Eight-thirty p.m., Rome time. Seagulls swoop and cry in the night. They look like large white bats.
In other cities near the coast, the gulls are a nuisance during the day but vanish after dark. Certainly this is true in America, where Captain Poma has spent considerable time. As a young boy, he frequented foreign lands with his family. He was to become a man of the world who spoke other languages fluently and had impeccable manners and an excellent education. He was to amount to something, his parents said. He watches two fat, snowy gulls on a windowsill near his table, eyeing him. Maybe it’s the beluga caviar they want.
“I ask you where she is,” he says in Italian. “And your answer is to inform me of a man I should know about? But you won’t give me details? Now I’m extremely frustrated.”
“What I said was the following,” replies Dr. Paulo Maroni, who has known the captain for years. “Dr. Self had Drew Martin on her show, as you know. Weeks later, Dr. Self began getting e-mails from someone very disturbed. I know this, because she referred him to me.”
“Paulo, please. I need details about this disturbed person.”
“I was hoping you had them.”
“I’m not the one who introduced the subject.”
“You’re the one working the case,” Dr. Maroni says. “It appears I have more information than you do. That’s depressing. So there’s nothing.”
“I wouldn’t want to admit it publicly. We’re no further along. That’s why it’s vital you tell me about this disturbed person. And I feel you are toying with me in a very strange way.”
“For more details, you must talk to her. He isn’t her patient, and she can talk about him freely. Assuming she’s cooperative.” He reaches for the silver plate of blini. “And that’s a big assumption.”
“Then help me find her,” Captain Poma says. “Because I have a feeling you know where she is. That’s why you suddenly called me and invited yourself to a very expensive dinner.”
Dr. Maroni laughs. He could afford a roomful of the very best Russian caviar. That’s not why he’s having dinner with the captain. He knows something and has complex reasons, a scheme. This is typical of him. He’s gifted in his understanding of human proclivities and motivations, possibly the most brilliant man the captain knows. But he’s an enigma, and his definition of truth is his own.
“I can’t tell you where she is,” Dr. Maroni says.
“Which doesn’t mean you don’t know. You’re playing your word games with me, Paulo. It’s not that I’m lazy. It’s not that I haven’t tried very hard to find her. Ever since I learned she was acquainted with Drew, I’ve talked to people who work for her and am always told the same story that’s been on the news. She had a mysterious family emergency. No one knows where she is.”
“Logic would tell you it’s impossible no one knows where she is.”
“Yes, logic does tell me that,” the captain says, spreading caviar on a blini and handing it to him. “I have a feeling you’ll help me find her. Because as I say, you know, which is why you called me and now we’re playing word games.”
“Her staff has forwarded your e-mails requesting a meeting or at least a telephone conversation?” Dr. Maroni asks.
“So they say.” The gulls fly away, interested in another table. “I won’t reach her through the normal channels. She has no intention of acknowledging me, because the last thing she would want is to become a factor in the investigation. People might assign responsibility to her.”
“As they probably should. She’s irresponsible,” Dr. Maroni says.
The wine steward appears to refill their glasses. The Hotel Hassler’s rooftop restaurant is one of Captain Poma’s favorites. The view is beautiful and he never tires of it, and he thinks about Kay Scarpetta and wonders if she and Benton Wesley ever ate here. Probably not. They were too busy. They strike him as too busy for what matters in life.
“You see? The more she’s avoided me, the more I think she has a reason,” the captain adds. “Maybe it’s this disturbed man she referred to you. Please tell me where to find her, because I think you know.”
Dr. Maroni says, “Did I mention we have regulations and standards in the United States, and lawsuits are the national sport?”
“Her staff’s not going to tell me if she’s a patient at your hospital.”
“I would never tell you, either.”
“Of course not.” The captain smiles. Now he knows. He has no doubt.
“I’m so glad not to be there at the moment,” Dr. Maroni then says. “We have a very difficult VIP at the Pavilion. I hope Benton Wesley can adequately handle her.”
