“A shame,” said Frock. “As far as I know, he left no notes about it, either.” He fell silent again for some time. “This is a real setback, Margo,” he said at last in a quiet voice. “We may never learn what it is he discovered.”
“Nobody ever makes their plans as if they’re going to die the next day.”
Frock shook his head. “Simon was like most of the MEs I’ve known. Exciting, high-profile cases like this are rare, and when one comes along… well, they can’t always resist the drama.” He looked suddenly at his watch. “Oh, dear. You know, I almost forgot that I have an appointment in Osteology. Margo, I wonder if you would be willing to leave that aside and take over here for a while. Maybe it’s this tragic news, or maybe I’ve just been staring at these bones too long. But I think the work could benefit from a fresh eye.”
“Of course,” said Margo. “What exactly are you looking for?”
“I wish I knew. I’m quite sure this person had a congenital disease. I want to quantify the morphological changes to see if there’s been a genetic shift. Unfortunately, that means measuring almost every bone in the body. I thought I’d start with the wrist and finger bones, since as you know they’re the most sensitive to genetic change.”
Margo looked down at the examining table. “That could take days,” she said.
Frock shrugged in exasperation. “I’m only too aware of that, my dear.” He gripped the rails of his wheelchair and gave himself a powerful push toward the door.
Wearily, Margo began measuring each bone with the electronic calipers and entering the measurements on the workstation keyboard. Even the smallest bones required a dozen measurements, and soon a long column of numbers was scrolling up the nearby screen. She tried not to grow impatient with the tedious work and the tomblike silence of the lab. If Frock was right, and the deformation was congenital, this would greatly narrow their search for the identity of the body. And at this point, they could use any lead they could find: The skeletons from the Physical Anthropology lab had provided no clues. As she worked, she found herself wondering what Brambell would have thought. But the memory of Brambell was too awful. To think of the man, set upon and murdered… She shook her head, forcing herself to concentrate on other things.
The sudden ringing of the telephone jarred her from a particularly complicated measurement. It rang again—two short beeps—and she realized it was an outside call. Probably D’Agosta, calling about Dr. Brambell.
She picked it up. “Forensics.”
“Is Dr. Brambell there?” asked a clipped, youthful-sounding voice.
“Dr. Brambell?” Margo’s thoughts raced. What if it was a relative? What should she say?
“Hello?” came the voice.
“Yes, yes,” said Margo. “Dr. Brambell isn’t available. Can I help you?”
“I’m not sure. It’s a confidential matter. May I ask who I’m speaking to?”
“The name is Dr. Green,” said Margo. “I’m assisting him.”
“Ah! That’s fine, then. This is Dr. Cavalieri from St. Luke’s in Baltimore. I’ve identified that patient he’s looking for.”
“Patient?”
“Yes, the one with the spondylolisthesis.” Margo could hear the shuffling of paper on the other end of the line. “This is one bizarre set of X rays you sent me. At first I thought there was some kind of joke. I almost missed it.”
Margo fumbled for a pad of paper and a pencil. “You’d better start from the beginning.”
“Fine,” came the voice. “I’m an orthopedic surgeon down in Baltimore. There are only three of us here who do corrective surgery to reduce a spondylolisthesis. Dr. Brambell knew that, of course.”
“Spondylolisthesis?”
There was a silence. “You’re not a physician?” Cavalieri asked, his tone suddenly disapproving.
Margo took a deep breath. “Dr. Cavalieri, I might as well tell you. Dr. Brambell was… well, he died last night. I’m an evolutionary biologist helping him analyze the remains of several homicide victims. Since Dr. Brambell is no longer here, I’ll need you to tell me everything.”
“Died? Why, I just spoke to him yesterday!”
“It was very sudden,” said Margo. She did not want to go into any more detail.
“But that’s terrible. Dr. Brambell was well known across the country, not to mention the United Kingdom…”
The voice petered out. Margo, holding the silent phone to her ear, thought again about the last time she’d seen the Medical Examiner: at the front of Linnaeus Hall, smiling deviously, eyes flashing behind the horn-rims.
She was roused by a sigh on the other end of the line. “A spondylolisthesis is a fracture and slippage of one of the lumbar vertebrae. We correct it by fixing a metal plate to the spine with pedicle lag screws. As you tighten the screws to the plate, it draws the fractured vertebrae back into place.”
“I’m not sure I see the connection,” Margo said.
“Do you remember those four white triangles on the X rays Dr. Brambell sent me? Those are the lags for the plate screws. This fellow had an operation for spondylolisthesis. Very few surgeons do the procedure, which makes it easy to trace.”
“I see,” said Margo.
“I know that this X ray is from a patient of mine, for one very good reason,” Cavalieri continued. “It’s clear that these particular lag bolts were manufactured by Steel-Med Products of Minneapolis, which went out of business in 1989. I performed about three dozen operations using Steel-Med lag screws. I used a special technique of my own, a particular placement of the screws behind the transverse process of the second lumbar. A rather brilliant technique, actually. You can read about it in the Fall 1987 issue of the Journal of American Orthopedics,if you’re interested. It held the bone better, you see, and required less bone fusion. No one else performed it but myself and two residents I instructed. Of course, it was considered obsolete after the Steinmann procedure was developed. So in the end I was the only doctor who used it.” Margo could hear the pride in the doctor’s voice.
“But here’s the mystery: no surgeon that I ever knew would removethe corrective plate for this kind of spondylolisthesis. It simply isn’t done. Yet these X rays clearly show that my patient had the metal plate and screws removed, God knows why, leaving only the lags behind. You can’t remove the lags, of course; they’re set into the bone. But why this fellow had the plate removed…” his voice trailed off.
Margo scribbled notes furiously. “Go on.”
“As I said, when I saw the X rays, I knew immediately that this was one of my patients. However, I was astonished at the condition of the skeleton. That riotof bone growth. I knew I’d never operated on anyone with a condition like that.”
“So the bone growth occurred afterwards?”
“Absolutely. In any case, I went back to my records and, based on the X-ray evidence, I was able to identify the patient. I operated on him the morning of October 2, 1988.”
“And who was the patient?” Margo asked, pencil at the ready. Out of the corner of her eye she saw that Frock had reentered the lab and was rolling toward her, listening intently.
“It’s right here somewhere.” She could hear another rustling of papers. “I’ll fax all these records to you, of course, but I’m sure you’ll still want… here we are. The patient was named Gregory S. Kawakita.”
Margo felt her blood freeze. “Greg Kawakita?” she croaked.
“Yes, Gregory S. Kawakita, Ph.D. No question about it. Funny, it says here that he was an evolutionary biologist, too. Maybe you knew him?”
Margo hung up the telephone, unable to speak. First Dr. Brambell, and now—She glanced at Frock, alarmed to see that his face had gone ashen. “He was slumped to one side of the wheelchair, a hand pressed hard to his chest, his breathing labored.
“Gregory Kawakita?” Frock breathed. “This is Gregory? Oh, my good lord.”