her bones with the force of his grip. “Help us. Please.”

A lump formed in Olivia’s throat, but now was not the time to get emotional. “It’ll be okay, Hudson.” She reclaimed her throbbing hand. “Go comfort your daughter. She knows something’s wrong. I’ll go back there and find out exactly what’s going on and what needs to be done.”

Olivia paused only long enough to put her hand on Caitlyn’s shoulder. “Hey. Long day, huh?”

Caitlyn nodded.

“Sit tight for a little while longer and then you and I will hunt down some ice cream. I hear this hospital has a pretty cool cafeteria.” Olivia did her best to sound calm and in control. “First, I want to check on your mom. Be back soon.”

The little girl didn’t say anything, but her body relaxed a fraction. She unfolded her legs and opened her book. Hudson took the seat next to his daughter and pretended to be interested in the illustration of a princess choosing which accessories to wear with her gold and ivory ball gown. Caitlyn leaned toward her father and whispered, “Once upon a time . . .”

Olivia pressed a button on the wall and announced herself to the nurse on duty. A buzzer sounded and the door leading into the ward was unlocked. Olivia squared her shoulders and stepped through. She walked briskly up a hallway lined with dozens of photographs of smiling babies, but she kept her gaze locked straight ahead. At the moment, it was disconcerting to see the apple-cheeked faces of those healthy infants.

“I’m here to see Kim Hudson,” she informed the nurse seated behind a low counter, and then quickly added, “She’s been asking for me.”

The nurse made a quick phone call and then suggested Olivia take a seat, but Olivia shook off the suggestion and remained where she was. When the nurse looked up from her paperwork, she must have realized that Olivia wasn’t going to sit and wait quietly.

“I’d like to know if my sister-in-law is out of surgery,” Olivia said, looming over the counter.

Another nurse approached the desk. She smiled at Olivia and said, “Mrs. Hudson is doing just fine. She’s in her room. I was heading in that direction anyway, so you can come on back with me.”

Olivia felt a slight loosening of the knot that had formed in the pit of her stomach. “And the baby?”

The nurse walked briskly down a silent corridor, her rubber-soled shoes making no noise on the white laminate flooring. “They’re going to take him to Pitt Memorial, but I’ll let the pediatric nurse explain everything.”

Him? Olivia slowed her pace. A boy. Before she had time to take this in, the nurse knocked lightly on a door marked with the name Salter and entered. “Mrs. Hudson? Your sister-in-law’s here!” she announced brightly.

Seeing Olivia, Kim’s face immediately crumpled. Tears ran in rivulets from her eyes onto the stiff white pillow. “Oh, thank God. I don’t understand what’s wrong with my baby! Why can’t I see him?”

Olivia had little skill when it came to bedside manner. Trusting her instinct, she laid a hand on Kim’s arm and promised to do anything she could to help. As she spoke, she spied an African American woman wearing a scrub top covered with pink and purple hearts. She was standing quietly near the window, the afternoon light casting a white corona around her head, giving her an angelic appearance. She walked around the bed and introduced herself to Olivia as Dru Ann Love. Her name and the heart design on her shirt were certainly comforting, but it was the woman’s sense of calm that inspired confidence.

“Mrs. Hudson asked for me to explain things after you arrived. I don’t have much time, but I’ll explain as quickly and succinctly as I can,” Nurse Love stated plainly and looked at Kim. “Your son was born with a congenital heart defect. It’s called atrial septal defect. In layman’s terms, it basically means that there’s a hole in his heart.”

Kim made a whimpering sound, and Olivia stroked her arm, her gaze never leaving Nurse Love’s warm brown eyes.

“In a normal heart,” the nurse continued, “blood that is low in oxygen passes through the right ventricle and into the lungs where it receives oxygen. These two chambers of the heart are separated by a thin wall called the atrial septum. Because your nephew has a hole in his atrial septum, the oxygen-rich blood is mixing with the oxygen-poor blood, and the lungs are receiving an increased amount of blood. Basically, they’re getting too much blood.”

“And this doesn’t show up in utero?” Olivia asked.

