True Affliction - Chapter 22
Some stories do not announce themselves as they begin.
He slid out from under me like he’d been unstitched, careful hands setting me down, the duvet tugged over my hips as if that could keep the cold out. He was up and off the mattress in one sharp line of movement, no wasted breath, no wasted anything. The blue from the phone still bled across his face as he crossed the room.
The bathroom light snapped on. Tap. Water. The sound was obscene in the quiet, too bright, too clean for the thing that had just crawled into bed with us through a ringtone.
I pushed up on my elbows, throat tight. “Alex?” I kept it soft. “ What happened? Why did they call you?”
He didn’t answer. The water ran harder. I heard it hit his hands, his face. Heard him pull air through his nose like he was trying to rinse the night out of his lungs as well. He braced his palms either side of the basin. I knew that stance now. A man holding a cliff edge together with his shoulders.
“Alex,” I tried again, louder this time. “Talk to me.”
He turned the tap off. Silence swelled, too large for the room. Then he reappeared in the doorway, towel dragging once across his face, jaw set. He wasn’t looking at me. Not properly. His eyes had gone winter-cold, the kind of blue you only see when the light’s thin and the air cuts the inside of your nose. A stoic mask had clicked into place. Beautiful and brutal and useless for comfort.
He came back to the bed and sat on the edge for a second, not quite touching me. Then he stood and reached for the trousers slung over the chair. No rush. Button. Zip. The domestic obscenity of a belt snicking through loops while my heart hammered stupidly at my ribs.
“Alex.” I slid off the mattress, duvet wrapped, my toes kissing cold floorboards. I went to him and wrapped my arms around his middle from behind before he could take another step away. My cheek found the warm line of his spine. “Please.”
His shoulders sank. Not a sigh, just a surrender to gravity. One of his hands came up, covered mine where they were locked at his stomach, squeezed until my fingers ached. Then he turned in my arms and I let the duvet fall so I could fit to him properly.
He took my face in his hands like it weighed more than the house, bent, and pressed his mouth to my forehead. A long, careful kiss that felt like a promise and an apology smashed together.
“Don’t wait for me,” he said against my skin, voice roughened down to scraped velvet.
My chest cinched. “Where are you going?” Stupid question. The answer was inked under my ribs already. St Thomas’.
“In the morning, Daniel will take you to the clinic and bring you back home in the evening.” The cadence was pure command, but I could hear the wobble under it if I pressed my ear to the right place. “You’ll let him.”
“Alex,” I whispered, searching his eyes for anything but ice. “Where?”
He didn’t answer. He took my hand instead, turned it palm up, and put his mouth there. One deliberate kiss into the thin skin where my pulse kicked helplessly at his lips. Heat shot up my arm and landed in my throat.
“Please,” I tried, because I hate the dark. “Let me come with you. I won’t- I’ll sit in the car. I won’t say a word.”
His eyes closed for half a breath. When he opened them, the winter in them was worse, because there was love under it and that made the cold cruel. “No.”
“Alex-”
He shook his head once, tiny and final. “I need to keep you here.” A swallow. He forced gentleness back into his voice, and it nearly undid me. “Baby, don’t fight me on this.”
I didn’t trust my mouth. I nodded even as something in me kicked at the inside of my ribs.
He moved then, efficient again, pulling a shirt from the wardrobe, shoving his arms into it without doing the buttons, grabbing his wallet, his keys, his phone. He was here, the warm of him everywhere, and also already gone. I followed him to the door like a tide follows the moon.
At the threshold he paused. Looked down at me. His knuckles grazed my jaw, once. “Lock up after me.”
“Text me when you get there.”
Nothing. A muscle jumped in his cheek. He dipped and kissed me, brief, precise, like a seal on a document, then straightened and left.
The front door’s soft close was far, far louder than it should have been.
I stood there for a moment, skin prickling under the borrowed cold, and tried to put my bones back in the right order. I locked the door because he’d asked me to, then I padded back through the amber hush of the hall and climbed into a bed that still smelled like his soap and my shampoo and the thing that had almost been sleep.
