'There'll be no need for that. I'll just examine it here.'
I made a show of looking scholarly, leafed through the medical history of Brian Adams, age eleven, admitted for a routine tonsillectomy five years previously, clucked my tongue, shook my head, jotted down some meaningless notes, and gave it back to her.
'Thanks. You've been most helpful.'
She didn't answer, having already returned to the world of cosmetic camouflage and clothing designed for the sado - intellectual set.
I found an empty conference room down the hall next to the morgue, locked the door from the inside and sat down to examine the final chronicles of Gary Nemeth.
The boy had spent the last twenty - two hours of his life in the Intensive Care Unit at Western Pediatric, not a second of it in a conscious state. From a medical point of view it was open and shut: hopeless. The admitting intern had kept his notes factual and objective, labeling it Auto versus Pedestrian, in the quaint lexicon of medicine that makes tragedy sound like a sporting event.
He'd been brought in by ambulance, battered, crushed, skull shredded, all but his most rudimentary bodily functions gone. Yet thousands of dollars had been spent delaying the inevitable, and enough pages had been filled to create a medical chart the size of a textbook. I leafed through them: nursing notes, with their compulsive accounting of intake and output, the child reduced to cubic centimeters of fluid and plumbing: I.C.U graphs, progress notes - that was a cruel joke - consultations from neuro surgeons neurologists, nephrologists, radiologists, cardiologists; blood tests, X rays, scans, shunts, sutures, intravenous feedings, parenteral nutritional supplements, respiratory therapy, and, finally, the autopsy.
Stapled to the back inside cover was the sheriff's report, another example of jargonistic reductionism. In this equally precious dialect, Carey Nemeth was V, for Victim.
V had been hit from behind while walking down Malibu Canyon Road just before midnight. He'd been barefoot, wearing pajamas - yellow, the report was careful to note. There were no skid marks, leading the reporting deputy to conclude that he'd been hit at full force. From the distance the body traveled, the estimated speed of the vehicle was between forty and fifty miles per hour.
The rest was paperwork, a cardboard snack for some downtown computer.
It was a depressing document. Nothing in it surprised me. Not even the fact that Gary Nemeth's private pediatrician of record, the physician who'd actually signed the death report, was Lionel Willard Towle, M.D.
I left the chart stuck under a stack of X - ray plates and walked toward the elevator. Two eleven - year - olds had escaped from the ward and were waging a wheelchair drag race. They whooped by, IV. tubing looping like lariats, and I had to swerve to avoid them.
I reached for the elevator button and heard my name called.
'H'lo, Alex!'
It was the medical director, chatting with a pair of interns. He dismissed them and walked my way.
'Hello, Henry.'
He'd put on a few pounds since I'd last seen him, jowls fighting the confines of his shirt collar. His complexion was unhealthily florid. Three cigars stuck out of his breast pocket.
'What a coincidence,' he said, giving me a soft hand. 'I was just about to call you.'
'Really? What about?'
'Let's talk in the office.'
He closed the door and scurried behind his desk.
'How've you been, son?'
'Just fine.' Dad.
'Good, good.' He took a cigar out of his pocket and made masturbatory motions up and down the cellophane wrapper. 'I'm not going to beat around the bush, Alex. You know that's not my way - always come right out and say what's on your mind is my philosophy. Let people know where you stand.'
'Please do.'
'Yes. Hmm. I'll come out and say it.' He leaned forward, either about to retch or preparing to impart some grave confidence. 'I've - we've received a complaint about your professional conduct.'
He sat back, pleasurably expectant, a boy waiting for a firecracker to explode.
'Will Towle?'
His eyebrows shot skyward. There were no fireworks up there, so they came back down again.
'You know?'
'Call it a good guess.'
'Yes, well, you're correct. He's up in arms about some hypnotizing you've done or some such nonsense.'
'He's full of shit, Henry.'
His fingers fumbled with the cellophane. I wondered how long it had been since he'd done surgery. 'I understand your point; however Will Towle is an important man, not to be taken lightly. He's demanding an investigation, some kind of - '
'Witch hunt?'
'You're not making this any easier, young man.'
'I'm not beholden to Towle or anyone else. I'm retired, Henry, or have you forgotten that? Check the last time I received my salary.'
'That's not the point - '
'The point is, Henry, if Towle has a gripe against me, let him bring it up before the State Board. I'm prepared to swap accusations. I guarantee it will be an educational experience for all concerned.'
He smiled unctuously.
'I like you, Alex. I'm telling you this to warn you.'
'Warn me of what?'
'Will Towle's family has donated hundreds of thousands of dollars to this hospital. They may very well have paid for the chair you're sitting on.'
I stood up.
'Thanks for the warning.'
His little eyes hardened. The cigar snapped between his fingers, showering the desk with shreds of tobacco. He looked down at his lost pacifier and for a moment I thought he'd break into tears. He'd be great fun on the analyst's couch.
'You're not as independent as you think you are. There's the matter of your staff privileges.'
'Are you telling me that because Will Towle complained about me I'm in danger of losing my right to practice here?'
'I'm saying: Don't make waves. Call Will, make amends. He's not a bad fellow. In fact the two of you should have a lot in common. He's an expert in - '
'Behavioral Pediatrics. I know. Henry, I've heard his tune and we don't play in the same band.'
'Remember this, Alex - the status of psychologists on the medical staff has always been tenuous.'
An old speech came to mind. Something about the importance of the human factor and how it interfaced with modern medicine. I considered throwing it back in his face. Then I looked at his face and decided nothing could help it.
'Is that it?'
He had nothing to say. His type seldom does, when the conversation gets beyond platitudes, entendres, or threats.
'Good day, Doctor Delaware,' he said.
I left quietly, closing the door behind me.
I was down in the lobby, which had cleared of patients and was now filled with a group of visitors from some ladies' volunteer group. The ladies had old money and good breeding written all over their handsome faces - sorority girls grown up. They listened raptly as an administration lackey gave them a prefabricated spiel about how the hospital was in the forefront of medical and humanitarian progress for children, nodding their heads, trying not to show their anxiety.
The lackey prattled on about children being the resources of the future. All that came to my mind was
