hospital corridor, looking out across Abbey Road to where the weathered stones of the minster ruins shimmered in the searing rays of the midday sun. A busload of tourists took pictures of one another against the backdrop of the ancient walls, while the driver, clearly bored, leaned against the bus, smoking a cigarette.
It was a pleasant summer scene, but it was wasted on Alcott, preoccupied as he was with what Miller had just told him.
âAnd what I would like to know,â the doctor continued, âis why Marion let it go so long before coming to see me? She must have been having trouble for a long time; emphysema isnât something that comes on suddenly; it takes time to develop, and she must have known something was seriously wrong long before now. The coughing, the wheezing, the shortage of breath. To be brutally honest, Tom, I would have been far less surprised if it had been you with that condition, and from the way youâre going on, that could still happen. God knows Iâve been trying to get you to stop smoking for years, but you wouldnât listen, and now it seems itâs your wife who is suffering the consequences.â
Alcott bristled. âAre you saying itâs
my
fault she has emphysema?â
Miller shrugged. âIâve been in your house, remember? Who else in your house is a chain smoker? You must have seen what it was doing to her.â
âI know sheâs had this cough she couldnât seem to get rid of,â Alcott admitted, âbut we thought it was probably the after effects of the flu she had last winter.â
âOh, for Godâs sake, Tom, itâs July! Or is that something else you didnât notice?â
Colour rose in Alcottâs face. âWhat about you?â he demanded. âYouâre her doctor. Youâve seen her. We have check-ups every year. Surely
you
would have noticed if there wasâ?â
âMarion hasnât been in to see me for more than two years,â Miller cut in sharply. âShe missed last year altogether, and sheâs cancelled two appointments so far this year, so donât try to blame me for Marionâs condition.â
âIt hasnât affected me,â Alcott shot back, âso why would it affect Marion. She could be allergic toââ
âNow you
are
being wilfully blind!â Miller said scornfully. âThis has nothing to do with allergies, but it does have everything to do with second-hand smoke, and I wouldnât be too confident about it not affecting you. Of course itâs affecting you; you know it and I know it, and quite frankly, Tom, Iâm getting sick and tired of telling people to stop smoking, have them ignore everything I tell them, then expect some sort of miracle cure when they fall prey to COPD.â
Alcott took a deep breath. âSo what can be done for Marion?â he asked. âWhat sort of treatment will she have to take?â
Miller eyed Alcott bleakly. âI said it was serious, Tom, and I meant it. The damage to Marionâs lungs is permanent. Lungs donât recover from something like this; they donât mend themselves. All we can do is try to alleviate the condition. The muscle spasms may respond to bronchodilators, and there are one or two other things we can do, but she will never be able to breathe properly again, and she must stay away from anyone who has the flu or any other infection.â
âHow long do you think she will be in hospital?â
âThat will be up to Dr Nichols â the consultant who spoke to you yesterday â and how well Marion responds to treatment, but I strongly advise you to find somewhere for her to go other than back to your house. Iâm deadly serious about second-hand smoke, Tom. As I said, Iâve been in your house and you may be used to it, but I came out of there with my eyes stinging. The curtains, the carpets, the walls, everything is riddled with it. You must not
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