The Footprints of God

CHAPTER 31

WHITE SANDS

At 7:52 A.M. mountain standard time, Peter Godin went into code blue. Ravi Nara wasn't in the hospital hangar, but he was sleeping nearby, and he got to Godin's bedside in less than two minutes. He'd been expecting the old man to crash. Without a shunt to relieve the pressure in the fourth ventricle of the brain, hydrocephalus was inevitable. But when Ravi arrived in the Bubble, he found the old man suffering a garden-variety heart attack.

Godin's two nurses had already intubated and bagged him, and one was defibrillating his heart. Ravi read the EKG and confirmed their diagnosis: ventricular tachycar¬dia. They were using the paddles because Godin had no pulse. It took two drug combinations and a 360-joule shock to bring the heart back to a sinus rhythm. Ravi drew blood to check for cardiac-specific enzymes that would tell him how much damage had been done to the heart muscle. Then, since Godin remained unconscious, Ravi sat down for a moment to decompress.

He hated clinical medicine. Something was always coming out of left field to surprise you. Godin had had a coronary bypass fifteen years ago, and a cardiac stent implanted in 1998. The risk of an MI was constant, but under the strain of treating the brainstem glioma, Ravi had let the cardiac risk recede in his mind. The nurses had noticed his hesitancy during the code. Not exactly what they expected from a Nobel laureate in medicine. After years in research labs, he was out of practice. So what? A veterinarian could run the protocols of a code blue.

As a nurse started to attach the ventilator to Godin's breathing tube, the old man tried to speak, but his effort produced only squeaks.

Ravi leaned down to his ear. "Don't try to talk, Peter. You had a little arrhythmia, but you're stable now."

Godin held up his hand for something to write with. A nurse gave him a pen, then held a hard-backed pad up to his hand.

Godin scribbled: DON'T LET ME DIE! WE'RE SO CLOSE!!!

"You're not going to die," Ravi assured him, though he was far from sure himself. Hypoxia could easily trig¬ger the fatal hydrocephalus he'd been expecting. He squeezed Godin's shoulder, then ordered the nurses to put him on the ventilator. It would make the old man furious, but he would endure it.

To avoid Godin's protests, Ravi left the Bubble. As he closed the hatch, he saw Zach Levin rush into the hangar.

"What is it?" Ravi asked. "What's happened?"

Levin had to catch his breath before he could speak. "Fielding's model is cracking the final algorithms! He's got the memory area linked to the processing areas, and he's creating all new interface circuitry. I've never seen anything like it."

"You mean Fielding's model is doing all that."

"Yes, yes. But I've got to tell you, even with the machine running at only fifty percent capacity, I can feel him in there. It's like talking to the man I worked with for the past two years. Like he's alive again."

"You're at fifty percent efficiency?"

Levin grinned. "And rising. I should have had more faith in Peter's instincts."

Ravi tried to conceal his shock. Ninety percent effi¬ciency was the point at which Godin had predicted that a neuromodel would become fully conscious-a condi¬tion he had termed the Trinity state.

"You said 'talking,'" Ravi thought aloud. "Is the voice synthesizer working? Is Fielding talking to you?"

"He's trying. He can't really explain what he's doing, but the efficiency is creeping steadily upward. We've got a definite timeline now."

Despite the complexities of his personal situation, Ravi couldn't suppress his excitement. "How long?"

"Twelve to sixteen hours."

"To Trinity state?"

Levin nodded. "And I'd bet closer to twelve. We've got a pool going in Containment."

Ravi looked at his watch. "How certain are you?"

"As certain as anything gets in this business. I've got to tell Peter what's happening."

Ravi didn't want Godin hearing about this until he had talked to Skow. "You can't go in right now. He won't hear you. Peter coded twenty minutes ago."

Levin stiffened in alarm. "He's not dead!"

"No, but he's on the ventilator."

"Conscious?"

"Not enough to understand you. And he can't speak."

"But he has to know this! It will double his will to fight."

Ravi tried to look sympathetic. "He's never lacked that."

"No, but this will change everything."

"I'm sorry, Zach. I can't allow you to go in."

Levin looked down at Ravi with disdain. "You don't make decisions like that. Limiting Peter's access to criti¬cal information?"

"I am his physician."

"So, do your fucking job. It doesn't take a doctor to see that the best thing anyone could do for Peter's health right now is to give him this information."

Levin turned away and stepped into the UV decontaminator. Ravi started to argue, but the engineer stamped on the start button, making conversation pointless.

If Levin insisted on entering the Bubble, Ravi couldn't stop him. Godin would probably ask for him soon anyway.

Ravi hurried to the exit. He needed to talk to Skow immediately. Because Zach Levin was right: with Trinity twelve to sixteen hours from becoming a reality, Godin would almost certainly live to see it. And that changed everything. Skow was preparing the president for Trinity's failure, setting up to blame Godin for every¬thing, and using Ravi to help him do it. If Skow went too far-and Godin at the eleventh hour delivered the revolutionary computer he had promised- Ravi could find himself in a precarious position. Peter Godin would not take betrayal lightly. He would exact his own form of justice. An image of Geli Bauer came into Ravi 's mind. He was damned glad she was lying in a hospital in Maryland.

JERUSALEM

Rachel braced herself against the side of the ambulance as it tore through all but impassable traffic. David lay unconscious on a gurney on the floor. The paramedic in back spoke enough English to communicate with Rachel, but he could tell her little and do even less, given his patient's condition.

