TERMINAL By Robin Cook PROLOGUE January 4 Monday, 7:05.4.M. Helen Cabot gradually awoke as dawn emerged from the winter darkness blanketing Boston, Massachusetts. Fingers of pale, anemic light pierced the darkness of the third-floor bed- room in her parents' Louisburg Square home. At first she didn't open her eyes, luxuriating under the down comforter of her canopied bed. Totally content, she was mercifully unaware of the terrible molecular events occurring deep inside her brain. The holiday season had not been one of Helen's most en- joyable. In order to avoid missing any classes at Princeton where she was enrolled as a junior, she'd scheduled an elective D&C between Christmas and New Year's. The doctors had promised that removing the abnormally heavy endometrial tis- sue lining the uterus would eliminate the violently painful cramps that left her incapacitated each time she got her period. They'd also promised it would be routine. But it hadn't been. Turning her head, Helen gazed at the soft morning light diffusing through the lace curtains. She had no sensation of impending doom. In fact, she felt better than she had in days. Although the operation had gone smoothly with only mild post-operative discomfort, the third day after surgery she had developed an unbearable headache, followed by fever, dizzi- ness, and most disturbing of all, slurred speech. Thankfully, the symptoms had cleared as quickly as they had appeared, but her parents still insisted she keep her scheduled appoint- 2 ment with the neurologist at the Massachusetts General Hos- pital. Drifting back to sleep Helen heard the barely perceptible click of her father's computer keyboard. His study was next to Helen's bedroom. Opening her eyes just long enough to see the clock, she realized it was just past seven. It was amazing how hard her father worked. As the founder and chairman of the board of one of the most powerful software companies in the world, he could afford to rest on his laurels. But he didn't. He was driven, and the family had become astoundingly wealthy and influential as a result. Unfortunately the security that Helen enjoyed from her fam- ily circumstances did not take into account that nature does not respect temporal wealth and power. Nature works accord- ing to its own agenda. The events occurring in Helen's brain, unknown to her, were being dictated by the DNA molecules that comprised her genes. And on that day in early January, four genes in several of her brain's neurons were gearing up to produce certain encoded proteins. These neurons had not divided since Helen was an infant, which was normal. Yet now because of these four genes and their resultant proteins, the neurons would be forced to divide again, and to keep on di- viding. A particularly malignant cancer was about to shatter Helen's life. At age twenty-one, Helen Cabot was potentially "terminal," and she had no idea. January 4, 10:45 A.M. Accompanied by a slight whirring noise, Howard Pace was slid out of the maw of the new MRI machine at the University Hospital in St. Louis. He'd never been more terrified in his life. He'd always been vaguely anxious about hospitals and doctors, but now that he was ill, his fears were full-fledged and overwhelming. At age forty-seven Howard had been in perfect health until that fateful day in mid-October when he'd charged the net in 3 the semifinals of the Belvedere Country Club's annual tennis tournament. There'd been a slight popping noise, and he'd sprawled ignominiously as the unreturned ball sailed over his head. Howard's anterior cruciate ligament had snapped inside his right knee. That had been the beginning of it. Fixing the knee had been easy. Despite some mild problems his doctors ascribed to the aftereffects of general anesthesia, Howard had returned to work in just a few days. It had been important for him to get back quickly; running one of the nation's largest airplane man- ufacturing firms was not easy in an era of sharply curtailed defense budgets. With his head still stabilized in the vise-like apparatus for the MRI, Howard was unaware of the technician's presence until the man spoke. "You okay?" he asked as he began to release Howard's head. "Okay," Howard managed to reply. He was lying. His heart was thumping in terror. He was afraid of what the test would reveal. Behind a glass divider he could discern a group of white-coated individuals studying a CRT screen. One of them was his doctor, Tom Folger. They were all pointing, gesturing, and, most disturbing of all, shaking their heads. The trouble had begun the day before. Howard had awak- ened with a headache, a rare occurrence unless he'd "tied one on," which he hadn't. In fact, he'd not had anything to drink since New Year's Eve. After taking a dose of aspirin and eat- ing a bit of breakfast, the pain had abated. But later that morn- ing in the middle of a board meeting, with no warning whatsoever, he'd vomited. It had been so violent and so un- expected, with no preceding nausea, that he'd not even been able to lean aside. To his utter mortification, his undigested breakfast had spewed over the boardroom table. With his head now freed, Howard tried to sit up, but the movement caused his headache to return in full force. He sank back to the MRI table and closed his eyes until his doctor gently touched his shoulder. Tom had been the family internist for over twenty years. He and Tom had become good friends 4 over the years, and they knew each other well. Howard did not like what he saw in Tom's face. "It's bad, isn't it?" Howard asked. "I've always been straight with you, Howard..." "So don't change now," Howard whispered. He didn't want to hear the rest, but he had to. "It doesn't look good," Tom admitted. He kept his hand on Howard's shoulder. "There are multiple tumors. Three to be exact. At least that's how many we can see." "Oh, God!" Howard moaned. "It's terminal, isn't it'?" "That's not the way we should talk at this point," Tom said. "Christ it isn't," Howard snapped. "You just told me you've always been straight with me. I asked a simple ques- tion. I have a right to know." "If you force me to answer, I'd have to say yes; it could be terminal. But we don't know for sure. For the present we've got a lot of work to do. First thing we have to do is find out where it's come from. Being multifocal suggests it's spread from someplace else." "Then let's get on with it," Howard said. "If there's a chance, I want to beat this thing." January 4, 1:25 P.M. When Louis Martin first awoke in the recovery room, he felt as if his throat had been scorched with an acetylene torch. He'd had sore throats before, but nothing had even come close to the pain he'd felt as he tried to swallow after his surgery. To make matters worse, his mouth had been as dry as the central Sahara. The nurse who had materialized at his bedside seemingly out of nowhere had explained that his discomfort was due to the endotracheal tube the anesthesiologist had inserted prior to his operation. She gave him a damp washcloth to suck on and the pain had abated. 5 By the time he was wheeled back to his room, a different pain had started, located somewhere between his legs and ra- diating into the small of his back. Louis knew the cause of that discomfort. It was the site of his surgery to reduce an enlarged prostate gland. The damn thing had been forcing him to get up to urinate four or five times each night. He'd sched- uled the surgery for the day after New Year's. Traditionally that was a slow time for the computer giant he ran north of Boston. Just as the pain was getting the best of him, another nurse gave him a bolus of Demerol through the IV which was still attached to his left hand. A bottle of fluid hung on a T-shaped pole protruding from the head of his bed. The Demerol put him back into a drugged sleep. He wasn't sure how much time had passed when he became aware of a presence next to his head. It took all his strength to open his eyes; his eyelids felt like lead. At the head of his bed was a nurse fumbling with plastic tubing coming from the IV bottle. In her right hand was a syringe. "What's that?" Louis mumbled. He sounded inebriated. The nurse smiled at him. "Sounds as if you'd had one too many," she said. Louis blinked as he tried to focus on the woman's swarthy face. In his drugged state, the nurse was a blur. Yet she was correct about how he sounded. "I don't need any more pain medicine," Louis managed to say. He struggled to a half-sitting position, leaning on an el- bow. "It's not pain medicine," the nurse said. "Oh," Louis said. While the nurse completed the injection, Louis slowly realized he still didn't know what he was being given. "What kind of medicine is it?" Louis asked. "A wonder drug," the nurse said, quickly capping the sy- ringe. Louis laughed in spite of himself. He was about to ask an- other question, but the nurse satisfied his curiosity. "It's an antibiotic," she said. She gave Louis's shoulder a reassuring squeeze. "Now you close your eyes and rest." 6 Louis flopped back onto his bed. He chuckled. He liked people with a sense of humor. In his mind he repeated what the nurse had said: a wonder drug. Well, antibiotics were won- der drugs, there was no doubt. He recalled that Dr. Handlin had told him he might be put on antibiotics as a precaution after his operation. Louis vaguely wondered what it had been like to be in a hospital before antibiotics had been discovered. He felt thankful that he was living when he was. Closing his eyes, Louis followed the nurse's suggestion and let his body relax. The pain was still present, but because of the narcotic, it didn't bother him. Narcotics were wonder drugs as well, and so were the anesthetic agents. Louis was the first to admit he was a coward when it came to pain. He could never have tolerated surgery back when none of the "wonder drugs" were available. As Louis drifted off to sleep, he wondered what kind of drugs the future would bring. He decided he'd have to ask Dr. Handlin's opinion. January 4, 2:53 P.M. Norma Kaylor watched the drops fall into the millipore cham- ber hanging below her IV bottle. The IV ran through a large- bore catheter into her left arm. She had such mixed feelings about the medicine she was getting. She hoped the powerful chemotherapeutic agents would cure her breast cancer which, she'd been told, had spread into her liver and lungs. At the same time she knew the medicines were cellular poisons, ca- pable of wreaking havoc on her body as well as on her tumor. Dr. Clarence had warned her about so many dreadful side ef- fects that she'd made a conscious effort to screen out his voice. She'd heard enough. She'd signed the consent form with a feeling of numbed detachment. Turning, Norma looked out the window at the intensely blue Miami sky, filled with massive bubbles of white cumulus clouds. Since her cancer had been diagnosed, she tried hard 7 not to ask why me? When she'd first felt the lump she had hoped it would go away of its own accord, like so many lumps had done in the past. It wasn't until several months had passed, and the skin over the lump had suddenly dimpled, that she'd forced herself to see a doctor, only to learn that her fears had been justified: the lump was malignant. So just before her thirty-third birthday she'd undergone a radical mastectomy. She hadn't fully recovered from the surgery before the doctors began the chemotherapy. Determined to end her self-pity, she was reaching for a novel when the door to her private room opened. She didn't even look up. Staff at the Forbes Cancer Center was constantly in and out adjusting her IV, injecting her medicine. She had gotten so used to the constant comings and goings, they barely interrupted her reading anymore. It was only after the door had closed again that she became aware she had been given some new drug. The effect was unique, causing the strength suddenly to drain from her body. Even the book she was holding fell from her hands. But what was more frightening was the effect on her breathing; it was as if she were being smothered. In agony she tried to get air, but she had progressive difficulty, and soon she was totally paralyzed except for her eyes. The image of her door being quietly opened was the last thing she knew. 1 February 26 Friday, 9:15 4.M. "Oh, God, here she comes!" Sean Murphy said. Frantically he grabbed the charts stacked in front of him and ducked into the room behind the nurses' station on the seventh floor of the Weber Building of the Boston Memorial Hospital. Confused at this sudden interruption, Peter Colbert, a fellow third-year Harvard medical student, surveyed the scene. Noth- ing was out of the ordinary. It appeared like any busy internal medicine hospital ward. The nurses' station was a beehive of activity with the floor clerk and four RN's busy at work. There were also several orderlies pushing patients on gurneys. Organ music from the soundtrack of a daytime soap could be heard drifting out of the floor lounge. The only person approaching the nurses' station who didn't belong was an attractive female nurse who Peter felt was an eight or nine out of a possible ten. Her name was Janet Reardon. Peter knew about her. She was the daughter of one of the old Boston Brahmin families, aloof and untouchable. Peter pushed back from the counter where he had been sit- ting next to the chart rack and shoved open the door to the back room. It was an all-purpose office with desk-high coun- tertops, a computer terminal, and a small refrigerator. The nurses held their reports in there at the end of each shift, and those who brown-bagged it used it as a lunchroom. In the back was a lavatory. "What the hell's going on?" Peter demanded. He was cu- 9 rious to say the least. Sean was against the wall with his charts pressed to his chest. "Shut the door!" Sean commanded. Peter stepped into the room. "You've been making it with Reardon?" It was part question, part stunned realization. It had been almost two months ago at the outset of Peter's and Sean's rotation on third-year medicine that Sean had spotted Janet and had asked Peter about her. "Who the hell is that?" Sean had demanded. His mouth had gone slack. In front of him was one of the most beautiful women he'd ever seen. She was climbing down from the counter after retrieving something from the inaccessible top shelf of a wall cabinet. He could tell she had a figure that could have graced any magazine. "She's not your type," Peter had said. "So close your mouth. Compared to you she's royalty. I know some guys who have tried to date her. It's impossible." "Nothing is impossible," Sean had said, watching Janet with stunned appreciation. "A townie like you could never get to first base," Peter had said. "Much less hit a home run." "Want to bet?" Sean had challenged. "Five bucks says you are wrong. I'll have her thirsting for my body by the time we finish medicine." At the time, Peter had just laughed. Now he appraised his partner with renewed respect. He thought he'd gotten to know Sean over the last two months of grueling work, and yet here he was on the last day of medicine surprising him. "Open the door a crack and see if she's gone," Sean said. "This is ridiculous," Peter said, but he opened the door several inches nonetheless. Janet was at the counter talking to Carla Valentine, the head nurse. Peter let the door shut. "She's right outside," he said. "Damn!" Sean exclaimed. "I don't want to talk to her right now. I've got too much to do, and I don't want a scene. She doesn't know I'm leaving for Miami for that elective at the Forbes Cancer Center. I don't want to tell her until Saturday night. I know she's going to be pissed." 10 11 "So you have been dating her?" "Yeah, we've gotten pretty hot and heavy," Scan said. "Which reminds me: you owe me five bucks. And let me tell you, it wasn't easy. At first she'd barely talk to me. But even- tually, utter charm and persistence paid off. My guess is that it was mostly the persistence." "Did you bag her?" Peter asked. "Don't be crude," Scan said. Peter laughed. "Me crude? That's the best example of the pot calling the kettle black that I've ever heard." "The problem is she's getting serious," Sean said. "She thinks because we slept together a couple of times, it's leading to something permanent." "Am I hearing marriage here?" Peter asked. "Not from me," Scan said. "But I think that's what she has in mind. It's insane, especially since her parents hate my guts. And hell, I'm only twenty-six." Peter opened the door again. "She's still there talking with one of the other nurses. She must be on break or something." "Great!" Scan said sarcastically. "I guess I can work in here. I've got to get these off-service notes written before I get another admission." "I'll keep you company," Peter said. He went out and re- turned with several of his own charts. They worked in silence, using the three-by-five index cards they carried in their pockets bearing the latest laboratory work on each of their assigned patients. The idea was to summarize each case for the medical students rotating on service come March 1. "This one has been my most interesting case," Scan said after about half an hour. He held the massive chart aloft. "If it hadn't been for her I wouldn't even have heard about the Forbes Cancer Center." "You talking about Helen Cabot?" Peter asked. "None other," Sean said. "You got all the interesting cases, you dog. And Helen's a looker, too. Hell, on her case consults were pleading to be called." 11 "Yeah, but this looker turned out to have multiple brain tumors," Scan said. He opened the chart and glanced through some of its two hundred pages. "It's sad. She's only twenty- one and she's obviously terminal. Her only hope is that she gets accepted by the Forbes. They have been having phenom- enal luck with the kind of tumor she has." "Did her final pathology report come back'?" "Yesterday," Sean said. "She's got medulloblastoma. It's fairly rare; only about two percent of all brain tumors are this type. I did some reading on it so 1 could shine on rounds this afternoon. It's usually seen in young children." "So she's an unfortunate exception," Peter commented. "Not really an exception," Scan said. "Twenty percent of medulloblastomas are seen in patients over the age of twenty. What surprised everyone and why no one even came close to guessing the cell type was because she had multiple growths. Originally her attending thought she had metastatic cancer, probably from an ovary. But he was wrong. Now he's plan- ning an article for the New England Journal of Medicine." "Someone said she was not only beautiful but wealthy," Peter said, lamenting anew he'd not gotten her as a patient. "Her father is CEO of Software, Inc.," Scan said. "Obvi- ously the Cabots aren't hurting. With all their money, they can certainly afford a place like the Forbes. I hope the people in Miami can do something for her. Besides being pretty, she's a nice kid. I've spent quite a bit of time with her." "Remember, doctors are not supposed to fall in love with their patients," Peter said. "Helen Cabot could tempt a saint." JANET REARDON took the stairs back to pediatrics on the fifth floor. She'd used her fifteen-minute coffee break trying to find Sean. The nurses on seven said they'd just seen him, working on his off-service notes, but had no idea where he'd gone. Janet was troubled. She hadn't been sleeping well for sev- eral weeks, waking at four or five in the morning, way before her alarm. The problem was Sean and their relationship. When 12 she'd first met him, she'd been turned off by his coarse, cocky attitude, even though she had been attracted by his appealing Mediterranean features, black hair, and strikingly blue eyes. Before she'd met Sean she hadn't known what the term "Black Irish" meant. When Sean had initially pursued her, Janet had resisted. She felt they had nothing in common, but he refused to take no for an answer. And his keen intelligence pricked her curiosity. She finally went out with him thinking that one date would end the attraction. But it hadn't. She soon discovered that his rebel's attitude was a powerful aphrodisiac. In a surprising about-face, Janet decided that all her previous boyfriends had been too predictable, too much the Myopia Hunt Club crowd. All at once she realized that her sense of self had been tied to an expectation of a marriage similar to her parents' with some- one conventionally acceptable. It was then that Sean's Charles- town rough appeal had taken a firm hold on her heart, and Janet had fallen in love. Reaching the nurses' station on the pediatric floor, Janet noticed she still had a few minutes left on her break. Pushing through the door to the back room, she headed for the com- munal coffee machine. She needed a jolt to get her through the rest of the day. "You look like you just lost a patient," a voice called. Janet turned to see Dorothy MacPherson, a floor nurse with whom she'd become close, sitting with her stockinged feet propped upon the countertop. "Maybe just as bad," Janet said as she got her coffee. She only allowed herself half a cup. She went over and joined Dorothy. She sat heavily in one of the metal desk chairs. "Men!" she added with a sigh of frustration. "A familiar lament," Dorothy said. "My relationship with Sean Murphy is not going any- where," Janet said at length. "It's really bothering me, and 1 have to do something about it. Besides," she added with a laugh, "the last thing I want to do is to be forced to admit to my mother that she'd been right about him all along." Dorothy smiled. "I can relate to that." 13 "It's gotten to the point that I think he's avoiding me," Janet said. "Have you two talked?" Dorothy asked. "l've been trying," Janet said. "But talking about feelings is not one of his strong points." "Regardless," Dorothy said. "Maybe you should take him out tonight and say what you've just said to me." "Ha!" Janet laughed scornfully. "It's Friday night. We can't.' ' "Is he on call?" Dorothy asked. "No," Janet said. "Every Friday night he and his Charles- town buddies get together at a local bar. Girlfriends and wives are not invited. It's the proverbial boys' night out. And in his case, it's some kind of lrish tradition, complete with brawls." "Sounds disgusting," Dorothy said. "After four years at Harvard, a year of molecular biology at MIT, and now three years of medical school, you'd think he'd have outgrown it. Instead, these Friday nights seem to be more important to him than ever." "I wouldn't stand for it," Dorothy said. "1 used to think my husband's golf fetish was bad, but it's nothing compared to what you're talking about. Are there women involved in these Friday night escapades?" "Sometimes they go up to Revere. There's a strip joint there. But mostly it's just Sean and the boys, drinking beer, telling jokes, and watching sports on a big-screen TV. At least that's how he's described it. Obviously I've never been there." "Maybe you should ask yourself why you're involved with this man," Dorothy said. "I have," Janet said. "Particularly lately, and especially since we've had so little communication. It's hard even to find time to talk with him. Not only does he have all the work associated with med school, but he has his research too. He's in an M.D.-Ph.D. program at Harvard." "He must be intelligent," Dorothy offered. "It's his only saving grace," Janet said. "That and his body." Dorothy laughed. "At least there's a couple of things to 14 justify' your anguish. But I wouldn't let my husband get away with that juvenile Friday night stuff. Hell, I'd march right in and embarrass the heck out of him. Men will be boys, but there have to be some limits." "I don't know if I could do that," Janet said. But as she took a sip from her coffee, she gave the idea some thought. The problem was that she'd always been so passive in her life, letting things happen, then reacting after the fact. Maybe that's how she got herself into this kind of trouble. Maybe she needed to encourage herself to be more assertive. "DAMN IT, MARCIE!" Louis Martin shouted. "Where the hell are those projections? I told you 1 wanted them on my desk." To emphasize his displeasure, Louis slapped his hand on his leather-bound blotter, sending a flurry of papers wafting off into the air. He had been feeling irritable ever since he'd awak- ened at four-thirty that morning with a dull headache. While in the bathroom searching for aspirin, he'd vomited into the sink. The episode had shocked him. His retching had come with no warning and no accompanying nausea. Marcie Delgado scurried into her boss's office. He'd been yelling at her and criticizing her all morning. Meekly she reached across the desk and pushed a stack of papers bound with a metal clip directly in front of the man. In block letters on the front cover was: PROJECTIONS FOR BOARD MEETING FEB RUARY 26. Without even an acknowledgment, much less an apology, Louis snatched up the documents and stormed out of the of- rice. But he didn't get far. After half a dozen steps, he couldn't recall where he was going. When he finally remembered he was headed for the boardroom, he wasn't sure which door it was. "Good afternoon, Louis," one of the directors said, coming up behind him and opening the door on the right. Louis stepped into the room feeling disoriented. He haz- arded a furtive glance at the people sitting around the long conference table. To his consternation, he was unable to rec- 15 ognize a single face. Lowering his eyes to stare at the packet of papers he'd carried in with him, he let them slip from his grasp. His hands were shaking. Louis Martin stood for another moment while the babble of voices in the room quieted. All eyes were drawn to his face, which had turned ghostly pale. Then Louis's eyes rolled up inside his head, and his back arched. He fell backward, his head striking the carpeted floor with a dull thump. Simulta- neous with the impact on the floor, Louis's body began to tremble before being overwhelmed by wild tonic and clonic muscular contractions. None of Louis's board of directors had ever seen a grand mal seizure, and for a moment they were all stunned. Finally, one man overcame his shock and rushed to the side of his stricken chairman. Only then did others respond by racing off to nearby telephones to call for help. By the time the ambulance crew arrived, the seizure had passed. Except for a residual headache and lethargy, Louis felt relatively normal. He was no longer disoriented. In fact, he was dismayed to be told he'd had a seizure. As far as he was concerned, he'd only fainted. The first person to see Louis in the emergency room at the Boston Memorial Hospital was a medical resident who intro- duced himself as George Carver. George seemed harried but thorough. After conducting a preliminary examination he told Louis that he would have to be admitted even though Louis's private internist, Clarence Handlin, had not yet been consulted. "Is a seizure serious?" Louis asked. After his prostate op- eration two months earlier, Louis was not happy about the prospect of being hospitalized. "We'll get a neurology consult," George said. "But what's your opinion?" Louis asked. "Seizures with sudden onset in an adult suggests structural brain disease," George said. "How about talking English," Louis said. He hated medical jargon. The resident fidgeted. "Structural means exactly that," he 16 said evasively. "Something abnormal with the brain itself, not just its function." "You mean like a brain tumor?" Louis asked. "It could be a tumor," George said reluctantly. "Good Lord!" Louis said. He felt himself break out in a cold sweat. After calming the patient the best he could, George went into the "pit," as the center of the emergency room was called by those that worked there. First he checked to see if Louis's private physician had called in yet. He hadn't. Then he paged a neurology resident stat. He also told the ER clerk to call the medical student who was up for the next admission. "By the way," George said to the clerk as he was returning to the cubicle where Louis Martin was waiting. "What's the name of the medical student'?" "Sean Murphy," the clerk said. "CRAP!" SEAN said as his beeper went off. He was certain that Janet had long since disappeared, but just to be sure, he opened the door carefully and scanned the area. He didn't see her, so he pushed through. He had to use the phone out in the nurses' station since Peter was hogging the one in the back room, trying to get last-minute lab reports. Before Sean called anybody, he approached Carla Valen- tine, the head nurse. "You guys looking for me?" he asked expectantly. He was hoping they were because then the page would involve some easily performed scut work. What Sean feared was that the page was coming from either admitting or the ER. "You're all clear for the moment," Carla said. Sean then dialed the operator and got the bad news. It was the ER with an admission. Knowing the sooner he got the history and physical done, the better off he'd be, Sean bid farewell to Peter, who was still on the phone, and went downstairs. Under normal circumstances Sean liked the ER and its con- stant sense of excitement and urgency. But on the afternoon 17 of his last day on his medicine rotation, he didn't want another case. The typical Harvard medical student's workup took hours and filled between four and ten pages of tightly written notes. "It's an interesting case," George said when Sean arrived. George was on hold on the phone with radiology. "That's what you always say," Sean said. "Truly," George said. "Have you ever seen papilledema?" Sean shook his head. "Grab an ophthalmoscope and look at the guy's nerve heads in both eyes. They'll look like miniature mountains. It means the intracranial pressure is elevated." George slid the ER clipboard along the countertop toward Sean. "What's he got?" Sean asked. "My guess is a brain tumor," George said. "He had a sei- zure at work." At that moment someone came on the phone line from ra- diology, and George's attention was directed at scheduling an emergency CAT scan. Sean took the ophthalmoscope and went in to see Mr. Mar- tin. Sean was far from adept at using the instrument, but after persistence on his part and patience on Louis's part, he was able to catch fleeting glimpses of the mounded nerve heads. Doing a medical student history and physical was a labo- rious task under the best of circumstances, and doing it in the emergency room and then up in X-ray while waiting for a CAT scan made it ten times more difficult. Sean persisted, asking as many questions as he could think of, especially about the current illness. What Sean learned that no one else had was that Louis Martin had had some transient headache, fever, and nausea and vomiting about a week after his prostate sur- gery in early January. Sean had stumbled onto this information just before Louis began his enhanced CAT scan. The techni- cian had to order Sean out of the CAT scanner room and into the control room moments before the study commenced. Besides the technician running the CAT scanner, there were a number of other people in the control room including Dr. Clarence Handlin, Louis Martin's internist, George Carver, the 18 19 medical resident, and Harry O'Brian, the on-call neurology resident. They were all grouped around the CRT screen, wait- ing for the first "cuts" to appear. Sean pulled George aside and told him about the earlier headache, fever, and nausea. "A good pickup," George said while he pulled pensively at the skin at the edge of his jaw. He was obviously trying to relate these earlier symptoms to the current problem. "The fever is the curious part," he said. "Did he say it was a high fever?" "Moderate," Scan said. "102 to 103. He said it was like having a cold or mild flu. Whatever it was, it went away com- pletely." "It might be related," George said. "At any rate this guy is a 'sickie.' The preliminary CAT scan showed two tumors. Remember Helen Cabot upstairs?" "How can I forget?" Sean said. "She's still my patient." "This guy's tumors look very similar to hers," George said. The group of doctors around the CRT screen began talking excitedly. The first cuts were coming out. Sean and George stepped behind them and peered over their shoulders. "Here they are again," Harry said, pointing with the tip of his percussion hammer. "They're definitely tumors. No doubt at all. And here's another small one." Scan strained to see. "Most likely metastases," Harry said. "Multiple tumors like this have to come from someplace else. Was his prostate benign?" "Completely," Dr. Handlin said. "He's been in good health all his life." "Smoke?" Harry asked. "No," Scan said. The people in front moved to give Scan a better view of the CRT screen. "We'll have to do a full metastatic workup," Harry said. Scan bent over close to the CRT screen. The areas of re- duced uptake were apparent even to his inexperienced eye. But what really caught his attention was how much they resembled Helen Cabot's tumors, as George had said. And like hers, they 19 were all in the cerebrum. That had been a point of particular interest with Helen Cabot, since medulloblastomas generally occurred in the cerebellum, not the cerebrum. "I know statistically you have to think of a metastasis from lung, colon, or prostate," George said. "But what are the chances we're seeing a tumor similar to Helen Cabot's? In other words, multifocal primary brain cancer like medullo- blastoma." Harry shook his head. "Remember, when you hear hoof- beats you should think of horses, not zebras. Helen Cabot's case is unique even though there have been a couple of similar cases recently reported around the country. Nonetheless, FI1 be willing to wager anyone that we're looking at metastatic tumors here." "What service do you think he should be on?" George asked. "Six of one, half dozen of another," Harry said. "If he's on neurology, we'll need an internal medicine consult for the metastatic workup. If he's on internal medicine, he'll need the neuro consult." "Since we took Cabot," George suggested, "why don't you guys take him. You interact better with neurosurgery any- way." "Fine by me," Harry said. Sean groaned inwardly. All his work doing the history and physical was for naught. Since the patient would be admitted to neurology, the medical student on neurology would get credit for it. But at least that meant Sean was free. Sean motioned to George that he'd see him later on rounds, then slipped out of the CAT scan room. Although he was behind on his off-service notes, Sean took the time for a visit. Having been thinking and talking about Helen Cabot, he wanted to see her. Getting off the elevator on the seventh floor, he walked directly down to room 708 and knocked on the half- open door. Despite her shaved head and a series of blue marker stains on her scalp, Helen Cabot still managed to look attractive. Her features were delicate, emphasizing her large, bright green 20 21 eyes. Her skin had the translucent perfection of a model. Yet she was pale, and there was little doubt she was ill. Still, her face lit up when she saw Sean. "My favorite doctor," she said. "Doctor-to-be," Sean corrected her. He didn't enjoy the charade of playing doctor like many medical students. Ever since he graduated from high school he'd felt like an imposter, play-acting first at the role of a Harvard undergraduate, then an MIT fellow, and now a Harvard medical student. "Have you heard the good news?" Helen asked. She sat up despite her weakness from the many seizures she'd been having. "Tell me," Sean said. "I've been accepted into the Forbes Cancer Center proto- col," Helen said. "Fantastic!" Sean said. "Now I can tell you I'm heading there myself. I've been afraid to mention it until 1 heard you were going too." "What a marvelous coincidence!" Helen said. "Now I'll have a friend there. I suppose you know that with my partic- ular type of tumor they've had a one hundred percent remis- sion." 'q know," Sean said. "Their results are unbelievable. But it's no coincidence we'll be down there together. It was your case that made me aware of the Forbes. As l've mentioned to you, my research involves the molecular basis of cancer. So discovering a clinic where they are having hundred-percent success treating a specific cancer is extraordinarily exciting for me. I'm amazed I hadn't read about it in the medical literature. Anyway, I want to go down there and find out exactly what they're doing." "Their treatment is still experimental," Helen said. "My father emphasized that to me. We think the reason they've avoided publishing their results is that they first want to be absolutely sure of their claims. But whether they've published or not, I can't wait to get there and start treatment. It's the first ray of hope since this nightmare started." "When are you going.'