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five

"Whoa!" chet mcgovern murmured in appreciative homage to the female form he was watching out of the corner of his eye. It was the woman he'd mentioned to Jack that afternoon, and she was dressed in the black bodysuit he'd described. He guessed she was in her late twenties, but he couldn't be sure. What he was sure about was that she had one of the best figures he'd ever seen. At the moment, she was lying prone on a bench, using a machine to work her hamstrings and buttocks. The accentuated curve of the small of her back and the rhythmical rippling of her butt as she did her repetitions gave Chet a shiver of delight.

Chet was about twenty feet away, craftily using free weights in front of a mirrored wall so that he could get close without arousing suspicions. He'd seen her in body-sculpting class, as he had on Friday, but this time, spurred on after having mentioned her to Jack, he'd followed her into the weight room, where there was still a handful of people even though it was after nine P.M. It was Chet's intention to connect with her and ask her to have a drink in the hope that he could get her phone number. Most of Chet's dates were women he'd met at one of the multiple health clubs he frequented. For him, ogling women was not just a spectator sport.

The woman finished with the machine she'd been using. Wasting no time, she got up, glanced up at the wall clock, and then hustled down to the next machine to work the pectorals. Seemingly in a hurry, she started right in. Chet had watched her in the mirror, and in the background, he caught sight of one of the club's employees entering the room. Chet knew him reasonably well from pick-up basketball and sensed that he was a savvy dude, especially since he had some kind of supervisory role. His name was Chuck Horner. Stepping up to the free-weight rack, Chet deposited the weights he had been using and walked over to the employee.

"Hey, Chuck," Chet said sotto voce, "do you know that chick using the pectoral machine?"

Chuck craned his neck to see around Chet. "The looker? The one with the pixie face and a body to beat the band?"

"That's the one."

"Yeah, I know her. I mean, I know her name, since she comes in here all the time, and I happened to sign her up for membership."

"What's her name?"

"Jasmine Rakoczi, but she goes by Jazz. Quite a body, wouldn't you say?"

"One of the best," Chet admitted. "What kind of name is 'Rakoczi'?"

"It's funny you should ask, because I asked the same thing when she joined. She said it was Hungarian."

"Is she tight with anybody that you know?"

"I've no idea. But I can tell you she's a pistol. She drives around in a black Hummer. I should warn you: She doesn't do much socializing, at least not around here. Are you thinking of trying to make a move?"

"I'm thinking about it," Chet offered casually. He turned around to look at Jazz working her pectorals. She wasn't fooling around. Perspiration glistened like little diamonds on her tanned forehead.

"Five bucks says you can't get to first base."

Chet turned around to look back at Chuck. A wry smile appeared on Chet's face. Getting paid for what he wanted to do was a good incentive to overcome his hesitation. "You're on!"

Back at the free-weight rack, Chet lifted off several more weights. He was now committed to approach Jazz, but it wasn't without a certain amount of anxiety, especially with the daunting tidbits he'd learned from Chuck. In truth, Chet was not quite as bold as he liked to portray himself.

While standing in front of the mirror, doing curls with the free weights, Chet tried to think of some way to approach the woman that would leave him an out if he needed it. Unfortunately, he couldn't think of anything clever, and fearing she might suddenly finish and disappear into the women's locker room, he made his move.

In reality, it wasn't much of a "move" at all. He merely walked over when he thought she was almost done with her current machine. By now, his mouth was dry and his heart was thumping in his chest. Encouragingly, he managed to time his approach just about right. As he stepped in front of her, she stopped her repetitions and took her arms off the machine's grips. Taking the towel from around her neck, she wiped off her forehead using both hands, covering her face and breathing deeply from exertion.

"Hi, Jazz!" Chet said cheerfully, trusting she'd be instantly curious how he knew her name.

Jazz didn't respond except to slowly lower the towel to progressively reveal her features. She skewered Chet with her burnt umber, deeply set eyes. Up close, she wasn't pixie-like. Beneath a helmet of dark hair that was damp from her workout, her features had a hint of the exotic. What Chet had thought was tan was naturally dark skin that made her teeth appear particularly white. Her eyes were slightly almond-shaped, and her nose had an almost imperceptible aquiline bend. All this would have been acceptable to Chet, except for the mildly hollow cheeks and her expression. Those cheeks made her look mean, while her expression was intimidatingly brazen, like those he'd seen in photographic portraits of marine recruits.

