Intervention (22 page)

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Authors: Robin Cook

BOOK: Intervention
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Sana didn’t laugh or even smile at what she now sensed was a feeble attempt at humor.

There was nothing funny about opening the ossuary prematurely. In fact, she was afraid his impatience might put her interest in the ossuary in jeopardy.

“Why the long face?” he asked, while shielding his eyes from Sana’s headlamp.

“You can’t open the ossuary until I can stabilize the relics biologically,” Sana blurted, as she turned off her headlamp and tossed the helmet in the backseat. “Otherwise, we’ll be taking a risk of lessening the chances of isolating any mitochondrial DNA.”

“Oh, really?” Shawn questioned mockingly. He was shocked that his wife could think it was her position to preempt what was sure to be his premier archaeological find. “I’m opening the damn ossuary tonight! We’ll worry about your DNA stuff when the time comes.”

“You could be cutting off your nose to spite your face,” Sana replied with emotion.

“Your impatience could be costly. Remember, this thing’s been sealed for nearly two thousand years. If there are documents in it, you’d better be prepared to conserve them immediately or you might lose them, along with any biological material.”

“Okay, maybe you are right,” Shawn reluctantly admitted, “at least about the documents.

But really, except for vague scientific interest, what would knowing the Virgin Mary’s mitochondrial DNA sequence mean, anyhow?”

“I’m not sure how to answer that. We might be able to trace her genealogy quite a ways back because we’d already be two thousand years back before we start. But more important, because mitochondrial DNA is inherited solely from the mother, with no recombination involved, you will be ultimately responsible for learning the mitochondrial DNA sequence of Jesus Christ.”

“Really!” Shawn repeated, suddenly awed.

“Really!” Sana echoed. “You would be included in that rarified group of scientists who have made extraordinary contributions to knowledge, probably more than any documents could provide.”

“My word,” Shawn said, visualizing the accolades.

“So, can I have your word we won’t open the ossuary until we get to New York? You’ll only have to wait a few days.”

“You have my word.”

Sana took in a deep breath and let it out in a huff. She was relieved. She was also a little embarrassed at her stooping so low as to manipulate Shawn with his own vanity. Yet she wasn’t embarrassed enough to admit to it. She was intent on maximizing the chances of isolating Mary’s DNA, because she, as the molecular biologist, rather than Shawn, as the archaeologist, would ultimately be credited with having deciphered Jesus Christ’s mitochondrial DNA sequence.

15

10:06 A.M., FRIDAY, DECEMBER 5, 2008

NEW YORK CITY

Well, there’s no question what killed him,” Jack said. He had just sliced open the heart of a sixty-two-year-old African-American male named Leonard Harris. A large, sausage-shaped blood clot completely filled the right atrium.

“Did that clot come from the legs?” Vinnie asked.

“We’ll just have to check that out,” Jack answered.

The autopsy room was in full swing, with all eight tables in use. Jack and Vinnie were already deep into their third case, while most of the other MEs were still doing their first.

Jack’s first case had been a teenager shot in Central Park. There was a question of whether it was a suicide or a homicide. Unfortunately, there had been a mistake made by the OCME medicolegal investigator, George Sullivan, who had been bullied by the detective in charge to rush his investigation. The result was that he’d forgotten to bag the victim’s hands, possibly causing a loss of critical evidence. Since the victim was the son of a politically connected lawyer, Calvin had been called in, ordering Jack on the case.

Jack’s other two cases were a bit more straightforward, but just. The second case was a drug overdose of a college freshman. But the third case, the one he was on, presented a surprise challenge. Jack was confident the cause of death was a pulmonary embolism, but the manner of death was not necessarily natural.

“Vinnie, my friend, do you know—” Jack began as he sliced open the rest of the heart, looking for more blood clots, particularly at the tricuspid and pulmonary valves.

“No!” Vinnie interrupted, without even letting Jack finish his sentence. “When you start a question by being nice to me, I know you have something on your mind that I want no part of.”

“Am I that bad?” Jack asked, as he moved up to the bifurcation of the pulmonary artery looking for more clots.

“You’re wicked bad!” Vinnie declared.

“Sorry you feel that way,” Jack said. “But let me finish my sentence. Do you know what is particularly special about this case?”