?" Sean asked. "Sometime next week," Helen said. "And you?" "I'll be on the road the crack of dawn on Sunday. I should be there early Tuesday morning. I'll be waiting for you." Sean reached out and gripped Helen's shoulder. Helen smiled, placing her hand over Sean's. 21 AFTER COMPLETING report, Janet returned to the seventh floor to look for Sean. Once again the nurses said he'd been there only moments earlier but apparently had disappeared. They suggested paging him, but Janet wanted to catch him off guard. Since it was now after four she thought the best place to find him would be Dr. Clifford Walsh's lab. Dr. Walsh was Sean's Ph.D. advisor. To get there, Janet had to leave the hospital, brace herself against the winter wind, walk partway down Longfellow Av- enue, cross the medical school quadrangle, and climb to the third floor. Even before she opened the door to the lab, she knew she'd guessed correctly. She recognized Sean's figure through the frosted glass. It was mostly the way he moved that was so familiar. He had surprising grace for such a stocky, muscular frame. There was no wasted motion. He went about his tasks quickly and efficiently. Entering the room, Janet closed the door behind her and hesitated. For a moment she enjoyed watching Sean. Besides Sean there were three other people busily working. A radio played classical music. There was no conversation. It was a rather dated and cluttered lab with soapstone-topped benches. The newest equipment were the computers and a se- ries of desk-sized analyzers. Sean had described the subject of his Ph.D. thesis on several occasions, but Janet still wasn't a hundred percent certain she understood it all. He was search- ing for specialized genes called oncogenes that had the capa- bility of encouraging a cell to become cancerous. Sean had explained that the origins of oncogenes seemed to be from normal "cellular control" genes that certain types of viruses called retroviruses had a tendency to capture in order to stim- ulate viral production in future host cells. 22 23 Janet had nodded at appropriate times during these expla- nations but had always found herself more interested by Sean's enthusiasm than the subject matter. She also realized that she needed to do some more basic reading in the area of molecular genetics if she was to understand Sean's particular area of research. Sean had a tendency to assume that she had more knowledge than she had, in a field where advances came at a dizzying pace. As Janet watched Sean from just inside the door, appreci- ating the V that his broad shoulders and narrow waist formed, she became curious about what he was currently doing. In sharp contrast to many other visits she'd made over the last two months, he wasn't prepming one of the analyzers to run. Instead he seemed to be putting objects away and cleaning up. After watching for several minutes, expecting him to notice her, Janet stepped forward and stood right next to him. At five-six Janet was relatively tall, and since Sean was only five- nine, they could just about look each other in the eye, especially when Janet wore heels. "What may I ask are you doing?" Janet said suddenly. Sean jumped. His level of concentration had been so great he'd not sensed her presence. "Just cleaning up," he said guiltily. Janet leaned forward and looked into his startlingly blue eyes. He returned her stare for a moment, then looked away. "Cleaning up?" Janet asked. Her eyes swept around the now pristine lab bench. "That's a surprise." Janet redirected her eyes at his face. "What's going on here? This is the most immaculate your work area has ever been. Is there something you haven't told me?" "No," Sean said. Then he paused before adding, "Well, yes, there is. I'm taking a two-month research elective." "Where?" "Miami, Florida." "You weren't going to tell me?" "Of course I was. I planned on telling you tomorrow night." "When are you leaving?" "Sunday." Janet's eyes angrily roamed the room. Absently, her fingers drummed on the countertop. She questioned to herself what she'd done to deserve this kind of treatment. Looking back at Sean, she said: "You were going to wait until the night before to tell me this?" "It just came up this week. It wasn't certain until two days ago. I wanted to wait until the right moment." "Considering our relationship, the right moment would have been when it came up. Miami? Why now?" "Remember that patient I told you about? The woman with medulloblastoma." "Helen Cabot? The attractive coed?" "That's the one," Sean said. "When I read about her Tu.- mor, I discovered..." He paused. "Discovered what?" Janet demanded. "It wasn't from my reading," Sean corrected himself. "One of her attendings said that her father had heard about a treat- ment that is apparently achieving one hundred percent remis- sion. The protocol is only administered at the Forbes Cancer Center in Miami." "So you decided to go. Just like that." "Not exactly," Sean said. "I spoke to Dr. Walsh, who hap- pens to know the director, a man named Randolph Mason. A number of years ago they worked together at the NIH. Dr. Walsh told him about me, and got me invited." "This is the wrong time for this," Janet said. "You know i've been disturbed about us." Sean shrugged. "I'm sorry. But I have the time now, and this is potentially consequential. My research involves the mo- lecular basis of cancer. If they are experiencing a hundred- percent remission rate for a specific tumor, it has to have implications for all cancers." Janet felt weak. Her emotions were raw. Sean's leaving for two months at this time seemed the worst possible situation as far as her psyche was concerned. Yet his reasons were no- ble. He wasn't going to the Club Med or something. How 24 25 could she get angry or try to deny him. She felt totally con- fused. "There is the telephone," Sean said. "I'm not going to the moon. It's only a couple of months. And you understand that this could be very important." "More important than our relationship?" Janet blurted out. "More important than the rest of our lives." Almost imme- diately Janet felt foolish. Such comments sounded so juvenile. "Now let's not get into an argument comparing apples and oranges," Sean said. Janet sighed deeply, fighting back tears. "Let's talk about it later," she managed. "This is hardly the place for an emo- tional confrontation." "I can't tonight," Sean said. "It's Friday and..." "And you have to go to that stupid bar," Janet snapped. She saw some of the other people in the room turn to stare at them. "Janet, keep your voice down!" Sean said. "We'll get to- gether Saturday night as planned. We can talk then." "Knowing how upset this leaving would make me, I cannot understand why you can't give up drinking with your trashy buddies for one night." "Careful, Janet," Sean warned. "My friends are important to me. They're my roots." For a moment their eyes met with palpable hostility. Then Janet turned and strode from the lab. Self-consciously, Sean glanced at his colleagues. Most avoided his gaze. Dr. Clifford Walsh did not. He was a big man with a full beard. He wore a long white coat with the sleeves rolled up to the elbows. "Turmoil does not help creativity," he said. 'q hope your leaving on this sour note does not influence your behavior down in Miami." "Not a chance," Sean said. "Remember, I've gone out on a limb for you," Dr. Walsh said. "I assured Dr. Mason you'd be an asset to his organi- zation. He liked the idea that you've had a lot of experience with monoclonal antibodies." "That's what you told him?" Sean questioned with dismay. "I could tell from our conversation that he'd be interested in that," Dr. Walsh explained. "Don't get your dander up." "But that was what I did three years ago at MIT," Sean said. "Protein chemistry and I have parted ways." "I know you're interested in oncogenes now," Dr. Walsh said, "but you wanted the job and I did what I thought was best to get you invited. When you are there, you can explain you'd rather work in molecular genetics. Knowing you as ! do, l'm not worried about you making your feelings known. Just try to be tactful." "I've read some of the work of the chief investigator," Sean said. "It's perfect for me. Her background is in retro- viruses and oncogenes." "That's Dr. Deborah Levy," Dr. Walsh said. "Maybe you can get to work with her. But whether you do or not, just be grateful you've been invited at this late date." "I just don't want to get all the way down there and get stuck with busywork." "Promise me you won't cause trouble," Dr. Walsh said. "Me?" Sean asked with eyebrows arched. "You know me better than that." "I know you too well," Dr. Walsh said. "That's the prob- lem. Your brashness can be disturbing, to put it mildly, but at least thank the Lord for your intelligence." 2 February 26 Friday, 4:45 P.M. "Just a second, Corissa," Kathleen Sharenburg said as she stopped and leaned against one of the cosmetic counters of Neiman Marcus. They'd come to the mall just west of Houston to shop for dresses for a school dance. Now that they had made their purchases, Corissa was eager to get home. Kathleen had had a sudden sensation of dizziness giving her the sickening sensation that the room was spinning. Luckily, as soon as she touched the countertop, the spinning stopped. She then shuddered through a wave of nausea. But it too passed. "You all right?" Corissa asked. They were both juniors in high school. "I don't know," Kathleen said. The headache she'd had off and on for the last few days was back. It had been awakening her from sleep, but she hadn't said anything to her parents, afraid that it might be related to the pot she'd smoked the weekend before. "You look white as a ghost," Corissa said. "Maybe we shouldn't have eaten that fudge." "Oh my God!" Kathleen whispered. "That man over there is listening to us. He's planning on kidnapping us in the park- ing garage." Corissa spun about, half expecting some fearful man to be towering over them. But all she saw was a handful of peaceful, women shoppers, mostly at the cosmetic counters. She didn't see any man. 26 "What man are you talking about?" she asked. Kathleen's eyes stared ahead, unblinking. "That man over there near the coats." She pointed with her left hand. Corissa followed the direction of Kathleen's finger and fi- nally saw a man almost fifty yards away. He was standing behind a woman who was shuffling through a rack of mer- chandise. He wasn't even facing toward them. Confused, Corissa turned back to her best friend. "He's saying we cannot leave the store," Kathleen said. "What are you talking about?" Corissa questioned. "1 mean, you're starting to scare me." "We have to get out of here," Kathleen warned. Abruptly she turned and headed in the opposite direction. Corissa had to run to catch up with her. She grabbed Kathleen's arm and yanked her around. "What is wrong with you?" Corissa demanded. Kathleen's face was a mask of terror. "There are more men now," she said urgently. "They are coming down the esca- lator. They're talking about getting us as well." Corissa turned. Several men were indeed coming down the escalator. But at such a distance Corissa couldn't even see their faces much less heal' what they said. Kathleen's scream jolted Corissa like an electric charge. Corissa spun around and saw Kathleen begin to collapse. Reaching out, Corissa tried to keep Kathleen from falling. But they were off balance, and they both fell to the floor in a tangle of arms and legs. Before Corissa could extract herself, Kathleen began to con- vulse. Her body heaved wildly against the marble floor. Helping hands got Corissa to her feet. Two women who'd been at a neighboring cosmetic counter attended to Kathleen. They restrained her from hitting her head on the floor and managed to get something between her teeth. A trickle of blood oozed from Kathleen's lips. She had bitten her tongue. "Oh my God, oh my God!" Corissa kept repeating. "What's her name?" one of the women attending Kathleen asked. "Kathleen Sharenburg," Corissa said. "Her father is Ted 28 Sharenburg, head of Shell Oil," she added, as if that fact would somehow help her friend now. "Somebody better call an ambulance," the woman said. "This girl's seizure has to be stopped." IT WAS already dark as Janet tried to see out the window of the Ritz Cafd. People were scurrying past in both directions on Newbury Street, their hands clasped to either coat lapels or hat. "I don't know what you see in him anyway," Evelyn Rear- don was saying. "I told you the day you brought him home he was inappropriate." "He's earning both his Ph.D. and an M.D. from Harvard," Janet reminded her mother. "That doesn't excuse his manners, or lack thereof," Evelyn said. Janet eyed her mother. She was a tall, slender woman with straight, even features. Few people had trouble recognizing that Evelyn and Janet were mother and daughter. "Sean is proud of his heritage," Janet said. "He likes the fact that he's from working stock." "There's nothing wrong in that," Evelyn said. "The prob- lem is being mired in it. The boy has no manners. And that long hair of his..." "He feels convention is stifling," Janet said. As usual she found herself in the unenviable position of defending Sean. It was particularly galling at the moment since she was cross with him. What she'd hoped for from her mother was advice, not the same old criticism. "How trite," Evelyn said. "If he was planning on practic- ing like a regular doctor, there might be hope. But this mo- lecular biology, or whatever it is, I don't understand. What is he studying again?" "Oncogenes," Janet said. She should have known better than to turn to her mother. "Explain what they are once more," Evelyn said. Janet poured herself more tea. Her mother could be trying, 29 and attempting to describe Sean's research to her was like the blind leading the blind. But she tried nonetheless. "Oncogenes are genes that are capable of changing normal cells into cancer cells," Janet said. "They come from normal cellular genes present in every living cell called proto- oncogenes. Sean feels that a true understanding of cancer will come only when all the proto-oncogenes and oncogenes are discovered and defined. And that's what he's doing: searching for oncogenes in specialized viruses." "It may be very worthwhile," Evelyn said. "But it's all very arcane and hardly the type of career to support a family on." "Don't be so sure," Janet said. "Sean and a couple of his fellow students at MIT started a company to make monoclonal antibodies while he was getting his master's degree. They called it Immunotherapy, Inc. Over a year ago it was bought out by Genentech." "That's encouraging," Evelyn said. "Did Sean make a good profit?" "They all did," Janet said. "But they agreed to reinvest it in a new company. That's all I can say at the moment. He's sworn me to secrecy." "A secret from your mother?" Evelyn questioned. "Sounds a bit melodramatic. But you know your father wouldn't ap- prove. He's always said that people should avoid using their own capital in starting new enterprises." Janet sighed in frustration. "All this is beside the point," she said. "What I wanted to hear is what you think about my going to Florida. Sean's going to be there for two months. All he'll be doing is research. Here in Boston he's doing research plus schoolwork. I thought maybe we'd have a better chance to talk and work things out." "What about your job at Memorial?" Evelyn asked. "I can take a leave," Janet said. "And I can certainly work down there. One of the benefits of being a nurse is that I can find employment just about anywhere." "Well, I don't think it is a good idea," Evelyn said. "Why?" "It's not right to go running after this boy," Evelyn said. 30 "Particularly since you know how your father and 1 feel about him. He's never going to fit into our family. And after what he said to Uncle Albert I wouldn't even know where to seat him at a dinner party." 'uncle Albert was teasing him about his hair," Janet said. "He wouldn't stop." "That's no excuse for saying what he did to one's elder." "We all know that Uncle Albert wears a toupee," Janet said. "We may know but we don't mention it," Evelyn said. "And calling it a rug in front of everyone was inexcusable." Janet took a sip of her tea and stared out the window. It was true the whole family knew Uncle Albert wore a toupee. It was also true that no one ever commented on it. Janet had grown up in a family where there were many unspoken rules. Individual expression, especially in children, was not encour- aged. Manners were considered of paramount importance. "Why don't you date that lovely young man who brought you to the Myopia Hunt Club polo match last year," Evelyn suggested. "He was a jerk," Janet said. "Janet!" her mother warned. They drank their tea in silence for a few moments. 'if you want to talk to him so much," Evelyn finally said, "why not do it before he leaves'? Go see him tonight?" "l can't," Janet said. "Friday night is his night with the boys. They all hang out at some bar near where he went to high school." "As your father would say, I rest my case," Evelyn said with uncamouflaged satisfaction. A HOODED sweatshirt under a wool jacket insulated Sean from the freezing mist. The cinch for the hood had been drawn tight and tied beneath his chin. As he jogged along High Street toward Monument Square in Chariestown, he passed a bas- ketball from one hand to the other. He'd just finished playing a pickup game at the Chariestown Boys Club with a group 31 called "The Alumni." This was a motley assortment of friends and acquaintances from age eighteen to sixty. It had been a good workout, and he was still sweating. Skirting Monument Square with its enormous phallic mon- ument commemorating the Battle of Bunker Hill, Sean ap- proached his boyhood home. As a plumber his father, Brian Murphy, Sr., had had a decent income, and back before it became fashionable to live in the city, he had purchased a large Victorian town house. At first the Murphys had lived in the ground-floor duplex, but after his father had died at age forty-six from liver cancer the rental from the duplex had been sorely needed. When Sean's older brother, Brian, Jr., had gone away to school, Sean, his younger brother Charles, and his mother Anne had moved into one of the single-floor apart- ments. Now she lived there alone. As he reached the door, Sean noticed a familiar Mercedes parked just behind his Isuzu 4X4, indicating older brother Brian had made one of his surprise visits. Intuitively, Sean knew he was in for grief about his planned trip to Miami. Taking the stairs two at a time, Sean unlocked his mother's door and stepped inside. Brian's black leather briefcase rested on a ladder-back chair. A rich smell of pot roast filled the air. "Is that you, Sean?" Anne called from the kitchen. She appeared in the doorway just as Sean was hanging up his coat. Dressed in a simple housedress covered by a worn apron, Anne looked considerably older than her fifty-four years. After her long, repressing marriage to the hard-drinking Brian Mur- phy, her face had become permanently drawn, her eyes gen- erally tired and forlorn. Her hair, which she wore in an old-fashioned bun, was naturally curly and although it had been an attractive dark brown, it was now streaked with gray. "Brian's here," Anne said. "I guessed as much." Sean went into the kitchen to say hello to his brother. Brian was at the kitchen table, nursing a drink. He'd removed his jacket and draped it over a chair; paisley suspenders looped over his shoulders. Like Sean, he had darkly handsome fea- tures, black hair, and brilliant blue eyes. But the similarities 32 33 ended there. Where Sean was brash and casual, Brian was circumspect and precise. Unlike Sean's shaggy locks, Brian's hair was neatly trimmed and precisely parted. He sported a carefully trimmed mustache. His clothing was decidedly law- yer-like and leaned toward dark blue pinstripes. "Am I responsible for this honor'?" Sean asked. Brian did not visit often even though he lived nearby in Back Bay. "Mother called me," Brian admitted. It didn't take Sean long to shower, shave, and dress in jeans and a rugby shirt. He was back in the kitchen before Brian finished carving the pot roast. Sean helped set the table. While he did so, he eyed his older brother. There had been a time when Sean resented him. For years his mother had introduced her boys as my wonderful Brian, my good Charles, and Sean. Charles was currently off in a seminary in New Jersey study- ing to become a priest. Like Sean, Brian had always been an athlete, although not as successful. He'd been a studious child and usually at home. He'd gone to the University of Massachusetts, then on to law school at B.U. Everybody had always liked Brian. Everyone had always known that he would be successful and that he would surely escape the Irish curse of alcohol, guilt, depres- sion, and tragedy. Sean, on the other hand, had always been the wild one, preferring the company of the neighborhood ne'er-do-wells and frequently in trouble with the authorities involving brawls, minor burglary, and stolen-car joy rides. If it hadn't been for Sean's extraordinary intelligence and his facility with a hockey stick, he might have ended up in Bridge- water Prison instead of Harvard. Within the ghettos of the city the dividing line between success and failure was a narrow band of chance that the kids teetered on all through their tur- bulent adolescent years. There was little conversation during the final dinner prep- arations. But once they sat down, Brian cleared his throat after taking a sip of his milk. They'd always drunk milk with dinner throughout their boyhoods. "Mother is upset about this Miami idea," Brian said. Anne looked down at her plate. She'd always been self- effacing, especially when Brian Sr. was alive. He'd had a ter- rible temper made worse by alcohol, and alcohol had been a daily indulgence. Every afternoon after unplugging drains, fix- ing aged boilers, and installing toilets, Brian Sr. would stop at the Blue Tower bar beneath the Tobin Bridge. Nearly every night he'd come home drunk, sour, and vicious. Anne was the usual target, although Sean had come in for his share of blows when he tried to protect her. By morning Brian Sr. would be sober, and consumed by guilt; he'd swear he would change. But he never did. Even when he'd lost seventy-five pounds and was dying from liver cancer, his behavior was the same. "I'm going down there to do research," Sean said. "It's no big deal." "There's drugs in Miami," Anne said. She didn't look up. Sean rolled his eyes. He reached over and grasped his moth- er's arm. "Mom, my problem with drugs was in high school. I'm in medical school now." "What about that incident your first year of college?" Brian added. "That was only a little coke at a party," Sean said. "It was just unlucky the police decided to raid the place." "The lucky thing was my getting your juvenile record sealed. Otherwise you would have been in a hell of a fix." "Miami is a violent city," Anne said. "I read about it in the newspapers all the time." "Jesus Christ!" Sean exclaimed. "Don't use the Lord's name in vain," Anne said. "Mom, you've been watching too much television. Miami is like any city, with both good and bad elements. But it doesn't matter. I'll be doing research. I won't have time to get into trouble even if I wanted to." "You'll meet the wrong kind of people," Anne said. "Morn, I'm an adult," Sean said in frustration. "You are still hanging out with the wrong people here in Chariestown," Brian said. "Mom's fears are not unreasonable. The whole neighborhood knows Jimmy O'Connor and Brady Flanagan are still breaking and entering." "And sending the money to the IRA," Sean said. 32 ended there. Where Sean was brash and casual, Brian was circumspect and precise. Unlike Sean's shaggy locks, Brian's hair was neatly trimmed and precisely parted. He sported a carefully trimmed mustache. His clothing was decidedly law- yer-like and leaned toward dark blue pinstripes. "Am I responsible for this honor'?" Sean asked. Brian did not visit often even though he lived nearby in Back Bay. "Mother called me," Brian admitted. It didn't take Sean long to shower, shave, and dress in jeans and a rugby shirt. He was back in the kitchen before Brian finished carving the pot roast. Sean helped set the table. While he did so, he eyed his older brother. There had been a time when Sean resented him. For years his mother had introduced her boys as my wonderful Brian, my good Charles, and Sean. Charles was currently off in a seminary in New Jersey study- ing to become a priest. Like Sean, Brian had always been an athlete, although not as successful. He'd been a studious child and usually at home. He'd gone to the University of Massachusetts, then on to law school at B.U. Everybody had always liked Brian. Everyone had always known that he would be successful and that he would surely escape the Irish curse of alcohol, guilt, depres- sion, and tragedy. Sean, on the other hand, had always been the wild one, preferring the company of the neighborhood ne'er-do-wells and frequently in trouble with the authorities involving brawls, minor burglary, and stolen-car joy rides. If it hadn't been for Sean's extraordinary intelligence and his facility with a hockey stick, he might have ended up in Bridge- water Prison instead of Harvard. Within the ghettos of the city the dividing line between success and failure was a narrow band of chance that the kids teetered on all through their tur- bulent adolescent years. There was little conversation during the final dinner prep- arations. But once they sat down, Brian cleared his throat after taking a sip of his milk. They'd always drunk milk with dinner throughout their boyhoods. "Mother is upset about this Miami idea," Brian said. Anne looked down at her plate. She'd always been self- 33 effacing, especially when Brian Sr. was alive. He'd had a ter- rible temper made worse by alcohol, and alcohol had been a daily indulgence. Every afternoon after unplugging drains, fix- ing aged boilers, and installing toilets, Brian Sr. would stop at the Blue Tower bar beneath the Tobin Bridge. Nearly every night he'd come home drunk, sour, and vicious. Anne was the usual target, although Sean had come in for his share of blows when he tried to protect her. By morning Brian Sr. would be sober, and consumed by guilt; he'd swear he would change. But he never did. Even when he'd lost seventy-five pounds and was dying from liver cancer, his behavior was the same. "I'm going down there to do research," Sean said. "It's no big deal." "There's drugs in Miami," Anne said. She didn't look up. Sean rolled his eyes. He reached over and grasped his moth- er's arm. "Morn, my problem with drugs was in high school. I'm in medical school now." "What about that incident your first year of college?" Brian added. "That was only a little coke at a party," Sean said. "It was just unlucky the police decided to raid the place." "The lucky thing was my getting your juvenile record sealed. Otherwise you would have been in a hell of a fix." "Miami is a violent city," Anne said. "I read about it in the newspapers all the time." "Jesus Christ!" Sean exclaimed. "Don't use the Lord's name in vain," Anne said. "Mom, you've been watching too much television. Miami is like any city, with both good and bad elements. But it doesn't matter. I'll be doing research. I won't have time to get into trouble even if I wanted to." "You'll meet the wrong kind of people," Anne said. "Mom, I'm an adult," Sean said in frustration. "You are still hanging out with the wrong people here in Chariestown," Brian said. "Mom's fears are not unreasonable. The whole neighborhood knows Jimmy O'Connor and Brady Flanagan are still breaking and entering." "And sending the money to the IRA," Sean said. 34 "They are not political activists," Brian said. "They are hoodlums. And you choose to remain friends." "I have a few beers with them on Friday nights," Sean said. "Precisely," Brian said. "Like our father, the pub is your home away from home. And apart from Mom's concerns, this isn't a good time for you to be away. The Franklin Bank will be coming up with the rest of the financing for Oncogen. I've got the papers almost ready. Things could move quickly." "In case you've forgotten, there are fax machines and over- night delivery," Sean said, scraping his chair back from the table. He stood up and carried his plate over to the sink. "I'm going to Miami no matter what anybody says. I believe the Forbes Cancer Center has hit on something extraordinarily im- portant. And now if you two co-conspirators will allow me, I'm going out to drink with my delinquent friends." Feeling irritable, Sean struggled into the old pea coat that his father had gotten back when the Chariestown Navy Yard was still functioning. Pulling a wool watch cap over his ears, he ran downstairs to the street and set out into the freezing rain. The wind had shifted to the east and he could smell the salt sea air. As he neared Old Scully's Bar on Bunker Hill Street, the warm incandescent glow from the misted windows emanated a familiar sense of comfort and security. Pushing open the door he allowed himself to be enveloped by the dimly lit, noisy environment. It was not a classy place. The pine wood paneling was almost black with cigarette smoke. The furniture was scraped and scarred. The only bright spot was the brass footrail kept polished by innumerable shoes rubbing across its surface. In the far comer a TV was bolted to the ceiling and to: cd to a Bruins hockey game. The only worning ill the crowded room was Molly, who shared bartending d ~'i.~s with Pete. Before Sean could even say anything a brimming mug of ale slid along the bar toward him. A hand grasped his shoulder as a cheer spread through the crowd. The Bruins had scored a goal. Sean sighed contentedly. It was as if he were at home. He had the same comfortable feeling he'd get whenever he was 35 particularly exhausted and settled into a soft bed. As usual, Jimmy and Brady drifted over and began to brag about a little job they'd done in Marblehead the previous weekend. That led to humorous recollections of when Sean had been "one of the guys." "We always knew you were smart the way you could figure out alarms," Brady said. "But we never guessed you'd go to Harvard. How could you stand all those jerks." It was a statement, not a question, and Sean let it pass, but the comment made him realize how much he'd changed. He still enjoyed Old Scully's Bar, but more as an observer. It was an uncomfortable acknowledgment because he didn't truly feel part of the Harvard medical world either. He felt rather like a social orphan. A few hours later when Sean had had a few drafts, and he was feeling more mellow and less an outcast, he joined in the raucous decisionmaking involving a trip up to Revere to one of the strip joints near the waterfront. Just at the moment the debate was reaching a frenzied climax, the entire bar went dead silent. One by one heads turned toward the front door. Something extraordinary had happened, and everyone was shocked. A woman had breached their all-male bastion. And it wasn't an ordinary woman, like some overweight, gum- chewing girl in the laundromat. It was a slim, gorgeous woman who obviously wasn't from Chariestown. Her long blond hair glistened with diamonds of moisture, and it contrasted dramatically with the rich deep mahogany of her mink jacket. Her eyes were almond shaped and pert as they audaciously scanned the room, leaping from one stunned face to another. Her mouth was set in determination. Her high cheekbones glowed with color. She appeared like a collective hallucination of some fantasy female. A few of the guys shifted nervously, guessing that she was someone's girlfriend. She was too beautiful to be anyone's wife. Sean was one of the last faces to turn. And when he did, his mouth dropped open. It was Janet! Janet spotted him about the same time he saw her. She 34 "They are not political activists," Brian said. "They are hoodlums. And you choose to remain friends." 'q have a few beers with them on Friday nights," Sean said. "Precisely," Brian said. "Like our father, the pub is your home away from home. And apart from Mom's concerns, this isn't a good time for you to be away. The Franklin Bank will be coming up with the rest of the financing for Oncogen. I've got the papers almost ready. Things could move quickly." "In case you've forgotten, there are fax machines and over- night delivery," Sean said, scraping his chair back from the table. He stood up and carried his plate over to the sink. "I'm going to Miami no matter what anybody says. I believe the Forbes Cancer Center has hit on something extraordinarily im- portant. And now if you two co-conspirators will allow me, I'm going out to drink with my delinquent friends." Feeling irritable, Sean struggled into the old pea coat that his father had gotten back when the Chariestown Navy Yard was still functioning. Pulling a wool watch cap over his ears, he ran downstairs to the street and set out into the freezing rain. The wind had shifted to the east and he could smell the salt sea air. As he neared Old Scully's Bar on Bunker Hill Street, the warm incandescent glow from the misted windows emanated a familiar sense of comfort and security. Pushing open the door he allowed himself to be enveloped by the dimly lit, noisy environment. It was not a classy place. The pine wood paneling was almost black with cigarette smoke. The furniture was scraped and scarred. The only bright spot was the brass footrail kept polished by innumerable shoes rubbing across its surface. In the far corner a TV was bolted to the ceiling and to; cd to a Bruins hockey game. The only woman ill the crowded room was Molly, who shared bartending ,! .'{,~'s with Pete. Before Sean could even say anything a brimming mug of ale slid along the bar toward him. A hand grasped his shoulder as a cheer spread through the crowd. The Bruins had scored a goal. Sean sighed contentedly. It was as if he were at home. He had the same comfortable feeling he'd get whenever he was 35 particularly exhausted and settled into a soft bed. As usual, Jimmy and Brady drifted over and began to brag about a little job they'd done in Marblehead the previous weekend. That led to humorous recollections of when Sean had been "one of the guys." "We always knew you were smart the way you could figure out alarms," Brady said. "But we never guessed you'd go to Harvard. How could you stand all those jerks." It was a statement, not a question, and Sean let it pass, but the comment made him realize how much he'd changed. He still enjoyed Old Scully's Bar, but more as an observer. It was an uncomfortable acknowledgment because he didn't truly feel part of the Harvard medical world either. He felt rather like a social orphan. A few hours later when Sean had had a few drafts, and he was feeling more mellow and less an outcast, he joined in the raucous decisionmaking involving a trip up to Revere to one of the strip joints near the waterfront. Just at the moment the debate was reaching a frenzied climax, the entire bar went dead silent. One by one heads turned toward the front door. Something extraordinary had happened, and everyone was shocked. A woman had breached their all-male bastion. And it wasn't an ordinary woman, like some everweight, gum- chewing girl in the laundromat. It was a slim, gorgeous woman who obviously wasn't from Chariestown. Her long blond hair glistened with diamonds of moisture, and it contrasted dramatically with the rich deep mahogany of her mink jacket. Her eyes were almond shaped and pert as they audaciously scanned the room, leaping from one stunned face to another. Her mouth was set in determination. Her high cheekbones glowed with color. She appeared like a collective hallucination of some fantasy female. A few of the guys shifted nervously, guessing that she was someone's girlfriend. She was too beautiful to be anyone's wife. Sean was one of the last faces to turn. And when he did, his mouth dropped open. It was Janet! Janet spotted him about the same time he saw her. She 36 walked directly up to him and pushed in beside him at the bar. Brady moved away, making an exaggerated gesture of terror as if Janet were a fearful creature. "I'd like a beer, please," she said. Without answering, Molly filled a chilled mug and placed it in front of Janet. The room remained silent except for the television. Janet took a sip and turned to look at Sean. Since she was wearing pumps she was just about eye level. "I want to talk with you," she said. Sean hadn't felt this embarrassed since he'd been caught with his pants off at age sixteen with Kelly Parnell in the back of her family's car. Putting his beer down, Sean grasped Janet by her upper arm, just above the elbow, and marched her out the door. When they got out on the sidewalk Sean had recovered enough to be angry. He was also a little tipsy. "What are you doing here?" he demanded. Sean allowed his eyes to sweep around the neighborhood. "I don't believe this. You know you weren't supposed to come here." "I knew nothing of the kind," Janet said. "I knew I wasn't invited, if that's what you mean. But I didn't think my coming constituted a capital offense. It's important I talk with you, and with you leaving on Sunday, I think it's more important than drinking with these so-called friends of yours." "And who is making that value judgment?" Sean de- manded. "I'm the one who decides what is important to me, not you, and I resent this intrusion." 