The Oath

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by John Lescroart


  "So you did not expect an autopsy to be performed?"

  "I never thought about it."

  "All right. Doctor, are you familiar with the symptoms of potassium overdose?"

  "Yes, of course. Basically, in layman's terms, your heart stops beating effectively."

  "And your treatment?"

  He shrugged. "If we know it's potassium, we inject glucose and insulin, then defibrillation—shock—with CPR."

  "And there was no way you could have recognized the true cause of Mr. Markham's problem, which was the potassium?"

  "No. I don't see how."

  "Okay." Glitsky consulted his notes, seemed to be gathering himself for another salvo. "Now, Doctor, you knew Mr. Markham well, isn't that true?"

  "I knew him for a long time. He was my boss. How well I knew him is another question."

  "Yet it's the one I asked. Isn't it true that he and your wife had a relationship that contributed to the breakup of your marriage?"

  Kensing swallowed, but his mouth was dry as sand. He began to think that agreeing to this interview might have been a serious mistake.

  * * *

  Forty-five minutes later, they finally finished with the personal stuff. Glitsky didn't even pause a moment before moving on to a rather sharp grilling about Kensing's role in the Baby Emily matter, the Parnassus response.

  "And Mr. Markham fired you?"

  "Not really. He did warn me, though, that there would be serious repercussions if he found out that I'd been the leak to the press."

  "And were you?"

  Kensing tried to smile, but it came out crooked. "I'd rather not say, if that's all right."

  Glitsky took that as a yes, and decided he didn't need the information.

  "And where did that discussion with Mr. Markham take place?"

  "He called me to his office. We talked there."

  "And did he subsequently discover that you had been the leak?"

  "I don't think so. I never heard that he did." Another weak and harmful attempt at levity. "He never fired me, so I guess not, huh?"

  Glitsky, inexorable, moved on. Kensing had just admitted that, besides Baby Emily, there had been "a few" other issues on which he and Parnassus hadn't agreed. Kensing volunteered that he often prescribed drugs that were not on the formulary.

  "In other words," Glitsky clarified, "drugs the company didn't approve."

  "It wasn't that so much," Kensing explained. "The drugs I prescribed were fine. In fact, they were better." Kensing drew a paper towel, already damp with sweat, across his forehead. "The company's policy is that we physicians prescribe drugs from the formulary, that's all."

  "And you made it a habit not to use this list?"

  "Not a habit. When I thought it was appropriate." He felt he needed to explain. "The generics are not always exactly the same, chemically, as the proprietary, so they're not always as effective. Or they'll have other problems."

  "Like what?"

  "Any number of things. You'll have to take it twice as often, or it might have undesirable side effects, like indigestion. So in some cases, or when I'd had a bad experience with a certain generic on the formulary, I'd go with the proprietary."

  "And Parnassus has a problem with this?"

  He shrugged. "It costs them money."

  "Could you explain that?"

  "Well, the way it works at Parnassus is that most patients have the same copay, I think it's ten dollars, no matter what the drug costs. So if a proprietary costs thirty dollars and the formulary's generic costs ten, the company loses twenty dollars for every proprietary prescription that it fills."

  "And you would prescribe these proprietary drugs regularly?"

  "When it was appropriate, yes. My job is to save lives, not the company's money."

  "And did you have more words with Mr. Markham about this practice?"

  By now, Kensing's hands were visibly shaking. He took them off the table, put them into his lap. For the past grueling hour or so, he wished that he'd listened to his lawyer and taken his advice not to talk to these men. But having started the interview, he didn't know how to go about trying to stop it. Finally, he tried. "If you don't mind, I'd like to be excused for a moment," he said.

  But Glitsky wasn't inclined to let him go to the bathroom, even if only to gather himself. "In a bit," he said crisply. Then repeated his question. "Did you have words with Mr. Markham on this drug issue?"

  "No, I did not. We did not speak."

  "Since when?"

  "About two years ago."

  "Two years ago? And yet the Baby Emily affair was in the past few months and you said you spoke to him then."

  Kensing wiped his whole face with the paper towel. "I thought you meant about this prescription issue. When we talked about that."

  * * *

  When the police finally packed up their equipment and left, Kensing sat shaking on his living room couch for a long while. Eventually, he decided he'd better call Hardy, see about some damage control. Outside, it had nearly come to night, and the rain continued to pour down his front window.

  Hardy was still at his office, trying to catch up on his other clients' work. Kensing then told him what had happened, that the interview had been really, really unpleasant, a mistake after all. "I think they must really believe I had something to do with this," he concluded.

