Robin Cook - Crisis

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When Dr. Craig Bowman is served with a summons for medical malpractice, he's shocked, enraged, and more than a little humiliated. A devoted physician who works continuously in the service of others, he endured grueling years of training and is now a partner in an exclusive concierge medical practice. No longer forced to see more and more patients while spending less and less time with each one just to keep his office door open, he now provides the kind of medical care he is trained to do, lavishing twenty-four-hour availability and personalized attention on his handpicked patients. And at last, he is earning a significant income, no longer burdened by falling reimbursements from insurance companies.But this idyllic practice comes to a grinding halt one sunny afternoon-and gets much, much worse.
Enter Dr. Jack Stapleton, a medical examiner in New York City and Bowman's brother-in-law: Jack's sister Alexis-now Craig's estranged wife-tearfully begs for his help as her husband's trial drags on. Jack agrees to travel to Boston to offer his forensic services and expert witness experience to Craig's beleaguered defense attorney. But when Jack's irreverent suggestion to exhume the corpse to disprove the alleged malpractice is taken seriously, he opens a Pandora's box of trouble. As Craig Bowman's life and career are put on the line, Jack is on the verge of making a most unwelcome discovery of tremendous legal and medical significance-and there are people who will do anything to keep him from learning the truth.

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"Was Patience satisfied with these recommendations?"

"No. She wanted an antibiotic, but Dr. Bowman refused. He said she didn't need one."

"Did she follow the doctor's recommendations?"

"I don't know what medications she took, but she did eventually get out of bed. I thought she was doing quite a bit better. Then around five, she said she was going back to bed."

"Did she complain of anything at that point?"

"Not really. I mean, she always had a few complaints, which is why she was going back to bed."

"What happened next?"

"She suddenly called me sometime around seven to come to her bedroom. She wanted me to call the doctor again because she felt terribly."

"Did she have the same complaints as that morning?"

"No, they were completely different."

"What were they now?" Tony asked.

"She had chest pain that she'd had for an hour."

"Which was different from the abdominal pain she had in the morning?"

"Completely different."

"What else?"

"She was weak, and she said she had vomited a little. She could barely sit up, and she said she was numb and had a feeling as if she were floating. And she said she was having difficulty breathing. She was very ill."

"It sounds like a very serious circumstance. It must have been frightening."

"I felt very upset and worried."

"So," Tony intoned for dramatic effect, "you called the doctor, and what did you say?"

"I told him Patience was very sick, and she should go to the hospital."

"And how did Dr. Bowman respond to your urgent request to go to the hospital immediately?"

"He wanted me to describe her symptoms."

"And you did? You told him what you told us today?"

"Almost word for word."

"And what was Dr. Bowman's response? Did he tell you to call an ambulance and say he'd meet you at the hospital?"

"No. He kept asking me more questions, such that I had to go back to Patience and ask her."

"Let me make sure I understand. You told him your wife was in this terrible condition, and he had you going back to her multiple times to ask specific details. Is that what you are saying?"

"That's precisely what I am saying."

"During this question-and-answer period, while valuable time was passing, did you again mention your belief she should go directly to the hospital without delay?"

"Yes, I did. I was terrified."

"And you should have been terrified, since your wife was dying before your eyes."

"Objection," Randolph said. "Argumentative and prejudicial, and move to strike."

"Sustained," Judge Davidson said. He looked at the jury. "You will disregard that last statement by Mr. Fasano, and it should play no part in your consideration of this case." He then switched his attention to Tony. "I warn you, counsel, I will not tolerate any more comments like that."

"I apologize to the court," Tony said. "My emotions overcame my better judgment. It won't happen again."

Alexis leaned toward Jack. "Tony Fasano scares me. He is slick. He knew what he was doing."

Jack nodded in agreement. It was like watching a street fighter in a no-holds-barred brawl.

Tony Fasano went to the plaintiff's table for a drink. Out of the view of the judge, Jack caught him give a wink to his associate, Renee Relf.

