The Inquisitor (20 page)

"I'm waiting for an answer, Monica," he said, ignoring them both.

Paul Hurst leaned closer to his sister. His normally colorless skin became dusky gray, the change suffusing up his temples, across his forehead, and down from under his mask to his neck like creeping smoke. "Garnet, we agreed not to discuss this-"

"I agreed to wait and hear the pathology reports before I took any action, not to cover them up."

"You can't be serious, throwing the hospital into a tumult at a time when-"

"What tumult? That's why I restricted this gathering to the people most directly involved. I'm betting someone in this room knows the truth about Elizabeth Matthews's death and the deaths of other patients on this ward. We can get at it, here and now, behind closed doors."

"You still aren't seeing the bigger picture."

"Oh, no?" He pointed at Yablonsky. "The bigger picture is that she tried to shift the blame for this patient's death onto me. And my chief resident, Thomas Biggs, tells me there's also been a rise in the number of people who die on the ward but are discovered only in the early morning. Clearly no one is keeping close watch during the night. A few days ago I witnessed that for myself, and our hospital chaplain, Jimmy Fitzpatrick, will back me up. Not only could I sneak onto the ward, but some other intruder came prowling around as well. I don't think we can ignore events like that, can we, Paul, what with a rise in the mortality rate and the possibility that Elizabeth Matthews's death might be part of a cluster-"

"No!" shrieked Monica Yablonsky, her eyes wide with fright. "I won't be your scapegoat." Her voice soared into the high, thin register that jangles the human ear and makes dogs howl. "I won't!"

Bingo! Earl thought. This was shaping up to be a "You can't handle the truth" moment.

Despite working on the numbers all weekend, even with Janet's help, Earl hadn't been able to conclude whether the statistics really indicated a cluster of suspicious deaths. He certainly hadn't been able to incriminate Yablonsky in anything specific. Nor could he tell whether his assailant had played a role in it all. But he'd come here to squeeze Yablonsky, because all her anxiety told him she knew something about what had been going on, and this in itself gave her good cause to be afraid.

Why? Ever since that groundbreaking article in the New England Journal, it was the nurses whom investigators went after when patients died and the reason wasn't clear. She'd know that, and it would scare her, whether she'd accidentally overdosed a single patient and lied about it, or done much worse, or hadn't done anything herself but covered up for the real culprit. Earl intended to rattle her enough that she'd drop her guard and let slip her secret, whatever it might be.

At least, that had been his plan, and it seemed to be working.

But then Jimmy sprang to her side, his arms protectively around her shoulders. "For the love of God, Earl, back off!"

Mrs. Quint quickly walked over to join them. "Monica, calm down," she said, rubbing her underling's back the way she would a child's. Her voice, no louder than usual, but ice smooth, rang out like a command.

Monica looked desperately from her to Jimmy and back again. "Calm down? It's not you he's after."

Madelaine turned on her brother. "Paul, stop this disgraceful attack on the good name of a fine nurse."

"Garnet!" Peter Wyatt roared, getting to his feet like some smoldering volcano rising from the sea. "I'm formally charging you with making libelous comments against my department."

"And I'm suspending your authority as VP, medical," Hurst chimed in, as if singing a duet with Wyatt, "pending a hearing into charges of unprofessional conduct."

Earl ignored them all and kept his sights on Yablonsky. "How about it, Monica? Stop lying now or I'll go to the police, and this business will finish you-"

"No!" Her voice once more cracked into soprano territory. "I won't be hung out to dry!"

"That's enough, Monica!" Madelaine Hurst's glare launched a thousand scalpels at her. "The subject's closed."

Monica's eyes flashed a counterstrike. "No, it's not closed. Not by a long shot." She swung back to face Earl, her pupils so dilated with fright that they squeezed her irises into thin brown rims. "Dr. Garnet, you wanted to know what the patients who reported a near-death experience told their nurses?"

Stewart sat bolt upright.

"That's right," Earl answered evenly. "Apparently no supervisor, including you, could find a single nurse who remembered anything."

"Because they were told to keep quiet-"

"Shut up, Monica," Madelaine Hurst shrieked.

