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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"Is there any proof whatsoever Tony Fasano was behind today's criminal acts?" Randolph asked. "If there is, I'm certain I could get a mistrial."

"No proof," Craig said. "My daughters said they might be able to recognize a voice, but they are not at all certain."

"Perhaps the police will have more luck?" Randolph said. "What about the autopsy? Is that going to be done or not?"

"We're trying to decide," Alexis said.

"Obviously it is the girls' safety that is the issue," Craig said.

"If it were to be done, when would it be?"

"The body is scheduled to be exhumed in the morning," Jack said. "I'll do the autopsy immediately, but the initial results will only involve gross pathology."

"That's very late in the course of events," Randolph said. "Perhaps it's not worth the effort or the risk. Tomorrow, after Dr. Bowman testifies, I'm certain the judge will rule that the plaintiff has met his burden. I will then present the defense, which will be the testimony of our experts. That means Friday morning will be closing arguments."

Jack's phone rang. He still had it in his hand, and it startled him. He quickly left the room before answering. It was Lou.

"I got ahold of Liam, and I told him the story and gave him the address. He's going to be right over with some of the Newton police. He's a good guy."

"Did you ask about the gun?"

"I did. He was not excited about the idea, but I gave him glowing reports about your integrity and all that bullshit."

"Well, what's the bottom line? Is he going to come through or what? If all goes well, they'll be digging up the body in the morning, and thanks to all these threats, I'll feel like a sitting duck."

"He said he'd fix you up, but he's going to hold me responsible."

"What does that mean?"

"I assume he's going to give you a gun, so be careful with the damn thing!"

"Thanks for the advice, Dad," Jack said. "I'll try my damnedest to shoot as few people as possible."

Jack returned to the family room. Craig, Alexis, and Randolph were still discussing the autopsy issues. The consensus had tripped in favor of still doing it despite the time constraint. The main argument from Randolph was the possibility of using any potentially significant findings to help with the appeal process, if an appeal became necessary, either to vacate the verdict, to obtain a new trial, or to allocate the award according to contributory negligence. Randolph called to everyone's attention that the records clearly documented that Patience Stanhope refused on several occasions against medical advice to have any more cardiac evaluation after her questionable ECG stress test.

When a break came in the conversation, Jack informed the group that Detective Lieutenant Liam Flanagan was on his way.

"We want you to do the autopsy if you are still willing," Alexis said to Jack, seemingly ignoring his statement.

"I gathered as much," he said. "I'm happy to do it if that's what you people want." He looked at Craig. Craig shrugged.

"I'm not going to go against the grain," Craig said. "With all the stress I'm under, I don't trust my judgment."

"Fair enough," Jack said. Once again, Jack felt Craig was demonstrating unexpected insight.

The doorbell rang again, and again Alexis ran to get it, saying it must be the grandparents. But for the second time she was wrong. Standing at the door were five policemen, two of which were in Newton Police Department uniforms. Alexis invited them into the house and led them to the great room.

"I am Detective Lieutenant Liam Flanagan," the big, red-faced Irishman said in a booming voice. He had bright, baby-blue eyes, and a smattering of freckles across his flat, prizefighter's nose. He proceeded to introduce the others, who included Detective Greg Skolar, officers Sean O'Rourke and David Shapiro, and crime-scene investigator Derek Williams.

As Liam made the introductions, Jack studied him. There was something familiar, as if Jack had met the man sometime in the past, yet he thought that unlikely. Suddenly, it came to him. When he had a chance to introduce himself to Liam, he asked, "Did I see you at the medical examiner's office this morning?"

"Yes, you did," Liam said effusively. He laughed. "Now I remember you. You went into the autopsy room."

After getting a brief overview of the incident at the Bowman residence, the crime-scene investigator and the two uniformed officers went off to check out the yard while there was still a little daylight. The sun had set, but it was not yet completely dark. The two detectives were mostly interested in the children, and the children responded to being the center of attention.

While that was going on, Randolph asked Craig if he was up to the rehearsal they'd planned for the following day's testimony.

"How necessary do you think it is?" Craig protested. He was understandably preoccupied.

"I'd say exceedingly crucial," Randolph commented. "Perhaps you should recall your performance during your deposition. It would be calamitous to repeat it in front of the jurors. It has become apparent that the opposing side's stratagem is to present you as an arrogant, uncaring M.D. who was more interested in getting to Symphony Hall on time with your trophy girlfriend than your seriously ill patient's welfare. We must prevent you from presenting yourself in any way that substantiates such allegations. The only way is to rehearse. You are a good doctor, but you are a poor witness."

Chastened by Randolph 's less-than-flattering assessment, Craig docilely agreed to a practice session. He interrupted the detectives long enough to tell the children he'd just be in the library.

Suddenly, Jack and Alexis found themselves regarding each other. At first they had been listening intently to the children's description of their ordeal, but when it became repetitious as the detectives diligently searched for any possible missed but significant information, their interest waned. In order to talk, they stepped back into the kitchen area.

"I want to say again how sorry I am about everything that has happened," Jack offered. "My intentions were good, but I've been more of a hindrance than a help."

"None of this could have been anticipated," Alexis said. "You needn't apologize. You have been an enormous help to me morale-wise, and also to Craig. He's been a different man since you've been here. In fact, I'm still shocked at the insight he expressed at lunch."

"I hope it's lasting insight. What about the girls? How do you see them reacting to this experience?"

"I'm not sure," Alexis admitted. "They're pretty together kids, despite their father generally not having been available as they've been growing up. On the other hand, I've been very close to each one. There's good communication. We'll just have to take it day by day and let them voice their feelings and concerns."

"Do you have any specific plans for them?"

"Mainly to get them to their grandparents. They adore their grandmother. They all have to sleep in the same room, which they usually complain about, but under the circumstances, I think it will be good for them."

"Are you going?"

"That had been what we were discussing when you came in. My inclination is to go. It's a way of acknowledging that their fears are legitimate, which is important. The last thing that should be done is to offer them platitudes that they'll be fine and they shouldn't have to be afraid. They should be afraid. It was obviously a very traumatizing ordeal. I thank God they weren't physically injured more than they were."

"How are you going to make your decision whether to go or not?"

"I'm probably going. The reason there was a question was because Craig voiced some interest in my staying and because Tracy said she didn't want me to go. You heard her. But I think it's teenage bluster. And as much as I'm concerned about Craig and his needs, if it comes down to an either-or decision, the kids win hands down."

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