Two nurses were backing towards him, supporting a third man. An orderly, judging by the few areas of pale green scrubs left untouched by blood. They were leaving a smudged trail of scarlet behind as they scrambled backwards as fast as they could manage.
Even though the axeman wasn’t a patient of his, Tony knew who he was. He’d made a point of familiarizing himself with the files of any inmates considered capable of violence. Partly because they interested him, but also because it felt like a kind of insurance policy. Tonight, it looked like he was about to lose his no-claims bonus.
Tony stopped a few steps from the bottom of the staircase. ‘Lloyd,’ he called softly.
Allen didn’t break stride. He swung the axe again, in rhythm with his mantra. ‘Bring them to him. Nowhere to hide,’ he said, sweeping the blade inches from the nurses.
Tony took a deep breath and squared his shoulders. ‘This is not the way to bring them to him,’ he said loudly, with all the authority he could summon. ‘This is not what he wants from you, Lloyd. You’ve got it wrong.’
Allen paused, turning his head towards Tony. He frowned, puzzled as a dog tormented by a wasp. ‘It’s time,’ he snarled.
‘You’re right about that,’ Tony said, moving down a step. ‘It is time. But you’re going about it the wrong way. Now, put down the axe and we’ll figure out a better way of doing it.’ He tried to keep his face stern, not to reveal the fear curdling his stomach. Where the hell was the back-up team? He had no illusions about what he could do here. He could maybe hold Allen up long enough for the nurses and the wounded orderly to get clear. But good as he was with the deranged and the demented, he knew he wasn’t good enough to restore Lloyd Allen to anything like equilibrium. He doubted he could even get him to lower the weapon. He had to try, he knew that. But where the
Allen stopped swinging the axe through its long arc and raised it at an angle across his body like a baseball player preparing for the strike. ‘It’s time,’ he said again. ‘And you’re not him.’ And he launched himself across the gap between them.
He was so fast that all Tony could register was a slash of red and a glint of polished metal. Then a seam of pain exploded from the middle of his leg. Tony toppled like a felled tree, too shocked even to scream. Inside his head, a light bulb detonated. Then blackness.
Thomas Denby studied the chart again. He was puzzled. He’d diagnosed a severe chest infection when he’d first examined Robbie Bishop. He’d had no reason to doubt that diagnosis. He’d seen enough chest infections in the twenty years since he’d qualified and chosen to specialize in respiratory ailments. In the twelve hours since the footballer had been admitted, Denby’s team had been administering antibiotics and steroids according to the directions he’d given them. But there had been no improvement in Bishop’s condition. In fact, he had deteriorated to the point where the duty SHO had been prepared to risk wrath by summoning Denby from his bed. Mere House Officers didn’t do that to consultants unless they were very, very nervous.
Denby replaced the chart and gave the young man lying on the bed his casually professional smile, all teeth and dimples. His eyes, however, were not smiling; they were scanning Bishop’s face and his torso. The sweat of his fever had glued the hospital gown to his chest, revealing the outline of well-defined muscles currently straining to drag breath into his lungs. When Denby had first examined him, Bishop had complained of weakness, nausea and pain in his joints as well as the obvious difficulty in breathing. Spasms of coughing had doubled him over, their intensity bringing colour back to his pale face. The X-rays had shown fluid on his lungs; the obvious conclusion was the one that Denby had drawn.
Now, it was beginning to look as if whatever ailed Robbie Bishop was no ordinary chest infection. His heart rate was all over the place. His temperature had climbed a further degree and a half. His lungs were incapable of keeping his blood oxygen levels stable, even with the assistance of the oxygen mask. Now, as Denby watched, his eyelids fluttered and stayed shut. Denby frowned. ‘Has he lost consciousness before?’ he asked the SHO.
She shook her head. ‘He’s been mildly delirious because of the fever-I’m not sure how aware he’s been of where he is. But he’s been responsive until now.’
An insistent beeping kicked in, the screen revealing a new low in Bishop’s blood oxygen level. ‘We need to intubate,’ Denby said, sounding distracted. ‘And more fluids. I think he’s a little dehydrated.’
It wasn’t a position he was accustomed to. He was, he knew, a bloody good doctor. A skilled diagnostician, a cunning and often inspired clinician, and a good enough politician to make sure his department’s needs were seldom frustrated by the bureaucrats. He pretty much sailed through his professional life, rarely given pause by the ailments
