I recall reading a story maybe 10+ years ago, where I think Spike was somehow washed up or deposited on a beach near a coastal community, maybe upstate from CA. Maybe it was after AtS, or maybe it was canon headed AU mid-series.
So, this woman, who is in this town because she lives there/she is settling family stuff/whatever, I think she has a cottage/house, finds Spike. I can't recall if Spike is human or vamp. I think Spike can't remember his past, or refuses to. The woman seems to help him for a long time, it goes Spuffy. The (temporary other) woman was a doctor or nurse, or in medical training.
Many thanks for the brain power...