âApology accepted. And sometimes,â she said quietly, âit helps to have someone to talk toâsomeone who isnât involved with the situation and wonât judge you or spread gossip.â
She was offering him a shoulder to cry on, even after heâd been combative towards her in a meeting involving what was clearly her pet project? That was unbelievably generous. Then again, he wasnât that surprised. Heâd already noticed Erinâs name at the top of all the internal memos organising a team night out or a collection for someoneâs birthday or baby shower. He had a feeling that she was one of lifeâs fixers.
Well, his life couldnât be fixed right now. He wasnât sure if it ever could be. âThanks for the offer,â he said, âbut I donât really know you.â
She shrugged, but he could see the momentary flash of hurt on her face. âFair enough. Forget I said anything.â
He felt like a heel, but he couldnât even offer anyone friendship at the moment. Not until heâd sorted things out with Caitlin and established a better relationship with her. And he had no idea how long that was going to take. Right now it felt like it was never going to happen.
âLetâs do the ward rounds,â he said. âWe have Kevin Bishop first. Heâs forty-five, but he has the spine of a sixty-five-year-oldâitâs a really bad case of stenosis.â
âIs that from normal wear and tear,â she asked, âor is it job-related?â
âProbably a bit of both. Heâs a builder. He has two worn discs, and the sheath around his spinal cord has narrowed,â Nate explained.
âWhich would put pressure on his spinal nervesâso it sounds as if the poor guyâs been in a lot of pain,â she said, her face full of sympathy.
âHeâs been taking anti-inflammatories,â Nate said, âbut he says they donât even touch the pain any more.â
âSo youâre looking at major surgery and weeks of rehabilitation?â she asked. âIf so, Mr Bishop could be a candidate for the sensory garden.â
âNo, no and no,â Nate said. âHe wonât be here for long. Iâm planning to use an interspinous spacer device this afternoon rather than doing a laminectomy.â
âIâve read about that,â she said. âIsnât there a larger risk of the patient needing to have surgery again in the future if you use a spacer rather than taking a slice of bone off the area putting pressure on his spinal cord?â
âYes, but thereâs also a much lower risk of complications than youâd get from taking off the bit of bone that rubs and causes the pain, plus itâs just a small incision and heâll be out again in a couple of days. Iâd normally use the procedure for older patients or those with higher risks of surgery,â Nate said. âKevin Bishop is still young but, given that heâs overweight and has high blood pressure, I think heâs higher risk.â
âFair enough. So how exactly does the spacer work?â
Nate could see that she was asking from a professional viewpoint rather than questioning his competence; he knew that Erin was a neurologist rather than a surgeon. âWeâll put a spacer into his lower vertebrae. Itâll act as a supportive spring and relieve the pressure on the nerve. It gives much better pain relief than epidural steroid injections, plus the spinal nerves arenât exposed so thereâs a much lower risk of scarring.â He paused. Maybe this would be a way of easing the tension between them after that meeting. âProvided Mr Bishop gives his consent, you can come and watch the op, if you like.â
âSeriously?â She looked surprised that heâd even offered.
âSeriously.â Was she going to throw it back in his face, or accept it as the offer of a