Chet wasn't encouraged, especially when Jazz didn't respond.

"I thought maybe I'd introduce myself," Chet said, trying to maintain nonchalance, which was difficult, considering her stare. The free weights were also bothering him, dragging down his shoulders. Chet had taken some heavy ones in the hope of impressing this well-muscled woman. Besides her nipples, he could even see her well-defined abs beneath her spandex.

Jazz still did not respond. She didn't even blink.

"I'm Dr. Chet McGovern," Chet added. He used his doctor status as a trump card in his approach to meeting women, although he never mentioned what kind of doctor unless pressed. In his dating experience, the medical-examiner role didn't have the same cachet as that of a clinical physician.

The situation was quickly becoming critical. Not only hadn't Jazz said anything about his being a doctor, but also her expression had morphed from brazen to contemptuous. Chet tried to shrug but found it difficult with the free weights in his hands. Feeling desperate, he said: "I was hoping maybe, if you're not too busy, we could have a drink or something at the bar when you're finished with your workout." Unfortunately, the pitch of his voice came out higher than even he expected.

"Do me a favor, dickhead," Jazz said venomously. "Buzz off!"

What an ass!" Jazz thought as she watched Chet's face fall after she cut him off at the knees with her acerbic remark. He then slunk away like a dog with his tail between his legs. She'd seen him in the body-sculpting class on Friday and again today. On both occasions, he had acted as if he thought he was being slick with his furtive glances in her direction. As if that wasn't bad enough, today he'd followed her into the weight room, pestering her to death by watching her either in the mirror or out of the corner of his eye as she went through her routine, all the time pretending he was using the free weights so he could stay in relative proximity. He was such a pervert, and a dork to boot. She couldn't believe anyone in his right mind would prostitute himself by wearing trendy workout clothes with designers' names emblazoned across them. Polo! Good grief! In her mind, it was so tacky that it was gross.

Jazz stood up and headed for the inclined plane to do her sit-ups. She didn't know where Chet had gone and was glad to be away from his lecherous gaze. She hated Ivy League types, and Chet had certainly been one of those. She could recognize them a mile away. They strutted around with their fancy degrees and didn't know crap. The fact that Chet entertained even for a minute the idea that she'd want to have a drink with him was a slap in the face.

After another quick glance at the clock to be sure she had enough time, Jazz did her hundred sit-ups, making sure her breathing was in sync. The only problem with the health-club scene-or so she had convinced herself without explaining why she liked to wear her suggestive outfit-was that she had to put up with men like Chet on a daily basis. Most of them said they wanted to buy her a drink, but she knew that wasn't what they wanted. They wanted sex, like all men. Back when she was in high school and even middle school, she probably would have been willing to give Chet a run for his money by slipping him some Ecstasy and then taking advantage of him. But that was back when she considered sex a sport, when it gave her a sense of power, and when it drove her parents crazy. Now she didn't need it anymore. In fact, it was a big pain in the ass with all the nonsense that had to go along with it. It was a waste of time, especially since it was far easier and quicker to take care of herself when she was in the mood.

Finishing her sit-ups, Jazz got to her feet and looked at herself in the mirror. She straightened to the full extent of her lean, muscled, five-foot-ten stature. She liked what she saw, particularly the definition of her arms and legs. She was in better shape than she was after naval boot camp, when the idea of exercise had first been introduced to her.

With her towel in one hand, she stooped down to pick up her water bottle. There was only a little left, and she polished it off. Then she started for the locker room. As she walked, she could see most of the men's eyes slyly following her. She was careful to avoid any eye contact and kept an expression of disdain on her face, which was easy, considering that was how she felt. She also caught a glimpse of Mr. Ivy League talking to the birdbrain who'd processed her paperwork when she joined the club a month earlier. Blond Mr. Polo now had his hands on his hips and a sad, hangdog expression on his face. Jazz had to suppress a smile when she thought about him bragging to her that he was a doctor, as if it was going to impress her! Jazz knew too many doctors, and they were all jerks.

