24
MARCH 26, 2010
FRIDAY, 10:50 a.m.
FRIDAY, 10:50 a.m.
When Laurie got involved in a task, she
often became oblivious to the world around her. Such was the
situation as she worked through the histology slides of the
previous day’s case. Instead of “John Doe,” she’d begun calling the
corpse Kenji, given his genealogical resemblance to a
medical-school classmate. And giving the man a name seemed to
narrow her focus ever further.
The typical starting point when reviewing slides
was where there was pathology, but in Kenji’s case there hadn’t
been any. Instead, she started with the organ most closely
associated with seizures, the brain. Knowing seizures could arise
from very small lesions, or even from areas with no lesions at all,
Laurie reviewed each slide methodically. Trusting Maureen and her
careful supervision of the histology technicians, Laurie was
confident she had representative sections from all sections of the
brain. Beginning with the frontal cortex, Laurie worked backward
into the temporal and parietal lobes. With each slide she’d start
with low power, scan the entire slide, then move on to higher
power. This took time and attention, so she was surprised when her
phone rang, and further surprised it was Vinnie instead of Marvin,
and that forty minutes had passed.
“You can come down now,” Vinnie said. “The corpse
is on the table.” He spoke in the same perfunctory, emotionless
tone that had irritated her earlier.
“Fine!” Laurie responded without sincerity. She was
about to hang up when her curiosity got the better of her. “I was
looking forward to Marvin calling. Why the change?”
“Marvin is busy on another case with the deputy
chief,” Vinnie said. “Besides, Twyla Robinson told me I couldn’t
leave until I was finished with you.”
His response had caught her off guard. When the
deputy chief was doing a case, it usually meant something
interesting was going on; he rarely did autopsies unless there was
a political aspect involved. She was also surprised that Twyla
Robinson’s name had come up. Twyla Robinson was a petite
African-American woman as lithe as a fashion model with high
cheekbones and glorious raven hair. As the chief of staff of OCME
she was also a woman of steel. Laurie had always been impressed
with her ability to run such a tight ship with such a varying mix
of personalities.
“Need I ask why Twyla was involved in your helping
me repeat an external exam?” Laurie questioned harshly. It was
definitely not usual. “And what do you mean by you’re
leaving?”
“I’m going on leave for a family emergency,” Vinnie
said, now with some emotion.
“I’m so sorry,” Laurie said after a pause. She
suddenly felt guilty she’d been selfish in her response to Vinnie’s
unusual mood.
“Can I ask you to come down quickly? I really need
to leave, and Marvin’s tied up with an added case after the one
he’s doing.”
“I’ll be right down,” Laurie said. “Why don’t you
just leave? I’m only going to repeat the external exam. I really
don’t need any help. I’ll find someone to help me get the corpse on
a gurney when I’m done. Really, it’s okay—you should just
go.”
“Really?”
“Really,” Laurie said. She was tempted to ask what
the family emergency was about, but she didn’t. Vinnie hadn’t given
her an in to ask such a question.
“What about Twyla?”
“Don’t worry about her,” Laurie said. “I’ll talk to
her if need be. You go and attend to your family emergency.”
“Thanks, doctor,” Vinnie said finally.
“You’re welcome, Vinnie,” Laurie said. For a moment
she held the line open, hoping that Vinnie would be more
forthcoming, but all she heard was a click. She hung up as
well.
Laurie paused with her microscope in front of her,
its light source still on. She shook her head. She knew it was
human to view the world somewhat selfishly, but she was
disappointed in herself for not having given Vinnie a bit of slack
rather than immediately taking his behavior personally.
She clicked off her microscope light, leaped to her
feet, grabbed a Tyvek coverall suit from the bottom drawer of her
file cabinet, pulled it on, and was out the door.
As the aged elevator descended and she watched the
numbers reducing, seemingly slower than usual, she banged lightly
against the door as if it would speed it up. If she thought she was
excited earlier, she was now a quantum leap more excited. The case
was suddenly blossoming in unusual complexity, for which she could
take credit, credit for persevering even in the face of Jack’s
attempt to quell her determination. Of course, she was not going to
be critical of Jack, as she knew his motivation was her
well-being.
