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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Unexpectedly, D' Anton smiled. It was filled with pity for Monks.

"Do you know what they would tell you?" D'Anton said. "What they have told me! That they belong to me. Any fool can give them money, but I can give them what really matters – youth and beauty."

"So you figure you have the right to do anything you want with them?"

D'Anton's smile vanished. "I don't know what you're getting at, but I have had enough of you," he said. "If you come around me again, you'll be hearing from my attorney."

"The same errand boy you sent to scare Roberta Massey?"

D'Anton recoiled, a tiny backward jerk and widening of his eyes. But he recovered instantly. Monks had to hand it to him.

"That name means nothing to me," D'Anton said.

"Oh, right, you're not good with names, are you."

"I remember yours, now." D'Anton held Monks's gaze with his own, steely and unwavering, for a few seconds longer. Then he turned away and continued his brisk walk, fading into the night.

D'Anton had recognized Roberta's name, there was no doubt about that. Monks considered that he might have played that card too early. But it would increase the strain on D' Anton, and strain could lead to mistakes.

Monks moved back toward the pool, but stayed a little apart from the crowd. In another couple of minutes, Gwen came back out, carrying two flutes of pale effervescent champagne.

This time, as she passed the crowd at the pool, she was accosted by a thickset, balding man in his sixties, who leered at her like a satyr.

"Jesus, sweetheart, you look like jailbait tonight," he said in a loud, raspy voice.

Gwen paused, glancing at him in amusement.

"I know you're an expert there, Ivan."

"That thing still as tight as it used to be?" he growled.

"You certainly didn't stretch it any."

A ripple of laughter sounded from nearby guests, watching the two of them like a circle drawn up around teenaged boys getting ready to fight. Monks was touched by an equally adolescent outrage, a schoolboy urge to step in and defend his girl's honor. But she seemed to be enjoying it thoroughly – keeping the loutish attacker at bay, like an exquisite fencer, with quick, sure barbs.

Maybe the preoccupation with youthfulness that he sensed here was catching, Monks thought, although there had been none of it in the brilliant adamantine intensity that emanated from D'Anton.

She moved away from the group, her head turning, looking for Monks. He raised his hand to catch her attention.

'There you are," she called, and came to him. "I thought I'd lost you."

"No chance of that."

She handed him one of the flutes. "What shall we drink to?"

"How about the hostess?"

"Oh, you are good. All right. The hostess decrees that we entwine arms, like in the movies. Gaze into each other's eyes. And drain our glasses dry."

Monks had to stoop forward a little to be able to entwine arms and still drink. The champagne was wonderful, dry and tart, with a sort of muskiness like her perfume. Her eyes were dark, warm, intent, and their faces were close. She brushed his lips with hers. He was bemused. He had not seriously believed that she might be interested in him, no matter what Larrabee had said, and romance did not seem like a good mix with a murder investigation. But he wanted to keep things going and, he admitted, it was highly enjoyable. He felt a touch of guilt about Martine. Then he remembered the black Saab he had seen in her driveway earlier. That helped.

She took the champagne glasses, set them aside, and then came back to his embrace.

"Shall we do that some more?" she murmured.

"A lot more," Monks said. "But first, why don't you show me that person you told me about? The one who's so possessive of Dr. D' Anton?"

The wary look that he had seen in her eyes at the clinic came back.

"I've been trying to pretend this is just a party," she said quietly. "But that won't work, will it?"

Monks touched her cheek. "I'll be glad to pretend with you. But I need to do my job, too."

She stayed absolutely still for two or three seconds. Again, he got that eerie sense that whoever lived inside her had left.

Then she gripped his arm conspiratorially. "Come on," she said, and led him toward the house. She pointed in through a window. "There."

The nurse, Phyllis, was still in the center of the room. It looked like she was putting away the Botox materials. She was wearing a dark gray suit, jacket and skirt, that made her square figure look even frumpier in this gala crowd.

"Phyllis?" Monks said.

Gwen nodded emphatically. "She's very sneaky, and very jealous of Welles. She has all these little ways of letting everybody know she owns him. There've been times I've felt her behind me, and I'd have sworn she had a knife in her hand."

Monks added more weight to Gwen's suspicion than he had given it before. He remembered his sense that Phyllis was stealthy. And she certainly had the skills and opportunity to administer poison to Eden Hale.

He decided it was time to push.

"Did Phyllis know about D'Anton's affair with Eden?" he said.

Gwen turned to him swiftly, eyes wide. "How did you know?"

"It's not going to be a secret much longer, Gwen. Is that why you lied to me, about not knowing her?"

There was a pause. It had the feel of being timed for effect. Then she sighed.

"All right, that was stupid of me," she said. "I should have known you'd find out. But no, that's not why. If Welles gets dragged through the mud, he deserves it."

"Why, then?"

"It will make more sense if I show you something," she said. "And then I'll work on making you forgive me."

She took his hand and led him around the house, in the opposite direction from the swimming pool. The original old structure, its windows unlit, jutted out ahead of them like a wing.

"This place has been in our family more than a hundred years," Gwen said. "On Julia's side. I spent a lot of time here, growing up."

"Our family?" he said, startled.

"She and I are cousins. I'm sorry. I guess you couldn't have known that."

Monks wasn't immediately sure how this new factor affected the mix, but it seemed to tighten things another notch.

She pushed open a door and touched a switch that turned on an overhead light. The space was large, two full stories high and taking up most of the wing. Apparently, the interior walls and upper floor had been taken out. The old hardwood floor was strewn with dust and rubble. There were a couple of large wooden workbenches and racks of stone-carving tools.

And the space was crowded with sculptures. All were human figures, and they all seemed to be of women – busts, torsos, a few full-sized. There were some clay models, but most were of stone. The style was classical, the forms lifelike. As best as he could judge, the renderings were competent – no more.

'This is how these parties got started," Gwen said. "Welles and Julia like to entertain. His patients, their social circle. Then Julia started inviting some of her models. It took on a life of its own."

"It does seem like an odd mix."

She shrugged. "The older guests are rich. Some are connected, film, modeling agencies, that sort of thing. They like having young, pretty people around. And they need money and favors. Most of them don't have any real talent."

Monks noted that it was the second time she had disdained them. And yet she, the fortyish hostess, ultra-sophisticated supermodel, was dressed like one of them, and had clearly loved being the center of attention – sparring like a teenaged cock-tease with the satyrlike Ivan. Monks wondered if her costume was a whim, or if there was a deeper element involved.

She walked to a figure that was draped and lifted away the canvas. This one was full-sized, a nude of a woman reclining on her side. It was unfinished, but the stone had an intrinsic quality – a sheen, almost a glow, that seemed to come from within.

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