Michael Palmer - The First Patient

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The First Patient: краткое содержание, описание и аннотация

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From the blockbuster, New York Times bestselling author comes a high-concept, high-octane thriller at the crossroads of presidential politics and cutting-edge medicine…
Gabe Singleton and Andrew Stoddard were roommates at the Naval Academy in Annapolis years ago. Today, Gabe is a country doctor and his friend Andrew has gone from war hero to governor to President of the United States. One day, while the United States is embroiled in a bitter presidential election campaign, Marine One lands on Gabe's Wyoming ranch, and President Stoddard delivers a disturbing revelation and a startling request. His personal physician has suddenly and mysteriously disappeared, and he desperately needs Gabe to take the man's place. Despite serious misgivings, Gabe agrees to come to Washington. It is not until he is ensconced in the White House medical office that Gabe realizes there is strong evidence that the President is going insane. Facing a crisis of conscience-as President Stoddard's physician, he has the power to invoke the Twenty-fifth Amendment to transfer presidential power to the Vice President-Gabe uncovers increasing evidence that his friend's condition may not be due to natural causes.
Who? Why? And how? The President's life is at stake. A small-town doctor suddenly finds himself in the most powerful position on earth, and the safety of the world is in jeopardy. Gabe Singleton must find the answers, and the clock is ticking…
With Michael Palmer's trademark medical details, and steeped in meticulous political insider knowledge, The First Patient is an unforgettable story of suspense.

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"Thank you, Ms. Lily."

"And Maddy, please call William at the stables and tell him we'll be ready to ride in thirty-five minutes."

"Yes, ma'am."

Gabe tried quite unsuccessfully to imagine himself so at ease dealing with servants. He couldn't even deal with his horses on anything but a strictly even basis. If Lily Sexton wasn't born into the role of mistress of the manor, she had certainly succeeded in the adaptation.

It wasn't until they were settled in at one end of her impressive dining room table that she finally brought the subject back to nanotechnology.

"I suppose if you've been studying, you have some grounding in the field," she said.

"Well, I know about the Eric Drexler talk that sort of started it all. And I know some of the very basic chemistry and a bit about the potential of the science and how it stands to impact all of our lives. But I really still don't know where speculation and potential stop and reality begins."

"Well, neither does the president, or any other government agency for that matter, from Capitol Hill down to the smallest town. It's one thing to be excited that nanosilver shoe disinfectants is becoming a new industry. It's another to try and determine what the effect of aerosolized or ingested nanosilver particles would be on human organs."

"So you think new public health laws are needed?"

"The president does, and that's what counts."

"But what happens if every governmental agency from Congress to the East Podunk City Council starts drafting control legislation-especially when they're operating with outdated or little or even no scientific information?"

"That's exactly what the president is trying to head off at the pass by forming this new cabinet post, centralizing control of the new sciences, and drafting well-thought-out, comprehensive legislation, with curbs on unbridled research. We know that industry and especially big pharma would always rather ask forgiveness than permission. We'll be trying to circumvent that without stifling creativity and without smothering what will probably be the most important development in our civilization since fiberoptics, and may turn out to be the linchpin of science for the next several centuries."

"The ability to construct beginning with atoms. That's some power," Gabe said, as much to himself as his hostess.

"The truth is, I don't particularly want the sort of clout and responsibility that would go along with being the Secretary of Science and Technology," Lily said, "but the other truth is, I don't want anybody else to have it, either."

"Any ideas why Jim Ferendelli would have developed such an intense interest in the field?"

Lily shook her head.

"He never contacted me about it. But you should know that except for maybe understanding the organic chemistry surrounding fullerenes and nanotubes, I am no expert, and if Dr. Ferendelli had been studying as hard as you say, I may not even know as much as he did-I mean does."

"I certainly hope does is right," Gabe said.

It would have been great to have Kyle Blackthorn there to help him sort out how much of what Lily had been saying was a lie. The meeting tonight in Anacostia would surely help straighten things out, but as his euphoria gradually abated and his focus sharpened, Gabe found himself wishing more and more for an unencumbered hour or two to look around Lily's mansion for any evidence that she knew Jim Ferendelli more intimately than she claimed.

