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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“Hurry, Nick,” Jillian called out, “her pressure’s dropping.”

“I called nine-one-one,” he said, breathless from his exertion, “but I had no idea where to tell them we were, and I didn’t want to spend too much time talking to them. The dispatcher said she could barely hear me, but she’d try to locate us using our cell phone signal.”

Working amidst the smoke and the stench, nurse and doctor kneeled side-by-side, establishing an IV, and then another, getting a blood pressure cuff in place, and finally hooking up some oxygen. They spoke little.

“Pressure’s eighty,” Jillian said.

“I’ll add some dopamine to the drip.”

“Nick, she was the real hero. She saved us all. She’s got to make it.”

“She’s going to make it. Come on, lady, enough of this. Deep breaths, deep breaths.”

“Did the dispatcher say how long it would take to find us?”

“All she said was that it would take time.”

“Pressure’s seventy, Nick. We don’t have time.”

“I’m doing about all I can do. The dopamine and the fluid are wide open. All this smoke isn’t helping. I wish we could get her the heck out of here into some decent air.” He snatched up the cell phone. “Any luck? Well, keep trying. Keep trying.”

“Nothing?” Jillian asked.

“Nothing. She needs an OR and she needs it fast. I think we should try and get her into the van, and see if we can find a hospital.”

“Do you have the strength to move her?”

“If I need it, I’ll have the strength.”

“Would it hurt her if we have to drag her over to the RV?”

“Maybe.”

Jillian checked Junie’s pressure again and clenched her fist in frustration.

“Still seventy,” Jillian said. “Come on, God. Don’t you let this happen. We need her. We all need her. I’ve been at least willing to discuss Belle and my faith with you, but if you take this woman, I swear, you’ve heard the last from me. Get it?”

At that moment, the still night was pierced by the faint sound of sirens. Less than a minute later, with the sirens rapidly closing, strobes appeared across the field. Many strobes.

“They found us!” Jillian exclaimed.

“Looks like an invasion from outer space.”

Nick picked up the cell phone and talked for a few seconds. Then he looked at Jillian curiously.

“The dispatcher lady says she’s sorry they haven’t been able to find us. They’re still trying to track us.”

Several police cars and an ambulance pulled up at the barn door.

“I think it’s safe to say there’s a surprise or two waiting in here for them,” Jillian said.

The first to enter the barn was Don Reese, followed by the paramedics, who immediately set about performing their magic, praising Jillian and Nick as they worked.

“Reese!” Nick called out.

The detective hurried to Nick’s side and stared about in uncharacteristic disbelief.

“The police report on this scene should make for some interesting reading,” Reese said. “Who got torched? I sure hope he’s a bad guy.”

“The worst,” Nick said. “How the heck did you get here? Nine-one-one said they couldn’t find us.”

“Remember after you, um, helped me out, I gave you that magnetic GPS logger for your RV?”

“Of course.”

“Well, twenty messages of distress from you freaked me out, Doc. I always thought you were a pretty cool customer. When I couldn’t reach you, well, let’s just say I chose action. I made a quick call to the company and we tracked your position here.”

“Nice going. Now I guess we can call us even,” Nick said as the paramedics gave him a thumbs-up.

“I don’t think so,” Reese responded.

“Oh, come on, Don,” Jillian said, taking his arm. “If I can settle the score I just settled, you guys can settle yours.”

Junie was up on a stretcher. Nick and Jillian kissed her on the forehead as she was rolled past them to the waiting ambulance.

“Do you want to ride in the ambulance with her, Nick?” Jillian asked.

“If they’ll let me.”

“Looks like you’ll need some medical attention too,” Reese said. “We’ll meet you at the hospital. They’ll be taking you to County General. It’s a good place and only five miles from here.”

Jillian and Reese supported Nick and helped him to the ambulance. The rain had stopped. Overhead the clouds had parted, revealing a bright crescent moon.

CHAPTER 50

The white stretch limousine eased its way down Constitution Avenue toward the Hart Senate Office Building. It was the twelfth day of September, a sparkling clear Wednesday, and it would be no understatement to say that there was more interest in the hearing scheduled to resume in half an hour than in any Senate inquiry since Watergate.

“Answer me true,” Reggie said from the center of the backseat, “are we going to get us one of these limos or not?”

“I wouldn’t bet on you not getting one of your own someday,” Junie said, pausing to cough and take a breath, “but only if you do your homework.”

“Hey, Dr. Nick Fury here told me that when I move in with him and Nurse Jillian, I won’t have to do any homework.”

“You wish,” Jillian said. “You haven’t seen the nasty side of either of us yet. Junie, you okay?”

The older woman cleared her throat and nodded. She hadn’t done that well following the removal of the upper lobe of her left lung, and seemed to have aged considerably over her months of recovery. Still, it was no surprise to anyone who knew her that she had managed to parlay her growing celebrity into massive donations to Helping Hands, as well as the promise from Winnebago of a new, deluxe, fully equipped RV.

“Have you looked outside?” Don Reese asked. “We still have a ways to go and it’s already wall-to-wall photographers and reporters.”

“Let’s hop out,” Reggie said. “I want some more pictures of me in the papers. There’s this girl at school I want to impress and-”

“Enough!” Junie said. “I’ve spoken to your civics teacher, and she’s expecting at least a five-page paper on these hearings. That should be more than enough to impress any girl that’s worth impressing. Nick, honey, the humidity’s getting to me a little. Could we please have the driver take us right up to the door?”

“Yes, ma’am.”

“There are a few stairs,” Reese said. “But there’s a ramp. Do you need a wheelchair?”

“I can handle it,” Junie said.

Reese had not only been a lifesaver during the drama in the CIA-owned barn, but afterward as well. It was he who first began to put the pressure on William Conklin, the director of the CIA, whom he knew personally, to do what he could to restore public trust in the agency. Given Ramsland’s stature and power, Conklin had for years turned a blind eye to the activities of the Jericho vigilantes. Now, Conklin’s job was on the line. The nasty publicity the agency was garnering around the globe was unlike anything since the Senator Frank Church hearings in the midseventies, which focused on CIA political assassinations and other excesses.

This afternoon, Reese’s work with the CIA chief was hopefully going to come to fruition.

Following a morning of testimony from Paresh Singh, officials and surgeons from Shelby Stone Memorial Hospital, and relatives of the seven victims from operating room ten, Lionel Ramsland had begun what to Nick and the others was an utterly frustrating denial of any direct wrongdoing.

Soon, after the man completed the remainder of his testimony, it would be Conklin’s turn. The final testimony, although it would be only hearsay, would be from Nick.

“Don’t expect to be called if they run out of time,” Nick’s attorney told him. “They may reconvene tomorrow or they may delete you because your story is unsubstantiated with objective evidence.”

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