I didn’t lie where he’d left me. I crawled across the mattress to his side, to his pillow, and dragged it under my cheek. His scent curled around my head, clean and male and ruinous, and for a moment the adrenaline in my blood dropped a fraction.
It didn’t hold.
My phone was on his nightstand, facedown where he’d put his. I flipped it over. The screen glared up at me. No messages. I typed anyway.
Me: I want to be with you.
I stared at the bubble until my eyes burned. Three dots didn’t appear. Nothing did.
I typed again, thumbs colder than they should have been.
Me: I’m awake. I’m not leaving. Tell me if you need anything.
Nothing.
I turned his pillow over to the cooler side and tucked my face into the crease where his shoulder had been. I held the phone in both hands the way he’d held my face and watched the time lurch forward in ugly minutes.
St Thomas’ sits miles and a heartbeat away, lights bright against the black water. I could see it in my head. I could see him there, winter-eyed and unmovable, a man trying not to shatter because someone had handed him a story he’d never wanted to read again.
Another message formed under my thumbs before I could stop it.
Me: I’m yours. You know that. Let me carry some of it.
I didn’t hit send for a full minute. Then I did. It left, blue and pitiful.
Silence answered.
I stayed awake because I knew he wouldn’t come back. Not tonight. Maybe not until the morning had bleached every shred of warmth out of the sky. I watched the grey creep across the walls, and every so often the phone buzzed with nothing, spam, a calendar alert I’d forgotten to cancel, the useless beating of the second hand in digital.
At five, the house felt like it had been emptied out and left to dry. At six, I got up and put the kettle on because that’s what you do when you can’t fix anything. I stood barefoot in his kitchen, wrapped in his T-shirt now, listening to the water try to work, and imagined him in a chair under strip lights, elbows on knees, head in his hands, still trying to remember how to breathe.
I typed once more, because I’m an idiot and because love makes you one.
Me: I’m here. Ring me, and I’ll come. I don’t care what you say.
The little Delivered sat under it like a dare.
No reply. The kettle clicked off. The flat hiss of the house answered me back. I poured the water and didn’t drink it, hands around the mug because heat is something.
When the first pale smear of morning touched the garden wall, the front gate clicked. I flinched like a fool, heart up in my mouth, already moving and then froze because I knew better. He’d told me not to wait. He’d told me Daniel would take me to the clinic. He’d told me to lock the door.
I set the untouched tea in his spot at the table. Sat in mine. And waited anyway, spine straight, phone facedown on my palm, like a soldier at attention in a kitchen at dawn.
Daniel didn’t ask questions. He just opened the back door like a gentleman-ghost and I slid in with a thank you that sounded too tidy for a night that had carved me out.
London was rinsed pale. We moved through it in quiet, traffic a slow churn, the river glinting dull pewter when we crossed. He pulled up outside the clinic.
“I’ll be here at six,” he said. His eyes were kind, unreadable otherwise. Alex probably teaches them that, how to carry a person without putting your fingerprints on the glass.
I nodded. “Thank you, Daniel.”
“Miss Thorne.” One small bow of his head, then he was gone.
I went in like nothing was wrong. Like I hadn’t slept with his pillow clutched in both hands. Reception murmured its usual. Phones, printers, Maya’s laugh spiking now and then from behind the frosted glass. I breathed peppermint tea and put my face on, the professional one that sits just right if you don’t look at it too long.
My phone: no messages.
Nine twenty-three, a soft knock, then Reece pushed my door with two knuckles and his “You decent?” grin that usually pulls me up and out. Not today. The grin didn’t land. His face was wrong. Gentle in that serious way that means the world is about to tilt.
“Cait,” he said, voice dropped. He stepped in, shut the door behind him with his foot. “Have you heard about Ella?”
Something inside me jolted like a plate sliding off a counter. “What about her?” My throat went paper-dry mid-syllable.
He came closer, hands jammed in his trouser pockets. Didn’t quite look at me. “She’s at St Thomas’. Took… pills, we think. It’s-” He tried to arrange his face into neutral and failed. “They’re saying it was intentional.”
