Barefoot in the Sun (12 page)

He nodded slowly. “Let me talk to her, and get her comfortable, then we’ll see what’s next. I’ll want to consult with my partner.”

She wrapped her arms around him, pulling her body right into his. “Thank you.”

“Don’t thank me yet. Let’s take step one.” With his arm around her, they walked inside. The living room was empty, but the sound of Evan’s laughter came from the patio. The two of them were already outside, at a table, with Pasha shuffling a deck of cards.

“Zoe, she’s going to teach me the Egyptian game!”

Zoe put her hand to her heart, feigning pain. “Ugh, I’ve been replaced.”

“No!” Evan almost jumped out of his chair. “You can play, too.”

“It’s more fun with two people,” Zoe said. “But we’ll watch. Your dad knows how to play.” She shot him a playful look, memories of cards and tequila and disappearing clothes arcing between them like a thousand-volt defibrillator to his chest.

“
Dad plays cards?
” Evan almost choked with disbelief.

“I’m actually really good at that game.”

He could feel Zoe’s look.

“Sometimes,” he added, nudging her playfully.

“You better pay attention,” Pasha said, snapping the deck in front of Evan’s face. “You need brainpower and speed to play this.”

“I have a hundred-and-sixty-two IQ.”

Oliver cringed. “You’re not supposed to tell people that, Ev.”

Pasha flipped the cards. “I don’t care if you have a four-hundred-and-sixty-two IQ, this game takes skills.”

“Nobody has an IQ that high,” he said, ever the literal little guy.

“And nobody has ever beat me at this game on the first try.”

“Oh yeah?” He shimmied closer to the table, and they were off. Oliver watched her teach him, a little in awe at how quickly his son learned, but also taking in as much as he could of the older woman.

Not a medical examination, by any stretch, but her cough was not in the lungs. And she unconsciously touched her throat more than her chest. With a gun to his head he’d say esophageal. But he had to talk to Raj before they did anything else. And so did Zoe.

He took her into the kitchen to talk privately. “I want us to meet with my partner. Today. He’s at our clinic and you can talk to him about Pasha.”

“Shouldn’t we bring her?”

“I need you to know exactly how we work and what IDEA is.”

She frowned at the acronym.

“Integrated Diagnostics through Experimental Analysis,” he said. “Like I said, we have a team of top-notch medical researchers working tirelessly on advanced, untested treatments. But it’s not unusual for our patients to be the guinea pigs of cancer treatments, even to be the case histories for the government organizations to study when they approve a new treatment. It’s cutting-edge stuff.”

“You know you’re singing my song, doc.” She glanced out to the patio. “But I don’t want to leave them here alone. Let me call Lacey’s daughter, Ashley, for some backup and we can go.”

“I’ll go tell them we’re off to run some errands.” He returned to the patio in time to see Evan snatching a card back with lightning-quick hands.

“Ha ha!” He pointed at Pasha. “Got it!”

She beamed back. “You are absolutely the…the…sweetest little boy I’ve seen in years.”

Oliver interrupted the game long enough to tell them the plans.

“Just bring lunch when you get back,” Pasha replied. “We’re going to work up an appetite, right, Ma…” She hesitated as if she couldn’t remember his name, then grabbed it. “Evan?”

“Right!”

She gave him a grin that put her whole heart on the line. Certainly not like a woman who was contemplating the unthinkable act of suicide. But then, she wouldn’t be the first sweet lady to fool a little guy like that, would she?

Y
ou’re great with Evan,” Oliver said as they climbed into the Jeep. He adjusted the seat to his six-foot-one frame, sunglasses hiding his eyes but making him look cool. And hot.

“Not as good as Pasha. Good heavens, I’ve never seen her make such fast friends with anyone.” Truth was, she made friends with so few people. “But he’s a great kid, Oliver, as I’m sure you know.”

“I know he’s great. He’s also tough.”

She glanced at him as she pulled on her seat belt, not quite sure what he meant. “He seems pretty easy to me.”

