From Potter`s Field

4

New York's Office of the Chief Medical Examiner was on First Avenue, across from the Gothic red brick hospital called Bellevue, where the city's autopsies had been performed in earlier years. Winter-brown vines and graffiti marred walls and wrought iron, and fat black bags of trash awaited pickup on top of filthy snow. Christmas music played nonstop inside the beat-up yellow cab squeaking to a halt on a street almost never this still.

'I need a receipt,' I said to my Russian driver, who had spent the last ten minutes telling me what was wrong with the world.

'How much for?'

'Eight.' I was generous. It was Christmas morning.

He nodded, scribbling, as I watched a man on the sidewalk watching me, near Bellevue's fence. Unshaven, with wild long hair, he wore a blue jean jacket lined with fleece, the cuffs of stained army pants caught in the tops of battered cowboy boots.

He began playing an imaginary guitar and singing as I got out of the cab.

'Jingle bells, jingle bells, jingle all the day. OHHH what fun it is to ride to Galveston today-AAAAAYYYYY…'

'You have admirer,' my amused driver said as I took the receipt through an open window.

He drove off in a swirl of exhaust. There was not another person or car in sight, and the horrendous serenading got louder. Then my mentally disfranchised admirer darted after me. I was appalled when he began screaming, 'Galveston!' as if it were my name or an accusation. I fled into the chief medical examiner's lobby.

'There's someone following me,' I said to a security guard decidedly lacking in Christmas spirit as she sat at her desk.

The deranged musician pressed his face against the front door, staring in, nose flattened, cheeks blanched. He opened his mouth wide, obscenely rolling his tongue over the glass and thrusting his pelvis back and forth as if he were having sex with the building. The guard, a sturdy woman with dreadlocks, strode over to the door and banged on it with her fist.

'Benny, cut it out,' she scolded him loudly. 'You quit that right now, Benny.' She rapped harder. 'Don't you make me come out there.'

Benny backed away from the glass. Suddenly he was Nureyev doing pirouettes across the empty street.

'I'm Dr. Kay Scarpetta,' I said to the guard. 'Dr. Horowitz is expecting me.'

'No way the chief's expecting you. It's Christmas.' She regarded me with dark eyes that had seen it all. 'Dr. Pinto's on call. Now, I can try to get hold of him, if you want.' She headed back to her station.

'I'm well aware it's Christmas' - I followed her -'but Dr. Horowitz is supposed to meet me here.' I got out my wallet and displayed my chief medical examiner's gold shield.

She was not impressed. 'You been here before?'

'Many times.'

'Hmm. Well, I sure haven't seen the chief today. But I guess that don't mean he didn't come in through the bay and didn't tell me. Sometimes they're here half a day and I don't know. Hmm. That's right, don't nobody bother to tell me.'

She reached for the phone. 'Hmm. No sir, I don't need to know.' She dialed. 'I don't need to know nothing, no not me. Dr. Horowitz? This is Bonita with security. I got a Dr. Scarlett.' She paused. 'I don't know.'

She looked at me. 'How you spell that?'

'S-c-a-r-p-e-t-t-a,' I patiently said.

She still didn't get it right but was close enough. 'Yes, sir, I sure will.' She hung up and announced, 'You can go on and have a seat over there.'

The waiting area was furnished and carpeted in gray, magazines arranged on black tables, a modest artificial Christmas tree in the center of the room. Inscribed on a marble wall was Taceant Colloquia Effugiat Risus Hie Locus Est Ubi Mors Gaudet Succurrere Vitae, which meant one would find little conversation or laughter in this place where death delighted to help the living. An Asian couple sat across from me on a couch, tightly holding hands. They did not speak or look up, Christmas for them forever wrapped in pain.

I wondered why they were here and whom they had lost, and I thought of all I knew. I wished I could somehow offer comfort, yet that gift did not seem meant for me. After all these years, the best I could say to the bereft was that death was quick and their loved one did not suffer. Most times when I offered such words, they weren't entirely true, for how does one measure the mental anguish of a woman made to strip in an isolated park on a bitterly cold night? How could any of us imagine what she felt when Gault marched her to that ice-filled fountain and cocked his gun?

Forcing her to disrobe was a reminder of the unlimited depths of his cruelty and his insatiable appetite for games. Her nudity had not been necessary. She had not needed it telegraphed to her that she was going to die alone at Christmas with no one knowing her name. Gault could have just shot her and been done with it. He could have pulled out his Glock and caught her unaware. The bastard.

'Mr. and Mrs. Li?' A white-haired woman appeared before the Asian couple.

'Yes.'

I'll take you in now if you're ready.'

'Yes, yes,' said the man as his wife began to cry.

They were led in the direction of the viewing room, where the body of someone they loved would be carried up from the morgue by a special elevator.