She tossed the empty water bottle in the container by the door before heading out of the weight room. When she passed the main reception desk, she saw that it was almost nine-forty, meaning she'd better fire her afterburners and get a move on, since she liked to have the option of getting to work early if she lucked out and got another assignment. There had been a bit of a lull before the previous night's mission, which she was hoping would be the start of a whole new series. But she couldn't complain about the lull because, overall, she was lucky indeed. Sometimes she wondered how they had found her, but she didn't dwell on it. It was about time that things were starting to work out, considering all her effort, especially her so-called formal schooling after she got out of the military. Having to go to that community college with all those retards in order to go from corpsman to RN had been the biggest trial of her life.

Just inside the locker-room door was a table with a large tub of iced soft drinks. Jazz helped herself to a Coke, popped the tab, and took a satisfying swig. Next to the tub was a clipboard with a little sign requesting that she write her name and indicate what she'd taken so that her account could be charged. As she took another pull from the can and headed off to the VIP section, where she had her own assigned locker, she wondered what kind of fool would actually write their name down, but then again, she knew that a fool was born every minute.

A shower was a quick affair for Jazz. After lathering up, including a shampoo, she liked to stand for a few minutes with her eyes closed and allow the water to drum on her head and run down the crevices of her well-tuned body. Closing her eyes had the added benefit of shielding her from having to look at the other women, some of whom had butts the size of small countries, with skin that resembled the surface of the moon. Jazz couldn't believe they had such little self-respect to allow themselves to get to such a pathetic state.

After the shower, her cropped coif needed only a short stint with the hairdryer. When she'd been young, she'd agonized over her hair, but being in the military had cured her. It had also cured her of a long-standing hang-up about cosmetics. Now all she used was a little lipstick, and that was more to keep her lips from drying out than anything else.

Next came the green scrubs, over which she pulled on a medium-length white coat with a stethoscope crammed in the side pocket. The breast pocket boasted a collection of pens, pencils, and other nursing paraphernalia.

"Are you an ER nurse?" a voice asked.

Jazz looked around. One of the large-ass women was sitting on the bench in front of her locker, swaddled in her towel like a sausage. Jazz debated whether or not to ignore her. Generally, Jazz stayed above the usual locker-room drivel, preferring to be expeditious about showering. Yet the stereotyping, which the comment implied, begged for a retort.

"No, I'm a neurosurgeon," Jazz said. She took her oversized, olive-drab military coat from her locker and pulled it on. It had pockets as deep as gold mines. The contents of the pockets bumped up against her thighs, particularly on the right.

"A neurosurgeon!" the woman marveled with a look of disbelief. "No kidding!"

"No kidding," Jazz echoed with a tone that did not invite any more conversation. She stuck her sweaty bodysuit in her gym bag, then closed and locked her locker. Although she did not look at the woman who'd spoken to her, she sensed that the woman was watching her. Jazz didn't care if the woman believed her or not. It didn't matter.

Without the exchange of another word, Jazz struck off through the locker room and out into the main corridor. After she pushed the down button of the elevator, she stuck her hand into the overcoat's right pocket and fondled her favorite possession, a subcompact nine-millimeter Glock. Its molded composite handgrip gave her a reassuring feeling of power, while awakening recurrent fantasies of being accosted by lowlifes like Mr. Ivy League in the parking garage. It would all happen so fast that the guy's head would spin. One minute he'd be making some inane comment, the next he'd be looking down the barrel of the gun's suppressor. Jazz had made the effort to outfit the gun with a silencer because another ongoing fantasy was to take out one of her nursing supervisors.

Jazz sighed. For her whole life, she'd been saddled with the albatross of incompetent authority personnel. It had started in high school. She could remember as if it were yesterday the time she'd been called into the guidance counselor's office. The dork had said he was mystified because she'd tested off the charts for intelligence but was doing so poorly. What was the cause?