The room edged sideways. For a second all I could hear was the kettle from this morning clicking off in my head. I shook it once, hard. “Ella… who told you?”
“James, his husband, rang me. He couldn’t get you.” He tipped his head at my desk like the phone was sitting there squealing. “He’s with her. They’ve moved her from resus. Observations.”
James. St Thomas’. The words from last night crashed into each other and made a single, shattering sound.
Two Ellas.
They can’t both have- they can’t- The thought landed wrong, skidding until it found purchase on the only thing that made sense. Not our Ella. Not the one with soft cardigans and sharp questions who sits on my sofa and tells me truths I pretend I don’t want. The other one. The one who lives in the pitch he doesn’t talk about.
Of course it was her. Of course he’d gone.
Why did he sound like he’d broken when he heard? Why that winter in his eyes? What is she to you, Alex? What does her name open in your chest that mine can’t close?
“Cait?” Reece again, closer now, concern properly creasing his brow. “You alright love?”
I shook my head. “I’m fine.” Lie. “Which ward?”
“St Thomas’.” He blinked, caught his own nonsense, scrubbed a hand over his jaw. “Sorry, that’s not helpful. James said the Acute Medical Unit. They’ll move her if- when she’s more stable.”
I was up without remembering standing. My chair scraped, loud as a siren. My hands found my bag, my keys, the familiar weight of my ID lanyard. I’m a friend. I’m a woman whose man left with frozen eyes and I’m still breathing. I can carry more than one thing at once.
“Can you cover my ten?” I asked, already at the door. “Push Lauren to Friday, give Mrs Patel my four-thirty, tell Maya to rearrange the rest.”
“Cait,” he said, trying to be the sensible one. “Are you sure-?”
“No.” I met his eyes because you owe people that when you’re about to set their day on fire. “But I’m going.”
He exhaled, then nodded like he’d always known the answer. “Text me when you get there.”
“I will.” Another lie. My hands were shaking too much for honesty. I squeezed his forearm as I passed. “Thank you.”
The corridor felt too narrow, the carpet too soft under my heels. Reception lifted their heads; I threw a quick “Family emergency,” over my shoulder that wasn’t a complete falsehood and pushed out into the morning.
I didn’t wait for a cab. I cut to the main road, found the stop, and when the bus sighed in I stepped up, let its sway hold me for a while.
Piccadilly slid past, then Trafalgar. Down Whitehall, stone men watching with blank old faces. My mobile sat dead in my palm, heavy as a pebble. I typed anyway, because the need to reach him was a live wire under my skin.
Me: I’m coming to St Thomas’. I won’t get in the way.
Nothing back. The bus pulled into Westminster and I rang the bell, suddenly done with being carried. I hit the pavement, crossed towards the bridge, hair whipping in the river wind. The hospital waited across the Thames.
Cars growled. A siren split the air to my left and rushed past, blue lights strobing my thoughts. The Thames rolled under me, steady as a heartbeat, carrying the city’s mess like it always does. I put one hand on the cold railing and let it bite. It anchored the spin just enough that I could breathe into my ribs and not cry in front of a school group.
What is she to you? My brain wouldn’t let it go. Past. Lover. Wound. All of the above. He’d said “Don’t make me. Please.” in a voice I didn’t recognise. A man on a cliff edge, hands flat on the rock, asking the sea for time.
The sliding doors sighed open on arrival like the building was bored with people bleeding. That hospital smell rolled over me, antiseptic and coffee and the metallic ghost of adrenaline, homesick and nauseated all at once.
“Acute Medical Unit?” I asked the first person in a blue tunic who looked like they ran the world.
“Turn left at main reception and follow signs to the emergency floor,” she said without glancing up.
Right. Emergency floor. I went.
Floors hummed, trolleys clicked, voices rose and fell in urgent polite. I moved through it with a sense of trespass I couldn’t shake, as if the lights would flicker and security would pluck me out by the collar. Alex doesn’t do waiting rooms. He bends them around him by existing. I could already see him somewhere ahead, elbows on knees, fingers laced, eyes like ice-water. Or pacing, not sitting, eating the space with each long step.