“I must talk to her. How can I make her think I found out from a source other than you?”
“You didn’t find out anything from me.”
“I found out from somebody. She’ll demand I tell her.”
“You found out nothing from me. In fact, you’re the one who said it. And I haven’t verified it.”
“May we discuss it hypothetically?”
Dr. Maroni drinks his wine. “I prefer the Barbaresco we had last time.”
“You would. It was three hundred euros.”
“Full-bodied but very fresh.”
“The wine? Or the woman you were with last night?”
For a man his age who eats and drinks whatever he pleases, Dr. Maroni looks good and is never without a woman. They offer themselves to him as if he is the god Priapus, and he’s faithful to no one. Usually, he leaves his wife in Massachusetts when he comes to Rome. She doesn’t seem to mind. She’s well taken care of, and he isn’t demanding about his sexual desires because she no longer meets them and he no longer is in love with her. This is a destiny the captain refuses to accept. He’s romantic, and he wonders about Scarpetta again. She doesn’t need to be taken care of and wouldn’t permit it. Her presence in his thoughts is like the light of the candles on the tables and the lights of the city beyond the window. He is moved by her.
“I can contact her at the hospital. But she’ll demand to know how I found out about her being there,” the captain says.
“The VIP, you mean.” Dr. Maroni dips a mother-of-pearl spoon into the caviar, scoops out enough for two blini. He spreads the caviar over one and eats it. “You mustn’t contact anyone at the hospital.”
“What if Benton Wesley’s my source? He was just here and is involved in the investigation. And now she’s his patient. It irritates me we talked about Dr. Self the other night and he didn’t divulge she’s his patient.”
“You mean the VIP. Benton isn’t a psychiatrist, and the VIP technically isn’t his patient. Technically, the VIP is my patient.”
The captain pauses as the waiter appears with the primi piatti. Risotto with mushrooms and Parmesan. Basil-flavored minestrone with quad-rucci pasta.
“Anyway, Benton would never divulge a confidence like that. You may as well ask a stone,” Dr. Maroni says when the waiter is gone. “My guess is the VIP will be gone soon. Where she goes will be the important question for you. Where she’s been is important only because of motive.”
“Dr. Self’s show is filmed in New York.”
“VIPs can go where they please. If you find out where she is and why, you might discover where she would go next. A more likely source would be Lucy Farinelli.”
“Lucy Farinelli?” The captain is baffled.
“Dr. Scarpetta’s niece. As it happens, I’m doing her a favor, and she comes to the hospital fairly often. So she could hear rumors from the staff.”
“And what? She told Kay, who next told me?”
“Kay?” Dr. Maroni eats. “Then you are on friendly terms with her?”
“I hope so. Not so friendly with him. I don’t think he likes me.”
“Most men don’t like you, Otto. Only homosexuals. But you see my point. Hypothetically. If the information comes from an outsider — Lucy, who tells Dr. Scarpetta, who tells you”—Dr. Maroni eats the risotto with enthusiasm—“then there are no ethical or legal concerns. Y
ou can begin to follow the trail.”
“And the VIP knows Kay’s working with me on the case, since she was just here in Rome and it’s been in the news. So this VIP will believe Kay indirectly is the source, and then there’s no trouble. That’s very good. Perfect.”
“The risotto ai funghi is almost perfect. What about the minestrone? I’ve had it before,” Dr. Maroni says.
“Excellent. This VIP. Without compromising confidentiality, can you tell me why she’s a patient at McLean?”
“Her reason or mine? Personal safety is her reason. Mine is so she could take advantage of me. She has both axis one and axis two pathology. Rapid-cycling bipolar and refuses to acknowledge it, much less take a mood stabilizer. Which personality disorder would you like me to discuss? She has so many. I regret to say that people with personality disorders rarely change.”
“So something caused a breakdown. Is this the VIP’s first hospitalization for psychiatric reasons? I’ve been doing research. She’s against medication and thinks all of the problems in the world can be managed by following her advice. What she calls tools.”
