Robin Cook - Critical

Laurie showered quickly and put on her usual small amount of makeup. As she did so, she thought about the evening before. It had gone badly at first, with both of them irritated at the other. But that had soon changed, and once again they'd agreed to disagree. Although Laurie said she didn't want to have anything to do with the operation itself, such as going with him to the hospital in the morning, she promised she'd be there in the afternoon to support him one hundred percent in his rehabilitation. He had been warned by Dr. Anderson that his mobility postsurgery would be restricted because he would be waking up with a device that would be constantly flexing and extending his knee, and that he would be attached to it for at least twenty-four hours.

Laurie dressed quickly While she had a quick bite to eat in the kitchen, she wrote a note for Jack, telling him she'd gone to work early and why, and asked him to have Dr. Anderson call her at the OCME when the procedure was done. She signed the note by telling him she loved him and that she'd see him around noon.

Unsure of where to put the note to be certain he saw it, Laurie took some tape from the kitchen and returned to the bathroom, using the door from the hall. They had designed the bathroom with two doors, one from the bedroom and one from the hall, for exactly this kind of situation when one of them was up before the other. With a piece of tape, she adhered the note to the center of the mirror such that there was no way he could argue he'd not seen it.

Getting her coat, key, the tray of slides, and her bag, Laurie opened the hallway door and was about to close it behind her when she remembered her cell phone was charging at her bedside table. For a moment, she debated whether she wanted to risk waking Jack. Believing Jack should get as much sleep as possible and that she would not need her cell, since she would be spending the first half of the day at her OCME desk and the second half in Jack's hospital room, she decided to forgo its convenience.

Outside, it was still dark with only a hint of dawn in the eastern sky, and the street was completely deserted in both directions. Thinking it would have been wiser to have called a radio cab, Laurie hesitated on the front stoop. But not wanting to take the time now that she was already down, she ran toward Columbus Avenue. In her experience, it was a lot easier getting a taxi there than on Central Park West, and she was proved to be correct as one pulled to the curb the moment she extended her hand.

As the cab zipped downtown in the nearly empty streets, Laurie admitted to herself that April 5, 2007, was not going to be a day she would ever want to relive. The level of general anxiety she was experiencing was as high as she'd ever felt, evidenced by the abdominal distress she'd suffered after eating her skimpy breakfast, which was now being made worse by the jolting and rocking of the taxi. At one point she sensed she was about to vomit, but it passed. It was with definite relief that the taxi finally reached the OCME. Laurie directed the driver to the side of the building and down the ramp to the receiving dock. Still queasy, Laurie quickly paid the fare and climbed out.

She waited a half-minute or so to let a mild wave of dizziness dissipate, then mounted the stairs to the receiving dock. As she passed down the hall, she said hello to the night security man in his cubbyhole office. Surprised to see her, Mr. Novak jumped up from his desk, poked his head out, and called down to Laurie, who'd already reached the back elevator. "Good morning, Dr. Montgomery," he called. "What brings you in so early?"

"Just a little extra work," she lied. She waved as she boarded.

Laurie stopped again on the second floor, as she had the evening before. She bought herself a cup of vendor coffee. Strangely, coffee tended to calm her stomach. At least it had in the past.

Laurie turned on her office light, and after hanging up her coat, she surveyed her cluttered desk. Her microscope still occupied center stage. The piles of case files and hospital records looked daunting. Her matrix was balanced on the top of one of them.

After putting her scope to the side along with the trays of slides, Laurie sat down. She moved the matrix in front of her. Before beginning, she opened the lid of the coffee and took a tentative sip. A grimace followed by reflex. It wasn't because it was too hot, which was what she feared, but because it tasted horrid. If she hadn't known, she wouldn't have even suspected it was coffee. With the lid replaced, she put it aside, intending to go down to the ID room when she thought Vinnie would have the communal coffee made.

Laurie then took the next case file and hospital record and set to work. Not quite an hour later, the phone rang. As much as she'd been concentrating combined with the near-absolute silence of the deserted fifth floor, the phone's old-style raucous jangle totally startled her. She answered it in a panic before she'd even had a chance to guess who it might be. It was Jack.

"What time did you leave?" he asked.

"I'm not sure. It was three-fifteen when I got up."

"Why didn't you wake me? I missed you when I awoke a few minutes ago."

"I wanted you to get as much sleep as you could."

"Are you exhausted?"

"I've been exhausted for days. Luckily, I didn't have any trouble getting to sleep."

"I'm glad we talked again last night," Jack said, "even if I wasn't when we began."

"I'm glad, too."

"Well, I had better jump into the shower with my antibiotic soap. I'm supposed to be over there at six-fifteen, and it's already twenty after five."

"I forgot to ask: How long does this patella tendon graft take?"

"Dr. Anderson told me a little more than an hour."

"I'm impressed. That's fast."

"He does them so often, he's got it down to a science."

"I'll see you around noon," Laurie said.

"I love you."

"I love you, too," Laurie closed. She heard the click. It sounded so final. Slowly, she replaced the receiver. What was the day going to bring? she asked herself uneasily. She wished she'd hung up first, because she kept hearing the metaphoric disturbing finality of the click over and over in the depths of her brain.

Shaking off any morbid thoughts engendered by the phone, Laurie went back to her matrix, taking yet another case file and its accompanying hospital record from the slowly dwindling stack. To keep from thinking about anything other than the busywork of data entry, Laurie kept at her task compulsively, as if it were a life-or-death necessity. Close to seven, she had only two more to go when Riva arrived.

"What on earth are you doing here so early?"

"I couldn't sleep," Laurie said. "I thought I might as well work."

Riva looked over her shoulder at Laurie's nearly complete matrix. "Very impressive! Have you learned anything earth-shattering?"

"Hardly" Laurie said. She thought for a moment about telling Riva about the unknown and possibly infectious agent she'd found microscopically but then changed her mind. Riva would undoubtedly want to see it, and Laurie was intent on finishing her matrix.

"Are you still planning on a paper day today?" Riva questioned.

"Absolutely," Laurie said. "I want to finish what I'm doing and then go over to see Jack. He's having his surgery today."

"Oh, that's right," Riva said. "I'd forgotten. I don't have Jack to schedule, either. I'd better get down there and see what's come in overnight."

By seven-twenty-five, Laurie had finally made the last entry. She held the matrix up. It was quite extensive, with every known variable she had been able to conjure up to compare the cases.

Quickly she scanned the document, looking for gross, unexpected commonalities among the twenty-five cases that might suggest the how and the why the patients had gotten infected. But nothing seemed to jump out until she looked back at the column for date of surgery. Having always had a facility with mathematics and numbers in general, there seemed to be a pattern. Believing it was only some sort of coincidence, Laurie got out her daily calendar and translated the dates of her series into days of the week. To her surprise, there was a pattern in that all the eye or cosmetic cases were on Tuesday, the heart cases were on Wednesday or Friday, and the orthopedic cases were on Monday or Thursday. With her knowledge of statistics, Laurie immediately knew that twenty-five cases were not nearly enough to give any credence whatsoever to her finding, yet she found it curious.