by Jodi Picoult
CORONER’S REPORT
CAUSE OF DEATH: HANGING
MANNER OF DEATH: SUICIDE
Significant associated findings:
Recent childbirth, at or near term.
EXTERNAL EXAMINATION
External exam: The body is that of a well-developed well-nourished white female who appears the stated age. Hair is blond. Irides are brown. Pupils are equal and measure 6mm each. The body measures sixty-two inches in length and weighs 124 pounds. No scars are identified. There is moderate rigor. Moderate livor is noted in the hands, forearms, feet and legs. There is slight livor noted on the back of the trunk.
The eyes are prominent. A 2 cm red groove is noted in the neck, more prominent anteriorly. It extends from just above the level of the thyroid cartilage to the level of the ears. Petechiae are noted in the skin above the groove. Bloody mucus exudes from the mouth and nares. The tongue is protuberant and the protruding tip is dusky and dry. Linear scratch marks are noted in the skin of the neck.
Examination of the thorax reveals the breasts are engorged. No ecchymoses are identified.
Examination of the abdomen reveals a protuberant abdomen with striae noted. The uterus is palpated four inches above the pubis.
Examination of the extremities reveals multiple ecchymoses on both shins and wrists.
INTERNAL EXAMINATION
The body is opened through a standard Y-incision. The thoracic and abdominal viscera are in their appropriate positions. There is no measurable pleural or peritoneal fluid. Examination of the neck reveals no evidence of fracture of the thyroid cartilage or hyoid bone. There are ecchymoses only underneath the externally noted groove.
The right lung weighs 300 grams and the left lung weighs 280 grams. There is minimal congestion in the posterior aspects of the lower lobes bilaterally. The heart weighs 350 grams. No abnormalities are identified.
The liver weighs 1200 grams and on sectioning it contains 600 cc of liquid blood. The liver otherwise shows mild nutmeg appearance. The pancreas, gallbladder, and biliary tree are unremarkable. The spleen weighs 100 grams. It is unremarkable externally and on sectioning. Examination of the stomach reveals a small amount of partially digested food. No pills are identified. No abnormalities are noted in the intestines.
The kidneys, ureters, and bladder are normal in location and contour.
The uterus weighs 450 grams. The endometrial lining is thick and hemorrhagic. The wall measures 2 cm in thickness. Examination of the ovaries reveals a 2 cm corpus luteum in the right ovary. The left ovary is unremarkable.
The abdominal aorta and vena cava are unremarkable. There is minimal postmortem hemorrhage. Examination of the brain and spinal cord shows no significant gross abnormalities.
MICROSCOPIC EXAMINATION
Sections of the ecchymotic area over the right flank show small numbers of segmented neutrophils around the extravasated red cells. Sections of the lungs show mild congestion and edemA. There is no evidence of pneumoniA. Sections of the liver hematoma confirm the gross impression of blood without significant organization. Sections of the other viscera are unremarkable.
“Translate for me, Wesley,” Eli said. He sat on the porch of the old man’s house, holding a sweating glass of lemonade. Watson had turned himself into an area rug beneath the hanging cedar swing.
Wesley Sneap had been the town doctor back when there were town doctors—and by default, the county coroner until 1985. The coming of HMOs, plus a shaking scalpel hand, had pushed Wesley into retirement. However, he still kept a microscope and makeshift lab in his basement. And sitting on a sideboard in his parlor was his old black medicine bag, just in case someone should call for assistance.
“Well,” he sighed, “she was hanged, all right. You could see it in her face, and in the way she scratched at her neck.”
Eli leaned forward, hands clasped. “What else?”
The doctor skimmed the report again. “Lot of the notes just confirm a recent delivery of a baby . . . the thickness of the uterus, the colostrum, the size of the heart. Oh, and she had a fight with someone a few hours before the hanging. There are bruises on her shins and her wrists, but only the wrists show inflammation in reaction to the injury. The bruises on her shins don’t, because she died before there was time for a cellular response. Probably was kicking like the devil to get free.”
