"I got a special dispensation." The answer seemed inadequate, so he added, "I got so I couldn't stand it when they all died."
A bitter chuckle. "Don't go into medicine."
"No," Hardy agreed. "I figured that one out a long time ago." He killed a moment sipping his pint. "But rumor has it you need a lawyer now." For the first time Hardy noticed a pallor under the ruddy complexion, the fatigue in the eyes.
"You know who Tim Markham is?"
Hardy nodded. "He got hit by a car yesterday, then died in the hospital."
"That's right. I was staff physician at the ICU when he died. And he was fucking my wife."
"So you're worried that the police might think you got an unexpected opportunity and killed him?"
"I don't think that's impossible."
"But you didn't?"
Kensing held Hardy's gaze. "No."
"Were you tempted?" Trying to lighten things up.
He almost broke a smile. "I used to fantasize about it all the time, except in my version, it was always much more painful. First I'd break his kneecaps, maybe slash an Achilles tendon, cut his balls off. Anything that would make him suffer more than he did." He shook his head in disappointment. "There really is no justice, you know that?"
Hardy thought he maybe knew it better than Dr. Kensing. "But justice or no," he said, "you're worried." It wasn't a question.
He nodded somberly. "If the police start asking about Tim. I can just hear me: 'Yeah, I hated him. You'd hate him, too. I'm glad he's dead.' I don't think so."
Hardy didn't think so, either, but all of this was really moot. "Let me put your mind to rest a little. It's my understanding that Markham died from his injuries, and if that's the case, you're not involved in any crime."
"What if somebody says I didn't do enough to save him? Is there such a thing as malicious malpractice or something like that? As a homicide issue?"
Hardy shook his head. "I've never heard of it. Why?"
"Because some homicide inspector named Bracco came by yesterday. And they're doing the autopsy today."
"I wouldn't worry about that. They autopsy everybody."
"No they don't. Especially if you die in the ICU after surgery. We did a PM at the hospital and I signed off on the death certificate-massive internal trauma from blunt force injury-but they hauled him off downtown anyway."
"He died of a hit and run," Hardy explained. "That's a homicide, so they do an autopsy. Every time."
But the doctor had another question. "Okay, but last night I met Bracco, checking out my car at Markham's place."
"Bracco?" Hardy shook his head, perplexed. "You sure he's San Francisco homicide, not hit and run? I don't know him."
"That's what he said. He had a badge."
"And he was checking out your car? Why were you at Markham's house anyway?"
"I knew Carla, his wife. I thought it would be appropriate to go by and give my condolences, to see if there was anything I could do." He let out a sigh. "You can't help it. You feel somehow responsible."
"So what was this cop doing with your car?"
Staring around the bar as though wondering how he got there, Kensing considered a moment, then came back to Hardy. "I think he was checking to see if it looked like my car had been in an accident, if I'd hit Markham. There were some other people there, too, before I left, visiting with Carla, other cars. I got the impression he had checked every one of them."
This seemed unlikely on its face. But then Hardy flashed back to the talk he'd had with Glitsky during their latest walk. The car police. This Bracco must have been one of the new clowns that was taking so much abuse in the homicide detail. "Well, in any event, from what I'm hearing, it doesn't sound like you've got any real problem here. You didn't kill him."
"But he died under my supervision, and it wasn't any secret I hated him."
"So, one more time, did you kill him?"
"No."
"He died of his injuries, right? Did you make them worse? No? So, look, you're fine." Clearly, the message still wasn't getting all the way through, so Hardy continued.
"Let me ask you this. What were the odds Markham was going to die even if you did everything right?"
"Which I did."
"Granted, but not the question."
The doctor gave it some real thought. "Statistically, once you're in the ICU, only maybe two in ten get out alive."
Truly surprised by the figure, Hardy sat back on the couch. "That's all? Two in ten?"
Kensing shrugged. "Maybe three. I don't know the exact number, but it's not as high as most people think."
"So the odds are, at best, you'd say thirty percent that Markham would have survived, even if you did everything that could have been done."
"Which I did. But yes, roughly thirty percent."
"So that leaves it as a seventy percent chance that the hit and run would have killed him, no matter what any doctor did or didn't do, am I right?" Hardy came forward on the couch. "Here's the good news. Even if you made a mistake-not saying you did, remember-whoever ran him down can't use malpractice as a defense in his trial. Someone charged with homicide is specifically excluded from using the defense that the doctor could have saved the victim."
Kensing's eyes briefly showed some life. "You'd think I would have heard that before. Why is that?"
"Because if it wasn't, every lawyer in the world would begin his defense by saying that it wasn't his client shooting his wife four times in the heart that killed her. It was the doctors who couldn't save her. It was their fault, not his client's."
Kensing accepted this information with, it seemed, a mixture of relief and disbelief. "But there wasn't any malpractice here." He spoke matter-of-factly. "Really," he added.
"I believe you. I'm just saying I can't see where you've got any kind of criminal charge looking at you. What put Markham there in the first place was someone running him down in a car. That's who this guy Bracco's looking for, the driver of the car." But an earlier phrase that had nagged suddenly surfaced. "Did you say you knew Mrs. Markham?"
Kensing's shoulders slumped visibly as the world seemed to settle on him. He looked down at the scarred hardwood floor, then back up. "You don't know? That's the other thing."
Hardy waited.
"Apparently something happened last night." He paused. "She's dead. And the rest of her family, too."
"Lord." Hardy suddenly felt pinned to the sofa.
Kensing continued. "It went around the offices sometime late this morning. I was seeing patients and didn't hear until about noon. Then, a little after that, Bracco called to make sure I'd be around. He wanted to come by and talk about it."
"So you talked to him today, too?"
Kensing shook his head. "It might have been a mistake, but I had my receptionist tell him I wasn't in. Pico called about the same time with his shark. I don't see patients Wednesday afternoon anyway, and I didn't want to talk to the police until I could sort some of this out. So I came over here, to the aquarium, and essentially hid out, walking Francis-"
"Francis?"
"The shark. Pico named it Francis. So I just hung out until I'd come up with a plan, which was get a lawyer. And Pico knew you." He made a face, apologetic and confused. "So here we are. And now what?"
Hardy nodded and sat back. Remembering his pint, he reached for it and took a drink. "Well, you're going to talk to the police, whether you want to or not."
"So what do I tell them about my wife if they ask?"
Hardy had already answered that, but this was the beginning of hand-holding time. "I'd just tell the truth and try not to panic. But if they look at all, they'll know about Markham and your wife, right? So be straightforward and deal with it. It doesn't mean you killed anybody."
Kensing let the reality sink in. "Okay. It's not going to matter if they're looking for the driver of the hit-and-run car anyway, right?"