Seizure (47 page)

“Wait a second,” Paul said, grabbing Spencer's arm. “Something just occurred to me: Ashley Butler is the senator who has been spearheading the movement to ban Lowell's HTSR. Now that's ironic, since he is now going to be the beneficiary!”

“It's more hypocritical than ironic, if you ask me,” Spencer said. “He and Lowell must have come up with some kind of clandestine deal.”

“That has to be the case, and if it is, it bodes well for our
financial windfall, since both would be committed to keeping it a deep, dark secret.”

“I think we're in the driver's seat,” Spencer said with a nod. “Now, let's get back in that OR to make sure there are no more problems, so the implantation actually takes place. It was a damn good thing we were around for that X-ray muddle.”

“We're going to have to get a portable X-ray machine.”

“Let's hold off until we get some cash flow, if you don't mind.”

Spencer hesitated just outside the OR door. He turned back to Paul. “I think it is important we don't let on about knowing the senator's true identity.”

“Of course,” Paul said. “That goes without saying.”

11:45
A
.
M
., Sunday, March 24, 2002

 

For Tony D'Agostino,
it was like being caught in a bad dream, unable to wake up, as once again he found himself pulling up to the front of the Castigliano brothers' plumbing supply store. To make matters worse, it was a cold, rainy late March Sunday morning, and there were a thousand other things he'd prefer to be doing, like having a cappuccino and a cannoli in cozy Café Cosenza on Hanover Street.

After opening the car door, Tony first stuck out his umbrella and got it open. Only then did he climb from the car. But his efforts were to no avail. He still got wet. The wind was whipping the rain around so that it was going every which way. It was even a struggle to hold on to the umbrella to keep it from being yanked out of his hand.

Just inside the door, Tony stomped the moisture off his feet, wiped his forehead with the back of his hand, and leaned the umbrella up against the wall. As he passed the counter where Gaetano usually worked, he swore under his breath. There was no doubt in his mind that Gaetano was the one who had screwed up yet again, and he had hoped the hulk would be there so he could give him a piece of his mind.

As usual, the door to the inner office was unlocked, and Tony entered after a cursory knock without waiting for a reply. Both the Castiglianos were at their respective desks, the cluttered surfaces of which were illuminated by the matching desk lamps with green glass shades. With the heavy cloud cover, very little light was coming in through the dirty, small-paned windows facing out over the marsh.

The Castiglianos looked up in unison. Sal had been busy making entries into an old-fashioned ledger book from a stack of crinkled notes. Lou was playing solitaire. Unfortunately, Gaetano was nowhere to be seen.

Following the usual ritual, Tony gave each twin a slapping handshake before sitting down on the sofa. He didn't sit back or even open his coat. He planned on making the visit as short as possible. He cleared his throat. No one had said a word, which was a little strange, especially since he was the one planning to act irritated.

“My mother talked to my sister last night,” Tony began. “I want you people to know I'm confused.”

“Oh, really?” Lou questioned with a touch of scorn. “Welcome to the club!”

Tony looked from one twin to the other. It was suddenly obvious that both the Castiglianos were in as ugly a mood as he, especially with Lou showing the disrespect of immediately going back to his game of solitaire, snapping his cards on the desktop as he played. Tony looked at Sal, and Sal glared back. Sal appeared more sinister than usual, with his gaunt face illuminated from below with sickly green light. He could have been a corpse.

“Why don't you tell us what you're confused about?” Sal suggested superciliously.

“Yeah, we'd like to hear,” Lou added, without interrupting his card playing. “Especially since you're the one who twisted our arms to come up with the hundred K for your sister's scam.”

Mildly alarmed at this unexpected cool reception, Tony sat back. Feeling suddenly warm all over, he opened his coat. “I didn't twist anybody's arm,” he said indignantly, but as the words escaped his lips, he felt an unpleasant sense of vulnerability wash over him. Belatedly, he questioned the wisdom of
coming out to the twin's isolated office without any protection or backup whatsoever. He wasn't packing, but that wasn't unusual. He almost never did, which the twins knew. Yet he certainly had muscle as part of his organization just like the Castiglianos, and he should have brought it along.

“You're not telling us what you are confused about,” Sal said, ignoring Tony's rebuttal.