Many people could not accept death unless they saw or touched it first, and despite the many viewings I had arranged and witnessed over the years, I really could not imagine going through such a ritual. I did not think I could bear that last fleeting glance through glass. Feeling the beginning of a headache, I closed my eyes and began massaging my temples. I sat like this for a long time until I sensed a presence.

'Dr. Scarpetta?' Dr. Horowitz's secretary was standing over me, her face concerned. 'Are you all right?'

'Emily,' I said, surprised. 'Yes, I'm fine, but I certainly wasn't expecting to see you here today.' I got up.

'Would you like some Tylenol?'

'You're very kind, but I'm fine,' I said.

'I wasn't expecting to see you here today, either. But things aren't exactly normal right now. I'm surprised you managed to get in without being accosted by reporters.'

'I didn't see any reporters,' I said.

'They were everywhere last night. I assume you saw the morning Times?'

'I'm afraid I haven't had a chance,' I said uncomfortably. I wondered if Wesley was still in bed.

'Things are a mess,' said Emily, a young woman with long, dark hair who was always so demure and plainly dressed that she seemed to have stepped forth from another age. 'Even the mayor's called. This is not the sort of publicity the city wants or needs. I still can't believe a reporter just happened to find the body.'

I glanced sharply at her as we walked. 'A reporter?'

'Well, he's really a copy editor or some such with the Times - one of these nutcakes who jogs no matter the weather. So he happens to be out in the park yesterday morning and takes a turn through Cherry Hill. It was very cold and snowy and deserted. He nears the fountain and there the poor woman is. Needless to say, the description in the morning paper is very detailed and people are frightened out of their wits.'

We passed through several doorways, then she poked her head inside the chief's office to gently announce us so we would not startle him. Dr. Horowitz was getting on in years and was getting hard of hearing. His office was scented with the light perfume of many flowering plants, for he loved orchids, African violets and gardenias, and they thrived in his care.

'Good morning, Kay.' He got up from his desk. 'Did you bring someone with you?'

'Captain Marino is supposed to meet us.'

'Emily will make certain he is shown the way. Unless you'd rather wait.'

I knew Horowitz did not want to wait. There was not time. He commanded the largest medical examiner's office in the country, where eight thousand people a year - the population of a small city -were autopsied on his steel tables. A fourth of the victims were homicides, and many would never have a name. New York had such a problem with identifying their dead that the NYPD's detective division had a missing persons unit in Horowitz's building.

The chief picked up the phone and spoke to someone he did not name.

'Dr. Scarpetta's here. We're on our way down,' he said.

I'll make sure I find Captain Marino,' Emily said. 'Seems like I know his name.'

'We've worked together for many years,' I told her. 'And he's been assisting the FBI's Investigative Support Unit at Quantico for as long as it has existed.'

'I thought it was called the Behavioral Science Unit, like in the movies.'

'The Bureau changed the name, but the purpose is the same,' I said of the small group of agents who had become famous for their psychological profiling and pursuit of violent sex offenders and killers. When I recently had become the consulting forensic pathologist for the unit, I had not believed there was much left that I had not seen. I had been wrong.

Sunlight filled windows in Horowitz's office and was caught in glass shelves of flowers and miniature trees. I knew that in the bathroom orchids grew in the steamy dark from perches around the sink and tub, and that at home he had a greenhouse. The first time I had met Horowitz he had reminded me of Lincoln. Both men had gaunt, benevolent faces shadowed by a war that was ripping society apart. They bore tragedy as if they had been chosen to, and had large, patient hands.

We went downstairs to what the N.Y. office called their mortuary, an oddly genteel appellation for a morgue set in one of the most violent cities in America. Air seeping in from the bay was very cold and smelled of stale cigarettes and death. Signs posted on aqua walls asked people not to throw bloody sheets, shrouds, loose rags or containers into Dumpsters.

Shoe covers were required, eating was prohibited and red biological hazard warnings were on many of the doors. Horowitz explained that one of his thirty deputy chiefs would be performing the autopsy on the unknown woman we believed was Gault's latest victim.

We turned into a locker room where Dr. Lewis Rader was dressed in scrubs and attaching a battery pack to his waist.

'Dr. Scarpetta,' Horowitz said, 'have you and Dr. Rader met?'

'We've known each other forever,' Rader said with a smile.

'Yes, we have,' I said warmly. 'But the last time we saw each other, I guess, was San Antonio.'

'Gee. Has it been that long?'

This had been at the American Academy of Forensic Sciences Bring Your Own Slide session, an evening once a year when people like us got together for show and tell. Rader had presented the case of a bizarre lightning death involving a young woman. Because the victim's clothing had been blown off and her head injured when she had fallen and struck concrete, she had come into the ME's office as a sexual assault. The cops were convinced until Rader showed them that the woman's belt buckle was magnetized and she had a small burn on the bottom of one foot.

