Lethal Remedy (2 page)

Lindberg was middle-aged but already running to fat— or, more accurately, flab. His florid complexion gave testimony to too many helpings of rare roast beef accompanied by glasses of single malt Scotch, undoubtedly shared with top-drawer doctors and paid for on the Jandra expense account. Lindberg's eyes were the color of burnished steel, and showed a glimmer of naked ambition that the smile pasted on his face couldn't disguise. His thinning blond hair was combed carefully to cover early male pattern baldness. The sleeves of his white dress shirt were rolled halfway to his elbows. His tie was at half-mast and slightly askew.

Patel, the geek. Lindberg, the glad-hander. Different in so many ways. But both men shared one characteristic. Wolfe knew from experience that each man would sell his mother if it might benefit the company, or more specifically, their position in it. The two of them together could mean something very good or very bad for Bob Wolfe. He eased forward in his chair and kicked his senses into high gear.

Patel leaned back and tented his fingers. "Bob, I'm sure you're wondering what this is about. Well, I wanted to congratulate you on the success of EpAm848. I've been looking over the preliminary information, especially the reports from Dr. Ingersoll at Southwestern Medical Center. Very impressive."

"Well, it's sort of Ingersoll's baby. He stumbled onto it when he was doing some research here during his infectious disease fellowship at UC Berkeley. I think he wants it to succeed as much as we do."

"I doubt that." Patel leaned forward with both hands on the desk. "Jandra is on the verge of bankruptcy. I want that drug on the market ASAP!"

"But we're not ready. We need more data," Wolfe said.

"Here's the good news," Patel said. "The FDA is worried about The Killer bacteria outbreak. I've pulled a few strings, called in a bunch of favors, and I can assure you we can get this application fast-tracked."

"How?" Wolfe said. "We're still doing Phase II trials. What about Phase III? Assuming everything goes well, it's going to be another year, maybe two, before we can do a rollout of EpAm848."

"Not to worry," Patel said. "Our inside man at the FDA assures me he can help us massage the data. We can get by with the Phase II trials we've already completed. And he'll arrange things so we can use those plus some of our European studies to fulfill the Phase III requirements."

Lindberg winked at Wolfe. "We may have to be creative in the way we handle our data. You and I need to get our heads together and see how many corners we can cut before the application is ready."

Wolfe shook his head. "You say this drug will save us from bankruptcy. I don't see that. I mean, yes, it looks like we may be in for a full-blown epidemic of
Staph luciferus,
but we won't sell enough—"

Lindberg silenced him with an upraised hand. "Exposure, Bob. Exposure. If we get this drug on the market, if we're the first with a cure, our name recognition will skyrocket. Doctors and patients will pay attention to our other drugs: blood pressure, cholesterol, diabetes. Our market share will go through the roof in all of them."

Wolfe could see the salesman in Lindberg take over as he leaned closer, as though to drive home his point by proximity. "We're preparing a direct-to-consumer push on all those drugs, ready to launch at the same time we release Jandramycin."

The name didn't click with Wolfe for a moment. "I . . . Well, I'll certainly do what I can."

"Do more than that," Lindberg said. "Jandra Pharmaceuticals is hurting. We're staking everything on Jandramycin."

That was the second time Wolfe had heard the term. "What—"

"Stop referring to the drug by its generic name," Patel added. "From now on, the compound is Jandramycin. When people hear the name Jandra Pharmaceuticals, we want them to think of us as the people who developed the antibiotic that saved the world from the worst epidemic since the black plague."

Lindberg eased from his chair and gave Wolfe another slap on the shoulder. "This is your project now. It's on your shoulders. The company's got a lot riding on this."

And so do I.
"But what if a problem turns up?"

Patel rose and drew himself up to his full five feet eight inches. His obsidian eyes seemed to burn right through Wolfe. "We're depending on you to make sure that doesn't happen. Are we clear on that?"

Sara leaned over the sink and splashed water on her face. The paper towels in the women's restroom of the clinic were rough, but maybe that would put some color in the face that stared back at her from the mirror. Her brown eyes were redrimmed from another sleepless night. Raven hair was pulled into a ponytail because she could never find time or energy for a haircut or a perm.
Get it together, Sara.
She took a deep breath and headed for the doctor's dictation room, where she slumped into a chair.

"Something wrong, Dr. Miles?"

Sara turned to see Gloria, the clinic's head nurse. "No, just taking a few deep breaths before I have to make a call I'm dreading."

Gloria slid into the chair next to Sara. The controlled chaos of the internal medicine clinic hummed around them. The buzz of conversations and ringing of phones served as effectively as white noise to mask her next words. "Is it one of your hospital patients? Got some bad news to deliver?"

"Sort of. It's Chelsea Ferguson."

"The teenage girl? Is she worse?"

"Yes. The cultures grew
Staph luciferus."

