Jack Ryan 2 - Patriot Games (44 page)

The brochure explained in bureaucratic prose how the Maryland Institute for Emergency Medical Services was the first and best organization of its kind, devoted exclusively to the most sophisticated emergency care for trauma victims. Ryan knew all this. Johns Hopkins managed the more recent pediatric unit and provided many of the staff surgeons for eye injuries. Cathy had spent some time doing that during her residency, an intense two months that she'd been happy to leave behind. Jack wondered if she were now being treated by a former colleague. Would he recognize her? Would it matter?

The Shock-Trauma Center -- so known to everyone but the billing department -- had begun as the dream of a brilliant, aggressive, and supremely arrogant heart surgeon who had bludgeoned his way through a labyrinth of bureaucratic empires to build this 21st-century emergency room.

It had blossomed into a dazzling, legendary success. Shock-Trauma was the leading edge of emergency medical technology. It had already pioneered many techniques for critical care, and in doing so had overthrown many historical precepts of conventional medicine -- which had not endeared its founder to his medical brethren. That would have been true in any field, and Shock-Trauma's founder had not helped the process with his brutally outspoken opinions. His greatest -- but unacknowledged -- crime, of course, was being right in nearly all details. And while this prophet was without honor in the mainstream of his profession, its younger members were easier to convert. Shock-Trauma attracted the best young surgical talent in the world, and only the finest of them were chosen.

But will they be good enough? Ryan asked himself.

He lost all track of time, waiting, afraid to look at his watch, afraid to speculate on the significance of time's flight. Alone, completely alone in his circumscribed world, he reflected that God had given him a wife he loved and a child he treasured more than his own life; that his first duty as husband and father was to protect them from an often hostile world; that he had failed; that, because of this, their lives were now in strangers' hands. All his knowledge, all his skills were useless now. It was worse than impotence, and some evil agency in his mind kept repeating over and over the thoughts that made him cringe as he retreated further and further into catatonic numbness. For hours he stared at the floor, then the wall, unable even to pray as his mind sought the solace of emptiness.

Jackson sat beside his friend, silent, in his own private world. A naval aviator, he had seen close friends vanish from a trivial mistake or a mechanical glitch -- or seemingly nothing at all. He'd felt death's cold hand brush his own shoulder less than a year before. But this wasn't a danger to a mature man who had freely chosen a dangerous profession. This was a young wife and an innocent child whose lives were at risk. He couldn't joke about how “old Dutch” would luck this one out. He knew nothing at all he could say, no encouragement he could offer other "than just sitting there, and though he gave no sign of it, Robby was sure that Jack knew his friend was close at hand.

After two hours Jackson quietly left the waiting room to call his wife and check discreetly at the desk. The receptionist fumbled for the names, then identified them as: a Female, Blond, Age Thirty or so, Head; and a Female, Blond, Age Four or so, Flailed Chest. The pilot was tempted to throttle the receptionist for her coldness, but his discipline was sufficient to allow him to turn away without a word. Jackson rejoined Ryan a moment later, and together they stared at the wall through the passage of time. It started to rain outside, a cold rain that perfectly matched what they both felt.

Special Agent Shaw was walking through the door of his Chevy Chase home when the phone rang. His teen-age daughter answered it and just held it out to him. This sort of thing was not the least unusual.

“Shaw here.”

“Mr. Shaw, this is Nick Capitano from the Annapolis office. The city police here have in custody a man with a pistol, a knife, but no ID. He refuses to talk at all, but earlier he did speak to a couple of Marines, and he had an accent.”

“That's nice, he has an accent. What kind?” Shaw asked testily.

“Maybe Irish,” Capitano replied. “He was apprehended just outside Gate Three of the U.S. Naval Academy. There's a Marine here who says that some teacher named Ryan works there, and he got some sort of warning from the Anti-Terrorism Office.”

What the hell. “Have you ID'd the suspect yet?”

“No, sir. The local police just fingerprinted him, and they faxed a copy of the prints and photo to the Bureau. The suspect refuses to say anything. He just isn't talking at all, sir.”

“Okay,” Shaw thought for a moment. So much for dinner. “I'll be back in my office in thirty minutes. Have them send a copy of the mug shot and the prints there. You stay put, and have somebody find Doctor Ryan and stay with him.”

