Flashback

CHAPTER SIX

Frank Iverson's office was a spacious two-room suite on the ground floor of the west wing-the newest addition to the hospital. From his spot in one of three leather easy chairs, Zachary watched his brother's two secretaries go about their business with prim efficiency. One of the women was dark, with an air of sophistication and polish. The other was blond and wholesome. Both were young, well built, and remarkably good-looking-far beyond the run-of the-mill in any setting, but near goddesses by Sterling's standards. Gorgeous secretaries, a plush office, big-money business deals, a Porsche 911, a spectacular hillside A-frame-the man certainly had style, Zack mused. And while that particular style was not one Zack had ever really wished for himself, Frank had clearly come a hell of a long way from fraternity beer blasts.

Fifty percent identical. With each passing year, it seemed, the two of them were becoming less and less a validation of that genetic truth.

Still, there was a time, Zack knew, when their drives and their goals were not nearly so divergent, a time when the two brothers careened through their world along virtually parallel tracks, guided only by the beacons of early success, trophies, ribbons, medallions, and adulation.

It had become something of a game for him-a recurring daydream — to imagine his life had he not fallen that winter day, had the ligaments of his young knee not shredded. Accidents. Illness. The violent, uncaring acts of others. The daydream, as always, led him to acknowledging how fragile life was-how totaily beyond control. A patch of ice, the fraction of an inch, and suddenly, in one agonizing instant, the blinders were stripped away from his protected view of life, his unswerving track was transformed into a twisting, rutted path negotiable only one uncertain step at a time. Zack's eyes closed as he drifted back to that day. He was in a perfect spot, racing after Frank. Three seconds was a lot, but nothing he couldn't have made up-especially with his brother being so uncharacteristically cautious on his second run. And he wanted it. He wanted it more than he would ever admit to anyone-even, he reflected, to himself. The colors, the packed snow, the sudden disappearance of the steady crosswind that had been blowing all day-it was a moment frozen forever in his memory. The conditions were perfect for an upset, for a demonstration to all that Zachary Iverson had suddenly come into his own. The Judge, their mother, and most of the town, it seemed, were gathered along the slope, anticipating his run.

Waiting beyond the red and blue pennants marking the slalom course was a wonderful trophy, a savings bond, a trip to the Junior Olympics, and a huge piece of the praise and newsprint that he had watched being heaped on his older brother over the years. It was time. It was, at last, his moment, his run. He checked the course below. No problems. A few final seconds to mentally chart his line, and he lowered his goggles and glided to the electronic starting gate. Then, suddenly, he stopped.

Something was wrong. Something simply didn't feel right. His boot?

The wax? No, he realized at the last possible second, it was his ski-his right ski. Somehow, the binding on it had come loose. He backed away and made the necessary adjustment on the screw, cursing himself for not being more meticulous in his preparation in the first place. The oversight could have been ruinous. But now there was nothing to stop him. It was his run, and there was nothing but two minutes of skiing between him and Colorado. Nothing, that was, except a small patch of ice. Zack shuddered and sensed his body recoil and stiffen as he relived some of the pain and helplessness of that fall, the bouncing and tumbling over and over again down the matted slope. The loose binding, while never a factor, had certainly been an omen. "Dr. Iverson, can I get you something? Some coffee? " It was one of Frank's bookend secretaries-the blonde, scrubbed and sensual. The prototypical farmer's daughter. The impotence and anguish lingered for a moment, and then drifted away. Unconsciously, Zack rubbed at the still-hypersensitive scar that ran along his knee. "No, " he said hoarsely. "No, thanks."

He checked the time. Just four o'clock. Three forty-five, Frank had said, he had been quite specific about the time. Zack had a consultation waiting and a small stack of paperwork in his office. Suzanne was due to sign herself into the hospital in less than two hours. The last thing in the world he needed at that moment was a meeting with Frank. However, the invitation had been couched in words that made it difficult for him tobeg off, even for a day. The fifteen-minute wait, while very annoying, was hardly surprising. Frank had never been one to pay too much attention to the schedules of others. "Excuse me, " Zack said to the secretary, "do you have any idea how much longer he's going to be?"