“That’s what I mean. You make it look so easy.”

“Maybe Evan and I are on the same maturity level,” she teased. “Which is not meant to be self-deprecating. That kid is smart.”

“Maybe too smart for his own good.” As they drove off the property and into town, Zoe could tell he wanted to talk more about Evan, but she was itching to know about his clinic and the possibilities.

“I think you’re trying too hard,” she suggested. “You know, with the divorce and all, and him being in your care all summer. Relax and have fun with him.”

He threw her a smile. “Fun is your specialty.”

“You just need to be yourself with him.” She put a hand on his leg, loving the muscle that tensed under her touch. “You don’t need pointers, Oliver, honestly.”

“I’ll try.” He turned the Jeep onto the causeway to the mainland, nodding like he was mentally filing the advice away.

“Tell me about your clinic and your partner.”

“Sure. I met Raj Mahesh at that oncology conference at the Ritz a few years ago. When I saw you in the lobby.”

“And in the parking lot.”

He frowned. “I don’t remember that.”

She blew out a breath, embarrassed but not willing to lie. She’d freaked that day, seeing him and his wife, and had dived to the floor of a Rubicon very much like this one, the kind she rented every time she came to Mimosa Key and wanted a muscular convertible for the beach. “I was with Jocelyn and Tessa having lunch there, and you and your wife got out of a car at the valet parking.”

He sort of shook his head, the moment probably not as crystal clear in his memory as it was in hers. “I remember meeting Mike Genovese, one of our investors, but I can’t believe I wouldn’t recall seeing you.”

“You didn’t exactly see me,” she admitted. “I hid on the floor of the car.”

“What? Why?”

“Why do you think?” She let out a dry choke. “I didn’t want to see you or explain you or…” She waved her hand. “You were with your wife.”

“What do you mean, ‘explain’ me?”

“To my friends.”

“They don’t know you have ex-boyfriends?”

“Of course they do, and they would want to know why we broke up and why I was…”
A basket case for the next two hours.
“So how exactly did you get involved with this clinic?”

She saw him react to the change of subject, but he let it go. “Well, Raj is pretty persuasive, as you will no doubt see,” he said with a laugh. “And he happens to be one of the smartest physicians I ever met. He started IDEA himself because he was so sick of the bureaucracy of hospitals and administration and all the red tape and medical crap that gets in the way of saving lives.”

His voice was deep with emotion as he shifted into another gear.

“So you left Mount Mercy to work with him.”

“I couldn’t resist. I’d been drawn to everything the clinic was doing and knew if I didn’t move when I had the opportunity, it might never come along again. Gene therapy is so exciting, Zoe. It’s a complete game changer in cancer research.”

“What exactly is it?”

“It’s the injection of vectors full of viruses into cancer cells to fire up immune systems and angiogenesis that can…” He slid her a look. “I’m losing you, huh?”

“Not at all.”

“You’re staring at me.”

How could she not? Impassioned Doctor Oliver was even sexier than regular hot-as-sin Oliver. “No, I’m just impressed and happy for you. Everyone should find what turns them on so much.”

He gave her a grateful smile. “But not everyone in my life was thrilled with the decision,” he said. “Starting with my ex-wife, continuing to her father, and ending with my son. I gave up a lot for my passion, but it was worth it.”

She considered that, looking out the window at the deep-blue water of the Intracoastal and curling her fingers around his hand to feel his strength.

His father-in-law was the CEO of Mount Mercy Hospital and, although Zoe didn’t know it for a fact, she’d bet her last dollar he had been in line for that job. “So the decision to take this new position broke up your marriage?”

“Not exactly. It was the proverbial straw that whacked an already crippled camel.” He let go of her hand to downshift and instantly scooped it up again, as if he couldn’t stand a second without touching her. Zoe tried really hard not to let that little gesture worm its way into her heart. Tried, and failed.

