Flashback (1988) (36 page)

In college, no roommate lasted more than a few weeks with his bizarre biologic rhythms and deepening melancholia. His dormitory room walls were decorated with posters and photos of his special heroes: Napoleon, Dickens, Edison, Churchill, Kafka, and Proust, none of whom, according to the first of his therapists, had ever enjoyed so much as one normal nights sleep.

That an insomniac should have chosen anesthesia as his life’s work was one of the few pleasant ironies in Pearls life; that one should have developed Serenyl, the quintessential sleep-inducing agent, was the ultimate irony of all.

The Serenyl odyssey had begun years before, in Iquitos, a jungle village by the headwaters of the Peruvian Amazon, where Pearl had accepted a six-month medical mission appointment as a means of escaping yet another disastrous situation in yet another hospital. Within a few weeks of his arrival, he had developed an intense fascination with the drugs used by medicine men, and in particular, with a plant alkaloid
used by the most mystical “doctors” in the region to induce a purgative state of deep hypnosis in their followers.

The moment Pearl first witnessed the incredible substance in action, the lack of direction and purpose in his life was at an end.

Two years of meticulously dissecting the active component in the alkaloid and modifying its composition led him to the synthesis of Serenyl—a structurally unique anesthetic, fully as remarkable as was its chemical forebear.

Now, for the first time since he conceived of its application, synthesized it, patented it, and adjusted its delivery and dosage in actual O.R. situations, Pearl’s Serenyl was under attack.

It was five in the morning. An hour before, Pearl had given up trying to sleep and had brewed himself a pot of coffee. In the nearly twenty-four hours since his confrontation with Zack Iverson, he had slept, perhaps, two. Familiar feelings of loneliness and isolation—feelings he had been able to keep reasonably in check since moving to Sterling—had surfaced and were beginning to smother him.

The first glow of dawn was spilling over the valley as he wrapped himself in a blanket, padded across his dew-slicked yard, and settled onto a slat-backed chair. He wondered if a sleeping pill of some sort might be in order. With Mainwaring gone to Atlanta, the surgical load was light enough for his associate and their nurse anesthetist to handle.

He could call in sick and take a couple of hundred milligrams of Seconal. It had been years since he had taken a drug of any kind—he hated feeling the loss of control—but this might well be the time.

He had been thinking too hard, his mind poring over and over the evidence Franks brother had thrown at him, frantically trying to assess the extent of the threat and to find fault in the man’s logic.

Pinpointing even potential errors in Zack Iverson’s reasoning had not been easy.

Pearl lit his fifth cigarette of the hour, searched about for a packet of Kleenex, and finally wiped his nose on the corner of the blanket. Why was it, he wondered, that every time life had started looking the least bit bright for him, every goddamn time, something or someone had come along to screw it up?
Why?

Most aggravating of all to him was that this time, from the
very beginning, he had seen the potential for trouble and had discussed his concerns with his partners.

He had warned them that Serenyl’s marvelously diminished recovery time—the most distinctive of its many attributes—was also its Achilles’ heel. The rest of the properties that set it apart from other anesthetics, injected or inhaled, were all unwanted side effects it did
not
have. He had even suggested using the anesthetic on other surgeons’ patients, so that should questions arise, his technique, and not the drug, would be the focus of any suspicion.

But Frank and Mainwaring had been obstinate in their demand for absolute secrecy. In fact, both men had pooh-poohed his concerns and had laughed at the notion that anyone at Ultramed-Davis might be sharp enough, or interested enough, to put things together.

They hadn’t counted on Zachary Iverson.

Pearl knew that he was drifting in over his head. Over a lifetime of turmoil he had developed something of a sixth sense about such things.

He should have been on the phone to Frank the moment Zack Iverson walked out of his office. But he had needed time to think—not so much about the gallbladder cases Iverson was reviewing, or even about the implications of the possible discovery of Serenyl, but about the chances that this child, this Toby Nelms was, in fact, suffering from a complication of his anesthesia.

Serenyl was the achievement of Pearl’s lifetime—the validation of his entire chaotic and harried existence. It simply had to be flawless.