The woman smiled blandly. "No, Dr. Iverson, I'm sorry, I don't. But it shouldn't be too much longer. Mr. Iverson is on the line with the Ultramed mainframe computer in Boston. He talks to it every day." She sounded very proud to be working for someone who regularly talked to a mainframe computer. "Are you sure you wouldn't like a cup of coffee? Or a Coke?"

Zack shook his head. "What I'd like, " he said, standing, "is to reschedule this appointment for a time when he's able to keep it. Just tell my brother to have me paged when he's through, okay?"

"That won't be necessary, old shoe, " Frank's voice boomed from the intercom on the blonde's desk. "I was just calling Annette to have her send you in. The door's open."

No explanations, no apologies. Zack wondered how long the intercom had been turned on. The notion of being eavesdropped on did not sit well with him at all. "Sit down, sit down, " Frank sang as Zack closed the door behind him. "Are you sure you don't want the girls to get you something?

A drink? Something to eat?"

"No, thanks, but go ahead if you want to."

The office was richly paneled. A floor-to-ceiling bookcase, complete with a built-in bar and sound system, covered one wall, and a huge aerial photo of Ultramed-Davis filled much of another. A computer keyboard and screen occupied only a portion of the massive mahogany desk that Frank had once proudly described to him as "a one-of-a-kind honey."

Frank himself, seated in a high-backed, brown leather chair, and dressed in a tan linen suit, silk tie, and custom-tailored shirt, looked as if he had just stepped off a page of Gentleman's Quarterly. "So, " he said, sliding a box of slim cigars across the desk, "how goes Zack slid the box back. "It goes fine, Frank."

"The office okay?"

"Perfect."

Zack's office, supplied and paid for by Ultramed for one year ("With the strong possibility of a second year, if all goes well"), was a neat, three-room space on the top floor of the Ultramed-Davis Physieians and Surgeons Clinic. "Word has it you've been doing a hell of a job in the operating "That's nice to hear."

"Nice for both of us. It's not too many hospitals the size of this one that can claim a full-time, Harvard-trained neurosurgeon. And, of course, I come off looking like some sort of health-care Iacocca for recruiting you."

"Frank, you didn't exactly beat down my door to get me to come."

"Nonsense. I just had some… some early misgivings, that's all. But the Judge and the Ultramed people helped me see the light, and now I'm really happy with the way things are turning out. You've been a real shot in the arm for the morale in this place."

"I haven't encountered any morale problems, " Zack said, sensing the word was something of an introduction to the real business at hand.

"Well, we do our best to see that there are none, " Frank replied.

"And as you say, we do pretty well at it. But every once in a while, something or someone pops up that threatens to polarize our Ultramed-Davis family-turn brother against brother, as it were. And you know what they say about a house divided, right?"

"Right, Frank."

"So, Zack-o… Speaking of houses, how's your place?"

Oh, for crying out loud, Zack wanted to shout, this isn't some sleazeball business adversary you have to play cat and mouse with. This is your brother. Just say what in the hell it is you want, and let's get it over with. Instead, he folded his hands together, crossed his legs, and settled back in his chair. It was Frank's show. "The house is beautiful, Frank, " he said mechanically. "I don't know how you stumbled onto the place, but I'm certainly glad you did."

He wondered where Suzanne was at that moment, what she was doing, how she was feeling. "Great, " Frank said. "Remember what I said about the basement full of extra furniture we have. Just come by and take what you want until you get your own stuff, okay?"

"Sure."

Zack reminded himself that his brother, for all of his straight-up the-middle-with-power athletic skill, had always been an expert at hidden agendas. It was an art he had studied at the feet of a master, their father. If Frank was operating true to form, this small talk was anything but casual. "The rent's pretty decent for a place like that, yes?"

