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Authors: Robin Cook

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Once Ashley had overcome his reluctance to seek a medical opinion, he visited a private internist in Virginia whom he'd seen in the past and whose discretion he could trust. The internist in turn immediately referred him to Dr. Whitman, a neurologist.

Dr. Whitman had been noncommittal, although hearing Ashley's specific fears, he said he doubted the problem involved ALS. After giving a thorough exam and sending him for some tests, including an MRI, Dr. Whitman had not offered a diagnosis but instead gave Ashley a prescription to see if it would help the symptoms. He'd then scheduled Ashley to
return in a week when all the tests' results would be back. He'd said that he thought he'd be able to make a diagnosis at that time. It was this visit Ashley was now facing.

Ashley ran a hand across his brow. Some perspiration had appeared, despite the coolness of the room. He could feel that his pulse was racing. What if he had ALS after all? What if he had a brain tumor? Back when Ashley was a state senator in the early seventies, one of his colleagues came down with a brain tumor. Ashley tried vainly to remember what the man's symptoms had been, but he couldn't. All he could remember was seeing the man become a shadow of his former self before dying.

The door to the outer office cracked open. Dawn's carefully coiffed head poked in. “Carol just called on her cell phone. She'll be at the rendezvous location in five minutes.”

Ashley nodded and got to his feet. Encouragingly, he had no difficulty whatsoever. The fact that the medication Dr. Whitman had given him had seemingly worked miracles was to him the only bright spot in the whole affair. The worrisome symptoms had all but disappeared save for a bit of hand shaking just prior to another dose. If the problem could so easily be treated, perhaps he shouldn't worry so much. At least that's what he tried to convince himself.

Carol was right on time, as Ashley expected. She'd been working with him for sixteen years of his near-thirty-year senatorial tenure and had proved her reliability, dedication, and loyalty over and over. As they headed for Virginia, she even tried to take advantage of the time by discussing the day's events and what to expect for the morrow, but she quickly caught on to the degree of Ashley's preoccupation and fell silent. Instead, she concentrated on the hellish traffic.

Ashley's anxiety ratcheted upward the closer they got to the doctor's office. By the time he got out of the car, his perspiration had reappeared. Over the years, Ashley had learned to listen to his intuition, and his intuition was setting off alarm bells. There was something wrong in his brain, and he knew it, and he knew he was trying to deny it.

The appointment had been scheduled for Ashley's benefit after the doctor's regular office hours, and a sepulchral stillness hung over the vacant waiting room. The only light came
from a small desk lamp creating a dim puddle of illumination on the empty receptionist's desk. Ashley and Carol stood for a moment, unsure of what to do. Then an inner door opened, flooding the space with raw fluorescent light. Within the doorway was Dr. Whitman's featureless backlit silhouette.

“Sorry about this inhospitable welcome,” Dr. Whitman said. “Everyone has gone home.” He flipped a wall switch. He was dressed in a starched white doctor's coat. His demeanor was all business.

“No need for an apology,” Ashley said. “We appreciate your discretion.” He eyed the doctor's face, hoping for some softening of his expression to interpret as an auspicious sign. There wasn't any.

“Senator, please come into my office.” Dr. Whitman motioned within. “Ms. Manning, if you would be so good as to wait out here.”

The doctor's office was a study in compulsive neatness. The furniture consisted of a desk with two guest chairs. The objects on the desk were all carefully aligned, while the books in the bookshelf were arranged according to size.

Dr. Whitman motioned to one of the guest chairs before taking his own seat. With elbows on the desk, he steepled his fingers. He stared at Ashley once the senator was seated. There was a pregnant pause.

Ashley had never been quite so uncomfortable. His anxiety had peaked. Ashley had spent most of his adult life jockeying for power, and he'd succeeded beyond his wildest dreams. Yet at that moment, he was utterly powerless.

“You said on the phone that the medication I gave you helped,” Dr. Whitman began.

“Wonderfully,” Ashley exclaimed, suddenly cheered by Dr. Whitman's starting with the positive. “Almost all my symptoms disappeared.”

Dr. Whitman nodded knowingly. His expression remained inscrutable.

“I would have assumed that was good news.”

“It helps us make the diagnosis,” Dr. Whitman said.

“Well . . . what is it?” Ashley asked after an uncomfortable pause. “What's the diagnosis?”

“The medication was a form of levodopa,” Dr. Whitman
began in a doctoral tone. “The body can convert it into dopamine, which is a substance involved in some neuronal transmission.”