It was Mainwaring’s promise, in writing, that Pearl would eventually receive credit for his work, that had brought him to Sterling. That Frank Iverson had arranged for him to be paid handsomely for his discovery when others had threatened to prosecute him for even working on it, was only icing on the cake.

Of course, Pearl acknowledged grudgingly, Frank Iverson had also smoothed over his past difficulties—most notably a dicey piece of business involving a politicians son in Akron. But without Mainwaring’s promise, even the lure of escaping
that
mess would not have been enough to make him move to a place like Sterling, much less to share the Serenyl patent.

But share that patent he had.

And now, like it or not, Pearl knew that he had to talk to
Frank about his brother
and
Toby Nelms. They had looked at every possible immediate complication of Serenyl—renal effects, liver function, pulmonary function—and had found none, It had been sloppy not to have been conducting a long-range retrospective survey as well.

But dammit, Pearl rationalized, the drug had persistently functioned so perfectly.…

Well, now he would simply have to make his partners understand that they had made a mistake; thank God it was not a fatal one. They merely had to go back and do the study they should have been doing from the beginning.

With just a little investigation, just a hundred or so calls to patients who had received the anesthetic, Pearl knew he could determine if Toby Nelms was a coincidence or a problem. Nobody would even have to know why he was conducting the survey.

And if there was a problem with Serenyl—if a second case like Toby Nelms was identified—almost certainly, he could fix it. He knew every molecule of the drug.

All he needed was the chance.

Pearl stood and paced nervously about the yard, mindless of the damp, which had already soaked through his cloth slippers.

He had a decent handle on Jason Mainwaring. In a sense, they were allies. The surgeon was a haughty, privileged bastard, but he was far more bark than bite. In fact, with his company’s money on the line, he would probably demand that this loose end be tied up before consummating their deal.

Pearl stubbed his cigarette into the lawn and shakily lit another.

It was Frank Iverson he feared.

For as long as he could remember, wherever he had lived, whatever he had been doing, there had been Frank Iverson’s. They had pushed him in the schoolyard and called him names; they had sent flunkies to trip him and had stood laughing with their girlfriends as he clutched at the bloody scrapes on his knees and elbows; later in life they had loomed behind their desks, shaking their manicured fingers at him and telling him that there was no room in their institutions for “his type.”

And however much
this
Frank Iverson’s outward concern and intervention had helped him, Pearl knew better than to trust him. It was Serenyl, and Serenyl alone, that maintained the man’s civility and support.

For nearly two years their work had gone on without a single hitch. It would take care and patience to convince Iverson of the need to hold off on the sale.

But what were a few weeks, Pearl reasoned desperately, or even a few months, compared with the importance of the anesthetic to medicine? In the end, even Frank would have to understand that.

Understand
. Pearl shuddered at the notion. One of the more unpleasant constants in life had been that, where he and the things that were important to him were concerned, the Frank Iverson’s had never understood.

There were still several hours before Iverson would even be at his office. Until then, there was nothing he could do.

He badly needed to relax.

Glancing at his watch, he crossed the yard and entered the cellar of his rented bungalow through the metal bulkhead. The basement, dusty and unfinished, was illuminated by a single, bare bulb, suspended from the ceiling.

Pearl took a screwdriver from his toolbox, knelt down behind the oil burner, and pried out a loosened segment from the cinderblock wall. Creating the hiding place had been one of his first priorities after moving in.

He moved several dozen vials of Serenyl and the notebook outlining its synthesis off to one side of the space and withdrew one of two cigar boxes stuffed with photographs. Next, he carefully replaced the cinderblock and shuffled to his room.

Settling onto his bed, he undid his robe, and then, one at a time, drew certain photos from the box.

By the third one, Pearls hand had slipped down the front of his pajama pants and begun gently to massage himself. Iverson had demanded, none too kindly, that he steer absolutely clear of any involvement with boys, or for that matter, with any men in the area. Without the photographs, he would have gone insane.

The ones he selected this morning were the very best in his collection—those he had taken himself.

