Neil McMahon - To The Bone

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"Neil McMahon's thrillers have the precision of a surgeon's scalpel." – Michael Connelly
***
Late one hot summer night, a beautiful young actress named Eden Hale – only hours removed from breast-augmentation surgery, and writhing in pain – stumbles to the telephone and dials 911. Within minutes, an ambulance rushes her to San Francisco's Mercy Hospital. But by the time she arrives, she is dying, fast, of a mysterious, unrecognizable condition.
Dr. Carroll Monks, the ER physician on duty, races to sort through her baffling symptoms in the few minutes he has left to save her. Monks has a sudden insight and, against the advice of his peers, risks a radical treatment, which will prove to be either a brilliant maneuver or a potentially deadly mistake. It fails. Eden Hale, vibrantly healthy and barely twenty-five years old, is dead.
The fallout is immediate and intense. The plastic surgeon who operated on Eden – Dr. D. Welles D'Anton, whose reputation as a surgical guarantor of perfection and agelessness has conferred on him a guru-like status – blames Monks for her death. Criticism from Monks's hospital colleagues quickly follows and the threat of a lawsuit is not far behind. Monks's career is in jeopardy, but his own guilt and uncertainty are what haunt him worst of all.
Convinced there's a hidden cause to Eden's death, Monks starts to delve into her past. Despite roadblocks that spring up in his path, he soon learns that the former prom queen was not the all-American girl she seemed to be: she was caught up in the world of pornography, and was even, possibly, having an illicit affair with D'Anton. Then Monks uncovers a secret that is far more frightening: other young women in D'Anton's care have wound up missing, dead, or horribly disfigured.
In his search for the truth, Monks is drawn into a culture of unimaginable wealth and vanity – only to discover that he is being used as a pawn in a decadent game of glamour and cruelty, one that places him in the crosshairs of a deadly psychopath.

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The oblivion of sleep came to him with merciful swiftness.

Chapter 21

The laser printer in Stover Larrabee's office whooshed quietly, adding more information to the stack that was accumulating. Larrabee was not an office person, and he had not grown up in the computer generation. He was more comfortable working in old-fashioned ways. But there was no denying that computers saved a lot of time, phone calls, and miles.

Guido Franchi, his SFPD detective friend, had provided a tantalizing piece of information. In 1997, a young woman named Katie Bensen had been reported missing. A routine police check turned up a common scenario. Katie was in her early twenties – no one knew her age for sure, or even if that was her real name. According to what she told friends, she had run away from home in her early teens and drifted ever since. She had no trouble finding places to crash; she was attractive, and willing to trade sex for money or drugs.

Katie had never been found. The police were unable to locate any family. She joined the ranks of young women who frequently went missing like that – drifters, druggies, girls who came to San Francisco looking for something or to get away from something else, living in a shadow world beneath the radar. Usually, they moved to another city because of legal or personal trouble, often changing names. Overworked police departments could not spend time and resources chasing girls who wanted to stay disappeared. But they could easily become throwaways – victims of that dangerous world, which included predators who sought them out.

One thing set Katie apart. She had claimed, to her friends, that she had been a patient of Dr. D. Welles D' Anton. For a young woman who had been living one step above the streets, this was, to say the least, unusual.

There were no more details in the police report. It was only noted that D' Anton's office had been contacted, in the hopes that they might have a current address for her. They did not. That was that.

Franchi was right – the case went nowhere, and it was several years old. Most likely, Katie had lied about her connection with D' Anton to impress her friends, and just skipped town.

But if not, she was another young woman whose unexplained death was linked to D' Anton.

The police report did mention the name of a nurse in D' Anton's office, one Margaret Pendergast. Tracking her was no problem. Ms. Pendergast was an upstanding citizen, at least on paper. She had bought a house in Anaheim in early 1998.

Which meant that she had left D' Anton's employ not long after Katie Benson's disappearance.

Larrabee found her phone number, but got no answer. He left a message on her machine, then started focusing on Dr. D. Welles D'Anton himself.

The standard background check information on D'Anton came up readily, including his license to practice in the state of California. But Larrabee realized that none of it dated back farther than twenty years. This was astonishing: his medical education should have been a matter of public record.