Gloria whistled silently. "The Killer. That's bad."

"The only thing that seems to be working in these cases is that new drug of Jack Ingersoll's."

"Oh, I get it. That's the call you don't want to make." Gloria touched Sara lightly on the shoulder. "When will you stop letting what Ingersoll did ruin the rest of your life? I can introduce you to a couple of nice men who go to our church. They've both gone through tough divorces—neither was their fault— and they want to move on. It would be good for you—"

Sara shook her head. "Thanks, but I'm not ready to date. I'm not sure if I can ever trust a man again."

Gloria opened her mouth, but Sara silenced her with an upraised hand. No sense putting this off. She pulled the phone toward her and stabbed in a number.

Dr. John Ramsey found a spot in the visitors' parking lot. He exited his car and looked across the driveway at the main campus of Southwestern Medical Center. When he'd graduated, there were two buildings on the campus. Now those two had been swallowed up, incorporated into a complex that totaled about forty buildings on three separate campuses. Right now he only needed to find one: the tall white building directly across the driveway at the end of a flagstone plaza. The imposing glass façade of the medical library reflected sunlight into his eyes as he wove past benches where students sat chatting on cell phones or burrowing into book bags. He paused at the glass front doors of the complex, took a deep breath, and pushed forward.

There was a directory inside for anyone trying to negotiate the warren of inter-connected buildings, but John didn't need it. He found the elevator he wanted, entered, and punched five. In a moment, he was in the office of the Chairman of Internal Medicine.

"Dr. Schaeffer will be with you in a moment." The receptionist motioned him toward a seat opposite the magnificent rosewood desk that was the centerpiece of the spacious office, then glided out, closing the door softly behind her.

John eased into the visitor's chair and looked around him. He'd spent forty years on the volunteer clinical faculty of Southwestern Medical Center's Department of Internal Medicine. For forty years he'd instructed and mentored medical students and residents, for forty years he'd covered the teaching clinic once a month, and today was the first time he'd been in the department chairman's office. He swallowed the resentment he felt bubbling up.
No, John. You never wanted to be here. You were happy in your own world.

John couldn't help comparing this room with the cubbyhole he'd called his private office. Now he didn't even have that. The practice was closed, the equipment and furnishings sold to a young doctor just getting started. John's files and patient records were in a locked storage facility, rent paid for a year.

He wondered how many of his patients had contacted his nurse to have their records transferred. No matter, she'd handle it. He'd paid her six months' salary to take care of such things. What would happen after that? He didn't have the energy to care. Things were different now.

For almost half a century he'd awakened to the aroma of coffee and a kiss from the most wonderful woman in the world. Now getting out of bed in the morning was an effort; shaving and getting dressed were more than he could manage some days. Since Beth died . . . He shook his head, trying to clear the cobwebs that clogged his brain. The knowledge that he'd never again know the happiness of having a woman he loved by his side made him wish he'd died with her. What was the use of going on?

But something happened this morning. He'd awakened with a small spark of determination to do something, anything, to move on. He tried to fight it, to roll over and seek the sleep that eluded him. Instead, he heard the echo of Beth's words: "You're too good a physician to retire. People need you." He remembered that conversation as though it were yesterday. She'd urged; he'd insisted.
Let's retire. I want to get out of the rat race and enjoy time with you.
Retirement meant the travel they'd put off, the time to do things together. Only, now there was no more together.

This morning, he'd rolled out of bed determined that today would be different. It would be the start of his rebirth. As he shrugged into a robe, as he'd done each day since her death he looked at the picture on their dresser of him and Beth. She'd been radiant that spring day so many years ago, and he wondered yet again how he'd managed to snag her.

He'd shaved—for the first time in days—with special care, and his image in the mirror made him wonder. When did that slim young man in the picture develop a paunch and acquire an AARP card? When had the thick brown hair been replaced by gray strands that required careful combing to hide a retreating hairline? The eyes were still bright, although they hid behind wire-rimmed trifocals. "You're too old for this, John," he muttered. And as though she were in the room, he heard Beth's words once more. "You're too good a physician to retire. People need you."

Fortified with coffee, the sole component of his breakfast nowadays, he'd forced himself to make the call. He asked his question and was gratified and a bit frightened by the positive response. John dressed carefully, choosing his best suit, spending a great deal of time selecting a tie. He'd noticed a gradual shift in doctors' attire over the past few years. Now many wore jeans and golf shirts under their white coats. But for John Ramsey, putting on a tie before going to the office was tantamount to donning a uniform, one he'd worn proudly for years. And he—

"John, I was surprised when I got your call. To what do I owe the pleasure?" Dr. Donald Schaeffer breezed into the office, the starched tails of his white coat billowing behind him. He offered his hand, then settled in behind his desk.

"Donald, I appreciate your taking the time to see me. I was wondering—"