  There was a long silence, and when it ended, Kensing was completely unprepared for Hardy's fury. "Oh, you think so, Doc? The lieutenant in charge of homicide interrogates you for two hours about a murder that's on the front pages every day, that might be connected to a brutal murder of a whole family, and you've got motive, means, and opportunity and you think maybe, just maybe, they might think you're a righteous suspect. You studied anatomy, didn't you, Doc? Does everybody else have their head up their ass or is it just you?"

  Kensing just sat there looking at the receiver in his hand. He felt a rush of blood to his head, and then physically sick. He thought he might throw up. His knuckles were white on the phone. His throat was a barren desert, constricted. After a few more seconds, unable to get a word out, he hung up.

  * * *

  When Hardy called Kensing back twenty minutes later to apologize for his outburst, he didn't find himself fired, as he'd half expected. Instead, his client apologized back to him, ending with his observation that Glitsky "might really think I killed Tim."

  About time he got that message, Hardy thought. But he only said, "It'd be smart to assume that." But he had called his client back for another reason besides the apology. If he was still defending the good doctor, he had some pertinent questions to ask him. "Eric, I went by Portola today and talked to some nurses there. What do you think are the odds that the overdose was accidental?"

  "Basically, in this case, zero. Why?"

  Hardy ran down Rebecca Simms's theory about the occasional inadvertent overdose. When he'd finished, Kensing repeated what he'd said before. "No. It wasn't that."

  "How do you know?"

  "I was there. Markham wasn't even on potassium. He was stable. Relatively, anyway."

  "So," Hardy asked simply, "what's that leave? Who else had access to him?"

  "Carla, I suppose, technically. Maybe Brendan Driscoll earlier. Ross, a couple of other doctors. The nurses."

  "How many nurses?"

  "You'd have to check the records. I don't know. There's usually two, sometimes three. I think there were two." The enormity of it seemed to hit him for the first time. "You're saying one of those people killed him, aren't you?"

  "That's what it looks like, Eric." He refrained from adding, "Either one of them or you."

  "Jesus," Kensing said weakly. "So what do we do now?"

  Hardy hesitated for just an instant. Trace awkwardness remained from the earlier outburst. But he went ahead. "This may seem a little prosaic after what you've been through tonight, Eric. But before things go any further, we've got to talk about my fees."

  "Can't you just bill my insurance?"

/>   Neither man laughed.

  Hardy waited out a reasonable silence, then said, "You might want to get where you can be comfortable. This is going to take a while."

  * * *

  Glitsky wanted to debrief the car police after the Kensing interrogation at his condo, so although it was late, he drove back downtown. Now he was back at his desk, waiting for Fisk and Bracco so they could talk about what, if anything, they'd learned, how they were going to proceed on this investigation. Outside his door, five of his other inspectors were hanging around catching up on their paperwork. Someone had brought in a pizza, the smell of which was driving Glitsky crazy since he was supposed to go light on the food groups that used to be his favorites, which included cheese and grease.

  What was keeping those guys? He'd thought they were right behind him. Finally he heard some laughter out in the detail and got up to check it out. He thought it entirely possible that somebody had Krazy Glued Fisk to his chair.

  Glitsky gave up the good fight and grabbed a slice of pizza from Marcel Lanier's desk, and put half of it in his mouth before he could change his mind. When he had swallowed enough of it so that he could talk, he asked what was so funny.

  Lanier was a veteran of the detail, and he leaned back in his chair with his feet crossed on his desk. His hands were linked behind his head. "Just the DA's office sent up another crazy today, and I finally figured out a way to help him without sending him to the FBI."

  Glitsky knew that a regular feature of life in the city was the abundance of bona fide lunatics—folks who generally lived on the streets and heard voices, thought they were possessed, communicated with aliens. Occasionally, one of these people would take their concerns to the public defender's office, which would in turn direct him to the police station downstairs in the hall. There, the desk would nod sympathetically and forward him to the DA's office, which always sent him to homicide. Most of the time, homicide sent him over to the FBI, where God knew what happened to him.

  " but today I had this great idea," Marcel was saying, "and told this poor gentleman what he had to do was braid together a string of paper clips—I gave him a whole box, it took him like an hour—until it reached from his head to his feet. Then he had to attach it to his hair and let the other end drag on the floor, and that would stop the voices."

  "And why would it do that, Marcel?" Although Glitsky wasn't sure he wanted to hear the answer.

  "Because then he'd be grounded." He held up his right hand, laughing again with the other inspectors. "I swear to God, Abe. He walked out of here a cured man."

  "You're a miracle worker, Marcel. That's a beautiful story. Can I have another slice of pizza?" Glitsky turned to go back to his office, but stopped as Bracco appeared in the detail's doorway. One of the guys behind him sang out, "Car fifty-four, where are you?" to the enjoyment of the other inspectors.

  Glitsky made a face of disapproval, pointed at his new young inspector and then to his office. When Bracco was inside, standing at-ease as he did, Glitsky waited at the door another minute. "You guys take the scenic route or what? Where's Harlen?"