Vinnie looked down at the large, dark clot and then over at the flayed-open corpse, trying to come up with something humorous. When he couldn’t, he fell back on the truth: “No!” he said.

“This case is a perfect example of just how important the medicolegal investigators are in forensic pathology. Because Janice asked all the right questions, this case will be viewed in a different light. I would have been certain it was a natural death, but because she asked the wife if he’d been taking any medication, she learned something the ER

docs didn’t know: that he’d been taking an herbal remedy on his own, PC-SPES, made of Chinese herbs, which was supposed to be taken off the market but which is still available. Janice Googled the drug and learned that it was an FDA-unapproved medication that had often been contaminated with female hormones and was therefore associated with clotting problems and fatal pulmonary emboli.”

“So, the herbal remedy killed the man.”

“Possibly,” Jack said.

“Will you be able to prove it?”

“Perhaps. Let toxicology have a go at the samples we’ve taken and see if we can get some of the medication he’s been taking from the wife.”

“Hey, keep working!” Vinnie complained. Jack had stopped while he was talking.

“Do you take any herbal medicine, Vinnie?” Jack asked, going back to work.

“Sometimes. There’s a Chinese aphrodisiac called Tiger Stamina I use once in a while.

And occasionally my acupuncturist gives me something for some minor complaints I have.”

Jack stopped working and stared at his favorite mortuary tech.

“What’s wrong? Why are you looking at me like that?”

“As the saying goes, I knew you were dumb, but I didn’t think you were stupid.”

“Why? What are you talking about?”

“I had no idea you were a user of alternative medicine. Why?”

Vinnie shrugged. “I guess because it’s natural.”

“Natural, my ass,” Jack said scornfully. “The worst poison known to man comes from a tree frog in South America. You cannot imagine how small an amount would be necessary to kill you, and it’s natural. Calling something natural is a meaningless marketing ploy.”

“All right, calm down! Maybe I like alternative medicine because it’s been in use for more than six thousand years. After all that time, they have to know what they’re doing.”

“You mean the wacky idea that somehow in the distant past people had more scientific wisdom than they do today? That’s both crazy and counterintuitive. Six thousand years ago people thought thunder was a bunch of gods moving around furniture.”

“All right,” Vinnie repeated, with a touch of irritation. “I like alternative medicine because it treats my whole body, not just my arm or spleen or whatever.”

“Ah!” Jack said, his voice rising and tinged with more scorn than when he spoke about the “natural” fable. “The holistic myth or the more-holistic-than-thou nonsense is just as crazy as everything else you’ve said. Regular medicine is a thousand times more holistic than alternative medicine. With conventional medicine, they’re even taking into account individual genetic profiles. How much more holistic can you be than that?”

“How about we get this autopsy over with,” Vinnie suggested. “And maybe you should stop yelling.”

Just as he had a few days ago in Ronald Newhouse’s office, Jack suddenly came to his senses. Again, he’d allowed his emotions to get the best of him. The room had gone silent, and everyone was staring at him. When he glanced down at his hands, he realized one hand was still grasping the heart and lungs he’d been examining while the other hand still held the butcher knife. As suddenly as the buzz of conversation stopped it now resumed.

“Wow!” Vinnie murmured. “You’re getting awfully touchy in your old age.”

“I’ve been looking into alternative medicine since our case of vertebral artery dissection on Monday, and I’ve become a touch emotional about what I’ve been learning.”

“A touch?” Vinnie questioned mockingly. “I’d say it’s over the top, but I tell you what I’ll do: I’ll give up on the acupuncture if it will make you feel better.”

“It would,” Jack said, “especially if you ditch the herbs as well.”

Vinnie leaned toward Jack and squinted. “Are you pulling my leg now or what?” He wasn’t certain.

“Half and half,” Jack said. “Meanwhile, let’s knock out this autopsy.”

They completed the pulmonary embolism case in near record time, too uncomfortable to talk. When they did finish, Jack said, “Sorry, my friend. I was definitely out of line.”

“You’re forgiven. To pay me back, you can promise me we won’t start autopsies until everyone else does.”

“Dreamer,” Jack said, snapping off his gloves and heading for the washroom.