"Want seconds?" Lily asked, gesturing to Gabe's empty plate.

"Um… no, thanks. I'm done."

She rang one of the ubiquitous little bells and Maddy materialized to clear the table.

"I'll tell you what, I'll answer any questions that occur to you during or after our ride. Maddy, just leave the house open when you go. We'll be back in an hour-two at the most."

The servant smiled cheerily, nodded at her boss, then at Gabe, and quietly receded to the kitchen.

Gabe wondered in passing if Maddy was as content with her life as she seemed to be. One thing he strongly suspected was that the woman wouldn't be able to remember the last time she caught someone in a lie as monumental as the one Lily Sexton seemed to be caught in now.

Maybe Lily had a man in her life, Gabe mused, and was having an illicit affair with Ferendelli. He followed her downstairs to a lower level that didn't exist on the front side of the house, then out a back door to the stables. An illicit affair would fit most, if not all, of the facts.

As Lily had ordered, the horses were ready and waiting. Serious Therapy was a sturdy bay quarter horse with a distinctive blaze along his nose from high on his forehead to his muzzle.

"I like him already," Gabe said, checking the tightness of the cinch and the length of the stirrups before swinging easily onto a hand-tooled saddle that might have cost as much as his car.

Lily eschewed the offer of a leg up from William, the stable man, but did use a low step to mount Belle Starr, an elegant steel gray mare. Side by side, Lily and Gabe began a slow walk past the corrals and out along a slightly shaded trail heading toward denser forest and the hills. For five minutes, perhaps even longer, little was said between them. As advertised, Serious Therapy was special-powerful, alert, and responsive. Later, when Gabe had the chance to reflect on these qualities, he concluded that they might well have been responsible for saving his life.

Lost in the perfection of the moment and in thoughts around the mysterious, unfathomable woman riding a few feet to the left and in front of him, he wasn't certain whether or not he had seen movement ahead of them and to the right, quite far into the woods. The possibility triggered a small jet of adrenaline-enough of a rush so that, when the threat became clear, his reaction was quick.

The horses had slowed as they headed up a modest rise. The man dressed in black and wearing a black ski mask materialized from behind a tree, twenty-five yards or so to their right. His rifle, with what might have been a hunting sight, was aimed directly at Gabe.

"Lily!" Gabe barked.

He reflexively pulled his reins back and sharply to the left. Serious Therapy went straight up on his hind legs and pirouetted like a ballet dancer, spinning to the left.

At the same instant, the rifle spit off one shot, then another. Gabe heard the second bullet snap into a tree somewhere to his left.

Belle Starr reared, as had Gabe's horse, but Lily was totally unprepared. She lost her seat and was airborne before she could respond, twisting ungracefully, then landing heavily on her left side, crying out in pain as she hit the hard-packed dirt.

Gabe clambered to the ground, thinking that she had been shot. Hunched low and weaving, he raced to where she lay, groaning and in obvious pain. Belle Starr stood dutifully nearby. The gunman was gone. Far to his right, Gabe thought he saw movement through the distant trees, but then there was nothing. Cautiously, his eyes still fixed on the forest, he turned to Lily.

She was conscious but in severe pain.

"Are you shot?"

"I… I don't think so. My shoulder. I think it's broken or-"

"Easy, Lily. Your neck hurt?"

"No… not really."

"Well, try not to move it anyway."

Her face was ashen, and already she was showing the early signs of shock. Careful to keep her left shoulder as stable as possible, Gabe checked her quickly for any gunshot wounds, then had her move her legs and left arm and finally turned his attention to the shoulder that, if she was lucky, was fractured just below the head of the humerus and, if she was quite unlucky, was both fractured and dislocated. Either way, she was shocky and in need of attention.

He slipped off Belle Starr's saddle and used it to elevate Lily's legs. Then he stabilized her shoulder with the saddle blanket. Finally, he eased off her boots and slid them, toe first, one on each side, under her neck. When he was certain there was at least some splinting action from the boots he warned her not to turn her head or move unless she absolutely had to.

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