“Right.”

Shaw hung up and dialed his office at the Bureau. “Dave, Bill. Call London, and tell Dan Murray I want him in his office in half an hour. We may have something happening over here.”

“'Bye, Daddy,” his daughter said. Shaw hadn't even had time to take off his coat.

He was at his desk twenty-seven minutes later. First he called Nick Capitano in Annapolis.

“Anything new?”

“No, sir. The security detail at Annapolis can't find this Ryan guy. His car is parked on the Academy grounds, and they've got people looking for him. I've asked the Anne Arundel County Police to send a car to his home in case he got a ride -- car broke down, or something like that. Things are a little wild here at the moment. Something crazy happened about the same time this John Doe gunman got picked up. A car got hosed down with a machine gun just outside the city.”

“What the hell was that?”

“The State Police are handling it. We haven't been called in,” Capitano explained.

“Get a man over there!” Shaw said at once. A secretary came into the office and handed him a folder. Inside was a facsimile copy of the suspect's mug shot. It showed full face and profile.

“Hold it!” He caught the secretary before the door was closed. “I want this faxed to London right now.”

“Yes, sir.”

Shaw next dialed the tie line to the embassy in London.

“I just got to sleep,” the voice answered after the first ring.

“Hi, Dan. I just missed dinner. It's a tough world. I have a photo being faxed to you now.” Shaw filled Murray in on what had happened.

“Oh, my God.” Murray gulped down some coffee. “Where's Ryan?”

“We don't know. Probably just wandering around somewhere. His car's still parked in Annapolis -- at the Academy, I mean. The security guys are looking for him. He's gotta be all right, Dan. If I read this right, the suspect in Annapolis was probably waiting for him.”

The photograph of Eamon Clark was already in the embassy. The Bureau's communications unit worked on the same satellite net used by the intelligence services. The embassy communications officers were actually employees of the National Security Agency, which never slept. The facsimile had arrived with a FLASH-priority header, and a messenger ran it up to the Legal Attache's office. But the door was locked. Murray had to set the phone down to open it.

“I'm back,” Murray said. He opened the folder. The photo had suffered somewhat from twice being broken into electronic bits and broadcast, but for all of that it was recognizable. “This one's familiar. I can't put a name on him, but he's a bad guy.”

“How fast can you ID him?”

“I can call Jimmy Owens real quick. You in your office?”

“Yeah,” Shaw answered.

“I'll be back.” Murray changed buttons on his phones. He didn't have Owens' home number memorized and had to look it up.

“Yes?”

“Hi, Jimmy, it's Dan.” Murray's voice was actually chipper now. Have I got something for you.

Owens didn't know that yet. “Do you know what time it is?”

“Our guys have somebody in custody that you may be interested in.”

“Who?” Owens asked.

“I got a picture but no name. He was arrested in Annapolis, outside the Naval Academy --”

“Ryan?”

“Maybe.” Murray was worried about that.

“Meet meat the Yard,” Owens said.

“On the way.” Murray headed downstairs for his car.

It was easier for Owens. His house was always watched by a pair of armed detectives in a police car. All he had to do was step outside and wave, and the Land Rover came to his door. He beat Murray by five minutes. By the time the FBI agent arrived, Owens had already consumed a cup of tea. He poured two more.

“This guy look familiar?” The FBI agent tossed the photo over. Owens' eyes went wide.

“Ned Clark,” he breathed. “In America, you say?”

“I thought he looked familiar. He got picked up in Annapolis.”

“This is one of the lads who broke out of Long Kesh, a very bad boy with several murders to his name. Thank you, Mr. Murray.”

“Thank the Marines.” Murray grabbed a cup of tea. He really needed the caffeine. “Can I make a call?” Within a minute he was back to FBI headquarters. The desk phone was on speaker so that Owens could listen in.

“Bill, the suspect is one Ned Clark, a convicted murderer who escaped from prison last year. He used to be a big-time assassin with the Proves.”

“I got some bad news, Dan,” Shaw replied. “It appears that there was an attack on this Ryan fellow's family. The State Police are investigating what looks like a machine-gun attack on a car belonging to Doctor Caroline Ryan, MD. The suspects were in a van and made a clean escape after killing a state trooper.”

