Danusa was what her father had once referred to as an eye-for-an-eye person, a believer in a vengeful God of many rules and little mercy. She’d joined the federal police in the expec-tation that the techniques she’d learn, and the contacts she’d make, would lead her to the murderers of her parents. She still hoped to find them, and if she did, she intended to kill them.
In the meantime, she fervently believed she was doing God’s work by cutting a broad swath through Brazil’s crimi-nal underworld. She had an extensive private collection of automatic and semiautomatic weapons and didn’t hesitate to use them when circumstances demanded—and sometimes when they didn’t.
Rosa Amorim, on the other hand, was an agent in her midforties and the mother of three, two teenage boys and a daughter of nine. People meeting her for the first time often took her for an innocuous housewife. She was anything but.
Rosa had black belts in three martial arts and a degree in criminal justice from the University of São Paulo. For years, Silva had been trying to get her to stand for the examination for delegado, and for years she’d been refusing. Her husband was a successful businessman. Money wasn’t an object for Rosa. Putting bad guys behind bars was. She kept telling Silva she wasn’t “management material.”
Rosa and Danusa were specialists in “street work,” the canvassing process that most agents found tedious, but at which both of them excelled.
Hector briefed them at ten o’clock in the morning. They were already waiting, with a preliminary report, when he got back from lunch.
Danusa kicked it off: “It seems logical that if there’s any substance to the theory of that namorada of yours—”
“She’s not my namorada, just a friend.”
“—we can limit our search to just a few hospitals and pri-vate clinics, all of them within a radius of about fifty kilo-meters from the Praça da Sé.”
The Praça da Sé is a square in the heart of São Paulo. The zero kilometer post, from which distances on all of the state’s highways are measured, stands in the center of that square.
“What if this place is completely clandestine?” Hector said. “What if it’s not registered as a hospital or clinic?”
“Possible,” Danusa said.
“But not probable,” Rosa said. “Concealing the fact that it’s a medical facility would be counterproductive, likely to attract even more attention. Better, we think, to admit to being a hospital or clinic and simply conceal the sort of thing that goes on inside. Fifty kilometers, because we’re assuming the killer—”
“Or killers,” Danusa put in.
“—or killers wouldn’t run the risk of transporting the bod-ies for any great distance before disposing of them.”
“Okay,” Hector said, “but why only a few hospitals?”
“Or clinics.” Danusa again.
“Or clinics,” Hector dutifully repeated. “There must be hundreds of them in this town.”
“There are,” Danusa said, “but well-to-do people wouldn’t be caught dead in most of them and when they are, they are.”
“Huh?”
“Dead. Anybody who’s alive, and possesses any money at all, is going to insist on the quality of care and treatment that can only be bought in a private hospital, someplace like the Albert Einstein or the Sirio Libanes. If they were, God for-bid, to wind up in a public hospital like the Clinicas, they’d be in there with the poor, getting poor people’s treatment.
And the well-to-do don’t want to put up with that,” Rosa said. “They tend to frequent very few institutions, places where they’ll be cosseted in accordance with their wealth and station.”
“Cosseted?”
“Look it up. Anyway, our point”—Danusa cast a glance at her partner, extracted a nod and turned back to Hector—“is that it’s only the well-to-do who could afford the kind of operation your namorada is talking about.”
“She’s not my namorada.”
“Babyface says otherwise. Babyface says—”
“I don’t care what Babyface says. Babyface doesn’t know squat. How do these rumors get started anyway?”
“Babyface started dating a doctor by the name of Sylvie Charmet. Sylvie’s a friend of your—”
“Enough about Babyface.”
Danusa looked hurt. “You did ask. You wanted to know how rumors get—”
“How many of these hospitals and clinics are there?”
“Eleven.”
“Only eleven in the whole city?”
“Only eleven in the whole city and in Guarulhos, Cotia, and the ABCD. Like I said, we’re going out to fifty kilome-ters from the Praça da Sé.”
