Blindsight (2 page)

Desperate for help, Sara managed to step over Duncan's convulsing and incontinent body. A glimpse of
his bloody and foaming mouth appalled and frightened her. She desperately wanted to help, but she didn't know what to do save for calling an ambulance. With a trembling finger she punched 911 on Duncan's living room phone. As she impatiently waited for the connection to go through, she could hear Duncan's head repeatedly thump against the hardwood floor. All she could do was wince with each sickening sound and pray that help would be there soon.

Pulling her hands away from her face, Sara checked her watch. It was almost three o'clock in the morning. She'd been sitting on the same vinyl seat in the waiting room of the Manhattan General Hospital for over three hours.
For the umpteenth time she scanned the crowded room that smelled of cigarette smoke, sweat, alcohol, and wet wool. There was a large sign directly opposite her that read: NO SMOKING, but the notice was roundly ignored.
The injured mixed with those who'd accompanied them. There were wailing infants and toddlers, battered drunks, others clutching a towel to a cut finger or slashed chin. Most stared blankly ahead, inured to the endless wait. Some were obviously sick, others even in pain. One rather well dressed man had his arm around his equally well dressed female companion. Only minutes before he'd been arguing heatedly with a rather intimidatingly large triage nurse who hadn't been ruffled by his threats to call his lawyer if his companion were not seen immediately. Resigned at last, he too stared vacantly into the middle distance.
Closing her eyes again, Sara could still feel her pulse hammering at her temples. The vivid image of Duncan convulsing on the threshold of his apartment haunted her. Whatever happened tonight, she knew she would never banish the vision from her mind. After having called the ambulance and given Duncan's address, Sara had returned to Duncan's side. Somewhere in the back of her mind she'd remembered that something should be put in a convulsing person's mouth to keep him from biting his tongue. But try as she might, she'd not been able to pry apart Duncan's clenched teeth.
Just before the EMTs arrived, Duncan finally stopped convulsing. At first Sara had been relieved, but then she noticed with renewed alarm that he was not breathing. Wiping the foam and a bit of blood from his mouth, she tried to give him mouth-to-mouth resuscitation, but she found herself fighting nausea. By then some of Duncan's hallway neighbors had appeared. To Sara's relief, one man said he'd been a corpsman in the navy, and he and a companion graciously took over the CPR until the EMTs arrived. Sara could not imagine what had happened to Duncan. Only an hour earlier he'd called her and had asked her to come over. She thought he'd sounded a little tense and strange, but even so she'd been totally unprepared for his state once she got there. She shuddered again as she saw him standing before her in the doorway with his bloodied hands and arms and his dilated, wild eyes. It was as if he'd gone insane.
Sara's last glimpse of Duncan came after they'd arrived at the Manhattan General. The EMTs had allowed her to ride in the ambulance. Throughout the whole hair-raising trip, they'd maintained the CPR. The last she'd seen of Duncan was when he'd been rolled through a pair of white swinging doors, disappearing into the inner recesses of the emergency unit. Sara could still see the EMT kneeling on top

of the gurney and continuing the chest compressions as the doors swung closed.
"Sara Wetherbee?" a voice asked, rousing Sara from her reverie. "Yes?" Sara said as she looked up.
A young doctor sporting a heavy five o'clock shadow and a white coat slightly splattered with blood had materialized in front of her.
"I'm Dr. Murray," he said. "Would you mind coming with me. I'd like to talk with you for a moment." "Of course," Sara said nervously. She got to her feet and pulled her purse high on her shoulder. She hurried after Dr. Murray, who'd turned on his heels almost before she'd had a chance to respond. The same white doors that had swallowed Duncan three hours before closed behind her. Dr. Murray had stopped just inside and turned to face her. She anxiously looked into the man's eyes. He was exhausted. She wanted to see some glimmer of hope, but there wasn't any. "I understand you are Mr. Andrews' girlfriend," Dr. Murray said. Even his voice sounded tired. Sara nodded.
"Normally we talk to the family first," Dr. Murray said. "But I know you came in with the patient and have been waiting. I'm sorry it has taken so long to get back to you, but several gunshot victims came in right after Mr. Andrews."
"I understand," Sara said. "How is Duncan?" She had to ask, even though she wasn't sure she wanted to know.
"Not so good," Dr. Murray said. "You can be sure our EMTs tried everything. But I'm afraid Duncan passed away anyway. Unfortunately, he was DOA. Dead on arrival. I'm sorry." Sara stared into Dr. Murray's eyes. She wanted to see a glint of the same sorrow that was welling up inside of her. But all she saw was fatigue. His apparent lack of feeling helped her maintain her own composure.
"What happened?" she asked almost in a whisper. "We're ninety percent sure that the immediate cause was a massive myocardial infarction, or heart attack," Dr. Murray said, obviously more comfortable with his medical jargon. "But the proximate cause appears to be drug toxicity or overdose. We don't know yet what his blood level was. That takes a bit more time."
"Drugs?" Sara said with disbelief. "What kind of drug?" "Cocaine," said Dr. Murray. "The EMTs even brought in the needle he'd used." "I never knew Duncan used cocaine," Sara said. "He said he didn't use drugs." "People always lie about sex and drugs," Dr. Murray said. "And with cocaine sometimes it only takes once. People don't realize how deadly the stuff can be. Its popularity has lulled people into a false sense of security. Be that as it may, we do have to get in touch with the family. Would you know the telephone