“To be honest, nothing happened overnight,” he continued. “I pushed at the hospital for change and a budget for advanced research, trying to use my position in administration but hitting the brick wall that happened to be Adele’s father. All the while, she and I grew farther apart.”

She swallowed, hating that she had to ask the next question. But she had to. “Were you ever…close?”
In other words, did you love the woman you married five weeks after I left you?

The question hung in the wind, getting heavier as each second he didn’t answer ticked by. “We tried,” he finally admitted. “We got married because it seemed like the right thing to do and I was…”

On the rebound?
She didn’t have the nerve or heart to ask.

“Anyway, I tried. She tried. It didn’t ever…” He puffed out a breath. “I never got over you.”

“Oh.” It was all she could manage under the suffocating weight of that confession.

“She knew it. She knew I was seeing you when she told me she was pregnant, and she thought that I gave you up to marry her.”

But he hadn’t. Zoe had taken off before they had any chance. “You didn’t tell her I left town and we…lost touch?” Speaking of bad euphemisms.

“No, I didn’t tell her that,” he said. “I didn’t want her to have horrible doubts about me. It was bad enough we
had
to get married. I didn’t want her to be completely miserable.” He pulled into a small parking lot behind a glass-and-metal three-story building, sliding the gear into Park but making no effort to get out.

She mulled the confession over. He hadn’t been totally honest with his wife, but that reminded her that under all that authority and confidence and sex appeal was a guy who deeply cared about people.

“If she thought I married her because I couldn’t find you, then I knew that she’d never believe in our marriage.” The statement made sense, and a surprising wave of sympathy for Adele Townshend rolled over Zoe. No woman should have to marry a man who was in love with someone else, no matter how rich and bitchy she was.

“But we didn’t really have a chance,” he continued. “I never really loved her, I mean, not the way I…”

Loved you.

She swallowed and nodded, understanding why he couldn’t even say it.

“Anyway, we faked a life for the sake of Evan,” he said, the words so softly she barely heard them over the hum of the engine he had yet to turn off. “At least we did until neither one of us could fake it anymore. And at the same time, I was so far removed from the reason I got into medicine in general and oncology in particular. This opportunity came up”—he gestured toward the building and the small sign that said IDEA near the door—“and I grabbed it. A chance to start over in a new city, a chance to do hands-on medicine again, a chance to break ground. And, of course, a chance to save lives.”

“And she wouldn’t relocate?”

He shrugged. “We were pretty far gone by then. Separate bedrooms, separate lives. Evan was the only thing even remotely keeping us together, so we worked out a custody arrangement when I left about eight months ago. Christmas, spring break, two weeks in the summer.”

“Ugh. That’s not enough time. So much for a chance to relax and have fun.”

He gave her a tight smile and quick nod. “Don’t I know it. But she surprised me with a trip to Europe this summer, and so I have this chance to be with him.” His smile relaxed into a genuine grin. “And learn from the Mistress of Fun.”

She winked. “I’ve been called worse, big guy.”

He switched off the ignition and, as he unlatched his seat belt, she reached over to touch his hand, the words bubbling up. She owed him an apology. Not just for leaving without an explanation, but for longer-lasting effects.

“I’m sorry if I wrecked your marriage.”

He smiled, but his eyes were dark and sad. “You didn’t, Zoe. But you broke my fucking heart.”

After a tour of the facility—which was surprisingly large, with multiple labs, in-house patient-care suites, a twenty-four-hour nursing staff, and a state-of-the-art surgery c
ente
r—Oliver took Zoe into a conference room to meet with his partner.

Wiry, energized, and one of those keenly intelligent people who instantly make you feel at ease and yet in awe, Raj Mahesh was the perfect complement to Oliver’s rationale approach to everything. Raj was the dreamer; Oliver made things happen.

And they were both very good doctors.

As Oliver brought his partner up to speed on the case, the other man’s interest ratcheted from mild to wild. His clipped British-and-Indian accent couldn’t hide the fact that the case electrified him and was exactly the opportunity they’d been looking for.

