Robin Cook - Acceptable Risk

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With billions of dollars at stake, every scientist in America is fighting to discover the next Prozac, the latest "feel good" drug. Using bacterial mould first uncovered during the Salem witch trials, Edward Armstrong isolates a stunningly effective anti-depressant.

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“That’s exactly how I felt,” Edward said. “What about the choking sensation?”

“What choking sensation?” Stanton asked.

“You were complaining about a choking sensation,” Edward said. “You were also complaining about being bitten by insects.”

“I don’t remember that at all,” Stanton said.

“Well, no matter,” Edward said. “The point is we know that compound B is definitely hallucinogenic. Let’s see about the last one.”

Edward took his dose. As they did with Eleanor, they waited for several minutes. Nothing happened.

“One for three is fine with me,” Edward said. “Now we know which of the alkaloids we will concentrate our efforts on.”

“Maybe we should just bottle this stuff and sell it the way it is,” Stanton joked. “The sixties generation would have loved it. I mean I feel great, almost euphoric. Of course, maybe I’m just reacting to the relief of the ordeal being over. I have to admit I was scared.”

“I thought I experienced some euphoria as well,” Edward said. “Since we both felt it, maybe it’s a result of the alkaloid. One way or the other, I’m encouraged. I think we’ve got a psychedelic drug with some calming properties as well as some amnestic properties.”

“What about this clairvoyant feeling?” Stanton asked.

“I’d like to think that is a reflection of an increase in overall brain function,” Edward said. “In that sense perhaps it could have some antidepressant effect.”

“Music to my ears,” Stanton said. “Tell me, what’s the next step with this compound?”

“First we’ll concentrate on its chemistry,” Edward said. “That means structure and its physical properties. Once we have the structure we will work out the drug’s synthesis to obviate our reliance on extracting it from the mold. Then we’ll move on to physiological function as well as toxicity studies.”

“Toxicity?” Stanton questioned. He blanched.

“You had a minuscule dose,” Edward reminded him. “Not to worry. You’ll have no problems.”

“How will you analyze the drug’s physiological effects?” Stanton asked.

“It will be a multilevel approach,” Edward said. “Remember, most compounds with a psychedelic effect function by imitating one of the brain’s neurotransmitters. LSD, for example, is related to serotonin. Our studies will start with single-cell neurons, then move on to synaptosomes, which are ground-up, centrifuged live brain preparations, and finally involve intact neural cell systems like the ganglions of lower animals.”

“No live animals?” Stanton asked.

“Eventually,” Edward said. “Mice and rats most likely. Also perhaps some monkeys. But that’s down the line. We’ve got to look at the molecular level as well. We’ll have to characterize binding sites and message transduction into the cell.”

“This sounds like a multiyear project,” Stanton said.

“We’ve got a lot of work to do,” Edward said. He smiled at Eleanor. Eleanor nodded in agreement. “It’s damn exciting, though. It could be a chance of a lifetime.”

“Well, keep me informed,” Stanton said. He got to his feet. He took a few tentative steps to test his balance. “I have to say, I do feel great.”

Stanton got as far as the door to the lab when he turned around and returned. Edward and Eleanor had already begun work. “Remember,” he said. “You promised to read that damn prospectus, and I’m going to hold you to it no matter how busy you are.”

“I’ll read it,” Edward said. “I just didn’t say when.”

Stanton made his hand into a pistol and put it to his head and pretended to shoot.

“Kim, you have a call on line one,” the ward clerk called out.

“Take a message,” Kim shouted back. She was at the bedside of a particularly sick patient, helping the nurse assigned to the case.

“Go take your call,” the nurse said. “Thanks to you, things are under control here.”

“Are you sure?” Kim asked.

The nurse nodded.

Kim scooted across the center of the surgical intensive-care unit, dodging a traffic jam of beds. Patients had been coming and going all day. She picked up the phone, expecting either the chemistry lab or the blood bank. She had calls in to both places.

“I hope I’m not catching you at a bad time?” a voice asked.

“Who is this?” Kim demanded.

“George Harris, your Salem contractor. I’m returning your call.”

“I’m sorry,” Kim said. She’d forgotten she’d placed the call several hours earlier. “I didn’t recognize your voice.”

“I apologize for taking so long to get back,” George said. “I’ve been out at the site. What can I do for you?”

“I wanted to know when the trench will be filled in,” Kim said. The question had occurred to her the day before and had produced some anxiety. Her concern was what she’d do if the trench was filled in prior to Elizabeth’s head being returned to her coffin.

“Probably tomorrow morning,” George said.

“So soon?” Kim exclaimed.

“They’re laying the utilities as we speak,” George said. “Is there a problem?”

“No,” Kim said quickly. “I just wanted to know. How’s the work going?”

“No problems,” George said.

After cutting the conversation short and hanging up, Kim called Edward immediately. Her anxiety mounted as the connection went through.

Getting Edward on the phone was no easy task. At first the secretary refused even to try to locate him, saying she’d take a message and Edward would call back. Kim insisted and finally prevailed.

“I’m glad you called,” Edward said the moment he came on the line. “I’ve got more good news. We’ve not only separated the alkaloids, but we’ve already determined which one is psychoactive.”

“I’m happy for you,” Kim said. “But there is a problem. We have to get Elizabeth’s head back to Salem.”

“We can take it up on the weekend,” Edward said.

“That will be too late,” Kim said. “I just spoke with the contractor. He told me the trench is to be filled in the morning.”

“Oh, jeez,” Edward exclaimed. “Things are moving here at breakneck speed. I hate to take the time off. Can’t they wait and fill the trench after the weekend?”

“I didn’t ask,” Kim said. “And I don’t want to. I’d have to have a reason, and the only reason would involve the coffin. The contractor is in touch with my father, and I don’t want him to have any notion that the grave has been violated.”

“Damn it all,” Edward said.

There was an uncomfortable pause.

“You promised you’d have that thing back ASAP,” Kim said finally.

“It’s just the timing,” Edward said. Then, after a slight, pause, he added: “Why don’t you take it up yourself?”

“I don’t know if I could,” Kim said. “I didn’t even want to look at it, much less handle it.”

“You don’t have to handle it,” Edward said. “All you have to do is take the end of the coffin off and stick the box inside. You don’t even have to open the box.”

“Edward, you promised,” Kim said.

“Please!” Edward said. “I’ll make it up to you somehow. It’s just that I am so busy at the moment. We’ve started to analyze the structure.”

“All right,” Kim said. When someone close to her asked her to do something, it was hard for her to say no. It wasn’t that she minded the drive to Salem. She knew she should check the progress at the construction site as often as possible. Maybe slipping the box into the coffin wouldn’t be that bad.

“How am I going to get the box?” she asked.

“I’ll make it easy for you,” Edward said. “I’ll send it over to you by messenger so you’ll have it before you finish work. How’s that?”

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