'q need to talk to you about Miami," Janet said. "It's your fault you've waited until the last minute to tell me." "There's nothing to talk about," Sean said. "I'm going and that's final. Not you, not my mother, and not my brother are going to stop me. Now if you'll excuse me, I have to go back in and see what I can salvage of my self-respect." "But this can impact the rest of our lives," Janet said. Tears began to mix with the rain running down her cheeks. She'd 37 taken an emotional risk coming to Chariestown, and the idea of rejection was devastating. "I'll talk with you tomorrow," Sean said. "Good night, Janet." TED SHARENBURG was nervous, waiting for the doctors to tell him what was wrong with his daughter. His wife had gotten in touch with him in New Orleans where he'd been on busi- ness, and he had gotten the company Gulfstream jet to fly him directly back to Houston. As the CEO of an oil company that had made major contributions to the Houston hospitals, Ted Sharenburg was afforded special treatment. At that moment his daughter was inside the huge, multimillion-dollar MRI ma- chine having an emergency brain scan. "We don't know much yet," Dr. Judy Buckley said. "These initial images are very superficial cuts." Judy Buckley was the chief of neuroradiology and had been happy to come into the hospital at the director's request. Also in attendance were Dr. Vance Martinez, the Sharenburgs' internist, and Dr. Stanton Rainey, chief of neurology. It was a prominent group of experts to be assembled at any hour, much less at one o'clock in the morning. Ted paced the tiny control room. He couldn't sit still. The story he'd been told about his daughter had been devastating. "She experienced an acute paranoid psychosis," Dr. Mar- tinez had explained. "Symptoms like that can occur, espe- cially with some sort of involvement of the temporal lobe." Ted reached the end of the room for the fiftieth time and turned. He looked through the glass at the giant MRI machine. He could just barely see his daughter. It was as if she were being swallowed by a technological whale. He hated being so helpless. All he could do was watch, and hope. He'd felt al- most as vulnerable when she'd had her tonsils out a few months earlier. "We've got something," Dr. Buckley said. Ted hurried over to the CRT screen. 38 "There's a hyperintense circumscribed area in the right tem- poral lobe," she said. "What does it mean?" Ted demanded. The doctors exchanged glances. It was not customary for the relative of a patient to be in the room during such a study. "It's probably a mass lesion," Dr. Buckley said. "Can you put that in lay terms?" Ted asked, trying to keep his voice even. "She means a brain tumor," Dr. Martinez said. "But we know very little at this point, and we should not jump to con- clusions. The lesion might have been there for years." Ted swayed. His worst fears were materializing. Why couldn't he be in that machine and not his daughter? "Uh oh!" Dr. Buckley said, forgetting the effect such an exclamation would have on Ted. "Here's another lesion." The doctors clustered around the screen, transfixed by the vertically unfolding images. For a few moments they forgot about Ted. "You know it reminds me of the case I told you about in Boston," said Dr. Rainey. "A young woman in her twenties with multiple intracranial tumors and negative metastatic workup. She was proved to have medulloblastoma." "I thought medulloblastoma occurs in the posterior fossa," Dr. Martinez said. "It usually does," Dr. Rainey said. "It also usually occurs in younger kids. But twenty percent or so of the incidents are in patients over twenty, and it's occasionally found in regions of the brain besides the cerebellum. Actually, it would be won- derful if it turns out to be medulloblastoma in this case." "Why?" Dr. Buckley asked. She was aware of the high mortality of the cancer. "Because a group down in Miami has had remarkable suc- cess in getting remissions with that particular tumor." "What's their name?" Ted demanded, clutching onto the first hopeful news he'd heard. "The Forbes Cancer Center," Dr. Rainey said. "They haven't published yet but word of that kind of a result gets around." 3 March 2 Tuesday, 6:15 A.M. When Tom Widdicomb awoke at 6:15 to begin his workday, Sean Murphy had already been on the road for several hours, planning on reaching the Forbes Cancer Center by mid- morning. Tom did not know Sean, and had no idea he was expected. Had he known that their lives would soon intersect, his anxiety would have been even greater. Tom was always anxious when he decided to help a patient, and the night before he'd decided to help not one but two women. Sandra Blan- kenship on the second floor would be the first. She was in great pain and already receiving her chemotherapy by IV. The other patient, Gloria D'Amataglio, was on the fourth floor. That was a bit more worrisome since the last patient he'd helped, Norma Taylor, had also been on the fourth floor. Tom didn't want any pattern to emerge. His biggest problem was that he constantly worried about someone suspecting what he was doing, and on a day that he was going to act, his anxiety could be overwhelming. Still, sensitive to gossip on the wards, he'd heard nothing that sug- gested that anyone was suspicious. After all, he was dealing with women who were terminally ill. They were expected to die. Tom was merely saving everyone from additional suffer- ing, especially the patient. Tom showered, shaved, and dressed in his green uniform, then went into his mother's kitchen. She always got up before he did, insistent every morning as far back as he could re- 40 member that he should eat a good breakfast since he wasn't as strong as other boys. Tom and his mother, Alice, had lived together in their close, secret world from the time Tom's dad died when Tom was four. That was when he and his mother had started sleeping together, and his mother had started call- ing him "her little man." "I'm going to help another woman today, Mom," Tom said as he sat down to eat his eggs and bacon. He knew how proud his mother was of him. She had always praised him even when he'd been a lonely child with eye problems. His schoolmates had teased him mercilessly about his crossed eyes, chasing him home nearly every day. "Don't worry, my little man," Alice would say when he'd arrive at the house in tears. "We'll always have each other. We don't need other people." And that was how things worked out. Tom had never felt any desire to leave home. For a while, he worked at a local veterinarian's. Then at his mother's suggestion, since she'd always been interested in medicine, he'd taken a course to be an EMT. After his training, he got a job with an ambulance company but had trouble getting along with the other workers. He decided he would be better off as an orderly. That way he wouldn't have to relate to so many people. First he'd worked at Miami General Hospital but got into a fight with his shift supervisor. Then he worked at a funeral home before joining the Forbes housekeeping staff. "The woman's name is Sandra," Tom told his mother as he ran his dish under the faucet at the sink. "She's older than you. She's in a lot of pain. The 'problem' has spread to her spine." When Tom spoke to his mother, he never used the word "cancer." Early in her illness, they'd decided not to say the word. They preferred less emotionally charged words like "problem" or "difficulty." Tom had read about succinylcholine in a newspaper story about some doctor in New Jersey. His rudimentary medical training afforded an understanding of the physiologic princi- ples. His freedom as a housekeeper allowed him contact with 41 anesthesia carts. He'd never had any problem getting the drug. The problem had been where to hide it until it was needed. Then one day he found a convenient space above the wall cabinets in the housekeeping closet on the fourth floor. When he climbed up and looked into the area and saw the amount of accumulated dust, he knew his drug would never be dis- turbed. "Don't worry about anything, Mom," Tom said as he pre- pared to leave. "I'11 be home just as soon as I can. I'll miss you and I love you." Tom had been saying that ever since he had gone to school, and just because he'd had to put his mother to sleep three years ago, he didn't feel any need to change. IT WAS almost ten-thirty in the morning when Sean pulled his 4X4 into the parking area of the Forbes Cancer Center. It was a bright, clear, summerdike day. The temperature was some- where around seventy, and after the freezing Boston rain Sean felt he was in heaven. He'd enjoyed the two-clay drive, too. He could have made it faster, but the clinic wasn't expecting him until late that day so there'd been no need. He spent his first night in a motel just off 195 in Rocky Mount, North Car- olina. The next day had taken him deep into Florida where the depth of spring seemed to increase with every passing mile. The second night had been spent in perfumed delight near Vero Beach, Florida. When he asked the motel clerk about the wonderful aroma in the air he was told it came from the nearby citrus groves. The last lap of the journey turned out to be the most diffi- cult. From West Palm Beach south, particularly near Fort Lau- derdale and into Miami, he fought rush-hour traffic. To his surprise even eight-laned 195 coagulated into a stop-and-go mess. Sean locked his car, stretched, and gazed up at the imposing twin bronzed, mirrored towers of the Forbes Cancer Center. A covered pedestrian bridge constructed of the same material 42 connected the buildings. He noted from the signs that the re- search and administration center was on the left while the hos- pital was on the right. As Scan started for the entrance, he thought about his first impressions of Miami. They were mixed. As he'd come south on I95 and neared his turnoff, he'd been able to see the gleam- ing new downtown skyscrapers. But the areas adjacent to the highway had been a melange of strip malls and low-income housing. The area around the Forbes Center, which was situ- ated along the Miami River, was also rather seedy although a few modern buildings were interspersed among the flat-roofed cinder block structures. As Scan pushed through the mirrored door, he thought wryly about the difficulty everyone had given him about this two-month elective. He wondered if his mother would ever get over the traumas he'd caused her as an adolescent. "You're too much like your father," she'd say, and it was meant as a reproach. Except for enjoying the pub, Sean felt little similarity with his father. But then he had been presented with far different choices and opportunities than his father ever had. A black felt sign stood on an easel just inside the door. Spelled out in white plastic letters was his name and a mes- sage: Welcome. Scan thought it was a nice touch. There was a small lounge directly behind the front door. Entrance into the building itself was blocked by a turnstile. Next to the turnstile was a Corian-covered desk. Behind the desk sat a swarthy, handsome Hispanic man dressed in a brown uniform complete with epaulets and peaked military- style hat. The outfit reminded Scan of a cross between those seen in Marine recruitment posters and those seen in Holly- wood Gestapo movies. An elaborate emblem on the guard's left arm said "Security" and the name tag above his left pocket proclaimed that his name was Martinez. "Can I help you?" Martinez asked in heavily accented En- glish. "I'm Sean Murphy," Sean said, pointing to the welcome sign. 43 The guard's expression did not change. He studied Scan for a beat then picked up one of several telephones. He spoke in rapid, staccato Spanish. After he hung up he pointed to a nearby leather couch. "A few moments, please." Sean sat down. He picked up a copy of Science from a low coffee table and idly flipped the pages. But his attention was on Forbes' elaborate security system. Thick glass partitions separated the waiting area from the rest of the building. Ap- parently the guarded turnstile provided the only entrance. Since security was all too frequently neglected in health care institutions, Sean was favorably impressed and said as much to the guard. "There are some bad areas nearby," the guard replied but didn't elaborate. Presently a second security officer appeared, dressed iden- tically to the first. The turnstile opened to allow him into the lounge. "My name is Ramirez," the second guard said. "Would you follow me, please." Scan got to his feet. As he passed through the turnstile he didn't see Martinez press any button. He guessed the turnstile was controlled by a foot pedal. Scan followed Ramirez for a short distance, turning into the first office on the left. "Security" was printed in block letters on the open door. Inside was a control room with banks of TV monitors covering one wall. In front of the monitors was a third guard with a clipboard. Even a cursory glance at the monitors told Scan that he was looking at a multitude of lo- cations around the complex. Sean continued to follow Ramirez into a small windowless office. Behind the desk sat a fourth guard who had two gold stars attached to his uniform and gold trim on the peak of his hat. His name tag said: Harris. "That will be all, Ramirez," Harris said, giving Sean the feeling he was being inducted into the army. Harris studied Sean who stared back. There was an almost immediate feeling of antipathy between the men. With his tanned, meaty face, Harris looked like a lot of 44 people Sean had known in Chariestown when he was young. They usually had jobs of minor authority that they practiced with great officiousness. They were also nasty drunks. Two beers and they'd want to fight about a call a referee had made on a televised sporting event if you suggested you disagreed with their perception. It was crazy. Sean had learned long ago to avoid such people. Now he was standing across the desk from one. "We don't want any trouble here," Harris was saying. He had a faint southern accent. Sean thought that was a strange way to begin a conversa- tion. He wondered what this man thought he was getting from Harvard, a parolee'? Harris was in obvious good physical shape, his bulging biceps straining the sleeves of his short- sleeved shirt, yet he didn't look all that healthy. Sean toyed with the idea of giving the man a short lecture on the benefits of proper nutrition, but thought better of the idea. He could still hear Dr. Walsh's admonitions. "You're supposed to be a doctor," Harris said. "Why the hell are you wearing your hair so long? And I'd hazard to say that you didn't shave this morning." "But I did put on a shirt and tie for the occasion," Sean said. "I thought I was looking quite natty." "Don't mess with me, boy," Harris said. There was no sign of humor in his voice. Sean shifted his weight wearily. He was already tired of the conversation and of Harris. "Is there some particular reason you need me here?" "You'll need a photo ID card," Harris said. He stood up and came around from behind the desk to open a door to a neighboring room. He was several inches taller than Sean and at least twenty pounds heavier. In hockey Sean used to like to block such guys low, coming up fast under their shins. 'Td suggest you get a haircut," Harris said, as he motioned for Sean to pass into the next room. "And get your pants ironed. Maybe then you'll fit in better. This isn't college." Stepping through the door Sean saw Ramirez look up from adjusting a Polaroid camera mounted on a tripod. Ramirez 45 pointed toward a stool in front of a blue curtain. and Sean sat down. HARRIS CLOSED the door to the camera room, went back to his desk, and sat down. Sean had been worse than he'd feared. The idea of some wiseass kid coming down from Harvard had not appealed to him in the first place, but he hadn't expected anyone looking like a hippie from the sixties. Lighting a cigarette, Harris cursed the likes of Sean. He hated such liberal Ivy League types who thought they knew everything. Harris had gone through the Citadel, then into the army where he'd trained hard for the commandos. He'd done well, making captain after Desert Storm. But with the breakup of the Soviet Union, the peacetime army had begun cutting back. Harris had been one of its victims. Harris stubbed out his cigarette. Intuition told him Sean would be trouble. He decided he'd have to keep his eye on him. WITH A new photo ID clipped to his shirt pocket, Sean left security. The experience didn't mesh with the welcome sign, but one fact did impress him. When he'd asked the reticent Ramirez why security was so tight, Ramirez had told him that several researchers had disappeared the previous year. "Disappeared?" Sean asked with amazement. He'd heard of equipment disappearing, but people! "Were they found?" Sean had asked. "I don't know," Ramirez had said. "I only came this year.' ' "Where are you from?" "Medellin, Colombia," Ramirez had said. Sean had not asked any more questions, but Ramirez's reply added to Sean's unease. It seemed overkill to head security with a man who acted like a frustrated Green Beret and staff it with a group of guys who could have been from some Col- ombian drug 1ord's private army. As Sean followed Ramirez 46 T E R M I N A L 47 into the elevator to the seventh floor his initial positive im- pression of Forbes security faded. "Come in, come in!" Dr. Randolph Mason repeated, hold- mg open his office door. Almost immediately Sean's unease was replaced by a feeling of genuine welcome. "We're pleased to have you with us," Dr. Mason said. 'q was so happy when Clifford called and suggested it. Would you like some coffee'?" Sean acquiesced and was soon balancing a cup while sitting on a couch across from the Forbes director. Dr. Mason looked like everyone's romantic image of a physician. He was tall with an aristocratic face, classically graying hair, and an ex- pressive mouth. His eyes were sympathetic and his nose slightly aquiline. He seemed the type of man you could tell a problem to and know he'd not only care but he'd solve it. "The first thing we must do," Dr. Mason said, "is have you meet our head of research, Dr. Levy." He picked up the phone and asked his secretary to have Deborah come up. "I'm certain you will be impressed by her. I wouldn't be surprised if she were soon in contention for the big Scandinavian prize." "I've already been impressed with her earlier work on re- troviruses," Sean said. "Like everyone else," Dr. Mason said. "More coffee?" Sean shook his head. "I have to be careful with this stuff," he said. "It makes me hyper. Too much and I don't come down for days." "I'm the same way," Dr. Mason said. "Now about your accommodations. Has anyone discussed them with you?" "Dr. Walsh just said that you would be able to provide housing." "Indeed," Dr. Mason said. 'I'm pleased to say that we had the foresight to purchase a sizable apartment complex several years ago. It's not in Coconut Grove, but it's not far either. We use it for visiting personnel and patients' families. We're delighted to offer you one of the apartments for your stay. Fm certain you will find it suitable, and you should enjoy the neighborhood as it's so close to the Grove." "I'm pleased I didn't have to make my own arrangements," Sean said. "And as far as entertainment is concerned, I'm more interested in working than playing tourist." "Everyone should have a balance in life," Dr. Mason said. "But rest assured, we have plenty of work for you to do. We want your experience here to be a good one. When you go into practice we hope you will be referring us patients." "My plan is to remain in research," Sean said. "I see," Dr. Mason said, his enthusiasm dimming slightly. "In fact, the reason I wanted to come here..." Sean began, but before he could complete the statement, Dr. Deborah Levy walked into the room. Deborah Levy was a strikingly attractive woman with dark olive skin, large almond-shaped eyes, and hair even blacker than Sean's. She was stylishly thin and wore a dark blue silk dress beneath her lab coat. She walked with the confidence and grace of the truly successful. Sean struggled to get to his feet. "Don't bother to get up," Dr. Levy said in a husky yet feminine voice. She thrust a hand at Sean. Sean shook Dr. Levy's hand while balancing his coffee in the other. She gripped his fingers with unexpected strength and gave Sean's arm a shake that rattled his cup in its saucer. Her gaze bore into him with intensity. "l've been instructed to say welcome," she said, sitting across from him. "But 1 think we should be honest about this. I'm not entirely convinced your visit is a good idea. I run a tight ship here in the lab. You'll either pitch in and work or you'll be out of here and on the next plane back to Boston. I don't want you to think..." "I drove down," Sean interrupted. He knew he was already being provocative, but he couldn't help himself. He didn't ex- pect such a brusque greeting from the head of research. Dr. Levy stared at him for a moment before continuing. "The Forbes Cancer Center is no place for a holiday in the sun," she added. "Do I make myself clear?" Sean cast a quick glance at Dr. Mason who was still smiling warmly didn't come here for a holiday. If Forbes had been in 48 49 Bismarck, North Dakota, I would have wanted to come. You see, I've heard about the results you've been getting with me- dulloblastoma." Dr. Mason coughed and moved forward in his seat, placing his coffee on the table. "I hope you didn't expect to work on the medulloblastoma protocol," he said. Sean's gaze shifted between the two doctors. "Actually, I did," he said with some alarm. "When I spoke with Dr. Walsh," Mason said, "he empha- sized that you have had extensive and successful experience with the development of murine monoclonal antibodies." "That was during my year at MIT," Sean explained. "But that's not my interest now. In fact, I feel it is already yester- day's technology." "That's not our belief," Dr. Mason said. "We think it's still commercially viable and will be for some time. In fact, we've had a bit of luck isolating and producing a glycoprotein from patients with colonic cancer. What we need now is a monoclonal antibody in hopes it might be an aid to early di- agnosis. But, as you know, glycoproteins can be tricky. We've been unable to get mice to respond antigenically, and we've failed to crystallize the substance. Dr. Walsh assured me you were an artist when it comes to this kind of protein chemis- try." 'q was," Sean said. "I haven't been doing it for some time. My interest has changed to molecular biology, specifically on- cogenes and oncoproteins." "This is just what I feared," Dr. Levy said, turning to Dr. Mason. "I told you this was not a good idea. We are not set up for students. I'm much too busy to babysit a medical stu- dent extern. Now if you'll excuse me, I must get back to my work." Dr. Levy got to her feet and looked down at Sean. "My rudeness is not meant to be personal. I'm very busy, and I'm under a lot of stress." "I'm sorry," Sean said. "But it is difficult not to take it personally since your medulloblastoma results are the reason I took this elective and drove all the way the hell down here." "Frankly, that's not my concern," she said, striding toward the door. "Dr. Levy," Sean called out. "Why haven't you published any articles on the medulloblastoma results? With no pub- lications, if you'd stayed in academia, you'd probably be out looking for a job." Dr. Levy paused and cast a disapproving look at Sean. "Im- pertinence is not a wise policy for a student," she said, closing the door behind her. Sean looked over at Dr. Mason and shrugged his shoulders. "She was the one who said we should be honest about all this. She hasn't published for years." "Clifford warned me that you might not be the most dip- lomatic extern," Dr. Mason said. "Did he now?" Sean questioned superciliously. He was al- ready beginning to question his decision to come to Florida. Maybe everybody else had been right after all. "But he also said you were extremely bright. And I think Dr. Levy came on a bit stronger than she meant. At any rate she has been under great strain. In fact we all have." "But the results you've been getting with the medulloblas- toma patients are fantastic," Sean said, hoping to plead his case. "There has to be something to be learned about cancer in general here. I want desperately to be involved in your protocol. Maybe by looking at it with fresh, objective eyes I'll see something that you people have missed." "You certainly don't lack self-confidence," said Dr. Ma- son. "And perhaps someday we could use a fresh eye. But not now. Let me be honest and open with you and give you some confidential information. There are several reasons you won't be able to participate in our medulloblastoma study. First, it is already a clinical protocol and you are here for basic science research. That was made clear to your mentor. And second of all we cannot permit outsiders access to our current work because we have yet to apply for the appropriate patents on some of our unique biological processes. This policy is dictated by our source of funding. Like a lot of research in- stitutions, we've had to seek alternate sources for operating 5O capital since the government started squeezing research grants to everything but AIDS. We have turned to the Japanese." "Like the Mass General in Boston?" Sean questioned. "Something like that," Dr. Mason said. "We struck a forty- million-dollar deal with Sushita Industries, which has been ex- panding into biotechnology. The agreement was that Sushita would advance us the money over a period of years in return for which they would control any patents that result. That's one of the reasons we need the monoclonal antibody to the colonic antigen. We have to produce some commercially vi- able products if we hope to continue to receive Sushita's yearly payments. So far we haven't been doing too well in that regard. And if we don't maintain our funding we'll have to shut our doors which, of course, would hurt the public which looks to us for care." "A sorry state of affairs," Sean said. "Indeed," Dr. Mason agreed. "But it's the reality of the new research environment." "But your short-term fix will lead to future Japanese dom- inance." "The same can be said about most industries," Dr. Mason said. "It's not limited to health-related biotechnology." "Why not use the return from patents to fund additional research?" "There's no place to get the initial capital," Dr. Mason said. "Well, that's not entirely true in our case. Over the last two years we've had considerable success with old-fashioned philanthropy. A number of businessmen have given us hefty donations. In fact, we are hosting a black-tie charity dinner tonight. I would very much like to extend an invitation to you. It's at my home on Star Island." "I don't have the proper clothes," Sean said, surprised at being invited after the scene with Dr. Levy. "We thought of that," Dr. Mason said. "We've made ar- rangements with a tux rental service. All you have to do is call in your sizes, and they will deliver to your apartment." "That's very thoughtful," Sean said. He was finding it dif- ficult to deal with this on-again, off-again hospitality. 51 Suddenly the door to Dr. Mason's office burst open and a formidable woman in a white nurse's uniform rushed in, plant- ing herself in front of Dr. Mason. She was visibly distressed. "There's been another one, Randolph," she blurted out. "This is the fifth breast cancer patient to die of respiratory failure. I told you that..." Dr. Mason leapt to his feet. "Margaret, we have company." Recoiling as if slapped, the nurse turned to Sean, seeing him for the first time. She was a woman of forty, with a round face, gray hair worn in a tight bun, and solid legs. "Excuse me!" she said, the color draining from her cheeks. "I'm ter- ribly sorry." Turning back to Dr. Mason, she added, 'q knew Dr. Levy had just come in here, but when I saw her return to her office, I thought you were alone." "No matter," said Dr. Mason. He introduced Sean to Mar- garet Richmond, director of nursing, adding, "Mr. Murphy will be with us for two months." Ms. Richmond shook hands perfunctorily with Sean, mum- bling it was a pleasure to meet him. Then she took Dr. Mason by the elbow and steered him outside. The door closed, but the latch didn't catch, and it drifted open again. Sean could not help but overhear, especially with Ms. Rich- mond's sharply penetrating voice. Apparently, another patient on standard chemotherapy for breast cancer had unexpectedly died. She'd been found in her bed totally cyanotic, just as blue as the others. "This cannot go on!" Margaret snapped. "Someone must be doing this deliberately. There's no other explanation. It's always the same shift, and it's ruining our stats. We have to do something before the medical examiner gets suspicious. And if the media gets ahold of this, it will be a disaster." "We'll meet with Harris," Dr. Mason said soothingly. "We'll tell him he has to let everything else slide. We'll tell him he has to stop it." "It can't go on," Ms. Richmond repeated. "Harris has to do more than run background checks on the professional staff." "I agree," Dr. Mason said. "We'll talk to Harris straight 52 away. Just give me a moment to arrange for Mr. Murphy to tour the facility." The voices drifted away. Sean moved forward on the couch hoping to hear more, but the outer office remained silent until once again the door burst open. Guiltily he sat back as some- one else dashed into the room. This time it was an attractive woman in her twenties dressed in a checkered skirt and white blouse. She was tanned, bubbly, and had a great smile. Hos- pitality had refreshingly returned. "Hi, my name's Claire Barington." Sean quickly learned that Claire helped run the center's pub- lic relations department. She dangled keys in front of his face, saying: "These are to your palatial apartment at the Cow's Palace." She explained that the center's residence had gotten its nickname in commemoration of the size of some of its earlier residents. "I'll take you over there," Claire said. "Just to make cer- tain it's all in order and you're comfortable. But first Dr. Ma- son told me to give you a tour of our facility. What do you say'?" "Seems like a good idea to me," Sean said, pulling himself up from the couch. He'd only been at the Forbes Center for about an hour, and if that hour were any indication of what the two months would be like, it promised to be a curiously interesting sojourn. Provided, of course, he stayed. As he fol- lowed the shapely Claire Barington out of Dr. Mason's office, he began seriously considering calling Dr. Walsh and heading back to Boston. He'd certainly be able to accomplish more there than here if he was to be relegated to busywork involving monoclonal antibodies. "This, of course, is our administrative area," Claire said as she launched into a practiced tour. "Henry Falworth's office is next to Dr. Mason's. Mr. Falworth is the personnel manager for all non-professional staff. Beyond his office is Dr. Levy's. Of course, she has another research office downstairs in the maximum containment lab." Sean's ears perked up. "You have a maximum containment lab?" he asked with surprise. earth areils.'' "Hey, you get tile iwemydive-dollar tour ~,i- !~ol;c at all," she said sternly, The;} she k~ughcd. "Humor me! [ need the practice." Sean smiled. Claire was tire most gct~uine per~,~n he'd IlqCt so far at the Center. "Fait' enough. Lead on!" Claire took him f)ver !o an a(tjacent room wi. th eight (iesks manned by busy people. A huge collating copy machine stood off to tile side busily functioning. A large compuler with mul- tiple modems was behind a glass enclosure like sonic kind of trophy. A small glass-fronted elevator that was n~ore like a dumbwaiter occupied another wall. It was fillet! whh what ap- 53 "Where is everybody?" he asked. "You've met pretty much the whole research staff," Claire said. "We have a tech named Mark Halpern, but I don't see him at the moment. We don't have many personnel presently, although word has it that we are about to start expanding. Like all businesses, we've been through some lean times." Sean nodded, but the explanation did little to allay his dis- appointment. With the impressive results of the medulloblas- roma work, he'd envisioned a large group of researchers working at a dynamic pace. Instead, the place seemed rela- tively deserted, which reminded Sean of Ramirez's unsettling remark. "Down in security they told me some of the researchers had disappeared. Do you know anything about that?" "Not a lot," Claire admitted. "It was last year and it caused a flap." "What happened?" "They disappeared all right," Claire said. "They left every- thing: their apartments, their cars, even their girlfriends." "And they were never found?" Sean asked. "They turned up," Claire said. "The administration doesn't "Absolutely," Claire said. "Dr. Levy demanded it when she came on board. Besides, the Forbes Cancer Center has all the most up-to-date equipment." Sean slugged. A maximum containment lab designed to safely handle infectious microorganisms seemed a bit exces- sive. Poiuting in the opposite direction. Claire Jnclicated the clin- ical office shared b3 Dr. Stiill WiJsOll, chid of tile hospital's clinical staff, Margaret Richmond, director el: nursing, and Dan Selenburg, hospital administrator. "Of course these peo- ple all have private offices on the top 11,'~or o! ~iie hospital building,," 'this doesn't interest me." Scan said. "[~cl's si,~e the rc- ,;peared to be hospital charts. "This is the important room!" Claire said with a smile. "It's where all the bills are sent for hospital and outpatient services. These are the people who deal with the insurance companies. It's also where my paycheck come from." After seeing more of administration than Sean would have liked. Claire finally took him downstairs to see the laboratory facilities which occupied the middle five stories of the struc- ture. "The first floor of file building has auditorirons. library, and security," Claire droned as they entered the sixth floor. Sean followed Claire down a long central corridor with labs off 54 . 55 either side. "This is the main research floor. Most of the major equipment is housed here." Sean poked his head into various labs. He was soon dis- appointed. He'd been expecting a futuristic lab, superbly de- signed and filled with state-of-the-art technology. Instead he saw basic rooms with the usual equipment. Claire introduced him to the four people they came upon in one of the labs: David Lowenstein, Arnold Harper, Nancy Sprague, and Hi- roshi Gyuhama. Of these people only Hiroshi expressed any more than a passing interest in Sean. Hiroshi bowed deeply when introduced. He seemed genuinely impressed when Claire mentioned that Sean was from Harvard. "Harvard is a very good school," Hiroshi said in heavily accented English. As they continued down the corridor, Sean began to notice that most of the rooms were empty. like to talk about it, but apparently tile5, are v~.orking tk)r some company in Japan." "Sushita lndustrics?" Scan aske(t. "That I dt)n't know," Claire said. Sean had heard abt)ut companies lurin[? a,xay pc~'~,~.)nnel. bu! never so secretly. A)~d never to Japall. }te realizeci it was prob- ably just another i~dication that times were cha~gif~g in the arena of bioteclm,)k;gy. Claire brought lhe:n ~o a thick t)paque g):lss d~>.,>r barring furfiler progress d,),~tn the corridor. 