Once on the basement level, Laurie ran, not walked,
around to the locker room, quickly got herself appropriately
attired, and pushed into the pit, which was in full swing.
Pausing just inside the door, she surveyed the
scene. All tables were occupied with corpses surrounded by the
personnel doing the cases, save for one, which Laurie presumed was
her Kenji. Next she picked out Calvin Washington, mostly because of
his intimidating size and because there were four people at his
table rather than the customary two. The only other person Laurie
could pick out from where she was standing was Jack, simply by the
way he moved and laughed. Few other people found much to laugh
about in the autopsy room, but Jack always seemed to find a way,
particularly when he and Vinnie were on a case together.
Rather than going directly to Kenji, Laurie stepped
over to Jack’s table. He was working on a relatively young man, in
his thirties or forties. Laurie could see that one leg was broken
with a compound fracture. There was also a severe head wound and
abrasions on his chest. It was clearly an accident of some
sort.
“Quick, Eddie!” Jack called out, seeing Laurie
approach. “Cover up Henry. Here comes my wife.”
Laurie, with her gloved hands clasped in front of
her like a surgeon maintaining sterility, said, “Hurry, Eddie,
before I see anything.” Eddie Prince was a relatively new mortuary
tech whom she hadn’t met before yesterday. “Well, well,” Laurie
continued. “It looks to me like a severe accident. Would it be
appropriate to presume this was a bicyclist who’d had a
disagreement with a taxicab?”
“Bus,” Jack added.
All Laurie could do was nod. In point of fact, she
did not like to joke about the issue. When she and Jack had first
met, she’d thought there was something boyishly charming about
Jack’s insistence on riding his bike back and forth to work, but
now, especially with a child, she thought it was selfishly
foolish.
“How are things going?” Jack asked. “I see your
case from yesterday is back. Is that a clue?”
“Could be,” Laurie said, recognizing that Jack had
immediately steered the conversation away from the bike-bus issue.
Even doing cases like the one he was working on or having knowledge
of the statistics, about thirty to forty bicycling deaths per year
in New York City, did nothing to discourage Jack’s behavior.
“Are we going to have a press conference this
afternoon?” Jack inquired.
“It’s not going to be that much of a revelation,”
Laurie said with a chuckle. “Although if it turns out to be what I
suspect, I’m going to be pleased with myself, and you and Lou are
going to be surprised at the very least.”
“Then let’s hope it is what you suspect.”
Laurie moved on to Kenji. She put the papers that
she’d brought from her office down on the writing surface. They
were copies of outline drawings of the human body from both dorsal
and ventral perspectives, where she could indicate any external
findings of note. Then she went to get the only equipment she
thought she would need: a scalpel, a digital camera, a handheld
dissecting microscope, and a stainless-steel probe, which was
nothing more than a thin metal stylus with a slightly nodular end
used to probe puncture wounds, such as the tracks of bullets or
pellets.
With the body supine, Laurie started with the head
and face, poring over the scalp, the ears, the face, even the
inside of Kenji’s mouth, his ears, and his nose. Having recognized
she’d done such a poor job on the external exam the day before, she
meant to do an A-plus one today.
Moving on to the upper extremities, Laurie noted
every irregularity, including cuts, bruises, moles, hemangiomas,
and even calluses. Next were the chest, abdomen, and lower
extremities. When she was finished with the ventral surface, she
went to find someone to help her turn the corpse over. Jack had
finished his case, and Eddie was available. He was happy to give
Laurie a hand.
Laurie repeated herself on the dorsal surface. As
she worked down the back, her pulse quickened. If there were to be
a suspicious break in the skin, she assumed she would find it
somewhere on the buttocks or the back or side of the legs. Just
because she hadn’t seen anything suspicious with her initial
overall glance, Laurie maintained her careful, methodical scrutiny,
and her systematic approach paid off. Within the gluteal fold where
the buttocks join the leg, Laurie felt she’d found what she was
looking for: a possible tiny puncture wound. It was a circular
reddened area that required flattening the skin to truly
appreciate. She took a digital photograph of the area, showing the
puncture.
