Silent Pledge. Hannah Alexander

more for a while. Crystal’s fever had dropped a little, but Mercy didn’t want to take any chances.

      Accompanied by the unrhythmic sound of Odira’s loud breathing, Mercy checked Crystal’s heart once more. With severe disease, right-sided heart failure could occur, but there was no sign that the CF had progressed that far. Would it be possible to keep them here?

      Mercy turned around. “Odira, are you feeling okay?”

      “Don’t worry about me, Dr. Mercy. I’m just worried about keepin’ our girl in Knolls. You people know how to take care of us right.”

      “I’ll try,” Mercy said. “I’d like to get her temperature down before I decide.”

      “You need me to be your nurse?” Odira asked. “I know how to follow orders, you know.”

      “Yes, if you would.” Mercy gave her instructions to go to the staff break room and get a Popsicle out of the freezer for Crystal. It would be a special treat for the child and would be a painless way to help drop her temperature and add a little fluid.

      Odira struggled to get to her feet and finally succeeded. “I sure do appreciate your heart, Dr. Mercy.”

      Mercy knew her patients hated the thought of leaving Knolls for a hospital stay, even to places like Cox or St. John’s, two of the top-rated hospitals in the country. Mercy didn’t blame them. They liked a small community hospital with down-home caring, close to where they lived. Their indomitable hospital administrator took pro bono cases and occasionally paid for them from her own bank account. This would probably be one of those cases.

      “Please, Dr. Mercy,” came Crystal’s soft, hoarse voice. “Can’t I stay here?”

      Mercy sighed and looked over into the little girl’s solemn eyes. Her softheartedness always got her into trouble. But she supposed she could call Dr. Boxley as a consult. He was an expert on CF patients, especially children, and he’d given her advice on Crystal’s care before. And Robert Simeon wouldn’t mind checking her out as a favor. With his specialty in internal medicine, he’d had some experience with this, and he lived and practiced right here in town. And the ICU staff at this hospital was the best anywhere. Maybe…

      She looked once more into Odira’s hopeful face and sighed. “I’ll set you up for an admission.”

      The strain of worry gradually eased from the older woman’s heavy expression. She walked out into the hallway toward the back. “That’s our doc,” she called over her shoulder.

       Chapter Two

       D eep-voiced curses and shouts careened down the short hallway of the Herald, Missouri, emergency room, followed by the whiff of stale beer and marijuana smoke. The hospital was in for another exciting Saturday night on the shore of Lake of the Ozarks.

      Dr. Lukas Bower stepped to an uncurtained window in the E.R. staff break room and stared out at the glimmer of frosty moonlight over the water. Ice crusted the shoreline but didn’t reach the center. He could see the bare branches of trees swaying in the wind like the fingers of skeletons, grasping through the air to catch the wispy clouds that drifted past.

      He shivered. This place gave him the creeps, and he’d only been here a few days. He couldn’t say exactly why the town bothered him so much. Maybe it was just because he missed Mercy and Knolls and the friends he’d made there—the life to which he planned to return as soon as the new emergency room was built and his short-term contract here was up. Or maybe it was the depressing, uncooperative attitude of some of the staff here. Or maybe it was his own attitude.

      He frowned at his image in the reflection from the window, at the harsh brilliance of fluorescent light that caught and bounced back from his glasses. With so many night and weekends shifts, he’d almost forgotten what the inside of a church looked like on Sunday morning, or how the crisp winter air smelled in the Mark Twain National Forest.

      But by no means had he forgotten what Mercy Richmond looked like, the rich alto sound of her voice, the warmth and sweet fragrance of her on those rare occasions lately when they’d seen each other. The thoughts he was having only made things worse.

      A shouted epithet echoed through the room once more. He turned from the window and glanced toward the open break-room door. All he’d heard for the past ten minutes was the arguing of the bikers who’d engaged in a brawl down the road at the apartments—if the rickety string of rock buildings by the lake could be called that.

      The shouting grew louder. Lukas grimaced. Should he call the police to come and stand guard? With a population of about three thousand, Herald, Missouri, was only about a third the size of Knolls, and the police force had the same number of personnel. This was a rough town.

      He walked back into the small five-bed E.R. to see if the X-rays were back on the patient who was shouting the loudest. They weren’t. Brandon Glass, the Saturday night tech, had to take care of both X-ray and lab, and sometimes he couldn’t keep up. He never attempted to disguise his resentment when Lukas gave him more orders.

      “I’m not done with you yet, Moron,” one of the bikers muttered to the other through the thin curtain. “If my baby’s got a scratch on her, I’ll take it out of your hide.”

      The privacy curtains were open, and Lukas turned around to glance at both men. The mouthy one held an ice pack to his nose, and the skin around his eyes had already begun to darken. Blood matted strands of his brown hair and stained his black T-shirt. Thanks to his running monologue, everybody within earshot knew that his “baby” was his Harley-Davidson. Thanks to his temper—and that of his antagonist in the next cubicle—and a broken beer bottle, his left forearm had just been prepped for suture repair.

      Lukas sniffed. The room even smelled like motor oil and alcohol…and pot.

      The other biker, who wore black jeans and boots and a black leather vest with nothing else, lay with his head turned way from his adversary. His name was Marin—from which, obviously, his biker buddies had hung the moniker of Moron, like little kids taunting one another. Marin’s antagonist attitude had apparently dissipated with the dwindling effects of the alcohol and other drugs coursing through his veins. His eyes gradually closed as Lukas watched. Good. They were winding down. Maybe the police could concentrate on breaking up barroom fights tonight. And maybe they could spend some time searching for that little girl who had disappeared from the Herald city park last week—if that acre of rusted swings and overgrown grass could be called a park. Lukas had overheard a conversation about that yesterday morning between a couple of policemen who were waiting for their prisoner to be X-rayed. Rumor said it was a kidnapping, and she apparently wasn’t the first child to disappear lately in Central Missouri. It made Lukas sick to think about it.

      “Dr. Bower, the films are back,” came a strong, deep female voice behind Lukas.

      He turned to see Tex McCaffrey—no one ever called her Theresa—hanging the X-rays up on the lighted panel.

      “I had to do them myself. Godzilla’s in a bad mood tonight.” She cast a glare toward the open door that led directly into the radiology department. “Can’t get good help around here anymore.”

      Lukas wouldn’t have dreamed of arguing with her. Tex was the paramedic-bouncer in this joint, and she served as the E.R. nurse on Saturday nights and quite a few weekdays, from what Lukas could pick up from the nursing schedule. If something came in she couldn’t handle, she could call for a nurse from the twenty-bed floor—not that Lukas had heard of that happening. He couldn’t imagine efficient, self-assured Tex getting anything she couldn’t handle. In just the short amount of time he’d worked with her, he’d been very impressed by her skills…and her size. He didn’t have the nerve to ask how tall she was, but he had to look up at her to make eye contact, so she was taller than five-ten.

      Lukas checked the films, nodded, returned to the sink. Nothing broken. “Ready to help me with the sutures?” he asked.

      “Got it all set up. I cleansed it, then irrigated it with five hundred of saline.” She paused and grinned