If I see him, do I touch him? Do I stand near, be quiet, be ballast? Or do I ask the question burning the back of my throat and risk setting the whole place alight?
I turned the corner into AMU with my pulse in my mouth and my spine too straight for sense, the yellow line finishing under my shoes like it had delivered me to the edge of something I couldn’t unsee.
The sound bit straight through skin: monitors chirping, tannoy barking names, a child wailing somewhere behind a curtain while a porter’s wheels clacked an off-beat down the corridor. Bodies everywhere. Heat and cold all at once, that hospital draft that sneaks down your neck and the crush of too many coats in one place.
“Patients’ area, please,” I said to the nurse at the desk, putting my consultant voice on, the one that usually parts water.
“Not without family ID or a band, love,” she replied, kind but immovable, eyes already back on her screen. “You can wait by Reception. We’ll update if we can.”
Right. Fine. I drifted out of the worst of the noise, past the vending machines and the charity table with its sad pile of leaflets about falls prevention, to the sliding doors that breathed cold in little sighs every time someone went through and I stood there.
Where are you, Alex?
I could feel him like weather, even with nothing to prove it, pressure dropping, a storm somewhere I couldn’t see. My phone sat dead in my palm. No message. No call. Just that last hard-edged instruction lodged under my ribs like a splinter: don’t wait. As if.
The doors sighed again. Two figures slipped in out of the morning like ghosts that had been dragged here by the same thread round my throat.
I knew them before my brain remembered why.
The woman from the hotel, sleek, immaculate even when the world had clearly taken a chunk out of her. Her hair was scraped back but flyaways had escaped at her temples, and there were shadows under her eyes that hadn’t been there when she’d spoken to me like she had a right to. Beside her, the man in the grey suit, the one I’d clocked at the bar with Ella, hand too tight round a glass, a face cut into polite lines that didn’t quite hold.
Up close to morning, they looked wrecked. His tie was askew, his jaw rough with a shave missed in a hurry. She’d traded lipstick for a mouth pressed into a determined line. And there, that movement, her hand rubbing slow circles over his forearm. Soothing. Protective. Like she’d done it a thousand times. Like he might come apart otherwise.
Something cold slid down my spine.
They didn’t see me. They cut across the waiting room, speaking to no one, that purposeful hush around people who think rules are for other people. The receptionist lifted her head; the woman said something low and level, producing a wallet card with a little snap. The woman’s eyes flicked once, restless, scanning the room like a radar that had lost its signal.
I ducked half behind a pillar like a coward, breath hot and small in my throat. Nerves frayed and sang. The woman’s voice from the hotel ran back over my skin. Cool, almost intimate, as if she knew where to press to make it sting.
Does he still drag your name out like it’s the only thing keeping him sane? Or has he already started using it like a leash?
Grey Suit: James. It had to be James. Reece’s voice in my office: He’s with her. Ella at the bar. Ella in a hospital bed. A line ran through the two scenes, through last night’s call, and it burned.
Who are you to each other? To Alex?
“Family only,” I heard at the desk. “We can take two back-”
“We are the family,” the woman said, and if it wasn’t true, she made it sound like it was law. “Now, please.”
They were waved through. Of course they were. The doors into the patients’ area clicked; the woman’s hand squeezed James’s arm once before they disappeared, and I was left with the air rushing out of my lungs and an ache like a bruise blooming under my breastbone.
Still no Alex.
Just when I was ready to hand him the last arguments I had, to let him be as mad and possessive and tender as he likes. This. A constellation I don’t recognise, pulsing around a name that makes his eyes go winter.
What are you all to each other? What binds you so tight you move like a unit?
A trolley rattled past and jolted me back into my body. I pressed my shoulder to the cool wall by the exit and let the doors breathe cold over my bare shins. My head spun: hotel bar, her voice, Grey Suit’s hand round a glass and Ella’s little half-smile.
I typed with stupid, shaking thumbs.