Jack cleaned up and returned upstairs to his desk. Still feeling uncomfortable about his mini-blowup in the autopsy room, he closed his office door. For a while, at least, he didn’t want to see or talk to anyone. Forcing himself to work, he dictated all three autopsies he’d just completed so he was sure not to forget any of the details, using his scribbled notes to remind him of specific important points.

With the dictation out of the way, Jack looked at his crowded inbox, but, like many days of late, he couldn’t find the motivation to start. Instead, he opened up his center drawer and pulled out a large envelope where he’d been storing all his alternative-medicine data. As of that moment, he had a total of twelve cases from his colleagues. Keara Abelard made thirteen, and his herbal case that morning made a grand total of fourteen.

Jack should have been pleased with his progress, but he wasn’t. He’d come to the conclusion that the number of cases he was going to find, no matter what he did, was going to be seriously lower than the true number, for a complex of reasons. One problem was the lack of digitalization of the OCME records, meaning a search was not possible.

Even if the records were digitalized, there would be no coding for alternative medicine in general, nor for specific types of alternative medicine in particular. On top of that, even if he was able to find VAD cases, there was no guarantee that the records would say anything about chiropractic, even if chiropractic therapy was involved in the cause of death.

In situations involving herbal medicine, the cases would be signed out as accidental poisoning, with the cause of death attributed to the specific poison involved. It would be the exception, not the rule, if herbal medicine was mentioned at all.

Although Jack thought his crusade of exposing the risks of chiropractic and other forms of alternative medicine was still a great idea and more than worth pursuing, his enthusiasm was being dampened by these tactical obstacles. Fourteen cases over some indeterminate period of time was not enough to attract the public’s attention. When he had started, he’d envisioned a grand exposé involving hundreds of cases capable of dominating the media for days. Jack could already assume that was not going to happen.

As Jack’s zeal for his crusade sagged, his problems at home only loomed larger. His out-of-control emotions, as the recent minor episode with Vinnie exemplified, were a clear sign he still lacked focus. For a few moments Jack debated whether he should stick with the alternative-medicine idea in hopes of solving the problems of researching it or whether he should switch and try to find something more engrossing.

The ring of the telephone startled him out of his reverie. He glared at the phone with a sudden flash of anger, suppressing an urge to rip the blasted cord out of the wall. He didn’t want to talk to anyone.

But what if it was Laurie? Perhaps there’d been a sudden change for the worse with JJ’s condition. Perhaps she was calling from Memorial’s emergency room. Jack snatched up the handset and barked, “Yes?”

“Hey, big guy,” Lou Soldano rumbled. “Am I catching you at a bad time? You sound harried.”

It took Jack a moment to reboot his brain. He’d been so certain it would be Laurie calling about some kind of disaster. “It’s okay,” he said, struggling to calm himself.

“What’s up?”

Next to Laurie, Lieutenant Detective Lou Soldano was one of his favorite people. In many ways, Lou and Jack’s friendship had a curious twist. Before Jack had come on the scene, Lou and Laurie had dated for a time. Luckily for Jack, their relationship had changed from rocky romantic to pleasant platonic, and when Jack and Laurie began dating, Lou championed Jack on multiple occasions. At one particularly difficult juncture, it was Lou’s belief that Jack and Laurie were made for each other that probably saved the day.

“I wanted to give you some follow-up,” Lou said, “on that suicide gunshot case you called me about Tuesday. You know which case I’m talking about?”

“Of course. The woman’s name was Rebecca Parkman. That was the case that the husband was dead set—excuse my pun—against his wife having an autopsy, supposedly for religious reasons.”

“It appears he had other reasons, too,” Lou said.

“I’m not surprised. Although the entrance wound was somewhat stellate, it wasn’t stellate enough, which suggested it was not a contact wound. How far away did I guess the gun was when it was fired?”

“Two inches!”

“In my entire forensic career, I’ve never seen a suicide with a gunshot wound to the head that wasn’t a contact wound.”

“Well, with your suspicions we got a warrant and burst in on the guy. And guess what, he was entertaining this young chick. Can you imagine? Two days after his wife is supposed to have killed herself, he’s boffing this cheerleader type.”

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