Back at the podium, Tony returned to the narrative. "During your telephone conversation with Dr. Bowman while your wife was gravely ill, did he mention the word heart attack? "

"Yes, he did."

"Did he say she was having a heart attack?"

"Yes. He said that was what he was thinking."

Jack noticed Craig lean over and whisper something to Randolph. Randolph nodded.

"Now," Tony continued. "When Dr. Bowman arrived at your house and saw Patience, he acted differently than he had on the phone. Is that correct?"

"Objection," Randolph said. "Leading."

"Sustained," Judge Davidson said.

"Mr. Stanhope, would you tell us what happened when Dr. Bowman arrived at your home the night of September eighth of this past year."

"He was shocked at Patience's condition and told me to call an ambulance immediately."

"Had Patience's condition changed dramatically between your telephone conversation with Dr. Bowman and his arrival?"

"No, it had not."

"Did Dr. Bowman say anything to you at that point that you found inappropriate?"

"Yes. He blamed me for not having described Patience's condition adequately."

"Did that surprise you?"

"Of course it surprised me. I had told him how bad she was, and I had urged more than once that she should be taken directly to the hospital."

"Thank you, Mr. Stanhope. I appreciate your testimony about this tragic event. I have one more question: When Dr. Bowman arrived that fateful night, what was he wearing? Can you remember?"

"Objection," Randolph said. "Immaterial."

Judge Davidson twirled his pen and looked at Tony. "Is this relevant or mere embellishment?"

"Very relevant, Your Honor," Tony said, "as will be clear with testimony from the very next plaintiff witness."

"Objection overruled," Judge Davidson said. "Witness may answer the question."

"Dr. Bowman arrived in a tuxedo with a young woman in a low-cut dress."

Some of the jurors exchanged glances with their immediate neighbors, as if wondering what he or she was thinking.

"Did you recognize the young woman?"

"Yes, I had seen her at Dr. Bowman's office, and he said she was his secretary."

"Did their formal attire strike you as odd or significant?"

"Both," Jordan said. "It was odd because it suggested they were en route to a social function, and I knew Dr. Bowman was married, and significant because I wondered if their attire had anything to do with Dr. Bowman's decision to come to the house rather than meet us at the hospital."

"Thank you, Mr. Stanhope," Tony said, gathering his papers. "No more questions."

"Mr. Bingham," Judge Davidson said, nodding in Randolph 's direction.

Randolph hesitated for a moment. It was clear he was in deep thought. Even when he stood up and approached the podium, he seemed to be moving by reflex rather than by conscious intention. The courtroom was hushed in attentive expectancy.

"Mr. Stanhope," Randolph began. "I will ask you only a few questions. All of us at the defense table, including Dr. Bowman, are saddened by your loss and can appreciate how difficult it is for you to revisit that fateful evening, so I will be brief. Let us go back to the telephone conversation you had with Dr. Bowman. Do you recall telling Dr. Bowman that it was your recollection that Patience had never complained of chest pain before?"

"I'm not certain. I was very upset."

"And yet with Mr. Fasano, your memory of the same telephone conversation seemed impressively complete."

"I might have said she'd never had chest pain. I'm just not sure."

"I should remind you that in your deposition, you did so state. Should I read it to you?"

"No. If it is there, then it is true. And now that you remind me, I believe I did say she'd never had chest pain. It was eight months ago, and I was under duress. The deposition was much closer to the event."

"I can appreciate that, Mr. Stanhope. But I'd like you to search your memory for Dr. Bowman's response. Do you recall what he said?"

"I don't believe I do."

"He corrected you and reminded you she had had chest pain on several previous occasions, for which he came to the house."

"Maybe he did."

"So it seems that your memory of what was said during this phone conversation is not as clear as we were led to believe just a few minutes ago."

"The phone conversation was eight months ago, and I was frantic at the time. I don't think it's unreasonable."

"It is certainly not unreasonable, yet you are certain Dr. Bowman specifically said Patience was having a heart attack."

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