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Authors: Robin Cook

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BOOK: Death Benefit
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“He is a gifted man. The Lord has looked kindly on him.”
“He is going to make history by personally ushering in regenerative medicine. His work with stem cells will be seminal. I want to be part of it.”
“From my perspective, you already are. From what you have shared, he has taken to you. Not that I am surprised. How can I help?”
Pia looked back down at her hands. She felt a tinge of guilt after all that the mother superior had done for her, and here she was immediately offering to do more. “I believe I will want to do medical research full-time, meaning I don’t think I want to go to Africa.”
There, it’s out
, Pia thought. She felt immediate relief. For a few moments silence reigned in the room. Pia suddenly realized how cold it was. “I know this is a rather large change since I offered to go to Africa to repay you and the order for all the help you’ve given me over the years since I aged out of foster care.”
“Your going to Africa was to be for you, not us,” the mother superior said. “Pia, please don’t be rash. I know I’m going to sound very old-fashioned, but is there a man involved? There must be—it is your burden to be so beautiful. I hope to God that Dr. Rothman is being honorable.”
Pia suppressed a smile. The mother superior’s suggestion was so far from reality as to warrant such a reaction. She and Rothman had trouble making eye contact much less something more intimate. “I can assure you that Dr. Rothman has been quintessentially honorable.”
“God has limitless ways to test us,” the mother superior continued.
“Reverend Mother, I don’t believe God is testing me. This does not involve a man, I assure you. I have made my decision because it pleases me and because God has given me a facility for the work. But I would like to repay the convent. Thanks to Dr. Rothman’s generosity, I have access to fifty thousand dollars. I would like to donate this money to the convent.”
“I will be willing to accept any donation but not as repayment. For our services you do not owe us anything. After all, your presence was payment enough.”
“It would please me to donate the money,” Pia said.
“As you will. But I do have another request. I don’t want you to forget us. I trust that you will still make it a point to visit us on occasion. If you forget us, that will be a betrayal.”
Pia, who had been looking past the mother superior at the crucifix, was stopped short. Suddenly, her suit of armor was dented, and she looked down at her shoes, feeling young and small.
Betray. Betrayal.
When she first encountered the word “betray” in a novel when she was eleven, she looked it up in the school’s big dictionary. The definition seemed just right. That’s what her family had done, it had
betrayed
her.
Betrayal
was the tragedy that had stalked Pia ever since she was six, on the day when the police burst through the front door of the apartment she shared with her father and uncle and placed her in the clutches of the New York City foster care program.
3.
COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK CITY
MARCH 1, 2011, 7:30 A.M.
 
 
S
he knows the man’s important but she can’t remember his name. The girl is standing in front of a long desk, wearing a plain, very loose-fitting, institutional gray shift with her shoulders slumped forward and her hands clasped in front of her, elbows tucked into her sides. Even sitting down, the man is very large, enormous, in fact, and he’s leaning forward, talking to her, not looking her in the eye but right at her chest. She can’t make out what he’s saying. She’s been bad, she’s misbehaved, she’s going to need to be punished, that’s all she knows.
She can hear him now. He’s even bigger than he was before, telling her to stand up straight, to pull her shoulders back. Why is she wearing that shapeless garment? Pia remembers that she’s fifteen or at most sixteen and this is the head of her school, and it’s as if she’s at the back of the room, watching this girl who is her but not her. He pushes his chair back and stands up. Coming around the desk, he approaches her with a cruel, lustful smile. “Pia . . .” he orders. “Pia . . .”
“Pia . . . Pia . . . !” Pia sat up in bed and breathed a deep sigh of relief. Her T-shirt was sticking to the sweat on her back as she stretched forward, listening to George calling to her from the other side of the door. She let him in and hurried to get dressed, vowing that she’d remember to set the alarm that night. Her internal clock used to wake her up at six without fail but the last couple of weeks she’d had trouble sleeping, suffering from a number of recurrent nightmares. She felt exhausted. She’d not had nearly enough sleep. After visiting with the mother superior, she’d gone back to Rothman’s lab. By the time she’d gotten back to her dorm room and crawled into bed it had been 4:23 in the morning.