number?"
Stunned by Duncan's death and the revelation about his apparent cocaine use, Sara recited the Andrews' phone number in a dazed monotone. Thinking about drugs allowed her to avoid thinking about death. She wondered how long Duncan had been on cocaine. It was all so hard to understand. She'd thought she'd known him so well.
1
November
6:45 a.m., Monday
New York City
The alarm of the old Westclox windup never failed to yank Laurie Montgomery from the depths of blessed sleep. Even though she'd had the clock since the first year of college, she'd never become accustomed to its fearful clatter. It always woke her up with a start, and she'd invariably lunge for the cursed contraption as if her life depended on her getting the alarm shut off as soon as humanly possible. This rainy November morning proved no exception. As she replaced the clock on the windowsill, she could feel her heart thumping. It was the squirt of adrenaline that made the daily episode so effective. Even if she could have gone back to bed, she'd never have gotten back to sleep. And it was the same for Tom, her one-and-a-half-year-old half-wild tawny tabby who, at the sound of the alarm, had fled into the depths of her closet.
Resigned to the start of another day, Laurie stood up, wiggled her toes into her sheepskin slippers, and turned on the TV to the local morning news. Her apartment was a small, one-bedroom affair on Nineteenth Street between First and Second avenues in a six-story tenement. Her rooms were on the fifth floor in the rear. Her two windows faced out onto a warren of overgrown backyards.
In her tiny kitchen she turned on her coffee machine. The night before, she'd prepared it with a packet of coffee and the right amount of water. With the coffee started she padded into the bathroom and looked at herself in the mirror.
"Ugh!" she said as she turned her face from side to side, viewing the damage of another night with not enough sleep. Her eyes were puffy and red. Laurie was not a morning person. She was a confirmed night owl and frequently read until all hours. She loved to read, whether the book was a ponderous pathology text or a popular bestseller. When it came to fiction, her interests were catholic. Her shelves were crammed with everything from thrillers to romantic sagas, to history, general science, and even psychology. The night before it had been a murder mystery, and she'd read until she'd finished the book. When she'd turned out the light, she'd not had the courage to look at the time. As usual, in the morning she vowed never to stay up so late again. In the shower Laurie's mind began to clear enough to start going over the problems that she would have to address that day. She was currently in her fifth month as an associate medical examiner at the Office of

the Chief Medical Examiner for the City of New York. The preceding weekend, Laurie had been on call,
which meant that she worked both Saturday and Sunday. She'd performed six autopsies: three one day and three the next. A number of these cases required additional follow-up before they could be signed out, and she began making a mental list of what she had to do. Stepping out of the shower, Laurie dried herself briskly. One thing she was thankful about was that today would be a "paper day" for her, meaning that she would not be assigned any additional autopsies. Instead she would have the time to do the necessary paperwork on the autopsies that she'd already done. She was currently waiting for material on about twenty cases from either the lab, the medical examiner investigators, local hospitals or local doctors, or the police. It was this avalanche of paperwork that constantly threatened to overwhelm her. Back in the kitchen Laurie prepared her coffee. Then, carrying her mug, she retreated to the bathroom to put on makeup and blow-dry her hair. Her hair always took the longest. It was thick and long and of an auburn color with red highlights she liked to burnish with henna once a month. Laurie was proud of her hair. She thought it was her best feature. Her mother was always encouraging her to cut it, but Laurie liked to keep it beyond shoulder length and wear it in a braid or piled on top of her head. As for makeup, Laurie always subscribed to the theory that "less is more." A bit of eyeliner to line her blue-green eyes, a few strokes with an eyebrow pencil to define her light, reddish blond eyebrows, and a brief application of mascara and she was nearly done. A dab of coral blush and lipstick completed the routine. Satisfied, she took her mug and retreated to the bedroom. By then,
Good Morning America
was on. She listened with half an ear as she put on the clothes she had laid out the night before. Forensic Pathology was still largely a man's world, but that only made Laurie want to emphasize her femininity with her dress. She slipped into a green skirt and matching turtleneck. Eyeing herself in the mirror, she was pleased. She'd not worn this particular outfit before. Somehow it made her look taller than her actual height of five foot five, and even slimmer than her hundred and fifteen pounds.
With her coffee drunk, a yogurt eaten and dried cat food poured into Tom's bowl, Laurie struggled into her trench coat. She then grabbed her purse, her lunch, which she had also prepared the night before, and her briefcase, and stepped out of her apartment. It took her a moment to secure the collection of locks on her door, a legacy of the apartment's previous tenant. Turning to the elevator, Laurie pushed the down button.
As if on cue, the moment the aged elevator began its whining ascent, Laurie heard the click of Debra Engler's locks. Turning her head, Laurie watched as the door to the front apartment opened a crack and its safety chain was pulled taut. Debra's bloodshot eye peered out at her. Above the eye was a tousle of gray frizzy hair.
Laurie aggressively stared back at the intruding eye. It was as if Debra hovered behind her door for any sound in the hallway. The repetitive intrusion grated on Laurie's nerves. It seemed like a violation of her privacy despite the fact that the hallway was a common area. "Better take an umbrella," Debra said in her throaty, smoker's voice. The fact that Debra was right only fanned Laurie's irritation. She had indeed forgotten her umbrella. Without giving Debra any sense of acknowledgment lest her irritating watchfulness be encouraged, Laurie turned back to her door and went through the complicated sequence of undoing the locks. Five minutes later as she stepped into the elevator, she saw that Debra's bloodshot eye was still watching intently.