“The VIP has no known history of hospitalization prior to this. Now you’re asking the important questions. Not where she is. But why. I can’t tell you where she is. I can tell you where the VIP is.”
“Something was traumatic to your VIP?”
“This VIP received an e-mail from a madman. Coincidentally, the same madman Dr. Self told me about last fall.”
“I must talk to her.”
“Talk to who?”
“All right. May we discuss Dr. Self?”
“We’ll change our conversation from the VIP to Dr. Self.”
“Tell me more about this madman.”
“As I said, someone I saw several times at my office here.”
“I won’t ask the name of this patient.”
“Good, because I don’t know it. He paid cash. And he lied.”
“You have no idea about his real name?”
“Unlike you, I don’t get to do a background check on a patient or demand proof of his true identity,” Dr. Maroni says.
“Then what was his false name?”
“I can’t tell you.”
“Why did Dr. Self contact you about this man? And when?”
“Early October. She said he was sending e-mails to her and she thought it best to refer him elsewhere. As I’ve said.”
“Then she’s at least somewhat responsible, if she acknowledged a situation was beyond her capabilities,” Captain Poma says.
“This is where, perhaps, you don’t understand her. She would never begin to think anything is beyond her capabilities. She couldn’t be bothered with him, and it appealed to her maniacal ego to refer him to a Nobel Prize — winning psychiatrist who is on the faculty of Harvard Medical School. It was gratifying to inconvenience me, as she’s done many times before. She has her reasons. If nothing else, she probably knew I would fail. He isn’t treatable.” Dr. Maroni studies his wine as if there is an answer in it.
“Tell me this,” Captain Poma says. “If he’s untreatable, then don’t you agree this also justifies what I’m thinking? He’s a very abnormal man who may be doing very abnormal things. He’s sent her e-mails. He may have sent her the e-mail she mentioned to you when she was admitted at McLean.”
“You mean the VIP. I never said Dr. Self is at McLean. But if she were, you certainly should find out exactly why. It seems that’s what matters. I’m repeating myself like a broken record.”
“He might have sent the VIP the e-mail that disturbed her enough to make her hide at your hospital. We must locate him and at least be sure he isn’t a murderer.”
“I have no idea how to do that. As I said, I couldn’t begin to tell you who he is. Only that he’s an American and served in Iraq.”
“What did he say was his purpose in coming to see you here in Rome? That’s a long way for an appointment.”
“He was suffering from PTSD. He seems to have connections in Italy. He told a very unsettling story about a young woman he spent a day with last summer. A body discovered near Bari. You remember the case.”
“The Canadian tourist?” the captain says, surprised. “Shit.”
“That’s the one. Only she was unidentified at first.”
“She was nude, badly mutilated.”
“Not like Drew Martin, from what you’ve told me. The same thing wasn’t done to the eyes.”
“She was also missing large areas of flesh.”
“Yes. At first it was assumed she was a prostitute who’d been thrown from a moving car or was hit by one, thus explaining these wounds,” Dr. Maroni says. “The autopsy showed otherwise, was done very competently, even if it was performed in very primitive conditions. You know how these things go in remote areas that have no money.”
“Especially if it’s a prostitute. She was autopsied in a cemetery. Had the Canadian tourist not been reported missing about this same time, she may have been buried in the cemetery, unidentified,” Captain Poma recalls.
“It was determined the flesh had been removed by some type of knife or saw.”
“And you aren’t going to tell me everything you know about this patient who paid cash and lied about his name?” the captain protests. “You must have notes you could share with me?”
“Impossible. What he told me is no proof.”
“What if he’s this killer, Paulo?”
“If I had more evidence, I’d tell you. I have only his twisted tales and the uneasy feeling I got when I was contacted about the murdered prostitute who turned out to be the missing Canadian.”
“You were contacted? What? For your opinion? That’s news to me.”
“It was worked by the state police. Not the Carabinieri. I give my free advice to many people. In summary, this patient never came to see me again, and I couldn’t tell you where he is,” Dr. Maroni says.
