Fatal

Matt, this is Laura in the Er…Matt?'

'Yeah.'

'Matt, you're still asleep.'

'I'm not.'

'You are. I can tell.'

'Time zit?'

'Two-thirty. Matt, please turn on a light and wake up. There's been an accident at the mine.'

Matt Rutledge groaned. 'Friggin' mine,' he muttered.

'Dr. Butler has activated the disaster protocol. Team B is it tonight. Matt, are you awake?'

'I'm awake, I'm awake,' he pronounced hoarsely, fumbling with the switch on his bedside lamp. 'Nine times seven is fifty-six. The Miami basketball team is the Heat. The fifth president — '

'Okay, okay. I believe you.'

From college, through medical school and residency, and now into his life as an internist, it had always been a chore for Matt to shut his mind down enough to fall asleep — but not nearly the challenge of subsequently waking up. Laura Williams knew this trait of his as well as any nurse, having worked with him in the ER of Montgomery County Regional Hospital for two years before his decision to switch over to private practice. She and all the other nurses had adopted the policy that Dr. Matthew Rutledge wasn't definitely awake until he could prove it beyond a reasonable doubt.

'Light on? Feet on the floor?'

'I'm up, I'm up. Hold on for a second.' Matt tossed the receiver onto the bed and pulled on a pair of worn jeans, a CAN AEROSOLS NOW T-shirt, and a light sweater. 'Was it a cave-in?' he asked, tucking the receiver beneath one ear. He sensed a tightening in his gut at even saying the words.

'I think so. Ambulances are out there, but no one's been brought in here yet. The man from the mine just got here, though. He says he thinks ten or twelve are injured.'

'Man from the mine?' Matt pulled on a pair of gym socks. Two toes — the little one and the fourth — poked through a hole in the left one. He briefly considered a replacement, then pushed the toes back in and went for his boots instead.

'He called himself the safety officer, something like that,' Laura said.

'Tall, black hair with a white streak up the front?' Sort of like a giant skunk, Matt wanted to add, but didn't.

'Exactly.'

'That would be Elaine LeBlanc. He's a very important person in Mineville. Just ask him. Laura, thanks. I'm up and dressed and on my way.'

'Great. The first rescue unit won't be here for a little while, so drive slowly.'

'I know. I know. Motorcycle equals donorcycle.' He pulled on his boots. 'I won't go over five, I promise. The rest of the team on their way in?'

'All except Dr. Crook. So far he hasn't answered his phone or his pager.'

Please let it stay that way, Matt thought. Robert ('Don't ever call me Bob') Crook was a carriage trade cardiologist. One of the senior medical citizens in the multispecialty Belinda Medical Group, he had been the most vocal in opposition to Matt's move from the ER into their practice. Ultimately, though, those who thought a well- liked, Belinda-born-and-raised, Harvard-trained internist and ER specialist might just help fill the desperate need for a primary care doc won out over Crook, whose main objection (spoken) was that Matt was an arrogant weirdo who didn't dress or look like a doctor, and (unspoken) that he had once turned down his daughter's invitation to the prom.

'Well, I should be there in ten minutes.'

'Make it fifteen.'

'Okay, okay.'

'And Matt?'

'Yes?'

'Nine times seven is sixty-three, not fifty-six.'

'I knew that.'

Matt set the phone down, pulled his dark brown hair back into a ponytail, and secured it with a rubber band. For as long as he and Ginny had known each other, he had worn his hair short — not exactly a crew cut, but almost. And by her decree, she was the only one allowed to barber him. Since her death, he hadn't done more than trim his sideburns. The stud in his right earlobe had followed a year or so later, and the tattoo on his right deltoid a few months after that. It was a masterful rendering done from a photograph of the white-blossomed hawthorn tree in their yard — Ginny's favorite.

The five-room log cabin the two of them had designed together was perched on a bluff looking out across the Sutherland Valley at the Allegheny Mountains. Pulling on a denim windbreaker, Matt stepped out onto the broad porch where, toward the end, Ginny had spent most of her time. In fact, only the tattoo artist in Morgantown had kept him from having the porch etched permanently into his arm instead of the hawthorn tree. ('I can dig the sentiment, man, but believe me, the aesthetic is just bogus.')

Anytime Matt began doubting his decision to come back to West Virginia — and of late those times were increasingly frequent — he needed only to walk out the front door of the cabin. This was Ginny's kind of night. There wasn't a single cloud in the new-moon sky. Directly overhead, the eternal river of the Milky Way shimmered across the blackness. The chilly late-summer air was, as always, tinged with a hint of smoke from the huge coal processing plant adjacent to the mine. Nevertheless, it was still sweet and fragrant with the scents of lavender, linden, wild orchids, wild roses, St. John's Wort, and hundreds of other kinds of blossoms.

Country roads, take me home, to the place I belong…

Matt looped around the cabin to his one-car garage and fired up his maroon Harley Electraglide. In addition to the hog, he had a 900cc Kawasaki roadster and a 250cc Honda dirt bike, all of which he could pretty much maintain himself. The Harley was his choice for cruising, and the jackrabbit-quick roadster for those days when he wanted to live a bit more on the edge. The Honda, in addition to being a thrill a second in the woods, was invaluable in making house calls to a large portion of his practice, inaccessible by any but the most primitive road.

As he rolled down the gravel drive to State Highway 6, Matt started feeling the first rush of adrenaline at what the next few hours might hold. This accident was hardly the first he had dealt with courtesy of the Belinda mine, although at ten to twelve injured it would be the biggest. Over the years, there had been bruises, gashes, strains, sprains, and fractures too numerous to mention. There had also been a few deaths. But the only other time disaster team B had actually been called in proved to be a farce. An underground train known as a maintrip had derailed deep in the mine. Twenty members of team B had milled around the ER from two until three in the morning before word was received that instead of the thirty to forty casualties originally reported, there were none.

However, this new disaster, Matt sensed, was the real deal.

The six-mile ride to the hospital was along a serpentine road for which the motorcycle seemed expressly created. Matt leaned into the familiar turns with a rhythm that had become second nature. He wondered if this latest disaster was yet another monument to the Belinda Coal and Coke Company's cutting safety corners wherever possible. Despite the constant pressure for modernization and improved safety that he and a few other brave souls tried to keep on the mine owners, little had changed. BC amp;C was persistently unwilling to do anything but the barest minimum to ensure the well-being of the miners. It was that way with the massive conglomerate today just as it had been that April night twenty-two years ago when the ceiling of Tunnel C-9 — the tunnel cutely nicknamed Peggy Sue — caved in, crushing to death three miners, including shift foreman Matthew Rutledge, Sr.

CHAPTER 2

The ER at the modern, I2O-bed Montgomery County Regional Hospital had a patient capacity of twelve, including rooms specially equipped for orthopedics and pediatrics, as well as room 10, the 'crash' suite for major medical or surgical emergencies. Two surgeons and a GP were waiting by the nurses' station when Matt arrived, but he knew there were at least two or three more clinicians around, plus a radiologist. In addition, almost certainly