Zack laughed. Decent was far too tame a word. The rent for his tiny apartment in Boston had been three times what it was for the house, which had a huge, wooded lot, two fireplaces, and several times as much space as the apartment. "Don't tell the realty company that owns it,"

Zack said, "but they're getting killed on this deal. I sleep with my lease under my pillow for fear someone will sneak in and take it away."

"Oh, we won't, " Frank said calmly. "We?"

Zack realized that the hidden agenda was about to surface.

"Ultramed-Davis, Zack. You see, Pine Bough Realty Trust is a sort Of, well, convenient way for the hospital to administer some property it owns hereabouts. We're your landlord."

Frank beamed, obviously delighted with the way he had delivered the news. "You know, " Zack said, now consciously working to keep his cynicism in check, "somehow that little piece of information doesn't altogether surprise me. Not that it would have made any difference, Frank, but you could have told me when I rented the place that in addition to my salary, my office, my equipment, and my insurance, Ultramed was providing the roof over my head."

Frank shrugged. "This seemed like a more appropriate time."

"Tell me, is it customary for a hospital to have such a-how should I say-proprietary role in a community?"

"I would use the word progressive." Frank smiled and winked. "You see, Zack, the bottom line of this or any other business is money. Dinero.

The big D." As he became immersed in his rhetoric, he grew more excited and animated, his gestures more professorial. "That's what the administrators and boards of directors of hospitals all over the country are just beginning to realize. Fortunately, Ultramed recognized it years ago. Eliminate nonprofitable programs and deadwood, increase receivables and collections. Change the red ink to black, no matter how, and the rest takes care of itself. If it's real estate, then it's real estate.

If it's other investments, then it's other investments. Colleges like Harvard and Dartmouth have some of the biggest stock portfolios and real estate holdings around. Why shouldn't hospitals follow their example?"

"I… I don't know why they shouldn't, " Zack said. But give me time, he was thinking, and I'm sure I can come up with something.

The wedding of business and medicine was one with which he was simply not comfortable-at least not yet. He reflected on the new CT scanner..

the incredible opportunity he had been given by Ultramed to set up a private practice. The marriage, he acknowledged, deserved, if not his blessing, at least his open mind. Perhaps that was what his brother needed to hear. "You know, Frank, " he went on, "if I seem uncomfortable with some of this corporate-medicine stuff, you've got to remember that I've spent the last eight years in a hospital where everything was always in incredibly short supply. Everything, that is, except for the dedication of the nurses and the doctors, and the love-I guess there really isn't any better word for it-that they had for their patients.

"I'm grateful to be in a situation like this. Believe me, I am. But there are some parts of those years I spent at Muni that are hard to get out of my system. Frank, I tell you, there was something so pure about the kind of caring that went on in that grimy old place, something so..

I don't know, holy, that many times patients seemed to get better when every medical fact-all the odds-said they shouldn't. Does that make any sense?" Frank held up his hands. "Hey, Zack-o, " he said, "that makes all the sense in the world. That's what makes you such a valuable addition to the staff here. So, you just do the doctoring and let me worry about the politics and the CT scanners and such. That way everyone benefits, right?"

Dignity, Zack was thinking, still immersed in his years at Boston Muni.

That's what it all boiled down to. The dignity that came from being cared for with love and respect, from being treated as something more than a credit or debit on a balance sheet. He flashed on the tears glistening in the eyes of Chris Gow at the realization that someone cared enough to stand up for him, regardless of the cost. "Right?" Frank asked again. "Huh? Oh, yes, exactly."

"Good, " Frank said. "Then I can assume you'll leave this Beaulieu business to me?"

"What? " Again, Zack warned himself not to drop his guard too low. Frank was, and probably always would be, the fiercest of competitors.

"Beaulieu, sport. Hey, are we on the same wavelength or not?"

"Frank, you haven't said one word about-"

"Well, what in the hell else do you think we've been talking about?

I've let that business with the old man and Wil Marshfield slide by because I knew that you hadn't had time to learn the system around here.

But Beaulieu is another story. Zack, that man is on a vendetta because he thinks the hospital's to blame for his inability to maintain a surgical practice. Have you heard that kind of paranoid talk from anyone else around here?"