Ashley took a deep breath. A sudden wave of anger threatened to bubble to the surface. He didn't want to be lectured, as if he were a student. He wanted the diagnosis. He felt he was being teased like a cat teases a cornered mouse.

“You've lost some cells that are involved with the production of dopamine,” Dr. Whitman continued. “These cells are in a part of your brain called the
substantia nigra.

Ashley held up his hands as if surrendering. He suppressed his urge to lash out verbally by swallowing with some difficulty. “Doctor, let's get to the point. What do you think my diagnosis is?”

“I'm about ninety-five percent sure you have Parkinson's disease,” Dr. Whitman said. He leaned back. His desk chair squeaked.

For a moment, Ashley didn't speak. He didn't know much about Parkinson's disease, but it didn't sound good, and some images of celebrities struggling with the disorder popped into his mind. At the same time, he felt relieved he'd not been told he had a brain tumor or ALS. He cleared his throat.

“Is this something that can be cured?” Ashley allowed himself to ask.

“Currently, no,” Dr. Whitman said. “But as you've experienced with the medication I gave you, it can be controlled for a time.”

“What does that mean?”

“We can keep you relatively symptom-free for a while, maybe a year, maybe longer. Unfortunately, because of your history of relatively rapidly developing symptoms, in my experience the medications will lose their effectiveness more quickly than with many other patients. At that point, the disease will be progressively debilitating. We'll just have to deal with each circumstance as it arises.”

“This is a disaster,” Ashley mumbled. He was overwhelmed by the implications. His worst fears were coming to pass.

one

6:30
P
.
M
., Wednesday, February 20, 2002

One Year Later

 

It seemed to
Daniel Lowell that the taxi had senselessly pulled to a stop mid-block in the center of M Street in Georgetown, Washington D.C., a busy four-lane thoroughfare. Daniel had never liked riding in taxis. It seemed the height of ridiculousness to trust one's life to a total stranger who more often than not hailed from a distant Third World country and frequently was more interested in talking on his cell phone than paying attention to driving. Sitting in the middle of M Street in the darkness with rush-hour traffic whizzing by on both sides and the driver carrying on emotionally in an unknown language was a case in point. Daniel glanced over at Stephanie. She appeared relaxed and smiled at him in the half-light. She gripped his hand affectionately.

It was only by leaning forward that Daniel could see there was a traffic light suspended from above to facilitate a rather awkward mid-block left-hand turn. Glancing at the other side of the street, he could see a driveway leading to a nondescript, boxy brick building.

“Is this the hotel?” Daniel questioned. “If it is, it doesn't look much like a hotel.”

“Let's hold our evaluation until we have a little more data,” Stephanie responded in a playful tone.

The light changed and the taxi leapt forward like a racehorse out of the gate. The driver only had one hand on the steering wheel as he accelerated through the turn. Daniel steadied himself to keep from being thrown against the car door. After a big bounce over the junction of the street and the hotel's driveway, and then another sharp left-hand turn beneath the hotel's porte cochere, the driver braked hard enough to put significant tension on Daniel's seat belt. A moment later, Daniel's door was pulled open.

“Welcome to the Four Seasons,” a liveried doorman said brightly. “Are you checking in?”

Leaving their luggage in the hands of the doorman, Daniel and Stephanie entered the hotel lobby and headed toward the registration desk. They passed a grouping of statuary fit for a modern art museum. The carpet was thick and luxurious. Smartly dressed people lounged in overstuffed velvet chairs.

“How did you talk me into staying here?” Daniel questioned rhetorically. “The outside might be plain, but the interior suggests this is going to be expensive.”

Stephanie pulled Daniel to a halt. “Are you trying to suggest that you've forgotten our conversation yesterday?”

“We had a lot of conversations yesterday,” Daniel muttered. He noticed the woman who had just walked by carrying a French poodle had a diamond engagement ring the size of a Ping-Pong ball.

“You know what I'm talking about!” Stephanie proclaimed. She reached up and turned Daniel's face toward her own. “We decided to make the best of this trip. We're staying in this hotel for two nights, and we're going to indulge ourselves and, I would hope, each other.”

Catching Stephanie's witty licentiousness, Daniel smiled in spite of himself.

“Your testifying tomorrow in front of Senator Butler's Health Policy Subcommittee is not going to be a walk in the park,” Stephanie continued. “That's a given. But in spite of what happens there, we're going to at least take the memory of a nice experience back to Cambridge.”

