I walked past a group of smokers all facing south so the wind was at their backs, pursing their cheeks as they sucked the last gasp of smoke they were going to have until their appointments or visits were over. I ducked between idling taxis waiting for people to ease out of wheelchairs and into back seats. Once I was inside Sinai Hospital, the first smell that hit me was not the usual mix of disinfectant, body fluids and anesthetics, the anxious odours and stale breath of the sick-it was coffee. Fresh coffee. Sold out of a cafeteria in a bright two-floor atrium. I lined up for a cup of dark roast and took it with me as I went in search of the east-wing elevators. I went down a hallway where both walls were lined with portraits of prominent Bostonians who had contributed to medicine through science, medical practice, philanthropy and other means. Near the end on the left was a beatific shot of the very man I was going to see, E. Charles Stayner, fingers steepled under his backlit chin as he gazed out at something only a man of his vision and talent could see.
On the sixth floor, I passed through a set of glass doors and found the Transplant Clinic on the left. Gave my name to the receptionist inside. “Right,” she said, “I spoke to your assistant. You’re here about poor David.”
My assistant. I hoped she hadn’t called Jenn that on the phone. We’d have to add phone repair to our hotel bill.
“Dr. Stayner had to take a call but it shouldn’t be too long. Just have a seat and I’ll call you.”
There were eight other people in the waiting room. Two were clearly on their own and neither looked healthy. Their skin was the colour of lard, their eyes a waxy yellow. The other six were in pairs: a sick one accompanied by a well one. Two older couples and a woman with what had to be her grown daughter. Some stared at a flat-screen monitor that had CNN with the sound off, which is the best way to watch CNN. Others read newspapers or did Sudoku or crosswords. Everyone spoke quietly if they spoke at all, leaning in close to murmur to each other.
There were three padded chairs in a nook by a window. I sat on the far left, where there was a table stacked with the hospital newsletter. I sipped my coffee and scanned stories about Sinai’s recent accomplishments and initiatives, and there were plenty, of course. New research findings, breakthroughs in clinical practice, expansions of service, acquisitions of clinics and smaller hospitals.
A burly man in his sixties filled the doorway, a Lee J. Cobb type who must have been powerful in his day. He paused there, panting a little, one hand on the jamb, then boomed out, “What is this, a waiting room or a morgue? Good morning, everybody.”
He stood there looking around until everyone muttered, “Good morning, Al,” or some variation back at him. He took in the three-seater I was in, ambled over and sank into the cushion on my right with a great exhalation. He looked at me, nodded, then looked over the magazines on the table in front of us and picked up a Sports Illustrated with last year’s basketball playoffs on the cover. He read; I read. Then he stood up and took off his coat and hung it on a hook on the wall and sat down again. His arms were furred with white hair and he had a thick gold watch on his left wrist. Between his right elbow and wrist were four large red lumps rising out of the skin like volcanoes in a diorama.
“They don’t hurt,” he said in a deep voice that sounded like it had rumbled through a lot of late, smoky nights.
He had caught me staring. “Sorry,” I said.
“Don’t worry about it. They look painful but the doctors actually grow them on purpose, to make dialysis easier. Everything flows a little faster and you don’t get so many infections. They’re called fistulas.”
“I see.”
“You here with one of your parents?”
“No. Just visiting Dr. Stayner.”
“But not for yourself. You’re way too healthy to be one of us. Trust me, by the time you see Stayner, you look like shit. Like me.”
I didn’t know what to say to that, so I just smiled at him.
“I don’t suppose you’re a donor,” he said. His grin showed he kept his teeth nicely whitened.
“Me?”
“You can live on one kidney, you know. Why we have two is a mystery, I’m told. And a healthy donor bounces back in two, three weeks. Everything’s done laparoscopically. You can wear a bathing suit in a month. You swim?”
“Not much.”
“Too bad. You know I’m just pulling your leg here. Mostly. But the average wait for a donor in this state is five years. Now ask me how long the average patient lasts on dialysis.”
“Okay.”
“Four years. Ba dum-bum. And I’ve been on two years plus already, so my meter’s running. However you do the math, it’s depressing. Now if you have money, then you have options.”
“Like what?”
He leaned in close, like we were co-conspirators, and muttered, “China. They execute a lot of prisoners there, and every single organ is harvested. I even heard they execute people in that sect, what are they called-”
“Falun Gong.”
“Yeah. But it’s a few hundred grand I don’t have. I don’t suppose you’re rich. If you won’t give me a kidney, maybe you’ll lend me three hundred Gs? You make that kind of money?”
“Every five years,” I said.
There were fifteen diplomas on the wall of Dr. E. Charles Stayner’s office, none of them from matchbooks. Harvard, Johns Hopkins, Harvard again. According to his online biography, he was head of transplant medicine, a distinguished professor at Harvard Medical School and chair of Sinai’s bioethics committee. His CV ran fifty-four pages, or fifty-three and a half longer than mine.
Stayner himself was about five-ten, with a lean runner’s body. He looked to be in his early fifties, which meant he probably had time to earn another degree or two if he applied himself. His eyes were grey-blue, not unlike the sky outside his windows, and he wore stylish rimless glasses.
He came around from behind his desk to shake hands. The desktop was neat and dust-free. There was a framed photo of him with a teenaged boy who looked a lot like him with a mop of blond curls, and a nice-looking woman with dark hair down to her shoulders.
“Chuck Stayner,” he said. His grip was strong, of course. And quick. One grasp and on to business. “I’m running behind,” he said, leaning back against the desk, “so please tell me how I can help you.”
“I’ll try to keep it short. How long have you known David?”
“Since he began his fellowship, which was a year ago July. Call it a year and a half.”
“Would you say you know him well?”
“I know his work well. I know the part of himself that he applies to the work. The professional self, as it were. And I have to say, this disappearing act of his is unlike anything else he’s ever done. I’m not trying to seem self-absorbed here, but his absence has created significant problems for me.”
“How so?”
“He assists in most of my transplants, supervises much of the research, takes on any task he can find that no one else is doing. You don’t just replace a talent like David, any more than you replace a star athlete who gets hurt. It’s left me scrambling at times.”
That did seem self-absorbed, despite his efforts.
“Did he seem different in any way prior to his disappearance? Worried, preoccupied?”
“Not to me. David is very even-keeled as a rule. Which is part of his talent. He has the mind, the hands and the temperament to be a world-class surgeon. He needs rounding out in a few areas, like immunology, but that will come in time. I didn’t do my post-doc work in immunology until I was thirty-four.”
The slouch. “He never confided anything in you?”
“No. And I told all this to the police, by the way. Should I assume they have no leads?”
“None. Was he ever depressed?”