Tempted by Dr. Off_Limits by Charlotte Hawkes

Author:Charlotte Hawkes [Hawkes, Charlotte]
Language: eng
Format: epub
Publisher: Harlequin
Published: 2017-10-16T15:04:57+00:00

Chapter Nine

‘YOU SEE THE ulcer lies on the antrum of the patient’s stomach?’ Elle glanced at her student. ‘So what would you suggest?’

‘Wedge excision,’ Amir said confidently. ‘Closure of the consequential defect should be achieved fairly easily without significant deformation of the stomach.’

‘Good.’ Elle nodded. ‘And if the ulcer had instead been along the lesser curvature of the stomach?’

‘It would be more problematic. More prone to re-bleeding because of the rich complex of blood vessels from the left gastric artery.’

‘Anything else?’

Amir paused, and she couldn’t be sure whether it was the language barrier or a gap in his knowledge. Many of the local doctors here were on an extremely steep learning curve but she was continually impressed by their eagerness to soak up everything she and her team were teaching them. And having a CO like Phil, who didn’t just have decades of experience as a brilliant surgeon but was also an inspiring teacher, certainly kept Elle at her best. It was a challenge she usually relished.

But not today.

For the past couple of days all she’d wanted to do was stay in her army cot, lick her wounds, and hope that everything looked a little less grim when Fitz finally left the hospital camp and headed back to Razorwire.

That, obviously, hadn’t been an option. But at least she’d managed to avoid him since that awful day in his office, to give herself the chance to start thinking straight again. At first she’d vacillated between rage and mortification. Rage that he’d lifted the lid on their attraction and mortification that he’d shut her down so completely.

She dragged her mind back to the present and to Amir.

‘Okay, wedge excision of gastric ulcers along the lesser curvature of the stomach is harder to do and is much more likely to result in a deformed J-shaped stomach and luminal obstruction or gastric volvulus, which is rotation of the stomach by more than one hundred and eighty degrees...’

‘Yes, yes.’ Amir nodded vigorously. ‘Inconstant blood loss, obstruction of materials moving through the stomach, and sometimes tissue death.’

‘Okay, good.’ Elle smiled. ‘We’ll go over it again, it’s something you’re likely to come across often here. Right, let’s see what we can do for our patient here.’

She worked carefully, talking Amir through each step, until finally she was satisfied, taking half a step back and straightening her spine.

‘Did you ask your Colonel Duggan if you can continue here, or return on...what you call it, a back-to-back tour when this tour of yours now is over?’

Lifting her head, Elle glanced into the hopeful expression on Amir’s face. Having started this tour of duty at Razorwire, once her three months here were up, two more rotations of army doctors would take over during the course of the next twelve months, and Elle had hoped to be able to return on the last one. The fact that Amir also hoped she would return spoke volumes about her teaching style and Elle couldn’t help smiling proudly.

‘Colonel Duggan, yes. I did chat with him while he was here, unofficially of course.

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