The ABCD, as it was called, was composed of the adjoin-ing cities of Santo André, São Bernardo, São Caetano, and Diadema. All of them abutted the city of São Paulo on its southern border.
“Seems like damned few hospitals to me,” Hector said, dubiously.
“Taken as a percentage of the whole,” Danusa said, “there are damned few rich people in this city.”
Chapter Thirty-three
THEY WERE ALONE NOW, alone for the first time, the mother, the father, and their baby.
A light pulsed on the heart monitor next to the baby’s crib, every pulse accompanied by a high-pitched beep. His lips, rose-colored in the first few hours after birth, had taken on a bluish tinge. Sweat soaked his hair. His breathing was labored.
Clovis Oliveira flinched when the readout jumped from 136 to 137 beats a minute. He half expected to hear com-motion in the hall, someone rushing toward him from the nurses’ station. They had some kind of alarm down there, an alarm to warn them if Baby Raul’s vital signs turned critical.
But there was no commotion in the hall, only the normal sounds of the hospital: a muted conversation, the buzzing of a fluorescent light, the distant ping of an elevator.
Clovis put out a hand. His son’s forehead, barely two fin-gers in breadth, was moist and hot to the touch. Clovis tried to focus his mind as he’d seen the tribal healers do, tried to send energy from his body into Raul’s, tried to slow his baby’s heartbeat.
It didn’t work. The readout didn’t budge. Withdrawing his hand didn’t make any difference either. The monitor remained constant at 137.
Raul had fallen asleep again. He slept almost all the time. He had to. He needed all of his strength just to stay alive.
Clovis couldn’t bear to watch him anymore. He turned his back on his son, walked to the window, and leaned his fore-head against glass cooled by rainfall lashing the other side of the panes. It was coming down hard, the kind of rain that drenched São Paulo almost every day in summer, but rare in this month of June.
Morumbi Stadium, the skyscrapers of Avenida Paulista, the blue-gray bulk of the Serra da Cantareira, all were gone, van-ished behind a veil of falling water. On the street below, cars were creeping by, immersed to their hubcaps by the sudden flood. A long roll of thunder momentarily overpowered Ana Carmen’s voice. Then the thunder was gone, and he could hear her saying the same words over and over again as she fin-gered the beads of her rosary. She lay on the bed, covers tossed aside, her hair in disarray, staring at the ceiling. The grief on her face made her look far older than her twenty-eight years.
Clovis leaned back from the glass, took out the paper Dr. Levy had given him, and stared at it. There was a telephone number, nothing more. No name, no address. He took his cell phone from his pocket and walked out into the hallway to make the call.
BY THAT time, the nightmare was sixty-two hours old. A nightmare that weakened when he snatched a few hours of sleep, returned with renewed force when he awoke. It had begun in the delivery room, just after Ana Carmen had given birth. It had begun, more properly, with the arrival of Dr. Dirceu Amaral, one of the house pediatricians.
Amaral, an outgoing fellow in his early forties, had arrived to examine the new baby, Clovis and Ana Carmen’s first. He gave Clovis a firm handshake and smiled at a weakened but beaming Ana Carmen. He was still smiling when he applied his stet
hoscope to the baby’s chest, the disk huge against Raul’s tiny rib cage.
But then the smile disappeared. He whipped the earpieces from his head, ordered an immediate electrocardiogram, and paged Dr. Jacob Levy, a cardiovascular specialist.
Levy arrived within three minutes, even before they had the electrodes in place. He hung over the machine, analyzing the results as the paper emerged. Then he and the pediatri-cian went into a corner and started conferring in low tones.
After that, things happened fast. Raul was carried off. Ana Carmen was given a sedative and wheeled to her room. Clovis was shown to Dr. Levy’s office and asked to wait. He took a seat on a couch between two end tables. Ten minutes later, a middle-aged woman in a blue pants suit came in with a stack of forms.
“What’s this?” Clovis said.