As the elevator slowly descended, Laurie's irritation faded. Her thoughts turned to the case that had
bothered her most over the weekend: the twelve-year-old boy hit in the chest with a softball. "Life's not fair," Laurie muttered under her breath as she thought about the boy's untimely death. Children's deaths were so hard to comprehend. Somehow she'd thought medical school would inure her to such senselessness, but it hadn't. Neither had a pathology residency. And now that she was in forensics, these deaths were even harder to take. And there were so many of them! Up until the accident, the softball victim had been a healthy child, brimming with health and vitality. She could still see his little body on the autopsy table; a picture of health, ostensibly asleep. Yet Laurie had had to pick up the scalpel and gut him like a fish.
Laurie swallowed hard as the elevator came to a bumping stop. Cases like this little boy made her question her career choice. She wondered if she shouldn't have gone into pediatrics, where she could have dealt with living children. The field of medicine she'd chosen could be grim. In spite of herself, Laurie was grateful for Debra's admonition once she saw what kind of day it was. The wind was blowing in strong gusts and the promised rain had already started. The view of her street that particular day made her question her choice of location as well as her career. The garbage-strewn street was not a pretty sight. Maybe she should have gone to a newer, cleaner city like Atlanta, or a city of perpetual summer like Miami. Laurie opened her umbrella and leaned into the wind as she trudged toward First Avenue.
As she walked she thought of one of the ironies of her career choice. She'd chosen pathology for a number of reasons. For one thing she thought that predictable hours would make it easier to combine medicine with having a family. But the problem was, she didn't have a family, unless she considered her parents, but they didn't really count. In fact she didn't even have a meaningful relationship. Laurie had never thought that by age thirty-two she wouldn't have children of her own, much less that she'd still be single.
A short cab ride with a driver whose nationality she could not even guess brought her to the corner of First and Thirtieth. She'd been shocked to get the cab. Under normal circumstances a combination of rain and rush hour meant no taxis. This morning, however, someone had been getting out of a cab just as she reached First Avenue. Yet even if she'd not been able to get one, it wouldn't have been a disaster. That was one of the benefits of living just eleven blocks away from work. Many a day she walked in both directions.
After paying her fare, Laurie started up the front steps of the Office of the Chief Medical Examiner for the City of New York. The six-story building was overshadowed by the rest of the New York University Medical Center and the Bellevue Hospital complex. Its facade was constructed of blue-glazed brick with aluminum windows and door casements of an unattractive modern design. Normally Laurie paid no attention to the building, but on this particular rainy November Monday it wasn't spared her critical review any more than her career or her street. The place was depressing. She had to admit that. She was shaking her head, wondering if an architect could have been genuinely pleased by his handiwork, when she noticed that the foyer was packed. The front door was propped open despite the morning chill, and cigarette smoke could be seen languidly issuing forth. Curious, Laurie pushed into the crowd, making her way with some difficulty toward the ID room. Marlene Wilson, the usual receptionist, was obviously overwhelmed as at least a dozen people pressed against her desk as they plied her with questions. The media had invaded, complete with cameras, tape recorders, TV camcorders, and flashing lights. Clearly something out of the ordinary had happened.