“Couldn't we have had a nice experience at a slightly less extravagant hotel?”

“Not in my book,” Stephanie declared. “They have a health club, a masseuse, and top-rated room service, all of which we're going to take advantage of. So start relaxing and unwinding. Besides, I'll pick up the tab.”

“Really?”

“Sure! With the salary I've been pulling down, I should give some back to the company.”

“Oh, that's a low blow!” Daniel remarked playfully, while pretending to reel from a make-believe slap.

“Look,” Stephanie said, “I know the company hasn't been exactly able to pay our salaries for a while, but I'm going to see that this whole trip goes on the company charge card. If things go really badly tomorrow which they very well might, bankruptcy court can decide how much the Four Seasons will be paid for our indulgence.”

Daniel's smile erupted into a full laugh. “Stephanie, you never fail to amaze me!”

“You ain't seen nothing yet,” Stephanie said with a smile. “The question is: Are you going to let your hair down or what? Even in the taxi, I could tell you were wound up like a piano wire.”

“That was because I was worried about whether we were going to get here in one piece, not how we were going to pay for it.”

“Come on, big spender,” Stephanie said, urging Daniel forward. “Let's get up to our suite.”

“Suite?” Daniel questioned, as he allowed himself to be dragged toward the registration desk.

Stephanie hadn't exaggerated. Their suite overlooked a part of the Chesapeake and Ohio Canal with the Potomac River in the background. On the coffee table in the sitting room was a cooler chilling a bottle of champagne. Vases of freshly cut flowers graced the bureau in the bedroom and the expansive countertop in the generous-size marble bathroom.

As soon as the bellman disappeared, Stephanie put her arms around Daniel. Her dark eyes stared up into his blue orbs. A slight smile played across her full lips. “I know you are under a lot of stress about tomorrow,” she began, “so how
about letting me be the tour leader? We both know that Senator Butler's proposed legislation would effectively outlaw your patented and brilliant procedure. And that would mean a cancellation of the second-round financing for the company, with obviously disastrous consequences. With that said and understood, let's forget about it for tonight. Can you do that?”

“I can try,” Daniel said, although he knew it would be impossible. Failure was one of his worst fears.

“That's all I ask,” Stephanie said. She gave him a quick kiss before breaking away to attend to the champagne. “Here's the schedule! We have a glass of bubbly, then take refreshing showers. Following that, we have reservations at a nearby restaurant called Citronelle that I hear is fantastic. After a wonderful meal, we come back here and make mad, passionate love. What do you say?”

“I'd be crazy to offer any resistance,” Daniel said, raising his hands in mock surrender.

Stephanie and Daniel had been living together for more than two years and had developed a comfortable familiarity. They had noticed each other back in the mid-eighties, when Daniel had returned to academia and Stephanie was an undergraduate chemistry major at Harvard. Neither acted on their mutual attraction, since such liaisons were specifically frowned upon by university policy. Besides, neither had had the slightest notion that their feelings were reciprocal, at least not until Stephanie had completed her Ph.D. and had joined the junior faculty, giving them an opportunity to interact on more equal footing. Even their respective areas of scientific expertise complemented each other. When Daniel left the university to found his company, it was natural that Stephanie would accompany him.

“Not bad at all,” Stephanie said, after she drained her flute and put the glass down on the coffee table. “Now! Let's flip to see who gets the shower first.”

“No need to flip a coin,” Daniel said, placing his empty glass next to Stephanie's. “I concede. You first. While you shower, I'll shave.”

“You've got a deal,” Stephanie said.

Daniel didn't know if it was the champagne or Stephanie's infectious buoyancy but he felt significantly less tense,
although hardly less worried, as he lathered his face and began shaving. Having had only one glass, he suspected it was Stephanie. As she had implied, the morrow might bring disaster, a fear disturbingly reminiscent of Heinrich Wortheim's prophecy the day he'd discovered Daniel was moving back to private industry. But Daniel would try not to allow such thoughts to dominate their visit, at least for that evening. He would try to follow Stephanie's lead and enjoy himself.

Looking beyond his lathered image in the mirror, Daniel could see Stephanie's blurred figure through the misted glass-enclosed shower. Her singing voice could be heard over the roar of the water. She was thirty-six but looked more like twenty-six. As he had told her on more than one occasion, she'd done very well in the genetic lottery. Her tall, curvaceous figure was slender and firm as if she worked out regularly even though she didn't, and her dark, olive skin was nearly blemish-free. A mat of thick, lustrous dark hair with matching midnight eyes completed the picture.

