Book of the Dead

what kind of doctor he is and why you’re seeing him.”

“An oncologist.”

Scarpetta feels as if she’s been kicked in the chest.

“Please. Don’t make this harder for me,” Rose says. “I was hoping you wouldn’t find out until it was time to pick out an acceptable urn for my ashes. I know I did something I shouldn’t.” She catches her breath. “Was in such a state, got so upset, and was aching all over.”

Scarpetta takes her hand. “Funny how we get ambushed by our feelings. You’ve been stoical. Or dare I use the word stubborn? Now today you have to reckon with it.”

“I’m going to die,” Rose says. “I hate doing this to everyone.”

“What kind of cancer?” Holding Rose’s hand.

“Lung. Before you start thinking it’s from all that secondary smoke I was exposed to in the early days when you puffed away in your office…” Rose starts to say.

“I wish I hadn’t. I can’t tell you how much I wish that.”

“What’s killing me has nothing to do with you,” Rose says. “I promise. I come by it honestly.”

“Non — small cell or small cell?”

“Non — small.”

“Adenocarcinoma, squamous?”

“Adenocarcinoma. Same thing my aunt died from. Like me, she never smoked. Her grandfather died of squamous. He did smoke. I never in a million years imagined I’d get lung cancer. But then it’s never occurred to me I’d die. Isn’t it ridiculous.” She sighs, the color slowly returning to her face, the light to her eyes. “We look at death every day and it doesn’t change our denial about it. You’re right, Dr. Scarpetta. I guess today it hit me from behind. I never saw it coming.”

“Maybe it’s about time you call me Kay.”

She shakes her head.

“Why not? Aren’t we friends?”

Rose says, “We’ve always believed in boundaries, and they’ve served us well. I work for someone I’m honored to know. Her name is Dr. Scarpetta. Or Chief.” She smiles. “I could never call her Kay.”

“So now you’re depersonalizing me. Unless you’re talking about someone else.”

“She’s someone else. Someone you really don’t know. I think you have a much lower opinion of her than I do. Especially these days.”

“Sorry, I’m not this heroic woman you just described, but let me help what little I can — get you to the best cancer center in the country. Stanford Cancer Center. Where Lucy goes. I’ll take you. We’ll get you any treatment you…”

“No, no, no.” Rose shakes her head again slowly, side to side. “Now be quiet and listen to me. I’ve consulted all sorts of specialists. Do you remember last summer I went on a three-week cruise? A lie. The only cruise I went on was from one specialist to another, and then Lucy took me to Stanford, which is where I got my doctor. The prognosis is the same. My only choice was chemo and radiation, and I refused.”

“We should try anything we possibly can.”

“I’m already in stage three-B.”

“It’s spread to the lymph nodes?”

“Lymph nodes. And bone. Well on its way to being stage four. Surgery’s impossible.”

“Chemotherapy and radiotherapy, or even just radiation therapy by itself. We’ve got to try. We can’t just give up like this.”

“In the first place, there’s no we. It’s me. And no. I won’t put myself through it. I’ll be damned if I’m going to have all my hair fall out and be sick and miserable when I know this disease is going to kill me. Sooner rather than later. Lucy even said she would get me marijuana so the chemo wouldn’t make me as sick. Imagine me smoking pot.”

“Obviously, she’s known about this for as long as you have,” Scarpetta says.

Rose nods.

“You should have told me.”

“I told Lucy, and she’s a master of secrets, has so many I’m not sure any of us know what’s really true. What I didn’t want is this very thing. To make you feel bad.”

“Just tell me what I can do.” As grief tightens its grip.

“Change what you can. Don’t ever think you can’t.”

“Tell me. I’ll do anything you want,” Scarpetta says.

“It’s not until you’re dying that you begin to realize all the things in life you could have changed. This I can’t change.” Rose taps her chest. “You have the power to change almost anything you want.”

Images from last night, and for an instant, Scarpetta imagines she smells him, feels him, and she struggles not to show how devastated she is.

“What is it?” Rose squeezes her hand.

“How can I not feel terrible?”

“You were just thinking about something, and it wasn’t me,” Rose says. “Marino. He looks awful and is acting odd.”

“Because he got shit-face drunk,” Scarpetta says, anger in her voice.

“‘Shit-face.’ Now, that’s a term I haven’t heard you use. But then I’m getting rather vulgar myself these days. I actually used the word twat this morning when I was talking to Lucy on the phone — referring to Marino’s latest. Who Lucy happened to pass in your neighborhood around eight. When Marino’s motorcycle was still parked in front of your house.”

“I have a box of food for you. It’s still in the hall. Let me get it and I’ll put it away.”

A coughing fit, and when Rose removes the tissue from her mouth, it is spotted with bright red blood.

“Please let me take you back to Stanford,” Scarpetta says.

“Tell me what happened last night.”

“We talked.” Scarpetta feels her face turn red. “Until he was too drunk.”

“I don’t believe I’ve ever seen you blush.”

“A hot flash.”

“Yes, and I have the flu.”

“Tell me what to do for you.”

“Let me go about my business as usual. I don’t want to be resuscitated. I don’t want to die in a hospital.”

“Why don’t you move in with me?”

“That’s not going about my business as usual,” Rose says.

“Will you at least give me permission to talk to your doctor?”

“There’s nothing else for you to know. You asked what I want, and I’m telling you. No curative treatment. I want palliative care.”

“I have an extra room in my house. Small as it is. Maybe I should get a bigger place,” Scarpetta says.

“Don’t be so selfless it makes you selfish. And it’s selfish if you make me feel guilty and just plain horrible because I’m hurting everyone around me.”

Scarpetta hesitates, then says, “Can I tell Benton?”

“You can tell him. But not Marino. I don’t want you telling him.” Rose sits up, places her feet on the floor. She takes both of Scarpetta’s hands. “I’m no forensic pathologist,” she says. “But why are there fresh bruises on your wrists?”

The basset hound is still right where they left him, sitting in the sand near the No Trespassing sign.

“See, now, this just isn’t normal,” Madelisa exclaims. “Been sitting here for more than an hour, waiting for us to come back. Here, Droopy. You sweet little thing.”

“Honey, that’s not his name. Now, don’t be naming him. Look at his tag,” Ashley says. “See what his real name is and where he lives.”

She stoops down, and the basset hound ambles over to her, presses against her, licks her hands. She squints