As she dressed, she found herself mulling over the meeting with the mother superior, and she shared some of it with George on the way to the medical center.
“I’m glad you went,” George said as they walked in the crisp morning sunshine. “I mean, you were never going to join the order, and I can’t see you in Africa doing whatever missionaries do nowadays. I’ve never known any nuns, but I can’t imagine you’re the nun type.” From one of their four lovemaking events, an erotic image of a satiated Pia naked in bed flashed through his mind. He noticed Pia shoot him a look, and he cringed. Could she read his mind? It wasn’t the first time George had this worry.
“I don’t think becoming a nun and taking the vows would have been a problem for me, George. I’m not even saying I’ll never do it. I’ve seen how life is at the convent, and it’s very peaceful. It’s different from the world out here. The sisters support each other. It’s safe.”
George immediately felt uncomfortable, like he was patronizing Pia. He couldn’t blame her for wanting some security in her life with the little he knew of her childhood. But becoming a nun? It seemed extreme. “I guess what I mean is that it seems like a way of avoiding life. There are other ways of being safe besides going and hiding out in a convent.”
“I don’t think of becoming a nun as hiding. It’s the opposite—they have to give all of themselves to the world they have chosen.”
They don’t betray each other either,
thought Pia to herself. They had reached the Black research building.
“Actually I think you’d be equivalently hiding if you end up spending your whole career working in there with Rothman,” George said, indicating the building with a tilt of his head. His concept of medicine involved helping people directly, one-on-one, having an effect on the lives of people he could see and touch. As far as he was concerned, research was too cold and abstract and populated with asocial martinets like Rothman who were as welcoming and warm as a file full of algorithms.
“So, what about lunch today?” George said, changing the subject and ever hopeful. As he had feared, they hadn’t met up for lunch the day before. In the three-plus years that George had known Pia, they’d never had an official lunch date. They had lunched together numerous times, but not as a planned event. During the first two years they had managed to have pretty much the same schedule so it just happened. But now that George was on a radiology elective and Pia was holed up in Rothman’s lab, he knew that the chances they’d run into each other by accident were slim. But why he was bothering to ask her he had no idea, since he knew it wasn’t going to happen. And why was he always so damned accommodating?
“Sorry, George, I can’t make plans,” she said. “Yesterday I had to spend the entire day and come back at night to work on one of Rothman’s journal articles, and it still isn’t done. On top of that I’ll be meeting with him sometime to find out what he has in store for me for the entire month. I seriously doubt I’ll even be getting lunch.”
 
 
P
ia was unhappy to see that the pesky maintenance man was still in her office. He was up the stepladder again, only facing a different direction this time. The day before, as she had worked on Rothman’s paper on one of the benches out in the lab proper, she’d noticed that he’d left at twelve and didn’t come back for four hours. At that rate she worried about him being there pestering her and keeping her from her cubbyhole for a week. Her office was small, but it was hers and she could leave her stuff spread out on the countertops, something she couldn’t do in the main lab.
Pia made enough noise dropping her bag on her tool-littered desk to ensure Vance knew she was there and not particularly happy. “Hey, you up there,” she called out.
Vance pulled his head down into the room and, seeing Pia, climbed down, smiling, rubbing his hands on a rag. “Ah, Miss Grazdani! How are you today? I missed you yesterday when I left.”
“I noticed you took a four-hour lunch. You should have told me you’d be away so long. I could have been working here in my office. Anyway, yesterday you thought you’d be finished. What’s up? How long is this going to take?”
“The job is turning out to be more difficult than I had thought. All I can really say is that I’m trying my best. As soon as I figure out what the hell is wrong, I’ll knock it right out and be outa here.”
Pia merely sighed irritably and lifted her bag.
