"Good afternoon, Sister," he said, his gloved hands lifting the chart off the foot of the bed. Temperature 41.4, despite the ice. Pulse rapid at 115. Respiration 24 and shallow. Blood pressure was starting to fall from the internal bleeding. The patient had received a further four units of whole blood—and probably lost at least that much, most of it internally. Her blood chemistry was starting to go berserk. The morphine was as high as he could prescribe without risking respiratory failure. Sister Jean Baptiste was semiconscious—she should have been virtually comatose from the drugs, but the pain was too severe for that.
Maria Magdalena just looked over at him through the plastic of her mask, her eyes beyond sadness into a despair that her religion forbade. Moudi and she had seen all manner of deaths, from malaria, from cancer, from AIDS. But there was nothing so brutally cruel as this. It hit so fast that the patient didn't have the time to prepare, to steel the mind, to fortify the soul with prayer and faith. It was like some sort of traffic accident, shocking but just long enough in duration for the suffering to—if there were a devil in creation, then this was his gift to the world. Physician or not, Moudi put that thought aside. Even the devil had a use.
"The airplane is on the way," he told her.
"What will happen?"
"Professor Rousseau has suggested a dramatic treatment method. We will do a complete blood-replacement procedure. First the blood supply will be removed completely, and the vascular system flushed out with oxygenated saline. Then he proposes to replace the blood supply completely with whole blood in which he has Ebola antibodies. Theoretically, in this way the antibodies will attack the virus systemically and simultaneously."
The nun thought about that. It wasn't quite as radical as many would imagine. The total replacement of a body's blood supply was a procedure dating back to the late 1960s, having been used in the treatment of advanced meningitis. It wasn't a treatment that could be used routinely. It required a heart-lung-bypass machine. But this was her friend, and she was well past thinking of other patients and practicality.
Just then, Jean Baptiste's eyes opened wide. They looked at nothing, unfocused, and the very slackness of the face proclaimed her agony. She might not even have been conscious. It was just that the eyes could not remain closed in severe pain. Moudi looked over at the morphine drip. If pain had been the only consideration, he might well have increased it and taken the risk of killing the patient in the name of mercy. But he couldn't chance it. He had to deliver her alive, and though her fate might be a cruel one, he hadn't chosen it for her.
"I must travel with her," Maria Magdalena said quietly.
Moudi shook his head. "I cannot allow that."
"It is a rule of our order. I cannot allow her to travel unaccompanied by one of us."
"There is a danger, Sister. Moving her is a risk. In the aircraft we will be breathing recirculated air. There is no need to expose you to the risk as well. Her virtue is not in question here." And one death was quite enough for his purposes.
"I have no choice."
Moudi nodded. He hadn't chosen her destiny either, had he? "As you wish."
THE AIRCRAFT LANDED at Jomo Kenyatta International Airport ten miles outside Nairobi and taxied to the cargo terminal. It was an old 707, once part of the Shah's personal fleet, the internal furnishings long since ripped out to reveal a metal deck. The trucks were waiting. The first of them backed up to the rear door, located on the right side, which opened a minute after the chocks secured the wheels in place on the ramp.
There were a hundred fifty cages, in each of them an African green monkey. The black workers all wore protective gloves. The monkeys, as if sensing their fate, were in an evil mode, using every opportunity to bite and scratch at the handlers. They screeched, urinated, and defecated as well, but to little avail.
Inside, the flight crew watched, keeping their distance. They wanted no part of the transfer. These noisy, small, nasty little creatures might not have been designated as unclean by the Koran, but they were clearly unpleasant enough, and after this job was over, they'd have the aircraft thoroughly washed and disinfected. The transfer took half an hour. The cages were stacked and tied down in place, and the handlers moved off, paid in cash and pleased to be done with the job, and their truck was replaced by a low-slung fuel bowser.
"Excellent," the buyer told the dealer.
"We were lucky. A friend had a large supply ready to go, and his buyer was slow getting the money. In view of this…"
"Yes, an extra ten percent?"
"That would be sufficient," the dealer said.
"Gladly. You will have the additional check tomorrow morning. Or would you prefer cash?"
Both men turned as the 707 lit off its engines. In minutes it would take off, this flight a short hop to Entebbe, Uganda.
"I DON'T LIKE the smell of this," Bert Vasco said, handing the folder back.
"Explain," Mary Pat commanded.
"I was born in Cuba. Once my dad told me about the night Batista bugged out. The senior generals had a little meeting and started boarding airplanes, quick and quiet, off to where their bank accounts were, and left everybody else holding the bag." Vasco was one of the State Department people who enjoyed working with CIA, probably as a result of his Cuban birth. He understood that diplomacy and intelligence each worked better when working together. Not everyone at Foggy Bottom agreed. That was their problem. They'd never been chased out of their homelands.
"You think that's what's happening here?" Mary Pat asked, beating Ed by half a second.
"That's the morning line from where I sit."
"You feel confident enough to tell the President that?" Ed Foley asked.
"Which one?" Vasco asked. "You should hear what they're saying over at the office. The FBI just took over the seventh floor. That has things a little shook up. Anyway, yes. It's just a guess, but it's a good guess. What we need to know is, who, if anyone, has been talking to them. Nobody on the ground, eh?"
The Foleys both looked down, which answered the question.
"MR. RYAN'S ALLEGATIONS show that he's learned the shabby part of politics faster than the proper ones," Kealty said, in a voice more hurt than angry. "I had honestly expected better of him."
"So, you deny the allegations?" ABC asked.
"Of course I do. It's no secret that I once had an alcohol problem, but I overcame it. And it's no secret that my personal conduct has at times been questionable, but I've changed that, too, with help from my church, and the love of my wife," he added, squeezing her hand as she looked on with soft compassion and ironclad support. "That really has nothing to do with the issue here. We have to place the interests of our country first. Personal animosity has no place in this, Sam. We're supposed to rise above that."
"You bastard," Ryan breathed.
"This is not going to be pleasant," van Damm said.
"How can he win, Arnie?"
"Depends. I'm not sure what game he's playing."
"— could say things about Mr. Ryan, too, but that isn't the sort of thing we need to do now. The country needs stability, not discord. The American people are looking for leadership—experienced, seasoned leadership."
"Arnie, how much has this—"
"I remember when he'd fuck a snake, if somebody held it straight for him. Jack, we can't think about that sort of thing. Remember what Alien Drury said, this is a town in which we deal with people not as they are, but as they are reputed to be. The press likes Ed, always has. They like him. They like his family. They like his social conscience—"
"My ass!" Ryan nearly shouted.
"You listen to me right now. You want to be the President? You're not allowed to have a temper. You hold on to that thought, Jack. When the President loses his temper, people die. You've seen how that happens, and the people out there want to know that you are calm and cool and collected at all times, got it?"