In minutes, his growing arousal had begun to dispel some of the fears and loneliness. It would all work out, he told himself. Whatever words he had to find to convince Iverson, he would find.

He produced a five-by-seven in which three beautiful boys were frozen in a montage he had carefully designed. That
afternoon in East St. Louis had been incredible—one of the very best.

Slowly, Pearls eyes closed, his movements intensifying as his fantasies took flight.

Being different wasn’t easy. It never had been. But as best he could, as he always had, he was making do.

And for once in his life, for once in his goddamned, troubled life, something was going to work out.

“Frank, come in, come in.”

Judge Clayton Iverson’s chambers, a huge, high-ceilinged room with dark oak paneling and three walls of immaculately, aligned tomes, was as somber and intimidating as was the man himself. On the wall behind the desk, surrounding a portrait of the chief justice of the Supreme Court, were dozens of framed photographs of the Judge in variations of the same pose with three presidents, half a dozen governors, and virtually every New Hampshire politician of substance for the past half century.

There was also, near the center of the display, a color photo of Frank, dressed in his purple and gold Sterling High School uniform, his left arm extended, his right cocked behind his ear, ready to throw.

The draperies were drawn against the midday sun.

Seated behind his massive oak desk, his thick, silver hair fairly glowing in the dim light, the Judge looked bigger than life.

Frank had feared it was an error not to have pushed for a meeting in some more neutral site. And now, as he sensed the awe that had always accompanied his visits to that room, he cursed himself for not having been more insistent.

Well, no matter, he decided. It was time for a new Iverson to take charge. He had set passing records on the fields of a dozen different rivals; his play had quieted scores of enemy crowds. He would meet the man in his lair, or anywhere else for that matter, and he would prevail.

“So, Judge,” he began, matching, then just exceeding the firmness of the mans handshake. “How goes it? Mom okay?”

“She’s still upset about Annie, but otherwise, she’s fine. In it up to here in that garden of hers.”

“She certainly does love that ol’ garden. Lisette’s been working on one, too, you know. You and Mom’ll have to come
see it. Speaking of Annie, have you by any chance seen her today?”

“Nope, tonight. I promised your mother I’d take her over.”

“Well, you’re in for a pleasant surprise. She’s doing great. Don Norman tells me they’ll probably operate on her hip before the week’s out. Now Suzanne Cole is back on the case, so Annie’s got the benefit of both doctors.”

“That’s good to hear, Frank. It’s a shame, though, a crying shame that she had to fall like that.”

Frank tensed. As always, the man had gone right for the jugular. No bullshit, no finesse. The key to handling him would be to stay cool and not allow himself to get rattled.

“No one feels worse about what happened than I do, Judge,” he said. “But what’s done is done. Now, our job is to get her back on her feet, right? And thanks to Ultramed, we’ve got one of the best physical therapy departments in the state.”

“You didn’t keep a tight enough rein on that doctor of yours, Frank. You’re in charge. It’s your hospital, just like this is my courtroom.”

Oh, give me a fucking break
, Frank thought.

“You’re right, Judge,” he said. “Your point’s well taken. I’ve spoken to Don, and he knows his behind is on the griddle from now on. Also, he’s making arrangements to pay for any expenses Annie runs up in getting home care after her surgery.”

“Excellent, son. That’s an excellent move.”

“Our hospital’s come a long way since Ultramed took over, Judge. I’ll do anything I have to to keep it on the right track.”

Clayton Iverson loosened his tie and ran his thumbs beneath the black suspenders that had always been part of his courtroom dress.

“I assume,” he said, “that statement of purpose is your roundabout way of asking me to withdraw the notice I dispatched to your friend, Ms. Baron.”

Damn, but the man was tough
.

“Well, as long as you brought it up …”

The Judge swiveled in his seat, lifted the picture of Frank from the wall, and appraised it thoughtfully.

“Remember when this was taken?” he asked. “It was right before the state championship game against Bloomfield. The best game you ever played, I think. Six touchdown passes against the team people were calling the toughest ever in the state.”