Michael Palmer - The Last Surgeon

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The New York Times bestselling author and master of medical suspense delivers another shocker of a thriller filled with insider details and a terrifying psychopath
Four murders.
Three accidents.
Two suicides.
One left.
THE LAST SURGEON
Michael Palmer's latest novel pits a flawed doctor against a ruthless psychopath, who has made murder his art form. Dr. Nick Garrity, a vet suffering from PTSD – post traumatic stress disorder – spends his days and nights dispensing medical treatment from a mobile clinic to the homeless and disenfranchised in D.C. and Baltimore. In addition, he is constantly on the lookout for his war buddy Umberto Vasquez, who was plucked from the streets by the military four years ago for a secret mission and has not been seen since.
Psych nurse Gillian Coates wants to find her sister's killer. She does not believe that Belle Coates, an ICU nurse, took her own life, even though every bit of evidence indicates that she did – every bit save one. Belle has left Gillian a subtle clue that connects her with Nick Garrity.
Together, Nick and Gillian determine that one-by-one, each of those in the operating room for a fatally botched case is dying. Their discoveries pit them against genius Franz Koller-the highly-paid master of the 'non-kill' – the art of murder that does not look like murder. As Doctor and nurse move closer to finding the terrifying secret behind these killings, Koller has been given a new directive: his mission will not be complete until Gillian Coates and Garrity, the last surgeon, are dead.

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“Exactly what did you find in this diary that led you to believe the suicide note she left was somehow bogus or forced by another person?”

“First of all, I want to say that I am a psych nurse in one of the best departments in D.C. I’ve been in that specialty for a long time. It’s my job to know when someone is suicidal, and believe me, Rick, Belle was not suicidal. Not in the least.”

“The diary?”

“It wasn’t a deeply personal, from-the-heart diary; more like a journal of events in Belle’s life. It wasn’t locked up or hidden away. I found it on her nightstand while I was boxing up her things.”

“So I’m guessing the diary-I’m sorry, journal -didn’t say, ‘I’m going to kill myself.’ If it did, you wouldn’t be on this show.”

“Exactly. There was nothing in any of her entries to suggest that she was even in a fragile state. In fact, I was planning on driving down in a week. All she said the last time I… the last time I spoke with her was that she couldn’t wait to see me.”

“But there was that broken-off engagement that she was depressed about, right? Her fiancé, Dr. Doug Dearing, an orthopedist at the Carolina Bone and Joint Hospital, reportedly was having an affair with her best friend.”

Jillian took some comfort in knowing that Clemmons had at least a cursory knowledge of the facts. She could handle him ogling her, but only if he gave Belle the respect she deserved. It was also great to hear Dearing’s name and actions broadcast.

“Sure, she was depressed about it,” Jillian answered. “Who wouldn’t be? She had seen a therapist and gotten the sleeping pills that-that she took. But she was philosophical about the end of the engagement, and actually grateful she found out about what he was before”-Jillian paused and cleared the fullness from her throat-“they got married. There were passages in her journal where Belle wrote about feeling stronger, more like her old self again. She even referenced her upcoming diving trip to Cozumel with her girlfriends, and how much she was looking forward to it. That’s not the writing of somebody who would take her own life.”

Jillian had read the journal several times. It brought them closer, the way e-mails or talking on the phone had done. But it was also like experiencing Belle’s death over and over again-traveling alongside her through years of hopes, joys, and disappointments, all the while knowing it would come to a tragic end.

“So, have the cops ever investigated this Dearing fellow?” Clemmons asked.

“They did. But he had an alibi. He was with his girlfriend and out of state the night Belle died.”

“Then there’s this wild psychic connection business. What was that all about?”

“I would prefer to avoid the implications of the word ‘psychic,’ and just leave it at ‘connection.’ ”

“Go on.”

“At what might have been the exact moment Belle died, certainly within the same half hour, three hundred and thirty-five miles to the north, I became as violently ill as I have ever been. It felt for a while, as I was getting sicker and sicker, on the floor in my bathroom, as if I were going to die. The horrible attack went on for half an hour or so, and then simply went away, just like that.”