"Duhhh!" Jazz voiced out loud as she recalled the incident. The guy was so slow mentally that he couldn't comprehend that nine-tenths of all the teachers were from the same shallow end of the gene pool that he was from. It was a waste of time going to high school. He'd warned her that she wouldn't get to go to college if she kept doing what she was doing. Well, she didn't care. She knew that the only real way out of the cesspool of her life was the military.

The trouble was that the military wasn't a whole lot better. It was okay at first, because she had a lot of ground to make up, getting into shape and all. Aptitude tests had supposedly pointed her in the direction of becoming a hospital corpsman, which was a joke, since she always lied on those stupid tests. But she played along; becoming a corpsman sounded fine, especially the idea of being on her own. Eventually, she opted for being an independent duty corpsman with the marines. But when she eventually got assigned, things started to go downhill. Some of the officers she had to deal with were half-wits, especially over in Kuwait, when her squadron infiltrated the Kuwait salient in February 1991. She had gotten a kick out of shooting Iraqis until her commanding officer took her rifle away as if she was not supposed to have any fun. He told her to restrict her activities to the health needs of the real men. It had been embarrassing.

Things came to a head in San Diego almost a year later. The same cretin of an officer came into a bar where she and some of the regular grunts were tossing back a few beers. He got sloshed and grabbed a feel when Jazz wasn't looking. As if that wasn't bad enough, he called her "a freaking dyke" when she spurned an offer to drive out to the tip of Point Loma with him to get laid. That had been the last straw, and Jazz had shot him in the leg with her sidearm. She hadn't been aiming for the leg, but he still got the appropriate message. Of course, that had been the end of her military career, but by then she didn't care. She'd had enough.

Going from the military into the community college turned out to be like going from the frying pan into the fire. But Jazz had persevered. She'd thought that getting her RN would be her ticket, because nurses were so much in demand, and she could call the shots. Unfortunately, the eventual reality was no different from her experience in the military when it came to supervisors, forcing her to move from job to job with the vain hope that things would be better at different institutions. But they never were. Now, it didn't matter.

When the elevator stopped on the upper parking level, Jazz got off, pushed out of the glassed elevator lobby, and walked over to her second-favorite possession, a brand-spanking-new, shiny, black-as-onyx H2 Hummer. She ran her fingers appreciatively along the vehicle's side, catching a view of her reflection in the windows. Except for the windshield, all the glass was tinted to the extent that it appeared to be black mirrors. Before she opened the door, she stepped back and took in the vehicle's boxy outline and its squat, threatening stance, both of which made it look like a weapon system ready to do battle on the streets of New York City.

Jazz climbed in, tossed her gymbag onto the passenger seat, and took her Blackberry out of her coat but left it in her lap. She started the engine. The low growl issuing from the tailpipes added to the car's allure. She couldn't help but smile. Getting into the car gave her a thrill like a line of coke, only better. It also reminded her how rewarding the day had been when Mr. Bob had approached her. She still didn't know his full name, which was stupid. He'd told her it was a matter of security, which she questioned at the time, but now she felt it didn't matter. At that first meeting, she'd seen him come at her out of the corner of her eye and thought it was just going to be another typical male come-on, but it wasn't. He got her attention immediately by calling her "Doc JR," which was the nickname the jarheads in her first marine squadron had given her. She'd not heard the name for several years, so she was surprised and guessed that Mr. Bob had been a marine himself. He had been waiting for her to come out of the hospital in New Jersey, where she was working on the evening three-to-eleven shift. He said he had a business proposition for her and asked if she was interested in earning extra money-a lot of extra money.

Sensing that her ship had finally come in, Jazz accepted his invitation to join him in his H2 Hummer, which was a spitting image of her own. Before she got in the vehicle, she made sure that there wasn't anybody else inside. She also made sure that she had her hand around the Glock nestled in her pocket. Back then, the pistol didn't have the silencer, so it was easy to draw. If Mr. Bob did any- thing untoward, she would have shot him where she'd meant to shoot the marine officer. She didn't believe in threatening. If the gun came out, it would be used.