“Where is Jack Ryan?” Murray asked.

“We don't know yet. He was seen leaving the Naval Academy grounds in the car of a friend. The troopers are looking for the car now.”

“What about his family?” It was Owens this time.

“They were flown to the Shock-Trauma Center in Baltimore. The local police have been notified to keep an eye on the place, but it's usually guarded anyway. As soon as we find Ryan we'll put some people with him. Okay, on this Clark kid, I'll have him in federal custody by tomorrow morning. I expect that Mr. Owens wants him back?”

“Yes.” Owens leaned back in his chair. He had his own call to make now. As often happened in police work, there was bad news to accompany the good.

“Mr. Ryan?” It was a doctor. Probably a doctor. He wore a pink paper gown and strange-looking pink booties over what were probably sneakers. The gown was bloodstained. He couldn't be much over thirty, Ryan judged. The face was tired and dark. DR. BARRY SHAPIRO, the name tag announced, DEPUTY TRAUMA-SUROEON-IN-CHIEF. Ryan tried to stand but found that his legs would not work. The doctor waved for him to remain seated. He came over slowly and fell into the chair next to the sofa.

What news do you bring me? Ryan thought. His mind both screamed for information and dreaded learning what had happened to his family.

“I'm Barry Shapiro. I've been working on your daughter.” He spoke quickly, with a curious accent that Ryan noted but discarded as irrelevant. “Okay, your wife is fine. She had a broken and lacerated upper left arm and a nasty cut on her head. When the helicopter paramedic saw the head wound -- heads bleed a lot -- he brought her here as a precaution. We ran a complete head protocol on her, and she's fine. A mild concussion, but nothing to worry about. She'll be fine.”

“She's pregnant. Do --”

“We noticed.” Shapiro smiled. “No problem with that. The pregnancy has not been compromised in any way.”

“She's a surgeon. Will there be any permanent damage?”

“Oh? I didn't know that. We don't bother very much with patient identification,” Shapiro explained. “No, there should be no problem. The damage to her arm is extensive but routine. It should heal completely.”

Ryan nodded, afraid to ask the next question. The doctor paused before going on. Does the bad news come next . . .

“Your daughter is a very sick little girl.”

Jack nearly choked with his next breath. The iron fist that had clutched his stomach relaxed a millimeter. At least she's alive. Sally's alive!

“Apparently she wasn't wearing her seat belt. When the car hit she was thrown forward, very hard.” Jack nodded. Sally liked to play with her seat belt buckle -- we thought it was cute, Ryan reminded himself bitterly. “Okay, tib and fib are broken in both legs, along with the left femur. All of the left-side ribs are broken, and six on the right side -- a classic flailed chest. She can't breathe for herself, but she's on respirator; that is under control. She arrived with extensive internal injuries and hemorrhaging, severe damage to the liver and spleen, and the large bowel. Her heart stopped right after she got here, probably -- almost certainly -- from loss of blood volume. We got it restarted at once and immediately started replacing the blood loss.” Shapiro went on quickly. "That problem is also behind us.

“Doctor Kinter and I have been working on her for the best part of five hours. We had to remove the spleen -- that's okay, you can live without a spleen.” Shapiro didn't say that the spleen was an important part of the body's defense against infections. “The liver had a moderately extensive stellate fracture and damage to the main artery that feeds blood into the organ. We had to remove about a quarter of the liver -- again no problem with that -- and I think we fixed the arterial damage, and I think the repair will hold. The liver is important. It has a great deal to do with blood formation and the body's biochemical balance. You can't live without it. If liver function is maintained . . . she'll probably make it. The damage to the bowel was easy to repair. We removed about thirty centimeters. The legs are immobilized. We'll repair them later. The ribs -- well, that's painful but not life-threatening. And the skull is relatively minor. I guess her chest took the main impact. She has a concussion, but there's no sign of intercranial bleeding.” Shapiro rubbed his hands over his heavily bearded face.

“The whole thing revolves around her liver function. If the liver continues to work, she will probably recover fully. We're keeping a very close watch on her blood chemistry, and we'll know something in, oh, maybe eight or nine hours.”