"No, but-"

"Every time someone new has come on the staff over the last few years, Beaulieu buttonholes him with wild claims and stories about how we're railroading him out of business and how we forced Richard Coulombe to sell his pharmacy in order to pay his hospital bills. Christ, I'm surprised he hasn't tried to tie us in with the fucking famine in Ethiopia. Let me tell you something, Zack. No one has to try and force Guy Beaulieu into retirement. He's doing a perfectly adequate job of that all by himself. "And as for that Coulombe crap of his, ours wasn't the only debt the man had, believe me. He was in it up to here with everyone in town. Check it out yourself. Coulombe either sold that store or he spent the rest of his days in a courtroom."

"But-" Zack stopped himself at the last moment from breaking his promise to Beaulieu by bringing up the connection between Ultramed-Davis and Eagle Pharmaceuticals and Surgical Supply. He also found himself wondering if the former owner of the house he was Ig renting had ever been a patient at the hospital. "But what? " Frank demanded. There was a sudden hardness in his eyes, an edge to his voice. "Nothing, " Zack said. "Forget it."

With his thoughts focused on Suzanne and on problems at the office, he was willing to do almost anything to avoid a clash. "Forget it."

Frank shook his head. "You're holding out on me, Zack-o. It's written all over your face. Now, what's going on?"

"I said, nothing" Zack felt the skin tighten across the back of his neck. Some of what is happening is simply wrong Some of it is evil…

Guy Beaulieu's words, his anger and his sadness, took hold. Your old friend Beaulieu is a little short of allies in this place "All right, Frank, " Zack suddenly heard himself saying. "You want to know what's wrong? I'll tell you what. I believe Guy, that's what. I listened to him, and I looked in his eyes, and I know he's telling the truth. That's what's wrong. I don't know if it's Ultramed, or that pompous ass Mainwaring, or what. And I sure as hell don't know why. But I think Beaulieu is being railroaded out of practice, just like he says. And if that's true, then it pisses me off. It pisses me off a lot, and it makes me want to do whatever I can to help the man out. There, is that what i you wanted to hear?"

Frank laughed out loud. Then he lit up a cigar and sent a smoke ring swirling toward the ceiling. "Let's just say it's what I expected to hear, " he said. "You always were something of a bleeding heart, Zack-a sucker for anybody's cause. Vietnam, Timmy Goyette's supposedly-stolen Junior Olympics entry fee, women's rights, not enough mashed potatoes in the school lunches. Give the boy a sob story, and he gives you his guts … and his allowance. Remember all that? I sure do. So why should Guy Beaulieu and his paranoid stories be any different, right?"

"Frank, you can really be a bastard, do you know that?"

"Careful, boy, " Frank said, launching another perfect ring. "That's your mother you're talking about. Besides, this time you're wrong. Dead wrong."

"What?"

"This is one cause you'd best steer clear of, brother. Beaulieu's on his way off the plank, and if you're hanging onto him when he goes, then you're going to get awfully wet. I promise you that."

He opened his desk drawer, withdrew an envelope, and slid it across.

"I've been keeping this letter quiet because I still hoped Beaulieu would back off. Now, I'm afraid, I have no choice but to present it to the ethics committee. There are people on the staff who wanted to do something months ago to limit or cut off his privileges, but I kept putting them off. Like the Judge said, the old guy did save my life.

Here, have a read."

The letter was handwritten and carried no heading other than the date, June 17. Dear Mr. Iverson, I am writing to share with you some allegations against Dr. Guy Beaulieu by myself and several other nurses on the emergency ward. Over the past several months, he has become increasingly inconsistent and indecisive in his dealings with patients.

He has been quite forgetful, at times issuing the same set of orders more than once, and at other times, neglecting to order certain studies which we would consider routine and basic. In addition, on more than one occasion his speech has been slurred and his manner inconsistent enough to raise the question of drugs, alcohol, small strokes, or some combination of the three. Fortunately, his case load has been small enough so that no one has been harmed-at least no one that we know of.