“Just some authorizations,” she said. “You sign here, here, and here.”
Clovis read the paper on the top of the stack and balked.
“You’re asking me to authorize you to cut his chest open?” he asked in disbelief.
The woman shook her head and put a motherly hand on his shoulder. “Only a precaution,” she said. “In very rare cases, something goes wrong. And if it does, we have to get at the heart quickly. There’s little chance of that. Dr. Levy’s the best, but the insurance people insist—”
“What’s going on? What’s wrong with him?”
She extended a pen. “Dr. Levy will come and talk to you as soon as he’s finished.”
“No. Now. I want to talk to him now.”
“You can’t. He’s with your son. Please, sign the papers.”
Clovis shook his head.
The edges of the woman’s mouth took on a stubborn set.
“We have no time for this,” she said.
“But—”
“Doctor has to do a cardiocath, and he has to do it now.
What’s a cardiocath?”
“It’s no big deal. We do it all the time. Now if you’ll just—”
“What is it? I have a right to know.”
She gave an exasperated sigh. “It’s a procedure,” she said. “Doctor makes a small incision in his leg, then slides a tiny tube, called a catheter, through his veins until it reaches his heart.”
“Through his veins?”
“Through his veins. That way it isn’t necessary to open his chest to have a look.”
“A look at what?”
“After the catheter is in place, doctor injects a dye. He uses the catheter to take samples and blood pressure meas-urements and uses a fluoroscope to photograph the dye as it moves through your baby’s circulatory system. The sooner he has the results, the sooner he’ll be able to come back here and give you his diagnosis.”
“But he must already have some idea. What does he think the problem is?”
“I couldn’t say.”
“Can’t or won’t?”
Again, she shook her head. Again, she held out the pen. This time, Clovis took it.
“Here, here, and here,” she said.
When he’d finished scrawling his signatures, she gathered up the papers and hurried away without another word.
THERE WERE magazines on the end tables. One of them was Gente, a magazine that Ana Carmen never admitted to buying, but always seemed to be lying around the house. He picked it up and leafed through weddings, divorces, betrayals, and scan-dals until he came to an article about the bourgeoning love affair between a starlet in the current hit novela and a rapper.
He moved closer to the light and read the first paragraph without absorbing a thing.
He started again at the beginning and finished with the same result.
After that, he just sat there, the magazine on his lap. He wasn’t a religious man, but once or twice in the course of the next two hours he prayed.
When the door finally opened again, he sprang to his feet. It wasn’t Dr. Levy. It was the same middle-aged woman.
“He’s with your wife,” she said. “You’re to go upstairs and meet him there.”
Clovis brushed past her, hurried to the elevator, pushed the button, got tired of waiting, bolted up the stairs.
DR. LEVY’S diagnosis was dilated cardiomyopathy.
When he gave it to them, Ana Carmen, despite the fact that she’d been mellowed by the sedative, bit her lip so hard it turned white.
Clovis asked the question, “Dilated cardio what?”
“Myopathy,” Levy said. “The myocardium is the heart muscle. Cardiomyopathy is when the actual muscle cells are sick.”
Ana Carmen clenched a hand in front of her mouth, as if she were about to stifle a cough.
“Is it . . . life threatening?” Clovis asked, glancing at his wife, then back at Levy.
“I’m sorry,” Levy said.
Ana Carmen started to cry. She’d apparently been doing a lot of that in the course of the last two hours. The area around her nostrils was red and raw. She snatched up a crum-pled paper handkerchief from the bedside table, gently blot-ted her nose, and studied the tissue for signs of blood as the tears rolled down her cheeks.
“I have him on four medications,” Levy said. “Captopril, digoxin, Lasix, and atenolol. The captopril will dilate his arteries and reduce the strain on his heart. The digoxin will improve the pumping function and combat arrhythmia. Lasix is a diuretic, to reduce fluid buildup in his lungs. The atenolol will help to control his blood pressure.”
