Peter Clement - The Inquisitor

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Several patients die each day at St. Paul 's Hospital, a sprawling complex in Buffalo, N.Y., that takes on the most high-risk cases, including victims of the SARS virus. A few more deaths a week would hardly even be noticed. But hospital vice-president Dr. Earl Garnet, star of Clement's enjoyable line of medical thrillers, perks up when he hears about a strange circumstance in the hospital's cancer wing: a few days before they died, many of the patients reported out-of-body near-death experiences. Someone, Garnet determines, has been taking cancer patients to the brink of death and tape-recording their observations before briefly bringing them back to life. Suspects include the hospital's chaplain, Jimmy Fitzpatrick, who has been lobbying for years to get St. Paul's to relax its policy on withholding pain medication to terminal patients; Monica Yablonsky, the head nurse on the cancer ward whose prickly, unhelpful demeanor makes Garnet wary; and Dr. Steward Deloram, St. Paul's critical care expert who has also done extensive research into near-death experiences. The action in Clement's sixth hospital-based thriller (Mortal Remains, etc.) moves briskly and without an overload of medical jargon. Despite several indistinguishable characters and a few dead-end plot lines-Clement does little with the SARS element after an initial buildup-this entry keeps the author on an ascending trajectory in the genre.

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"The one who tried to hang herself- you wouldn't happen to remember her name?"

"Sorry."

He thanked her, gave her his numbers- including the private line at home for after hours, suggesting she call him if anything more about Stewart's past came to mind- and hung up.

The thought of someone close to Jerome Wilcher seeking revenge and setting up Stewart still resonated with him, mostly because he hoped it might be true. What a clean and simple way to get Stewart out from under his current trouble. As nasty as he might be, he remained an asset at St. Paul's, whatever had happened at NYCH fourteen years ago. And despite his impossible personality, Earl liked the guy, even wanted the best for him. Because over and above his being a clinical genius, the man still practiced medicine with the same fire in the belly that all doctors start out with but which few keep alive, even the brilliant ones. In that, Earl considered him a kindred spirit.

But as Cheryl Branagh had said, who would feel passionate enough to avenge Jerome Wilcher fourteen years after his death? The woman who'd tried to kill herself over him? No question her feelings were strong at the time, but for that emotion to have persisted until now would seem highly unlikely. One of the other several girlfriends? Even less of a chance. Once they found out about each other they would have been more apt to hate him, not seek revenge for his death. So who else? He'd no immediate family. But sometimes distant relatives could have strong feelings about blood connections.

On a whim he typed the name Wilcher into the staff registry.

Nothing.

What about patients with that name?

He clicked to the admissions page, but no Wilchers were in the hospital at the moment.

Perhaps previously?

According to the patient directory, there never had been.

He dug out the Buffalo phone book to find there weren't any listed in the whole city. A rare name, he thought.

Could there be an avenger with a different name? That he would never find. Oh, well, it had been wishful thinking anyway, and certainly not logical. He'd heard of revenge being a dish best served cold, but to wait fourteen years-

A tap on the door interrupted him.

"Dr. Garnet?" a woman's voice said.

"Yes?"

Even though she wore a mask he recognized her tanned, round face and the corners of eyes that crinkled like fine leather as she stepped into his office.

"Mrs. Baxter," he said without hesitation. Sometimes the person that death left behind stuck with him more than the one it took. Yet something had changed around her eyes. The swollen ripeness of fresh grief had withered into dark hollows, probably due to the aridity of being cried out and the loss of her husband having sunk in. "Come, sit down," he said, rising to his feet. "What can I do for you?"

She stepped over to the chair opposite him. When she settled in, it seemed far too big for her.

"How are you doing?"

Most people at this stage just said, "Fine," and rushed to tell him what they wanted, being in no state to let feelings interfere with the endless paperwork that went with death.

But she hesitated, and he knew he would get a truthful answer.

