Port Mortuary (2010)

ALSO BY PATRICIA CORNWELL

THE SCARPETTA NOVELS

Postmortem

Body of Evidence

All That Remains

Cruel and Unusual

The Body Farm

From Potter’s Field

Cause of Death

Unnatural Exposure

Point of Origin

Black Notice

The Last Precinct

Blow Fly

Trace

Predator

Book of the Dead

Scarpetta

The Scarpetta Factor

ANDY BRAZIL SERIES

Hornet’s Nest

Southern Cross

Isle of Dogs

WIN GARANO SERIES

At Risk

The Front

NON-FICTION

Portrait of a Killer: Jack the Ripper - Case Closed

BIOGRAPHY

Ruth, a Portrait: The Story of Ruth Bell Graham

OTHER WORKS

Food to Die For: Secrets from Kay Scarpetta’s Kitchen

Life’s Little Fable

Scarpetta’s Winter Table

A NOTE TO MY READERS

While this is a work of fiction, it is not science fiction. The medical and forensic procedures, and technologies and weapons, you are about to see exist now, even as you read this work. Some of what you are about to encounter is extremely disturbing. All of it is possible.

Also real and fully operational at this writing are various entities, including the following:

Port Mortuary at Dover Air Force Base

Armed Forces Medical Examiner (AFME)

Armed Forces DNA Identification Laboratory (AFDIL)

Armed Forces Institute of Pathology (AFIP)

Department of Defense (DoD)

Defense Advanced Research Projects Agency (DARPA)

Royal United Services Institute (RUSI)

Special Weapons Observation Remote Direct-Action System (SWORDS)

Although completely within the realm of possibility, the Cambridge Forensic Center (CFC), the Chatham Correctional Institute, Otwahl Technologies, and the Mortuary Operational Removal Transport (MORT) are creations of the author’s imagination, as are all of the characters in this story and the plot itself.

My Thanks -

To all the fine men and women of the Armed Forces Medical Examiner System and the Armed Forces Institute of Pathology, who have been kind enough during my career to share their insights and highly advanced knowledge, and to impress me with their discipline, their integrity, and their friendship.

As always, I’m deeply indebted to Dr. Staci Gruber, director of the Cognitive and Clinical Neuroimaging Core, McLean Hospital, and assistant professor, Harvard Medical School, Department of Psychiatry.

And, of course, my gratitude to Dr. Marcella Fierro, former chief medical examiner of Virginia, and Dr. Jamie Downs, medical examiner, Savannah, Georgia, for their expertise in all things pathological.

TO STACI

You have to live with me

while I live it—

1

Inside the changing room for female staff, I toss soiled scrubs into a biohazard hamper and strip off the rest of my clothes and medical clogs. I wonder if Col. Scarpetta stenciled in black on my locker will be removed the minute I return to New England in the morning. The thought hadn’t entered my mind before now, and it bothers me. A part of me doesn’t want to leave this place.

Life at Dover Air Force Base has its comforts, despite six months of hard training and the bleakness of handling death daily on behalf of the US government. My stay here has been surprisingly uncomplicated. I can even say it’s been pleasant. I’m going to miss getting up before dawn in my modest room, dressing in cargo pants, a polo shirt, and boots, and walking in the cold dark across the parking lot to the golf course clubhouse for coffee and something to eat before driving to Port Mortuary, where I’m not in charge. When I’m on duty for the armed forces medical examiner, the AFME, I’m no longer a chief. In fact, I’m outranked by quite a number of people, and critical decisions aren’t mine to make, assuming I’m even asked. Not so when I return to Massachusetts, where I’m depended on by everyone.

It’s Monday, February 8. The wall clock above the shiny white sinks reads 16:33 hours, lit up red like a warning. In less than ninety minutes I’m supposed to appear on CNN and explain what a forensic radiologic pathologist, or RadPath, is and why I’ve become one, and what Dover and the Department of Defense and the White House have to do with it. In other words, I’m not just a medical examiner anymore, I suppose I’ll say, and not just a habeas reservist with the AFME, either. Since 9/11, since the United States invaded Iraq, and now the surge of troops in Afghanistan —I rehearse points I should make—the line between the military and civilian worlds has forever faded. An example I might give: This past November during a forty-eight-hour period, thirteen fallen warriors were flown here from the Middle East, and just as many casualties arrived from Fort Hood, Texas. Mass casualty isn’t restricted to the battlefield, although I’m no longer sure what constitutes a battlefield. Maybe every place is one, I will say on TV. Our homes, our schools, our churches, commercial aircraft, and where we work, shop, and go on vacation.

I sort through toiletries as I sort through comments I need to make about 3-D imaging radiology, the use of computerized tomography, or CT, scans in the morgue, and I remind myself to emphasize that although my new headquarters in Cambridge, Massachusetts, is the first civilian facility in the United States to do virtual autopsies, Baltimore will be next, and eventually the trend will spread. The traditional postmortem examination of dissect as