1,1 block let*er< were the ~,~:ords: N(~ Elllry, Scan !~ianced at Clair'e (br ,~,n exp;anation. "The lliZlXill'!tlrll c›~,,~.'.dnment facililv is in lhcre," she said. "Can we sec it'?" Serln asked. Itc ciq~[>e(! hi>, ill[ads and peered thru)ugh the do(>~'. All he c,.~uld ~ee x,~c~',:' (k>~'s l~ading off the main corridor Claire sht)ok l,,er head. ~'OiT limits." sh,› 5,,~;t'; "l~r I.evy does most of her w(>~'k ii~ there. ,M least ~vhc~,~ sr~ :,~ ' S } ~ Mia~,_i. She splits her time belwccn here and (',ur Basic t)i~:enr~stic lab in Key West." "What' s that'"' Sc"~n ,isketi. Claire winked and c<>vered her mouth a,, if she were telling ;r secret. "It's a mil}(~!- en!repreneurial sl3}:~-c)('~ for r:~)~'bes," stle said. "It does basic diagnostic w(~rk l~)r ~;~:~r ht;spital as wel! as fi)r several hosl~.itals in tl]e Keys. tt's a way of ge.n- erating some additior~al income. The trouble is thc Fi-,rida leg- islature is givin~ .,is s~;~ne trouble abolit seif-r~?ferra'~.- "fIt)w come ~,~'c can'i g{~ in ihere?" Soan a:;k~sd, pointing "hrotrgh the glas' do<)r. "Dr. Levy says there i:, some kind o!' i'll, k, but I .t m~, ittck," ~4c:~!t se~td. "Tlae (~lctcr '~ct :'J~d the prepubescent are tatod and drink. A calypso steel ba,ld played next to the hotlse and ~illed the velvety night air with mclodh)us percus- sion. At the water's edge beyond the ternice was a gigantic ,,~hite cruiser moored to a pier. Hanging from davits off the yacht's stern was yet a~other boat. "Here come the host and hostess," Claire warned Sean, who'd been momentarily mesmerized by the scene. Sean turned in time to see Dr. Mason guide a buxom bleached blonde toward them. He was elegant in a tuxedo that obviously was not rented and patent leather slippers complete 67 with black bows. She was squeezed into a strapless peach gown so tight that Sean feared the slightest movement might bare her impressive breasts. Her hair was slightly disheveled and her makeup more suitable to a girl half her age. She was also clearly drunk. "Welcome, Sean," Dr. Mason said. "I hope Claire has been taking good care of you." "The best," Sean said. Dr. Mason introduced Sean to his wife, who fluttered heav- ily mascaraed lashes. Sean dutifully squeezed her hand, draw- ing the line at her expected kiss on the cheek. Dr. Mason turned and motioned for another couple to join them. He introduced Sean as a Harvard medical student who would be studying at the Center. Sean had the uncomfortable feeling he was on display. The man's name was Howard Pace, and from Dr. Mason's introduction, Sean learned that he was the CEO of an aircraft manufacturing company in St. Louis, and it was he who was about to make the donation to the Center. "You know, son," Mr. Pace said, putting his arm around Sean's shoulder. "My girl is to help train young men and women like yourself. They are doing wonderful things at Forbes. You will learn a lot. Study hard!" He gave Sean a final man-to-man thump on the shoulder. Mason began introducing Pace to some other couples and Sean suddenly found himself standing alone. He was about to snag a drink when a wavering voice stopped him. "Hello, handsome." Sean turned to face the bleary eyes of Sarah Mason. want to show you something," she said, grabbing Sean's sleeve. Sean cast a desperate glance around for Claire, but she was nowhere in sight. With resignation rare for him, he allowed himself to be led down the patio steps and out onto the dock. Every few steps he had to steady Sarah as her heels slipped through the cracks between the planking. At the base of the gangplank leading to the yacht, Sean was confronted by a sizable Doberman with a studded collar and white teeth. 68 1/ O B i N 1] O O K T E I/ M I N /1 I, 69 "This is nly boat," Saratl said. "It's called Lady Luck. Would you like a tour?" "1 don't think that beast on deck wants company," Seall said. "Batman?" Sarah qaestioned~ "Don't worry about him. As long as yoti're with me he'll be a lamb." '~Nlaybe we could come back !a,'.er." Sean said. "To tell the truth, I'm starved." "There's Iood in the fridge," Sarah persisted. "Yeah. but I had my heart set on those oysters t sa~,~ under the tent." "Oysters, huh?" Salah said. "Sounds good to me. We can see 'he boat later." A!i soon as lie g~}[ Sari~[1 b:.,~ck on !and, Scan dticked awtly. Je~t~ing her with ail unsuspecting couple who'd vel!tured to- ward the yacht. Searching thru,ugh the crowt] fol (71aire. ~ ~tr~,ng hand grippeel his :tn,,~. Scan turned and N)tt~:ct J',imself gazing into the pttl'i}' face of Robert [tarris. head {'.f security. Even :, tux did~l't ~iramaticatly change his appearam:e. v,:ith !~is Marine-style crew cut. l Ils c,.~llar nlttst have been I{~o tight si:ice i~is eyes were bulgi!ig. "! want to give you some advice. Murphy.~' }larris said with obvious disdain. "Really'?" Scan questioned. "This should be interesting. ,;illce we have s~ 111uch ill COlTlllqon," '~You're a wiseass." Ha,.'ris hissed. "Is that the advice?" Sean asked. "Stay away from Sarah Forbes." Harris satid. "I'm only telli~g you once." "[)anm," Sean said. "l'11 have to cancel our picnic tomor- row.' ' "Don't push me!" Harris warned. With a final ,glare, he stalked off. Sean finally found Claire at the table fearnring oysters, shrimp, and stone crab. Filling his plate, he scolded her for allowing him to fall into the clutches of Sarah Mason. 'q suppose I should have warned you," Claire said. "When she drinks she's notorious for chasing anything in pants." "And here I thought I was irresistible." They were still busy with the seafood when Dr. Mason ~;tepped to the podlure and tapped the microphone. As soon as the crowd was silent, he introduced Hr)ward Pace, thanking him profusely fi)r I~is generous gift. After a resoundling round of applause. I)r. Mason turned the microphone over to the guest of honor. "This is a bit syrupy tot my taste." Scan ,~.,hispercd. "Be nice," Claire chided him. Howard Pace began his talk with the ust~al platitudes. but then his voice cracked ',~'ith e,:lotion. "Etca this ctieck Ior ten million dollars cannot adequately express nl> fce!ings. The Forbes Cancer C?er, ter has gi;en me a sec~)nd ci~a!Icc at life. Before I came here all my docto,'s believed my brzt~r~ tun,or ~xas ten'ninal. t almost gave up. Thank God ! did~.~*t And th;~nk Gt)d f›)r the dedicated doctors at the Fo:bes (?ancet Centel." Unabie to speak further. Pace ,xaved his check i;~ the air as !cars streamed down his face. Dr. Mason im~ie(liate!y a? peared at his side and rescued the check !cst it v,,al~. t>tJt into file ,aine-dark Biscayne Bay. After another round o.*' applause, the i'(n'mal c,'ents of the evening were over. The guests surged Jbrward. a}i oxcrcome with the emotion Ftowa,'d Pace tlad expressed. They had not expected such intimacy tYom such a powerful persian. Sean turned to Claire. "1 hate to be a drag." hc said. "But !'re been up since fixc. t'm fading last." Claire put down her drink. "I've had enough as well. Besides, I've got to be at work early." They found Dr. Mason and thanked him, but he was dis- tracted and barely realized they were leaving. Scan was thank- ful Mrs. Mason had conveniently disappeared. As they drove back over the causeway Sean was the first to speak. ~'That speech was actually quite touching," he said. "lt's what makes it all worthwhile." Claire agreed. Sean pulled up and parked next to Claire's ttonda. There was a moment of awkwardness. "1 did get some beer this 70 T E 1/ M I N A 1, 71 afternoon," he said after a pause. "Would you like to come up for a few minutes?" "Fine," Claire said enthusiastically. As Scan climbed the stairs behind her he wondered if he'd overestimated his endurance. He was almost asleep on his feet. At the door to his apartment, he awkwardly fumbled with the keys, trying to get the right one in the lock. When he finally turned the bolt, he opened the door and groped for the light. Just as his fingers touched the switch, there was a violent cry. When he saw who was waiting for him, his blood ran cold. "EASY NOW!" Dr. Mason said to the two ambulance atten- dants. They were using a special stretcher to lift Helen Cabot from the Lear jet that had brought her to Miami. "Watch the steps!" Dr. Mason was still dressed in his tuxedo. Margaret Rich- mond had called just as the party was ending to say that Helen Cabot was about to land. Without a second's hesitation, Dr. Mason had jumped into his Jaguar. As gently as possible the paramedics eased Helen into the ambulance. Dr. Mason climbed in after the gravely ill woman. "Are you comfortable?" he asked. Helen nodded. The trip had been a strain. The heavy med- ication had not completely controlled her seizures. On top of that they'd hit bad turbulence over Washington, D.C. "I'm glad to be here," she said, smiling weakly. Dr. Mason gripped her arm reassuringly, then got out of the ambulance and faced her parents, who had followed the stretcher from the jet. Together they decided that Mrs. Cabot would ride in the ambulance while John Cabot would ride with Dr. Mason. Dr. Mason followed the ambulance from the airport. "I'm touched that you came to meet us," Cabot said. "From the look of your clothes I'm afraid we have interrupted your evening." "It was actually very good timing," Mason said. "Do you know Howard Pace?" "The aircraft lnagnate?" John Cat)or asked. "None other," Dr. Mason said. "Mr. Pace has made a gem crous donatto,1 to the k'orbe~; Center'. and we were having a small celebration. But the affair was win(ting down when you called." "Still, your concern is rcasst, ring." John Cabot said. "So many doctor's are distracted by their own agendas. They are more interested in theme, elves tlnan the patients. My daughter's illness has been an eye-,;peni~:g experience." "[!nforttmately yt~u~' c-~mplaints are all too co~mo',',." Dr. Mason said. "But al [:oI'be'~ it's the palient who c~,.~nt,. We would do even more it' we wet'en't st) strapped for !rinds. Since g~vernmetn bc'~ilrl it:hiring g,.'ailts~ we've had i,, struggle." "If yott can help .;ny daughte,' I'll be llapp. t,.~ col~.tnbute to your capital needs.' ';We ,,,,'ill do everytiling it: ~)ul' pov, er to help he','." i'ell me." Cabot $:!id_ "What (1o yc)tt think ht:~- cha:ices tire'? l'd like t(', know tt~e truth." I he possibility {~f a ltd! root)very is excellent." Dr. Mason sziid. "We've had rema, rkable tuck with He!e:~'s t? pe ,.~t' tumor. but we must start treattncp. i immediate(,;. I tried I<) expedite hot- transfer, but your' do,ctors in Boslt)II scorned i,.-ltlctant to rcleat, e her." ~'Yt)tt kll~3w the &;ctt;rs in tloston. if thel-e's a~oth[~i- test ;trailable. they want 1o do it. Then. of course. the3 v, anI to repeat it." "We tried to talk them out t)f biopsying the ItJmor." Dr. Mason said. "We can t~ow make the diagnosis oi' ntedulk)- b!astoma with an enhanced MRI. But they wouidn't listen. You see we have to l)iops3 tt regardless of whctilc~' riley dicl t)r not. We have t~ gt'ow some of her t~mor ccii~, in tissue culttire. It's an integral i}art of the treatment." "When can it be &.~ne?" John Cabot asked "The sooner the better," Dr. Mason said. "Brat YOU didn't have to scream," Scan said. He was still shaking from the fright he'd experienced when he'd flipped on the light switch. 72 FFI didn't scream," Janet said. "I yelled 'surprise.' Needless to say, I'm not sure who was more surprised, me, you, or that woman." "That woman works for the Forbes Cancer Center," Sean said. 'q've told you a dozen times. She's in their public re- lations department. She was assigned to deal with me." "And dealing with you means coming back to your apart- ment after ten at night?" Janet asked with scorn. "Don't pa- tronize me. I can't believe this. You haven't even been here twenty-four hours and you have a woman coming to your apartment." "I didn't want to invite her in," Sean said. "But it was awkward. She'd brought me here this afternoon, then took me to a Forbes function tonight. When we pulled up outside for her to get her car, I thought I'd try to be hospitable. I offered her a beer. I'd already told her I was exhausted. Hell, you're usually complaining about my lack of social graces." "It seems strangely convenient for you to gain some man- ners just in time to bestow them on a young, attractive fe- male," Janet fumed. "I don't think my being skeptical is unreasonable." "Well, you're making more of this than it deserves," Sean said. "How did you get in here, anyway?" "They gave me the apartment two doors down," Janet said. "And you left your sliding door open." "Why are they letting you stay here?" "Because I've been hired by the Forbes Cancer Center," Janet said. "That's part of the surprise. I'm going to work here.' ' For the second time that evening, Janet had Sean stunned. "Work here?" he repeated as if he hadn't heard correctly. "What are you talking about'?" "I called the Forbes hospital," Janet said. "They have an active nurses' recruitment program. They hired me on the spot. They, in turn, called the Florida Board of Nursing and ar- ranged for a temporary 120-day endorsement so I can practice while the paperwork is being completed for my Florida nurs- ing license." T E l/ M I N A 1, 7.~ "What about your job at Boston Memorial?" Sean asked. "No problem," Janet said. "They gave me an immediate leave of absence. One of the benefits of being in nursing these days is that we are in demand. We get to call the shots about our terms of employInent more than mr)st employees." "Well, this is all very interesting," Scan said. For the mo- ment that was all he could think of to say. "St) we'll still be working at the same instituticm." "Did you ever think that maybe you should have discussed this idea with meT' Scan asked. "1 couldn't." Janet said. "You were on the road." "What about before I left?" Sean asked. "Or you cotlid have waited until l'd arrived. I think we should have talked about this." '~Wel], that's ihe whole p{~int," ,tane~ satid, '~What do )t~u mean?" "1 came here so we can talk." .ianc~ said. "I think this is a t)erfcct opportunity fi)r us Io talk about us. in Boston you're st) involved with scht)ol and your ~esearch. Here your schedule will undoubtedly be lighter. Wc'il h;~vc the time we never had in Boston." Scan pushed of[' the couch and ,aaJked ()vet' to the ,.)pe~7 slider. He was at a loss fi~r ~,vo~-cts. This whole episocle (>i comin~ ,to Florida was workinc ()tit terribly. "How'd voL~ c,-t here?" he asked. "1 tlew down and rented a cal.' J;~net said. "So nothing's irreversiblcT' Scan said "If yc)u think yt)u can just setid n*.c ht~.~c, think ;.lgain." .lanct said, an edge returning to her xtfice. "l'his is probably thc first time in my life I' ve gone out on a limb for something I think is in:- portant." She still sounded angry, but Sean sense(l she could also be t)n the verge of tears. "Maybe we're not important in your scheme of things..." Scan interrupted her. "It isn't that at all. The problem is, l don't know whether l'nl staying." Janet's mouth dropped open. "What arc yc)u talking aboutT' she asked, Scan came back to the couch and sat down. He looked into 74 Janet's hazel eyes as he told her about his disturbing reception at the Center with half the people being hospitable, the other half rude. Most importantly, he told her that Dr. Mason and Dr. Levy were balking at allowing him to work on the me- dulloblastoma protocol. "What do they want you to do?" she asked. "Busywork as far as I'm concerned," Scan said. "They want me to try to make a monoclonal antibody to a specific protein. Failing that, I'm to crystallize it so that its three- dimensional molecular shape can be determined. It will be a waste of my time. I'm not going to be learning anything. I'd be better off going back to Boston and working on my on- cogene project for my dissertation." "Maybe you could do both," Janet suggested. "Help them with their protein and in return get to work on the medullo- blastoma project." Scan shook his head. "They were very emphatic. They are not about to change their minds. They said the medulloblas- toma study had moved into clinical trials, and I'm here for basic research. Between you and me, I think their reluctance has something to do with the Japanese." "The Japanese?" Janet questioned. Scan told Janet about the huge grant Forbes had accepted in return for any patentable biotechnology products. "Some- how I think the medulloblastoma protocol is tied up in their deal. It's the only way I can explain why the Japanese would offer Forbes so much money. Obviously they expect and in- tend to get a return on their investment someday--and prob- ably sooner rather than later." "This is awful," Janet said, but her response was personal. It had nothing to do with Sean's research career. She'd been so consumed by the effort of coming to Florida that she'd not prepared herself for this kind of reversal. "And there's another problem," Scan said. "The person who gave me the chilliest reception happens to be the director of research. She's the person I directly report to." Janet sighed. She was already trying to figure how to undo everything she had done to get her down to the Forbes Center T Ir, R M ! N A 1~ 75 in the first place. She'd probably have to go back on nights at Boston Memorial, at least for a while. Janet pushed herseld' out of the deep armchair where she'd been sitting and wan- dered over to the sliding door. Coming to Florida had seemed like such a good idea to her when sl~e'd been in Boston. Nov: it seemed like the dumbest thing she'd ever thought of. Suddenly Janet sptm arotmd. "Wait a minute!" she said. "Maybe 1 have an idea." "Well?" Scan questioned when Janet remained silent. "l'ln thinking," she said. mottoning for him to be quiet for a moment. Scan studied her face. A l'ew moments ago she'd looked depressed. Now her eyes sparkled. '~Okay, here's what I think." she said. "Let's stay' here and It)ok into this medulh~blastoma business to,aether. V~.'e'll work as a team." "What do you mean?" Scan soundcot skeptical. "It's simple," Janet said. "You mentioneel that the project had moved into clinical trials. Well. m) problem. 1'11 be on the wards. l'll be able to determine the treatment regimens: the timing, the dosages, the works. You'll be in the lab and you can do yotu' thing there. That monock)nal stuff shouldn't take all your time." Scan bit his k)wer lip as he ga~e Janet's suggestion some thought. He had actually considered looking into the medui- 1oblastoma issue on the sly. }tie biggest obstacle had been exactly what Janet would be in a position to provide, namely clinical information. "You'd have to get me charts," Scan said. He couldn't help but be dubious. Janet had always been a stickler for hospital procedures and rules, in fact for any rules. "As long as I can f~nd a copy machine, that should be no problem," she said. "I'd need samples of any' medication," Scan said. "1'11 probably be dispensing the medicine myself," she said. He sighed. "I don't knt)w. It all sounds pretty tenuous." "Oh, come on," Janet said. "What is this, role reversal? 76 R O B I N C O O K T E R M I N A L 77 You're the one who's always telling me I've lived too shel- tered a life, that I never take chances. Suddenly I'm the one taking the chances and you turn cautious. Where's that rebel spirit you've always been so proud of?" Sean found himself smiling. "Who is this woman l'm talk- ing to?" he said rhetorically. He laughed. "Okay, you're right. I'm acting defeated before trying. Let's give it a go." Janet threw her arms around Sean. He hugged her back. After a long moment, they looked into each other's eyes, then kissed. "Now that our conspiracy has been forged, let's go to bed," Sean said. "Hold on," Janet said. "We're not sleeping together if that's what you mean. That's not going to happen until we have some serious talk about our relationship." "Oh, come on, Janet," Sean whined. "You have your apartment and I have mine," Janet said as she tweaked his nose. "I'm serious about this talk business." "I'm too tired to argue," Sean said. "Good," Janet said. "Arguing is not what it's going to take." AT ELEVEN-THIRTY that night, Hiroshi Gyuhama was the only person in the Forbes research building except for the security man whom Hiroshi suspected was sleeping at his post at the front entrance. Hiroshi had been alone in the building since nine when David Lowenstein had departed. Hiroshi wasn't staying late because of his research; he was waiting for a mes- sage. At that moment he knew it was one-thirty in the after- noon the following day in Tokyo. It was usually after lunch that his supervisor would get the word from the directors re- garding anything Hiroshi had passed on. As if on cue, the receiving light on the fax machine blinked on, and the LCD flashed the message: receiving. Eagerly Hi- roshi's fingers grasped the sheet as soon as it slid through. With some trepidation he sat back and read the directive. The first part was as he'd expected. The management at Sushita was disturbed by the unexpected arrival of the student from Harvard. They felt that it violated the spirit of the agree- ment with the Forbes. The directive went on to emphasize the company's belief tkat the diagnosis and treatment of cancer would be the biggest biotechnology/pharmaceutical prize of the twenty-first century. They felt that it would surpass in ec- onomic importance the antibiotic bonanza of the twentieth century. It was the second part of the message that dismayed Hiroshi. It mentioned that the management did not want to take any risks, and that Hiroshi was to call Tanaka Yamaguchi. Fie was to tell Tanaka to investigate Sean Murphy and act accordingly. If Murphy was considered a threat, he was to be brought to Tokyo immediately. Folding the fax paper several times lengthwise. Hiroshi held it over the sink and burned it. He washed the ashes down the drain. As he did, he noticed his hands were trembling. Hiroshi had hoped the directire from Tokyo would have given him peace of mind. But it only left him even more agitated. The fact that Hiroshi's superiors felt that Hiroshi could not handle the situation was not a good sign. They hadn't said it directly, but the instruction to call Tanaka said as much. What that suggested to Hiroshi was he was not trusted in matters of crucial importance, and if he wasn't trusted, then his upward mobility in the Sushita hierarchy au- tomatically was in question. From Hiroshi's perspective he'd lost face. Unswervingly obedient despite his growing anxiety, Hiroshi got out the list of emergency numbers he'd been given before coming to Forbes over a year ago. He found the number for Tanaka and dialed. As the phone rang, Hiroshi felt his anger and resentment for the Harvard medical student rise. If the young doctor-to-be had never come to Forbes, Hiroshi's stat- ure vis-h-vis his superiors would never have been tested this way. A mechanical beep followed a message in rapid Japanese urging the caller to leave his name and number. Hiroshi did as he was told, but added he would wait for the call back. 7g !/ 0 B I N C t) t) K Hanging up the phone, }tiroshi thought about Tanaka. He didn't know much about the man, but what he did know was disquieting. Tanaka was a man frequently used by various Jap- anese companies for industrial espionage of any sort. What bothered Hiroshi was the rumor that Tanaka was connected to the Yakusa, the ruthless Japanese mafia. When the phone rang a few minutes later, its raucous jangle sounded unnaturally loud in the silence of the deserted lab. Startled by it, Hiroshi had the receiver off the hook before the first ring had completed. "Moshirnoshi," Hiroshi said much to'~ quickly. betraying his ilervouslleSS. The voice that answered was sharp and piercing like a sti- letto. It was Tanaka. 4 March 3 Wednesday, 8:30 A.M. When Sean's eyes blinked open at eight4hirty, he was in- stantly awake. He snatched up his watch to check the time, and immediately became annoyed with himself. He'd intended to get to the lab early that day. If he was going to give this plan of Janet's a shot, he'd have to put in more of an effort. After making himself reasonably decent by pulling on his boxer shorts, he padded down the balcony and gently knocked on Janet's slider. Her curtains were still closed. After he knocked again harder, her sleepy face appeared behind the glass. "Miss me?" Sean teased when Janet slid the door open. "What time is it?" Janet asked. She blinked in the bright light. "Going on nine," Sean said. "I'll be leaving in fifteen or twenty minutes. Want to go together or what?" "I'd better drive myself," Janet said. "l've got to find an apartment. I only get to stay here a few nights." "See you this afternoon," Sean said. He started to leave. "Sean!" Janet called. Sean turned. "Good luck!" Janet said. "You too," Sean said. As soon as he was dressed, Sean drove over to the Forbes Center and parked in front of the research building. It was just after nine-thirty when he walked in the door. As he did, Robert 79 80 R O I{ I N C O O K Harris straightened up froin the desk. He'd been explaining something to the guard on desk duty. His expression was somewhere between angry and morose. Apparently the man was never in a good mood. "Banker's hoursT' Harris asked prov()catively. "My favorite Marine," Sean said. 'bWere you able to keep Mrs. Mas~,n out of trouble, or was she desperate enough to take yt)u on a tour of l.~tdv Lttck?" Robert Harris glarett a~ Senn as Sean !caned against the bar of the tunls~ile to show his ID to the guard at the desk. But Harris coulc!n't think of an appropriate retort ihst enough. The guard al the tlcsk release(1 the bar and Senn pu'~hed through. [;[~,-t',re how to a,l)proach the tiny, Senn first tt)ok the eievator t(~ Ihe seventh iioor and went to Claire's office. [fe was not lookii~j 'i'~rw:~rd to meeting her since they'(t parte(1 t~n such u,;c~.,~!~.t,.~r~zd~!e terms. Bu! he wanted ~o cica,' the :air. Claire ~tnd her $~,perior shared an ,~J'iice with their desks f:~.ciaL2 e4,~'h ~ther. Bt~t when Scan fi)tli~(l her. Claire was alone. "M~),~'i'~ing!" 5cz~n sai,.l cheerf**l!y. Claire ' ~ t~p itom her v, ork. "I trust 3ou slept well," sloe said ~,~i~':,!,ticalty. "l'n~ s,.,rrv **Dom last *figrht." Scan (~iTcred. "I know it was evcnit~ h~d I,~ end that w,ty. L:,u! [ asst,re you Janet's arrival was totally ttnexi)ected." "1'1i take yt)t~r word for it," Claire ,,~titl coolly. "Ptease." Sean asked. "Don't yt~u tt~n unfiiendly. '~ t)u'rc one o!' lhe i'c~,~ people here who ha~, been nice to me. l'm V~ apologizing. aat litore can i cloT' "YolJ'i'o right," Claire said, tinaily ~,oftening. "Consicier it history. What can I do for you today?" "I suppose t ha',e to talk with Dr. l_evy," Senn said. "Ht)w do you suggest I find her'?" "Page her," Claire said. "All of the professional staff car,'y beeperk. You shotfid get one yr)urself." She picked up the phone. checked with the operator that Dr. Levy was in, then had her paged. Claire only had time to tell Scan where to go to get a beeper 81 when her phone rang. It was one of the administrative secre- taries calling to say that Dr. Levy was in her office only a few doors down from Claire's. Two minutes later Sean was knocking on Dr. Levy's door, wondering what kind of reception he'd get. When he heard Dr. Levy call out to come in, he tried to talk himself into being civil even if Dr. Levy wasn't. Dr. Levy's office was the first place that appeared like the academic scientific environment Sean was accustomed to. There was the usual clutter of journals and books, a binocular microscope, and odd assortments of microscopic slides, pho- tomicrographs, scattered color slides, erlenmeyer flasks, cul- ture dishes, tissue culture tubes, and lab notebooks. "Beautiful morning," Sean said, hoping to start off on a better note than the day before. "I asked Mark Halpern to come up when I heard you were on the floor," Dr. Levy said, ignoring Sean's pleasantry. "He is our chief, and currently our only, lab tech. He will get you starled. He can also order any supplies and reagents you might need and we don't have, although we have a good stock. But I have to approve any orders." She pushed a small vial across her desk toward Sean. "Here is the glycoprotein. I'm sure you'll understand when I tell you that it does not leave this building. I meant what I said yesterday: stick to your assign- ment at hand. You should have more than enough to keep you busy. Good luck, and I hope you are as good as Dr. Mason seems to believe you are." "Wouldn't it be more comfortable if we were a bit more friendly about all this?" Sean asked. He reached over and picked up the vial. Dr. Levy pushed a few wayward strands of her glistening black hair away from her forehead. "I appreciate your forth- rightness," she said after a brief pause. "Our relationship will depend on your performance. If you work hard, we'll get along just fine." Just then, Mark Halpern entered Dr. Levy's office. As they were introduced, Sean studied the man and guessed he was around thirty. He was a few inches taller than Sean and was 82 1{ O B I N (~ O () K meticulously dressed. Sporting a spotless white apron over his suit, he !()oked more like ,men Sean had seen arotmd cosmetic counters in departnlent stores lhall a tech in a scientific lab. Over the next half hour, Mark set Sean up for work in the large empty fifth floor that Claire had shown him the day be- fore. By the time Mark left, Sean was satisfied with the phys- ical aspects of Iris work situation; he (Inly wished he was working on something tie was truly interested in. Picking up the viaJ Dr. Levy hild given him, Seall till- screwed the cap and }o~;ked in ;tt the fine white powder. He salt'led it; it had n~) snlell. Pulling his stool closer to the counter, he set t(~ work. [:irst he dissolved the powder in a ú I '3{~ xaricty of solvents to ,,c' an idea of its ,soJuDli,~,,. Itc atso set tip a g .'. electrophoresis to .gel so)me appn)ximatk;n of it~; nlo- lct:ula, weight. After about an hotti' Of t:i~l/centration. Sean ~as :4udtJeliJy distracted by ntt,vement that he thought hc'd seen out ,~f ~he corner of his eye. When ~le looked in th:tl tlirecti~,)11, all he say, wits empty lab space ex!cnding over to the door to tile stair- well. Scan patlsetJ from wl~at he was doi~ig. The only detect- able sound came frtnn lhe hun~ of a refrigerator compressor and the whirring of a shaking platlbrm Sean was using to help super-saturate a solution. tie wondered if the tinaccustomed solitutle was insking !-i]lil hallucinate. Scan was seated near the middle of the room. Put~ing down the utensils in his hands, he walked the length ~)f the lab, giancing down each aisle. The more he looked the more un- certain he became lhat he'd seen something. Reaching the dr)or to the stairwell, he yanked it open and took a .,;tep forward, intending !o look up ancl down the stairs. He hadn't really expected to find anything, and he involuntarily caught his breath when his sudden move put him face to face with some- one who'd been lurking just beyond the door. Recognition dawned swiRly as Sean realized that it was Hiroshi Gyuhama who stood before him, equally as startled. Sean remembered meeting the man the day before when Claire had introduced them. 83 "Very sorry," Hiroshi said with a nervous smile. He bowed deeply. "Quite all right," Sean said, feeling an irresistible urge to bow back. "It was my fault. I should have looked through the window before opening the door." "No, no, my fault," Hiroshi insisted. "It truly was my fault," Sean said. "But I suppose it is a silly argument." "My fault," Hiroshi persisted. "Were you coming in here?" Sean asked, pointing back into his lab. "No, no," Hiroshi said. His smile broadened. "I'm going back to work." But he didn't move. "What are you working on?" Sean asked, just to make conversation. "Lung cancer," Hiroshi said. "Thank you very much." "And thank you," Sean said by reflex. Then he wondered why he was thanking the man. Hiroshi bowed several times before turning and climbing the stairs. Sean shrugged and walked back to his lab bench. He won- dered if the movement he'd seen originally had been Hiroshi, perhaps through the small window in the stairwell door. But that would mean Hiroshi had been there all along, which didn't make sense to Sean. As long as his concentration had been broken, Sean took the time to descend to the basement to seek out Roger Calvet. Once he found him, Sean felt uncomfortable talking to the man whose back deformity prevented him from looking at Sean when he spoke. Nonetheless, Mr. Calvet managed to iso- late a group of appropriate mice so that Sean could begin injecting them with the glycoprotein in hopes of eliciting an antibody response. Sean didn't expect success from this effort since others at the Forbes Center had undoubtedly tried it al- ready, yet he knew he had to start from the beginning before he resorted to any of his "tricks." Back in the elevator Sean was about to press the button for the fifth floor when he changed his mind and pressed six. He 84 R O B I N C ~.) O K T E l/ M I N ,\ I, 85 wouldn't have guessed it of himself. but he felt isolated and even a bit lonely. Working at Forbes was a distinctly uncom- fortable experience, and not simply because of the bevy of tinfriendly people. There weren't enough people. The place was too empty, too clean, too ordered. Sean had always taken the academic collegiality of his previous work envh'onments for granted. Now he fotllld himself needing some htmlan in- teraction. So he headed i'm' the sixth floor. The first person Scan encountered was David Lowenstein. He was an intense, thila fellow bent over his iab bench ex- amining tissue culture tubes. Scan came up to his left side and said hello. "t beg your p;u'don?" David said, glancing up from his work. "}tow's il going?" Scan asked, He reintrodnced himself in ease David had forgoti:en him from the day before~ ~'Thing:, are going as wc!t as can be expected," David saict. "What are y~u working orl?" Scan asked. "Melanoma." David answered. "Oh." Scan said. The conversation went downhil! from that point. so Scan drifted on. fie caught Hiroshi looking at him, btll after the ~tairwell incident Sean avoided him. lnstead he moved on to Arnold Harper who was busily working under a hood. Sean could tell he was doing some kind of' recombinant work with yeast. Attempts at conversation with Arnold were about an suc- cessful as those with l)avid Lowenstein had been. The only thing Sean learned frcml Arnold was that he was working on colon cancer. Although he'd been the source of the glycopro- tein Sean was working with, he didn't seem the least interested in discussing it. Sean wandered on and came to the glass door to the may imum containment lab with its No Entry sign. Cupping his hands as he'd done tile day before, he again tried to peer through. Just like the previous day, all he could see was a corridor with doors leading off it. Ariel' glancing over his shoulder to make sure no one was in sight, Sean pulled open the door and stepped inside. The door shut behind him and sealed. Thin portion of the lab had a negative pressure s~, that no air would move out when the door was opened. Ft)r :t moment Searl stood jtist inside the door and felt his pulse quicken '~x. ith exchemenl. It was the same feeii~g fie used to get :rs a teel;ager ',~],.et; lie, Jimmy, and Bracly would ~?~, north itc ',}t~e of tile rich bc,.'cr h> lhe IRA. bul Sc:n nc~er klqt'w ]lOW mtlch Of it e',er e,,,l u, ]roland. When no ,,'me appcarc(! t:> }',m/est Scal;'s p,l'tPsencc i lq {}~,C ~'~{; }-~ntrv a.~ea, Sc:an puxhed .;p. '[he p~ace (]i,Jn'~ haxe ~hc !,~,~, (>r ~'CJ (~~ ~i ,qtaXilllttfi~: C~tl[i~i!l!i!C!l{ [zlb in t~c[. the *ir=.t ~c.~.i, hc h:>,,ked ,nto was eli'Or)' ›x-~e},i ~;~r h~,-c !xb benches. i'[]:~i'c x a,, ti-:} L%!uip~)C~it :-17 ',iil, [5i~ 2~!~;_~ ~}~C F<~f~}~,i. Seen cYai','i}r~c'rX }',~,7 ',:,i~,~'~ac:2 O} [J;C C{~[t[l[cr5. 3~[ ›;{~,~ {lille [}}C\ }}ii(! b:.}{?ii }I-,~:~}. }'(li JlO( eKICBq}:'t,.'[V. }JtC C;s[l!;i! -,:re} t,<}i~lC 1I!;il'J-.s \khCFC :ilu {'ii'~;h:~ i~2Ct <~i d COdi'ii3rtop !iid. C}].:'i~2 !~,id >,a~, '~>til ~hJ~[ ,,~:!s t[i;,' {)71~', te!!la!c sign o,~ use. i',e~di 'g down. Scan pui}ed .}Fun a cai>:~nc! al:d g.t/cd ii~,kie. The~c v~erc it few *aail en~js{> rotgent N~ttics as w,~'!', ;i, a- s~)rted g)itssware. St)ltiC ~',1' v, hicJl ',~,,'a-, broken. "}told il right ~here~' a v~fice shoutc(!. cau~,ing Scorn t,> whir[ ar~ullil a'!t] risc t.,> ,t q;~t~din,_'_ D'~xi~ion. }t v, as Rilbor[ }lairix pole, c-t! !i~ ihe doiq',,,,ay }~.