“Yes, okay. Well, the Night Owl listeners to the Rick Clemmons Show might believe in such psychic connections, but we’re here to sort out the facts, and only the facts. And the facts in this case, at least as you have presented them so far, do not lend support to your contention that she was forced to write a suicide note and then forced to swallow a lethal dose of sleeping pills.”

“I disagree. That’s why I’m here.”

“You’ll excuse me for saying so, Jillian, but so far I’m not convinced. Tell me more about the journal. What about it made you think Belle was murdered?”

“It wasn’t the journal so much as it was Belle’s suicide note,” Jillian said. “In both the note, when she told me she was sorry for what she had to do, and all throughout the journal, Belle referred to me only as J .”

“So?”

“In the journal, that was just an abbreviation she used for me. She would never refer to me by an initial in something as emotional as that note. She’d write out my name, or at least ‘Jill.’ I don’t know how, or why, but I’m sure she was forced to write the note and using just the letter J was her way of telling me so.”

“Thin stuff, Jillian,” Clemmons said, glancing down at the lifeless caller board. “I guess the police didn’t make much of it.”

“Actually, they didn’t make much of anything.”

“Well, did you notice anything strange about the things you found in her apartment? Anything at all?”

Jillian hesitated. She already felt foolish enough presenting the psychic connection, and hearing Clemmons talk about the journal made most of her points sound thin. But there was something else.

I have nothing to lose by mentioning this , she decided finally.

“In a box in the back of her closet, Belle had a stack of comic books-fifty or so different issues of the same kind, and they didn’t make anything of those either.”

“Comic books?”

“I feel I know- knew -my sister very well. I had no idea she was interested in any sort of comics, and I told the detectives how odd that was, but they just shrugged the notion off. In the box, right on top of the comics, were several printouts from the Internet. Belle had been researching them. I have no idea why, and as I said, the police just didn’t care.”

Clemmons glanced once more at the naked caller panel.

“Well?” he asked.

“Well, what?”

“What were the comic books?”

“Oh, I had never heard of them before, but they were all Marvel comics called Nick Fury, Agent of S.H.I.E.L.D. And on the cover of several of them she had written ‘Doctor’ or ‘D-R period’ right before his name, or ‘Ph.D.’ right after his name. Maybe that means something to your listeners.”

“Well, it doesn’t to me, except that your little sister may have been more eccentric than you knew. Maybe she had a secret life. Listeners, what’s your opinion?”

As if on cue, a blinking light appeared on the studio’s small call-in panel.

“There’s one,” Jillian said, forgetting for the moment that their mic was on.

“Thanks for the help,” Clemmons said sardonically. “Hey! We got ourselves a caller. Hello to Troy from Weddington. You’re on the Rick Clemmons Show, whatcha got?”

“Yeah, this here’s Troy, from Weddington,” the caller said in a dense, backwoods patois.

Inwardly, Jillian groaned.

“What’s up, Troy? You’re on air with Rick Clemmons. You got thoughts on the Belle Coates case?”

“Nah,” the caller said. “I’uz just driving west on Seventy-four. Thought yer guest sounded hot. Figured I’d call.”

Clemmons looked over at Jillian as though he were making an assessment, offering an apology, and issuing a warning, all at the same time.

“Hey, numbnuts,” he said, “this isn’t the dating game. We’re doing real investigative reporting here. And yes, Troy from Weddington, for your information Jillian Coates is hot-tall and slender and absolutely gorgeous. But she ain’t interested in you, Troy, and guess what, neither am I.” Clemmons disconnected the call and cued the sound effect of an exploding bomb. “Look, folks, you got opinions, share ’em. You got information, especially about a Marvel comic hero named Nick Fury, or Dr. Nick Fury, give it up to us. You got a big woody like that idiot who just called, well, that’s what your bedroom’s for.” Clemmons laughed.

Jillian was glad she wasn’t holding a weapon. Agreeing to appear on this show had clearly been a mistake. The time could have been better spent going through Belle’s things again, searching for any kind of clue as to what might have happened that horrible night.

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