Medical Records was still on the basement floor. I waited in line behind a couple of secretaries bearing requisition slips and a resident carrying a laptop computer, only to be informed that deceased patients’ files were housed one floor down, in the sub-basement, in a place called SPI — status permanently inactive. It sounded like something the military had invented.
On the wall just outside the sub-basement stairwell was a map with one of those red YOU ARE HERE arrows in the lower left-hand corner. The rest was an aerial view of a grid of corridors. The actual hallways were walled with white tile and floored with gray linoleum patterned with black-and-pink triangles. Gray doors, red plaques. The hallway was fluorescent-lit and had the vinegary smell of a chem lab.
SPI was in the center of the webwork. Small box. Hard to extrapolate from two dimensions to the long stretch of corridor before me.
I began walking and reading door signs. BOILER ROOM. FURNITURE STORAGE. A series of several doors marked SUPPLIES. Lots of others that said nothing at all.
The hallway angled to the right.
CHEMICAL SPECTROGRAPHY. X-RAY ARCHIVES. SPECIMEN FILES. A double-width slab that said: MORGUE: NO UNAUTHORIZED ADMITTANCE.
I stopped. No smell of formalin, not a hint of what existed on the other side. Just silence and the acetic bite, and a chill that could have been due to a low thermostat setting.
I pictured the map in my head. If my memory was functioning properly, SPI was another right turn, a left, then a short jog. I started walking again, realized I hadn’t seen another person since I’d been down here. The air got colder.
I picked up my pace, had managed to slip into a thought-free speed-walk when a door on the right wall swung open so suddenly I had to dodge to avoid getting hit.
No sign on this one. Two maintenance men in gray work clothes emerged from behind it carrying something. Computer. PC, but a big one — black and expensive-looking. As they huffed away, two more workers came out. Another computer. Then a single man, sleeves rolled up, biceps bunched, carrying a laser printer. A five-by-eight index card taped to the printer’s console read L. ASHMORE, M.D.
I stepped past the door and saw Presley Huenengarth standing in the doorway, holding an armful of printout. Behind him were blank beige walls, charcoal-colored metal furniture, several more computers in various states of disconnection.
A white coat on a hook was the sole hint that anything more organic than differential equations had been contemplated here.
Huenengarth stared at me.
I said, “I’m Dr. Delaware. We met a couple of days ago. Over at General Pediatrics.”
He gave a very small nod.
“Terrible thing about Dr. Ashmore,” I said.
He nodded again, stepped back into the room, and closed the door.
I looked down the hall, watching the maintenance men carry off Ashmore’s hardware and thinking of grave robbers. Suddenly a room full of post-mortem files seemed a warm and inviting prospect.
11
Status permanently inactive was a long narrow room lined with metal floor-to-ceiling shelves and human-width aisles. The shelves were filled with medical charts. Each chart bore a black tab. Hundreds of consecutive tabs created wavy, inch-thick black lines that seemed to cut the files in half.
Access was blocked by a waist-high counter. Behind it sat an Asian woman in her forties, reading a tabloid-sized Asian-language newspaper. Rounded characters — Thai or Laotian, I guessed. When she saw me she put it down and smiled as if I were delivering good news.
I asked to see the chart for Charles Lyman Jones IV. The name didn’t appear to mean anything to her. She reached under the counter and produced a three-by-five card titled SPI REQUISITION. I filled it out, she took it, said “Jones,” smiled again, and went into the files.
She looked for a while, walking up and down the aisles, pulling out charts, lifting tabs, consulting the slip. When she returned she was empty-handed.
“Not here, Doctor.”
“Any idea where it might be?”
She shrugged. “Someone take.”
“Someone’s already checked it out?”
“Must be, Doctor.”
“Hmm,” I said, wondering who’d be interested in a two-year-old death file. “This is pretty important — for research. Is there any way I could talk to that someone?”
She thought for a moment, smiled, and pulled something else out from under the counter. El Producto cigar box. Inside were stacks of SPI requisition forms held together with spring clasps. Five stacks. She spread them on the counter. The top slips all bore the signature of pathologists. I read the patients’ names, saw no evidence of alphabetization or any other system of classification.
She smiled again, said “Please,” and returned to her newspaper.
I removed the clasp from the first pile and sifted through the forms. It soon became obvious that a system did exist. The slips had been classified by date of request, each stack representing a month, each piece of paper placed in daily chronological order. Five stacks because this was May.
No shortcuts — every slip had to be examined. And if Chad Jones’s chart had been checked out before January 1, the form wouldn’t be here at all.
I began reading the names of dead children. Pretending they were just random assemblages of letters.
A moment later I found what I was looking for, in the February stack. A slip dated February 14 and signed by someone with very poor penmanship. I studied the cramped scrawl, finally deciphered the last name as Herbert. D. Kent Herbert, or maybe it was Dr. Kent Herbert.
Other than the signature, the date, and a hospital phone extension, the slip was blank; POSITION/TITLE, DEPARTMENT, REASON FOR REQUEST hadn’t been filled out. I copied the extension and thanked the woman behind the counter.
“Everything okay?” she said.
“Do you have any idea who this is?”
She came over and peered at the form.
“Habert... no. I just work here one month.” Another smile. “Good hospital,” she said cheerfully.
I began to wonder if she had any idea what she was filing.
“Do you have a hospital directory?”
She looked confused.
“A hospital phone book — the little orange ones?”
“Ah.” She bent and produced one from under the counter.
No Herberts in the medical roster. In the following section, listing nonmedical staff, I found a Ronald Herbert, tagged as Assistant Food Services Manager. But the extension didn’t match the one on the slip and I couldn’t see a catering specialist having an interest in sudden infant death.
I thanked her and left. Just before the door closed, I heard her say, “Come again, Doctor.”
I retraced my steps through the sub-basement, passing Laurence Ashmore’s office again. The door was still closed and when I stopped to listen, I thought I heard movement on the other side.
I kept going, looking for a phone, finally spotted a pay unit just past the elevators. Before I got to it the elevator door opened and Presley Huenengarth stood there, looking at me. He hesitated, then walked out of the lift. Standing with his back to me, he removed a pack of Winstons from his suit pocket and took a long time cracking the seal.
The elevator door started to shut. I checked it with the heel of my hand and got on. The last thing I saw before it closed was the security man’s placid stare behind a rising cloud of smoke.
After riding up to the first floor I used an in-house phone near Radiation Therapy to dial D. Kent Herbert’s extension. The hospital’s main switchboard answered.
“Western Pediatrics.”
“I was dialing extension two-five-oh-six.”
“One moment and I’ll connect you, sir.” A series of clicks and mechanical burps, then: “Sorry, sir, that extension’s been disconnected.”