“Miss Pia, I’ve got a surprise for you. I made an extra sandwich today for lunch, one for me and one for you. How about joining me for a bite? I make a wicked pastrami sandwich on a ciabatta roll. What do you say?”
He was smiling again. Jesus, men were so predictable. Pia glowered: Was this guy suffering from delusions? She wasn’t staying to find out nor did she want to encourage the man.
“Just hurry the hell up with the job. Please!” she snapped. As far as the sandwich offer was concerned, she didn’t even want to acknowledge it.
Pia turned and stepped back into the main lab. She put her bag on the bench area where she’d worked the previous day. But instead of jumping right in, she walked back to Marsha’s desk to find out where their leader was that morning. To her surprise, she learned that Rothman was in his office and waiting for her. Pleased, Pia hurried in through the open door. Immediately she noticed he was dealing with the same maintenance inconvenience Overhead, a number of ceiling tiles were missing and spaghetti-like wires dangled from the holes. An assortment of tools dotted one of the countertops and a few were scattered on the floor. In the corner was a stepladder leaning against the wall and the security camera was missing from its mounting.
“Good morning, Dr. Rothman,” Pia chirped. She never knew what to expect mood-wise but hoped for the best. “Marsha said you were expecting me.”
“Miss Grazdani. How do you spell ‘catheter’?” Rothman demanded, not even bothering to look up from the sheet of paper he was holding. She could tell it was part of the
Lancet
manuscript she’d worked on.
“C-A-T-H-E-T-E-R. Why?”
“Well, it seems you know how to spell it, so I’m wondering why you felt the need to make up an alternative version for my paper?”
Pia had worked on Rothman’s article, making several suggestions for changes in structure and rewriting one whole section she found particularly opaque. Late last night she had been in a hurry to finish, and she hadn’t run a spell check.
“One wonders what they taught you at NYU, if anything. There were several spelling errors and two grammatical ones.”
From experience, Pia knew how Rothman worked. These jabs at her spelling and grammar almost certainly meant that he had accepted her structural changes. If you lived for compliments and praise, you’d starve to death working for Rothman. Rothman took good work for granted. If you weren’t good, you didn’t last long, so the only elements worth talking about were the minor faults. Rothman twisted in his seat to face his Mac and started pecking his way around the keyboard. Pia surmised he was adding her changes to the original manuscript. Pia took a seat without being asked. If she waited to be asked, she’d be standing all day.
Pia had enjoyed laboring over the
Lancet
piece. Scientific writing was something she enjoyed and seemed to have a facility for. Over the previous three years, Pia had collaborated with Rothman on his salmonella studies and had even got credit as one of the authors on several. It had been exciting work. Rothman was continuing his award-winning, landmark research that he had accomplished concerning salmonella virulence, a subject for which he’d won his Nobel and Lasker prizes. Virulence was the microorganism’s ability to invade and kill its host cells, something salmonella was particularly good at. Over the years Rothman had found, classified, and defined the five pathogenicity “islands,” or areas, in the salmonella genome that encoded for various virulence-related factors such as specific toxins and antibiotic resistance, both of which had contributed to salmonella being by far the largest cause of human food-borne illness in the world. Every year salmonella caused the mortality and morbidity of countless millions of people. Every year typhoid fever alone still killed upwards of half a million people, a situation Rothman had his sights on rectifying and was coming closer to each year.
Initially when Pia first joined Rothman’s lab, she had been more interested in his newer area of research, namely stem cells, and had hoped to work with them. But he had had other ideas and wanted her to cut her teeth with his continuing salmonella work. As time passed she’d become as committed as he in the microbiological arena, fascinated by bacteria and viruses in general and salmonella in particular and the microscopic realm they inhabited. Soon she found herself reveling in the involved science while enjoying the thrill of working with one of the greatest minds on the subject. On a daily basis Pia had come to relish refining her knowledge of genetics so that she could one day make her own contribution to basic research. Gradually she had come to realize how exciting research could be and how well it fit with her personality.
BOOK: Death Benefit
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