I remembered after the presentation Rader had poured me a Jack Daniel's, neat and straight up in a paper cup, and we had reminisced about the old days when there were few forensic pathologists and I was the only woman. Rader was getting close to sixty and was much acclaimed by his peers. But he would not have made a good chief. He did not relish warfare with paperwork and politicians.

We looked like we were suiting up for outer space as we put on air packs, face shields and hoods. AIDS was a worry if one got a needle stick or cut while working on an infected body, but a bigger threat were infections borne on air, such as tuberculosis, hepatitis and meningitis. These days we double-gloved, breathed purified air and covered ourselves with greens and gowns that could be thrown away. Some medical examiners like Rader wore stainless steel mesh gloves reminiscent of chain mail.

I was pulling the hood over my head when O'Donnell, the detective I had met last night, walked in with Marino, who looked irritable and hungover. They put on surgical masks and gloves, no one meeting anybody's eyes or speaking. Our nameless case was in steel drawer 121, and as we filed out of the locker room, mortuary assistants hoisted the body out and set it on top of a gurney. The dead woman was nude and pitiful on her cold, steel tray.

Areas of flesh excised from her shoulder and inner thighs were ghastly patches of darkened blood. Her skin was bright pink from cold livor mortis, typical in frozen bodies or people who have died of exposure. The gunshot wound to her right temple was large caliber, and I could see at a glance the distinct muzzle mark stamped into her skin when Gault had pressed the pistol's barrel against her head and pulled the trigger.

Men in scrubs and masks rolled her into the X-ray room, where each of us was given a pair of orange-tinted plastic glasses to add to our armor. Rader set up a light energy source called a Luma-Lite, which was a simple black box with an enhanced blue fiber-optic cable. It was another set of eyes that could see what ours could not, a soft white light that turned fingerprints fluorescent and caused hairs, fibers and narcotic and semen stains to glare like fire.

'Someone hit the lights,' Rader said.

In the dark, he began going over the body with the Luma-Lite, and multiple fibers lit up like fine-gauge hot wire. With forceps, Rader collected evidence from pubic hair, feet, hands and the stubble on her scalp. Small areas of yellow got bright like the sun as he passed the light over the finger pads of her right hand.

'She's got some chemical here,' Rader said.

'Sometimes semen lights up like that.'

'I don't think that's it.'

'It could be street drugs,' I offered my opinion.

'Let's get it on a swab,' said Rader. 'Where's the hydrochloric acid?'

'Coming up.'

The evidence was recovered and Rader moved on. The small white light passed over the geography of the woman's body, into the dark recessed areas where her flesh had been removed, over the flat plain of her belly and gentle slopes of her breasts. Virtually no trace evidence clung to her wounds. This corroborated our theory that Gault had killed and maimed her where she was found, because had she been transported after the assault, debris would have adhered to drying blood. Indeed, her injuries were the cleanest areas of her body.

We worked in the dark for more than an hour, and she was revealed to me inches at a time. Her skin was fair and seemed a stranger to the sun. She was poorly muscled, thin, and five foot eight. Her left ear had been pierced three times, her right ear twice, and she wore studs and small loops, all in gold. She was dark blond with blue eyes and even features that may not have been so bland had she not shaved her head and were she not dead. Her fingernails were unpainted and chewed to the quick.

The only sign of old injuries were healed scars on her forehead and the top of her head over the left parietal bone. The scars were linear, one and a half to two inches long. The only visible gunshot residue on her hands was an ejector port mark on her right palm between her index finger and thumb, which I believed placed that hand in a defensive position when the pistol was fired. The residue most likely ruled out suicide even if all other evidence had pointed to it, which of course it did not.

'I guess we don't know which was her dominant hand.' Horowitz's voice sounded in the dark somewhere behind me.

'Her right arm is slightly more developed than her left,' I observed.

'Right-handed, then, my guess is. Her hygiene, nutrition were poor,' Horowitz said.

'Like a street person, a prostitute. That's going to be my guess,' offered O'Donnell.

'No hooker I know's gonna shave her head.' Marino's gruff voice sounded from darkness across the table.

'Depends on who she was trying to attract,' said O'Donnell. 'The plainclothes officer who spotted her in the subway thought at first she was a man.'

'This was when she was with Gault,' Marino said.

'When she was with the guy you think was Gault.'

'I don't think it,' Marino said. 'That's who she was with. I can almost smell the son of a bitch, like he leaves a bad odor everywhere he's been.'

'I think what you smell is her,' O'Donnell said.

'Move it down, right about here. Good, thanks.' Rader collected more fibers as disembodied voices continued to converse in a darkness as thick as velvet.

