F. Wilson - The Select

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Wilson is one of the masters of the medical thriller.” (Larry King) A powerful read with a chilling premise about diabolical doctors (and big pharmaceutical companies)... as Quinn Cleary slowly discovers the grisly truth of the school's research...with the suspense mounting relentlessly until the satisfying conclusion. (Publisher's Weekly)
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"Yeah. It's got a magnetic code in that little strip at the end. That's the business end. Just stick it face up into the slot in the elevator and you'll be on your way."

"Okay. Thanks."

They do go a little overboard on their security here, Quinn thought as she headed for the elevators.

One of the pair was standing open when she got there. The car was deep—deep enough for a hospital bed. Inside on the control panel were six buttons for floors 1 through 5 plus the basement. Next to the 5 and the B were pairs of little indicator lights. The red one was glowing next to each. On a hunch, Quinn inserted her card—her key —into the slot above the row of buttons and pressed 5. To the accompaniment of a soft click, the red light next to 5 went off and its companion lit up green. The elevator doors closed and the car started up.

"All right," Quinn said, smiling as she removed the key and slipped it into her pocket. She had a key that let her go where only a select few were allowed. It was exciting. She felt as if she'd arrived, as if she belonged.

Stepping out on the fifth floor, she was lost for a moment. No one was in the hall and she didn't know where to turn. She tried to remember the layout from the tour last Christmas and got the feeling she should head to her right.

And then she saw the glass plate in the wall—the window onto the place called Ward C.

She stopped in the center of the hall. She'd forgotten completely about Ward C. Now it was all back, especially the eyes. She remembered peering through that window and meeting that pair of dull blue eyes staring up at her from within their gauze frame, remembered the questing look in them, remembered the tears as she'd moved away.

How had she forgotten? Why had she forgotten? Too painful a memory? Too disturbing?

As if in the grip of some invisible hand that had reached through the glass from the burn ward and taken hold of her, Quinn gravitated to the window. She couldn't resist. She stopped before it and gazed within.

It was the same...the gauze-swathed bodies on their air mattresses, still, white shapes under their sheets, the IVs, the feeding tubes, the catheters, the blue, green, red, yellow patches on their limbs and trunks, the nurses gliding among them like benevolent phantoms, turning them, examining them, ministering to their unspoken needs. Not a whisper of sound penetrated the glass...like watching a silent movie.

Quinn hesitated, then forced herself to look down at the bed directly before the window, fearing yet yearning for the sight of that same pair of blue eyes, wondering if that person were still here, still in pain, still alive.

The form on the bed by the window was sleeping. Yet even though the eyes were closed, Quinn knew it wasn't the same patient. This one seemed female. Smaller, narrower in the shoulders, a hint of breasts mounded under the gauze—

"Miss Cleary?"

Quinn spun, jolted by the voice. Dr. Emerson was standing behind her.

"I didn't mean to startle you, but they called from downstairs to let me know you were on your way up. When you didn't show..."

"I wasn't sure where to go."

He smiled. "My fault. I should have realized that and had someone watching for you." He glanced at the burn ward window. "This is where we first crossed paths, I believe."

Quinn remembered...the blue-eyed patient, his obvious pain, Dr. Emerson directing the nurse to medicate him.

"Yes. The orientation tour."

"And now you're back in the same spot."

"It's these patients. They're..."

Quinn didn't know how to express her feelings without sounding theatrical, but something about these unknown, faceless, helpless people was drawing her to them. She sensed a need in that ward, and an urge within herself to fulfill it.

"The other patients in the medical center next door come and go," Dr. Emerson said. "But these are our orphans, the homeless, the ones nobody wants. They need more care than a nursing home can provide, yet no hospital can afford to keep them. So they wind up here, at the Science Center, where they allow us to try experimental cures for their damaged skin."

Quinn swallowed. "Experimental?"

He laughed. "You say that as if we're mad scientists, Miss Cleary. All the patients here on Fifth are experimental subjects. They or their families have applied to come here. There's even a waiting list."

"For experimental treatment?"

"Every new drug and every therapeutic advance such as Dr. Alston's semi-synthetic skin grafts goes through exhaustive testing on mice and dogs and monkeys before it's even considered for use in a human being. And once all that testing has been reviewed by the FDA and found suitably safe, then it's tested in human volunteers. Very carefully tested."

Quinn glanced through the window. "But these—"

"Are all volunteers. Or have been given over to our care by their families. You hear about new AIDS drugs being tested. Who do you think they're tested on? AIDS victims. And cholesterol-lowering agents. Who are they tested on? People with high cholesterol. And on whom else can you test new skin grafts but burn victims? Here Dr. Alston and his staff have taken on the toughest burn cases, the ones who've been failed by conventional therapy." He moved up to the window and stared into the ward. His voice softened. "And for the residents of Ward C, The Ingraham is their last, best hope."

"Why the colored patches?" Quinn asked.

"Color coding for different strains of Dr. Alston's grafts. You see, he takes samples of a patient's healthy skin—and on some of these poor devils that's not easy to find—and grows sheets of new cells in cultures. Then he coats the micromesh he's synthesized with the patient's own DNA. The body's immune system does not react against it's own DNA, therefore there's no rejection of the mesh. The skin cells in the mesh begin to multiply, and soon you've got a patch of healthy skin. It's worked wonders in the animal studies. He's maybe two years away from approval by the FDA."

Quinn almost wished she were working for Dr. Alston. Dr. Emerson seemed to be reading her mind.

"I never told you, but your duties in my department will have an impact on the burn patients."

Quinn pointed through the window. "You mean—?"

He gestured down the hall. "Let me show you my lab and things will be clearer."

The prospect of dealing with real live patients pumped up Quinn's already soaring excitement as she accompanied Dr. Emerson down the hall. She followed him past the nurses station and through a narrow doorway.

"Not very glamorous, I'm afraid," he said. "But here's the front section of my little domain."

A small room, its walls lined with desks and computer terminals. A middle-aged woman was hunched over a keyboard, typing madly.

"Alice," Dr. Emerson said, touching her on the shoulder. "This is Quinn Cleary, the student assistant I told you about."

Alice turned and extended her hand to Quinn. She looked about fifty; she wore no make-up, had gray-streaked hair, and unusually dry skin. But her smile was warm and welcoming.

"Am I glad to see you ! Are you starting today?"

Quinn glanced at Dr. Emerson. "I'm not sure."

"You're on the payroll as of today," he said, "so you might as well."

"Great!" Alice said. "We're so backed up on data entry, you wouldn't believe! Take a seat and I'll—"

"I think I'll give her the tour first, Alice," Dr. Emerson said with a tolerant smile.

"Oh, right. Sure. Of course. Go ahead. I'll be here when you're through."

Dr. Emerson then led Quinn through a door at the rear of the office. Immediately she noticed a pungent odor. She sniffed.

"Still noticeable?" Dr. Emerson said.

"Something is."

"This used to be the vivarium. Lined with rat cages. But we moved the little fellows back down to the fourth floor. Not many left. We're long since past that stage." He gestured to the work stations where two technicians were measuring minute amounts of amber fluid into pipettes and inserting them into a wide assortment of autoanalytical machines. "This is where we used to sacrifice them. Now we've converted this area to analysis of the sera we draw from the patients."

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