Nurse Love shook her head. “Not always. Sometimes pediatricians discover the condition when they hear a heart murmur and sometimes the stress of labor makes it obvious, but the bottom line is that your nephew requires a pediatric cardiologist and we don’t have one at this hospital. As we speak, he’s being prepped for transport to Pitt Memorial in Greenville. They have an excellent pediatric cardiology department there.”

Kim tried to sit up in bed. Wincing in pain, she cried, “I have to be with him!”

Olivia didn’t need a medical degree to know that her sister-in-law wasn’t going anywhere. The last thing she wanted to do was volunteer to take her place. To sit in an ambulance with a newborn infant stuck full of wires and tubes and requiring emergency surgery was Olivia’s idea of hell. The truth was that Olivia Limoges was afraid of babies. She’d never held one in her life. Children were disconcerting enough, but a baby was the epitome of helpless fragility. Still, she couldn’t ignore the agony on Kim’s face, and she’d promised her brother that she’d do anything to help.

“There, there,” Nurse Love tried to soothe Kim. “I’ll be with him every second of the drive and for the surgery too. We’ve already made a connection. I just came from his room. He’s quite a handsome little man.”

Kim collapsed against the pillow. “But he needs one of his parents. I’m stuck here and Hudson has to look after Caitlyn.” She shot Olivia an apologetic look. “She likes you, but I’ve never left her with anyone before. I don’t think she’d handle it too good.”

The nurse came forward with a clipboard and a pen. The family’s arrangements were secondary to the health of her tiny patient. “I need you to sign some consent forms, Mrs. Salter. Or would you prefer I let your husband handle this so you can rest? We need to be on our way now.”

Kim glanced at the pile of forms and blanched. “I don’t even know if our insurance will cover the surgery.”

“Trust me, you’re covered.” Olivia took the clipboard from Nurse Love’s hands. “I’ll take these to Hudson, explain what’s happening, and then drive to Greenville.”

There, she’d spoken the words and there was no rescinding the offer now, no matter how uncomfortable it made her.

When Kim’s eyes filled with fresh tears, Olivia knew that she’d done the right thing. This woman was her sister by marriage, and her half brother waited in silent anguish on the other side of the hospital. Her young niece was confused and frightened and they had no one else to turn to. They needed her.

Olivia felt a warmth spread through her chest. These people
needed
her. They were her family. In that moment, she believed she’d have gone to any length for them but knew there was no time to express how this realization made her feel. Instead, she told Kim that she’d be in touch and then gave her a quick kiss on the cheek.

“Wait.” Nurse Love reclaimed her clipboard and handed it to Kim. “There’s one form you
do
need to complete to get a birth certificate. Have you chosen a name for your son?”

Kim accepted the pen. “Before I went into labor, Hudson and still I couldn’t agree on one . . .”

“Pick the name you liked,” Olivia ordered. “You’re the one with staples in your belly. Hudson will accept your choice.”

“Kyle, after my father.” Kim wrote swiftly. “And then Anders, my maiden name. Kyle Anders Salter. And I do believe I’ll call him Anders. He’s got to grow into Kyle.” She handed the clipboard back to the nurse, her lips trembling. “Please give Anders a kiss for me. Tell him that his mommy loves him. That I’ll be there as soon as I can. Tell him I’ll be praying that I can hold him soon . . .” The rest of her words turned into sobs.

Olivia escaped from the mother’s heart-rending grief. She knew that Kim desperately wanted to be with her baby, but necessity required her to settle for Olivia’s presence instead.

With the weight of her obligation lying heavily on her shoulders, Olivia strode out to the waiting room and explained to Hudson why his son was being transferred to another hospital. Before he could ask a single question, she assured him that she planned to drive to Greenville as soon as she made arrangements for Haviland.

“Your wife is terrified,” she whispered to Hudson before leaving. “Go to her. I’ll call you the minute your son comes out of surgery. Don’t worry.” She gave him a brave smile. “It’s amazing what doctors can fix these days.”