But she hadn't needed to be worried. Mr. Bob was all business. They ended up at a small, smoky bar in downtown Newark, where Mr. Bob commiserated with her about her experience in the military and even apologized about her treatment and unwarranted discharge. He said that it was precisely because of her exemplary service that she was being recruited for an important mission, for which she would be compensated accordingly. Mr. Bob went on to say that they-Jazz had yet to know who "they" were-recognized her unique qualifications to provide the service they required. He then had asked if she was interested.

Jazz laughed as she put her Hummer in reverse and backed out of the parking slot. When she thought back, it was crazy for him to be asking if she was interested before she knew exactly what she would be doing, and she told him so at the time. From then on, he stopped beating around the bush. He told her they needed people like Jazz to help eliminate doctor incompetence, which he said was rampant although hard to ferret out because of a conspiracy of silence on the part of the medical profession. That was when Jazz was convinced that she was well suited to help. She was an expert on recognizing incompetence, since there had been a wellspring of it in every institution she'd been associated with. Mr. Bob said that her job would be to communicate to him by e-mail all episodes of adverse outcomes, particularly related to anesthesia, obstetrics, and neurosurgery, but he emphasized that they weren't choosy. They wanted everything she found. For her efforts, she would be paid two hundred dollars per case, with an added bonus of a thousand dollars for each that resulted in a malpractice suit and an extra five hundred if the judgment was for the plaintiff.

So that had been the beginning. Following Mr. Bob's recommendation, she switched from evenings to nights, which was easy, because the graveyard shift was the least popular. The benefit was that during the wee hours of the morning, there was less oversight, which made roaming the floors, checking the charts, and generally catching the gossip much easier than during the day or even during the evening. Mr. Bob had had other helpful recommendations as well, which he explained came from the fund of experience they'd had over several decades. He said that Jazz was joining an extensive, elite underground.

Jazz had flourished from the start. The clandestine nature of the operation was an added benefit; it even made going to work fun. The money was wired into an offshore account that had been set up for her by whoever "they" were. It grew rapidly, and it grew tax-free. The only problem was that in order to use the money, she had to go down to the Caribbean, a necessity that she found was hardly an imposition.

But then, after four years and several moves to different hospitals, the last being to St. Francis in Queens, things got even better. Mr. Bob reappeared to say that as a consequence of her outstanding work, she'd been commissioned along with a very select group to be raised in rank within the underground task force. She was now going to participate in an even more important mission, for which her compensation would be greatly increased. At the same time, so would the level of secrecy. It was a highly classified operation code-named "Operation Winnow."

Jazz remembered that he laughed after telling her the name. He said he had nothing to do with its selection, since it reminded him of "minnow." But his laughter quickly died off, and he again emphasized the secrecy. He said, "There are to be no ripples on the surface." He had asked if Jazz understood. Of course she understood.

Mr. Bob had gone on to explain that the circumstance would be the opposite of the setup with the "adverse outcomes," which she was to continue as well. With Operation Winnow, she would receive a patient's name by e-mail. Then, following a carefully devised protocol, which she had to follow to the letter, she would sanction the patient.

There had been a pause at that point. At first, Jazz didn't get his drift. She was confused by the word "sanction" until it finally dawned on her. When it did, it gave her a shiver of anticipation.

"This protocol has been masterminded by professionals, and it is completely foolproof," Mr. Bob had said. "There is no way it can be discovered, but you must follow it exactly as specified. Do you read me?"

"Of course I read you," Jazz had replied. What did he think she was, stupid?

"Are you interested in becoming part of the team?"

"That's affirmative," Jazz had said. "But you haven't told me the compensation."

"Five thousand a case."

Jazz could remember the smile that had appeared on her face. To think she would be paid five thousand dollars to do something challenging and fun was almost too good to be true. And it turned out to be better than she imagined. After the first five missions, which went off without a hitch, thanks to the protocol provided, Mr. Bob had appeared along with the Hummer.

"It's a token of our appreciation," he had explained while handing Jazz the keys and the papers. "Think of it as the antithesis of the pink Cadillac given out by that cosmetic company. Enjoy it in good health!"

Jazz exited the health club's parking garage onto Columbus Avenue. Stopping at the first red light, she activated her Blackberry.