When David collapsed in the church, Rachel had known instantly that he was having a seizure. She'd knelt and cradled his head to keep him from banging it on the floor, but that was all she could do. Seizure vic¬tims swallowing their tongues was a myth, and you could lose fingers trying to prevent it. Ibrahim had used his walkie-talkie to call the ambulance, and Rachel got the feeling he'd done it before.

Israeli soldiers quickly cordoned off the chapel. By the time the ambulance arrived, David's seizure was over, but he had not awakened. The paramedics checked his blood sugar and found a normal glucose level. With coma, that was the limit of what they could do at the scene, so they fitted a collar on him, put him on a back¬board, and had the soldiers carry him out to the ambu¬lance in the courtyard.

As they careened though the streets, Rachel mentally raced through the possible causes of coma. Drugs were the most common cause after hypoglycemia, but David had no history of substance abuse. He hadn't hit the floor hard enough to cause head trauma, and forty-one was old even for late-onset epilepsy.

take his money belt and clothes and put them into a plastic bag.

A man in white came to the door and spoke Hebrew to the paramedics. He glanced at Rachel, then entered and in heavily accented English asked her to summarize what had happened at the church. She complied, then gave David's medical history as best she knew it.

He had been unconscious for thirty minutes. Most patients suffering a grand mal seizure would be coming out of it by now. The doctor ordered blood work; X rays of the chest and cervical spine; a CT scan to rule out stroke, tumors, or subarachnoid hemorrhage; and a spinal tap to rule out meningitis.

After a nurse drew the blood, an aide moved David to radiology for the CT scan, which took nearly an hour. When he returned to the treatment room, he was still unconscious. Next the ER doctor performed the spinal puncture. The escaping spinal fluid had normal pressure, and Rachel breathed much easier when she saw that the fluid was clear. Infection was highly unlikely.

The next step was a referral to neurology, and at that point Rachel began to panic. A neurology referral meant admission to the hospital, which would bring questions about medical insurance and payment. There was $15,000 in the two money belts, but she didn't want to raise suspicions by showing that kind of cash. She nearly hugged the ER doctor when he informed her that there were no beds available in neurology. David would have to remain in the emergency department.

When an EEG tech wheeled in a portable machine to do an electroencephalogram of David's brain, Rachel saw instantly that he was sharp. He switched off most of the electrical equipment in the room before performing the test, which eliminated background interference and made for a much clearer tracing.

As the tracing emerged from the machine, the tech looked concerned, and Rachel soon saw why. David's brain showed only alpha wave activity, of uniform fre¬quency and amplitude. The tech leaned forward and clapped his hands near David's right ear, but the alpha waves did not desynchronize. They didn't change at all.

Rachel's heart sank. David appeared to be in a state known as alpha coma. Few patients emerged alive from alpha coma.

"Are you a doctor?" the tech asked, noticing her expression.

"Yes."

His eyes softened. "I'm sorry."

As he reached to shut off the machine, Rachel saw a theta wave appear on the screen.

"Wait!" she cried, pointing.

"I see it."

The theta waves increased steadily in amplitude. Then some beta waves appeared.

"He's dreaming," Rachel said, hardly believing it. "Could he only be asleep?"

The tech pinched David's arm. There was no response. He leaned down to one ear and yelled, "Wake up!"

Nothing.

"He's not sleeping," the tech said thoughtfully. "But those thetas are definitely increasing in strength."

"What do you think is happening?"

"This guy's definitely in alpha coma. But his brain is doing something. What, I don't know." The tech walked to the door, then looked back at Rachel. "I'm going to leave the machine connected and get a neurologist down here. Okay?"

"Thank you."

She sat alone beside the bed, her hands shaking as she watched the screen. Until she'd seen that theta wave, she'd believed David was as good as dead. Now she had no idea what was happening. But something was going on in his head. Could he be hallucinating in coma as he had during his narcoleptic attacks? Maybe he wasn't really in coma at all. Sometimes a patient could appear to be comatose when he was actually having small seizures. Yet the EEG didn't show that. It showed an alpha coma state, interrupted by inexplicable theta and beta intrusions.

She didn't want to think about what David had been doing prior to his seizure, but she couldn't stop herself. In the medieval gloom of Holy Sepulchre, he had been searching for some remnant of Jesus' life on earth. Or of his death. He had scorned the traditional places vener¬ated by pilgrims-the anointing stone, the tomb itself- but at the place marked as the spot where Jesus died on the cross, he had fallen to his knees and whispered, "This is the place." Then the seizure had started.

The incident had actually begun before that. When David looked at the mural depicting Christ being nailed to the cross, he had clenched his fists as though his hands were in agony. What had been going on in his mind? Did he really believe that he was Jesus Christ? Believe it so completely that he felt Jesus' wounds? She'd heard of cases of stigmata caused by the mind, but she had never really believed them. Was she witnessing something similar?

She grasped David's limp hand. Despite the EEG, she half-expected him to open his eyes. Yet they remained closed. She silently thanked God that the ER doctor had ordered a CT scan rather than an MRI. How could she have talked him out of what he would see as a harmless imaging test? How could she protect David from any¬thing here? She didn't know what her enemy was. The only person she could think of who might have answers about this strange coma was Ravi Nara. But according to David, Nara was part of the group that wanted to kill them.

"Wake up, David," she said softly in his ear. "For God's sake, wake up."