Me: I’m here. St Thomas’. By A&E. Tell me what you need me to do.
Nothing.
My fingers itched to march up to the desk, to say “Ashcroft” in a tone that opens things. To stride after those two strangers and insert myself into whatever history they think they own. To find him. To wrap a hand in his shirt and make his mouth answer me even if his words wouldn’t.
I didn’t move. I stood very still and stared at the doors they’d disappeared through, and let the jealousy, the fear, the heavy, idiotic love crash over each other until all I could do was breathe and wait and promise myself something very quietly.
When I see him, I am not letting him park me on the edge of this. Not this time. He can be winter-eyed and stone-mouthed and I will still stand in front of him and say the thing that scares both of us.
Tell me the truth, Alex. Tell me who she is to you.
He found me by the sliding doors like he’d followed a line only he could see. No herald, no text. Just Alex, stepping out of the A&E hum with a steadiness that made the rest of the room tilt.
He looked… beautiful in a way that hurt. Not polished, no. Worn at the edges, jacket open, shirt creased where he’d dragged a hand over his chest a hundred times in the night. The blue in his eyes was dulled, not with sleep loss, but with living too much in too few hours. The kind of fatigue that sits in a man’s bones and makes him older without adding a single line to his face.
Something in me softened on instinct. Then the promise I’d made to myself braced my spine back up. Both can be true. I can love him and not drown.
“Cait,” he said, and my name in that voice undid seams I’d stitched tight. He didn’t stop. He reached, took a fistful of my coat at the lapel, and hauled me into him like gravity had finally done its job.
The rest of the hospital blurred out to a smear. He wrapped me up, torso to torso, his arms crushing, greedy, like he meant to fuse us and be done with it. His face buried in the hollow beneath my jaw, breath hot on my skin. He inhaled, long and low, and I felt the shudder run right through him as if my scent plugged a missing piece back into place. His mouth found my throat, a press, another, no hunger, just thanks. Ownership. Relief. A kiss like a man coming up for air.
“I told you not to wait for me,” he murmured against my skin, words fraying on the edges.
“I know,” I whispered, hands locked at his back, fingers in the warm crease above his belt. I held him as hard as he was holding me, because he needed it and so did I.
He didn’t let go. His nose traced the line of my neck; another kiss landed just below my ear that made my knees think about giving in. Then, quieter, so quiet it was a thread, “I’m glad you came.”
We stood there and let the hospital happen around us. The tannoy, the clatter, the lives being rebuilt and broken ten feet away, and for a minute we were a still point in the middle of it, his heartbeat correcting mine, my grip telling him what words would bruise.
When I could trust my voice, I tipped back enough to see him. Close up, the weariness was worse, bleakness in the blue, a set to his mouth I hated. I cupped his jaw, felt stubble rasp my palm, and chose my line.
“I saw James with that woman at your hotel. The one who spoke to me like she knew where to put the knife.” His eyes flickered, the faintest acknowledgement. “On another day, I saw Ella with James. And last night, according to Reece, James tried to reach me because Ella is my patient.”
His face didn’t break. It didn’t do anything dramatic at all. He just absorbed it like a man who knew the punches were coming and had decided to let them land. Not surprised. Not relieved. As if my truths slotted into a diagram he’d already drawn.
The calm made my nerves sing.
“I’m going to ask you once,” I said, letting the promise I’d made to myself sharpen each word. My fingers slid from his jaw to the back of his neck and held. “And I want the truth.”
A beat. The hospital breathed.
“What is your connection to Ella?”
Things are beginning to unfold now, quietly and a little dangerously... Thank you for staying with these characters as the layers start to peel back. I love you all, and I cannot wait to hear your thoughts on this chapter.
A💋



I swear if it’s his wife , girl I -💔. But that’s worst case scenario right , right!? Happy thoughts🧘🏽♀️, Happy thoughts 🧘🏽♀️. I wanna be optimistic on Cait’s behalf but I can’t help the feeling that it’s only gonna go downhill from here..
I feel bad for her. It can't be easy not knowing what is going on in your lover's life.