“What was the time of death?”
“Let’s see.” Wesley frowned. “Nothing in her stomach, but then again she was busy giving birth. We can guess the hanging interval though . . . it was long enough for there to be livor—blood pooling, that is—in the legs and lower arms . . . at least four or five hours. But she wasn’t hanging much longer than that, because it would have been fixed. Instead, there was some redistribution of blood to the back of the trunk after she was cut down.”
“The husband told the cops he cut down the body around ten-thirty in the morning . . . but that the killer came into the house in the middle of the night.”
Wesley shook his head. “Doesn’t fit. Based on the autopsy report, if she was cut down at ten-thirty in the morning, then she was hanged at around six A.M.”
“What if she was hanged in the middle of the night?” Eli asked.
“Then she was cut down by six or seven A.M. Otherwise, the livor would have been fixed and wouldn’t have redistributed to the back of the trunk.”
He picked up one of the slides that had been tucked into the autopsy report, holding it up to the light. “Huh.”
“What’d you find?”
“Well, the old ME mentioned a bruise on the right flank, and then he talks about a liver hematomA. He seems to have chalked those up to some physical traumA. See here, when he talks about that nutmeg liver? He thought they were expanded blood vessels, from right-sided heart failure.”
“So what?”
“Imagine it like a backed-up drainpipe: when the heart isn’t working well, everything jams up in the liver. But she died instantaneously . . . and there wouldn’t have been time for this kind of reaction.” He squinted at the slide. “Come downstairs with me. I want to take a closer look.”
Eli followed Wesley down to the basement. Where most men had a workshop or an exercise room, Wesley had a stainless-steel examination table and a counter full of instruments and microscopes. “I remember this case,” he said, pulling stain from a shelf. “When I came to Comtosook in 1943, folks still talked about it. In fact, I can recall how teenage boys used to hide in the woods at the Pike place on Halloween night, so that they could live to tell about it in the halls of the school the next day.”
“Yeah? What did they say?”
“Not much, come to think of it. They’d go out there as a dare, and come back quiet as church mice. I once treated a fellow, a football star, who couldn’t speak for the whole month of November. Had him go to Boston, to have his larynx checked out by a hoity-toity specialist and everything.”
“What was wrong with him?”
“Not a thing, physically. Started talking again one day as if there’d never been a problem.”
“You think something happened to him at the Pike property?”
Wesley shrugged. “I think things can happen to a body that never make it to the medical books. Like how grief can kill you, or how falling in love can give you the bed spins. I never thought that boy had any damage to his vocal cords, no matter how many fancy tests those city doctors sent him for. And I was right all along—that’s what had come of swallowing sadness.” He slipped the slide beneath the microscope and sucked in his breath. “Aha.”
“What is it?”
“Fibrin deposition within the periportal sinusoids, and microscopic areas of hemorrhage. And coagulative necrosis in the periportal hepatocytes.”
“Jesus, Wesley. English.”
Wesley took off his glasses, then rubbed his eyes. “Preeclampsia is a serious complication of pregnancy. It gets even more serious when it causes the HELLP syndrome—that’s short for hemolysis, elevated liver enzyme
levels, and a low platelet count. They’ve only been diagnosing it for about twenty years—and it’s treatable, now that they know what it is. But back then, it was a different story . . . and could escalate quickly. It looks to me like this liver hematoma developed as a result of the HELLP syndrome . . . not the knocking around your old medical examiner seemed to think.”
“Does that affect my investigation?”
The doctor shook his head. “Not really. It just means that if Cissy Pike hadn’t been hanged, she probably would have died of natural causes within a couple of days.”
Spencer Pike’s skin had gone a dull shade of yellow, like rotting parchment. Tubes piped oxygen into his nose. He watched Eli start his tape recorder with the disappointment of a man who knew he had limited time left on this earth and was not willing to share it with a stranger. “Last I heard, it wasn’t a criminal act to sell a piece of land that belongs to you.”