Clovis didn’t care about any of the medical mumbo jumbo. He cut to the chase. “Will any of that stuff cure him?”
Levy took a deep breath. “No,” he said, “but it will help to keep him alive.” He didn’t add the words for a while. He didn’t have to. “There’s no repair. Raul’s heart just isn’t strong enough. The only way to save him is with a heart transplant.”
In the silence that followed, Levy opened a file he’d been balancing on his lap. Clovis suspected that consulting what-ever was in there was pure theater, that the doctor was only doing it to avoid their eyes.
“That having been said,” Levy went on, “the rest of my news isn’t bad. There are no other complications. It’s just the heart itself. The five-year survival rate for transplant patients is over 75 percent. It’s true he’d have a lifelong dependency on certain drugs, but if he had a transplant—”
“What do you mean, if?” Clovis interrupted. “Didn’t you just say there’s only one option? Of course, he has to have a transplant. No ifs about it.”
Dr. Levy raised his eyes and looked at Clovis.
“It’s not that simple. Finding a heart is . . .” He sought for a suitable word and finally settled on “difficult.”
“Difficult?”
Dr. Levy nodded.
“He needs a heart from a healthy baby. They’re very rare. Raul will have to go on a waiting list, first come, first served. It takes . . . time.”
Time.
Dr. Levy paused to let the word sink in.
Time was running short for Raul; he’d as much as told them that.
“We’ll take him abroad,” Ana Carmen said, speaking quickly, her voice sliding up the scale toward hysteria.
Dr. Levy shook his head.
“The shortage is universal. All countries give preference to their own citizens.”
“Are you telling me,” Ana Carmen said, “that, with all the infants who die in this country, every single day, my son could still lose his life because there are no available hearts? Are you telling me those hearts are just cast away, disposed of as if they were garbage?”
There were still tears on her cheeks, but she wasn’t crying anymore. Now, she was angry.
Her husband reached out and put his hand on her fore-arm. She pulled it away and sat glaring at the doctor.
Clovis intervened. “And there’s no way we could obtain preference? No way we could move him to the top of the list?”
Dr. Levy shook his head.
Clovis looked at his wife.
Ana Carmen was staring at the wall, her
shoulders slumped, her anger suddenly dissipated.
The doctor studied her, ran a hand through his thinning hair, and then used the same hand to rub his chin. Then he nodded, as if he’d made a decision. He put a hand into the pocket of his green medical scrubs and took out a single slip of paper.
“This . . .”—he swallowed and began again—“This will put you in contact with a man who might be able to help.”
Clovis studied the paper: eight digits in black ballpoint; typed not written, no city code; a São Paulo telephone num-ber. He opened his mouth to say something, but Levy held up a hand to silence him.
“I had a patient once,” he said, “a friend of my mother’s. Like your son’s condition, hers was critical. Unlike him, she was too old, and too sick with other maladies, to get an organ through conventional means. She was also a very wealthy woman.”
“What are you telling me?”
“I’m telling you that she couldn’t possibly have survived for more than six months with her heart in the condition it was. But then she went away for a while, and when she came back, she was . . . much healthier. She stopped consulting with me after that. We’d had an excellent relationship, but I couldn’t get her to come in for an examination. It made me curious. She lived on for almost five years, and when she died it was cancer that killed her, not heart failure. I went to her funeral. I spoke to her son.”
“I don’t understand—”
“That’s all I’m going to tell you, except for this: the man whose telephone number is on that piece of paper runs a pri-vate clinic. As a doctor, it would be unethical of me if I were to suggest that you explore . . . other sources. But, if Raul were my son, I’d call that man. His name is Bittler, Dr. Horst Bittler.”
Chapter Thirty-four
“REMEMBER THAT COUPLE, THE Portellas?” Hector asked.
The telephone connection was, for once, a good one. Silva could even hear the rumble of traffic on the street in front of Hector’s office.
“The ones who turned in that complaint about a missing family,” he said. “You bet I do.”
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