~i]~~i,, -);:l !li, hips, feet spread apart. Hi,; mcat~ t;~ce wa,~ red. l),)is of per- spiration lined his ti>reheaci "t:al~'~ )tin read. Mr, ~u!-,ard Boy?" Harris snarled. "l &)n't tltink it's worth gelting tipsel <)re!' ,In cl~,~i3t}' lab." Seait said. "This area is olt lirails." Hares s:tid. "We're nt)t in the army," Scan said. [tarris advanced menacmgly. Bern ten his height and ~cighl advantage. he expecteel ~o ints~.-~idate Scan. But Sea~ didn't move. kte merely tensed. With all !~is street experience as a teenager. he inslinctively knc,x 'a'hat he'd hit and h ~ h.trci if f 86 R O B I N C O O K '~ T E tl M I N ,\ i~ 87 Harris threatened to touch him. But Sean was reasonably con- fident Harris wouldn't try. "You are certainly one wiseass," Harris said. "I knew you'd be trouble the moment I laid eyes on you." "Funny! I felt the same way about you," Sean said. "1 warned you not to mess with me, boy," Harris said. He moved within inches of Sean's face. "You have a couple of blackheads on your nose," Sean said. "In case you didn't know." Harris glared down at Sean and for a moment he didn't speak. His face got redder. 'q think you are getting entirely too worked up," Sean said. "What the hell are you doing in here?" Harris demanded. "Pure curiosity," Sean said. "I was told it was a maximum containment lab. I wanted to see it." "I want you out of here in two seconds," Harris said. He stepped back and pointed toward the door. Sean walked out into the hall. "There are a few more rooms I'd like to see," he said. "How about we take a tour to- gether?" "Out!" Harris shouted, pointing toward the glass door. JANET HAD a late morning meeting with the director of nurs- ing, Margaret Richmond. She used the time from Sean's wake- up call until the moment she had to leave to take a long shower, shave her legs, blow-dry her hair, and press her dress. Although she knew her job at the Forbes hospital was assured, meetings such as the one she was anticipating still made her nervous. And on top of that, she was still anxious about Sean's potential for heading back to Boston. All in all she had plenty of reason to be upset; she had no idea what the next few days would bring. Margaret Richmond was not what Janet anticipated. Her voice on the telephone had conjured up an image of a delicate, slight woman. Instead, she was powerful and rather severe. Yet she was still cordial and businesslike, and conveyed to Janet a sincere appreciation for Janet's coming to the Forbes hospital. Sht: even gaxe Ja:lct her choice of shifts. Janet '~.as pleased to opt fi)r clays. She ha(t assumed >Jle'd have to xtan on nights. a shift she disliked. '~You indicated a preference For l]oor duty." Ms. Richmond said as she consuhed her no. les. "Correct," Janet s;li(t. "):bor c!utv ~2ixe,.4 inc the typ,y of patient conl;.ict that I find the tnost rewarding." "We have an c)pening for ,lays on the fou,'th floor." Ms. Richm~ncl ~aid. "~›t)Ufi(IS pood." Janel s;lid c[;~:te~fi~)is, "When would v~t~ like i<, s;ar~'.~ ' x,,Is. Rich{~ot~d :~kc,.i "~T~,morrov.,,'~ .!anct s~,id. She v,,'otd(i have preficrr.'d :~ re'.,,' diI'yS' ,,tOJilV {('~ oix/C hcIs~.?{!' L{ Jh[111~:'C IO [iIld ill! ap[iltli!Oll' ._[llki ge! ,eit!cd, hul :,tle reit ;ill 11~2!7i1C5' it[5(311! clel-ing in~:~ linc il;c- d,~llobla~omn pn~i{)co!. "I'd like ~o use rod;ix ~<, ',.i~,,; ~r, iir~d a nearby ap;~i'5~e~:." ,!i~nct :'~(id,:d. '~'[ cl<~n't ~' ' '' [,qll!,~ V<)t~ ",ti(!iii,J .41:~'., ~iR~Lt!)œ] liere." ~']*, ~;(!' il~ not s.'.ti~!. "If~, were v,)a,~ J'(! *,o ~:)~1 l(~ !tle bc:ti'h 'FiTe','~t' " ~ .... Litlilt' ;t linde )t;~; '' Gr ~,: ' ''['!~ *.~ig:~:~' 5()Ui' ikt. ix,'i('C,* J[ ,?[ {;~{tJ :~ssunl{ii'.~' [}'' li',..' 'i}}i'2 \",::!$ ()'~ C!'. ',)!:~ ";,t:O()(l. "1{{,"9, ›[bi)U( i.t (Itiii.'k !()1i1' (' [ilC !t*1%i~il.1I >" 5i:: ~: t i~, ,. ")'d )iL~ tha!.." .!,:,~r~e: -ad. Selcnbui'~a. ~.tc hospitai ad,i~!~ii,4~"~lt,r. B-~t tie ;~asi"i a'.:ti;~'.i!,'...'. ' P~:' it'll; i . ~ t IC ~r V~0111 ~() tt]~' ii::~',t P~)i}t' ,'~; ";CC [hC (~!!t.r'~:i;.i.)iii l;! it[!L!![(~.rit!tli , , i ,'~ C:.iiCiOF!:.I. ()il ~~;.' :;t:'itt,!_t(I. llt:t~l' J;t~i,){ l~t:~' 'eli iri!~ ihi' j(7i. 5 lb<.~ :.~.l~'ci:'~il arc;i, lb<' t:h~.:)l:i~;lr> i:~)',. th,: ":~d;,)k~3;? dcpar',mc.nt. a~n() it,., iic,~! u. ~ti:~. ~.i'ilc'il lll(':v \~,':n? ,.i) t. I{IC ,~,ti,lh J~i~',r. J~tl!t.'~ '&'(iF inqxe-:';',i v, ith ti,: ~<~:spita!. li ,:,;as; thee!fill. ~5 ~=l- cr]~, a~d :~pp,xtred to bc ~d<'q~.it~tei5 sl;i!Ted. v, hid~ x, as },:~,,i,.- ulari} impc, rtant from a !*ur:.:ing point ot view. She'el had l-or misgi,~.ings abou! ~mc.,qogl> ;!nd the fact that all /lie palira,is would be canere' patienls, but given ~h.e otherx~ise pk:'asanl on. 88 R O B 1 N C O O K T E I-I M I N ~ i, 89 vironment and the variety in the patients she saw--some old, some gravely ill, others seemingly normal--she decided the Forbes hospital was definitely a place in which she could work. In many ways, it wasn't dissimilar to the Boston Me- morial, just newer and more pleasantly decorated. The fourth floor was arranged in the same configuration as other patient floors. It was a simple rectangle with private rooms on either side of a central corridor. The nurses' station was situated in the middle of the floor near the elevators and formed a large U-shaped counter. Behind it was a utility room and a small closet-like pharmacy with a dutch door. Across from the nurses' station was a patients' lounge. A housekeep- ing closet with a slop sink was across from the elevators. At either end of the long central hall were stairways. Once their tour was completed, Ms. Richmond turned Janet over to Marjorie Singleton, the head nurse on days. Janet liked Marjorie immediately. She was a petite redhead with a smat- tering of freckles across the bridge of her nose. She seemed in a constant flurry of activity and never without a smile. Janet met other staffers as well, but the profusion of names over- whelmed her. Aside from Ms. Richmond and Marjorie, she didn't think she'd remember a single person to whom she'd been introduced except for Tim Katzenburg, the ward secre- tary. He was a blond-haired Adonis who looked more like a beach boy than a hospital ward secretary. He told Janet he was taking pre-med courses at night school since discovering the limited utility of a philosophy degree. "We're really glad to have you," Marjorie said when she rejoined Janet after taking care of a minor emergency. "Bes- tows loss is our gain." "I'm happy to be here," Janet said. "We've been short-handed since the tragedy with Sheila Arnold," Marjorie said. "What happened?" "The poor woman was raped and shot in her apartment," Marjorie said. "And not too far from the hospital. Welcome to big city life." "How terrible," Janet said. She wondered if that was the reason Ms. Rictmlond hat] warned her agains',. the inlmediate neighborhood. "(7urrently we happen to have a smail con~ir.,2ent of patients from Boston," M;tljorie stdd. "W(3uid you !ikc Io racet thettl'.)" ~'Sure." Janet said: Marjorie b,>u~)ded o~f. Janet p~'acticali3; ,'~.~d t~, ~un Io keep up xsith her. To~e~!~cr they e.ntcr,~d a n)t~r~ on :he x~,esl side ~f the hosp tal, "Helen," Marj~.~rie called ~,,>fi,,~ once ~,hc , ,,, d httside the bed. "Yolt have a viy;ho~ i'I'0.~11 Bost()II." , . q Brit, ht o113(y11 C5'~!'S ~.)?CFlC(]. ThciF !lq[,2*i;-,;~' ~.q"}t~F ,': I likl, tk:u dramzttical!y a'i!ia die patient's l)ale xki;s. "~,,ze tiiivc a ':,rt', ii Ir'4c }(}illilir2 ()u! '-1[.'~'" "~];i!i,~FlC ?;Lii(J. 3il,P tllell i~lti,.:)cJt~c-c i ihc !w(} W(*1!)CI'~. 'l'he nz~lic . {c.e i ( ab;}{ ii',liiledili!eJx {t:t!;'qk},:':.{ ii~ .ia~!~,:t'- [~.(iSi()II, ~- ' :, ~.' ',~,a~; [~Jc:~.:,,2,'-~ ',~) ~i:~d ~" 'i~ ':~ encc v~ouJ(l unti(~ti:o!cd~,. i,~c. ip lxccl) Scttn i~ Y:'i~:; i{!;~. ic~'l the room. "Sad c:~sc," M,,t'l;~'],,~. -,,kiel "St'oh ~ xx~z-~.~ ~[i;~. Sl~c'$ sc!ied- ilL'El t',t)l' it bif)j'3S}' [:}{J~i~, [ il('[)e ",~lt iC:~l)i}11Lfs '~,; lie ~tC',tlllls;ll[." "13t~t I've Le,'.tld li,.;t{ ,.~.~ p.'opt,_' ii;~c )'td :: :it;~,(i~c~', pen.'t~nt re~i;ission x~ith i~er i!)ili{]CilJ;li' t. ylie (~1' [[ii:itti'. ' ,];;itqCi said. "tk"h) w~'~ttldn-I ~d~c rt;;,i,~lld?- Nl~!li,,iie $. ,pp~_'d ;tn~l ',!~rctt ,~t J;!;ici. "}'F* ;~;;i,,;:-s:~-l." she :,t~Jti. "Not ol'ti}' ;.iit} ',~.)kl ,.I,,V:H':.7' t}t' {).',.ii' !!~(llt~!i ~t ~:t>.~,~!~.},i rc,,tiits, }<)tl 111adl.) aii iliMtlllt;!i!c'titl:., and coi-rect di:ign(>,,i,. Ace }ou endorsed with po,~xers ~x(' should knm', aho~,?- "llardly," Janet said ?,'ith a laugh. "ilclc:l Cabot wa>. a pilticltl ,tit my he', ',i~,~i! iT: Bestcm. i'd hcal'Ct ub~,~ul her case." "That m;~kcs n~e R'et more comfi)rtable." 5kuljorie said. "For a second there ! thought I was x~il~.cs~;:.,aj dx~ st!pcrnat- real." She begai'... ',v:tlki! g again. "l'n~ concerned abelit }telen Cabt)t because lie,_- lun~t;~s arc fa" a&anccd. V-"~'," ,. ,.,tt~ ,,,.'ou peo- ple keep her fi)r so !on,,> She should have t,cc,1 -:taned tin [l'v2;,l[lBeFl[ weeks ag(x" 90 "That's something I know nothing about," Janet admitted. The next patient was Louis Martin. In contrast to Helen, Louis did not appear ill. In fact, he was sitting in a chair fully dressed. He'd only arrived that morning and was still in the process of being admitted. Although he didn't look sick, he did appear anxious. Marjorie went through introductions again, adding that Louis had the same problem as Helen, but that thankfully he'd been sent to them much more swiftly. Janet shook hands with the man, noting his palm was damp. She looked into the man's terrified eyes, wishing there was something she could say that would comfort him. She also felt a little guilty realizing that she was somewhat pleased to learn of Louis's plight. Having two patients on her floor under the medulloblastoma protocol would give her that much more op- portunity to investigate the treatment. Sean would undoubtedly be pleased. As Marjorie and Janet returned to the nurses' station, Janet asked if the medultoblastoma cases were all on the fourth floor. "Heavens no," Marjorie said. "We don't group patients according to tumor type. Their assignment is purely random. It just so happens we'll currently have three. As we speak we're admitting another case: a yonng woman from Houston named Kathleen Sharenburg." Janet hid her elation. "There's one last patient from Boston," Marjorie said as she stopped outside of room 409. "And she's a doll with an incredibly upbeat attitude that's been a source of strength and support for all the other patients. I believe she said she's from a section of town called the North End." Marjorie knocked on the closed door. A muffled "Come in" could be heard. Marjorie pushed open the door and stepped inside. Janet followed. "Gloria," Marjorie called. "How's the chemo going?" "Lovely," Gloria joked. "I've just started the IV portion today." 91 "I brought yt)n somebody to meet." Nlarjorie said. "A new nurse. She's fronl Boston." Janet looked at the woman in the bed. 5, he appeared to be aboul Janet's own age. A few years e:trlier, J;~.net woulcl have been shocked. Prior to working in a h,,)s4, it;d she'd been under the delusion that cancer wa,, an afllicti,:~n {~t' tile elderIv. Pain- fully. Janet had learned tllttl .just abotit Ltll'~t~l;e xkax fair game for the disease. Gloria was ›~live--complected with dark ~'ye,: and what had been dark hair. Prescntfy her scalp was ceverc(l with a dark fuzz. Altllough slle'd been a buxom w~m;~l (~ne side of her chest was ntw~' 11at beneath her lingerie. "Mr. WJddicomb!*' Maljt)rie saitt wi~h stlrprisc~ irritation. "What are you doing in hereT' Her attention I'(~cused on the patient, .lanct halt n()t realized there was an~)the~.' l)erson in tile rootll. She [t. tl'11t.~d [O see a nlan in a green uniform wilh a mil(11~ dist(~rtect nose, "Don't ? giving Tom a bad time," Gloria said. "He's only trying to help." "l told you I wanted rt)t)nl 417 cleaned," Marjorie said, ignoring Gloria. "Why are you in bereT' "l was about to (to the bathrt)om." Tt~m said meekly. He avoided eyc contact while lidgcting with the mop handle stick- ing out of his bucket. Janet watched. Slle was fascinated. Tiny Mariorie bad been transformed from an a!llia?)le pixie to a cotn~nandin~ pt)wer- house, "What are we tt) clo x; itl~ the new patient it ~he rc}t~n~ is nt)t ready?" Marjoric denlancled. "Get clown there at ~>nce and get it done." She pointed ou! tile door. After the man had left, Maijorie stlt)ok her head. "Tom Widdiconlb is the bane of nly existence here at Forbes.*' "He means well." Gloria said. "He's been an angel to me. He checks on me every day." "He's not enlph)yed as part of thc professi,.mal ~;tafl," Mar- jorie said. "}te's got to flo Iris own .job first." Janet smiled. She Ilkeel wt)rking on warels that were well rim by someone capable of taking charge. Judging by what 92 she'd just seen, Janet was confident she'd get along fine with Marjorie Singleton. SOME OF the soapy water sloshed out of his bucket as Tom raced down the corridor and into room 417. He released the doorstop and let the door close. He leaned against it. His breaths came in hissing gasps, a legacy of the terror that had flashed through him when the knock had first sounded on Glo- ria's door. He'd been seconds away from giving her the suc- cinylcholine. If Maljorie and that new nurse had happened by a few minutes later, he would have been caught. "Everything is fine, Alice," Tom reassured his mother. "There's no problem whatsoever. You needn't be worried." Having reined in his fear, Tom was now angry. He'd never liked Marjorie, not from the first day that he'd inet her. That bubbly good nature was .just a sham. She was a meddlesome bitch. Alice had warned him about her, but he hadn't listened. He should have done something about her like he'd done to that other busybody nurse, Sheila Arnold, who'd started asking questions about why he was hanging around an anesthesia cart. All he'd have to do was get Marjorie's address solnetime when he was cleaning up in administration. Then he'd show her who was in charge, once and for all. Having calmed himself with thoughts of taking care of Mar- jorie, Tom pushed off from the door and eyed the room. He didn't care for the actual cleaning part of his job, just the freedom it provided. He'd preferred the job with the ambu- lance except for having to deal with fellow EMTs. With house- keeping, he didn't have to deal with anyone except for rare run-ins with the likes of Marjorie. Also, with housekeeping he could go anyplace in the hospital almost anytime he wanted. The only catch was he occasionally had to clean. But most of the time he was able to get by just pushing things around, since nobody was watching him. If Tom was honest with himself, he had to admit that the job he'd liked the best had been one he'd held way back when he'd first left high school. He'd gotten a job with a vet. Tom 93 liked the animals. After he'd worked there for a while the vet had designated Tom as the person in charge of putting the animals to sleep. They were usually old, sick animals that were suffering, and the work gave Tom a lot of satisfaction. He could remember being disappointed when Alice didn't share his enthusiasm. Openling the door, Torn peered up the corridor. He had to return to the housekeeping closet to retrieve his housekeeping cart, but he didn't want to run into Marjorie for fear she'd start in on him again. Tom was afraid he might not be able to control himself. On many occasions he'd felt like striking her because that's what she needed. Yet he knew he couldn't af- ford to do that, no way. Tom knew he would have trouble helping Gloria now that he'd been seen in her room. He would have to be more careful than usual. He'd also have to wait a day or so. He'd just have to hope she'd still be on IVs by then. He didn't want to inject the succinylcholine intramuscularly because that might make it detectable if it occurred to the medical examiner to look for it. Slipping out of the room, Tom headed up the hall. As he passed 409, he glanced inside. He didn't see Marjorie, which was good, but he did see that other nurse, the new one. Tom slowed his steps as a new fear gripped him. What if the new nurse who'd been hired to replace Sheila was actually hired to find him? Maybe she was a spy. That would explain why she had suddenly appeared in Gloria's room with Mar- jorie! The more Tom thought about it, the more sure he became, especially since the new nurse was still in Gloria's room. She was out to trap him and stop his crusade against breast cancer. "Don't worry, Alice," he assured his mother. "I'11 listen this time." ANNE MURPHY felt better than she had in weeks. She'd been depressed for several days after she'd learned of Sean's plans to go to Miami. To her, the city was synonymous with drugs and sin. Somehow, the news hadn't surprised her. Sean had been a bad child from an early age and, like men in general, he certainly wasn't likely to change, despite his surprising ac- ademic performances late in high school and then in college. At first when he talked about going to medical school, she'd felt a ray of hope. But the hope had been shattered when he told her he did not plan to practice medicine. Like so many other junctures in her life, Anne recognized she just had to endure and stop praying for miracles. Still the question of why Sean couldn't be more like Brian or Charles plagued her. What had she done wrong? It had to have been her fault. Maybe it was because she hadn't been able to breast-feed Sean as a baby. Or maybe it was because she'd been unable to stop her husband from beating the child during some of his drunken rages. Leave it to her youngest son, Charles, to provide a bright spot in the days subsequent to Sean's departure. Charles had called from his seminary in New Jersey with the glorious news that he would be home for a visit the following evening. Won- derful Charles! His prayers would save them all. In anticipation of Charles's arrival, Anne had gone out shopping that morning. She planned to spend the day baking and preparing dinner. Brian said he'd try to make it although he had an important meeting that night that might run late. Opening the refrigerator; Anne began putting away the cold items while her mind reveled in anticipation of the pleasures she'd enjoy that evening. But then she caught herself. She knew such thoughts were dangerous. Life was such a weak thread. Happiness and pleasure were invitations for tragedy. For a moment she tortured herself about how she'd feel if Charles were killed on the way to Boston. The doorbell interrupted Anne's worries. She pressed the intercom and asked who was calling. "Tanaka Yamaguchi," a voice said. "What do you want?" Anne asked. The doorbell did not ring often. "I want to talk to you about your son Sean," Tanaka said. The color drained from Anne's face. Instantly she scolded 95 herself for having entertained pleasurable thoughts. Sean was in trouble again. Had she expected anything less? Pressing the door-release button, Anne went to the door to, her apartment and pulled it open in anticipation of her unex- pected guest. Anne Murphy was surprised enough that some- one was paying a house call; when she saw that he was an Oriental, she was shocked. The fact that the man's name was Oriental hadn't registered. The stranger was about Anne's height but stocky and mus- cular with coal-black short hair and tanned skin. He was dressed in a dark, slightly shiny business suit with a white shirt and dark tie. Over his arm he carried a belted Burberry coat. "I beg your pardon," Tanaka said. He had only a slight accent. He bowed and extended his business card. The card simply read: Tanaka Yamaguchi, Industrial Consultant. With one hand pressed against her throat and the other clutching the business card, Anne was at a loss for words. "I must speak to you about your son Sean," Tanaka said. As if recovering from a blow, Anne found her voice: "What's happened? Is he in trouble again?" "No," Tanaka said. "Has he been' in trouble before?" "As a teenager," Anne said. "He was a very headstrong boy. Very active." "American children can be troublesome," Tanaka said. "In Japan the children are taught to respect their elders." "But Sean's father could be difficult," Anne said, surprised at her admission. She felt flustered and wasn't sure if she should invite the man in or not. "I'm interested in your son's business dealings," Tanaka said. "I know he is a fine student at Harvard, but is he in- volved with any companies that produce biological products?" "He and a group of his friends started a company called Immunotherapy," Anne said, relieved that the conversation was turning to the more positive momentsof her son's check- ered past. "Is he still involved with this Immunotherapy?" Tanaka asked. 96 "He doesn't talk to me about it too much," Anne said. "Thank you very much," Tanaka said with another bow. "Have a nice day." Anne watched as the man turned and disappeared down the stairs. She was almost as surprised at the sudden end to the conversation as she'd been at the man's visit. She stepped out into the hall just in time to hear the front door close two floors down. Returning to her apartment, she closed the door and bolted it behind her. It took her a moment to pull herself together. It had been a strange episode. After glancing at Tanaka's card, she slipped it into her apron pocket. Then she went back to putting food into the refrigerator. She thought about calling Brian but de- cided she could tell him about the Japanese man's visit that evening. Provided, of course, that Brian came. She decided that if he didn't come, then she'd call. An hour later Anne was absorbed in making a cake when the door buzzer startled her again. At first she worded that the Japanese man had returned with more questions. Maybe she should have called Brian. With some trepidation she pressed the intercom button and asked who wa~ there. "Sterling Rombauer," a deep masculine voice replied. "Is this Anne Murphy?" "Yes..." "I would very much like to speak to you about your son Scan Murphy," Sterling said. Anne caught her breath. She couldn't believe yet another stranger was there to ask questions about her second born. "What about him?" she asked. "I'd rather talk to you in person," Sterling said. "I'11 come down," Anne said. Rinsing her hands of flour, Anne started down the stairs. The man was standing in the foyer, a camel-hair coat thrown over his arm. Like the Japanese man, he was wearing a busi- ness suit and white shir~. His tie was a bright red foulard. "I'm sorry to bother you," Sterling said through the glass. "Why are you asking about my son?" Anne demanded, 97 "I've been sent by the Forbes Cancer Center in Miami," Sterling explained. ~ Recognizing the name of the institution where Scan was working, Anne opened the door and gazed up at the stranger. He was an attractive man with a broad face and straight nose. His hair was light brown and mildly curly. Anne thought he could have been Irish except for his name. He was over six feet tall with eyes as blue as those of her own sons. "Has Scan done something I should know about?" she asked. "Not that I'm aware of," Sterling said. "The management of the clinic routinely looks into the background of the people who work there. Security is an important issue with them. I merely wanted to ask you a few questions." "Like what?" Anne asked. "Has your son been involved with any biotechnology com- panies to your knowledge?" "You are the second person to ask that question in the last hour," Anne said. "Oh?" Sterling said. "Who may I ask made similar in- quiries?" Anne reached into her apron pocket and drew out Tanaka's business card. She handed it to Sterling. Anne could see the man's eyes narrow. He handed her the card back. "And what did you tell Mr. Yamaguchi?" Sterling asked. "I told him my son and a few friends had started their own biotechnology company," Anne said. "They called it Immu- riotherapy." "Thank you, Mrs. Murphy," Sterling said. "I appreciate your talking with me." Anne watched the elegant stranger descend the steps in front of her house and climb into the back seat of a dark sedan. His driver was in uniform. More baffled than ever, Anne went back upstairs. After some indecision she picked up the phone and called Brian. After apologizing for interrupting his busy day, she told him about her two, curious visitors. "That's odd," Brian said when she was finished, 98 99 "Should we be worried about Sean?" Anne asked. "You know your brother," "I'll call him," Brian said. "Meanwhile, if anyone else comes asking questions, don't tell them anything. Just refer them to me.' ' "I hope I didn't say anything wrong," Anne said. "I'm sure you didn't," Brian assured her. "Will we be seeing you later?" "I'm still working on it," Brian said. "But if I'm not there by eight eat without me." WITH THE Miami street map open on the seat next to her, Janet managed to find her way back to the Forbes residence. She was pleased when she saw Sean's Isuzu in the parking lot. She was hoping to find him home since she had what she thought was good news. She'd found an airy, pleasant fur- nished apartment on the southern tip of Miami Beach that even had a limited view of the ocean from the bathroom. When she'd first started looking for apartments she'd been discour- aged since it was "in season." The place she found had been reserved a year in advance, but the people had unexpectedly canceled. Their cancellation had come in five minutes before Janet stepped into the real estate office. Grabbing her purse and her copy of the rental agreement, Janet went up to her apartment. She took a few minutes to wash her face and change into shorts and a tank top. Then with lease in hand she walked down the balcony to Sean's slider. She found him glumly slouched on the couch. "Good news!" Janet said cheerfully. She plopped down in the armchair across from him. "I could use some of that," Sean said. "I found an apartment,'"she announced. She brandished the lease. "It's not fabulous, but it's a block from the beach, and best of all it's a straight shot out the expressway to the Forbes." "Janet, I don't know whether I can stay here," Sean said. He sounded depressed. "What happened?" Janet asked, feeling a shiver of anxiety. "The Forbes is nuts," Scan said. "The atmosphere sucks. For one thing, there's a Japanese weirdo who I swear is watch- ing me. Every time I turn around, there he is." "What else?" Janet asked. She wanted to hear all Sean's objections so she could figure a way to deal with'them. Having just signed a lease for two months made her commitment to remaining in Miami that much more binding. "There's something basically wrong with the place," Scan said. "People are either friendly or unfriendly. It's so black and white. It's not natural. Besides, I'm working by myself in this huge empty room. It's crazy." "You've always complained about the lack of space," Janet said. "Remind me never to complain again," Sean said. "I never realized it, but I need people around me. And another thing: they have this secret maximum containment lab which is sup- posed to be off limits. I ignored the sign and went in anyway. You know what I found? Nothing. The place was empty. Well, I didn't get to go in every room. In fact, I hadn't gotten far when this frustrated Marine who heads up the security de- partment stormed in and threatened me." "With what?" Janet asked with alarm. "With his gut," Sean said. "He came up real close and gave me this nasty look. I was this far from giving him a shot in the nuts." Scan held up his thumb and index finger about a half inch apart. "So what happened?" Janet asked. "Nothing," Scan said. "He backed off and just told 'me to get out. But he was all worked up, ordering me out of an empty room as if I'd done something really wrong. It was insane." "But you didn't see the other rooms," Janet said. "Maybe they're redoing the room you were in." "It's possible," Scan admitted. "There's a lot of potential explanations. But it's still weird, and when you add all the weird stuff together, it makes the whole joint seem plain crazy.' ' 100 101 "What about the work they want you to do?" "That's okay," Sean said. "In fact, I don't know why they've had so much trouble. Dr. Mason, the director, came in during the afternoon, and I showed him what I was doing. I'd already gotten some minuscule crystals. I told him that I could probably get some decent crystals in a week or so. He seemed pleased, but after he left, I thought about it, and I'm not wild about helping to make money for some Japanese holding company, which is essentially what I'd be doing if I get crystals that they can defract." "But that's n9t all you'll be doing," Janet said, "How's that?" "You'll also be investigating the medulloblastoma proto- col," Janet said. "Tomorrow I'm starting on the fourth floor and guess who's there?" "Helen Cabot?" Sean guessed. He pulled in his feet and sat up. "You got it," Janet said. "Plus another patient from Bos- ton. A Louis Martin." "Does he have the same diagnosis?" Sean asked. "Yup," Janet said~ "Medulloblastoma." "That's amazing!" Sean remarked. "And they certainly got him down here quickly!" Janet nodded. "Forbes is a bit perturbed that Helen had been kept in Boston so long," Janet said. "The head nurse is worried about her." "There'd been a lot of argument about whether or not to biopsy her and which of her tumors to go after," Sean ex- plained. "And there was another young woman being admitted while I was there," Janet said. "Medulloblastoma too?" Sean asked. "Yup," Janet said. "So there are three patients on my floor who are just beginning their treatments. I'd say that was pretty convenient." "I'll need copies of their charts," Sean said. "I'll need drug samples as soon as they start actual treatment, unless of course the drugs are named. But that's not going to be the case. They won't be using chemo on these people; at least not chemo exclusively. The' drugs will probably be coded. And I'll need each patient's regimen." "I'll do what I can," Janet said. "It shouldn't be difficult with the patients on my floor. Maybe I'll even be able to arrange to care for at least one of them personally. I've also located a convenient copy machine. It's in medical records." "Be careful there," Sean warned. "The mother of the woman in public relations is one of the medical librarians." "I'll be careful," Janet said. She eyed Sean warily before going on. She was learning what a mistake it was to push him to any conclusions before he was ready to make them. But she just had to know. "So this means you're still game?" she asked. "You'll stay? Even if it means doing that bit of work with the protein, even if it is for the Japanese?" Sean leaned forward with his head down, elbows on his knees, and rubbed the back of his head. "I don't know," he said. "This whole situation is absurd. What a way to do sci- ence!" He looked up at Janet. "I wonder if anybody in Wash- ington had any idea what limiting research funding would do to our research establishments. It's all happening just when the country needs research more than ever." "All the more reason for us to try to do something," Janet said. "You're serious about this?" Sean asked. "Absolutely," Janet said. "You know we'll have to be resourceful," Sean said. "I know." "We'll have to break a few rules," he added. "Are you sure you can handle that?" "I think so," Janet said. "And once we start, there's no turning back," Sean said. Janet started to answer but the ringing of the phone on the desk startled them both. - "Who the hell could that be?" Sean wondered. He let it ring. "Aren't you going to answer it?" Janet asked. "I'm thinking," Sean said. What he didn't say was that he 102 103 was afraid it might be Sarah Mason. She'd called him that afternoon, and despite a temptation to aggravate Harris, Sean did not want any association with the woman whatsoever. "I think you should answer it," Janet said. "You answer it," Sean suggested. Janet jumped to her feet and snatched up the receiver. Sean watched her expression as she asked who was calling. She showed no strong reaction as she extended the phone to him. "It's your brother," she said. "What the hell?" Sean mumbled as he pulled himseft out of the couch. It wasn't like his brother to call. They didn't 'have that type of relationship, and they had just seen each other Friday night. Sean took the phone. "What's wrong?" he asked. "I was about to ask you the same question," Brian said. "You want an honest answer or platitudes?" Sean asked. "I think you'd better tell me straight," Brian said. "This place is b'~a~xe," Sean said. "I'm not so sure I want to stay. It might be a complete waste of time." Sean glanced over at Janet, who rolled her eyes in exasperation. "Something weird's going on up here too," Brian said. He told Sean about the two men who'd visited their mother, ask- ing about Immunotherapy. "Immunotherapy is history," Sean said. "What did More say?" "Not much," Brian said. "At least according to her. But she got a bit flustered. All she said was that you and some friends started it." "She didn't say we sold out?" "Evidently not." "What about Oncogen?" "She said she didn't mention it because we'd told her not to discuss it with anyone." "Good for her," Sean said. "Why would these people be up here talking to Mom?" Brian asked. "The Rombauer guy told her he represented the Forbes Cancer Center. He said that they routinely look into their employees for security reasons. Have you done anything to suggest you're a security risk?" "Hell, I've only been here for a little over twenty-four hours," Sean said. "You and I know of your pench_ant to provoke discord. Your blarney would try the patience of Job." "My blarney is nothing compared to your blather, brother," Sean teased. "Hell, you've made an institution of it by be- coming a lawyer." "Since I'm in a good mood, I'll let that'slam slide," Brian said. "But seriously, what do you think is going on?" "I haven't the slightest idea," Sean said. "Maybe it's like the man said: routine." "But neither guy seemed to know about the other," Brian said. "That doesn't sound routine to me. And the first man left his card. I have it right here. It says: Tanaka Yamaguchi, Industrial Consultant." "Industrial consultant could mean anything," Sean said. "I wonder if his involvement is somehow related to the fact that a Japanese electronics giant called Sushita Industries has in- vested heavily in Forbes. They're obviously looking for some lucrative patents." "Why can't they stick to cameras, electronics, and cars?" Brian said. "They're already screwing up the world's econ- omy." "They're too smart for that," Sean said. "They are looking toward the long term. But why they would be interested in my association with piss-ant Immunotherapy, I haven't the fog- giest." "Well, I thought you should know," Brian said. "It's Still a little hard for me to believe you're not stirring things up down there, knowing you." "You'll hurt my feelings talking like that," Sean said. "I'll be in touch as soon as the Franklin Bank comes through for Oncogen," Brian said. "Try to stay out of trou- ble." "Who, me?" Sean asked innocently. Sean dropped the receiver into the cradle as soon as Brian said goodbye. 