The shower door opened, and Stephanie stepped out. She briskly dried her hair, totally unconcerned about her nakedness. For a moment, she bent over at the waist, allowing her hair to fall free as she frenetically rubbed it with the towel. Then she stood back upright, flipping her hair back in the process like a horse redirecting its mane. When she switched to drying her back with a provocative wiggle of her hips, her line of sight happened to catch Daniel's stare in the mirror. She stopped.

“Hey!” Stephanie exclaimed. “What are you looking at? You're supposed to be shaving.” Suddenly self-conscious, she wrapped herself in her towel as if it were a strapless minidress.

Initially embarrassed about being caught as a voyeur, Daniel quickly regained his equanimity. He put down his razor and stepped over to Stephanie. He gripped her shoulders and stared into her liquid-onyx eyes. “I just couldn't help but notice how sexy and absolutely alluring you look.”

Stephanie tilted her head to the side to get a view of Daniel from a slightly different perspective. “Are you all right?”

Daniel laughed. “I'm fine.”

“Did you slip back to the sitting room and polish off that bottle of champagne?”

“I'm being serious.”

“You haven't said anything like that for months.”

“To say I've been preoccupied would be putting it mildly. When I had the idea of founding the company, I had no idea that fund-raising was going to occupy one hundred and ten percent of my efforts. And now on top of it comes this political menace, threatening to destroy the whole operation.”

“I understand,” Stephanie said. “Truly I do, and I haven't taken it personally.”

“Has it really been months?”

“Trust me,” Stephanie said, nodding her head for emphasis.

“I apologize,” Daniel said. “And to show my remorse, I'd like to make a motion to change the evening's schedule. I propose that we move up the lovemaking and put the dinner plans on hold. Do I hear a second?”

As Daniel tried to lean down to give Stephanie a playful kiss, she pushed his still-lathered face back with just the tip of her index finger on his nose. Her expression suggested she was touching something remarkably distasteful, especially as she wiped the bit of lather from her finger onto his shoulder. “Parliamentary rules are not going to maneuver this lady out of a good dinner,” she remarked. “It took some effort to get those reservations, so the evening's plans hold as previously voted on and passed. Now back to shaving!” She gave him a spirited shove toward the sink, then stepped to the neighboring sink to dry her hair.

“Kidding aside,” Daniel yelled over the sound of the hair dryer when he'd finished shaving. “You do look fantastic. Sometimes I wonder what you see in an old man like me.” He patted his cheeks with aftershave lotion.

“Fifty-two is hardly old,” Stephanie yelled back. “Particularly as active as you are. Actually, you're pretty sexy yourself.”

Daniel regarded himself in the mirror. He thought he didn't look too bad, although he wasn't going to fool himself by imagining he was in any way sexy. Long ago, he'd reconciled himself to the fact that he was on the nerdy side of the equation of life, having grown up as a science prodigy since the sixth grade. Stephanie was just trying to be nice. He'd always had a thin face, so at least there was no problem with developing jowls or even wrinkles, save for some mild crow's feet at
the corner of his eyes when he smiled. He'd stayed active physically, although not so much over the previous several months, due to the time constraints of fund-raising. As a faculty member at Harvard, he'd taken full advantage of the athletic facilities, using the squash and handball courts regularly, as well as the rowing opportunities on the Charles River. His only real appearance problem as he saw it was the retreating hairline at the upper corners of his forehead and the thinning area of his crown, plus the salt-and-pepper silvering of his otherwise brown hair along the sides of his head, but there wasn't much he could do about all that.

After both of them had finished primping, dressing, and donning their coats, they left the hotel armed with simple directions to the restaurant obtained from the concierge. Arm in arm, they strolled several blocks west along M Street, passing a potpourri of art galleries, bookshops, and antiques stores. The night was crisp but not too cold, with a canopy of stars visible despite the city lights.

The maître d' at the restaurant led them to a table off to the side that afforded a degree of privacy in the busy establishment. They ordered food and a bottle of wine, and settled back for a romantic dinner. By the time the entrees had been served and they both had had fun remembering their mutual attraction prior to their ever having dated, they lapsed into a contented silence. Unfortunately Daniel broke it.

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