Dr. Carl Newhouse, the anesthesiologist, was more in keeping with Ashley’s expectations. As a mildly overweight Englishman with ruddy cheeks, he looked like the Caucasian doctors Ashley had encountered in the past. He was dressed in OR scrubs complete with a hat and a facemask. The facemask was tied around his neck but dangled over his chest. A stethoscope was draped around his neck, and a collection of pens protruded from his breast pocket. A tourniquet of brown rubber tubing was coiled around his pants’ tie.
With exhaustive thoroughness, Dr. Newhouse had gone over Ashley’s medical history, particularly in relation to allergies, drug reactions, and episodes of anesthesia. While Dr. Newhouse auscultated and thumped Ashley’s chest as part of a cursory physical examination, he also started an IV with such practiced ease that Ashley hardly felt it. Once it was flowing to Dr. Newhouse’s satisfaction, he told Ashley that he’d be giving him a powerful intravenous cocktail that would make him feel calm, content, possibly euphoric, and definitely drowsy.
“The sooner the better,” Ashley had silently voiced. He was more than ready to feel calm. With his fears about the upcoming procedure, he’d had difficulty falling asleep the night before. And on top of the psychological stress, it had not been an easy morning. Following Daniel’s advice, he’d avoided his Parkinson’s medication, with consequences more severe than he’d anticipated. He hadn’t appreciated the extent to which the drugs had been controlling his symptoms. He’d not been able to stop his fingers from an involuntary rhythmical motion as if he were trying to roll objects in his palms. Worse yet was the stiffness, which he likened to trying to move while totally immersed in gelatin. Carol had to get a wheelchair to get him down to the waiting limo, and two doormen had to struggle to get him from the wheelchair into the car. The arrival at the Wingate had been equally difficult, with equivalent indignity. The only good part of the ordeal was that no one seemed to have recognized him, thanks to his tourist disguise.
Dr. Newhouse’s intravenous cocktail had been everything he’d promised and then some. Currently, Ashley felt considerably more content and calm than if he’d downed several tall tumblers of his favorite bourbon, and this was in spite of being seated in a tiled operating room on an operating table cranked up to a sitting position with both arms splayed out to the sides and secured to armboards. Even his tremor was better, or if it wasn’t, at least he wasn’t aware of it. He was clothed in a skimpy hospital johnny with his stocky, pasty white legs thrust out in front of him. His bare, dry, and bunioned feet with curling yellow toenails pointed up at the ceiling. The IV was in one arm and a blood-pressure cuff around the other. EKG leads were attached to his chest, and the beeping of the readout echoed about the room.
Dr. Nawaz was busy with a tape measure, a marking pen, and a razor, as he prepared Ashley’s head for the stereotaxic frame, which Ashley could see next to a collection of sterile instruments on a draped table off to the side. Despite the frame appearing like a torture device, Ashley, in his drugged state, was unconcerned. Nor was he bothered about Dr. Lowell and Dr. D’Agostino, who had appeared with Dr. Spencer Wingate and Dr. Paul Saunders at a window looking out into the operating suite hallway. Dressed in scrubs, the foursome seemed to be watching the preparations as if it were entertainment. Ashley would have liked to wave, but he couldn’t with his hands tied. Besides, it was hard to keep his eyes open, much less lift his arms.
“I’ll be shaving and prepping small areas on the sides and back of your head,” Dr. Nawaz announced, while handing the marking pen and tape measure to Marjorie Hickam, the circulating nurse. “These will be the sites where the frame will be secured to your head, as I explained earlier. Do you understand, Mr. Smith?”
It took a moment for Ashley to remember his assumed name was Mr. Smith and that he was being addressed. “I believe I do,” he announced in a slurred monotone. “Perhaps you could shave my face while you’re at it. Without my medication, I’m afraid I did less than a commendable job this morning.”
Dr. Nawaz laughed at this unexpected humor, as did the other occupants in the room, which included a scrub nurse by the name of Constance Bartolo. She was already gowned and gloved, and stood next to the table with the frame and the instruments as if on guard.
A few minutes later, Dr. Nawaz stepped back and eyed his handiwork. “I’d say that looks rather good. I’ll duck out to scrub, then we’ll drape, and we can begin.”
Despite what should have been a terrifying circumstance of waiting to have a hole drilled into his skull, Ashley fell into a peaceful, dreamless slumber. He was soon partially awakened by the sensation of sterile drapes settling over him, but he rapidly fell back asleep. What succeeded in waking him a few minutes later was a sudden, searing scalp pain on the right side of his head. With great effort, he partially pulled up his heavy eyelids. He even tried to lift his right arm against its restraint.
“Easy!” Dr. Newhouse said. He was standing behind and to the side of Ashley. “Everything is okay!” He laid a restraining hand on Ashley’s arm.
“I’m just injecting some local anesthesia,” Dr. Nawaz explained. “You might feel a stinging sensation. There are going to be four locations.”
“Stinging sensation!” Ashley marveled silently in his stupor. It was just like a doctor to downplay the symptom, because the pain was more like a white-hot knife cutting his scalp away from his skull. Yet Ashley was strangely detached, as if the pain involved someone else and he was a mere observer. It also helped that in each instance, the pain was fleeting, to be replaced by absolute numbness in the area.
Ashley was only vaguely aware of the process of being fitted with the stereotaxic frame. He floated effortlessly in and out of consciousness during the more than half hour of manipulations and adjustments it took to anchor the frame with pins attached firmly to the outer table of his skull. He had no awareness of the past, the future, or the passage of time.
“That should do it,” Dr. Nawaz said. He reached up and grasped the calibrated semicircular arms that arched over Ashley’s head and gently tested the frame’s stability by trying to move it in any direction. It held solidly, with its four setscrews rooted into the senator’s cranium. Pleased with the result, Dr. Nawaz stepped back, clasped his sterile, gloved hands against his gowned chest, and cleared his throat. “Miss Hickman, if you would be so kind, please let X ray know we are ready for them.”
The circulating nurse stopped in her tracks en route to getting another bottle of IV fluid for Dr. Newhouse. Her gray-blue eyes first looked at her colleague Constance for a modicum of support before meeting Dr. Nawaz’s gaze. For the moment, Marjorie was at a loss for words, since she’d had experience during her training with neurosurgeons’ short fuses and operating-room tantrums, and she expected the worst.
“I say,” Dr. Nawaz announced with an edge to his voice, “let’s not dally. It is time for the X ray.”
“But we don’t have any X ray,” Marjorie said hesitantly. She switched her attention to Dr. Newhouse for corroboration, lest she bear the full brunt of responsibility for the current problem.