104 "Have you changed your mind again?" Janet asked with obvious frustration. "What are you talking about?" Sean questioned. "You told your brother that' you weren't sure you wanted to stay," Janet said. "I thought we'd decided to go for it." "We had," Sean said. "But I didn't want to tell Brian about the plan. He'd worry himself sick. Besides, he'd probably tell my mother and who knows what would happen then." "THAT WAS very nice indeed," Sterling told the masseuse. She was a handsome, healthy Scandinavian from Finland, dressed in what could have passed for a tennis outfit. He gave her an extra five-dollar tip; when he'd made the arrangements for the massage through the Ritz's concierge, he'd already included an adequate tip in the charge added to his account, but he'd noticed she'd gone over the allotted time. While the masseuse folded her table and gathered her oils, Sterling pulled on a thick white terrycloth robe and slipped off the towel cinched around his waist. Dropping into the club chair near the window he lifted his feet onto the ottoman and poured a glass of the complimentary champagne. Sterling was a regular visitor at Boston's Ritz Carlton. The masseuse called a goodbye from the door, and Sterling thanked her again. He decided he'd ask for her by name the next time. A regular massage was one of the expenses Ster- ling's clients had learned to expect. They'd complain on oc- casion, but Sterling would merely say that they could accept his terms or hire someone else. Invariably they'd agree he- cause Sterling was extremely effective at the service he per- formed: industrial espionage. There were other, more sanitized, descriptions for Sterling's work such as trade counsel or business consultant, but Sterling preferred the honesty of industrial espionage, although for pro- priety's sake, he left it off his business card. His card merely read: consultant. It didn't read "industrial consultant" as did the card he'd seen earlier that day. He felt the word "indus- 105 trial" suggested a limitation to manufacturing. Sterling was interested in all business. Sterling sipped his drink and gazed out the window at the superb view. As usual, his room was on a high ttoor over- looking the magical Boston Garden. As the sunlight waned, the park's lamps lining the serpentine walkways had blinked on, illuminating the swan boat pond with its miniature sus- pension bridge. Although it was early March, the recent cold snap had frozen the pond solid. Skaters dotted its mirrored surface, weaving in effortless, intersecting arcs. Raising his eyes, Sterling could see the fading dazzle of the gold-domed Massachusetts State House. Ruefully he be- moaned the sad fact that the legislature had systematically de- stroyed its own tax base by enacting short-sighted, anti- business legislation. Unfortunately Sterling had lost a number of good clients who'd either been forced to flee to a more business-oriented state or forced to leave business altogether. Nevertheless, Sterling enjoyed his trips to Boston. It was such a civilized city. Pulling the phone over to the edge of the table, Sterling wanted to finish work for the day before he indulged in dinner. Not that he found work a burden. Quite the contrary. Sterling loved his current employ, especially considering that he didn't have to work at all. He'd trained at Stanford in computer en- gineering, worked for Big Blue for several years, then founded his own successful computer chip company, all before he was thirty. By his middle thirties he was tired of an unfulfilling life, a bad marriage, and the stultifying routine of running a business. First he divorced, then he took his company public and made a fortune. Then he engineered a buyout and made another fortune. By age forty he could have bought a sizable portion of the State of California if he'd so desired. For almost one year he indulged himself in the adolescence he felt he'd somehow missed. Eventually, he got extremely bored with such places as Aspen. That was when a business friend asked him if he would look into a private matter for him. From that moment on, Sterling had been launched on a new career which was stimulating, never routine, rarely dull, 106 and which utilized his engineering background, his business acumen, his imagination, and his intuitive sense for human behavior. Sterling called Randolph Mason at home. Dr. Mason took the call from his private line in his study. "I'm not sure you will be happy about what I've learned," Sterling said. "It's better I learn it sooner rather than later," Dr. Mason responded. "This young Sean Murphy is an impressive young fellow," Sterling said. "He founded his own biotechnology company called Immunotherapy while a graduate student at MIT. The company turned a profit almost from day one marketing di- agnostic kits." "How's it doing now?" "Wonderfully," Sterling said. "It's a winner. It's done so well that Genentech bought them out over a year ago." "Indeed!" Dr. Mason said. A ray of sunshine entered the picture. "Where does that leave Sean Murphy?" "He and his young friends realized a considerable profit," Sterling said. "Considering their initial investment, it was ex- tremely lucrative indeed." "So Sean's no longer involved?" Dr. Mason asked. "He's completely out," Sterling said. "Is that helpful?" "I'd say so," Dr. Mason said. "I could use the kid's ex- perience with monoclonals, but not if he's got a production facility behind him. It would be too risky." "He could still sell the information to someone else," Sterling said. "Or he could be in someone else's employ." "Can you find that out?" "Most likely," Sterling said. "Do you want me to continue on this?" "Absolutely," Dr. Mason said. "I want to use the kid but not if he's some kind of industrial spy." "I've learned something else," Sterling said as he poured himself more champagne. "Someone besides myself has been investigating Sean Murphy. His name is Tanaka Yamaguchi." 107 Dr. Mason felt the tortellini in his stomach turn upside down. "Have you ever heard of this man?" Sterling asked. "No," Dr. Mason said. He'd not heard of him, but with a name like that, the implications were obvious. "My assumption would be he's working for Sushita," Sterling said. "And I know that he is aware of Sean Murphy's involvement with Immunotherapy. I know because Sean's mother told him." "He'd been to see Sean's mother?" Dr. Mason asked with "As have I," Sterling said. "But then Sean will know he's being investigated," Dr. Mason sputtered. "Nothing wrong in that," Sterling said. "If Sean is an in- dustrial spy, it will give him pause. If he's not, it will only be a matter of curiosity or at worst a minor irritation. Sean's reaction should not be your concern. You should be worried about Tanaka Yamaguchi." "What do you mean?" "I've never met Tanaka," Sterling said. "But I have heard a lot about him since we're competitors of sorts. He came to the United States many years ago for college. He's the eldest son of a wealthy industrial family, heavy machinery I believe. The problem was he adapted to 'degenerate' American ways a bit too easily for the family's honor. He was swiftly Amer-~ icanized and became too individualistic for Japanese tastes. The family decided they didn't want him home so they funded a lavish lifestyle. It's been a kind of exile, but he's been clever to augment his allowance by doing what I do, only for Japa- nese companies operating in the U.S. But he's like a double agent of sorts, frequently representing the Yakusa at the same time he's representing a legitimate firm. He's clever, he's ruth- less, and he's effective. The fact that he's involved means your Sushita friends are serious." "You think he was involved with our two researchers who disappeared and whom you found happily working for Sushita in Japan?" 108 "I wouldn't be surprised," Sterling said. "I can't afford to have this Harvard student disappear," Dr. Mason said. "That would be the kind of media event that could destroy the Forbes." "I don't think there is a worry for the moment," Sterling said. "My sources tell me Tanaka is still here in Boston. Since he has access to a lot of the same information as I, he must think Sean Murphy is involved in something else." "L'fice what?" Dr. Mason asked. "I'm not sure," Sterling said. "I haven't been able to locate all that money those kids made when they sold Immunother- apy. Neither Sean nor his friends have any personal money to speak of, and none of them indulged themselves with expen- sive cars or other high-ticket items. I think they are up to something, and I believe Tanaka thinks so too." "Good God!" Dr. Mason said. "I don't know what to do. Maybe I should send the kid home." "If you think Sean can help you with that protein work you told me about," Sterling said, "then hold tight. I believe I have everything under control. I have made inquiries with nu- merous contacts, and because of the computer industry here, I'm well connected. All you have to do is tell me to remain on the case and continue paying the bills." "Keep on it," Dr. Mason said. "And keep me informed." 5 March 4 Thursday, 6:30 A.M. Janet was up, dressed in her white uniform, and out of the apartment early since her shift ran from seven to three. At that time of the morning there was very little traffic on I95~ es- pecially northbound. She and Sean had discussed driving to- gether but in the end decided it would be better if each had their own wheels. Janet felt a little queasy entering the Forbes Hospital that morning. Her anxiety went beyond the usual nervousness as- sociated with starting a new job. The prospect of breaking rules was what had her on edge and tense. She already felt guilty to a degree; it was guilt by intent. Janet made it to the fourth floor with time to spare. She poured herself a cup of coffee and proceeded to familiarize herself with the locations of the charts, the pharmacy locker, and the supply closet: areas she would need to be familiar with to carry out her job as a floor nurse. By the time she sat down for report with the night shift going off duty and the day shift coming on, she was significantly calmer than she had been when she first arrived. Marjorie's cheerful presence no doubt helped put her at ease. Report was routine except for Helen Cabot's deteriorating condition. The poor woman had had several seizures during the night, and the doctors said that. her intracranial pressure was rising. "Do they think the problem is related to the CAT scan- 109 I10 driven biopsy yesterday?" Marjorie asked. "No," Juanita Montgomery, the night shift supervisor, said. "Dr. Mason was in at three A.M. when She seized again, and he said the problem was probably related to the treatment." "She's started treatment already?" Janet asked. "Absolutely," Juanita said. "Her treatment started Tues- day, the night she got here." "But she just had her biopsy yesterday," Janet said. "That's for the cellular aspect of her treatment," Marjorie chimed in. "She'll be pheresed today to harvest T lympho- cytes which will be grown and sensitized to her tumor. But the humoral aspect of her treatment was started immediately." "They used mannitol to bring down her intracranial pres- sure," Juanita added. "It seemed to work. She hasn't seized again, They want to avoid steroids and a shunt if possible. At any rate, she's got to be monitored carefully, especially with the pheresis." As soon as report was over and the bleary-eyed night shift had departed, the day's work began in earnest. Janet found herself extremely busy. There were a lot of sick patients on the floor, representing a wide range of cancers, and each was ú on an individual treatment protocol. The most heartrending for Janet was an angelic boy of nine who was on reverse precau- tions while they waited for a bone marrow transplant to re- populate his marrow with blood-forming cells. He'd been given a strong dose of chemotherapy and radiation to wipe out completely his own leukemic marrow. At the moment he was completely vulnerable to any microorganisms, even those nor- mally not pathogenic for humans. By mid-morning, Janet finally had a chance to catch her breath. Most of the nurses took their coffee breaks in the utility room off the nurses' station where they could put up their tired feet. Janet decided to take advantage of the time to have Tim Katzenburg show her how to access the Forbes computer. Every patient had a traditional chart and a computer file. Janet wasn't intimidated by computers, having minored in computer science in college. But it still helped to have someone familiar with the Forbes system get her started. 111 When Tim was distracted for a moment by a phone call from the lab, Janet called up Helen Cabot's file. Since Helen had been there less than forty-eight hours, the file was not extensive. There was a computer graphic showing which of her three tumors they had biopsied and the location of the trephination, of the skull just above the right ear. The biopsy specimen was grossly described as firm, white, and of an ad- equate amount. It said that the specimen had been immediately packed in ice and sent to Basic Diagnostics. In the treatment section it said that she'd begun on MB-300C and MB-303C at a dosage of 100mg/Kg/day of body weight administered at 0.05 ml/Kg/minute. Janet glanced over at Tim who was still busy on the phone. On a scrap of paper, she wrote down the treatment informa- tion. She also wrote down the alpha numeric designator, T- 9872, that was listed as the diagnosis along with the descriptive term: medulloblastoma, multiple. Using the diagnostic designator, Janet next called up the names of the patients with medulloblastoma who were cur- rently in the hospital. There were a total of five including the three on the fourth floor. The other two were Margaret Demars on the third floor, and Luke Kinsman, an eight-year-old, in the pediatric wings of the fifth floor. Janet wrote down the names. "Having trouble?" Tim asked over Janet's shoulder. "Not at all," Janet said. She quickly cleared the screen so that Tim wouldn't see what she'd been up to. She couldn't afford to arouse suspicion on her very first day. "I've got to enter these lab values," Tim told her. "It will only take a sec." While Tim was absorbed with the computer terminal, Janet scanned the chart rack for Cabot, Martin, or Sharenburg. To her chagrin, none of those charts was there. Marjorie breezed into the station to get some narcotics from the pharmacy locker. "You're supposed to be on your coffee break," she called to Janet. "I am," Janet said, holding up her plastic foam cup. She 112 mentally made a note to bring a mug into work. Everyone else had his or her own. "I'm already impressed with you," Marjorie teased from inside the pharmacy.."You needn't work through your break. Kick back, girl, and take a load off your feet." Janet smiled and said that she'd be taking that kind of break after she was fully acclimated to the ward's routine. When Tim was finished with the computer terminal, Janet asked him about the missing charts. "They're all down on the second floor," Tim said. "Ca- bot's getting pheresed while Martin and Scharenburg are being biopsied. Naturally the charts are with them," "Naturally," Janet repeated. It seemed tough luck that not one of those charts could have been there when she had the chance to look at them. She began to suspect that the clinical espionage she'd committed herself to might not be quite as easy as she'd thought when she suggested her plan to Sean. Giving up on the charts for the moment, Janet waited for one of the other shift nurses, Dolores Hodges, to finish up in the pharmacy closet. Once Dolores had headed down the hall, Janet made sure no one was watching before slipping into the tiny room. Each patient had an assigned cubbyhole containing his or her prescribed medications. The drugs had come up from the central pharmacy on the first floor. Finding Helen's cubbyhole, Janet quickly scanned the pleth- ora of vials, bottles, and tubes that contained anti-seizure med- ication, general tranquilizers, anti-nausea pills, and non- narcotic pain pills. There were no containers designated MB300C or MB303C. On the chance that these medications were secured with the narcotics, Janet checked the narcotics locker, but she found only narcotics there. Next Janet located Louis Martin's cubbyhole. His was a low one, close to the floor. Janet had to squat down to search through it, but first she had to close the lower half of the Dutch door to make room. As with Helen's cubby, Janet could find no drug containers with special MB code designations on the label. "My goodness, you startled me," Dolores exclaimed. She 113 had returned in haste and had practically tripped headlong over Janet crouched before Louis Martin's cubbyhole. ,'I'm so sorry," Dolores said. "I didn't think anyone was in here." "My fault," Janet said, feeling herself blush. She was in- stantly afraid she was giving herself away and that Dolores would wonder what she'd been up to. Yet Dolores showed no signs of being suspicious. Instead, once Janet stepped back and out of the way, she came in to get what she needed. In a moment she was gone. Janet left the pharmacy closet visibly trembling. This was only her first day and though nothing terrible had happened, she wasn't sure she had the nerves for the furtive behavior espionage demanded. When Janet reached Helen Cabot's room, she paused. The door was propped open by a rubber stopper. Stepping inside, Janet gazed around. She didn't expect to find any drugs there, but she wanted to check just the same. As she'd expected, there weren't any. Having recovered her composure, Janet headed back toward the nurses' station, passing Gloria D'Amataglio's room on the way. Taking a moment, Janet stuck her head through the open door. Gloria was sitting up in her armchair with a stainless steel kidney dish clutched in her hand. Her IV was still run- ning. When they'd chatted the day before Janet had learned that Gloria had gone to Wellesley College just as she herself had. Janet had been in the class a year ahead. After thinking about it overnight, Janet had decided to ask Gloria if she'd known a friend of hers who'd been in Gloria's class. Getting Gloria's attention, she posed her question. "You knew Laura Lowell!" Gloria said with forced enthu- siasm. "Amazing! I was great friends with her. I loved her parents." It wa~ painfully obvious to Janet that Gloria was making an effort to be sociable. Her chemotherapy was no doubt-leaving her nauseous. "I thought you might," Janet said. "Everybody knew Janet was about to excuse herself and allow Gloria to rest 114 115 when she heard a rattle behind her, She turned in time to see the housekeeping man appear at the door, then immediately disappear. Fearing her presence had interrupted his schedule, Janet told Gloria she'd stop by later and went out into the hall to tell the housekeeper the room was all his. But the man had disappeared. She looked up and down the corridor. She even checked a couple of the neighboring rooms. It was as if he'd simply vanished into thin air. Janet headed back to the nurses' station. Noticing she still had a bit of break time left, she took the elevator down to the second floor in hopes of getting a glimpse at one or more of the missing charts. Helen Cabot was still undergoing pheresis and would be for some time. Her chart was unavailable, Kath- leen Sharenburg was undergoing a biopsy at that moment, and her chart was in the radiology office. With Louis Martin, Janet lucked out. His biopsy was scheduled to follow Kathleen Shar- enburg's, Janet discovered him on a gumey in the hallway. He was heavily tranquilized and soundly sleeping. His chart was tucked under the gumey pad. After checking with a technician and learning that Louis would not he biopsied for at least an hour, Janet took a chance and pulled out his chart. Walking quickly as if leaving the scene of a crime with the evidence in hand, she carried the chart into medical records. It was all she could do not to break into a full sprint. Janet admitted to herself that she was prob- ably the worst person in the world to he involved in this kind of thing. The anxiety she'd felt in the pharmacy locker came back in a flash. "Of course you can use the copy machine," one of the medical record librarians told her when she asked. "That's what it's here for. Just indicate nursing on the log." Janet wondered if this librarian was the mother of the woman in public relations who'd been in Scan' s apartment on the night of her arrival. She'd have to be careful. As she walked over to the copy machine, she glanced over her shoul- der. The woman had gone back to the task she'd been doing when Janet had entered, paying no attention to Janet whatso- ever. Janet quickly copied Louis's entire chart. There were more pages than she would have expected, particularly since he had' only been hospitalized for one day. Glancing at some of them, Janet could tell that most 'of the chart consisted of referral material that had come from Boston Memorial. Finished at last, Janet hurried the chart back to the gurney. She was relieved to see that Louis had not been moved. Janet slipped the chart under the pad, positioning it exactly as she'd found it. Louis didn't stir. Returning to the fourth floor, Janet panicked. She hadn't given any thought to what she would do with the copy of the chart. It was too big to fit into her purse, and she couldn't leave it lying about. She had to find a temporary hiding place, somewhere the other nurses and nursing assistants would not he likely to go. With no break time left, Janet had to think fast. The last thing she wanted to do on her first day of work was take more time off than she was due. Frantically, Janet tried to think. She considered the patient lounge, but it was currently occupied. She thought of one of the lower cabinets in the pharmacy closet, but dismissed that idea as too risky. Finally she thought of the housekeeping closet. Janet looked up and down the corridor. There were plenty of people around, but they all seemed absorbed by what they were doing. She saw the housekeeper's cart parked outside a nearby patient room, suggesting the man was busy cleaning within. Taking a breath, Janet slipped into the closet. The door with its automatic closer shut behind her instantly, plunging her into darkness. She groped for the light switch and turned it on. The tiny room was dominated by a generous slop sink. On the wall opposite was a countertop with undercounter cabinets, a bank of shallow overcounter wall cabinets, and a broom closet. She opened the broom closet. There were a few shelves above the compartment that held the brooms and mops, but they were too exposed. Then she looked at the overcounter cabinets and her eyes kept rising. Placing a foot on the edge of the slop sink, she climbed up 116 atop the counter. Reaching up, she groped the area above the wail cabinets. As she'd guessed, there was a narrow depressed space between the top of the cabinets and the ceiling. Confi- dent she'd found what she'd been looking for, she slipped the chart copy over the front lip and let it drop down. A bit of dust rose up in a cloud. Satisfied, Janet climbed down, r'lnsed her hands in the sink, then emerged into the hall. If anybody had wondered what she'd been up to, they didn't give any indication. One of the other nurses passed her and smiled cheerfully. Returning to the nurses' station, Janet threw herself into her work. After five minutes she began to calm down. After ten minutes even her pulse had returned to normai. When Marjorie appeared a few minutes later, Janet was calm enough to in- quire about Helen Cabot's coded medication. "I've been going over each of the patients' treatments," Janet said. "I want to familiarize myself with their medica- tions so I'll be prepared for whomever I'm assigned to for the day. I saw reference to MB300C and MB303C. What are they, and where would I find them?" Marjorie straightened up from bending over the desk. She grasped a key strung around her neck on a silver-colored chain and pulled it out in front of her. "MB medicine you get from me," she said. "We keep it in a refrigerated lockup right here in the nursing station." She pulled open a cabinet to expose a small refrigerator. "It's up to the head nurse on each shift to dispense it. We control the MBs somewhat like narcotics only a bit stricter." "Well that expla'lns why I couldn't find it in the pharmacy," Janet said, forcing a smile. All at once she realized that getting samples of the medicine was going to be a hundred times more difficult than she'd envisioned. In fact, she wondered if it was possible at all. TOM WIDDICOMB was trying to caim down. He'd never felt so wired in his life. Usuaily his mother was able to caim him down, but now she wouldn't even talk to him. 117 He'd made it a point to arrive extra early that morning. He'd kept an eye on that new nurse, Janet Reardon, from the mo- ment she'd arrived. He'd trailed her carefully, watching her every move. After tracking her for an hour, he'd decided his concerns had been unjustified. She'd acted like any other nurse so Tom had felt relieved. But then she'd ended up in Gloria's room again! Tom could not believe it. Just when he'd let his guard down, she'd reap- peared. That the same woman would thwart his attempt to relieve Gloria's suffering not once but twice went past coin- cidence. "Two days in a row!" Tom had hissed in the solitude of his housekeeping closet. "She's gotta be a spy!" His only consolation was that this time he'd walked in on her rather than vice versa. Actuaily, it was even better than that. He'd aimost walked in on her. He didn't know whether she'd seen him or not, although she probably had. From then on he'd followed her again. With her every step he became more and more convinced she was there to get him. She was not acting like a regular nurse, no way. Not with the sneaking around she was doing. The worst was when she'd sneaked into his housekeeping closet and started opening cab- inets. He could hear her from the hail. He knew what she had been looking for, and he'd been sick with worry that sbe'd find his stuff. As soon as she'd left, he'd stepped inside. Climbing up on the counter, he'd blindly reached up on top of the wail cabinet at the very far end in the comer to feel for his succinylcholine and syringes. Thankfully they were there and hadn't been disturbed. : After climbing down from the cabinet, Tom struggled to calm himself. He kept telling himself he was safe since the succinylcholine was still there. At least he was safe for the moment. But there was no doubt that he would have to deal with Janet Reardon, just as he'd had to deal with Sheila Ar- nold. He couldn't let her stop his crusade. If he did, he might risk losing Alice. "Don't worry, Mother," Tom said aioud. "Everything will be ail right." But Alice wouldn't listen. She was scared. 118 After fifteen minutes, Tom felt calm enough to face the world. Taking a focdfying breath, he pulled open the door and stepped into the hall. His housekeeping cart was to his right pushed against the wall. He grabbed it and started pushing. He kept his eyes directed at the floor as he headed toward the elevators. As he passed the nurses' station he heard Mar- jorie yell to him about cleaning a room. "I've been called to administration," Tom said without looking up. Every so often if there'd been an accident, like spilled coffee, he'd he called up there to clean it up. Regular cleaning of the administration floor was handled by the night CI~W; "Well, get back here on the double," Marjorie yelled. Tom swore under his breath. When he got to the administration floor, Tom pushed his cleaning cart directly into the main secretarial area. It was always busy there, no one ever looking at him twice. He parked his cart directly in front of the wall chart of the floor plan of the Forbes residence in southeast Miami. There were ten apartments on each floor, and each had a little slot for a name. Tom quickly found Janet Reardon's name in the slot marked 207. Even more handy was a key box attached to the wall just below the chart. Inside were multiple sets of keys, all carefully labeled. The box was supposed to be locked, but the key to open it was always in the lock. Since the box was obscured by his cart, Tom calmly helped himself to a set for apartment 207. To justify his presence Tom emptied a few wastebaskets before pushing his cart back to the elevators. As he waited for an eievator to arrive he felt a wave of relief. Even Alice was willing to talk to him now. She told him how proud of him she was now that he would .he able to take care of things. She told him that she'd been worried about this new nurse, Janet Reardon. "I told you that you didn't have to worry," Tom said. "No- body will ever bother us." 119 STERLING ROMBAUER had always liked the adage that his schoolteacher mother had espoused: Chance favors the pre- pared m/nd. Figuring there were only a limited number of hotels in Boston that Tanaka Yamaguchi wonId find accepta- ble, Sterling had decided to try calling some of the hotel em- ployee contacts he'd cultivated over the years. His efforts had been rewnrded with immediate success. Sterling smiled when he learned that not only did he and Tanaka share the same profession, they shared the same taste in hotels. This was a felicitous turn of events. Thanks to his frequent stays at Boston's Ritz Carlton, Sterling's contacts in the hotel were simply sterling. A few discreet inquiries revealed some helpful information. First, Tanaka had hired the same livery company Sterling himself used, which wasn't surprising since it was by far the best. Second, he was scheduled to remain in the hotel at least another night. Finally, he'd made a lunch reservation in the Ritz Caf6 for two people. Sterling went right to work. A call to the mm'lre d' in the caf6, a rather crowded, intimate enviromnent, produced a promise that Mr. Yamaguchi's party would be seated at the far banquette. The neighboring corner table, literally inches away, would be reserved for Mr. Sterling Rombauer. A call to the owner of the livery company resulted in a promise of the name of Mr. Yamaguchi's driver as well as a transcript of his stops. "This Jap is well connected," the owner of the livery com- pany said when Sterling phoned him. "We picked him up from general aviation. He came in on a private jet, and it wasn't one of those dinky ones either." A call to the airport confirmed the presence of the Sushita Gulfstream III and gave Sterling its call number. Phoning his contact at the FAA in Washington and providing the call num- be, rs, Sterling obtained a promise to keep him informed of the jet's movements. With so much accomplished without even leaving his hotel room and a bit of time to spare before the luncheon rendez- vous, Sterling walked across Newbury Street to Burberry's to treat himself to several new shirts. 120 WITH HIS legs crossed and stretched out in front of him, Sean sat in one of the molded plastic chairs in the hospital cafeteria. His left elbow was resting on the table, cradling his chin; his right arm dangled over the back of the chair. Mood-wise, he was in approximately the same state of mind as he'd been the night before when Janet had come through his living-room slider. The morning had been an aggravating rerun of the pre- vious day, confirming his befief that the Forbes was a bizarre and largely unfriendly place to work. Hiroshi was still trailing him like a bad detective. Practically every time Sean turned around when he was up on the sixth floor using some equip- ment not available on the fifth, he'd see the Japanese fellow. And the moment Sean looked at him, Hiroshi would quickly look away as if Sean were a moron and wouldn't know that Hiroshi had been watching him. Sean checked his watch. The agreement had been that he'd meet Janet at twelve-thirty. It was already twelve-thirty-five, and although a steady stream of hospital personnel continued to pour by, Janet had yet to appear. Sean began to fantasize about going down to the parking lot, getting into his Isuzu, and hitting the road. But then Janet came through the door, and just seeing her lightened his mood. Although Janet was still pale by Florida standards, her few days in Miami had already given a distinctively rosy cast to her skin. Sean thought she'd never looked better. As he ad- miringly watched her sensuous movements as she weaved through the tables, he hoped that he'd be able to talk her out of whatever it was that was keeping her in her own apartment and out of his. She took the seat across from him, barely saying hello. Un- der her. arm she clutched an unfolded Miami newspaper. He could tell she was ne~vous, the way she continually scanned the room like some wary, vulnerable bird. "Janet, we're not in some spy movie," Sean said. "Calm down!" "But I feel like I am," Janet said. "I've been sneaking 121 around, going behind people's backs, trying not to arouse sus- picion. But I feel like everyone knows what I'm doing." Sean rolled his eyes. "What an amateur I have for an ac- compliee," he joked. Then, more seriously, he added, "I don't know whether this is going to work if you're stressed out now, Janet. This is only the beginning. You haven't even done any- thing yet compared to what's coming. But, to tell you the truth, I'm jealous. At least you're doing something, I, on the other hand, have spent a good part of the morning in the bowels of the earth injecting mice with the Forbes protein plus Freund's adjuvant. There's been no intrigue and certainly no excite- ment. This place is still driving me nuts." "What about your crystals'?." Janet asked. "I'm deliberately slowing down on that," Sean said. "I was doing too well. I won't let them know how far I've gotten. That way, when I need some time for some investigative work, I'll take it and still be able to have results to show as a cover. So how'd you do?" "Not great," Janet admitted. "But I made a start. I copied one chart." "Just one?" Sean questioned with obvious disappointment. "You're this nervous about one chart?" "Don't give me a hard time," Janet warned. "This isn't easy for me." "And I'd never say I told you so," Sean quipped. "Never. Not me. That's not my style." "Oh, shut up," Janet said as she handed the newspaper to Sean under the table. "I'm doing the best I can." Sean lifted the newspaper and placed it on top of the table. He spread it out and opened it, exposing the copied pages which he immediately removed. He pushed the newspaper aside. "Sean!" Janet gasped, as she furtively scanned the crowded room. "Can't you be a little more subtle?" "I'm tired of being subtle," he said. He stared going through the chart. "Even for my benefit?" Janet asked. "There might be some 122 people from my floor here. They might have seen me give these copies to you." "You give people too much credit," Scan said distractedly. "People aren't as observant as you might think." Then, re- ferring to the copies Janet had brought, he said, "Louis Mar- tin's chart is nothing but referral material from the Memorial. This history and physical is mine. That lazy ass on neurology just copied my workup." "How can you tell?" Janet asked. "The wording," Scan said. "Listen to this: the patient 'suf- fered through' a prostatectomy three months ago. I use ex- pressions like 'suffered through' just to see who reads my workups and who doesn't. It's a little game I play with myself. No one else uses that kind of phraseology in a medical workup. You're supposed to just give facts, not judgments." "Imitation is the highest form of flattery, so I guess you should he flattered," Janet said. "The only thing of interest here is in the orders," Scan said. "He's being given two coded drugs: MB300M and MB305M." "That code is comparable to the one I saw in Helen Cabot's computer file," Janet said. She handed him the paper on which she'd written the treatment information she'd gotten from the computer. Sean glanced at the dosage and the administration rate. "What do you think it is?" Janet asked. "No idea," Sean said. "Did you get any of it?" "Not yet," Janet admitted. "But I finally located the sup- ply. It's kept in a special locker, and the shift supervisor has the only key." "This is interesting," Sean said, still studying the chart. "From the date and time of the order they started treatment as soon as he got here." "Same with Helen Cabot," Janet said. She told him what Marjorie had explained to her, namely that they started the humoral aspect of the treatment immediately whereas the cel- lular aspect didn't begin until after the biopsy and T-cell har- vesting. 