  "He's, uh, he's not here."

  Glitsky closed the door behind him. "I got that far on my own, Darrel. The question was where he is, not where he's not."

  "I don't know exactly, sir. He had an appointment."

  "He had an appointment?"

  "Yes, sir. One of his aunt's fund-raising—"

  Glitsky interrupted him. "Were you under the impression that you had an appointment here with me? Weren't my last words to you something very much like, 'See you back at the hall'? Did you think I meant like tomorrow morning?"

  "No, sir. He said he had to go and he'd already put in his hours for the day, sir."

  Glitsky's scowl deepened for an instant and then, suddenly, he found himself chuckling. "'His hours for the day.' I love that. What planet's that boy from? All right, sit down, Darrel, if you haven't got your hours quota filled up yet. I'll deal with Harlen tomorrow. Lord." After Bracco was seated, he pushed his own chair back from his desk, rested his hands over his belly, and put his feet up. "So what's your take on Dr. Kensing?"

  Bracco sat the same way he stood, with a ramrod-straight back. Using only the front half of the chair's seat, he kept his hands entwined on his lap. "I guess he's got motive to burn—and who else has any reason to kill Markham?—but without any hard evidence, no jury would convict him, I don't think."

  "I agree."

  "I think he sounded guilty, if that means anything," Bracco opined. "I think he thought he was smarter than us and could direct the way it would go tonight."

  Glitsky allowed the trace of a smile. "I flatter myself I may have disappointed him."

  "So what do we do?"

  "For the moment, I'd be interested in a minute-by-minute account of how Dr. Kensing spent his day last Tuesday, and I mean from when he woke up."

  "You think it's him?"

  Glitsky nodded. "I'd like more physical evidence, but even without it, he was there, he hated and maybe feared Markham, he had every opportunity. Sometimes that's all we get."

  Bracco seemed to be wrestling with something. Finally, he came out with it. "If he did kill Markham, are you thinking he also killed the wife?"

  "I'm deeply skeptical of the notion that she killed herself. Let's put it that way." He told Bracco about the cell phone in her purse with its call to homicide, the back-to-front trajectory of the slug, the wrong-handedness with the gun.

  "She called homicide? On her cell phone? When was that?"

  "Six o'clock." Langtry had left the message on Glitsky's voice mail. Information might be slow in coming, but it was showing up, and that's what counted.

  "So while everybody was at her house ?"

  "Yep. And nobody was here in homicide. She didn't leave a message."

  "Six o'clock was about when Kensing got there, wasn't it?"

  Glitsky nodded. "From what I can tell. Pretty close."

  A silence descended.

  Again, Bracco hesitated, considering whether to talk. Again, he decided he must. "You know, we talked to Kensing's wife today and—"

  Glitsky raised his eyebrows. "When was that, and why?"

  "Well, remember you said you'd rather we didn't interview certain witnesses. We didn't want to get in your way, so we stayed around the edges. We went to see Harlen's aunt, then Ann Kensing."

  The lieutenant brought his hands up and rubbed them over his eyes. Then he met Bracco's eyes over the desk. "I shouldn't have given you the impression that I didn't want you to talk to people, Darrel. You can talk to anybody you want. This is your case."

  "Yes, sir. Thank you."

  "But I want you to report to me every day. Before you go out, after you get back in."

  "Yes, sir. But if I may—"

  "You may. You don't have to ask that. What?"

  "Are we still going on the assumption that the original hit and run was an accident? Harlen still wants to look for cars. I mean, somebody hit him. Maybe it was on purpose."

  Glitsky's gaze was level, his voice reasoned and calm. "At this point, I'd be surprised if it wasn't an accident, but I wouldn't have predicted Markham's family would get shot, either. Why? You got some kind of lead on the car?"

  "No, sir. I just wanted to be clear on whether we should drop it entirely or not."

  "If that moment comes, Darrel, it will be clear to you. Until it is, keep your options open. Now can we go back to what you were going to say, about Mrs. Kensing?"

  Bracco took a second or two dredging it up, and finally he spoke with a kind of reluctance. "Well, she sort of said she thought he admitted it, but Harlen and I didn't think she really meant that. She was very upset, pretty unaware of what she was saying."

  Glitsky stopped chewing his pizza and took a long beat. "She said who admitted what?"

  "Kensing. Killed Markham."

  "She said he told her that?"

  "Yeah, but really, I don't think you had to have been there. She was just screami
ng, crazy upset."

  Glitsky pulled at his ear, doubting what he'd just heard, wanting to be absolutely sure he was getting it right. "Are you telling me that Ann Kensing told you that her husband said he killed Mr. Markham? He said this to her face?"

  "Yes, sir. That's what she said, but "

 

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