From experience, she knew that reception was marginal inside the garage. She was rewarded with a message from Mr. Bob. With mounting excitement, she opened it. It was another name!

"Yes!" Jazz shouted with a grimace of determination like an athlete who had just executed a perfect move. Simultaneously, she punched the air with a fist. But then she quickly reigned in her response. Her military training immediately kicked in to bring her back to a proactive calmness. Getting another name after having gotten one the evening before suggested that she was about to begin another series. Although the names came in random intervals, they tended to be grouped together. She had no idea why.

Reaching over, Jazz put the Blackberry in the traylike indentation on the dash over the glove compartment. The motion caused her to hesitate when the light turned green. The taxicab to Jazz's right lurched forward with the intention of cutting into Jazz's lane to avoid a stopped taxi in his own lane. Jazz stomped on her accelerator to unleash the full power of the Hummer's V-8. The SUV shot forward and gobbled up the lead of the taxi in short order, forcing the driver to slam on his brakes. Jazz flipped him the finger as she shot by.

After several other close calls with taxis along Central Park South, Jazz worked her way over to the East Side and then north on Madison to the Manhattan General Hospital. It was ten-fifteen when she pulled into the complex's mammoth garage. One of the other benefits of working the graveyard shift was a plethora of parking spaces right near the garage's entrance into the hospital on the second floor. Collecting her Blackberry and slipping it into her left coat pocket, Jazz crossed the pedestrian bridge and went into the hospital.

As she had planned, she was a little early. She went directly to floor six, where she was assigned. It was a general surgical floor and always busy. After safely stashing her coat, she sat down at one of the computer terminals and casually typed in "Darlene Morgan." The evening ward secretary ignored her, busy wrapping things up so she could leave.

Jazz was pleased to learn that Darlene Morgan was in room 629 on Jazz's floor, which made the mission that much easier. She could always go to other floors on her breaks and lunch hour, which she had done on previous missions, but there was always the mild concern about arousing attention.

Leaving floor six, she took the elevator down to the first floor. There, she walked into the emergency room. As usual, it was pure pandemonium. Evening was its busiest time, and the waiting area was jammed with people and crying babies in all manner of illness and injury. It was the kind of chaos Jazz counted on. No one questioned when she walked into the storeroom where the parenteral or intravenous fluids were kept. Although she didn't expect any interference, even if she was seen, she still looked around to make sure she wasn't being observed. It was a reflex. When it was clear no one was watching her, she reached into the cardboard box containing the concentrated potassium chloride ampoules, took one out, and slipped it into her jacket pocket. As Mr. Bob had said, in the busy ER, it would never be missed.

With the first part of her mission accomplished, Jazz returned upstairs to wait for the nursing report and for her evening shift to begin. More out of curiosity than anything else, she pulled Darlene Morgan's chart to see if there was anything interesting or, for that matter, any explanation. Of course, she didn't care whether there was or wasn't.

Mommy, I want you to come home tonight," Stephen whined.

Darlene Morgan patted the top of her eight-year-old's head and exchanged a worried glance with her husband, Paul. Stephen was big for his age and at times could act reasonably mature, although that wasn't the case at present. He was genuinely nervous about his mother being in the hospital and wouldn't let go of her hand. Darlene had been surprised when Paul had showed up with the little guy in tow, since hospital rules dictated that visitors had to be twelve or older, and Stephen might have been big, but he didn't look twelve. But Paul had explained that Stephen pleaded to come to the point that Paul was willing to gamble that enforcement of the twelve-and-over rule would be minimal and that the floor nurses would turn a blind eye.

At first, Darlene had been glad to see Stephen, but now she was worried that there might be a tantrum if Paul inappropriately handled the departure issue. Paul had been trying to leave for half an hour and was understandably frustrated. With some difficulty, Darlene got her hand free and reached an arm around her son's waist and pulled him over against the side of the bed.

"Stephen," she said softly. "You remember what we discussed yesterday. Mom had to have an operation."

"Why?"

Darlene looked up at Paul, who rolled his eyes. Both knew that Stephen found the situation threatening, and he wasn't going to make it easy. Darlene had explained everything to him over the weekend, but he obviously hadn't comprehended.