With the stylus in her right hand, Laurie flattened
the skin with her left. Gently she applied the smaller end of the
stylus to the reddened patch of skin, and with a slight pressure
the nodular end popped inside. It was definitely a puncture
wound.
Pressing a little harder but not so much as to
create an artifact, Laurie advanced the nodular end of the stylus
until it hit the end of the track. Laurie took another photograph
of the stylus in the track. Then, placing her fingers around the
stylus where it disappeared into the skin, she drew it out and
measured. The track was two and a half centimeters deep.
Laurie disposed of her gloves and left the autopsy
room. Using the case’s accession number, she found the X-rays,
brought them back into the pit, and snapped them up onto the view
box. Carefully she scanned the area in question on both the frontal
and lateral views, in hopes of seeing a possible pellet of some
sort, but there was nothing. That meant that either a pellet was
used that was capable of being dissolved by the body or whatever
toxin was used was injected directly. Either way, Laurie assumed
the greatest concentration of the poisonous agent had to be at the
end of the track.
Returning to Kenji with a new pair of gloves,
Laurie picked up the scalpel and fell to work. What she wanted was
the track itself, encased in a core of muscle tissue about the size
of a wine cork. It sounded easy enough, but Laurie struggled. With
the tissue being easily compressible, it was difficult to avoid
cutting into the track. She wanted the sample to be en bloc. The
handheld dissecting microscope was a help, but it precluded the use
of her left hand, and in the end, she didn’t use it.
As Laurie worked with the scalpel, and having now
ascertained that Kenji had been murdered, presumably with an
umbrella air gun, her thoughts naturally drifted back to what agent
might have been involved. She already knew it could not be ricin,
as was used in the infamous Bulgarian’s case. Although she did not
know the specific poison, she did know some things about it. It had
to be extraordinarily toxic, as the security tapes indicated.
According to what she saw on the tapes, the poison had been almost
instantly effectual. She also knew it had to be neurotoxic, because
of the seizure, as a number of snake and fish venoms were. She
eventually decided to go on the Net and check out seizure-inducing
reptilian and aquatic neurotoxins.
Laurie struggled for almost half an hour, but the
final sample approximately an inch and a half long and an inch
thick looked very close to what she’d envisioned.
Laurie removed her gloves yet again and went into
the supply room for a sample bottle and a sample custody tag. Back
at the autopsy table, she put the sample in the bottle and
completed the tag, which included the case’s accession number, the
date, and the location from the body where the sample had
originated, and then signed it. She was being exquisitely careful:
If there was to be a trial concerning the case, which she now
considered a distinct possibility, the sample she was holding would
be a key piece of evidence.
With her last chore finished, Laurie went looking
for an available mortuary tech to lend a hand. With practiced ease
she and the tech got Kenji off the autopsy table and onto a gurney.
Wheeling the corpse herself out of the autopsy room, Laurie
deposited him and his gurney back in the cooler, where the corpse
would stay for the next several months, unless he was lucky enough
to be identified and shipped off to his next of kin. “I know you’re
trying to tell me some things, Kenji,” Laurie said out loud in the
heavy stillness of the cooler, “and I’m trying to listen. We
already have the person who killed you, but unfortunately we don’t
yet know who you both are. Be patient!” She stepped out of the
cooler and closed its heavy insulated door, causing it to emit a
final-sounding reverberant click.
Laurie had planned to take the sample directly up
to toxicology on the fifth floor, but a glance at her watch changed
her mind. She was aware that John DeVries was one of the most
compulsive people she knew, and one of the ways he manifested his
compulsiveness was to stop whatever he was doing at exactly noon,
and take his old-fashioned lunch box with a thermos mounted in its
vaulted top to OCME’s sad excuse of a lunchroom on the second
floor. The room was windowless, with cement-block walls. All that
was in the room were a bank of vending machines filled with
unhealthy food, plastic-topped tubular steel tables, and plastic
chairs. Although Laurie could have stopped to say hello, she was
reluctant to interrupt his lunch. It was also true that the room
depressed her. Instead she went directly up to her office so as not
to waste time. As punctual as John was about getting to the
lunchroom at noon, he was just as punctual about returning to work
at twelve-thirty, and Laurie planned to take the sample to him
then.