Robin Cook: Blindsight

“Beats me,” Vinnie said. “But the guys going off the graveyard shift told me that Bingham came in around six. Paul must have called him.”

“This case gets more intriguing by the minute,” Laurie said. Dr. Harold Bingham, age fifty-eight, was the Chief Medical Examiner of New York City, a position that made him a powerful figure in the forensic world. “I think I’ll duck into the pit and see what’s happening.”

“I’d be careful if I were you,” Vinnie said, struggling to fold his paper. “I was thinking of going in there myself, but the word is that Bingham is in a foul mood. Not that that’s so out of the ordinary.”

Laurie nodded to Vinnie as she left the room. To avoid the mass of reporters in the reception area, she took the long route to the elevators, walking through Communications. The secretaries were too busy to say hello. Laurie waved to one of the two police detectives assigned to the medical examiner’s office who was sitting in his cubbyhole office off the communications room. He, too, was on the phone.

After going through another doorway, Laurie glanced into each of the forensic medical investigators’ offices to say good morning, but no one was in yet. Reaching the main elevators, she pushed the up button and as usual had to wait while the aged machine slowly responded. Looking down the hall to her right, she could see the mass of reporters seething in the reception area. Laurie felt sorry for poor Marlene Wilson.

As she rode up to her office on the fifth floor, Laurie thought about the meaning of Bingham’s early presence not only at the office but also in the autopsy room. Both occurrences were rare and they fanned her curiosity.

Since her office-mate, Dr. Riva Mehta, was not yet in, Laurie spent only minutes in her office. She locked her briefcase, purse, and lunch in her file cabinet, then changed into green scrub clothes. Since she wasn’t going to do an autopsy herself, she didn’t bother putting on her usual second layer of protective, impervious clothing.

Back in the elevator Laurie descended to the basement level, where the morgue was located. This was not a basement in the true sense because it was actually the street level from the building’s Thirtieth Street side. A loading dock from Thirtieth Street was the route bodies arrived and left the morgue.

In the locker room, which she rarely used as such, preferring to change in her office, Laurie got shoe covers, apron, mask, and hood. Thus dressed as if she were about to perform surgery, she pushed through the door into the autopsy room.

The “pit,” as it was lovingly called, was a medium-sized room about fifty feet long and thirty feet wide. At one time it had been considered state of the art, but no longer. Like so many other city agencies, its much-needed upkeep and modernization had suffered from lack of funds. The eight stainless steel tables were old and stained from countless postmortems. Old-fashioned spring-loaded scales hung over each table. A series of sinks, countertops, X-ray view boxes, ancient glass-fronted cabinets, and exposed piping lined the walls. There were no windows.

Only one table was in use: the second from the end, to Laurie’s right. As the door closed behind Laurie all three gowned, masked, and hooded doctors grouped around the table raised their heads to stare at her for a moment before returning to their grisly task. Stretched out on the table was the ivory-colored, nude body of a teenage girl. She was illuminated by a single bank of blue-white fluorescent bulbs directly overhead. The lurid scene was made worse by the sucking noise of water swirling down a drain at the foot of the table.

Laurie felt a strong intuition she should turn around and leave, but she fought the feeling. Instead she advanced on the group. Knowing the people as well as she did, she recognized each despite their coverings, which included goggles as well as masks. Bingham was on the opposite side of the table, facing Laurie. He was a stocky man of short stature with thick features and a bulbous nose.

“Goddamn it, Paul!” Bingham snapped. “Is this the first time you’ve done a neck dissection? I’ve got a news conference scheduled and you’re mucking around like a first-year medical student. Give me that scalpel!” Bingham snatched the instrument from Paul’s hand, then bent over the body. A ray of light glinted off the stainless steel cutting edge.

Laurie stepped up to the table. She was to Paul’s right. Sensing her presence, he turned his head, and for an instant their eyes met. Laurie could tell he was already distraught. She tried to project some support with her gaze, but Paul averted his head. Laurie glanced at the morgue tech who avoided looking her way. The atmosphere was explosive.

Lowering her eyes, Laurie watched what Bingham was doing. The patient’s neck had been opened with a somewhat outdated incision that ran from the point of the chin to the top of the breastbone. The skin had been flayed and spread to the side like opening a high-necked blouse. Bingham was in the process of freeing the muscles from around the thyroid cartilage and the hyoid bone. Laurie could see evidence of premortal trauma with hemorrhage into the tissues.

“What I still don’t understand,” Bingham snapped without looking up from his labors, “is why you didn’t bag the hands at the scene? Could you please tell me that?”

Laurie’s eyes again met Paul’s. She knew instantly that he had no excuse. She wished she could have helped him, but she didn’t see how she could. Sharing her colleague’s discomfort, Laurie stepped away from the table. Despite having made the effort to get dressed to observe, Laurie left the autopsy room. There was just too much tension to make it worth staying. She didn’t want to make the situation any worse for Paul by giving Bingham more of an audience.

Returning back upstairs after peeling off her outer layer of protective clothing, Laurie sat down at her desk and got to work. The first order of business was to complete what she could on the three autopsies that she’d done on Sunday. The first of the cases had been the twelve-year-old boy. The second case was clearly a heroin overdose, but she reviewed the facts. Drug paraphernalia had been found with the victim. The victim had been a known heroin addict. At autopsy his arms had showed multiple sites of intravenous injection, old and new. On his right upper arm he’d had a tattoo: “Born to Lose.” Internally he’d shown the usual signs of asphyxial death with a frothy pulmonary edema. Despite the fact that laboratory and microscopic studies were still pending, Laurie felt comfortable with her conclusion that the cause of death was drug overdose and the manner of death was accidental.

The third case was far from clear. A twenty-four-year-old woman flight attendant had been discovered at home in a bathrobe, having apparently collapsed in the hallway outside her bathroom. She’d been found by her roommate. She’d been healthy and had returned home from a trip to Los Angeles the previous day. She was not known to be a drug user.

Laurie had done the autopsy but had found nothing. All her findings were completely normal. Concerned about the case, Laurie had one of the medical investigators locate the woman’s gynecologist. Laurie had spoken with the man and had been assured the woman had been entirely healthy. He’d seen her last only months before.

Having had a similar case recently, Laurie had instructed the medical investigator to go to the woman’s apartment and bring back any personal electrical appliances found in the woman’s bathroom. Sitting on Laurie’s desk was a cardboard box with a note from the medical investigator, saying that the enclosed was all she could find.

Using her thumbnail, Laurie broke through the tape sealing the box, lifted the flaps, and peered inside. The box contained a blow dryer and an old metal curling iron. Laurie lifted both devices from the box and laid them on her desk. From the lower right-hand drawer of the desk, Laurie lifted out an electrical testing device called a voltohmmeter.