“It isn’t,” Eli agreed. He glanced at the other residents of the home sitting in this cafeteria, eating an unidentifiable lunch best suited to a mouth without teeth. “I wonder, though, what made you decide to sell at all.”
Pike chuckled. “I just want to be able to continue to live in the sumptuous style to which I’ve become accustomed. You can tell those Gypsies that it’s mine, Detective. If I want to set up a carnival there, I have the right to do it. If I want to donate it to white supremacists, I can. And if I feel like letting some fool developer give me cash for it, instead of waiting for the state of Vermont to take it as part of my estate when I’m gone, then that’s my prerogative too.”
Eli realized two things at that moment: Spencer Pike thought he’d come to smooth out relations with the protesting Abenaki, and Spencer Pike did not realize Eli was part-Native American. He seized on this. “It sounds like you’ve had some run-ins before with the Abenaki.”
“Damn right I have! One of them killed my wife.”
“Yes, that’s what it says in the police report. That must have been very difficult.”
“She was the love of my life. No one should have to bury his wife and his baby the same day.”
“I understand their graves are on the land?”
“Yes.”
Eli tipped his head. “Not at the church cemetery? Years ago you were quite active in the Congregational assembly . . .”
“My daughter was stillborn,” Pike said. “And my wife was dead. I . . . wasn’t ready to let them both go. I wanted them in a place where they could find me, and I could find them.” He turned away, but not before Eli noticed that he was crying.
Nowhere in the original police report was there any mention of the infant’s body. Eli had read this and counted it up to sloppy police work—any self-respecting medical examiner would have conducted an autopsy. On the other hand, if an influential rich man called in to report his wife’s homicide, the last thing an officer was going to want to do was cause him any more suffering. If Pike said the baby had been stillborn, they would take his word for it.
People see what they want to see, Eli knew, and police officers were no different. “You found her,” he repeated.
“I was the one who cut her down. I knew enough to realize that you folks would want to see the way . . . it had been done. But I couldn’t stand to see her like that. It looked like . . .” His voice trailed off. “It looked like she was in pain.”
“What about her father?”
“Harry? He lived on the Hill. He was in Boston at a conference and came home immediately. Never was the same after Cissy was killed . . . drank himself to death two years later.”
He was in Boston. Which ruled him out as a suspect. “Did you see a step stool anywhere?” Eli asked. “Something that your wife might have climbed up on by herself?”
“My wife was murdered,” Pike corrected, his voice dry as flint. “If she committed suicide, then she must have flown up to the rafter—it was ten feet off the ground, and there was nothing for her to stand on to reach it.”
Eli met the old man’s gaze dead on. “I’m just trying to understand what happened, Mr. Pike. With all of the controversy surrounding the sale of your land, we’ve had some new leads regarding Gray Wolf. As far as I’m concerned, this case wasn’t solved to my satisfaction.”
“Mine either.”
Eli waited, aware that silence could exert the strongest pressure, but Pike confessed nothing. A nurse approached, smiling. “Time for physical therapy.”
Eli put his hand on the wheelchair. “Do you have any idea where Gray Wolf might have gone after that night?”
Pike shook his head. “But if you’re looking for him now, Detective, you might as well start in hell.”
Eli stood as the old man was wheeled out. He waited until the nurse turned the corner with the wheelchair, until the other residents seemed to have nodded their heads into the mush on their plates. Then he removed a pair of latex gloves from his pocket, opened up a Ziploc bag he’d taken from home, and plucked the old man’s water glass off his tray.
In Comtosook, things started returning to normal. Clocks that had stopped running at the stroke of midnight weeks earlier began ticking again; the swings at the playground no longer moaned when a child sat down; butterflies that had gone gray bled with fresh color. Cautious mothers crept out of the house and let their toddlers play on the sidewalks. The glowing beetles that had infested the birch trees near the town offices vanished. Images that had slipped right off the paper in photo development shops now stuck fast, proof of change.