Tony cleared his throat again. With his mounting uneasiness, he decided it best to mellow his anger. “I'm a bit confused about what Gaetano did on his second trip to Nassau. A week ago, my mother told me she'd had difficulty getting ahold of my sister. She said that when she did, my sister acted weird, like something bad had happened that she didn't want to talk about until she got home, which was going to be soon. Obviously, I thought Gaetano had done his job and the professor was history. Well, last night my mother managed to get my sister again, since she hadn't shown up. This time she was, in my mother's words, ‘back to her old self,' saying she and the professor were still in Nassau, but that they were coming home in just a few days. I mean, what gives?”

For a few tense minutes, no one said anything. The only noise in the room was Lou's cards intermittently snapping on the desktop, combined with the sound of seagulls squawking out in the marsh.

Tony made a point of looking around the room, which was mostly lost in shadow despite the hour. “Speaking of Gaetano, where is he?” The last thing Tony wanted was a surprise coming from the twins' enforcer.

“That's a question we've been asking ourselves,” Sal said.

“What the hell do you mean?”

“Gaetano has yet to come back from Nassau,” Sal said. “He's AWOL. We haven't heard boo since he left the last time you came over here, nor has his brother and sister-in-law, who he's close to. Nobody has heard a goddamn thing. Not a peep.”

If Tony thought he was confused before, now he was dumbfounded. Although he had been complaining about Gaetano recently, he respected the man as an experienced professional, and, as a connected man, Tony assumed Gaetano would be unquestionably loyal. His going AWOL didn't make any sense.

“Needless to say, we're a tiny bit baffled ourselves,” Sal added.

“Have you made any inquiries?” Tony asked.

“Inquiries?” Lou questioned sarcastically, finally looking up from his solitaire. “Why would we do a crazy thing like that? Hell, no! We've just been sitting here day after day, chewing our fingernails, waiting for the phone to ring.”

“We called the Spriano family in New York,” Sal said, ignoring his brother's sarcasm. “In case you didn't know, we're distantly related. They're checking into it for us. Meanwhile, they're in the process of sending us another assistant, who should be getting here in a day or so. They were the ones that sent us Gaetano in the first place.”

A shiver of fear creeped up Tony's spine. He knew the Spriano organization was one of the most powerful and ruthless families on the East Coast. He'd had no idea the twins were associated, which put everything in a more serious and worrisome category. “What about the Miami Colombians who were to supply the gun?” he asked to change the topic.

“We called them too,” Sal said. “They're never overly cooperative, as you know, but they said they'd check it out. So there are feelers out there. Obviously, we want to know where the moron is holed up and why.”

“Is any of your money missing?” Tony asked.

“Nothing Gaetano could have taken,” Sal said enigmatically.

“Weird,” Tony remarked, for a lack of anything else to say. He didn't know what Sal meant, but he wasn't about to ask. “I'm sorry you're having this problem.” He moved forward on the couch as if he were about to get to his feet.

“It's more than weird.” Lou sneered. “And sorry ain't good enough. We've been talking about all this over the last few days, and I think you should know how we feel. Ultimately, we hold you responsible for this foul-up with Gaetano, however it plays out, and also for our one hundred K, which we're going to want back with interest. The interest will be at our usual rate from the day we handed it over and is nonnegotiable. And one last thing: We now consider the loan overdue.”

Tony abruptly stood up. His rising anxiety had reached a critical point after hearing Lou's comments and thinly veiled threat. “Let me know if you hear anything,” he said, heading
for the door. “Meanwhile, I'll make a few inquiries myself.”

“You better start making inquiries about how you are going to raise the hundred grand,” Sal said, “because we're not going to be all that patient.”

Tony hurried out of the store, oblivious to the rain. He was perspiring, despite the chill. It was only after he'd leaped into his car that he remembered his umbrella. “Screw it!” he said out loud. He got the Caddy going, and with his arm hooked over the back of the front seat, he looked out the rear window and gunned the engine. With a shower of pebbles, the car lurched out into the street. A moment later, he had the Cadillac up to almost fifty miles per hour, heading back into the city.

