Heartless: a Derek Cole Mystery Suspense Thriller (Derek Cole Suspense Thriller Book 1) (3 page)

As he carried the body of the hat donor into the lodge, he promised himself that he would temper his desire for revenge.

“Time,” he said to himself as he dropped his hold on the hat donor, sending him crashing to the floor at the end of a trail of blood. “Time and patience.”

1992

Doctor Mark Rinaldo knew that his wife, Gerti, hadn’t believed the story he told her yesterday about why he was late and why he would be late coming home again today. Though Mark believed that being honest, especially with his wife, was indeed the best policy, he found no way to tell her the truth about what he and the other doctors had experienced just one day ago.

Mark sat at a high-top table in Shifts Lounge. Shifts was located within walking distance from Saint Stevens Memorial Hospital where Mark held the position of Chief of Medicine. The clientele of the lounge were almost exclusively hospital employees, and the lounge owner accommodated the hospital’s employees work schedule by opening at 7:00 a.m. and not closing till well after 3:00 a.m. each day.
 

The lounge was decorated intentionally to not include reminders that its patrons would associate with the hospital. Besides a few photographs of Shifts owner posing with some nurses hanging on the narrow hallway leading to the restrooms, there were no other health care industry related pictures or items in the lounge. The owner had even made sure that the soap and cleaning supplies that were used in the lounge didn’t smell like those used in Saint Stevens.

“What do you think is taking them so long?” Doctor Henry Zudak asked.

“They’re not that late,” Mark said. “You have to expect some delays. Traffic can get pretty rough on Long Island, and it isn’t a picnic getting around Chicago this time of day, either. Relax.”

“Relax?” Henry said. “I can’t believe that relaxing is possible.”

Henry Zudak had been an obstetrician for seven years. In those seven years, he had seen plenty of surprises when his pregnant patients were lying on a hospital bed, legs held in stirrups, nervous husbands wondering if they should look south or north. However, what he had witnessed less than twenty-four hours ago was well beyond anything he would describe as a “surprise.”

Ken O’Connell, a successful car dealership owner and entrepreneur, and his wife, Janet, arrived at Saint Stevens at 4:30 yesterday afternoon. They knew, as did their doctor, Henry Zudak, that Jan’s belly was full of not one, but two babies. So while she was just beginning her eighth month of her pregnancy, Henry wasn’t surprised or overly concerned that Jan was in full labor.

Even the discovery that the twins were conjoined – choosing their chests to be their point of connection – didn’t shock Henry, though it was an unexpected development.
 
Knowing that Jan would not be able to deliver the conjoined twins naturally, Henry had Stanley Mix, a talented surgeon and good friend of his, paged.

“Not sure of their condition, but I could clearly see that the babies are connected at the chest,” Henry reported to Stanley.

“I’ll get ‘em out,” Stanley said.

The Cesarean section was quick. No complications. The neonatal nurse on duty quickly accessed the twins while Stanley closed up the five-inch incision.

“Doctor?” the nurse said in a hushed voice to Stanley who was finishing suturing the baby’s exit passage.

“Yes?” he answered.

“Can you help me with something?”

Stanley thought it was a strange request from a tenured nurse.

As Stanley approached the nurse who stood beside the twins, he could read the concern deeply etched into her face.

“Problem?” he asked.

“I only hear one heart, and I can only get one baby to breathe. APGAR test score is a six. No breathing, no color.”

She turned and gestured to one of the twins.

“This baby has the heart. This one,” she said while placing her hands on the other twin, “is, I think, just going along for the ride.”

Stanley examined the twins carefully, trying hard not to raise the already heightened concerns of the O’Connell’s.

“I don’t think it’s going to be a very long ride,” he whispered. “Heart is too premature to handle one baby, let alone two. This may get ugly.”
 

The time for quelling the fears of the O’Connell’s was over.

“Ken and Jan,” Stanley said. Though Jan was heavily medicated, her fears made her fully aware. “I believe there’s a problem that we don’t have much time to solve.”

The decision to do an emergency separation was difficult for the parents.
 
It was not made until both Henry Zudak and Mark Rinaldo were asked to examine the twins and either agree with Stanley’s dire assessment or find a reason the reason to keep the babies joined.
 

They both agreed with Stanley.

There was no time to wait for a surgeon experienced in the type of surgery needed, so Mark asked Stanley to perform the procedure.

“I’ll assist,” Mark said

“I’ll need the extra hands,” Stanley replied as they scrubbed in.

The procedure only took 40 minutes to separate the twins. Thomas, the twin lucky enough to claim possession of the heart and lungs, was quickly transferred to the Neonatal ICU, while Alexander was carefully and respectfully placed on a gurney and covered with a dazzlingly clean white sheet.

“I’ll go speak with the O’Connell’s,” Mark said as he and Stanley finished the surgery. “Let Henry know what happened and ask him to keep an extra close eye on the other baby.”

As he turned to leave, he felt the strong and sure grip of Stanley’s hand grab hold of his arm. The grip was stronger than Mark thought a grip should be.

“Problem?” Mark asked.

“Look,” Stanley said, gesturing to the baby covered in the white sheet. “It’s moving.”

Mark broke free of Stanley’s grasp and removed the sheet covering the heartless baby. At first, Mark expected that the baby’s nerves were having one last run through the body. However, when Mark saw the child return his stare, it was Mark’s nerves that started running.

“Give me a stethoscope,” Mark ordered.

He checked closely for any signs of life, anything that Stanley and he may have missed.

He found nothing.