"I had to have my knee fixed," Darlene said.

"Why?"

"You remember last summer when I hurt myself playing tennis? Well, I broke something in my knee called a ligament. The doctor had to make me a new one. Now I have to stay here overnight. Tomorrow night, I'll be home, okay?"

Stephen twirled the edge of the bedsheet in his fingers, avoiding his mother's eyes.

"Stephen, it's way past your bedtime. You go home with Dad, and then when you wake up, it will be the day I come home."

"I want you home tonight!"

"I know you do," Darlene said. She leaned over and gave her son a hug. Then she winced and let out a little groan from having moved her operated leg more than she had planned. The leg was partially immobilized in a motorized apparatus that slowly but continuously flexed the joint.

Paul stepped forward, put his hands on his son's shoulders, and urged him to step away. Stephen allowed himself to be backed up. He'd heard his mother's moan.

"Are you all right?" Paul asked his wife.

"Yeah," Darlene managed. She readjusted herself in the bed. "I just have to leave my leg still." She closed her eyes and breathed deeply, and the pain lessened.

"This is quite a setup," Paul said, nodding toward the apparatus. "We should thank our lucky stars we got into AmeriCare this fall. Otherwise, all this would have broken the bank."

"You're not suggesting I shouldn't have had the surgery, are you?"

"Not in the slightest! I'm just thinking our old insurance wouldn't have covered everything. Remember all those complicated deductibles and all that nonsense every time we tried to put in a claim? Hey, I'm just pleased everything is covered."

The little episode with the pain seemed to have a big effect on Stephen. It scared him enough to convince him that his mother needed to be in the hospital. Just a few minutes later, when Paul repeated that they had to go, he went without complaint.

All of a sudden, Darlene found herself alone. During the afternoon, there had been constant activity in the hallway, but now stillness reigned. No one passed her open door. What she didn't know was that all the nurses and aides from the evening shift, as well as those from the night shift, were having their report. The only sound was the distant, barely audible beep coming from a cardiac monitor someplace down the corridor.

Darlene's eyes roamed around her room, taking in the simple hospital furniture, the cut flowers from Paul on the bureau, the celery-green paint, and the framed Monet print. She shuddered to think of the life-and-death struggles the walls had witnessed over the years, but then quickly tried to erase the thought from her mind. It wasn't easy. She didn't like hospitals, and except for childbirth, had never been in one as a patient. Childbirth had been different. There was sense of happiness and anticipation that permeated the ward. Here, it was different and far more intimidating.

Turning her head and looking up, she watched the drops fall soundlessly from the IV bottle into an expanded portion of the IV line. Watching it was hypnotizing, and after a few minutes, it took a bit of effort to pull her eyes away. The reassuring part was that piggybacked to the IV line was a small pump containing morphine, which meant that to a controlled degree, she could medicate herself. So far she had done it only twice.

A TV was suspended above the foot of her bed, and she turned it on, more for company than anything else. The local evening news was in progress. She turned down the sound, preferring only to watch, her mind addled from a combination of the morning's anesthesia and the narcotic pain medication. The machine continued flexing her leg, but she was strangely detached from it, as if it were someone else's leg.

An hour passed effortlessly in a state midway between sleep and full consciousness. It was more like sleep when she remembered to lie still, and more like wakefulness if she happened to move her leg. She was vaguely aware that the local news had given way to the Letterman show.

The next thing she knew, she was being shaken awake by a nurse's aide. Darlene gritted her teeth because she'd inadvertently contracted her thigh muscle upon being disturbed.

"Have you passed urine since your operation?" the aide asked. She was an overweight woman with stringy red hair.

Darlene tried to think. In truth, she couldn't remember and said so.

"I think you would have remembered if you had, so you've got to go now. I'll get the bedpan." The aide disappeared into the bathroom and returned with the stainless-steel container. She placed it on the edge of the bed, against Darlene's hip.

"I don't have to go," Darlene said. The last thing she wanted to do was move herself onto the bedpan. Even the thought made her wince. The surgeon had told her she might have some discomfort after the operation. What an understatement!

"You have to," the aide stated. She checked her watch, as if there was no time for discussion.

