Someone outside the hospital?

Someone not even a doctor?

He ground his frustration between a fist and a palm. “We’ll never figure it out!”

“If we keep track of Mark Roper’s conversations we will.”

“I don’t understand.”

“He knows about this letter,” his father said, walking over and retrieving the copy from the floor. “That means he’ll be looking for the man as well. We listen in, and sooner or later he may end up talking to or about the guy. Then either he turns him in, or we do it for him.”

Chaz’s hopes stirred again. “That sounds as if it just might work.”

“I also want you to see the rest of these.” His father handed him the remainder of the photos from the file.

“What are M and M reports doing here?”

“I thought you’d tell me. Aren’t those your initials signing off the resident and student orders?”

Chaz had to hold the snaps just right to see the writing. “Yeah, but what have they got to do with Kelly?”

“Could they have been what your darling Kelly was trying to hold over your head so you wouldn’t go looking for her?”

“But it concluded here nothing was wrong. During my entire career I don’t recall ever being faulted for using digoxin incorrectly.”

“What exactly did she say to you the night she disappeared? Can you remember?”

Remember? How could he ever forget?

She had ambushed him as he left his Park Avenue office around five that Thursday afternoon. It was hot the way only New York could get in August, when the city sealed itself in its own bubble of dirt, exhaust, and exhaled CO₂ from eight million people.

Kelly’s white dress had seemed to float on the humid air as she walked out from under the awning of the next door coffee shop. He had no idea how long she’d been waiting there. The only warning of the extent to which she was about to shake his world was the ferocity of the expression on her face.

“I’m leaving you, Chaz,” she said, stopping while still five feet away, her arms folded across her breasts. “Tonight.”

“What?” The people pushing by on either side of them blurred, the traffic noises sounded hollow and distant. He stepped toward her, his hands ready to grab her arms.

“Don’t come any closer or I’ll scream!”

The sibilant command stopped him cold. He hated public scenes. No doubt that was why she had staked out his office and caught him in a crowd. Seething, he remained where he stood, aware again of the people jostling his shoulders and wondering if they heard her. “Damn it, Kelly.” He spoke through clenched teeth. “What do you think you’re doing?”

“Leaving you. And don’t try to follow me, or I’ll ruin your career – put a stain on your record that’ll never come out.”

“What are you talking about?” His cheeks burning, he took another step.

“I warn you,” she said in an overly loud voice. People turned to look at her. Some gave him funny glances. But no one stopped.

Except Chaz.

“Daddy’s little progeny headed to be Chief of Cardiology,” she said, her voice taunting and still far too loud for his liking.

“Well, forget about it,” she went on. “One patient dead, one near dead, both on your watch. I can make you equally responsible, or not.”

“What patients?” He could barely keep from lunging at her, as enraged at her slipping from his control as at what she said. But occasional passersby still seemed to be paying attention, especially to her.

“Think I’d tell you now, so you could make records disappear? Just know there’s a viper in your nest, and you missed it.”

“What are you talking about?”

“Stay away from me,” she said, louder than ever, “and I’ll clean it out so there’s no reflection on you. Come after me, and your dream of being top dog at NYCH or anywhere else that counts is over.”

“Kelly, for God’s sake-”

Kelly gave him a look of triumphant defiance, turned on her heel, and ran to a cab parked a few car lengths away. Before he could think to race after her, she jumped inside, and the driver pulled away.

“Chaz?” His father’s voice pulled him back to the present.

He found himself staring at his own clenched fists. He’d never told the police of the encounter. And gave only the sketchiest details to his father. He’d been too humiliated to say more.

“Chaz, I asked if you could recall exactly what Kelly said to you that last time you saw her. Didn’t she threaten you in some way?”

Before answering, he took a slow deep breath and forced his hands to relax. “Yes. But what she said to me, word for word, was ‘One patient dead, one near dead, both on your watch.’ ”

“So these two cases could be exactly what she was talking about?”

“I suppose so.”

He began to collect the photos. “Do you remember these two people?”

“Are you kidding? I’d have to see their full charts.”

“Of course.” He thought a few seconds. “But better you not ask for them. I’ll stay here tomorrow to greet our guests, then early Wednesday morning take the train to New York. I’ll slip into medical records and discreetly pull the dossiers myself, unofficially of course, and find out what you might be up against without tipping off Roper or anyone else that we know about them.”

A familiar fatigue engulfed Chaz as his father’s preemptive strike to take charge did its usual work and drained whatever reservoir of strength he might have called upon to fend for himself. As if that part of him ever had a chance to exist. It lay withered and shrunken, the way any organ would end up after a lifetime of disuse.

… Beware a father of spectacular ability… They never let you fail, always stepping in to take over…

Her words taunted him from the grave.

Tuesday, November 20, 6:00 A.M.

Bacteriology Laboratory,

New York City Hospital

Donna Johnson, third-year medical student and part-time lab technician, was sound asleep on the staff-lounge couch when a noise out in the lab wakened her.

What the hell? No one should be there.

She stayed curled up in the darkness, her black skin an advantage for once. If anybody found out she sneaked in here to sleep, it’d be, hello pink slip, good-bye job.

The soft whir of a computer fan started up, a musical chord sounded as one of the countertop units was brought on-line, and a ghostly blue glow seeped through the wraparound windows separating this room from the rest of the bacteriology department.

Definitely somebody there. Thank God whoever it was hadn’t turned on the overhead lights. The place where she lay remained in deep shadow.

Unable to see her watch, she’d no idea of the time. Without moving off the couch, she strained to see the wall clock out in the lab proper, keeping her head below the level of the sill.

She had trouble making out the numbers, and only then realized her glasses had slipped off as she slept. Hopelessly myopic without them, she felt around in the dark. No luck. They must have fallen down between the cushions. She again squinted toward the clock face, and figured it must be near six, the hands seeming to make a near-vertical line.

Shit. Let’s hope this early bird will be quick. The day shift would be showing up in an hour. And she had to pee something awful. She lay back on the couch and tried to ignore her bladder. That just made the urge stronger. She raised her head enough to see over the sill, praying the person would be gone.

She could make out the back of someone in a white coat hunched over a computer while writing on a piece of paper.

Hardly anybody had cause to do emergency cultures or gram stains in the middle of the night. ER prepared their own slides to look at under the microscope, and on the floors, except for life-threatening infections such as meningitis or septic shock, most samples could wait until morning to be processed.