Tony relaxed to a degree and dried each palm off in turn on his pant legs. The immediate threat was over, but he knew intuitively that a much larger long-term threat was looming on the horizon, especially if the Sprianos became involved, no matter how tangentially. It was all very discouraging, if not frightening. Just when he was mobilizing his resources to fight his indictment, he was now facing a possible turf war.

 

“John! Can you hear me?” Dr. Nawaz called. He had leaned over while holding up the edge of the sterile drapes hanging down over Ashley's face. Most of the stereotaxic frame anchored to Ashley's skull as well as Ashley himself was covered by drapes, exposing only a portion of the right side of the senator's forehead. There, Dr. Nawaz had made a small skin incision, now held open with a clamped skin retractor.

After exposing the bare bone, Dr. Nawaz had used a special power drill to make a small, eleven-sixteenth-inch-diameter craniotomy hole to expose the grayish-white fascial coverings of the brain. Directly aligned with the hole and firmly attached to one of the arches of the stereotaxic frame was the implantation needle. With the help of the X rays, the correct angles had been determined, and already the needle had been inserted through the brain's coverings, into the outer part of the brain itself. At this point, it was only necessary to advance the needle to the exact, predetermined depth to reach the targeted substantia nigra.

“Dr. Newhouse, perhaps you could nudge the patient for me,” Dr. Nawaz said in his melodious, Pakistani-English
accent. “At this point, I would prefer the patient to be awake.”

“Of course,” Dr. Newhouse said, getting to his feet and putting aside a magazine he was reading. He reached under the drapes and gave Ashley's shoulder a shake.

Ashley's heavily lidded eyes struggled open.

“Can you hear me now, John?” Dr. Nawaz asked again. “We need your help.”

“Of course I can hear you,” Ashley said, his voice thick with sleep.

“I want you to tell me if you have any sensations whatsoever over the next few minutes. Can you do that?”

“What do you mean ‘sensations'?”

“Like images, thoughts, sounds, odors, or sense of movement: anything at all you notice.”

“I'm very sleepy.”

“I appreciate that, but try to stay awake for just these few minutes. As I said, we need your help.”

“I'll try.”

“That's all we can ask,” Dr. Nawaz said. He lowered the drape, obscuring Ashley's face. He turned and gave a thumbs-up to the group standing outside the window in the hall. Then, after flexing his latex-gloved fingers, he used the micromanipulator wheel on the guide holding the implantation needle. Slowly, millimeter by millimeter, he advanced the blunt implantation needle into the depths of Ashley's brain. When the needle was halfway in, he again lifted the edge of the drape. He was pleased to see Ashley's eyes still open, although barely. “Are you doing okay?” he asked the senator.

“Lovely,” Ashley said, with a trace of Southern accent. “As happy as a pig in a poke.”

“You are doing fine,” Dr. Nawaz said. “It won't be much longer.”

“Take your time. The important thing is that it is done right.”

“There's never a question about that,” Dr. Nawaz responded. He smiled beneath his surgical mask as he lowered the drape and returned to advancing the needle. He was impressed with Ashley's courage and good humor. A few minutes later and with a final twist of the micromanipulator, he stopped at the exact measured depth. After a final check of
Ashley's status, he told Marjorie to ask Dr. Lowell to come into the room. Meanwhile, he readied the syringe that was to deliver the treatment cells.

“Everything going okay?” Daniel asked. He had donned a facemask as he entered. With his hands clasped behind his back, he bent over to look into the craniotomy hole with its imbedded needle.

“Very well,” Dr. Nawaz said. “But there is a problem I admit slipped my mind in the earlier fracas. At this stage, it is customary to take another corroborating X ray to be one hundred percent certain of the needle tip's location. However, without X ray here in the OR, that is not possible. With the craniotomy open and the needle inserted, the patient cannot be safely moved.”

“Are you asking for my opinion whether to proceed?”

“Precisely. Ultimately, he is your patient. In this rather unique situation, I am, as you Americans say, only a hired gun.”

“How confident are you of your needle's position?”

“Very confident. In all my experience with the stereotaxic frame, I have never not been where I targeted. There is also another reassuring factor in this case. We are adding cells, not doing ablative surgery, which is what I am usually doing with this procedure and which would cause far more problems if the needle were to be slightly off.”