In a film or TV show, everything would be okay, but Louisa knows better. Statistically, her chance of saving her is only about fifty-fifty.
She starts with mouth-to-mouth and is already working chest compressions when the crash team and their portable defibrillator arrive.
Louisa steps back. ‘She seemed to have some kind of fit. When I came in, she’d blacked out and wasn’t breathing.’
‘Probably asystolic,’ says a young male doctor. ‘We’ll see what we can do for her.’ He turns to two nurses. ‘Hook up the machine; get me Vasopressin as well.’
Louisa drifts to the rear of the room as they lift Anna back on to the bed and start the fight to save her life.
‘She’s flatlined!’ shouts a nurse.
Anna’s gown is pulled open. Electrodes are stuck above the right and below the left breast. Controlled electric shocks juice into her.
‘Nothing so far.’
Louisa looks down and sees her hands are shaking, something they’ve not done since she was in med school.
She’d give anything right now for a good slug of brandy and a long draw on a cigarette, or maybe something even stronger.
‘Again!’ someone shouts.
Louisa takes a deep breath. It’s an old machine, manually run, not like the AEDs in the main wards.
Defib seldom works first time.
They have to get the shock level right, so they often go in with too low a charge.
The second or third go should do it.
‘Again!’
Bodies scuffle around the bed.
Hands seem to be all over Anna, eyes stuck to monitors recording vital signs.
‘Again!’ They all step back once more and watch in frozen hope.
Then they’re on her again. Devouring information. Checking her heartbeat, her pulse, her eyes.
More CPR.
A long silence.
‘Call it.’
Louisa can’t believe what she’s just heard.
Two words. Said in a depressingly calm tone.
‘Call it.’
A male wrist juts out from the scrum of green scrubs. ‘Time of death: 11.55.35.’
The room starts to sway.
Louisa has to sit before she falls.
She watches the crash team swirl around the bed until they become just a tilting haze.
Anna is dead.
81
Valducci surprises her.
He turns out to be a perfect boss and gentleman.
No lecture, no bawling out, no horrible speculation about what happens next.
Just a glass of brandy. An offer of tissues. And the insistence that Louisa goes home.
She doesn’t have to be told twice.
She walks from the psychiatric block to her car and pauses to take in as much fresh air as possible.
Anna’s dead.
She tries to block it out.
Unless she’s mistaken, it’s a little warmer than yesterday. She looks at the bare branches of the silver birch trees around her. No buds. No sign of spring. But it really can’t be that far off.
Anna’s dead.
The thought keeps slamming into her. Demanding she dwell on it. She still can’t believe it. She hoped that maybe with the cops out of the way, there was going to be a chance to concentrate on her treatment. Get her well again. Not watch her die.
Tears well up in her eyes. She has to be strong. Fight her way through the loss. It’s not her fault. She’s told herself that a dozen times.
The stress of living with those multiple personalities must just have proved too much for Anna to bear. All that fear of night-time and the imagined evil must have piled up and broken her.
Louisa unlocks her Alfa and slips inside.
The radio shouts at top volume as she turns the ignition key and it makes her heart jump. She’s edgy. Tense. Stressed.
Anna’s dead.
She jabs the off button to silence some jock moron with no sense of respect. She doesn’t want to hear anyone or anything right now. But there’s no escaping her own thoughts.
What more should she have done?
What less could she have done? Was she guilty of pushing things too far, of digging up layers of trauma that would have been best left untouched?
She dials Valentina’s cell phone. The captain has a right to know. Even if she’s suspended, she should still be told, and Louisa is in no doubt that it’s her duty to tell her.
‘ Pronto, Morassi.’
Louisa hesitates.
The policewoman sounds annoyed. Just from the way she answered she sounds angry.
It’s no wonder that a call from the woman who got her suspended isn’t welcome.
Louisa thinks about hanging up, but decides to be tough and plough on. ‘Capitano, it’s Louisa Verdetti.’ She doesn’t pause now, doesn’t risk any interruption. ‘Anna Fratelli died about an hour ago. I thought you should know.’
Valentina’s not sure she heard her correctly. ‘Anna what?’
‘She’s dead. She died of a heart attack in her bed at the hospital. I thought you’d want to know.’
Louisa can’t talk any more. She flips the clamshell phone shut. Normally she wouldn’t be so rude, but today she can’t even say goodbye, let alone answer another question.
She slips the Alfa into gear, drives through the hospital gates and heads home.
In her bathroom cabinet is a box of Valium that she keeps for times like this. Times when all her training and the wisdom of three decades of living just aren’t enough. She’s going to pour a glass of brandy much bigger than the one Valducci gave her, go to bed and drug herself into a long, deep sleep.
The road slips beneath the car tyres and the world smears itself across the vehicle’s windows.
The traffic approaching Via Margutta is horrendous.
It always is.
Louisa’s apartment is in a gated courtyard off to the right, a little past where Picasso lived and just before the apartment where they filmed Roman Holiday.
The electronic gates buzz open and the red and white security barrier behind jerks up like a railway crossing. Her Alfa crunches over the gravel and she parks up in her own space, just below her ivy-covered balcony.
Being home makes her feel better. Safe from the horrors of the day. Absolved from the guilt of Anna’s death.
She opens the door to the apartment block, holds it for a young couple behind her and picks up mail from her drop box.
Bills. Bills and more bills.
Thank God she earns a decent wage. She has no idea how normal people manage in a city as expensive as Rome. Half her block is already full of rich foreigners, because locals can’t afford the rents.
She jams the bills in her teeth while she juggles her handbag and opens her apartment door. The place still smells of the remains of some fish she forgot to throw out.
She vows to do it now. Empty the stinking bin before she crawls into her bed and floats off into a comforting blackness.
She puts her hand on the light switch.
But never manages to turn it on.
Years in a hospital tell her that the sweet-smelling cloth pressed to her mouth is soaked in a trihalomethane.
Chloroform.
As unconsciousness creeps through her, she realises the man holding the cloth is half of the young couple she just let in.
82
‘They’ll make us scapegoats.’
Federico’s words hang in the air, snagged like a knot somewhere down the phone line between him and Valentina.
‘How so?’ she finally asks.
He blows cigarette smoke as he paces. ‘We get suspended for intimidating a mentally ill patient and she ends up dying of a heart attack. This is a heavy stone they are going to drop on our toes. It’s good for the hospital – it clears them of blame – and good for that bastard Caesario.’
Valentina’s surprised to hear him talk so venomously about the major. ‘We should meet. Do you know somewhere?’
Federico thinks for a second. ‘Galleria Borghese. It’s not far from the centre.’
‘I know it.’