“The surgeon did an excellent job. State of the art, Mind you, I'm referring only to the cosmetic aspects of the procedure. The skillful concealment of the fact of the surgery. The minimal calcification around the portion of each skull that was taken out and then replaced. You see, the standard method is to drill holes in the skull, at the corners of the area to be removed. These holes are carefully calculated so the drill doesn't enter the brain. A thin, very strong, very sharp wire is then inserted into one of the holes and guided along the edge of the brain until the wire comes out another hole. The surgeon grips each end of the wire and pulls, sawing outward through the skull. He repeats the process from one pair of holes to another until the segment of skull can be removed. The wire is thin, as I explained, but nonetheless not thin enough to prevent the demarcation between the skull and the segment that's been removed and later replaced from developing obvious calcification. Even without that calcification, the holes in the skull would be impossible to miss on an X ray. In this case”-Santizo rubbed his chin-“there aren't any holes, only this small circle as if a plug of bone had been removed and then replaced. The demarcation between the plug and the skull is so fine that calcification is negligible. I'm surprised the general practitioner you went to detected the evidence. Someone not prepared to look for it might not have seen it.”
“But if a standard technique wasn't used, what was” Savage asked.
“Now that's the question, isn't it?” Santizo said. “The surgeon could have used a drill with a five millimeter bit to make a hole the same size as this plug. But he wanted a technique that wouldn't leave obvious signs. The only solution that occurs to me is…The plug was removed from the skull by a laser beam. Lasers are already being used in such delicate procedures as repairing arteries and retinas. It's only a matter of time before they become common procedure in other types of surgery. I've experimented with them myself. That's what I meant-this was state of the art. There's no doubt-in terms of getting in and out, whoever did this was impressively skilled and knowledgeable. Not uniquely so, I should add. Among the top neurosurgeons, I know at least a dozen, including myself, who could have concealed the evidence of the procedure equally well. But that's a superficial test of excellence. The ultimate criterion is whether the surgeon accomplished his purpose, and because we're not aware of why the surgery was required, I can't fully judge the quality of the work.”
“But”-Akira hesitated-“could the surgery explain…?”
“Your dilemma? Perhaps,” Santizo said. “And then again maybe not. What was the term you used? The opposite ofdéjà vu?”
“Jamais vu,” Savage said.
“Yes. Something you think you've seen, but you've never seen. I'm not familiar with the concept. But I enjoy being educated. I'll remember the phrase. You realize”-Santizo set down his teacup-“that if it weren't for these X rays, I'd dismiss you as cranks.”
“I admit what I told you sounds bizarre,” Savage said. “But we had to take the risk that you wouldn't believe us. Like you, we're pragmatists. It's our business to deal with facts. Physical problems. How to get our principal safely to his or her destination. How to anticipate an assassin's bullet. How to avoid an intercepting car. But suddenly the physical facts don't match reality. Or our perception of it. We're so confused, we're not just nervous-and it's normal for us to be nervous. We're scared.”
“That's obvious,” Santizo said. “I see it in your eyes. So let me be honest. My schedule's so crowded the only reason I agreed to see you was that my former classmate asked me. He thought I'd be intrigued. He was right. I am.”
Santizo glanced at his watch. “A half hour till I'm due for my racquetball game. After that, I need to make rounds. Meet me back here in”-he calculated-“two and a half hours. I'll try to arrange for a colleague to join us. Meanwhile, I want you to go to Radiology.” He picked up his phone.
“More X rays? To make sure the first sets are accurate?” Savage asked.
“No. I'm ordering magnetic resonance images.”
3
A frail-looking man with a salt-and-pepper beard, wearing a sportcoat slightly too large for him, was sitting across from Santizo when they returned. “This is Dr. Weinberg,” Santizo said.
They all shook hands.
“Dr. Weinberg is a psychiatrist,” Santizo said.
“Oh?” Savage's back became rigid against his chair.
“Does that trouble you?” Weinberg asked pleasantly.
“No, of course not,” Akira said. “We have a problem. We're eager to solve it.”
“By whatever means necessary,” Savage said.
“Excellent.” Weinberg pulled a notebook and a pen from his sportcoat. “You don't mind?”
Savage felt ill at ease. He tried never to have his conversations documented but was forced to say, “Make all the notes you want.”
“Good.” Weinberg scrawled several words. From Savage's perspective, they looked like the time and date.
“Your MRI scans are being sent up to me,” Santizo said. “I thought, while we wait, Dr. Weinberg could ask you some questions.”
Savage gestured for Weinberg to start.
“Jamais vu.The term is your invention, I'm told.”
“That's right. It was all I could think of to describe my confusion.”
“Please elaborate.”
Savage did. On occasion, Akira added a detail. Rachel listened intently.
Weinberg scribbled. “So to summarize. You both thought you saw each other die? You failed to find the hotel where the deaths supposedly occurred? And you can't find the hospital where you were treated or the physician in charge of your case?”
“Correct,” Savage said.
“And the original traumatizing events took place six months ago.”
“Yes,” Akira said.
Weinberg sighed. “For the moment…” He set down his pen. “I'm treating your dilemma as hypothetical.”
“Treat it any way you want,” Savage said.
“My statement was not antagonistic.”
“I didn't say it was.”
“I'll explain.” Weinberg leaned back in his chair. “As a rule, my patients are referred to me. I'm given corroborating documents. Case histories. If necessary, I can interview their families, their employers. But in this instance, I really know nothing about you. I have only your word about your unusual-to put it mildly-background. No way to confirm what you claim. No reason to believe you. For all I'm aware, you're pathological liars desperate for attention or even reporters testing the gullibility of what the public calls ‘shrinks.’ “
Santizo's eyes glinted. “Max, I told you their story-and their X rays-intrigue me. Give us a theory.”
“As an exercise in logic,” Weinberg said. “Purely for the sake of discussion.”
“Hey, what else?” Santizo said.
Weinberg sighed again, then spread his hands. “The most likely explanation is that you both experienced, you're suffering from, a mutual delusion caused by the nearly fatal beatings you received.”
“How? The X rays show we weren't beaten,” Savage said.
“I disagree. What the X rays show is that your arms, legs, and ribs weren't broken, that your skulls weren't fractured as you believed. That doesn't mean you weren't beaten. I'll reconstruct what conceivably happened. You both were assigned to protect a man.”
“Yes.”
“He went to a conference at a rural hotel. And while he was there, he was killed. In a graphically brutal manner. With a sword that severed his torso.”
Akira nodded.
“In the process of defending him, the two of you were beaten to the point of unconsciousness,” Weinberg said. “On the verge of passing out, you each were tricked by your failing vision into thinking mistakenly that the other was killed. Inasmuch as neither of you died, something caused the hallucination, and the combination of pain and disorientation is a logical explanation.”