sister. There was no doubting it. An identical twin? Maybe. The similarities were obvious but there were major differences. The girl lying in the mud was heavily pregnant. Her face was bleached white and a fine hairline scar ran across her forehead. She lay in the mud and her eyes were bleak and hopeless. Jake had seen eyes like this before, in terminally ill patients who were alone and who had nothing left to live for. To see this expression on such a young woman was shocking.
âOh, Susie, Iâm so sorry,â Kirsty was saying. She waskneeling in the mud, sliding her hands under Susieâs face to lift her clear. âThere was a rut. It was filled with water and I didnât realise how deep it was.â
âWhatâs happening?â Jake knelt and automatically lifted the womanâs wrist. âYou fell?â
âYou really are smart,â Kirsty muttered, flashing him a look of fury. âI tipped her out of the wheelchair. Susie, what hurts? Have you wrenched your back? Donât move.â She sounded terrified. One hand was supporting Susieâs head; the other was holding her sister down.
Jakeâs fingers had found the pulse, automatically assessing.
âDid you hurt yourself in the fall?â he asked, and the young woman in the mud shook her head in mute misery.
âIâll live.â She put her hands out to push herself up, but Kirstyâs expression of terror had Jake helping her hold her still.
âWhat do we have here?â He held the womanâs shoulders, pressuring her not to move. âCan you stay still until I know the facts?â He spoke gently but with quiet authority. âI donât want you doing any more damage.â
âShe suffered a crush fracture at T7 five months ago,â Kirsty told him in a voice that faltered with fear. âIncomplete paraplegia but sensationâs been returning.â
âI can walk,â Susie said, into the mud.
âOn crutches on smooth ground,â Kirsty told Jake, still holding her twin still. âBut not for long. Thereâs still leg weakness and some loss of sensation.â
âLet me get my bag.â
âI can get up,â Susie muttered, and Jake laid a hand on her cheek. A feather touch of reassurance.
âHumour me. I wonât take long, but I need to be sure youâre not going to do any more damage by moving.â
It took him seconds before he was back, kneeling before her, touching her wrist again. Her pulse was steadying. He glanced again at Kirsty. If he had to say which was the whiter face, his money was on Kirstyâs. Such terrorâ¦
âIâm going to run my fingers along your spine,â he told Susie. âIâd imagine youâd have had so many examinations in the last few months that you know exactly what you should feel and where. I want you to tell me if thereâs anything different. Anything at all.â
âWe need help,â Kirsty snapped. âWe need immobility until we can get X-rays. I want a stretcher lift and transport to the nearest hospital.â
But Jake met her eyes and held. âYour sisterâs break was five months ago,â he said softly. âThere should be almost complete bone healing by now.â
âYouâre not an orthopaedic surgeon.â
âNo, but I do know what Iâm doing. And itâs soft mud.â
âHooray for soft mud,â Susie muttered. âAnd hooray for a doctor with sense. OK, Dr Whatever-Your-Name-Is, run your spinal check so I can get up.â
âSusieâ¦â Kirsty said anxiously, but her sister grimaced.
âShut up, Kirsty, and let the nice doctor do what he needs to do.â
âYes, maâam,â Jake said, and smiled.
So he did what he needed to do, while Kirsty sat back and alternatively glowered and leant forward as if sheâd help and then went back to glowering again.
It was like two sides of a coin, he thought