you have the baby, we can give you an antiviral medication called acyclovir. We can also give the baby antibodies and the antiviral medication.â Rachel thought it prudent not to mention that ten per cent of pregnant women with chickenpox went on to develop pneumoniaâMegan didnât smoke, so that cut her risk anywayâor how serious chickenpox could be for newborns. Until they knew whether Megan was immune or not, Rachel didnât want to panic her patient. âHowâs Jasmine?â
âMiserable.â
âIf sheâs got a temperature, you can give her some infant paracetamol or ibuprofen to bring it down.â
âShe hasnât said sheâs hot, just itchy. I keep telling her not to scratch, but she canât help it. Mum says I should put calamine lotion on her.â
âThatâll help to stop the itchâthough thereâs something out now that stops the itch for a bit longer and isnât quite as messy.â Rachel scribbled a note on her pad, tore off the top sheet and handed it to Megan. âYou donât need a prescription for this. If Ian at the pharmacy doesnât have it, he can tell you who does stock it or whatâs the next best thing. Putting a bit of bicarb soda in a tepid bath can help, too. If itâs affecting her sleep, bring her to see me and I can give her some antihistamines to stop the itch and help her sleep. She might have a sore throat, so give her plenty of cool drinks. Otherwise, Iâd recommend keeping Jasmineâs nails really short and doing things with her that keep her hands occupied so she canât scratch. Make sure you get enough rest, though.â She smiled at Megan. âDo you want a glass of water before I do the scary needle thing?â
Megan shook her head, smiling back. âNo, Iâm OK. At least you donât leave bruises. Lucy does.â
âPoor Lucy. Sheâs paranoid that half my mums ask her to let me do the blood samples instead of her.â
âSo, has Sophie had chickenpox yet?â Megan asked, looking away as Rachel deftly took the blood sample.
âNo. I saw the notice up at nursery this morning. Iâll be watching her for the next couple of weeks.â Rachel put her hand flat on the desk. âTouch wood, we havenât had the nits notice up for a while.â
âOh, no. Donât talk that up!â Megan groaned.
âNits scare me a lot more than they scare Soph. She refuses to let me put her hair in a ponytail. And she hates even a detangling comb in her hairâI dread to think what sheâd be like with a nit comb,â Rachel said ruefully. âOK, you can press on the cotton wool for a few seconds.â
âYouâre done already?â
âIâm done. Not so bad, was it?â Rachel wrote out the lab form. âIâll ring you as soon as I get the results through. It probably wonât be until Monday, but donât spend the weekend fretting about it. Thereâs a very, very strong chance that youâre immuneâand if youâre not, we can protect you and the baby.â
âThanks, Rachel.â Megan took a deep breath. âI feel a bit better now.â
âGood. If youâre worried, talk to me or Lucy, OK? Thatâs what weâre here for.â The calmer Megan stayed, the better her blood pressure would beâand the better it would be for the baby.
When Rachel had finished surgery, she checked with Rita that Oliver didnât have a patient with him, then knocked on Oliverâs door. At his âCome inâ she put her head round the door.
âGood or bad time?â she asked.
He pulled a face. âNot brilliant.â
âOK, then, Iâll keep it short. Chickenpox is doing the rounds again. The noteâs up on the nursery door. If Soph gets it, weâre going to need locum cover for one of us where our shifts overlap.â It would probably be her, but sheâd