In the excerpt from "Kiss the Girls" by James Patterson, loud shouts urgently call Dr. Cross, indicating a pressing situation. The repeated pleas, "Dr. Cross, please come! Please!" reveal the sense of immediacy and concern from those seeking help.
The narrator notes not recognizing the woman’s voice but observes that her urgency diminishes the need for privacy, especially since the woman addresses her as "Doctor." This suggests that the situation is critical enough to override typical social boundaries, emphasizing the tense and urgent atmosphere of the scene.