But the local undertaker, who had grown accustomed to finding one perfect peony inside the mouths of his clients, still checked behind their lips and teeth out of habit. Abe Huppinworth swept the porch of the Gas & Grocery every morning although it was bare as a bone. Middle-aged businessmen who, of late, had overslept on the tails of dreams now woke to their alarm clocks and pulled the covers over their heads, as if finding fantasy might be that simple. And in general, the residents of the town wondered why they all felt hollow just beneath the throat, the result of missing something they had never been able to name in the first place.
Shelby barely made it out of the attorney’s office before running to the bushes and vomiting. Afterward, she wiped her mouth on a Kleenex and sank to the curb, berating herself. Having a will drawn up was perfectly normal, something any adult would do at a given point in her life, especially when she had a son.
Except Shelby knew, for a fact, that the estate and its entirety that she had just signed away to Ethan would never be his.
Shelby had gone into labor in the middle of a thunderstorm. Thomas drove to the hospital in their old convertible, the one with the top that got stuck when open and was stuck even then, so that on the highway ripped with contractions, she found herself being soaked. When they took her newborn and placed him on her chest, boneless and sticky as a tree frog, Shelby could not tear her eyes away. “Look,” she had said to Thomas, over and over. “Have you ever seen anything like him?”
Ethan had been the most beautiful boy. Strong and dark-haired, with the fists of a fighter and eyes as pale as turquoise, he turned heads from the moment Shelby brought him home. “That,” people would say, stopping her on the street, “is a perfect baby.” Ethan’s defects, it turned out, were the ones you could not see.
The first time he’d been badly burned by the sun, he was six weeks old. Thomas and Shelby had been living in New Hampshire at the time, near the shore, and drove out to the Plum Island Bird Sanctuary in October, when no one was on the beach. On this long, desolate stretch of sand, with seagulls stealing their crackers, they lay a sleeping Ethan down and kissed, their hands moving beneath each other’s sweaters and their hair going stiff with the salt in the air. “I feel like a high school kid,” Shelby said when Thomas unbuttoned her jeans and slipped his hand between her legs. And Thomas had laughed. “High school kids don’t own infant car seats,” he’d answered.
Lost in each other, they hadn’t noticed the alarming mulberry of their baby’s skin
, deepening under the eye of the sun. They did not realize that what they thought was a rash might actually be blisters. And late that night, when not even cool compresses could soothe a screaming Ethan, Shelby understood that this moment was only the beginning.
The doctors had never been able to tell her whether it was her DNA or Thomas’s that carried this fatal flaw, but to Shelby, it wouldn’t have mattered anyway. She assumed that Ethan’s condition was her fault, and because she had not prevented it, she would spend the rest of her life trying to make up for her shortcomings.
Nobody could tell her how long Ethan had left. She asked the dermatologist at every visit, and each time he said that it depended on how much damage had been done to Ethan’s skin before his diagnosis—every minute he’d been outside and uncovered as a baby might have stripped days off his life. Shelby imagined cancers like jellyfish that slipped through the sea and sometimes rose to the surface—you knew they were there, and were dangerous, even if you could not see them at first sight.
How on earth did you lower your baby’s body into the ground and then keep on living?
Shelby buried her face in her hands. Her pocketbook strap fell to the side. In spite of this crisp new will tucked into her pocketbook, it was not Ethan who would sort through her china, her photographs, her old love letters. It was Shelby, who would fold small shirts into smaller squares to pack up to Goodwill, who would open the windows of his bedroom and let free the smell of him until anyone at all, and not this incredibly special boy, might have lived there.
She heard the growling approach of a vehicle, but didn’t look up. In the first place, she was a mess. In the second, she had precious few places where she was allowed nervous breakdowns, and if she used a public street to do so it was no one else’s business. The windows of the car were open; she could hear the twang of a guitar on the radio.