“No pulse, no breaths. Nothing,” Mark said.

Mark quickly moved to the windows that separated the operating room from the observation area and drew the curtains closed. Only he and Stanley were in the operating room, the nurses having gone with the healthy twin to the ICU.

“What are you doing?” Stanley asked.

“Making sure that no one sees what the hell is going on in here.”

“Mark, we need to get this baby...”

“Get it where?” Mark interrupted. “Get it to ICU where they can say we screwed up, or get freaked out when they find out that this baby doesn’t have a heart? Or maybe we should bring it out to the O’Connell’s and tell them the good news, that despite not having a heart or lungs that the child they just decided had to be separated in order to save the other baby, is still alive? Where, Stanley? What do you propose we have to do?”

“Mark, we have to tell someone.”

Mark thought as he moved to lock the operating room door.

“Maybe you should just leave. I don’t know what the hell I am going to do or even what I should do, but there’s no reason for you to get involved in whatever I come up with.”

“And then what? Leave and pretend that nothing happened? Pretend that the baby died like it should have and that my chief of medicine isn’t hiding a living body somewhere in Chicago? What the hell, Mark? I can’t leave like this.”

“I need time to think.”

“We don’t have time, Mark.”

“Call Henry. Tell him to get up here and to say nothing to anyone.”

“Okay, but any second now the cleaning crew is going to try to do their job in this room, and finding the door locked and two doctors in the room will raise some eyebrows.”

“I need time to think,” Mark said as he plowed his hands through his thinning, grey hair. “I need time to come up with something.”

Both doctors heard the mumblings of men approaching the locked door. Their attempts to open the door prompted their knock and call.

“Anyone in there?” one of the men said. “Cleaning crew. Anyone in there?”

“We’re not finished,” Mark replied. “Come back in fifteen.”

“Who is that?” the voice behind the locked door demanded.

“Doctor Mark Rinaldo, Chief of Medicine. Now either go away or start looking for another place to work where you can piss more people off. Understood?”

There was no reply, only the faint sounds of feet moving away from the door.

“Well, I’m sure that won’t make anyone suspicious,” Stanley said.

“They’re gone, and that’s all I wanted. Now please call Henry. Remember, tell him to say nothing.”

Henry Zudak announced his arrival a few minutes after being called by Stanley by a loud knock on the locked door.

“Mark? Stanley? It’s Henry.”

Mark nodded towards Stanley who then unlocked and opened the door.

“Anyone follow you?” Stanley asked.

“Follow me? What the hell are you talking about? No, no one followed me.”

Mark locked eyes with Henry, revealing his confusion, worry, and fear.

“What’s going on in here?” Henry asked.

Mark removed his gaze and looked down at the baby lying on the gurney. The white sheet, bloodied in patches, was wadded up at the feet of a baby that stared at Henry with eyes lifeless and cold. “What is that baby doing here?”

“Henry, we have a situation.”

Doctor William Straus was waiting for something like this to happen for him. Something that would get his name listed at the top of the medical journals around the world. He knew that all he needed was the right chance to show the world just how damn good of a psychiatrist that he was.

When his friend from college, Doctor Peter Adams called him yesterday, William knew that his chance had arrived.

“Will, I really need to make sure that you understand the delicate nature of this situation and can assure us that absolute privacy and confidentiality will and can be maintained,” Peter Adams said.

Doctor Peter Adams was an employee of Saint Stevens Memorial Hospital, where he offered counseling services to patients and their families, as well as to Saint Stevens employees.
 
Mark Rinaldo had called Peter into a private meeting, during which he, Henry and Stanley explained the events and circumstances of the O’Connell’s twins.

“You’re telling me that the baby has no heart and no lungs, yet is still moving around? Peter asked.

“All of us, Henry, Mark and I, examined that baby over so many times and ways that there is no way we missed a heart,” Stanley said. “No way. There is just no heart inside that baby.”

“I’m not questioning any of you, but I am confused about my role in this,” Peter asked.

“I have a plan and need your help making it work.”

“Okay, Mark. Let’s hear it.”

Mark Rinaldo explained the events of the day. He told him that he marked up the chest of a stillborn baby that was marked to be “destroyed” to look like what the O’Connells would expect that their baby would have looked like.
 
He told Peter that he had the heartless baby hidden in his office. He told him that he needed his assistance in getting the baby out of the hospital as quickly as possible and implored Peter to keep everything completely confidential.

“I know you have a friend who runs a psychiatric hospital out on Long Island,” Mark said to Peter.

“Are you suggesting that I smuggle the baby across State lines, involve my good friend in this highly illegal scheme of yours and get nothing in return?”

“Are you suggesting that I bribe you?”

“Not a bribe,” Peter said. “Just some assurances that if and when this thing explodes that my name is never mentioned.”

“Agreed. Anything else?” Mark asked.

“I have been thinking about a long vacation. A very long vacation.”

William Straus had everything prepared. He was thankful for his authoritative manner of running Hilburn when he instructed the staff that “Ward C will have a new patient, and no one is allowed to enter Ward C without approval.”

Ward C had been closed for the last three years. When it was in use, it housed some of the most dangerous patients assigned to Hilburn. The staff at the time called the ward “the mind-bending rooms.”

Straus was well known as a strict disciplinarian, who demanded that anyone under his supervision adhere to the “highest work ethic and extreme confidentiality.” Any employee, whether a tenured doctor or a recently hired cafeteria worker, was terminated if Straus caught wind of “excessive work breaks or discussing hospital matters outside of work.”