Still, we feel some sort of investigation and action is called for. I would welcome the chance to meet with you and discuss this matter further. Meanwhile, I feel you should have a talk with Dr. Beaulieu.

Sincerely yours, Maureen Banas, R. N. Head Nurse Zack read and reread the letter in stunned silence, trying to match the charges with the eloquent, dedicated man he had listened to at the staff meeting and, later, over lunch. There was nothing in Beaulieu's manner, speech, or the content of his words that bore out the nurse's claims. Still, there was no way such charges could be dismissed. Across the desk from him, Frank sat in smug silence, obviously savoring the moment. "This is terrible, " Zack murmured, trying, as he read the letter for a third time, to get a fix on the nurse, Maureen Banas… colorless, but efficient… distant… knowledgeable… he simply hadn't spent enough time around her yet to have any real handle. "Terrible, but true,

" Frank said. "I had hoped to spare the old duffer any more humiliation, but after hearing his little speech the other morning, and seeing the way he's gotten to you, well, it seems I have no-"

"Frank, does anything about this letter strike you as strange?"

Frank set his cigar aside and leaned forward. "What are you talking about?"

Zack slid the letter back across the desk. "Well, for one thing, this woman doesn't substantiate her charges with one specific example."

"Well, there's no doubt she has them. Zack, don't you think you're grasping at straws?"

"And for another, the whole damn thing is just too… too sterile."

"What?"

"Just look at it, Frank. Not one bit of sensitivity or poignancy.

Not one indication that she understands the charges she's making could quite possibly send a man's life down the drain-a man who has practiced surgery in this town for thirty years. Christ, for all the awareness she's showing, she might just as well be writing to complain that a neighbor's poodle is shitting in her flower bed. The more I think about it, the more this letter smells. I think that woman should be spoken with, face to face."

"You don't think I've done that?"

"Well, then, I want to. It's the only way I'm going to even begin to believe all this."

"You go to her or anyone else about this business, " Frank said, jabbing a finger at him, "and you'll be out on your ass quicker than you can say scalpel. This is my affair-mine and Ultramed's. You really have it in your mind to fuck things up for me around here, don't you?"

"Frank, that's nonsense."

"Is it?"

For several frozen moments, Zack couldsonly sit and stare at his brother. Despite his tan, Frank looked pallid, his expression a disconcerting amalgam of anger and-what? Fear? They had had their differences over the years, true, and from time to time, some magnificent arguments. But Zack sensed something far more powerful at work here. "Frank, please, " he managed. "Stop sounding like I'm your goddamn enemy. I'm not. I just care about Beaulieu and I want to see that he gets a fair shake, okay?"

A margin of color returned to Frank's cheeks. "Okay? " Zack asked again.

Frank smiled. "Sure, sport, " he said, far too amicably. "I understand.

I'll tell you what, why don't we just leave it that I'll keep you posted and you'll keep an eye on things… from a distance. That way I get to do what I'm paid to do, and you get to keep from taking a fall. I promise you, Beaulieu will get every break that's coming to him. Yes?"

Zack gauged the intensity in his brother's eyes, and then nodded. Their session had gone far enough. "So, that's taken care of, " Frank said, tilting back in his chair and folding his hands in his lap. His tone and expression gave no hint of their disagreement. "Listen, how about we have dinner sometime this weekend? I'll have Lisette give you a call."

"Sure, Frank. That'd be fine."

"Excellent. Oh, and by the way, " he added, getting up from his chair as Zack stood to go, "tell that new squeeze of yours that we're all praying everything goes well for her tomorrow."

Now Zack felt the color drain from his face. "How did you-" His brother patted him on the shoulder. "Sport, if someone who works for me so much as farts anywhere in this hospital, sooner or later I get a whiff.

That's worth remembering. Trust me on that one and you'll be doing both of us a favor. She's a terrific lady. I'm glad she's finally coming out of her shell. I hope things work out between you."

With that, he shook Zack's hand and ushered him out the door.