'Gloria, I brought the doctor!' called Mr. Kelly. There was no answer. Mr. Kelly guided Dr. Petrie through into the dingy hallway. There was a broken-down umbrella stand, and plaques of vintage cars moulded out of plastic. A grubby red pennant on the wall said 'Miami Beach'.
'This way,' said Kelly. He gently opened a door at the end of the hall and ushered Dr. Petrie inside.
The boy was lying on crumpled, sweat-stained sheets. There was a suffocating smell of diahorrea and urine, even though the window was open. The child was thin, and looked tall for his age. He had a short haircut that, with his terrible pallor, made him look like a concentration camp victim. His eyes were closed, but swollen and blue, like plums. His bony ribcage fluttered up and down, and every now and then his hands twitched. His mother had wrapped pieces of torn sheet around his middle, to act as a diaper.
'I'm Dr. Petrie,' Leonard said, resting his hand momentarily on the mother's shoulder. She was a small, curly-haired woman in her mid-forties. She was dressed in a tired pink wrap, and her make-up was still half-on and half-off, just as it was when her son's sickness had interrupted her the night before.
'I'm glad you could come,' she said tiredly. 'He's no better and no worse.'
Dr. Petrie opened his medical bag. 'I just want to make a few tests. Blood pressure, respiration — that kind of thing. Would you like to wait outside while I do that?'
The mother stared at him with weary eyes. 'I been here all night. I don't see any call t'leave now.'
Dr. Petrie shrugged. 'Whatever you like. But you look as though you could do with a cup of coffee. Mr. Kelly — would you be kind enough to make us all a cup of coffee?'
'Surely,' said the father, who had been hovering nervously in the doorway.
Dr. Petrie sat by the bed on a rickety wooden chair and took the boy's pulse. It was weak and thready — worse than he would have expected.
The mother bit her lip and said, 'Is he going to be all right? He is going to be all right, ain't he? Today's the day he was supposed to go to the Monkey Jungle.'
Dr. Petrie tried to smile. He lifted the boy's arm again, and checked his blood pressure. Far too high for comfort. The last time he had seen vital signs as poor as this, the patient had been dead of barbiturate poisoning within three hours. He lifted David's puffed-up eyelids, and shone his torch into the glassy eyes. Weak response. He pressed his stethoscope against the little chest and listened to the heartbeat. He could hear fluid on the lungs, too.
'David,' he said gently, close to the boy's ear. 'David, can you hear me?'
The boy's mouth twitched, and he seemed to stir, but that was all.
'He's so sick,' said Mrs. Kelly wretchedly. 'He's so sick.'
Dr. Petrie rested his hand on David's skinny arm. 'Mrs. Kelly,' he said. 'I'm going to have to have this boy rushed straight to hospital. Can I use your phone?'
Mrs. Kelly looked pale. 'Hospital? But we called the hospital, and they said just a doctor would be okay. Can't you do something for him?'
Dr. Petrie stood up. 'What did you tell the hospital? Did you say how bad he was?'
'Well, I said he was sick, and he had a fever, and he'd messed the bed up a couple of times.'
'And what did they say to that?'
'They said it sounded like he'd eaten something bad, and that I oughtta keep him warm, give him plenty to drink and nothing to eat, and call a doctor. But after that, he started getting worse. That's when Dave went out for you.'
'This boy has to be in hospital,' insisted Dr. Petrie. 'I mean now. Where's your phone?'
'In the lounge. Straight through there.'
On the way out Dr. Petrie almost collided with Mr. Kelly, bringing a tin tray with three mugs of coffee on it. He smiled briefly, and took one of the mugs. While he dialled the hospital, he sipped the scalding black liquid and tried not to burn his mouth.
'Emergency unit? Hallo. Listen, this is Dr. Leonard Petrie here. I have a young boy, nine years old, seriously sick. I want to bring him in right away. I can't tell you now, but have a blood test ready. Sputum, too. Some kind of virus, I guess. I'm not sure. It could be something like cholera. Right. Oh, sure, I'll tell the parents. Give me five, ten minutes — I'll be right there.'
Mr. and Mrs. Kelly were waiting at the door. 'Cholera?' Mr. Kelly said.
Dr. Petrie swallowed as much coffee as he could. 'It's like cholera,' he said, as reassuringly as possible, 'but it's not exactly that. I can't tell without a blood sample. Dr. Selmer will do that for me at the hospital. He's a good friend of mine. We play golf together at Normandy Shores.'
Mrs. Kelly couldn't take in what he was saying. 'Golf?' she asked vaguely.
Dr. Petrie went through into David's bedroom, and helped Mr. Kelly to dress the boy in a pair of clean pajamas. David shuddered and whispered to himself while they buttoned the jacket up, but that was the only sign of life. Dr. Petrie lifted David up in his arms, and carried him out down the fire escape. Mr. Kelly followed with the medical bag.
'I sure hope he's going to be okay,' said Kelly. 'He was supposed to go on a school outing today. He'll be sorry he missed it. He didn't talk about nothing else, for weeks. "When I go to the Monkey Jungle… " every sentence.'
'Don't worry, Mr. Kelly. Once we get David to hospital, he's going to get the best treatment going.'
They were nearly at the bottom of the fire-escape when Dr. Petrie felt something go through David's body — a sigh, a vibration, a cough. He was a skilled doctor and he recognized it. The boy was dying. He needed to get him into a respirator as fast as he could, within the next two or three minutes, or that could be the end.
'Mr. Kelly,' he said tightly, 'we have to get the hell out of here!'
Mr. Kelly frowned. He said, 'What?' But when he saw Dr. Petrie clattering rapidly down the rest of the fire-escape and across to his car, he came running behind without a word.
'My car keys!' Dr. Petrie said quickly. 'Get them out of my pocket. No, the other side. That's right.'
Mr. Kelly, in his panic, dropped the keys on to the sidewalk, and they skated under the car. He knelt down laboriously and scrabbled beneath the Lincoln while his son weakened in Dr. Petrie's arms. 'Hurry — for Christ's sake!'
At last Mr. Kelly hooked the keys towards the gutter, picked them up and opened the car. Dr. Petrie laid David carefully on the back seat, and told Mr. Kelly to sit beside the boy and hold him, in case he rolled off. The hospital was five minutes away if you drove slow and sedate, but David didn't have that long.
The Lincoln's engine roared. They backed up a few feet, then swerved out into the street. Dr. Petrie crossed straight through a red light, sounding his horn and switching on his headlamps. He prayed that downtown Miami wouldn't be jammed up with early-morning traffic. Swinging the Lincoln across a protesting stream of cars, he drove south on South West 27th Avenue at nearly fifty miles an hour. He swerved from one lane to the other, desperately trying to work his way through the traffic, leaning on his horn and flashing his lights.
'How's David?' he shouted.
'I don't know — bad,' said the father. 'He looks kinda blue.'
Dr. Petrie could feel the sweat sliding down his armpits. He clenched his teeth as he drove, and thought of nothing at all but reaching the hospital on time.
He swung the Lincoln in a sharp, tire-howling turn, and in the distance he could see the white hospital building. They might make it yet.
But just at that moment, without warning, a huge green refrigerated truck rolled across in front of them, and stopped, blocking the entire street. Dr. Petrie shouted, 'Shit!' and jammed on the Lincoln's brakes.
He opened the car window and leaned out. The driver of the truck, a heavy-looking redneck in a greasy trucker's cap, was lighting himself a cigar prior to maneuvering his vehicle into a side entrance.