“She looks like she's dying.” Vanessa's voice broke on a sob, and Teddy prayed that Vanessa was wrong. But she might not be.
Five minutes after they hung up he called the hospital, spoke to the nurse in charge, and was unable to speak to a doctor. Mrs. Arbus, according to them, was doing fine. The baby was indeed breech, but they felt no need for a Caesarean as yet. They were going to wait until, at the very least, the following morning. And no, they had been unable to turn the baby, but they had every confidence that subsequent efforts would set matters aright. Subsequent efforts would mean that when Serena was in midpain, a nurse or an intern would shove both hands as far in as they could get them and try to turn the baby upside down. The very thought of it was almost more than he could bear when he thought of Serena. He went straight from his office to the airport and checked in at Idlewild at two thirty. The next flight to London left at four, and he called the hospital again. There was no change, but this time they sounded slightly more impressed. Not all of their patients had attending physicians flying in from New York.
The four-o'clock flight was due to reach London at two o'clock the next morning, which was eight o'clock in the morning in London. He assumed that with any luck at all he could reach the hospital by nine or nine thirty. It was the best he could do, and once he was on the flight, he explained to the steward what he was doing. He was flying to London to deliver a baby by Caesarean with complications for a very important patient. What he needed was a police escort or an ambulance to take him as quickly as possible from the airport to the hospital. The steward spoke at once to the captain, the message was passed along once they established radio contact with London, and when they arrived, Teddy was whisked through customs, out a side door to a waiting ambulance, the sirens were put on, and they sailed through the streets on the way to London. Luck had also been on their side, the flight had arrived half an hour early. It was exactly five minutes after eight when Teddy stepped out of the ambulance into the streets of London. He thanked the ambulance driver, gave him an enormous tip, rushed inside, inquired for the maternity ward, and ran up the stairs, his bag in his hand, to emerge into a large unfriendly waiting room, where he saw Vanessa asleep in a chair. He hurried to the desk, spoke to a nurse, and she looked extremely startled.
“From America? For Mrs. Arbus?” She immediately went to get the head nurse, who in turn found the doctor on duty. Mrs. Arbus's physician had not actually been at the hospital for several hours, but of course if Dr. Fullerton had the proper credentials with him, perhaps if a Caesarean was indeed needed in due course, he would be able to assist the British surgeon. Teddy immediately presented the papers they would need, washed his hands, and asked to see Serena. And with a large entourage behind him he was led to the door where Vanessa had found her thirteen hours before. She lay almost breathless, semiconscious, drenched in sweat, and so stunned by the pain that she seemed to be barely breathing as Teddy got to her. He looked down at her, took her pulse, listened to the baby's heart. There seemed to be no sign of recognition from her. Her heartbeat was frantic and faint, the baby's was beginning to fade, and her blood pressure was so low that he wondered if they could even save her. Without thinking, he gave rapidfire orders to prepare her for surgery. He wanted to kill someone for not doing it twenty-four hours sooner. When he examined her to see how low the baby had come, he saw what they had done to her by continually trying to turn the baby, and it horrified him to see the condition she was in. He wanted to sweep her into his arms and carry her away from the nightmare she had suffered, but as he unstrapped her legs and laid her gently flat on the table and they began to wheel her away, she stirred and looked at him strangely.
“You look …”It was the barest of hoarse croaks. “… like … Teddy.”
“I am Teddy, Serena. Everything's going to be oaky. Vanessa called me, and we're going to take the baby by Caesarean.” She nodded, and then a moment later she was screaming with the pain again. They rolled her directly into the operating theater, a young doctor appeared, a little flustered by the unusual procedures, and without further ado the anesthetic was given, and after scrubbing up and returning in operating-room garb, Teddy began to make the incision on Serena. The anesthetist and two of the nurses were keeping close tabs on her failing heart. Teddy felt himself working steadily against the clock as he could see her dying rapidly beneath his fingers. And a moment later he had the child, a perfectly formed, beautiful little baby girl, but as they brought her out of the womb there was no cry, she wasn't breathing, and he knew that he was about to lose both the baby and Serena. He gave terse instructions to the nurses who stood by as he continued the surgery on Serena. Every effort was made to keep her alive, and a pediatrician was summoned to help the nurses and the young doctor with their attempts to get the baby breathing. It seemed an eternity before they heard the first cry, but suddenly the room was filled with her lusty sounds, and at almost the same moment the anesthetist reported that Serena's blood pressure was rising slowly and her heartbeat was finally regular. He wanted to give a whoop of joy, but he still had work to do, and when it was all over, he looked down at the sleeping woman he had loved for so many years, and in a most unprofessional gesture he leaned down to her cheek and kissed her.
The operating-room staff congratulated him on his brilliant and speedy maneuvers, and he followed them slowly out of the operating theater. Both Serena and the baby were going to be all right, but he still had to see Vanessa. The poor child had been through an ordeal of her own, and when he reached her side at ten fifteen, she was still sleeping. He sat down beside her and as though she sensed him, she looked up with a puzzled frown, and he smiled at her. “Hi, kiddo. You have a big fat baby sister.”
“I do?” Vanessa sat up, stunned. “How do you know? Did you see her?”
“I sure did. I delivered her myself.”
“You did?” She threw her arms around his neck. “Oh, Uncle Teddy, you're terrific!” And then with an anxious look in her eyes, “How's my mom?”
“She's alseep.” And then he explained about the Caesarean section.
“It sounds awful.” She made a grim face. “I don't ever want to have a baby. They had her all tied up, and”—her voice drifted away as she remembered—”she was screaming … I thought she was going to die.…” He put an arm around her shoulders.
“But she didn't. She's fine. And the baby is so cute. Do you want to see her?”
“Will they let me?”
“If they won't, I'll tell them you're my nurse.”
Vanessa giggled, and after a hushed conversation with the head nurse they led Teddy and Vanessa down the hall to a big picture window. There were at least two dozen babies there, but they held up “Arbus, baby girl” for Vanessa to see, and as she looked into her sister's face, she saw exactly what Teddy had seen when he delivered her. “She looks just like Mommy!” Vanessa looked stunned. “Except she has black hair.” But she did look exactly like her mother. She was a tiny perfect mirror image of Serena. “She's so pretty, isn't she, Uncle Teddy?”
He put a hand on Vanessa's shoulder and looking at the baby with a small tired smile, he nodded. “Yes, she is.”
44
“He's in bad shape this time,” he told Serena bluntly when he came to see her. “But he should be all right soon.” He didn't mention the serum hepatitis they had confirmed at the hospital and for a long moment she said nothing. And then she sighed. She was still in a great deal of pain, and the truth of what she had to do about Vasili had been nagging at her all morning.
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