wasnât his fault heâd forgotten, was it? âSome other time, then. Soon,â he added.
But when? Not tomorrowâthat was his trauma medicine course. Thursday was the practice late night. Maybe Friday, then.
When had life become so complicated? When had he and Rachel stopped having time for each other? More to the point, how were they going to fix it? Right now, he didnât have any answers.
* * *
On Thursday morning, Rachel was surprised to see Megan Garner halfway through the morning. The practice antenatal clinics were held on Wednesdays, and sheâd seen Megan last week. âHi, Meg. I thought I was seeing you next Wednesday?â
âYou are.â Meganâs face was ashen and there were dark shadows under her eyesâmore than Rachel expected to see, even though Megan was probably having the usual difficulty sleeping in late pregnancy.
âWhatâs up?â
âItâs Jasmine. Sheâs got chickenpox.â A tear trickled down Meganâs face. âI havenât had it. Ever. I played with all the kids in the village and I never, ever got chickenpox. And my mumâs friend said chickenpox canâcan kiââ She broke off, her breath shuddering, clearly too distraught to say the word, and scrubbed at her eyes with the back of her hand.
âHey.â Rachel took her hand. âOf course youâre worried. And Iâm glad you came to see me. First things first, we donât know you havenât had chickenpox.â
âMum said I didnât.â
âItâs possible that you had it so mildly, you only had oneor two spots and your mum thought they were gnat bites,â Rachel reassured her. âStudies show that eighty per cent of people who canât recall having chickenpox are actually immune. And chickenpox in pregnancy is really rareâonly about three in every thousand pregnant women get it.â
âWhat about the baby?â
âYes, there is a risk of the baby developing problems such as skin scarring, eye problems and neurological problems, but thatâs only a risk if you get it between thirteen and twenty weeks. So you can stop worrying about birth defects because youâre well past twenty weeks.â She paused. âWhen did Jasmine go down with it?â
âShe got the first spots yesterday. She was in the bath and I saw them.â Megan shook her head. âIâd heard you can literally see chickenpox spots coming out, but I thought people were exaggerating. But I could see them popping up on her back.â
Rachel nodded, calculating mentally that Jasmine became infectious four days ago. The incubation period was between ten days and three weeks, so if Megan did develop chickenpox it would be somewhere between the end of the following week and the next fortnight. âRight. Youâre due to have the baby in ten daysâ time. If the babyâs late, that could mean youâll deliver the baby in three weeksâ time. Jasmineâs spots will all have crusted over by the end of next week, so there shouldnât be any risk to the baby from Jasmine.â
âWhat about if I have the baby early? Or if I get it?â
âLetâs not panic yet. Thereâs a very high probability that youâre already immuneâremember, around ninety-five per cent of adults have already had itâso Iâll do a blood test and ask the lab to rush it through for me. If youâre not immune, I can refer you to the hospital for preventative treatmentâthey can give you something called VZIG and give the baby the same thing when heâs born.â She smiled. âThat stands for âvaricella zosterââchickenpox to me andyouââimmunoglobulinâ. Theyâre antibodies which will protect you and the baby against developing chickenpox.â
Megan was shaking slightly. âBut if I do get itâor the baby?â
âIf you get it before