A combination of the aide's attitude and Darlene's drugged state made Darlene's dander rise. "Leave the bedpan; I'll do it later."

"Honey, you're doing it now. I got orders from above."

"Well you tell whoever is 'above' that I'm doing it later."

"I'm getting the nurse, and let me tell you, she doesn't brook contrariness."

The aide disappeared again. Darlene shook her head. "Contrariness" was a word she associated with preschoolers. She moved the ice-cold bedpan away from her thigh.

Five minutes later, the nurse burst into the room with the aide in tow, causing Darlene to start. In contrast to the aide, the nurse was tall and lean with exotic eyes. With her hands on her hips, she leaned over Darlene. "The aide tells me you refuse to urinate."

"I didn't refuse. I said I would do it later."

"You're doing it now or we'll cath you. I trust you know what that means."

Darlene had an idea, and it wasn't appealing in the slightest. The aide went around to the other side of the bed. Darlene felt surrounded.

"It's your call, sister," the nurse added when Darlene didn't respond. "My advice to you is to get that butt of yours in the air."

"You could be a little more empathetic," Darlene suggested as she prepared to raise her backside by putting her two palms against the bed.

"I got too many sick patients to be empathetic about passing a little urine," the nurse said. She checked the IV line while the aide got the bedpan into place.

Darlene breathed a sigh of relief. Getting on the bedpan hadn't been as bad as she had imagined, although the cold metal was shocking. Urinating was another matter. It took her a few minutes of concentration before she could start. Meanwhile, the nurse and the aide had left. She passed more urine than she thought she could, which made her recognize that the ordeal was necessary. At the same time, it made her remember why she didn't like hospitals.

Once she was finished, she had to wait. She could move her pelvis up and down without discomfort, but to get the bedpan out from under her, she'd have to lift one of her hands off the bed. That meant tensing muscles that hurt her knee, so she was stuck. After five minutes, her back started to complain, so she gritted her teeth and managed to move the bedpan to the side. Almost on cue, both the nurse and the aide reappeared.

While the aide dealt with the bedpan, the nurse offered Darlene a sleeping pill and a small paper cup of water.

"I don't think I need it," Darlene said. With all the drugs she'd had during the day, she felt like she was floating.

"Take it," the nurse enjoined. "It's been ordered by your doctor."

Darlene looked up into the nurse's face. She couldn't tell if her expression was brazen or bored or disdainful. Whatever it was, it seemed inappropriate. It made Darlene wonder why the woman had gone into nursing. Darlene took the pill, swallowed it, and chased it with the water. She gave the cup back to the nurse. "You could be a little more personable," she suggested.

"People get what they deserve," the nurse said, taking the cup and crushing it in her hand. "I'll be back to see you later."

Don't bother, Darlene thought but didn't say. Instead, she merely nodded as the nurse and the aide left. Recognizing her neediness and vulnerability, she didn't want to cut off her nose to spite her face. With her leg bound up in the flexing machine and with as much pain as she got when she moved her knee, she was totally dependent on the nursing staff.

Darlene gave herself a dose of her pain medication to dull her toothache-like discomfort after the bedpan ordeal. She soon felt calm and detached. The emotions evoked by the run-in with the nurse and the aide faded into insignificance. The important thing was that the surgery was over. The anxiety she'd felt the night before was a thing of the past. She was now on the road to recovery, and, according to the doctor, she could look forward to playing tennis in six months or so.

Without being aware of the transition, Darlene fell into a deep, dreamless, drugged slumber. She was unaware of the passage of time until she was rudely yanked back to consciousness by a searing pain racing up her left arm. A moan escaped from her lips as her eyes shot open. The TV was off, and the room was dim with only a single low-wattage nightlight down near the floor. For an instant, Darlene was disoriented, but she quickly recovered. With the pain now spreading into her shoulder, she lunged for the call button. But she didn't get to it. Instead, she felt a hand grab her wrist. Raising her eyes, she saw a white figure standing at the bedside, the face lost in shadow. Darlene opened her mouth to talk, but the words caught in her throat. The room dimmed and began to spin before Darlene felt herself falling from the light into darkness.