Tocco followed, wagging her tail in anticipation of a walk.
He eyed the water pipes and saw the face that had haunted him since 1989.
Purple, swollen, and twisted, the image of it lurked at the core of his memory, always ready to intrude without warning, triggered by the slightest of associations. It could happen while he presented a paper, listened to accolades from younger colleagues, even appeared once in the middle of an interview on Oprah. Like an avenging ghost, it haunted him, particularly the bulging eyes. Their black scrutiny bored through his pupils and, like probes, activated what no anatomist could find- the convoluted cerebral coils of gray and white matter that housed conscience. Because that cold lifeless stare forced him to relive his treachery, admit to the innuendos and whispered lies that had been the ruin of the phantom who looked on him so accusingly. His only sure respite from the curse? When a case consumed him in ICU.
He ran back upstairs, Tocco whining at his heels. When he went out the front door without her, she barked her disappointment.
He rocketed his car out of the driveway and sped toward the hospital.
ICU, he thought. He'd be okay there.
Wednesday, July 16, 2:33 a.m.
Jane Simmons awoke in her bed with a cry on her lips, pain ripping through her abdomen.
"Christ!" she moaned, grabbing her stomach and curling into a ball. "Thomas!"
Then she remembered. He'd gone back to ER to relieve the resident who'd replaced him for a few hours. Since the Sunday revelation, much to her pleasure, he'd adjusted his schedule so that they could have dinner together the last three evenings.
Another cramp hit, twisting her intestines as if they were caught in a wringer. "Jesus!" she groaned, curling tighter. Must be something they'd eaten.Tonight she had picked up fresh snapper. It had looked fine, and she'd cooked it thoroughly. But she'd also made potato salad, so it could have been the mayonnaise. Nothing else would have done it. They'd drunk only fresh fruit punch- no alcohol, of course. He'd brought back lemons and grapefruit this time, enough for a pitcherful.
"A toast," she'd said, insisting the third supper in a row on using the champagne glasses kept for special occasions.
"Shucks, here's how we do it in Tennessee," he'd joked, and took a big swig directly from the jug as he usually did, just to tease her.
"Grand Forks too, but only behind the barn," she'd tossed back, and she chugged it with him, slug for slug, determined not to be outdone, but then insisted they fill the glasses to the brim and toast each other in proper style, raising them to each other, to the baby-
"Oh, my God!" she screamed.
Another surge, this one stronger than the others, gripped her like giant hands tearing her in two. Between her thighs she felt slippery, warm, and sticky. Her hand instinctively flew to her groin, and a flow of hot fluid coursed between her fingers.
"God, no," she whimpered, reaching for the light switch and bracing for what she'd see.
Nothing could have prepared her.
A circular red stain between her legs kept spreading, from beneath her hips to below her knees. With each surge of pain another swell of blood gushed from her vagina. In the middle of it all lay the crimson detritus of what had been her baby.
She let out a cry, reached toward it, then restrained herself.
More waves of pain jackknifed her into the fetal position again, and the periphery of her vision grew dark.
Head reeling, she uncoiled enough to reach the phone and tried to punch in 911. Her fingers slid off the keys from all the blood.
Michael Popovitch stepped outside the ER's exit door and loosened his mask. The cool night, still moist from rain an hour earlier, s me I led sweet. He stayed near the changing area-"limbo," as the residents called it, the zone between the safety of the outside world and the infected realm of the hospital. He always figured that this was where the battle would be won or lost. Sooner or later, despite all the precautions, someone would carry the virus into the street, take it home, spread it to family, to friends, to everyone.
He drew a deep breath and, freed from the stuffy confines of his mask, enjoyed the heady freshness of inhaling air unencumbered as much as he'd once savored the rush of nicotine from his smoking days. A faint sound like a wheeze rose and fell in the distance, then repeated itself, rising and falling as regular as breathing.
An ambulance on its way in.
Five minutes out, he judged, sound carrying far through the city when it slept.
He leaned against the wall and looked up at the stars. Patches of twinkling silver had opened amidst traces of clouds that still lingered overhead. Probably would be clear tomorrow. Rather than sleep off his shift, he'd take Terry and Donna to the beach.
It might be a good break for the three of them.
The quarrels between himself and Donna couldn't be good for the kid. They didn't throw things or physically hurt each other, but tension filled the house, thick and as smothering as a pillow to the face.
He remembered those kinds of times between his own parents. Hadn't scarred him, he figured. But they'd made him unhappy. The big difference was that his mom and dad had known how to end them. Unless he quit ER, the trouble between him and Donna would go on for as long as SARS lasted, which could be forever.
Sometimes she wouldn't even sleep with him. She cringed every time he picked up Terry, and found every excuse she could to take the kid to her mother's. And each time news broke of another nurse or doctor coming down with it, she looked at him as if he were a murderer.
He could leave St. Paul's, go to a place that hadn't been infected yet. But it wouldn't be that simple. SARS could pop up anywhere. Probably would. And besides, if whoever replaced him here got involved with his files, they'd see what he'd been doing-
The door bashed open, startling him out of his thoughts.
"Dr. Popovitch!" Thomas Biggs said, breathless as he leaned out the opening. "We just got a heads-up from an ambulance. They're bringing us a woman in shock, big time, from a miscarriage."
Michael pushed off from the wall. The wail sounded much louder now, approaching faster than he estimated. They must be really gunning it. "You got everything ready inside?"
Thomas nodded.
Michael felt his heart quicken, the way it did from the first day he stepped into ER and the sirens drew closer. The only thing that had changed was that he'd learned to channel the adrenaline, stream it through his head to clear his thoughts and sharpen his reflexes. He entered a zone where he would react without doubts, second-guessing, or hesitation, a purity of moment he found only in the pit. As that telltale wail swelled louder, the stiller he grew.
Thomas, like all rookies, fidgeted with increasing restlessness but stayed outside.
As they stood waiting, a familiar dark Mercedes pulled into the doctors' parking lot, and Stewart Deloram got out.
"What's he doing here?" Thomas muttered. "Anyone who took the pasting he did should be at home hiding under his bed."
"Then you don't know Stewart," Michael replied, and waved at him.
Stewart saw them, then looked over his shoulder in the direction of the howling siren, so close now the shriek had set up a slight vibration in Michael's ear.
"Waiting for something special?" Stewart called, heading toward the other side of the ambulance bay and the door designated for people entering the hospital.
"Woman in shock," Michael said, "from a possible miscarriage."
Stewart used his card to open the lock. "Mind if I help?" He reached inside the entranceway and pulled a clean gown off a cart stacked with protective wear.
"It's an OB case," Thomas said, fixing his eyes on the oil-stained asphalt that separated them. His tone of voice hinted that Stewart should mind his own business.
Needless to say, the resident had already passed judgment on the man.