Relieved to see Hudson take Caitlyn gently by the hand and turn toward the labor and delivery ward, Olivia pulled out her phone and began to make the first of many important calls.

It was nearly midnight by the time Olivia returned to the quiet and comfort of her own home.

Under any other circumstances, Olivia would have deemed it downright rude to call Diane, Haviland’s vet and Flynn McNulty’s girlfriend, at eleven forty at night in order to pick up her dog, but after the day she’d had, she didn’t feel a single twinge of regret. She needed Haviland.

“At least
you
had a nice dinner,” Olivia told the poodle, who was giving her the canine version of a cold shoulder by averting his gaze. “I feasted on mystery meat from the hospital cafeteria.”

Haviland groaned and trotted away.

Ignoring the blinking light on her answering machine, Olivia wearily climbed the stairs, changed into her nightgown, and fell into bed. She expected sleep to come immediately, but her mind was still pacing the halls of Pitt Memorial Hospital.

Nurse Love had been a gem. True to her word, she’d scrubbed in and stayed with Anders throughout his surgery. Olivia wiled away the hours watching CNN, flipping through insipid women’s magazines, and drinking cup after cup of watery coffee, but the dedicated pediatric nurse left the operating room only to let Olivia know that the surgery was complete and that her nephew was doing fine.

“How long will the recovery take?” Olivia had asked.

“It varies. Some children go home after two weeks, some three. There’s really no science to this sort of thing.” She removed the blue cloth cap she’d worn for the past four hours and ran a hand over her short, black hair. “Do you want to see him?”

Olivia shook her head. “Not with all those tubes and things,” she admitted. “I just want to be able to call his parents, say that he’s doing well and that they needn’t worry, and go home.”

Nurse Love smiled knowingly. “His mother’s going to ask if you saw him. Trust me.” She put a hand on Olivia’s shoulder. “You’ve been sitting here for hours wondering about your nephew. Now come meet him face-to-face.”

Incredibly nervous, Olivia had waited until the baby was admitted to the NICU and, after being given instructions on how to wash her hands and forearms and dress herself in a sterile gown, she’d entered a room populated by nurses and miniscule babies in incubators.

Olivia had never been so frightened in her life. Her navy eyes grew round as they took in the sight of the tiny arms and legs of the diapered forms. Even the crying sounded undeveloped. They were more like bird cries than the lusty howls she’d heard from full-sized babies in the grocery store. These were pitiful, like the mews of a kitten. Olivia wondered if these miniscule infants would all make it, and the thought redoubled her fear and discomfort.

“Jesus,” Olivia breathed.

Nurse Love put a hand on her shoulder. “Yes, I do believe our Lord and Savior pays special attention to these little ones. Come on, you’re not the only person who’s been scared to death by the NICU. Look at it this way. Most of these babies just decided to move up their arrival dates. They’re not fat and pink like the full-term ones, but they will be soon enough.” She stopped in front of an incubator bearing a paper sign that read, “Salter, K.”

Olivia had exhaled slowly. Here he was, the child that had been taken from her sister-in-law’s womb mere hours ago and had spent the first day of his life in an operating room instead of cradled in his mother’s arms. Olivia reached her fingers toward the letters of the baby’s name, and then hastily withdrew them.

“My daughter tells people that babies are brought here to finish cooking,” Nurse Love had said with a quiet chuckle. “Look at Anders. He weighs over seven pounds. In here, that makes him a giant. He’s going to do great.”

Olivia had forced her gaze down to the still form of her nephew. He slept on his back, arms splayed wide, eyes closed. Like most of the babies in the room, his body was connected to a network of tubes and wires, and Olivia’s heart ached at the sight.

“You can put your hand in that hole if you want to touch him.” Nurse Love had pointed at the side of the incubator.

Olivia had been astounded that she really did want to reach out, to make a physical connection with the little being in his nest of white cotton. Timidly, she’d stretched her fingers forward, touching the blanket lining the incubator and then, the skin of her nephew’s arm. She stared at his small fingers, noticing the long and nearly transparent fingernails. They reminded her of dragonfly wings.