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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Fascinating.

There was no way he could retreat now without trying to get even a little more information. His common sense had been routed. Just a little more information… Just a little more.

Hanging on pegs near the scanning electron microscope were two knee-length lab coats. Gabe tested the knob to the room and the heavy door swung open. Seconds later, he emerged wearing one of the white coats. With his boots back at the beginning of the tunnel, his dark socks protruded from beneath his jeans, looking rather foolish but at the same time making it easier to move silently up the corridor. Still, it seemed as if anyone within earshot would be able to hear his heart slamming against the inside of his chest.

Room B-8, fiefdom of a Dr. P. Wilansky, was another empty lab filled with sophisticated equipment. There was a branching corridor ahead and to the right-the hallway from which the guards had come. The low machine hum was more pronounced, as was a man's voice, loud enough now to make out some words.

"Note… brain… stained… immunofluorescence…"

Gabe inched around the corner and peered down the corridor. At the end were two more doors, identical to the others. The right one was closed and the left one open. Pressed against the wall, every muscle tensed, he moved ahead. If someone came through the doors behind him now, there would be no retreat and, in all likelihood, no meeting with Ferendelli. Still, he had to see.

"… This slide is a photo taken two months after the subjects were dosed with ten micrograms of fullerenes coated with antibodies specifically coded to hypothalamus neuroprotein. Administration in this subject was oral, but the results for intravenous and aerosolized fullerene administration were virtually the same. As you can see, there has been virtually no change in the location and concentration of immunofluorescence, even after thirty days. When these little fellows attach, they stay pretty well attached, although there is a very gradual leeching out."

Gabe thought the line about the "little fellows" and the way Rosenberg delivered it might have engendered at least a chuckle or two, but the assemblage remained stonily silent.

Five more feet.

Gabe was just a few steps from the closed door now. Through the glass he could see seven white-coated scientists-five men and two women-their backs to him, standing shoulder to shoulder at the far end of a carpeted room that was about a twenty-five-foot square-probably a conference room with the chairs removed.

Turn around and leave! Leave while you have the chance!

A slide was being projected on a screen before the small gathering. From what Gabe could see, the image was a cross section of brain, with the jade green glow of an immunofluorescent marker dye scattered over an area that apparently was the hypothalamus. At his very sharpest in neuroanatomy, which would have been a few minutes after finishing the course in med school, he could have easily identified the structures in the brain slice. Now, though, those days were long past and he would have to take Dr. Rosenberg's word.

A grainy slide with fluorescent marker was hardly the real living brains without bodies that the security guards had talked about. Gabe inched closer. At that moment, as if on cue, one of the scientists at the center of the line stepped back, turned to her left, and coughed deeply several times.

Through the opening she had created, Gabe saw three large glass cylinders, four feet high and a foot in diameter. They were filled to near the top with a translucent golden liquid-serum or some other form of nutrient, he guessed-which was being aerated by a bubbler built into the base, the source of the mechanical hum. A large number of monitoring wires snaked over the lips of each cylinder, connecting outside them with elaborate monitoring equipment, at least one of which was an EEG-an electroencephalogram-that was showing continuous brain-wave activity.

The other ends of the wires were implanted in brains-one in each cylinder, suspended by some sort of transparent Lucite frame. Each brain included not only the cerebrum and cerebellum but also the brain stem and eight inches of spinal cord.

Gosh, it's dark in here indeed!

Functioning, metabolizing brains! Living, thinking brains!

They could have been human, but Gabe's knee-jerk assessment was that if they were, they weren't the brains of fully grown humans. Before he could further assess their nature or any other aspect of the macabre setup, the woman stopped coughing and stepped back into her slot in the chorus line of white-coated scientists.

Now, go!

This time he began a slow, measured retreat back to the B corridor and out of the laboratory. There would be time to sort out what he had just seen and heard, but for now his focus had to be on getting out of the lab and back to D.C.

His attention still fixed on the conference room doorway, Gabe moved backward, checking over his shoulder with every step, anticipating the return of the security guards. Instead, the danger came from the room itself. With little more than a brief, perfunctory round of applause, the scientists turned and, without much conversation, filed out through the already open door and directly toward where he was standing, not more than twenty-five feet away.

Gabe had, at best, a few seconds to react. His instinct was simply to turn and run, but even if he made it back down the tunnel to Lily Sexton's, there was a good chance the armed security guards would catch up to him before he had gone too far. If he did manage to get away, there were bound to be repercussions when Lily learned what he had done.

Still, fleeing seemed like his only option, and he was set to do that when he flashed on his first cellmate at MCI Hagerstown, Danny James, a canny jewel thief, who had entered a mansion during a lavish party wearing a tuxedo, marched up to the master bedroom, located the family safe behind a mirror, cracked it, pocketed what jewels the hostess wasn't wearing, and then stayed for a round of hors d'oeuvres before strolling out to his car. He would have made an absolutely clean escape had he not taken the jewels from his pocket and set them on the passenger seat to admire only moments before being accidentally rear-ended by a police cruiser.

"Everyone with even half a life is always wrapped up in his own business," James said one evening after final lockdown. "The trick is to be bold and to look like you know what you're doing, so they can continue to think about their two favorite topics-themselves and their work."

The next day, dressed as a garbageman and, Gabe assumed, acting like a garbageman, James managed to ride a waste disposal truck out of the prison and into the sunset. When Gabe was released at the end of his year, to the best of his knowledge Danny James had still not been caught.

The trick is to be bold and look like you know what you're doing.

Almost instinctively, ignoring his stocking feet, Gabe stopped preparing to run. Instead, he strode forward toward the first of the group, a gangling, stooped-shouldered professor with thick glasses and an unruly thatch of pure white hair that looked like the product of an electric shock.

"You all done in there with Dr. Rosenberg?" Gabe asked cheerfully.

The man, perhaps sixty, glanced at him momentarily, mumbled something about the session taking far too long, and walked past him, followed lemminglike by the others. It was not at all clear if he or any of the rest noticed that the man threatening to intrude on their thoughts and their concerns about the run-over session was wearing no shoes and had no identification badge hanging from his neck.

It was all Gabe could do to keep from continuing his spontaneous performance by marching into the conference room to question Dr. Rosenberg about his research and whether the brains were, in fact, human. But it seemed unlikely that any of the security team would be as self-absorbed as the scientists or as accepting that anyone in a lab coat had to be one of the good guys, shoes or no shoes.

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