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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Coincidence? Doubtful.

This was the first time in over five years that MacCandliss had set foot inside the place. Not coincidentally, it had also been more than five years since he had seen, or even spoken to Melissa, seventeen, and Cassie, now fifteen. La Bitch had made certain of that. Years of bad-mouthing him and accusing him of abuse had the girls acting as if he was a cobra. His only regret now was not having smacked Denise more often when they were married. At least then the girls would have something to get over with their therapists.

Feeling as uncomfortable as if he were trying on new shoes, MacCandliss continued to walk the park. The heat was forecast to be near record high and he wished he had dressed lighter. He saw a boy, about six, standing in front of the glass-enclosed gorilla yard. The child clung to the string of his red balloon with one hand while slurping down a slush he held with the other. The toxic neon blue drink had stained the bottom half of his face. MacCandliss had little patience for children-even when his daughters were small. As he neared, the boy ducked under the guard railing and banged on the glass.

“Hi, gorilla!” the boy called out. “Can you say hello?”

The boy’s mother, a modestly dressed, somewhat frumpy woman in her late thirties, knelt down beside the youth to encourage her child’s exuberance. MacCandliss cringed.

“It’s not a parrot,” he said to the child. “It’s an ape and apes don’t talk.”

The boy spun around, but moved too quickly and accidentally let go of his balloon. MacCandliss watched as the diminishing red dot shrank into the cloudless sky.

Another reason to hate zoos , MacCandliss decided. Balloons.

“That wasn’t very nice,” the boy’s mother snapped.

“But it was nevertheless, madam, the truth,” he said, handing her a ten. “Good day.”

The truth.

His job was all about sifting through a dung heap of lies searching for it. How many vets had embellished their psychiatric symptoms just to steal from the taxpayers by way of the government, MacCandliss wondered as he strolled off in victory. What he hated most about his job at the VA were the times when he was forced to be the liars’ enabler. It sickened him. What he enjoyed most was blocking PTSD benefit pay and watching how fast a seemingly helpless, hapless vet found sustainable work.

Of course standing up to the PTSD sissies was an unpopular position within the VA, though he knew of other bureaucrats who secretly felt the same way he did. Support for crooks left the best impression with his superiors, along with the highest probability for promotion. The key was doing things by the book… but precisely by the book. As long as the denial of benefits appeared to fit within regulatory guidelines, the claims administrator who paid out the least was the one who got the most.

But the call from Jericho, now years ago, had shown him that there were possible shortcuts if a man were willing to take some chances, and accepting Jericho’s proposal had been a no-brainer.

Now, for the first time since becoming part of the operation, his future was under attack. There had been a security breach at the Vermont Avenue VA office. He adjusted his iPod headphones.

“Hello?” he said softly. “Anybody there?”

Silence.

He continued along Olmsted Walk, listening for his contact. He wasn’t entirely sure what to expect. He was just passing underneath the heavy overhead wires by which the orangutans traversed the road from one cage to another when a man’s deep voice spoke to him.

“Look up,” the voice said.

MacCandliss did as instructed and immediately spied three hideously ugly orangutans, traveling hand over hairy hand across the O Line from the Think Tank to the Great Ape House on the opposite side of the walkway.

“Beautiful creatures, aren’t they,” the voice said. “I didn’t want you to miss that.”

“Where are you?” MacCandliss asked.

“I’m here. That’s all you need to know.”

“Jericho?”

“Call me that if you wish. Just keep walking. You don’t have to speak so loudly. Your iPod was put together by people who know what they’re doing. Don’t move your lips too much and you’ll appear as though you’re singing to yourself. Understand?”

Cloak-and-dagger , MacCandliss thought. These guys love cloak-and-dagger. He couldn’t tell if this was the same man who had initially contacted him on his unlisted home phone, offering him a chance to help his country and his bank account. In exchange for his services, MacCandliss was promised a significant jump in job grade and salary level. A no-brainer. Two days later, he was called into his supervisor’s office and informed he’d been promoted.

“Proceed to Lemur Island,” the voice said.

“Aren’t those the animals that would follow each other anywhere, even off a cliff?”

“That would be a lemming, Mr. MacCandliss, and it’s a myth that the rodents commit mass suicide. Clearly, you’re not much of an animal lover.”

“Only if they’re grilled medium rare and smothered with onions.”

“Very well, Mr. MacCandliss. Assume that I can see you. Stop when you reach Lemur Island and look at the exhibit while we talk. Under no circumstances are you to turn around. Do not try to figure out who or where I am. Is that understood?”

MacCandliss felt a surge of anger. He was treated like one of them, but only when it suited their purposes. Well, they were anonymous and he was set to take a fall if the security breach wasn’t straightened out. All he could do was to follow Jericho’s instructions and supply them with some names. Perhaps it was time to up the ante on his services.

When MacCandliss was in position at Lemur Island, the voice again spoke to him through his headset.

“You sent word you needed to speak with us?”

“At the weekly staff meeting at my office, we discussed security measures in the wake of a breach at the Vermont Avenue building.”

“I wasn’t aware.”

“Neither was I. Then I read the official report.”

“And?”

“A man-a young black man from what we can tell-using a bogus ID, hacked into the desktop computer of a low-level account specialist, then almost got caught getting away. Computer forensics traced the specific files that had been compromised and included that information in their report. The intruder was looking for Manny Ferris, one of our guys.” There was a prolonged silence. “Are you still there?”

“I’m here. Do you know who the person was?”

“No. But I did get a copy of the security tape. It looks like a boy-a teenager-but I don’t know who he is. As usual with the stone-age equipment they buy from convenience stores and allocate to the VA, the camera didn’t get a clear shot of his face.”

“Do you have the tape with you?”

“Of course.”

No “nice job” or “great work.”

“We have ways of figuring those things out,” the voice said. “Now listen carefully. I want you to put the tape in your Cracker Jack box and drop it into the trash receptacle to your left. Then leave the park the way you came in. We’ll be in touch.”

“That’s it?”

“Yes. That’s it.”

“Look, I’m not comfortable with this anymore. Unlike most everyone in the VA system, the computer forensics people actually know what they’re doing. I did a lot of research for you. There are ways to connect me to Ferris.”

“I said we’ll be in touch.”

“That’s not enough anymore,” MacCandliss snapped, aware of a sudden flush of nervous perspiration. “I want information. I want to know exactly what I’m putting my neck on the line for.”

“We promised you promotions and you’ve gotten them.”

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