At risk was my five grand. If I won, I’d split with any doctor who picked the same time period as I did. Whoever was behind this operation possessed some serious computer chops to make the site so sophisticated, but still easy to use.
I had a bank account with ten grand in it that Lee Anne didn’t even know existed. I was planning to use it for a surprise mega-trip to Italy in celebration of our fifteenth wedding anniversary. My mouth went dry thinking about what we would do in Europe when I won this bet, and every nerve in my body told me I was going to. I never for a moment considered we might end up celebrating our anniversary at an Outback Steakhouse.
The Dead Club wasn’t luck, it was skill.
I imagined gondolas, floating down a river of champagne, with Lee Anne nestled in my arms, and then the two of us touring the lush English countryside in a rented Bentley. I felt a sudden rage at all those arrogant surgeons in The Dead Club with their gilded lives, looking down with disdain on my chosen specialty. But what they didn’t know was that I possessed skills to interpret medical records in ways the other docs simply could not. I decided then and there that I’d mail a bank check, as required, to the post- office-box address provided, to give myself a minimum kitty of five-thousand dollars to play with.
One measly bet couldn’t hurt.
I won.
John Doe died two months and twenty-five days from my first Dead Club bet. I wasn’t the only winner, though. Competition was tougher than I had anticipated. Fifteen of us split a hundred-fifty-thousand-dollar kitty. Just like that, I had doubled my money, and those army ants were now dancing the Lambada in my head, but at 75 r.p.m.
I hadn’t bet on another case since my inaugural John Doe play, but now I couldn’t wait for April the first to arrive, because that meant a new record would be posted for betting. The pool would be open again and I was ready and willing to take the plunge.
I won again.
This time, I split the kitty with only two other docs who agreed with me that the woman, halfway into her fourth year with ALS, or Lou Gehrig’s disease, would be gone in four months. The safe bet would have been eight months, given that the average life expectancy for ALS sufferers was between three and five years. But this Jane Doe had a subtle abnormality on her cardiogram and an elevation in her serum calcium that I decided was worth at least a deduction of six weeks.
It was a tough bet, given that 10 percent of ALS patients live ten years or longer. Still, there were enough indicators that, like me, two other skilled docs had calculated death would soon be knocking on her door. Her demise netted me sixty-three thousand dollars. Forget gondolas. Now, it was the Riviera that was flooded with champagne.
But winning streaks, even a streak of two, run the risk of ending and mine came to a crashing halt that August. I lost four in a row. Four! Two Jane Does and two John Does. It would have been a twenty-five-thousand-dollar loss, five thousand dollars per bet. But I didn’t bet five thousand dollars. The Dead Club also had a high rollers game with a thirty-thousand- dollar minimum ante and my winnings qualified me for that club membership as well. For a man of my income and means, the rush of placing a thirty-thousand- dollar bet was indescribable. I was sure my winning ways were going to continue. I never would have started playing the thirty-thousand-dollar kitty game otherwise. Never has being wrong about a hunch hurt so much.
A mere twelve months after placing my initial wager on the stage IVA John Doe, I had blown not only my winnings, but a second mortgage on my house and a chunk of my kids’ college fund. Lee Anne hadn’t found out just yet, but she was suspicious, that’s for sure.
Confessing to her my involvement with The Dead Club would be akin to signing my divorce papers. Just when I thought my luck had officially run out, I saw the January bet.
The unimaginable had happened.
I couldn’t believe what I was seeing. The name of a consulting neurologist for a terribly ill man had been left in at the bottom of his note. Ivan Dworsky, a neurologist I knew well. Barring an incredible coincidence, the case was a patient at my hospital! All I had to do was determine and confirm the identity, and that I was quickly able to do. The gondolas were floating again.
Richard Generoso-sixty-seven years old with invasive glioblastoma multiforme, a grade-four malignant brain tumor.
I had only three days to place my bet. This was like betting blackjack while seeing the dealer’s hand. It was one thing trying to predict the outcome by reading a medical record, but another thing entirely to have access to the actual patient. I could review his CT scans with the best radiologists around.
It was no problem tracking Generoso down. I was standing by his bed when in came my second pot of gold. His doctor, whom I happened to have played racquetball with on a few occasions, entered the room with his patient’s latest lab results. I explained that Generoso and I were acquaintances. The invasive radiologists had just performed a spinal tap, I was told, and the results were bad-very bad. Cancer cells were filling the spinal canal-a quick ticket to heaven. The news was as good as gold, because it was fresh and not something included in the medical records the rest of The Dead Club had reviewed. It was better than seeing the dealer’s cards. This was knowing I had blackjack on my next hand.
Three weeks, that’s what I gave him-no more than twenty-one days to live. The cancer itself wasn’t that large, and sure enough, I was the only one to bet his end would come so soon. I took out a third mortgage on my house, forged Lee Anne’s signatures, and put the money in the kitty. If I lost, I’d be over a hundred grand in the hole. But I had no intention on losing this one.
Fast-forward nineteen days. Richard Generoso is beginning to fail, but not that rapidly. He has finally been readmitted, but he is hanging on and still conscious most of the time. I’ve checked on him enough so that he thinks I’m his new physician and his doc thinks that he’s my long- lost uncle.
“How’re you feeling today, Richard?” I asked. It was less than forty hours before I was going permanently under water if he didn’t die.
“Feeling okay,” he replied dreamily. “My daughter is looking into hospice care.”
Richard’s eyes were rheumy with memory.
He knew he was going to die and I knew he was going to die, but for him to pointlessly pass away three days or a week or a month from now in hospice care would have thrown my life into an unrecoverable tailspin. The money was already gone, and trying to find The Dead Club, let alone trying to blow the whistle on them, was fruitless.
The next day, with less than twelve hours remaining on my bet-make that life as I knew it-Richard was still alert most of the time.
It simply wasn’t going to happen.
I went to my office and returned with just fifteen minutes left, as panicked as I had ever been about anything.
Generoso’s doctor and nurse had just left. I walked nonchalantly down the hall and into his room, closing the door behind me.
I don’t really remember injecting the Diprivan into his IV port. In less than two minutes, his eyes closed. Moments later, his breathing stopped. His face turned waxy and pale. I notified the nurses and they called the attending physician. There was no resuscitation. I watched as the time of death was logged.
11:58 P.M.
Two minutes later and I would have killed the man for nothing.
Grove sat across from me.
“You look well,” he said.
“I’ve been better.”
“I can imagine,” he said.
I hadn’t seen Grove since that week in Vegas, but somehow his hair looked even whiter, the goatee fuller; same for his belly.
For a few awkward minutes, we didn’t say anything to each other; then he broke the silence.