123 "Starting treatment so soon seems odd," Scan said. "Un- less these drugs are merely lymphokines or some other general immunologic stimulant. It can't he some new drug, like a new type of chemo agent." "Why not?" Janet asked. "Because the FDA would have had to approve it," Scan said. "It has to he a drag that's already been approved. How come you only got Louis Martin's chart? What about Helen Cabot's?" "I was lucky to get Martin's," Janet said. "Cabot is getting pheresed as we speak, and the other young woman, Kathleen Sharenburg, is being biopsied. Martin was a 'to follow' for his biopsy so his chart was available." "So these people are on the second floor right now?" Scan asked. "Right above us?" "I believe so," Janet said. "Mayhe I'll skip lunch and take a walk up there," Scan said. "With all the usual commotion in most diagnostic and treatment areas, the charts are usually just kicking around. I could probably get a look at them." "Better you than me," Janet said. "I'm sure you're better at this than I." "I'm not taking over your job," Scan said. "I'll still want copies of the other two charts as well as daily updates. Plus I want a list of all the patients they've treated to date who have had medulloblastoma, I'm particularly interested in their out- comes. Plus I want samples of the coded medicine. That should be your priority. I have to have that medicine; the sooner the hetter." "I'll do my best," Janet said. Knowing how much trouble it had been merely to copy Martin's chart, she had misgivings about getting everything Scan wanted with the kind of speed he was implying. Not that she was about to voice those con- cerns to Scan. She was afraid he'd give up and leave for Bos- ton. Scan stood up. He gripped Janet's shoulder. "I know this isn't easy for you," he said. "But remember, it was your idea." 124 Janet put a hand on Sean's. "We can do it," she said. "I'11 see you at the Cow Palace," he said. "I suppose you'll be there around four. I'll try to get back about the same time." "See you then," Janet said. Sean left the cafeteria and used the stairs to get to the second floor. He emerged at the south end of the building. The second floor was a center of activity and as bustling as he'd expected. All the radiation therapy as well as diagnostic radiology was done there; so was all the surgery and any treatment that could not be done at the bedside. With all the confusion Sean had to squeeze between gurneys carrying people to and from their procedures. A number of the gurneys with their human passengers were parked along the walls. Other patients sat on benches dressed in hospital robes. Sean excused himself and pushed through the tumult, bump- ing into hospital personnel as well as ambulatory patients. With a modicum of difficulty he proceeded down the central corridor, checking each door as he went. Radiology and chem- istry were on the left, treatment rooms, ICU, and the surgical suites were on the right. Knowing that the pheresis was a long procedure and not labor-intensive, Sean decided to try to find Helen Cabot. Besides looking at her chart, he wanted to say hello. Spotting a hematology technician sporting rubber tourni- quets attached to her belt loops, Sean asked her where pheresis was done. The woman guided Sean through a side corridor and pointed toward two rooms. Sean thanked her and checked the first. A male patient was on the gurney. Sean closed the door and opened the other. Even from the threshold he rec- ognized the patient: it was Helen Cabot. She was the only one there. Outflow and inflow lines were attached to her left arm as her blood was being passed through a machine that separated the elements, isolating the lympho- cytes and returning the rest of the blood to her body. Helen turned her bandaged head in Sean's direction. She recognized him immediately and tried to smile. Instead, tears formed in her large green eyes. From her color and general appearance Sean could see that 125 her condition had dramatically worsened. The seizures she'd been suffering had been taking a heavy toll. "It's good to see you," Sean said as he bent down to bring his face close to hers. He resisted an urge to hold and comfort her. "How are you doing?" "It's been difficult," Helen managed to say. "I had another biopsy yesterday. It wasn't fun. They also warned me I might get worse when they started the treatment, and I have. They told me I was not to lose faith. But it's been hard. My head- aches have been unbearable. It even hurts to talk." "You have to hold on," Sean said. "Keep remembering that they have put every medulloblastoma patient into remis- sion." "That's what I keep reminding myself," Helen said. "I'll try to come to see you every day," Sean said. "Mean- while, where's your chart?" "I think it's out in the waiting room," Helen said, pointing with her free hand toward a second door. Sean gave her a warm smile. He squeezed her shoulder, then stepped into the small waiting room that connected to the cor- ridor. On a counter was what he was searching for: Helen's chart. Sean picked it up and flipped to the order sheets. Drugs similar to those he'd seen in Martin's chart were duly noted: MB300C and MB303C. He then turned to the beginning of the chart and saw a copy of his own workup which had been sent as part of the referral package. Flipping the pages quickly, Sean came to the progress note section, and he read the entry for the biopsy that had been taken the day before; indicating they had gone in over the right ear. The note went on to say that the patient had tolerated the procedure well. Sean had just begun to scan for the laboratory section to see if a frozen section had been done when he was interrupted. The door to the hallway crashed open and slammed against the wall with such force that the doorknob dented the plaster. The sudden crash startled Sean. He dropped the chart onto the plastic laminate countertop. In front of him and filling the 126 entire doorway was the formidable figure of Margaret Rich- mond. Sean recognized her immediately as the nursing director who'd burst into Dr. Mason's office. Apparently the woman made a habit of such dramatic entries. "What are you doing in here?" she demanded. "And what are you doing with that chart?" Her broad, round face was distorted with outrage. Sean toyed with the idea of giving her a flip answer, but he thought better of it. "I'm looking in on a friend," Scan said. "Miss Cabot was a patient of mine in Boston." "You have no right to her chart," Ms. Richmond blustered. "Patients' charts are confidential documents, available only to the patient and his doctors. We view our responsibility in this regard very seriously." "I'm confident the patient would be willing to give me cess," Sean said. "Perhaps we should step into the next room and ask her." "You are not here as a clinical fellow," Ms. Richmond shouted, ignoring Sean's suggestion. "You are here in a re- seach capacity only. Your arrogance in thinking that you have a right to invade this hospital is inexcusable." Sean saw a familiar face appear over Ms. Richmond's in- timidating shoulder. It was the puffy, smug countenance of the frustrated Marine, Robert Harris. Sean suddenly guessed what had happened. Undoubtedly he'd been picked up by one of the surveillance cameras, probably one in the second-floor cor- ridor. Harris had called Richmond and then had come over to. watch the slaughter. Knowing that Robert Harris was involved, Scan could no longer resist the urge to lash back, particularly since Ms. Rich- mond wasn't responding to his attempts to be reasonable. "Since you people aren't in the mood to discuss this Y~ke adults," Scan said, "I think I'll wander back to the research building." "Your impertinence only makes matters worse," Ms. Rich- mond sputtered. "You're trespassing, invading privacy, and showing no remorse. I'm surprised the governors of Harvard 127 University would let someone like you into their institution." "I'll let you in on a secret," Scan said. "They weren't all that impressed with my manners. They liked my facility with a puck. Now, I'd really like to stay and chat with you people, but I've got to get back to my murine friends who, by the way, have more pleasant personalities than most of the staff here at Forbes." Sean watched as Ms. Richmond's face empurpled. This was just one more of a series of ridiculous episodes that had him fed up. Consequently he derived perverse pleasure out of goading and angering this woman who could easily have played linebacker for the Miami Dolphins. "Get out of here before I call the police," Ms. Richmond yelled. Sean thought that calling the police would he interesting. He could just imagine some poor uniformed rookie trying to figure out how to categorize Sean's offense. Sean could see it in the paper: Harvard extern actually looks into his patient's chart! Scan stepped forward, literally eye to eye with Ms. Rich- mond. He smiled, pouring on his old charm. "I know you'll miss me," he said, "but I really must go." Both Ms. Richmond and Harris followed him all the way to the pedestrian bridge that spanned the guff between the hospital and the research building. The whole time they main- tained a loud dialogue about the degeneracy of current-day youth. Sean had the feeling he was being run out of town. As Sean walked across the bridge he recognized how much he would have to depend on Janet for clinical material per- taining to the medulloblastoma study, provided, of course, he stayed. ~ Returning to his fifth-floor lab, Sean tried to lose himself in his work to repress the anger and frustration he felt toward the ridiculous situation he found himself in. Like the empty room upstairs, Helen's chart didn't have anything in it to get upset about. But as he cooled down, Sean was able to acknowledge that Ms. Richmond did have a point. As much as he hated to admit it, the Forbes was a private hospital. It wasn't a teaching 128 hospital like the Boston Memorial, where teaching and patient care went hand in hand, Here, Helen's chart was confidential. Yet even if it was, Ms. Richmond's fury was hardly appro- priate for his infraction. In-spite of himself, within an hour Sean became engrossed in his crystal-growing attempts. Then, as be held a flask up against the overhead light, he caught a bit of movement out of the corner of his eye. It was a rerun of the incident on his first day. Once again the movement had come from the direc- tion of the stairwell. Without so much as looking in the direction of the stairwell, Sean calmly got off his stool and walked into the storeroom as if he needed some supplies. Since the storeroom was con- nected to the central corridor, Sean was able to dash the length of the building to the stairwell opposite the one where he'd seen the movement. Racing down a flight, he ran the length of the fourth floor toenter the opposite stairwell. Moving as silently as possible, he climbed the stairs until the fifth-floor landing came into view.' As he'd suspected, Hiroshi was there furtively looking through the glass of the door, obviously baffled as to why Sean had not returned from the storeroom. Sean tiptoed up the remaining stairs until he was standing direcfiy behind Hiroshi. Then he screamed as loud as he was able. Within the confines of the stairwell, Sean was impressed with the amount of noise he was capable of generating. Having seen a few Chuck Norris martial arts movies, Sean had been a little concerned that Himshi might turn into a ka- rate demon by reflex. But instead Himshi practically collapsed. Conveniently he'd had one hand on the door handle. It was that support which kept him standing. When Hiroshi recovered enough to comprehend what had happened, be stepped away from the door and started to mum- ble an explanation. But he was backing up at the same time, and when his foot hit the riser of the first stair, be turned and fled up, disappearing from view. Disgusted, Sean followed, not to pursue Himshi, but rather to seek out Deborah Levy. Seam had had enough of Hiroshi's 129 spying. He thought Dr. Levy would be the best person to dis- cuss the matter with since she ran the lab. Going directly to the seventh floor, Sean walked down to Dr. Levy's office. The door was ajar. He looked in. The office was empty. The pool secretaries did not have any idea of her where- abouts but suggested Sean have her paged. Instead, Sean went down to the sixth floor and sought out Mark Halpern, who was dressed as nattily as ever in his spotless white apron. Sean guessed he washed and ironed the apron every day. "I'm looking for-Dr. Levy," Sean said irritably. "She's not here today," Mark said. "Is there something I can help you with?" "Will she be here later?" Sean asked. "Not today," Mark said. "She had to go to Atlanta. She travels a lot for work." "When will she be back?" "I'm not sure," Mark said. "Probably tomorrow late. She said something about going to our Key West facility on her way back." "Does she spend much time there?" Sean asked. "Fair amount," Mark said. "Several Ph.D.s who,d origi- nally been here at Forbes were supposed to go to Key West, but they left instead. Their absence left Dr. Levy with a bur- den. She's had to pick up the slack. I think Forbes is having trouble replacing them." "Tell her I'd like to talk to her when she comes back," Sean said. He wasn't interested in the Forbes's recruiting prob- lems. "Are you sure there's nothing I can do?" Mark said. For a second Sean toyed with the idea of talking with Mark about Hiroshi's behavior, but decided against it. He had to speak to someone in authority. There wasn't anything Mark would be able to do. Frustrated that he coul~d get no satisfaction for his anger, Sean started back toward his lab. He' was almost to the stair- well door when he thought of another question for Mark. Returning to his tiny office, Sean asked the tech if the pa- thologists over in the hospital cooperated with the research staff. "On occasion," Mark said. "Dr. Barton Friedburg has coauthored a number of research papers that require a patho- logic interpretation." "What kind of guy is he?" Sean asked. "Friendly or un- friendly? Seems to me that people fall into one camp or the other aroond here." "Definitely friendly," Mark said. "Besides, I think you might be confusing unfriendly with being serious and preoc- cupied." "You think I could call him up and ask him a few ques- tions?" Sean asked. "Is be that friendly?" "Absolutely," Mark said. Sean went down to his lab, and using the phone in the lass- enclosed office so he could sit at a desk, he phoned Dr. Fried- bur8. He took it as an auspicious sign when the patholoist came on the hne d'u-ectly. ~n explained who im was and that he was interested in the findings of a biopsy done the day before on Helen Cabot. "Hold the line," Dr. Friedburg said. Sean could hear him talking with someone else in the lab. "We didn't et any bi- opsy from a Helen CaixX," he said, coming back. "But I know she had it done yesterday," Sean said. "It went. south to Basic Diagnostics," Dr. Friedbur~ said. "You'll have to call there if you want any information on it. That son of thing doesn't come through this lab at all." "Who should I ask for?" Sean asked. "Dr. Levy," Dr. Friedburg said. "Ever since Paul and Roger left, she's been running the show down there. I don't know who she has reading the specimens now, but it's not Sean hung up the phone. Nothing about Forbes seemed to be easy. He certainly wasn't about to ask Dr. Levy about He- len Cabot. She'd know what he was up to in a flash, especially after she heard from Ms. Richmond about his looking at len's chalt. $ean sihed as he looked down at the work he was doing 131 trying to grow crystals with the Forbes protein. He felt like throwing it all into the sink. FOR JANET, the afternoon seemed to pass quickly. With pa- tients coming and going for therapy and diagnostic tests, there was the constant tactical problem of organizing it all. In ad- dition, there were complicated treatment protocols that re- quired precise timing and dosage. But during this feverish activity Janet was able to observe the way patients were di, vided among the staff. Without much finagling she was able to arrange to be the nurse assigned to take care of Helen Cabot, Louis Martin, and Kathleen Sharenburg the following day. Although she didn't handle them herself, she did get to see the containers the coded drugs came in when the nurses in charge of the medulloblastoma patients for the day got the vials from Marjorie. Once they'd received them, the nurses took them into the pharmacy closet to load the respective sy- ringes. The MB300 drug was in a 10cc injectable hottie while the MB303 was in a smaller 5cc hottie. There was nothing special about these containers. They were the same containers many other injectable drugs were packaged in. It was customary for everyone to have a mid-afternoon as well as a mid-morning break. Janet used hers to go back down to medical records. Once there she used the same ploy she'd used with Tim. She told one of the librarians, a young woman by the name of Melanie Brock, that she was new on the staff and that she was interested in learning the Forbes system. She said she was familiar with computers, but she could use some help. The librarian was impressed with Janet's interest and was more than happy to show her their filing format, using the medical records' access code. Left on her own after Melanie's introduction, Janet called up all patients with the T-9872 designator which she'd used to pull up current medulloblastoma cases on the ward's work station. This time, Janet got a different list. Here there were thirty-eight cases on record over the last ten years. This list did not include the five cases currently in the hospital. 132 Sensing a recent increase, Janet asked the computer to graph the number of cases against the years. In a graph form, the results were rather striking. I_.00KING AT the graph, Janet noted that over the first eight years there had been five medulloblastoma cases, whereas dur- ing the last two years there had been thirty-three. She found the increase curious until she remembered that it had been in the last two years that the Forbes had had such success with its treatment. Success sparked referrals. Surely that accounted for the influx. Curious about the demographics, Janet called up a break- down by age and sex. Sex showed a preponderance of males in the last thirty-three cases: twenty-six males and seven fe- males. In the earlier five cases there had been three females and two males. When 'she looked at ages, Janet noted that in the first five cases there was one twenty-year-old. The other four were be- low the age of ten. Among the recent thirty-three cases Janet saw that seven cases were below the age of ten, two between the ages of ten and twenty, and the remaining twenty-four were over twenty years of age. Concerning outcome, Janet noted that all of the original five had died within two years of diagnosis. Three had died within months. Inthe most recent thirty-three, the impact of the new therapy was dramatically apparent. All thirty-three patients were currently alive, although only three of them were nearing two years after diagnosis. Hastily, Janet wrote all this information down to give to Next Janet randomly picked out a name from the list. The name was Donald Maxwell. She called up his file. As she went through the information, she saw that it was rather abbreviated. She even found a notation that said: Consult physical chart if further information is needed. Janet had become so absorbed in her investigative work, she was shocked when she glanced at her watch. She'd used 20L- 10 18 17 16 i16 14 ~13 12 11 ~ 10 9 8 19~2 1g~3 1904 lm 134 up her coffee break and then some, just as she had that morn- ing. Quickly she had the computer print out a list of the thirty- eight cases with their ages, sexes, and hospital numbers. Ner- vously, she went over to the laser printer as the sheet emerged. Turning from the printer, she half expected to find someone standing behind her, demanding an explanation. But no one seemed to have taken notice of her activities. Before heading back to her floor, Janet sought out Melanie for one quick and final question, She found her at the copy machine. "How do I go about getting the hospital chart of a dis- charged patient?" Janet asked. "You ask one of us," Melanie said. "All you have to do is provide us with a copy of your authorization, which in your case would come from the nursing department. Then it takes about ten minutes. We keep the charts in the basement in a storage vault that runs beneath both buildings. It's an efficient system. We need access to them for patient care purposes, like when the patients come for outpatient care. Over in adminis- tration they need access to them for billing and actuarial pur- poses. The charts come up on dumbwaiters." Melanie pointed to the small glass-fronted elevator set into the wall. Janet thanked Melanie, then hurried out to the elevator. She was disappointed about the authorization issue. She couldn't imagine how she would arrange that without completely giv- ing herself away. She hoped Sean would have an idea. As she pressed the elevator button impatiently, Janet won- dered if she would have to apologize for again extending her break. She knew she couldn't keep doing it. It wasn't fair, and Marjorie was bound to complain, S~;_~G WAS extremely pleased with the way the day was proceeding. He had to smile to himself as he rose up in the paneled elevator of the Franklin Bank's home office on Fed- eral Street in Boston. It had been a sublime day with minimal effort and maximum gain. And the fact that he was being handsomely compensated for enjoying himself made it all that much more rewarding. The luncheon at the Ritz had been heavenly, especially since the mm~-e d' had been accommodating enough to bring a white Meursault down from the main dining room wine cel- lar. Sitting as close as he had to Tanaka and his guest, Sterling had been able to hear most of their conversation from behind his Wall Street Journal. Tanaka's guest was a personnel executive from immuno- therapy. Since the buyout, Genentech had left the company largely intact. Sterling did not know how much money was in the plain white envelope that Tanaka had placed on the table, but he did notice that the personnel executive had slipped it into his jacket in the blink of an eye. The information Sterling overheard was interesting. Sean and the other founding .partners had sold Immunotherapy in order to raise capital for a totally new venture. Tanaka's in- former wasn't one hundred percent certain, but it was his un- derstanding that the new company would also be a biotechnology firm. He couldn't tell Tanaka its name or its proposed product line. The gentleman knew there had been a holdup in forming the new company when Sean and his parmers realized they would be undercapitalized. The reason he knew this was be- cause he'd been approached to move to the new company and he'd agreed, only to be informed that there would be a delay until sufficient funds could be raised. From the sound of the gentleman's voice at this juncture, Sterling understood that the delay had engendered significant ill will between him and the new management. The final bit of information that the gentleman had delivered was the name of the bank executive at the Franklin who was in charge of the negotiation of the loan for additional start-up capital. Sterling was acquainted with a number of people at the Franklin, but Herbert Devonshire. was not one of them. But that was soon to change since it was Herbert whom Sterling was presently on his way to see. The luncheon had also afforded Sterling an opportunity to 136 observe Tanaka up close. Knowing a considerable amount about the Japanese character and culture, particularly in rela- tion to business, Sterling was fascinated by Tanaka's perform- ance. Flawlessly deferential and respectful, it would have been impossible for an uninitiated American to pick up the clues that suggested Tanaka clearly despised his lunch companion. But Sterling immediately discerned the subtle signs. There'd been no way for Sterling to eavesdrop on Tanaka's meeting with Herbert Devonshire. Sterling had not even con- sidered it. But he wanted to know its location so that he would be able to suggest he did know the content when he spoke to Mr. Devonshire. Accordingly, Sterling had the limousine com- pany's president order Tanaka's driver to call it in to him. The president had then relayed the information to Sterling's driver. After being tipped off, Sterling had entered City Side, a popular bar in the south building of Faneuil Hall Market. There'd been a chance Tanaka might recognize him from lunch, but Sterling had decided to risk it. He wouldn't be get- ting too close. He'd observed Tanaka and Devonshire from afar, noting their location in the bar and what they ordered. He also noted the time Tanaka had excused himself to make a call. Armed with this information, Sterling had felt confident confronting Devonshire. He'd been able to get an appointment for that afternoon. After a brief wait that he judged was designed to impress him with Mr. Devonshire's busy schedule, Sterling was shown into the banker's imposing office. The view was to the north and east, commanding a spectacular vista over the Boston Harbor as well as Logan International Airport in East Boston and the Mystic River Bridge arching over to Chelsea. Mr. Devonshire was a small man with a shiny bald pate, wire-rimmed glasses, and conservative dress. He stood up be- hind his. antique partner's desk to shake hands with Sterling. He couldn't have been over five feet five by Sterling's esti- mation. Sterling handed the man one of his business cards. They both sat down. Mr. Devonshire positioned the card in the cen- ter of his blotter and aligned it perfectly parallel with the blot- 137 ter's borders. Then be folded his hands. ' "It's a pleasure to meet you, Mr. Rombauer," Herbert said, leveling his beady eyes at Sterling. "What can the Franklin do for you today?" "It's not the Franklin I'm interested in," Sterling said. "It's you, Mr. Devonshire. I'd like to establish a business relation- ship with you." "Our motto has always been personal service," Herbert said. "I shall come directly to the point," Sterling said. "I'm willing to form a confidential parmership with you for our mutual benefit. There is information I need and information your superiors should not know." Herbert Devonshire swallowed. Otherwise, he didn't move. Sterling leaned forward to bring his eyes to bear on Herbert. "The facts are simple. You met with a Mr. Tanaka Yamagnchi this afternoon at the City Side Bar, not the usual business location, I'd venture to say. You ordered a vodka gimlet and then gave Mr. Yamaguchi some information, a service that while not illegal, is of questionable ethics. A short time later a sizable portion of the monies Sushita Industries keeps on deposit at the Bank of Boston was wire-transferred to the Franklin with you designated as the private banker involved." Herbert's face blanched at Sterling's words. "I have an extensive network of contacts throughout the business world," Sterling said. He settled back in his chair. "I'd very much like to add you to this intimate, very anony- mous, but stellar network. I'm certain we can provide each other with useful information as time goes by. So the question is, would you care to join? The only obligation is that you never, ever, disclose the source of any information I pass on to you." "And if I choose not to join?" Herbert asked, his voice raspy. "I will pass on the information about you and Mr. Yama- gnchi to people here at the Franklin who have some minor say in your future." "This is blackmail," Herbert said. "I call it free trade," Sterling said. "And as for your ini- tiation fee, I would like to hear exactly what you told Mr. Yamaguchi about a mutual acquaintance, Scan Murphy." "This is outrageous," Herbert said. "Please," Sterling warned. "Let's not allow this conver- sation to dissolve into mere posturing. The fact is, your be- havior was outrageous, Mr. Devonshire. What I am asking is a small price to pay for the benefits you .will accrue from landing such a customer as Sushita Industries. And I can guar- antee I will be useful to you in the future." "I gave very little information," Herbert said. "Entirely inconsequential." "If it makes you more comfortable to believe that, that's fine," Sterling said. There was a pause. The two men stared at each other across the expanse of antique mahogany. Sterling was happy to wait. "All I said was that Mr. Murphy and a few associates were borrowing money to start a new company," Herbert said. "I gave no figures whatsoever." "The name of the new company?" Sterling asked. "Oncogen," Herbert said. "And the proposed product line?" Sterling asked. "Cancer-related health products," Herbert said. "Both di- agnostic and therapeutic." "Time frame?" "Imminent," Herbert said. "Within the next few months." "Anything else?" Sterling asked. "I should add that I have ways of checking this information." "No," Herbert said. His voice had developed an edge. "If I learn you've deliberately prevaricated," Sterling warned, "the result will be as if you refused to cooperate." "I have more appointments," Herbert said tersely. Sterling stood up. "I know it is irritating to have your hand forced," he said. "But remember, I feel indebted and I always repay. Call me." Sterling took the elevator down to the ground floor and hurried over to his sedan. The driver had locked the doors and had fallen asleep. Sterling had to thump on the window to get 139 him to release the rear locks. Once inside, Sterling called his contact at the FAA. "I'm on a portable phone," he warned his friend. "The bird's scheduled to leave in the morning," the man said. "What destination?" "Miami," the man said. Then he added: "I sure wish I was going." "WELL, WHAT do you think?" Janet asked as Sean poked his head into the bedroom. Janet had brought Sean out to Miami Beach to see the apartment she'd rented. "I think it's perfect," he said, looking back into the living room. "I'm not sure I could take these colors for long, but it does look like Florida." The walls were bright yellow, the mg was kelly green. The furniture was white wicker with tropical floral print cushions. "It's only for a couple of months," Janet said. "Come in the bathroom and look at the ocean." "There it is!" Scan said as he peered through the slats of the jalousie window. "At least I can say I've seen it." A narrow wedge of ocean was visible between two buildings. Since it was after seven and the sun had already set, the water looked more gray than blue in the gathering darkness. "The kitchen's not bad either," Janet said. Scan followed her, then watched as she opened cabinets and showed him the dishes and glassware. She'd changed out of her nurse's uniform and had on her tank top and shorts. Scan found Janet incredibly sexy, particularly when she was so scantily clad. Scan felt himself at a distinct disadvantage with the way she was dressed, especially as she bent over showing him the pots and pans. It was difficult to think. "I'll be able to cooL" she said, straightening up. "Wonderful," Scan said, but his mind was concerned with other basic appetites. They moved back into the living room. 140 "Hey, I'm ready to move in tonight," Sean said. "I love it." "Hold on," Janet said. "I hope I haven't given you the impression we're moving in together just like that. We've got some serious talking to do. That's the whole reason I came down here." "Well, first we have to get going on this medulloblastoma thing," Sean said. "I didn't think the two issues would be mutually exclu- sive," Janet said. "I didn't mean to imply that they were," Sean said. "It's just that it's hard for me at the moment to think about much beyond my role here at Forbes and whether I should stay. The situation is kind of dominating my mind. I think it's pretty understandable." Janet rolled her eyes. "Besides, I'm starved," Sean said. He smiled. "You know I can never talk when I'm hungry." "I'll be patient to a point," Janet conceded. "But I don't want you to forget I need some serious communicating. Now, as far as dinner is concerned, the real estate person told me there's a popular Cuban restaurant just up Collins Avenue." "Cuban?" Sean questioned. "I know you rarely venture from your meat and potatoes," Janet said. "But while we're in Miami we can be a bit more adventuresome." "Groan," Sean murmured. The restaurant was close enough to walk so they left Sean's 4X4 where they'd found a parking spot across from the apart- ment. Walking hand in hand, they wandered north ap Collins Avenue beneath huge silver- and gold-tipped clouds that re- flected the reddened sky over the distant Everglades. They couldn?.t see the ocean, but they could hear the waves hit against the beach on the other side of a block of recently renovated and refurbished Miami art deco buildings. The entire beach neighborhood was alive with people stroll- ing up and down the streets, sitting on steps or porches, roller blading, or cruising in their cars. Some of the car stereos had 141 the bass pumped up to a point that Sean and Janet could feel the vibration in their chests as the cars thumped past. "Those guys aren't going to have functional middle ears by the time they're thirty," Sean commented. The restaurant gave the impression of frenzied disorgani- zation with tables and people crammed everywhere. The wait- ers and waitresses were dressed in black pants or skirts and white shirts or blouses. Each had on a soiled apron. They ranged in age from twenty to sixty. Shouting back and forth, they communicated among themselves and to the steam table in expressive bursts of Spanish while they ran and weaved among the tables. Over the entire tumult hung a succulent aroma of roast pork, garlic, and dark roasted coffee. Carried along by a current of people, Seam and Janet found themselves squeezed among other diners at a large table. Frosted bottles of Corona with lime wedges stuck in their mouths appeared as if by magic. "There's nothing on here for me to eat," Sean complained after studying the menu for a few minutes. Janet was right; he rarely varied his diet. "Nonsense," Janet said. She did the ordering. Sean was pleasantly surprised when their food came. The marinated and heavily garlic-flavored roast pork was delicious, as was the yellow rice and the black beans covered with chopped onions. The only thing he didn't care for was the yucca. "This stuff tastes like potato covered with mucoid exu- date," Sean yelled. "Gross!" Janet exclaimed. "Stop sounding so much like a medical student." Conversation was almos.t impossible in the mucous restau- rant, so after dinner they wandered over to Ocean Drive and ventured into Lummus Park where they could talk. They Sat under a broad banyan tree and gazed out at the dark ocean dotted with the lights of merchant ships and pleasure boats. "Hard to believe it's still winter in Boston," Sean said. "It makes me wonder why we put up with slush and freez- ing rain," Janet said. "Bin enough small talk. If, as you said, 142 you can't talk about us for the moment, then let's talk about the Forbes situation. Was your afternoon any better than your morning?" Scan gave a short, mirthless laugh. "It was worse," he said. "I wasn't on the second floor for five minutes before the di~ rector of nursing burst into the room like a raging bull, yelling and screaming because I was looking at Helen's chart." "Margaret Richmond was mad?" Janet asked. Scan nodded. "All two hundred and fifty snarling pounds of her. She was out of control." "She's always been civil with me," Janet said. "I've only seen her twice," Scan said. "Neither time would I describe her as civil." "How did she know you were there?" Janet asked. "The Marine commando was with her," Sean said. "They must have picked me up on a surveillance camera." "Oh, great!" Janet said. "Something else I have to worry about. I never thought of surveillance cameras." "You don't have to worry," Sean said. "I'm the one who the head of security can't abide. Besides, the cameras are most likely only in the common areas, not patient floors." "Did you get to talk with Helen Cabot?" Janet asked. '~For a moment," Scan said. "She doesn't look good at all." "Her condition's been deteriorating," Janet said. "There's talk of doing a shunt. Did you learn anything from her chart?" "No," Scan said. "I didn't have time. They literally chased me back over the bridge to the research building. Then, as if to cap off the afternoon, that Japanese guy appeared again, sneaking around, watching me in the lab from the stairwell. I don't know what his story is, but this time I got him. I scared the living willies out of him by sneaking up behind him and letting out this bloodcurdiing yell. He nearly dropped his "The poor fellow," Janet said. "Poor fellow nothing!" Sean said. "This guy's been watch- ing me since I arrived." "Well, I've had some luck," Janet said. 143 Scan brightened. "Really! Great! Did you get some of the miracle medicine?" "No, no medicine," Janet said. She reached into her pocket and pulled out the computer printout and the sheet with her hastily scribbled notes. "But here's the list of all the medul- 1oblastoma patients for the last ten years: thirtywight in all; thirty-three in the past two years. i've summarized the data on the sheet." Scan eagerly took the papers. But to read them he had to hold it over his head to catch the light coming from the street- lights along Ocean Drive. As he looked it over, Janet ex- plained what she'd learned about the sex and age distribution. She also told him that the computer files were abridged and that there had been a notation to consult the charts themselves for more information. Finally, she told him what Melanie had said about obtaining those charts in as little as ten minutes providing, of course, you had the proper authorization. "I'll need the charts," Scan said. "Are they right there in medicai records?" "No." Janet explained what Melanie had said about the chart storage vaults extending beneath both buildings. "No kidding," Sean said. "That might be rather handy." "What do you mean?" Janet asked. "It means that I might be able to get to them from the research building," Sean said. "After the episode today, it's pretty clear I'm persona non grata in the hospital. This way I can attempt to get at those charts without running afoul of Ms. Richmond and company." "You're thinking of breaking into the storage vault?" Janet asked with alarm. "I kinda doubt they'd leave the door open for me," Sean said. "But that's going too far," Janet said. "If you did that, you'd be breaking the law, not just a hospital rule." "I warned you about this," Scan said. "You said we'd have to break rules, not the law," Janet reminded him. "Let's not get into semantics," Scan said with exasperation. 