"I won't, not when he's talking about clusters of unexplained deaths and hinting at allegations of murder." As she spoke, she trained her eyes only on Earl, as if forming a corridor that linked them together and excluded everyone else.

"Go on," he urged.

"Monica!"

"Some of the girls who heard those near-death stories found one particular detail doubly peculiar."

"What?"

"Damn it, Monica, I order you to stop."

"Patients didn't just claim they'd seen lights, tunnels, lost loved ones, or themselves floating above their bodies- all that standard stuff." She rattled off the usual catalog of near-death experiences with the contempt of someone who considered such matters to be utter nonsense.

Paul shot to his feet, toppling his chair backward. "Continue and you'll be suspended permanently, Mrs. Yablonsky." He spoke through clenched teeth.

Earl leaned over the table toward her. "No, you won't. Trust me. Talk now, Monica, and nobody can touch you, not even me. What's said in this forum has automatic immunity." He hadn't lied. Anything stated at death rounds could not be subpoenaed in a court of law. The rule had been intended to protect doctors from legal action if they honestly admitted their mistakes so that the rest of the staff could learn from them. But whether the law would protect Monica from a CEO and a nursing supervisor, he had no idea.

Monica must have believed it could. "A lot of the patients said that someone kept whispering questions at them throughout the whole ordeal," she said, never taking her eyes off him.

"Questions?"

"Yeah. Had they seen God? Were they looking down on themselves? What did heaven look like? Crazy stuff."

"You're kidding."

She retrieved a tissue from her pocket and dabbed her eyes, careful not to touch them with her gloved fingers. "I swear, it's the truth."

Earl felt he'd stepped into an elevator and dropped too fast.

Why should he believe her? This might merely be another attempt to throw suspicion on someone else. But the story sounded too bizarre for her to have made it up, and pieces of the puzzle snapped into place, giving an answer he didn't want.

Reluctantly he looked over at Stewart.

The man's pupils grew to the size of quarters.

Oh, my God, Earl thought, his insides plummeting further. "This is what made you say the reports were bogus?" he said, sounding incredulous despite knowing he'd stumbled on the truth.

Stewart's forehead began to glisten under the overhead lights, the effect of a sudden sheen of sweat. "No, honest-"

"Don't lie to me, Stewart!"

"I'm not. I mean, it's not what you think. Please, Earl, you have to believe me-"

"Of course he's lying about it," Monica said, "to protect his ass!" Fury propelled her voice down to its deepest registers, stripping it raw, and the words scraped against the back of her throat. "Who else around here wanted to talk with the dead?"

Department of Clinical Research, subbasement, St. Paul's Hospital

"I swear to you, Earl, I didn't do anything wrong." Stewart's voice shook. He rose from his desk, fluttering his gloved hands here and there, his fingers as tremulous as wings. A lifetime of data on resuscitation outcomes and volumes of scientific papers about critical care towered about him in stacks. Except now the piles seemed about to fall in on him as he cowered at their center, shot up with fear, eyes as jumpy and desperate as any junkie's.

Earl leaned against the closed door and watched with clinical fascination as Stewart spun and turned, until the sight of him falling apart turned repugnant.

As the meeting had disintegrated into confusion, Stewart had fled death rounds, his eyes straining so far to the side toward his accuser that they nearly disappeared into their sockets. Earl had chased after him to his cubbyhole office.

"You lied to me," he said to Stewart.

"Yes, I know, but only about what those patients told me. I knew if word of that got around, people would react exactly the way everyone else at the table did- think that I had something to do with it." He spoke in short, rapid spurts, alternating between a whimper and a bellow. "All it takes is a whiff of shit to finish you off as a researcher in this game. And I've made more than my share of enemies, believe me, though as far as I can see it's for no reason other than envy."

How about on account of insufferable conceit? Earl thought.

"Oh, there'll be plenty of volunteers to mount a whisper campaign against me," Stewart continued, then blanched whiter still. "Oh, God! My funding, it'll dry up overnight-"

"What, specifically, were you afraid these whisperers would say?" Earl interrupted. He tried hard to sound sympathetic, to keep him talking, but found it difficult.

