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She watched her mother-in-law for some sign of understanding, but Patricia stood rigidly looking at her daughter-in-law with a mixture of sadness and anger.

Cassi stretched her arms toward the woman. “Please,” she pleaded. “Thomas is in trouble. Won’t you help?”

Patricia remained unresponsive.

Letting her arms fall to her sides, Cassi watched as Patricia walked haltingly to the door. She seemed to have aged ten years since Cassi had last seen her. If only she’d listen. But Cassi realized at last that Patricia would rather break her heart over a lie than deal with the more frightening truth of Thomas’s addiction. As much as Patricia criticized Thomas, Cassi knew that she could never conceive of the possibility of something significantly wrong with her son.

Cassi remained in the semidarkness of the living room for a long time after she heard the front door close. She’d cried more tears in the last forty-eight hours than she had for the previous twenty years. How could Thomas possibly believe she was having an affair? The idea was preposterous.

With heavy steps she finally ascended the stairs to find Thomas. There was no way she could just go to bed. She had to try to speak to him. For a moment she hesitated outside the study. Then she knocked softly.

There was no answer.

She knocked again, louder. When there was still no reply, she tried the door. It was locked. Determined to talk with him, she walked to the guest room and entered the study through the connecting bathroom.

He was sitting immobile in his easy chair, staring straight ahead, his eyes unfocused. If he heard Cassi, his expression did not change. A slight smile lifted the corners of his mouth. Even after Cassi knelt down and pressed his hand to her cheek, he did not move.

“Thomas,” she called softly.

Thomas finally looked down at her.

“Thomas, I’ve never had an affair with George. I’ve never looked at anyone since we met. I love you. Please let me help.”

“I don’t believe you,” Thomas said, badly slurring his words. Then his eyes rolled up and he passed out, leaving Cassi still holding his hand. She unfolded the sofa bed and tried to get him to move, but he refused. She sat with him for a while before going back to her own room to try to sleep.

Eight

In the morning Cassi was up and dressed before she heard the alarm go off in the study. It kept ringing and ringing. Concerned, she ran down the hall and opened the door. Thomas was sprawled in his chair exactly as she had left him the night before.

“Thomas,” she said, shaking him.

“Wha-what?” he whispered.

“It’s quarter to six. Don’t you have surgery this morning?”

“I thought we were going to Ballantine’s party,” he muttered.

“Thomas, that was last night. Oh God, maybe you should call in sick. You never take a day off. Let me call Doris and see if she can postpone your operations.”

Thomas struggled to his feet. He swayed and steadied himself against the arm of the chair.

“No, I’m fine.” His voice was still slightly slurred. “And with the cutback on my OR time, I won’t be able to reschedule for weeks. Some of the patients this month have already waited too long.”

“Then let someone else…” Thomas raised his hand so quickly Cassi thought he was going to hit her, but instead he lunged into the bathroom, slamming the door. A few moments later she heard him turn on the shower. When he came downstairs he seemed in better shape. Probably because he had taken a couple of Dexedrines, thought Cassi.

He quickly drank juice and a cup of coffee and then headed for the garage.

“Even if I can get home tonight, I’ll be very late, so you better take your own car,” he said over his shoulder.

Cassi remained sitting at the kitchen table for a long time before she, too, began the long trip to the hospital. “For the first time,” she thought, “it’s not just Thomas I’m worried about. It’s his patients. I don’t know if it’s safe for him to operate anymore.”

By the time she reached Boston Memorial, Cassi had made up her mind to do three things the minute she was finished with team meeting. She would make an appointment to have her eye surgery, arrange to take the necessary time off, and she would see Dr. Ballantine and confide her fears about Thomas. After all, the problem affected the hospital as well as her marriage.

Joan noted Cassi’s preoccupation, but before she had a chance to ask any questions, at the end of the meeting Cassi said something about seeing her ophthalmologist and hurried off the floor.

Dr. Obermeyer interrupted his schedule the moment he heard Cassi had appeared. He came out of his inner office with his minerlike light still strapped to the top of his head.

“I trust you’ve come to the right decision?” he said.

Cassi nodded. “I’d like to be scheduled as soon as possible. In fact, the sooner the better before I have a chance to change my mind.”

“I was hoping you’d say that,” said Dr. Obermeyer. “In fact, I took the liberty of scheduling you as a semi-emergency for the day after tomorrow. Is that all right with you?”

Cassi’s mouth went dry, but she nodded obediently.

“Perfect,” said Dr. Obermeyer with a smile. “Don’t you worry about a thing. We’ll take care of all the arrangements. You’ll be admitted to the hospital tomorrow.” Dr. Obermeyer buzzed for a secretary.

“How long will I be unable to work?” said Cassi softly. “I will have to say something to the chief of psychiatry.”

“That depends on what we find, but I’d guess a week to ten days.”

“That long?” said Cassi. She wondered what would happen to her patients.

Walking slowly back from the Professional Building, Cassi decided to phone Dr. Ballantine before her courage failed her. He answered the phone himself and assured her he had no surgery and could see her in half an hour.

After arranging to take sick leave, Cassi decided to kill the rest of the time before her interview with Ballantine by visiting pathology. She could tell Robert about her surgery, and just seeing him always gave her confidence. But when she reached his office, it was empty. One of the technicians told her that Robert was not due in at all. He was being admitted early that afternoon for oral surgery, and he’d decided to go out to eat what would probably be his last real meal for a week.

Cassi was back out at the elevator when she remembered Jeoffry Washington. Turning back into the lab, she asked the technician for the slides. The woman located Jeoffry Washington’s tray without difficulty but explained that only half the slides were finished. She said it took at least two days to do a case and suggested that Cassi come back the next day for the full set. Cassi said she understood, but was interested only in the H amp; E mounts of the vein, which were probably ready.

The slides Cassi wanted were available and, in fact, were the first slides she saw when she opened the tray. There were six in all, labeled LEFT BASILIC VEIN, H amp; E STAIN, followed by Jeoffry Washington’s autopsy number.

Cassi sat down at Robert’s microscope and, adjusting the eyepieces, focused on the first of the slides. There was a small collapsed ringed structure inside a smudge of pink tissue. Even under low power Cassi saw something strange. Looking closer, she identified multiple small white precipitates ringing the interior of the vein. Cassi then examined the walls of the vein. They looked completely normal. There was no infiltrate of inflammatory cells. Cassi wondered if the small white flakes had been introduced in the mounting process. There was no way to tell. She checked the rest of the slides and found the same precipitate in all but one.

Taking them back to the lab, Cassi showed them to the technician, who was also perplexed. Cassi decided to tell Robert the moment she found out his room number. Glancing at her watch, she realized it was time to see Ballantine.

He was having a sandwich at his desk and asked Cassi if his secretary could bring her something from the cafeteria. She shook her head. Given what she had to say, she wasn’t sure if she would ever want to eat again.