144 "But there's a big difference," Janet said. "Laws are codified rules," Sean said. "I knew we'd get around to breaking the law in some form or fashion, and ! thought you did too. But, be that as it may, don't you think we're justified? These Forbes people have obviously devel- oped a very effective treatment for medulloblastoma. Unfor- tunately, they have chosen to be secretive about it, obviously so they can patent their treatment before anyone else catches on. You know, this is what bugs me about the private funding of medical research. The goal becomes a returnon investment instead of the public interest. The public weal is in second place if it is considered at all. This treatment for medulloblas- toma undoubtedly has implications for all cancers, but the pub- lic is being denied that information. Never mind that most of the basic science these private labs base their work on was obtained through public funds at academic institutions. These private places just take. They don't give. The public gets cheated in the process." "Ends never justify means," Janet said. "Go ahead and be self-righteous," Sean said. "Meanwhile, you're forgetting this whole thing was your idea. Well, maybe we should give up, and maybe I should go back to Boston and get something done on my dissertation." "All right!" Janet said with frustration. "All right, we'll do what we have to do." "We need the charts and we need the miracle medicine," Sean said. He stood up and stretched. "So let's go." "Now?" Janet questioned with alarm. "It's nearly nine at night." "First role of breaking and entering," Sean said. "You do it when no one is at home. This is a perfect time. Besides, I have a.legitimate cover: I should inject more of my mice with the primary dose of the glycoprotein." "Heaven help me," Janet said as she allowed Sean to pull her up from the bench. 145 TOM WIDDICOMB guided his car into the slot at the extreme end of the parking area for the Forbes residence. He inched forward until the wheels touched the curb restraint. He had pulled up under the protective branches of a large gumbo- limbo tree. Alice had told him to park there just in case some- one noticed the car. It was Alice's car, a lime green 1969 Cadillac convertible. Tom opened the car door and stepped out after making cer- tain no one was in sight. He pulled on a pair of latex surgical gloves. Then he reached under the front seat and grasped the chef's knife he'd brought from home. Light glinted off its polished surface. At .first he'd planned on bringing the gun. But then thinking about noise and the thinness of the residence walls, he'd settled on the knife instead. Its only drawback was that it could be messy. Being careful of the knife's cutting edge, Tom slipped the blade up inside the right sleeve of his shirt, cupping the handle in the palm of his hand. In his other hand he carried the keys to 207. He made his way along the rear of the building, counting the sliders until he was below 207. There were no lights on in the apartment. Either that nurse was already in bed or she was out. Tom didn't care. Either way had its benefits and disadvantages. Walking around to the front of the building, Tom had to pause whale one of the tenants came out and headed for his car. After the man had driven away, Tom used one of the keys to enter the building. Once inside, he moved quickly. He pre- ferred not to be seen. Arriving outside of 207, he inserted the key, opened the door, stepped inside, and closed the door be- hind him in one swift, fluid motion. For several minutes he stood by the door without mov'lng, listening for the slightest sound~ He could hear several distant TVs, but they were from other apartments. Pocketing the keys, he allowed the long-bladed chef's knife to slide out from his sleeve. He clutched its handle as if it were a dagger. Slowly he inched forward. By the light coming from the parking area he could see the outline of the furniture and the doorway into the bedroom. The bedroom door was open. Looking into the gloom of the bedroom, which was darker than the living room due to the clor, ed drapes, Tom could not tell if the bed was occupied or empty. Again he listened. Aside from the muffled sound of the distant TVs plus the hum of the refrigerator which had just kicked on, he heard nothing. There was no steady breathing of someone asleep. Advancing into the room a half step at a time, Tom bumped gently against the edge of the bed. Reaching out with his free hand, he groped for a body. Only then did he know for sure: the bed was empty. Not realizing he'd been holding his breath, Tom straight- ened up and breathed out. He felt relief of tension on the one hand, yet profound disap~intment on the other. The antici- pation of violence had aroused him and satisfaction would be delayed. Moving more by feel than by sight, he managed to find his way to the bathroom. Reaching in, he ran his. free hand up and down the wall until he found the light switch. Turning it on, he had to squint in the brightness, but he liked what he saw. Hm~ging over the tub were a pair of lacy pastel panties and a bra. Tom placed the chef's knife down on the edge of the sink and picked up the panties. They were nothing like the ones Alice wore. He had no idea why such objects fascinated him, but they did. Sitting on the edge of ~the tub, he fingered the silky material. For the moment he was content, knowing that he'd be entertained while he waited, keeping the light switch and the knife close at hand. "WHAT 1F we get caught?" Janet asked nervonsly as they headed toward the Forbes Center. They'd just come from the Home Depot hardware store where Sean had bought tools that he said should work almost as well as a locksmith's teusion bar and double ball pick. "We're not going to get caught," Sean said. "That's why we're going there now when no one will be there. Well, we 147 don't know that for sure, but we'll check." "There will be plenty of people on the hospital side," Janet warned. "And that's the reason why we stay away from the hospi- tal," Sean said. ',What about s~curity?" Janet asked. "Have you thought about that?" "Piece of cake," Sean said. "Except for the frusWat~ Ma- fine, I haven't been impressed. They're certainly lax at the front door." "I'm not good at this," Janet admitted. ú "Tell me something I didn't know!" Sean said. "And how are you so acquainted with locks and picks and alarms?" Janet asked. "When I grew up in Chariestown, it was a pure-blooded working-class neighborhood," Sean said. "The gentrificalion hadn't started. Each of our fathers was in a different trade. My father was a plumber. Timothy O'Brien's father was a locksmith. Old man O'Brien taught his son some of the tricks of the trade, and Timmy showed us. At first it was a game; kind of a competition. We liked to believe there weren't any locks in the neighborhood we couldn't open. And Charlie Sul- livan's father was a master electrician. He put in fancy alarm systems in Boston, mostly on Beacon Hill. He often made Charlie come along. So Charlie started telling us about "That's dangerous information for kids to have," Janet said. Her own childhood couldn't have been further from Sean's, among the private schools, music lessons, and sum- mers on the Cape. "You bet," Sean agreed. "But we never stole anything from our own neighborhood. We'd just open up locks and then leave them open as a practical joke. But then it changed. We started going out to the 'burbs like Swampscott or Marblehead with one of the older kids who could drive. We'd watch a house for a while, then break in and help ourselves to the liquor and some of the electronics. You know, stereos, TVs." "You stole?" Janet questioned with shock. 148 Sean glanced at her for a second before looking back at the road. "Of course we Stole," he said. "It was thrilling at- the time and we used to think all the people who lived on the North 'Shore were millionaires." Sean went on to tell bow he and his buddies would sell the goods in Boston, pay off the driver, buy beer, and give the rest to a fellow raising money for the Irish Republican Army. "We even deluded ourselves into thinking we were youthful political activists even though we didn't have the faintest idea of what was going on in Northern Ireland." "My God! I had no idea," Janet said. She'd known about Sean's adolescent fights and even about the joy rides, but this burglary was something else entirely. "Let's not get carried away with value judgments," Sean said. "My youth and yours were completely different." "I'm just a little concerned you learned to justify any type of behavior," Janet said, "I would imagine it could become a habit." "The last time I did any of that stuff was when I was fif- teen," Sean said, "There's been a lot of water over the dam since then." They pulled into the Forbes parking lot and drove to the research building. Sean cut the engine and turned out the lights. For a moment neither moved. ."You want to go ahead with this or not?" Sean asked, finally breaking the silence. "I don't mean to pressure you, but I can't waste two months down here screwing around with busywork. Either I get to look into the medulloblastoma pro- tocol or I go back to Boston. Unfortunately, I can't do it by myself; that was made apparent by the run-in with hefty Margaret Richmond. Either you help, or we cancel. But let me say this: we're going in here to get information, not to steal TV sets. And it's for a damn good cause." Janet stared ahead for a moment~ She didn't have the luxury of indecision, yet her mind was a jumble of confusing thoughts. She looked at Sean. She thought she loved him. "Okay!" Janet said finally. "Let's do it." They got out of the car and walked to the entrance. Sean 149 carried the tools he'd gotten at the Home Depot in a paper bag. "Evening," Sean said to the security guard wbo blinked repeatedly as he stared at Sean's ID card. He was a swarthy Hispanic with a pencil-line mustache. He seemed to appreciate Janet's shorts. "Got to inject my rats," Sean said. The security guard motioned for them to enter. He didn't speak, nor did he take his eyes off Janet's lower half. As Senin and Janet passed' through the turnstile they could see he had a miniature portable TV wedged on top of the bank of security monitors. It was tuned to a soccer match. "See what I mean about the guards?" Sean said as they used the stairs to descend to the basement. "He was more interested in your legs than my ID card. I could have had Charlie Manson's photo on it and he wouldn't have noticed." "How come you said rats instead of mice?" Janet asked. "People hate rats," Sean said. "I didn't want him deciding to come down and watch." "You do think of everything," Janet said. The basement was a warren of corridors and locked doors, but at least it was adequately lighted. Sean had made many trips to the animal room and was generally familiar with that area, but he hadn't gone beyond it. As they walked, the sound of their heels echoed off the bare concrete. "Do you have any idea where we're going?" Janet asked. "Vaguely," Sean said. They walked down the central corridor taking several twists and tums before coming to a T intersection. "This must be the way to the hospital," Sean said. "How can you tell?" Sean pointed to the tangle of pipes lining the ceiling. "The power plant is in the hospital," he said. "These lines are com- ing over to feed the research building. Now we have to figure out which side has the chart vault." They proceeded down the corridor toward the hospital. Fifty feet down there was a door on either side of the narrow hall. Sean tried each. Both were locked. 150 "Let's give these a try," he said. He set down his bag and removed some tools, including a slender jeweler-like allen wrench and several short pieces of heavy wire. Holding the allen wrench in one hand and one of the pieces of heavy wire in the other, he inserted both into the lock. "This is the tricky part," he said. "It's called raking the pins." Sean closed his eyes and proceeded by feel. "What do you think?" Janet asked as sh~ looked up and down the corridor, expecting someone to appear at any mo- ment. ~'Piece of cake," Sean said. There was a click and the door opened. Finding a light, Sean turned it on. They had broken into an eleclxical room with huge wall-sized electrical buses facing each other. Sean turned out the light and closed the door. Next he went to work on the door across the corridor. He had it open in less time than the first. "These tools make a decent tension bar and pick," he said. "Nothing like the real thing, but not bad." ' Switching on a light, he and Janet found themselves in a long, narrow room filled with metal shelving. Arranged on the shelves were hospital charts. There was a lot of empty space. "This is it," Sean said, "A lot of room to expand," Janet commented. "Don't move for a couple of minutes," Sean said. "Let me make sure there are no alarms." "Good grief!" Janet said. "Why don't you tell me these things in advance." Sean took a quick turn around the room looking for infrared sensors or motion detectors. He found nothing. Rejoining Janet and taking out the computer printout sheet he said: "Let's divide these charts up between us. I only want the ones from the last two years. They'll reflect the successful treatment." Janet took the top half of the list and Sean took the lower. In ten minutes they had a stack of thirty-three charts. "It's easy to tell this isn't a teaching hospital," Sean said. 151 "In a teaching hospital you'd be lucky to find one chart, much less all thirty-three." "What do you want to do with them?" $anet asked. "Copy them," Sean said. "There's a copy machine in the library. The question is, is the library open? I don't want the guard seeing me pick that lock. There's probably a camera "Let's check," Janet said. She wanted to get this over with. "Wait," Sean said. "I think I have a better idea." He started toward the research building end of the cha~t vault. Janet sla'uggled to keep up. Rounding the last bank of metal shelves, they came to the end wall. In the center of the wall was a glass door. To the right of the door was a panel with two buttons. When Sean pushed the lower of the two, a deep whirring noise broke the silence. "Mayhe we're in luck," he said. Within .several minutes the dumbwaiter appeared. Sean opened the door and began removing the shelves. "What are you doing?" she asked. "A little experiment," Semi said. When he had enough of the racks removed, he climbed inside. He had to double up with his knees near his chin. "Close the door and push the button," he said. "Are you sure?" Janet asked. "Come on!" Sean said. "But after the motor stops, wait for a couple of beats, then be sure to push the 'down' button to get me back." Janet did as she was told. Sean ascended with a wave and disappeared from view. With Sean gone, Janet's anxiety grew. The gravity of their actions hadn't sunk in when Sean had been with her. But in the eerie silence the reality of where she was and what she was' doing hit her:. she was burglarizing the Forbes Cancer Center. When the 'whirring stopped, Janet counted to ten, then pressed the down button. Thankfully, Sean quickly reappeared. She opened the door. "Works like a charm," Sean said. "It goes right up to fi- 152 nance in administration. Best of all, they've got one of the world's best copy machines." It took them only a few minutes to carry the charts over to the electric dumbwaiter. "You first," Scan said. "I don't know whether I want to do this," Janet said. "Fine," Scan said. "Then you wait here while I copy the charts. It'll probably take about a half hour." He started to climb back in the dumbwaiter. Janet grabbed his arm. "I changed my mind. I don't want to wait here by myself, either." Scan rolled his eyes and got out of the dumbwaiter. Janet climbed into the hoist. Scan handed her most of the charts, closed the door, and pushed the button. When the motor stopped, he pressed again and the dumbwaiter reappeared. With the remaining charts in hand, he piled into the dumb- waiter a second time and waited a few uncomfortable minutes until Janet pushed the button upstairs in 'administration. When Janet opened the door for him, he could tell she was becoming frantic. "What's the matter now?" he asked as he straggled out of the dumbwaiter. "All the lights are on up here," she said nervously. "Did you turn them on?" "Nope," Scan said, gathering up an armload of the charts. "They were on when I came up. Probably the cleaning ser- vice." "I never thought of that," Janet said. "How can you be so calm through all this?" She sounded almost angry. Scan shrugged. "Must have been all that p~actice I had as a kid." They quickly fell into a system at the copy machine. By taking .each chart apart, they could-load it into the automatic feed. Using a stapler they found on a nearby desk, they kept the copies organized and reassembled the originals as soon as they'd been copied. "Did you notice that computer in the glass enclosure?" Janet asked. 153 "I saw it on my tour on day one," Scan said. "It's running some kind of program," Janet said. "When I was waiting for you to come up, I glanced in. It's connected to several modems and automatic dialers. It must be doing some kind of survey." Scan looked at Janet with surprise. "I didn't know you knew so much about computers. That's rather odd for an En- glish lit major." "At Wellesley I majored in English literature but computers fast'mated me," she explained. "I took a lot of computer courses. At one point I almost changed majors." ú After loading more sets of charts into the copy machine, Scan and Janet walked over to the glass enclosure and looked in. The monitor screen was flashing digits. Sean tried the door. It was open. They went inside. "Wonder why this is in a glass room?" he asked. "To protect it," Janet said. "Big machines like this can be affected by cigarette smoke. There's probably a handful of smokers in the office." They looked at the figures flashing on the screen. They were nine-digit numbers. "what do you think it's doing?" Scan asked. "No idea," Janet said. ' 'They're not phone numbers. If they were, there'd be seven or ten digits, not nine. Besides, there's no way it can be calling phone numbers that rapidly." The screen suddenly went blank, then a ten-digit number appeared; Instantly an automatic dialer went into motion, its tones audible above the hum of the air-conditioning fans. "Now that's a phone number," Janet said. "I even recog- nize the area code. It's Connecticut." The screen went blank again, then resumed flashing more nine-digit numbers. After a minute the list of numbers froze at a specific number and the computer printout device acti- vated. Both Scan and Janet glanced over to the printer in time to see the nine-digit number print out followed by: Peter Zie- gler, age 55, Valley Hospital, Charlotte, North Carolina, Achilles tendon repair, March 11. Suddenly, an alarm sounded. As the computer reverted to 154 flashing its nine-digit numbers, Scan and Janet looked at each other, Scan with confusion, Janet with panic. "What's happening?" she demanded. The alarm kept ring-' ing, "I don't know," Scan admitted. "But it isn't a burglar alarm." He turned to look out into the office just in time to see the door to the hallway opening. "Down!" he said to Janet, forcing her to her hands and knees. Scan figured that whoever was coming into the room was coming to check the computer. He frantically motioned to Janet to crawl behind the console. In utter terror, Janet did as she was told, fumbling over coiled computer cables. Scan was right behind her. Hardly had they gotten out of sight when the door to the glass enclosure was opened. From where they were huddled, they could see a pair of legs enter the room. Whoever it was, it was a woman. The alarm that initiated the episode was turned off. The woman picked up a phone and dialed. "We have another potential donor," she said. "North Car- olina.' ' At that moment, the laser printer began printing yet again, and again the alarm sounded for a brief moment. "Did you hear that?" the woman asked. "What a coinci- dence. We're getting another, as we speak." She paused, wait- ing for the printer. "Patricia Southerland, age forty-seven, San Jose General, San Jose, California, breast biopsy, March 14. Also sounds good. What do you think?" There was a pause before she spoke again: "I know the team's out. But there's time. Trust me. This is my depart- ment." The woman hung up. Scan and Janet heard her tear off the sheet that had just printed. Then the woman turned and left. For a few minutes neither Scan nor Janet spoke. "What the hell did she mean, a potential donor?" Scan whispered at last. "I don't know and I don't care," Janet whispered back. "I want out of here." "Donor?" Scan murmured. "That sounds creepy to me. 155 What do we have here? A clearinghouse for body parts? Re- minds me of a movie I saw once. I tell you, this place is nuts." "Is she gone?" Janet asked. "I'll check," Scan said. Slowly he backed out from their hiding place, then peeked over the countertop. The room was empty. "She seems to be gone," Scan said. "I wonder why she ignored the copy machine." Janet backed out and gingerly raised her head. She scanned the room as well. "Coming in, the computer alarm must have shielded the sound," Scan said. "But going out, she had to have heard it." "Maybe she was too preoccupied," Janet offered. Scan nodded. "I think you're probably right." The computer screen that had been flashing the innumerable nine-digit numbers suddenly went blank: "The program seems to be over," Scan said. "Let's get away from here," Janet said, her voice quaver- ing. They ventured out into the room. The copy machine had finished the latest stack of charts and was silent. "Now we know why she didn't hear it," Scan said, going up to the machine and checking it. He loaded the last of the charts. "I want out of here!" Janet said. "Not until I have my charts," Scan said. He pushed the copy button and the copier roared to life. Then he began re- moving the originals and the copies already done, stapling the copies and reassembling the charts. At first, Janet watched, terrified that any moment the 'same woman would reappear. But after she recognized the faster they were finished, the sooner they would leave, she pitched in. With no further interruptions they had all the charts copied and stapled in short order. Returning to the small elevator, Scan discovered that it was possible to push the button with the door ajar. Then, when the door was closed, the dumbwaiter operated. "Now I don't have to worry about you forgetting to bring me down," he said teasingly. 156 "I'm in no mood for humor," Janet remarked as she climbed into the hoist. She held out her arms to take as many charts and copies as possible. Repeating the procedure that had brought them up to the seventh floor, they returned the charts to the vault. To Janet's chagrin, Sean insisted they take the time to return the charts to their original locations. With that accomplished, they carried the chart copies to the animal room where Sean hid them be- neath the cages of his mice. "I should inject these guys," Sean said, "but to tell you the truth, I don't much feel like it." Janet was pleased to leave but didn't start to relax until they were driving out of the parking lot. "That has to have been one of the worst experiences of my life,'~ she said as they traversed Little Havana. "I can't believe that you stayed so calm." "My heart rate was up," Sean admitted. "But it went smoothly except for that little episode in the computer room. And now that it's over, wasn, t it exciting? Just a little?" "No!" Janet said emphatically. They drove in silence until Sean spoke again: "I Still can't figure out what that computer was doing. And I can,t figure out what it has to do with organ donation. They certainly don't use organs from deceased cancer patients. It's too risky in relation to transplanting the cancer as well as the organ. Any ideas?" "I can't think about anything at this point," Janet said. They pulled into the Forbes residence. "Geez, look at that old Caddy convertible," Sean said. "What a boat. Barry Dunbegan had one just like it when I was a kid, except his was pink. He was a bookmaker and all us kids thought he was cool." Janet cast a cursory glance at the finned monster parked within the shadow of an exotic tree. She marveled how Sean could go through such a wrenching experience, then think about cars. Sean pulled to a stop and yanked on the emergency brake. They got out of the car and entered the building in silence. 157 Sean was thinking about how nice it would be to spend the night with Janet. He couldn't blame the security guard for ogling her. As Sean climbed the stairs behind Janet, he was reminded how fabulous her legs were. As they came abreast of his door he reached out and drew her to him, enveloping her in his arms. For a moment they merely hugged. "What about staying .together tonight?" Sean forced him- self to ask. His voice was hesitant; he feared rejection. Janet didn't answer immediately, and the longer she delayed, the more optimistic he became. Finally he used his left hand to take out his keys. "I don't think it's a good idea," she said. "Come on," Sean urged. He could smell her fragrance from having held her close. "No!" Janet said with finality after another pause. Although she'd been wavering, she'd made a decision. "I know it would be nice, and I could use the sense of security after this evening, but we have to talk first." Sean rolled his eyes in frustration. She could be so impos- sibly stubborn. "Okay," he said petulantly, trying another tack. "Have it your way." He let go of her, opened his door, and stepped inside. Before shutting the door, he glanced at her face. What he wanted to see was sudden concern that he was miffed. Instead he saw irritation. Janet turned and walked away. After closing his door, Sean felt guilty. He went to his slider, opened it, and stepped out on the balcony. A few doors down he saw Janet's light in her living room go on. 'Sean hesitated, not sure what to do. "MEN," JANET said aloud with ire and exasperation. She hes- itated inside her door, going over the conversation outside Sean's door. There was no reason for him to get angry with her. Hadn't she gone along with his risky plan? Didn't she generally defer to his wishes? Why couldn't he ever even try to understand hers? 158 Knowing that nothing would be solved that evening, Janet walked into the bedroom and turned on the light. Although she would later remember it, it didn't completely register that her bathroom door was closed. When Janet was by herself she never closed doors. It had been a habit developed as a child. Pulling off her tank top and unhooking her bra, Janet tossed them on the armchair by the bed. She undid the clip on the top of her head and shook her hair free, She. felt exhausted, irritable, and as one of her roommates at college used to say, fried. Picking up the hair dryer she'd tossed on her bed in haste that morning, Janet opened the bathroom and entered. The moment she turned on the light, she became aware of a hulking presence to her left~ Reacting instinctively, Janet's hand shot out as if to fend off the intruder. A scream started in Janet's throat but was stalled before it could get out by the hideousness of the image that confronted her. A man was in her bathroom dressed in baggy dark clothes. A knotted segment of nylon stocking had been drawn over his head so that his features were grotesquely compressed. At shoulder height he clutched a butchef's knife menacingly. For an instant, neither of them moved. Janet quiveringly aimed the ineffectual hair dryer at the ghoulish face as if it were a magnum revolver. The intruder stared down the barrel in shocked surprise until he realized he was looking at heating coils, not the innards of a handgun. He was the first to react, reaching out and snatching the hair dryer from Janet's hand. In a burst of rage he threw the ap- paratus aside; it smashed the mirror ofthe medicine cabinet. The shattering of the glass jolted Janet from her paralysis, and she bolted from the bathroom. Tom reacted swiftly and managed to grab Janet's arm, but Janet's momentum pulled them stumbling' into the bedroom. His original intent had been to stab her in the bathroom. The hair dryer had thrown him off guard. He hadn't planned on her getting out of the bathroom. And he didn't want her to scream, but she did. Janet's first scream had been stifled by shock, but she more than made up for it with a second scream that reverbera~,xl in 159 the confines of her small apartment and penetrated the cheaply built walls. It was probably heard in every apartment in the building, and it sent a shiver of fear down Tom's spine. As angry as he was, he knew that he was in trouble. Still holding onto Janet's arm, Tom whipped her around so that she careened off the wall before falling crossways on the bed. Tom could have killed her there and then, but he didn't dare take' the time. Instead he rushed to the slider. Fumbling with the curtains and then the lock, he yanked the door open and disappeared into the night. SEAN HAD been loitering on the balcony outside Janet's open living room slider, trying to build up the courage to go in and apologize for trying to make Janet feel guilty. He was embar- rassed at his behavior, but since apologies weren't his strong suit, he was having difficulty motivating himself. Sean's hesitation dissolved in an instant at the sound of the shattering mirror. For a moment he struggled with the screen, trying to slide it open. When he heard Janet's bloodcurdling scream followed by a loud thud, he gave up opening the screen properly and'threw himself through it. He ended up on the shag carpet, his legs still bound in the' mesh. Struggling to his feet he launched himself through the doorway into the bed- room. He found Janet on the bed, wide-eyed with terror. "What's the matter?" Sean demanded. Janet sat up. Choking back tears, she said, "There was a man with a knife in my bathroom?' Then she pointed to the open bedroom slider. "He went that way." Sean flew to the sliding glass door and whipped back the curtain. Instead of one man, there were two. They came through the door in tandem, roughly shoving Sean back into the room prior to everyone recognizing each other. The new- comers were Gary Engels and another resident who'd re- sponded to Janet's scream just as Sean had. Frantically explaining that an intruder had just left, Sean led the two men back out onto the balcony. As they reached the handrail they heard the screech of tires coming from the park- 160 ing lot behind the building. While Gary and his companion ran for the stairs, Sean returned to Janet. Janet had recovered to a degree. She'd slipped on a sweat- shirt. When Sean entered she was sitting on the edge of the bed finishing an emergency call to the police. Replacing the receiver, she looked up at Scan who was standing above her. "You okay?', he asked gently. "I think so," she said. She was visibly shaking. "God, what a day{" "I told you you should have stayed with me." Sean sat next to her and put his arms around her. In spite of herself, Janet gave a short laugh. Leave it to Sean to try to smooth over any situation with humor. It did feel wonderful to be in his arms. "I'd heard Miami was a lively city," she said, taking his lead, "but this is too much." "Any idea how the guy got in here?" Scan asked. "I left the slider in the living room open," Janet admitted. "This is learning the hard way," Sean said. "In Boston the worst thing that ever happened to me was an obscene phone call," Janet said. "Yeah, and I apologized," Sean said. Janet smiled and threw her pillow at him. It took the police twenty minutes to arrive. They pulled up in a squad car with lights flashing but no siren. Two uniformed officers from the Miami police department came up to the apartment. One was a huge bearded black man, the other was a slim Hispanic with a mustache. Their names were Peter Jef- ferson and Juan Torres. They were solicitous, respectful, and professional as they spent an unhurried half hour going over Janet's story. When she mentioned that the man was wearing latex robber gloves, they canceled a crime scene technician who was scheduled to come over after finishing a homicide case. "The fact that nobody got hurt puts this incident into a different category," Juan said. "Obviously homicides get more attention." "But this could have been a homicide," Scan protested. 161 "Hey, we do the best we can with.the manpower we got," Peter said. - While the policemen were still there gathering facts, some- one else showed up: Robert Harris. ROBERT HARRIS had carefully cultivated and nurtured a rela- tionship with the Miami police department. Although he de- cried their lack of discipline and their poor physical shape, characteristics that set in approximately a year subsequent to their graduation from the police academy, Harris was enough of a pragmatist to understand that he needed to be on their good side. And this attack on a nurse at the Forbes residence was a case in point. Had he not developed the connections he had, he probably wouldn't have heard about the incident until the following morning. As far as Robert was concerned, such a situation wonId be unacceptable for the head of security. The call had come from the duty commander while Harris was using his Soloflex machine in front of his TV at home. Unfortunately, there'd been a delay of nearly half an hour following the dispatch of the patrol car, but Harris was not in a position to complain. Arriving late was better than not ar- riving at all. Harris just didn't want the case to be cold by the time he got involved. As Harris had driven to the residence, he thought back to the rape and murder of Sheila Arnold. He couldn't shake the suspicion--improbable though it might seem--that Arnold's death was somehow related to the deaths of the breast cancer patients. Harris wasn't a doctor so he had to go on what Dr. Mason had told him a few months ago, namely that it was his belief that the breast cancer patients were being murdered. The tip-off was the fact that these patients' faces were blue, a sign they were being somehow smothered. ~ Dr. Mason had made it clear that getting to the bottom of this situation should be Harris's primary task. If word leaked to the press, the damage to the Forbes might be irreparable. In fact, Dr. Mason had made it sound like Harris's tenure depended on a quick and unobtrusive resolution of this poten- 162 tially embarrassing problem. The quicker that resolution came about, the better for everyone. But Harris had not made any progress over the last few months. Dr. Mason's suggestion that the perpetrator was prob- ably a doctor or a nurse had not panned out. Extensive back- ground checks on the professional staff had failed to uncover any suspicious discrepancies or irregularities. Harris's attempts at keeping an unobtrusive eye on the Forbes breast cancer patients hadn't turned anything up. Not that he'd been able to keep watch over all of them. Harris's suspicion that Miss Arnold's death was related to the breast cancer patient deaths had hit him the day after her murder while he'd been driving to work. It was then he'd remembered that the day before she was killed a breast cancer patient on her floor had died and turned blue. What if Sheila Arnold had seen something, Harris won- dere