Larrabee started to entertain the incredible notion that D'Anton might be a fraud. He accessed a CD-ROM directory of board-certified medical specialists and looked again, scrolling carefully down the list of names.

His finger stopped tapping the key. He grinned.

The credentials were impressive – M.D. from Johns Hopkins, surgical residency at UCLA, back to Hopkins for plastic surgery certification -

But they were for one Donald W. Danton. Born in Youngstown, Ohio, November 3, 1952. Married Julia Symes in 1983. The dates jibed with a man of fifty. It had to be him.

The usual reasons for a name change were obvious – a criminal record, bad debts, adopting a stage persona. But this apostrophe had turned him from Donald Danton of Youngstown, Ohio, to Dr. D. Welles D'Anton of San Francisco, plastic surgeon to the stars.

Next, Larrabee found that the name Symes was old California money, with plenty of alumni from Stanford and USC. The LA branch of the family included several financiers and producers in the movie business. Julia Symes, D'Anton's wife, was from San Francisco but had gone to college at Pomona. She would have been an undergraduate there at the time Danton – now D'Anton – was doing his surgical residency at UCLA. They had married the year she graduated.

Larrabee was getting the feeling that D'Anton had orchestrated his career very carefully – acquiring the proper medical credentials, a wealthy wife who was connected in the film world, and a new name and persona.

A quick online search turned up no allegations of malpractice or negligence against D'Anton, with the apostrophe or without. But very often, cases didn't show up on those kinds of records because they never got that far. A physician who was threatened with a lawsuit, or a misconduct complaint, would inform his or her insurance company immediately. The company's attorneys might then persuade the complainant not to pursue it, or an agreement would be reached privately. There would be no official record of the matter.

Larrabee had put out feelers for several other avenues that might turn up these kinds of incidents. The personnel at ASCLEP, the malpractice insurance company that he and Monks worked for, might have heard about them – or other physicians, lawyers, and newspeople, of whom Larrabee knew quite a few.

But the best bet was D'Anton's own insurance company, Pacific Doctors Mutual. If any complaints had ever been lodged against him, they would be in the files. But those were highly confidential, jealously guarded from outsiders.

Hacking was beyond his level of skill. But he knew just the person for the job, Tina Bauer. He called Tina and spoke with her briefly, arranging to stop by her apartment. The day had already been a long one, with the drive to Sacramento and back. But this was business that needed taking care of.

Larrabee locked up and walked through the old building's hall, ears attentive to familiar sounds, alert for possible intruders. It was zoned for commercial use only; legally, he was not supposed to be living there. But the owners were glad to have their own private security force and looked the other way. The building housed another dozen offices, mainly small shipping companies and wholesalers. It was a throwback to an older era, like a stage set of musty offices and aging personnel moving slowly in their little enclaves, oblivious to the frenzied digitized world outside their doors. By this time of evening it was deserted.

It was after eight and getting dark when he walked outside. He liked the night, and he always felt better when he got out on the street. The San Francisco sky was a shade of midnight blue he had never seen anywhere else, and the great buildings of the skyline glimmered with elegance and power. There was no place like it. Where he had grown up – Flint, Michigan – seemed like another planet. His name, Stover, came from his mother's maiden name of Stoverud, Norwegian loggers and farmers. His father had worked the assembly lines in Flint, until that bitter closing had cost the town the little it had. By the time Stover was twenty, there was not much else to do but leave.

Traffic this evening was relaxed; rush hour was over and the Giants were playing out of town. A few human shapes carrying garbage bags or pushing shopping carts were moving, with the deliberateness of having no destination. There were a lot of street people in the neighborhood, down toward the east end of Howard Street. Pac Bell Park, new and splendid, was a fine addition to the city. But the surrounding gentrification, blocks and blocks of upscale condo and office buildings, had pushed the homeless toward the older areas. Larrabee knew the ones who had been around a while and always kept a sheaf of folded dollar bills in his pocket to hand out when he met them. This maintained a respect for him and his property, and even a sort of loyalty between him and those denizens of a world that was like a halfway house to death.

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