Kathy Reichs - Break No Bones

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It's the second-to-last day of archaeological field school. Dr Temperance Brennan's students are working on a site of prehistoric graves on Dewees, a barrier island north of Charleston, South Carolina, when a decomposing body is uncovered in a shallow grave off a lonely beach… The skeleton is articulated, the bone fresh and the vertebrae still connected by soft-tissue; the remains are encased in rotted fabric and topped by wisps of pale, blond hair – a recent burial, and a case Tempe must take. Dental remains and skeletal gender and race indicators suggest that the deceased is a middle-aged white male – but who was he? Why was he buried in a clandestine grave? And what does the unusual vertical hairline fracture of the sixth cervical vertebrae signify? While Tempe is trying to piece together the evidence, her personal life is thrown into turmoil. When a bullet – intended, perhaps, for her – puts Tempe 's estranged husband Pete in hospital, her unexpectedly emotional response complicates her on-off relationship with Detective Andrew Ryan… But before long, another body is discovered – and Tempe finds herself drawn deeper into a shocking and chilling investigation, set to challenge her entire view of humanity…

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"I'm not in the mood, Ryan."

"I was thinking of Cruikshank's laptop."

"Gullet wants it back tomorrow."

"Want to take one last run at the password?"

"Yes." And there was something else I wanted to check into. Could it be?

"Did you find Cruikshank's police ID number?" Ryan asked.

"There's a badge, but the Charlotte PD doesn't number them."

"Did Cruikshank keep any other police equipment? A holster? Handcuffs? A handcuff key?"

"Yeah. Why?"

"Contrary to our glamorous public image, we in law enforcement aren't all that complex. Old cop trick: use your ID number as your password. Older cop trick: scratch your ID number onto your belongings."

Boyd and I set a land speed record bolting down the stairs. Ryan followed at a more dignified pace. By the time he'd joined us I'd hit pay dirt.

"Cruikshank scratched digits beside the keyhole." Thrusting the handcuffs at Ryan, I dashed to the desk, opened and booted the Dell. "Read them off."

Ryan did. I hit the keys. Black dots appeared in the little white window, then the screen changed to the Windows desktop.

"We're in!"

"Mailbox first?" Ryan asked.

I spent ten minutes poking around.

"The PC's set up for wireless, but there's no e-mail. I doubt Magnolia Manor's plugged in, so Cruikshank probably used coffee shops or libraries to access the Net. He's got hundreds of downloads. You might as well go back to bed."

"You sure?"

"This is going to take a while."

Ryan kissed my head. I heard footfalls on the carpet, then his tread on the stairs. Boyd stayed at my feet.

Everything faded from my consciousness but the softly lit monitor of a dead man's PC. Beyond its glow, Anne's picture window was a shiny black rectangle of glass. As I read file after file, a hard knot formed in my gut.

When I finally sat back, the window had gone gray, and the vast Atlantic was emerging from an early morning mist.

The hunt for explanations was over.

My guess had been correct. I knew. And the reality was as ruthless as any I'd imagined. But that would have to wait.

I had my own reality to contend with. I called the ICU. No change. No obvious improvement, but Pete was stable.

Try Katy again? No point. She'd get my message if she had her cell on. If she didn't, another call would just result in another message. If I didn't hear from her within a few hours, I'd call the university and ask for help in locating her.

I stretched out on the couch.

31

"YOU AWAKE?" I WHISPERED.

"I am now."

"People are being murdered for their organs."

"Uh-huh." Ryan stretched out a hand. I took it.

"Cruikshank figured it out."

Ryan propped himself up onto one elbow. His hair was tousled, and the baby blues were heavy with sleep.

"The idea crossed my mind, but it seemed so far out there I didn't even mention it."

"It's true."

"A drugged traveler wakes in an ice-filled bathtub? A college student comes to sporting stitches after a wild party?" Ryan's tone was beyond skeptical. "Organ theft stories have been making the rounds for years."

"What Cruikshank stumbled onto is far worse than any urban myth. People are being choked to death, Ryan. Their organs are being carved from their bodies."

