Bingaman stared out a window toward a robin in an elm tree. "Pollen in the wind?" He exhaled. "You know what I'm like. I'm compulsive. I think too much. I can't leave well enough alone, and in this case, my patient isn't doing well at all."
Marion watched him stare at his plate. "You don't like the pot roast?"
"What?" Bingaman looked up. "Oh…I'm sorry. I guess I'm not much company tonight."
"You're still bothered?"
Bingaman raised some mashed potatoes on his fork. "I don't like feeling helpless."
"You're not helpless. This afternoon, you did a lot of good for the patients who came to your office."
Without tasting the potatoes, Bingaman set down the fork. "Because their problems were easy to correct. I can stitch shut a gash in an arm. I can prescribe bicarbonate of soda for an upset stomach. I can recommend a salve that reduces the itch of poison ivy and stops the rash from spreading. But aside from fighting the symptoms, there is absolutely nothing I can do to fight pneumonia. We try to reduce Joey's fever, keep him hydrated, and give him oxygen. After that, it's all a question of whether the boy is strong enough to fight the infection. It's out of my hands. It's in God's hands. And sometimes God can be cruel."
"The war certainly shows that," Marion said. She was American, stoutly loyal, but her German ancestry made her terribly aware that good men were dying on both sides of the Hindenberg line.
"All those needless deaths from infected wounds." Bingaman tapped his fork against his plate. "In a way, it's like Joey's infection. Lord, how I wish I were young again. In medical school again. I keep up with the journals, but I can't help feeling I'm using outmoded techniques. I wish I'd gone into research. Microbiology. I'd give anything to be able to attack an infection at its source. Maybe some day someone will invent a drug that tracks down infectious microbes and kills them."
" It would certainly make your job easier. But in the meantime…"
Bingaman nodded solemnly. "We do what we can."
"You've been putting in long hours. Why don't you do something for yourself? Go up to your study. Try out the wireless radio you bought."
"I'd almost forgotten about that."
"You certainly were determined when you spent that Sunday afternoon installing the antenna on the roof."
"And you were certainly determined to warn me I was going to fall off the roof and break my neck." Bingaman chuckled. "That radio seemed like an exciting thing when I bought it. A wonder of the twentieth century."
"It still is."
"The ability to talk to someone in another state. In another country. Without wires. To listen to a ship at sea. Or a report from a battlefield." Bingaman sobered. "Well, that part isn't wonderful. The rest of it, though…Yes, I believe I will do something for myself tonight."
But the telephone rang as he walked down the hallway to go upstairs. Wearily, he unhooked the ear piece and leaned toward the microphone.
"Hello." He listened. "Oh." His voice dropped. "Oh." His tone became somber. "I'm on my way."
"An emergency?" Marion asked.
Bingaman felt pressure in his chest. "Joey Carter is dead."
Marion turned pale. "Dear Lord."
"With oxygen, I thought he had a chance to…How terrible." He felt paralyzed and struggled to rouse himself. "I'd better go see the parents."
But after Bingaman put on his suit coat and reached for his black bag, the telephone rang again. He answered, listened, and when he replaced the ear piece, he felt older and more tired.
"What is it?" Marion touched his arm.
"That was the hospital again. Joey's father just collapsed with a hundred-and-two fever. He's coughing. His glands are swollen. The two boys Joey went swimming with now have Joey's symptoms, also. Their parents just brought them into the emergency ward."
"If it was only Joey's two friends, I'd say, yes, they might all have gotten sick from swimming in Larrabee's creek," Bingaman told Dr.
Powell, who had returned to the hospital in response to Bingaman's urgent summons. It was midnight. They sat across from each other in Powell's office, a pale desk lamp making their faces look sallow. "The trouble is, Joey's father didn't go anywhere near that creek, and he's got the infection, too."
"You're still thinking of River ton."
"It's the only answer that makes sense. Joey probably got infected at the midway. Maybe a worker sneezed on him. Maybe it was a passenger on the Ferris wheel. However it happened, he then passed the infection on to his father and his two friends. They showed symptoms a day after he did because they'd been infected later than Joey was."
"Infected by Joey. It's logical except for one thing." "What's that?"
" Why hasn't Joey's mother -? "
Someone knocked on the door. Without waiting for an answer, a nurse rushed in. "I'm sorry to disturb you, but I was certain you'd want to know. Mrs. Carter just collapsed with the same symptoms as her son and husband."
Both doctors sprang to their feet.
"We'll have to implement quarantine precautions." Bingaman rushed from the office.
"Yes." Powell hurried next to him. "No visitors. Mandatory gauze masks for medical personnel, anybody who goes into those rooms. The emergency ward should be disinfected."
"Good idea." Bingaman moved faster. "And the room where Joey died. The nurses who treated him had better scrub down. They'd better put on clean uniforms in case they've been contaminated."
"But we still don't know how to treat this, aside from what we've already tried."
"And that didn't work." Bingaman's chest felt hollow. "If you're right about how the infection started, why haven't there been cases in Riverton?" Powell sounded out of breath.
"I don't know. In fact, there's almost nothing I do know. When do we get the results from Joey Carter's autopsy?"
The stoop-shouldered man peeled off his rubber gloves, dropped them into a medical waste bin, then took off his gauze mask, and leaned against a locker. His name was Peter Talbot. A surgeon, he also functioned as Elmdale's medical examiner. He glanced from Bingaman to Powell and said, "The lungs were completely filled with fluid. It would have been impossible for the boy to breathe."
Bingaman stepped closer. "Could the fluid have accumulated subsequent to his death?"
"What are you suggesting?"
"Another cause of death. Did you examine the brain?"
"Of course."
"Was there any sign of – "
"What exactly are you looking for?"
"Could the cause of death have been something as highly contagious as meningitis?"
"No. No sign of meningitis. What killed this boy attacked his lungs."
"Pneumonia," Powell said. "There's no reason to discount the initial diagnosis."
"Except that pneumonia doesn't normally spread this fast."
"Spread this fast?" Talbot straightened. "You have other cases?"
"Four since the boy died."
"Good Lord."
"I know. This sounds like the start of an epidemic."
"But caused by what?" Bingaman rubbed his forehead.
"I'll try to find out." Talbot pointed toward a table. "I have tissue samples ready to be cultured. I'll do my best to identify the microorganism responsible. What else can we – "
Bingaman started toward the door. "I think it's time to make another telephone call to the Riverton hospital."
Blood drained from Bingaman's face as he listened to the doctor in charge of the emergency room at the Riverton hospital.
"But I asked your chief of staff to get in touch with me if any cases were reported." Damn him, Bingaman thought. "Too busy? No time? Yes. And I'm very much afraid we're all going to get a lot busier."