Stewart reacted with an impatient wave. "You know very well. That I'd badgered dying patients without getting their consent." He expanded his restless movements and started to pace. But in a ten-foot cubicle he still ended up turning in circles. "That I precipitated the near-death state to get more material to publish. That I went after immediate accounts of the experience rather than retellings, to silence critics of my original work. All of it crap, but clever enough to do damage."

Earl shuddered from the creeping realization that just as he didn't know for certain whether Stewart would be capable of something so appalling, neither could he dismiss the possibility. With increased foreboding, he asked, "And how might these so-called accusers explain you could pull such a thing off?"

Stewart immediately came to a standstill, looked at Earl, and went so white around the eyes, he seemed about to faint. He laid a hand on his desk as if to steady himself, and slowly sat down again. "You think I did it too, don't you?"

Come across as an ally, Earl told himself. He also sized up Stewart's physique, wondering again if he could have been the man who attacked him. Hard to tell, he thought. Despite spending most of his hours in the darkness of ICU, Deloram had managed to keep reasonably trim. He also had the height and the breadth of shoulders to fit the bill.

"Jesus, Earl," Stewart continued, "you of all people have to believe me. And it could be anyone trying to set me up-"

The ring of his phone cut him off.

"Hello?" he answered. His forehead grew fire red and his skin glistened with sweat again. "No, there's nothing to it," he said to the caller on the other end of the line. "Just some negligent nurse who's trying to blame everyone else…"

His coloring deepened, and his knuckles glowed white under the latex as he tightened his grip on the receiver.

Obviously somebody at death rounds had talked, and word had gotten out. Probably Yablonsky. It fit her style.

"She even tried to incriminate Earl Garnet. I guess it's my turn now. Who knows, maybe next it will be yours." He laughed far too loud and long. "No problem," he cried. His desperate cheeriness set Earl's teeth on edge. In ER, that sound usually accompanied a chilling smile and signaled a person who might go home, open the medicine cabinet, and start counting out pills.

As Stewart continued to reassure his caller, a laptop on his desk began to chime, announcing the arrival of separate e-mails. The noise continued, like a slot machine paying off, and the dread in his eyes deepened at each sound. Still, he managed another pumped-up laugh and gaily suggested, "Let's have lunch sometime soon. Do you like Mexican?"

He hung up and clasped his head in both hands as if he were afraid it would fall off. "This is going to ruin me!" he said, his voice quivering on the edge of a sob. He looked up at Earl with the agonized stare of a man who didn't quite comprehend why his world seemed to be crumbling around him. "I swear, in all my years of research, I never, ever breached a single ethical protocol."

Earl struggled for something to say, but the phone rang again, once more bailing him out of an embarrassing silence.

Stewart frowned, hesitated, then picked it up and repeated the same bravura performance he'd put on minutes earlier, except this time he offered to buy dinner and suggested Chinese.

When he hung up, Earl asked, "Was the show you put on at death rounds about Matthews your idea, or did Hurst approach you?"

He didn't answer, choosing instead to peer at the tropical fish that languidly swam across the screen of his computer.

"Stewart?"

He took a deep breath, as if he were a diver about to take a plunge. "I approached Hurst to warn him that there might be strange stories floating around Palliative Care about near-death experiences that wouldn't do St. Paul's, or me, any good. Up until then, near as I could determine, any nurse who reported the patients' experiences to a doctor or supervisor had been told they had to be hallucinations and not to take them seriously. But I still wanted to make sure no one said anything to implicate me. He promised to silence any such insinuations, but suggested I also put an end to your poking around and stirring up trouble on the ward by making the Matthews inquiry end in a draw. That would be good for St. Paul's, and with no clear wrongdoing, he said, you wouldn't have cause to investigate any further, which would reduce the chances of you also turning up the near-death stories, which would be good for me."

"You were that naive?"

"I was that desperate."

Earl said nothing.

The phone interrupted them again.

Earl watched as he sweated through another frayed showing of high spirits- eyeballs bulging with fear, squirming in his seat, rattling off yet more futile reassurances, his free hand ceaselessly searching for a place to light.