"No way in hell."

I ticked off points on my fingers. "Inexplicably dead MPs. Skeletons with cut marks." Ryan started to speak. I blew past him to ring man. "Cut marks consistent with scalpel nicks. A sketchy doctor in the United States, with a med school classmate who's dropped off the map. A mysterious health spa in Mexico."

Ryan scootched up and put a pillow behind his head. "Show me."

Crawling under the covers, I sat Indian style, opened Cruikshank's laptop and rested it on my crossed ankles.

"Cruikshank spent a lot of time researching transplantation, black marketeering in organs, Charleston MPs, and a place called Abrigo Aislado de los Santos near Puerto Vallarta."

"The Mexican resort in the brochure?"

"Yeah," I snorted. "Last resort."

I nibbled a cuticle, debated how to take Ryan through this since I'd just begun to comprehend most of it myself.

"Since the early fifties, transplantation has become relatively common. A kidney or a portion of liver can be given by a living donor, even a single lung, though that's rare. Heart, cornea, double-lung, or pancreas transplants have to come from cadaverous donors.

"The problem is there aren't enough organs to go around. If you can use a live donor, you're better off. You might be compatible with a family member, a friend, or a charitable donor, though those are few and far between. If you need a cadaverous donor, you could sit for months, or even years."

"And die waiting."

"In the United States, those needing cadaverous donors become part of OPTN, the Organ Procurement and Transplantation Network, operated by an independent nonprofit organization called UNOS, the United Network for Organ Sharing. UNOS maintains a database of eligible transplant recipients, as well as information on all organ transplant centers throughout the country. UNOS also establishes policy with regard to priority and who gets which organs."

"How does a patient get into the network?"

"You have to find a transplant team qualified with UNOS. That team decides if you're a good candidate, physically and mentally."

"Meaning?"

"It's complicated, but drug and alcohol abusers and smokers are usually disqualified, for example. UNOS also ranks potential recipients based on health, urgency of need, compatibility, length of time on the list, that sort of thing. They want available organs used where they are likely to do the most good."

Ryan cut to the core. "So those rejected and those tired of waiting go outside the system."

"So-called brokers arrange sales of human organs to patients who can pay. Usually the sellers are willing participants. Kidneys are the most commonly traded, and, in most cases, it's poor people in developing countries selling their organs to the wealthy. The cost can run over one hundred thousand dollars, with the donor receiving only a fraction of that."

"This is widespread?"

"Cruikshank had tons of research on his computer. Some of his sources describe the kidney trade as a global phenomenon. Nancy Scheper-Hughes, a Berkeley anthropologist, has established an NGO called Organ Watch, which claims to have documented organ harvesting in Argentina, Brazil, Cuba, Israel, Turkey, South Africa, India, the United States, and the United Kingdom. Cruikshank also found information on Iran and China."

I clicked a few keys, and Ryan and I skimmed a report on the use of executed criminals as donors in China.

"You can actually purchase package deals." I opened a series of files and we both read in silence.

An Israeli-led syndicate offered transplant tours to Turkey and Romania for $180,000 U.S. A New York woman bought a kidney from a Brazilian donor, then traveled to South Africa for surgery at a private clinic at a total outlay of $65,000 U.S. A Canadian went to Pakistan in a cash-for-kidney deal costing $12,500 Canadian.

"Check out this Web site."

I clicked to another download. A Pakistani hospital described itself as a fifty-bed private facility in operation since 1992. The site offered a package that included three weeks' lodging, three daily meals, three presurgical dialysis sessions, donor expenses, surgery, and two days' post-discharge medication for $14,000 U.S.

"Tabarnac!" Ryan sounded as appalled as I felt.

"Most countries outlaw this, but not all. In Iran, for example, it's legal but regulated." I opened another file. "The U.S. National Organ Transplant Act of 1984 prohibits payment to those providing organs for transplantation. The Uniform Anatomical Gift Act allows individuals to specify that some or all of their body may be donated after their death. Nineteen eighty-seven revisions to the act prohibit the taking of payment for donated parts."

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