“Couldn’t or won’t.”
“I couldn’t.”
“Don’t you see how it’s possible he’s Drew Martin’s killer? He was referred to you by Dr. Self, and suddenly she hides at your hospital because of an e-mail from a madman.”
“Now you’re perseverating and back to the VIP. I’ve never said Dr. Self is a patient at the hospital. But motivation for hiding is more important than the hiding place itself.”
“If only I could dig with a shovel inside your head, Paulo. No telling what I’d find.”
“Risotto and wine.”
“If you know details that could help this investigation, I don’t agree with your secrecy,” the captain says, and then he says nothing because the waiter is heading toward them.
Dr. Maroni asks to see the menu again, even though he has tried everything on it by now because he dines here often. The captain, who doesn’t want a menu, recommends the grilled Mediterranean spiny lobster, followed by salad and Italian cheeses. The male seagull returns alone. He stares through the window, ruffling his bright white feathers. Beyond are the lights of the city. The gold dome of Saint Peter’s looks like a crown.
“Otto, if I violate confidentiality with so little evidence and am mistaken, my career is finished,” Dr. Maroni finally says. “I don’t have a legitimate reason to expose further details about him to the police. It would be most unwise of me.”
“So you introduce the subject of who may be the killer and then close the door?” Captain Poma leans into the table and says in despair.
“I didn’t open that door,” Dr. Maroni says. “All I did was point it out to you.”
Lost in her work, Scarpetta is startled when the alarm on her wristwatch goes off at quarter of three.
She finishes suturing the Y incision of the decomposing elderly woman whose autopsy was unnecessary. Atherosclerotic plaque. Cause of death, as expected, arteriosclerotic coronary vascular disease. She pulls off her gloves and drops them in a bright red biohazard trash can, then calls Rose.
“I’ll be up in a minute,” Scarpetta tells her. “If y
ou could contact Meddicks’, let them know she’s ready for pickup.”
“I was just coming down to find you,” Rose says. “Worried you might have accidentally locked yourself in the fridge.” An old joke. “Benton’s trying to reach you. Says for you to check your e-mail when, and I quote, you are alone and composed.”
“You sound worse than you did yesterday. More congested.”
“I might have a bit of a cold.”
“I heard Marino’s motorcycle a little while ago. And someone’s been smoking down here. In the fridge. Even my surgical gown reeks of it.”
“That’s odd.”
“Where is he? Be nice if he could have found time to help me out down here.”
“In the kitchen,” Rose says.
Fresh gloves, and Scarpetta pulls the elderly woman’s body from the autopsy table into a sheet-lined sturdy vinyl bag on top of a gurney, which she rolls into the cooler. She hoses off her work station, places tubes of vitreous fluid, urine, bile, and blood, and a carton of sectioned organs into a refrigerator for later toxicological testing and histology. Bloodstained cards go under a hood to dry — samples for DNA testing that are included in each case file. After mopping the floor and cleaning surgical instruments and sinks and gathering paperwork for later dictation, she’s ready to attend to her own hygiene.
At the back of the autopsy suite are drying cabinets with HEPA and carbon filters for bloody, soiled clothing before it is packaged as evidence and sent to the labs. Next is a storage area, then a laundry room, and finally the locker room, divided by a glass-block wall. One side for men, the other for women. At this early stage of her practice in Charleston, it’s just Marino assisting her in the morgue. He has his side of the locker room and she has the other, and it always feels awkward to her when both of them are showering at the same time and she can hear him and see changes in light through the thick green translucent glass as he moves about.
She enters her side of the locker room, shuts and locks the door. She removes her disposable shoe covers, apron, cap, and face mask, and drops them in a biohazard trash can, then tosses her surgical gown in a hamper. She showers, scrubbing herself with antibacterial soap, then blow-dries her hair and changes back into her suit and pumps. Returning to the corridor, she walks the length of it to a door. On the other side is the steep flight of worn oak stairs that lead directly up to the kitchen where Marino is popping open a can of Diet Pepsi.
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