"You're on, sister!" Marvin responded.
Laurie handed over the folders. "I want to do McGillin first."
"No problem," Marvin said, consulting the ledger for the location of the body.
Laurie first went into the locker room to change into scrubs, then went over to the storage room to don a "moon suit." "Moon suit" was the term used by the staff to describe the protective gear required while doing autopsies. They were fashioned of completely impervious material, with attached hoods and full-face masks. Air was brought into the suit through a HEPA filter by a self-contained fan, powered by a battery that had to be charged each night. The suits were not popular, since they made working more difficult, but everyone accepted the handicap for peace of mind, except Jack. She knew that when Jack was on call on weekends, he frequently dispensed with the moon suit on certain cases where he felt the risk of an infectious agent was low. In those circumstances, he reverted back to the traditional goggles and surgical facemask. The techs seemed content to keep his secret. If Calvin found out, there would be hell to pay.
After climbing into her gear, Laurie retraced her steps to the central corridor, then walked down to the door of the anteroom, where she washed and gloved. Thus prepared, she pushed into the autopsy room.
Even after working at the OCME for thirteen years, Laurie still savored the tingle of excitement she felt as she entered what she considered to be the center of action. It certainly wasn't the visual experience, for in that regard, the tiled, windowless room with its blue-white fluorescent lighting was cheerless. The eight stainless-steel tables were dented and stained from countless postmortems. Over each hung an antiquated spring-loaded scale. Along the walls were exposed piping, dated X-ray view boxes, old-fashioned glass-fronted cabinets containing an array of grisly instruments, and chipped soapstone sinks. More than a half century ago, it had been a state-of-the-art facility and the pride of the OCME, but now it suffered from lack of funds for both modernization and appropriate upkeep. Yet the physical plant didn't faze Laurie. The setting didn't even register in her mind. Her response was based on knowing that she would see or learn something new every time she entered the room.
Of the eight tables, three were occupied. One supported the corpse of Sean McGillin, or so Laurie surmised, since Marvin was scurrying around it in his final preparations. The other two, closest to where Laurie was standing, contained bodies in the middle of their procedures. Directly in front of her lay a large, dark-skinned man. Four people attired in moon suits identical to Laurie's were working over him. Although reflections off the curved plastic full-face masks made identification difficult, Laurie recognized Calvin Washington. His six-foot, seven-inch, two-hundred-fifty-pound frame was hard to conceal. The other one she thought was Harold Bingham because of his contrasting short, stocky stature. The last two had to be George Fontworth and the mortuary tech, Sal D'Ambrosio, but because they were about the same size, she couldn't tell them apart.
Laurie stepped over to the foot of the table. Just in front of her was a drain emitting a rude sucking sound. Water continuously ran down the surface of the table beneath the corpse to carry away body fluids.
"Fontworth, where the hell did you learn to use a scalpel?" Bingham growled.
It was now obvious which one of the suited figures was George. He was on the patient's right with his hands somewhere down in the deceased's retroperitoneal space, apparently trying to trace the track of a bullet. Laurie couldn't help but feel a stab of sympathy for George. Whenever Bingham came into the autopsy room, he liked to assume the professor role, but he invariably became impatient and annoyed. Even though Laurie knew she could always learn from him, she disliked the aggravation of working with him. It was too stressful.
Sensing that the atmosphere around table one was too charged to ask any questions, Laurie moved down toward table two. There she had no trouble recognizing Jack, Lou, and Vinnie. Immediately, she sensed the atmosphere was the opposite, with some semi-suppressed laughter dying away as she arrived. Laurie was not surprised. Jack was famous for his black humor. The corpse was that of a thin, almost emaciated, middle-aged female with brittle, bleach-blond hair. Laurie assumed it was Sara Cromwell. Of particular note was the handle of a kitchen knife protruding at an acute, cephalad angle from the upper, outer, anterior surface of her right thigh. Laurie wasn't surprised to see the utensil still in place. In such cases, medical examiners preferred that such objects be left in situ.
"I hope you are showing reasonable respect for the dead," Laurie gibed.
"Never a dull moment," Lou responded.
"And I don't know why I keep laughing at the same jokes," Vinnie complained.
"Tell me, Doctor Montgomery!" Jack said in an exaggerated professorial tone. "In your professional opinion, would you guess this penetrating entry into the thigh was a mortal wound?"
Bending over slightly so she could better access the point of entry, Laurie looked more closely at the knife. It appeared to be a small kitchen paring knife, which she guessed had a blade about four inches long, which had penetrated to the haft lateral to the femur. More important, the entrance was inferior to the anterior iliac spine but in line with it.
"I'd have to say it was not fatal," Laurie responded. "Its location suggests the femoral vessels surely would have been spared, so bleeding would have been minimal."
"And Dr. Montgomery, what does the angle of entry of the weapon suggest?"
"I'd have to say it's a rather unorthodox way for someone to stab their victim."
"There you go, gentlemen," Jack commented smugly. "We have confirmation of my assessment by the eminent Dr. Montgomery."
"But there was blood all over the place," Lou whined. "Where the hell did it come from? There are no other wounds."
"Ah-ha!" Jack said switching to an exaggerated French accent, finger raised in the air. "I believe we shall see in a few moments. Monsieur Amendola, le couteau, s'il vous plaît!"
Despite the glare of the overhead fluorescent lights off Vinnie's face mask, Laurie caught him rolling his eyes as he passed a scalpel into Jack's waiting hand. He and Jack had a curious relationship. Although it was based on mutual respect, they pretended it was the opposite.
Leaving the three to their own devices, Laurie moved on. She felt a mild disappointment that Jack could be so offhand and flippant. She couldn't help but think it wasn't a particularly good sign, as if he didn't care.
Laurie made an effort to put the problems with Jack out of her mind as she approached the next table. Stretched out on its slightly angled surface was the body of a well-muscled male in his mid-twenties, his head propped up on a wooden block. By reflex, she immediately began the external exam. The individual appeared healthy. His visible skin, although marble-white in death, was lesion-free.
His hair was thick and dark, and his eyes were closed as if in repose. The only visible anomalies were a sutured incision with a retained drain on his lower right leg, the capped-off end of an intravenous line running into his left arm, and an endotracheal tube protruding from his mouth, left over from the resuscitation attempt.
With Marvin still busy putting labels on specimen jars, Laurie checked the body's accession number and name. Confident that she was dealing with Sean McGillin, she continued the external exam, inspecting the IV site carefully. It looked entirely normal, with no swelling or other evidence of extravasation of blood or IV fluid. She looked more closely at the sutured wound on the leg, the site of the operation on the fractured tibia and fibula. There was no swelling or discoloration there, either, suggesting that there was no infection. The drain was sutured in place with a single loose loop of black silk, and there was evidence of a minimal discharge of serous fluid. The leg itself looked like the other leg, without any outward signs of venous thrombosis or clotting.