Until Dr. Pauly said, “I don’t want to shoot you, Mr. Carver, but if you try to come near me, I will. I swear it!”
Carver folded his hands over the crook of his cane and leaned on it. Might as well stay where he was for a while.
Dr. Pauly’s deep-set eyes were in shadow. His thin mouth was a tight line arced downward at the corners as if scrawled that way in a child’s crude drawing. He glanced down at the automatic in his hand, back up at Carver. “I don’t want anyone else killed,” he said. “For God’s sake, I’m a doctor! That’s why I came here to warn you.”
“Warn me about what?” But Carver knew what. Knew who.
“Raffy Ortiz. He’s got it fixed in his mind to kill you. Kill us both. You don’t know him the way I do, the things he’s done. He’s sick and vicious! More dangerous than you can imagine.”
Carver tightened his grip on the cane. Kill us both. So that was why Dr. Pauly had bolted-not so much from the law as from Raffy Ortiz. Raffy had exercised an evil control over him, but that also meant the doctor knew some damaging information about Raffy. Which put Dr. Pauly in mortal danger.
“Is that why he snatched Birdie Reeves?” Carver asked. “Because she’d talked to me and gone through the Sunhaven files? Because she knew too much?”
Dr. Pauly appeared startled. Lowered the gun for a moment and gave a trembling, nervous smile that almost blurted into a laugh. Pressure had built in him close to the bursting point.
Then his mouth set again in its hard line, his jaw thrust forward. “Birdie knew too much, all right. She was in this all the way with Raffy and me.”
Comprehension started to seep in on Carver, cold and unsettling.
“All the way in what?” he asked. He knew and dreaded the answer but he wanted to hear it from Dr. Pauly. Hear all of it at last.
Dr. Pauly planted his feet wider, to create a more stable firing stance in case he had to use the automatic. The front of his white shirt was stained with perspiration and plastered to his chest and upper arms.
“When a senior citizen takes up residence at an expensive nursing home like Sunhaven,” he said, “there’s almost always a considerable potential inheritance when that resident dies. Often that inheritance is being rapidly eroded by the cost of the nursing home itself. Now, in most families there’s at least one member who’d profit enormously if the resident died, who might even be in immediate financial need and would like to see the resident expire somewhat sooner than nature intended.”
Carver thought about Jack and Melba Lipp in New Orleans, and their foundering business in the French Quarter. “You’d supply Raffy Ortiz with names of the wealthiest Sunhaven residents with pressing medical problems,” he said, “and it was Raffy’s job to find those family members, feel them out, and proposition them.”
“Exactly,” Dr. Pauly said. “And when the time of the resident’s death was moved to an earlier and more convenient date, we’d later receive a share of the inheritance for… expediting matters.”
“Neither you or Birdie was living in luxury,” Carver pointed out.
“I’m a former drug supplier and I have an expensive addiction,” Dr. Pauly said. “Birdie’s a chemically dependent fifteen-year-old runaway. Still, you’d be surprised by certain dollar amounts; only Raffy pulled the strings and he didn’t want attention drawn to us if our life-styles improved dramatically. That was smart of him but tough on us. In a year or so, when we’d made enough money, we were going to stop what we were doing. That was the plan. Nobody would have any reason to suspect us, and Birdie and I would leave Sunhaven and collect our share of the proceeds.”
“You hoped.”
Dr. Pauly hefted the gun as if it weighed twenty pounds and shook his head sadly. “We had no choice but to hope. Raffy could reveal our backgrounds anytime. When he found out I’d gotten the position at Sunhaven, he brought Birdie up from Miami and made me wangle her the receptionist job. Neither of us had a say in the matter. Birdie had been part of Raffy’s stable of prostitutes in Dade County, and I’d had a close brush with the law. There’s evidence that I’m sure could reopen the case and result in an indictment against me. Raffy was keeping that evidence hidden, but he made it plain to me it might not remain hidden.”
Carver was still trying to adjust his perception of Birdie. Woman-child Birdie, “Raffy and Birdie knew each other in Miami?”
“You shouldn’t be shocked,” Dr. Pauly said. “It’s the way a lot of runaways get money to survive. It’s an indifferent world out there for them; they either sink or they swim. Some of the ones that sink drown, and some learn to live on the bottom of the ocean. Birdie was one of Raffy’s personal favorites, and the favorite of a few of his wealthiest clients. The ones with predilections for very young girls.” Dr. Pauly’s features twisted into a grotesque visual plea for pity. Not for Birdie, for himself. “You’ve got to understand, Mr. Carver, some of us do what we have to in this life.”
“And when Raffy gave you the signal, you had to murder Sunhaven residents and then sign phony death certificates. A flawless setup, with you being the attending physician.”
“I knew the residents’ medical histories,” Dr. Pauly said, “and I’d simply extend what problems they had to the degree that they’d cause cessation of life. It was all plausible, really only a matter of altering the time schedule of mortality.”
“It’s murder,” Carver said, “to give a patient you’re supposed to be helping a lethal injection or the wrong kind of pills, or whatever methods you used. Blow all the smoke you want around it to disguise it, but it still shines through as murder.”
Dr. Pauly moved nearer. He looked angry and injured. “Damn you, I’m a doctor! I save life, not take it. I was referring to the causes of death I listed on official documents. You’ve been made a fool of, Carver. It was Birdie who did it.”
Carver stool paralyzed, not wanting to believe. Not wanting to listen to what Dr. Pauly was telling him,
But the doctor was persistent. Using the truth like a scalpel. “She was the one who agreed to kill them,” he said. “That’s why Raffy worked her into Sunhaven. For that precise purpose. She killed them all.”
“Killed them how?” Carver asked.
“I honestly don’t know. I’d be told when they were going to expire, so I’d be present to handle the details. The corpse would always be without a mark on it to suggest unnatural death. I think only Birdie knows how she killed them. Raffy didn’t care how it was done, as long as it was clean enough that I could make out the death certificate without raising questions and prompting some of the family members or the authorities to request an autopsy. That was no problem; remember, the victims were expected to die while at Sunhaven.”
“Poison?”
“I don’t think so. Most poisons leave some trace. Distinctive odors, or symptomatic signals in the deceased, that are evident even without an autopsy. I’m afraid only postmortem internal examination would reveal how Birdie did her work, and maybe even then it wouldn’t be obvious. There are imaginative ways to do murder that only the most careful and detailed autopsy would reveal. Raffy might very well know those ways, and he might have given Birdie her choice of which method to use. All I know is, I was never told how the residents actually died. And as long as I could state a cause of death consistent with the condition of the corpse and the deceased’s medical history, it didn’t matter to me.”
“You said Raffy was fond of Birdie in Miami.”
“No, Mr. Carver, I said she was one of his favorites. That isn’t good for her, it’s bad. If Raffy has Birdie, there isn’t any way she can be helped. She poses a danger to him. The way you and I do. He caught up with me in Del Moray and almost killed me. I got away only because I managed to reach my car before he got to me. He’s a heavy abuser of drugs himself and he’s high on something now. Methamphetamine and God knows what else. He’s insane, like an enraged tiger. You can’t reason with him.”