"It's hard," she said. "Really hard."

She looked down at her hands, and the silence created a divide between him and her.

"I have to say you were magnificent at your husband's side when he died," he said, attempting to close it. "The kind of strength and self-control it took to say good-bye the way you did is rare."

"I loved him." She spoke without looking up.

The silence settled in again.

"Do you have family here?"

"Oh, yes. My sister."

"Children?"

"No. We never…" Her eyes glistened, but no tears fell. "In a way, it's a blessing. What could be harder than to tell a little boy or girl why Daddy's gone, right? Hell, I can barely take care of myself."

Earl nodded sympathetically, having heard the same rationale a thousand times from childless survivors. Inside he would invariably wince and once more thank the fates for the joy of having Brendan and his soon-to-arrive little brother as part of his life with Janet. He would endure any pain for having had that treasure.

"And of course there's no one who explains to me why my husband's gone," she added, her lids narrowing like gun slits. "I mean, there's a lot of assholes left walking around out there. Why'd it have to be him?"

Her glare dared him to try and give an answer.

He shook his head and, gesturing skyward with his palms, referred her question to the heavens.

She sighed as if to say, Spare me the fools. "I do appreciate what you did for Artie, and your kindness toward me," she added, as if that at least compensated in part for his current failing to tell her what she needed to know.

"I wish I could have helped him more."

She reached inside her handbag and pulled out a business envelope bearing the logo of a well-known insurance company. "I'm sorry to bother you with these. Dr. Popovitch filled out the initial forms, but he's not here, and they just require a confirmation of his initial report. Do you mind?"

He hated insurance papers. Most of the time the questions attempted to derail the claim and demanded irrelevant details that had more to do with filling in squares than providing an informed medical opinion as to the cause of death. And if the doctor who'd actually handled the case happened to be off duty when the family showed up with the documents, a frequent occurrence, Michael, bless his soul, had mostly taken over the mind-numbing chore. But occasionally one still got through to Earl. "Sure, I'd be glad to," he said, taking the papers out of her hand.

"Thanks. You don't know what a relief it is getting them out of the way. I thought there might be trouble, and Lord knows I need the money. But Dr. Popovitch assured me everything should go through fine. And thank God. It's a terrible thing to say, but that policy's the only good investment Artie made since the bubble popped."

He got the message. She expected him to be as helpful as Michael had been. He started to skim through what he'd written.

Five minutes later he wished he hadn't.

"Michael, we have to talk."

Earl had phoned him at home the instant Mrs. Baxter left his office.

"Jesus, Earl, can't it wait? You know I just got off a shift from hell."

"I just had an interesting conversation with Artie Baxter's widow about insurance papers."

Silence reigned supreme.

"Where?" Michael asked after a few seconds.

Earl thought of the nearest place outside the hospital to get a cup of coffee. "The Horseshoe Bar."

A copper haze from the morning rush hour lingered over Buffalo, staining the previously blue sky a color of rust. He made the ten-minute walk in five, despite the temperature having already climbed past the predicted high. Ducking inside a front door of smoked glass to the dark air-conditioned interior provided welcome relief. A former hangout for gangs and druggies, the place had mellowed into a respectable watering hole where many of the staff and medical residents gathered for a beer after work. The change had been helped along by a makeover with mirrors, plants, and several coats of dark green paint, but no amount of interior decorating could erase Earl's memory of the kids whom he'd pronounced dead after they'd OD'd here.

Over the last three months the management, in another adjustment to the times, had started to serve an early-bird breakfast, taking advantage of hospital staff determined to avoid the designated eating areas of a SARS environment. That crowd would be long gone to work, he'd figured.

His eyes adjusted to the dark. Sure enough, most of the tables and booths stood empty, and a long chrome-trimmed bar, gleaming under the neon glow of a large, red-script Budweiser sign, wouldn't open until the lunch rush arrived a few hours from now. But the aroma of fresh coffee filled the air.

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