Finally, I confessed, 'I find this very unusual. Generally I associate so much trace with someone who has been wrapped in a dirty blanket or transported in the trunk of a car.'

'It's obvious she hasn't bathed lately, and it's winter,' Rader said as he moved the fiber-optic cable, illuminating a faint childhood scar from a smallpox inoculation. 'She may have been wearing the same clothing for days, and if she traveled on the subway or by bus, she could have collected a lot of debris.'

What this added up to was an indigent woman who had not been reported missing as far as we could tell because she had no home, no one who knew or cared she was gone. She was the tragically typical street person, we assumed, until we got her on table six in the autopsy room, where forensic dentist Dr. Graham waited to chart her teeth.

A broad-shouldered young man with an air of abstraction that I associated with medical school professors, he was an oral surgeon on Staten Island when he worked on the living. But today was his day to work on those who complained with silent tongues, which he did for a fee that probably would not cover his taxi fare and lunch. Rigor mortis was set, and like an obstinate child who hates the dentist, the dead woman would not cooperate. He finally pried her jaws open with a thin file.

'Well Merry Christmas,' he said, moving a bright light close. 'She's got a mouth full of gold.'

'Most curious,' Horowitz said, like a mathematician pondering a problem.

'These are gold foil restorations.' Graham began "pointing out kidney bean-shaped gold fillings near the gum line of each front tooth. 'She has them here and here and here.' He pointed again and again. 'Six in all. This is just very rare. In fact, I've never seen it. Not in a morgue.'

'What the hell is gold foil?' Marino asked.

'It's a pain in the ass, is what it is,' said Graham. 'A very difficult, unattractive restoration.'

'I believe in the old days, they were required to pass your dental license exam,' I said.

'That's right.' Graham continued to work. 'The students hated them.'

He went on to explain that gold foil restorations required the dentist to pound gold pellets into a tooth, and the slightest bit of moisture would cause the filling to fall out. Although the restorations were very good, they were labor intensive, painful and expensive.

'And not many patients,' he added, 'want gold showing, especially on the facial surface of their front teeth.'

He continued charting various repairs, extractions, shapes and misshapes that made this woman who she was. She had a slightly open bite and a semicircular wear pattern to her front teeth possibly consistent with her biting down on a pipe, since it was reported to him that she had been seen with a pipe.

'If she was a chronic pipe smoker, wouldn't you expect her teeth to be stained from tobacco?' I said, for I saw no evidence of it.

'Possibly. But look at how eroded her tooth surfaces are - these scooped-out areas at the gum line that required the gold foil.' He showed us. 'The major damage to her teeth is consistent with obsessive overbrushing.'

'So if she brushed the hell out of her teeth ten times a day, she's not going to have tobacco stains,' Marino said.

'Brushing the hell out of her teeth doesn't fit with her poor hygiene,' I commented. 'In fact, her mouth seems inconsistent with everything else about her.'

'Can you tell when she had this work done?' Rader asked.

'Not really,' Graham said as he continued probing. 'But it is consistently good. I'd say it was probably the same dentist who did all of it, and about the only area in the country where you find gold foil restorations still being done is the West Coast.'

'I'm wondering how you can know that,' Detective O'Donnell said to him.

'You can only get these restorations done where there are dentists who still do them. I don't do them. I personally don't know anybody who does them. But there is an organization called the American Academy of Gold Foil Operators that has several hundred members - dentists who pride themselves on still doing this particular restoration. And the largest concentration of them is in Washington State.'

'Why would someone want a restoration like this?' O'Donnell then asked.

'Gold lasts a long time.' Graham glanced up at him. 'There are people who are nervous about what is put into their mouths. The chemicals in composite white fillings supposedly can cause nerve damage. They stain and wear out more quickly. Some people believe silver causes everything from cystic fibrosis to hair loss.'

Then Marino spoke. 'Yo, well, some squirrels just like the way gold looks.'

'Some do,' Graham agreed. 'She might be one of those.'

But I did not think so. This woman did not strike me as one who cared about her appearance.

I suspected she had not shaved her head to make a statement or because she thought it looked trendy. As we began to explore her internally, I understood more, even as the mystery of her deepened.

She had undergone a hysterectomy that had removed her uterus vaginally and left her ovaries, and her feet were flat. She also had an old intracerebral hematoma in the frontal lobe of her brain from a coup injury that had fractured her skull beneath the scars we had found.

'She was the victim of an assault, possibly many years ago,' I said. 'And it's the sort of head injury you associate with personality change.' I thought of her wandering the world and of no one missing her. 'She probably was estranged from her family and had a seizure disorder.'

Horowitz turned to Rader. 'See if we can put a rush on tox. Let's check her for diphenylhydantoin.'