In a way that revealed none of the complex history of Pasha’s life, Oliver let Raj know this was a patient who’d received absolutely no treatment by choice, leaving her free and clear of all other medical input.

“I’m deeply sorry for your aunt,” Raj said to Zoe. “Please forgive me if I sound enthusiastic, because, of course, this is painful for you.”’

Zoe nodded, seeing the honesty in his jet-black eyes. “I’m willing to do anything to help her.”

“Gene therapy isn’t anything,” Raj said. “It’s everything.”

“How many times have you done the kind you’re proposing for my aunt?”

“We’re not proposing it yet,” Oliver replied quickly. “Just thinking that she might be an excellent candidate. She doesn’t strike me as a patient who could handle the standard treatments.”

Zoe closed her eyes, a mix of relief and terror. “That’s exactly what I think.”

“And the other options are a ridiculously expensive trip to Switzerland for basically the same treatment, or peptide receptor radionuclide therapy,” Raj said.

Zoe gave him a blank look, and he waved away the obvious question of what that was. “It wouldn’t be right for someone her age. But to answer your question, I’ve done the procedure in Europe, but not here. However, we’ve done so much preliminary work for this, growing the vectors and planning for the possibility of finding the right candidate for the treatment.”

He looked at Oliver, and Zoe easily interpreted the silent communication. Pasha could very well be that patient. A
test
patient.

“What exactly will you do?” she asked.

Raj answered. “We’d essentially be taking a disabled form of a very nasty virus, probably HIV, and using it to carry cancer-fighting genes to Pasha’s T-cells. We’d be trying to train her own immune system to kill the cancer.”

She glanced at Oliver. “I want to protect her,” she said softly. “If this works, she can’t be the poster child for new treatment or forced to meet with FDA representatives.”

“Everything is private here, Zoe,” Oliver assured her. “As far as the government, the identities of our patients are kept confidential. They, too, are only interested in results, not the personal lives of the patients.”

And that was the perfect, ideal solution to Pasha’s situation. Hope curled through her. “I’ll try anything,” she said. “Assuming it isn’t going to kill her.”

Oliver looked at her, silent.

“Shit,” she murmured.

He leaned closer. “Obviously, without the standard tests, I don’t know how sick she is right now, but I think she’s in very bad shape. And we will send all of her initial tests to independent oncologists for a second and third opinion, I assure you.”

Dropping her chin into her palms, she sighed. “Tell me the risks.”

Oliver took over, referring to some rudimentary sketches he’d done when they’d first started talking. “The biggest risk is that these engineered T-cells could somehow attack healthy tissue,” he said.

“But the odds are low,” Raj insisted. “Not zero, but low. We’ll know that within hours of the procedure, if she runs a fever or experiences swelling or low blood pressure.”

She looked at Oliver. “Is this the only thing you’d recommend?”

“For a cure? Yes. To buy time? Of course there’s chemo, radiation, surgery, and a standard sequence of treatments that can take months.”

“And how much time do the standard treatments buy?” How could Zoe even think about life without her? She couldn’t.

“Predicting time is impossible to say without measuring the tumor and getting a sense of how sick she is,” Oliver said. “But certain treatments can buy you months, maybe more.”

Months? Oh, Lord. Pasha could be gone in months? If she survived the treatment.

She leaned back, letting that sink in. But it barely did. “This isn’t some nameless patient. This is…my only…” She closed her eyes and whispered, “Family.”

“I know, Zoe.” Oliver put his hand over hers, giving it a squeeze.

“What would you do if it were your aunt?” she asked both men. “What would you do?”

“There’s not even a debate for me,” Raj said. “Chemo and radiation can prolong her life. This could save it.”

Oliver nodded. “That is the benefit that could outweigh the risk. Plus, if she fights the cancer and goes completely into remission, this treatment will be one step closer to approval for use in the United States, saving many, many lives.”

Would Pasha be thrilled to have that role, or terrified of any sort of notoriety? It was hard to say. How much did she want to live?