by Ken McClure
Dust to dust
( Steve Dunbar - 8 )
Ken Mcclure
Ken McClure
Dust to dust
For dust thou art and unto dust shalt thou return.
Genesis 3:19
ONE
‘But this is crazy. Are you absolutely sure?’
‘Yes, sir, I’m afraid there’s no doubt. The test results were absolutely crystal clear.’
While clinics and consulting rooms in the public domain tend to look the part, with equipment and medical paraphernalia much in evidence and the smells of antisepsis lingering in the air, those in the private sector strive for the opposite. Sir Laurence Samson’s consulting rooms in Harley Street were very much the model of English town-house furnishing at its best, giving well-heeled patients the assurance that money and privilege would help with medical care as it had in all other areas of their lives.
‘Christ,’ said the young man, sinking down into a leather armchair as if he’d suddenly lost the power of his legs. ‘You’ve just sentenced me to death, Samson.’
Sir Laurence maintained an uneasy silence.
The young man rubbed his forehead, as if subconsciously trying to erase the terrifying implications of the news he had been given. ‘How long have I got?’
Samson attempted a calming gesture with his hands. ‘Let’s not dwell on that, sir. These days, with appropriate drugs and careful monitoring, the onset of major symptoms can be delayed considerably.’
‘But in the end… it’s going to get me, right?’
‘There is no cure, I’m afraid.’
The young man stared into the abyss for fully thirty seconds.
‘Would you like a glass of water, sir?’
‘Fuck water, Samson, I need a drink.’
Sir Laurence thought for a moment, as if wondering whether or not to comply, before getting to his feet and walking over to a writing bureau which he opened to reveal a drinks cabinet. He poured a generous measure of neat malt whisky into a crystal tumbler and handed it to the young man.
‘You’re not joining me?’ asked the young man accusingly. ‘Is this the start of the journey down that long and lonesome road? Your doctor no longer drinks with you?’
‘I still have other patients to see, sir.’
‘Of course you have, Samson,’ the young man conceded. ‘Christ, what’s my father going to say? This could kill him.’ He swirled the contents of his glass one way and then the other. ‘Of all the… Jesus Christ, what rotten luck. You won’t tell him, will you?’
‘I’m duty bound, of course, to keep whatever passes between us confidential, sir. But, if I may offer an opinion, I’d advise you to confide in him as soon as possible. The repercussions for you and your family are… well, I need hardly point that out to you.’
‘Fucking enormous,’ said the young man with an air of resignation, taking a last gulp of the whisky in search of some escape from the accusing arrows flighting into him. ‘What are the chances of you chaps coming up with a cure in the near future?’
‘Not good, sir, I’m afraid. I attended a conference on the subject three months ago and the general consensus was that we are no nearer that today than we were at the outset.’
‘Don’t beat about the bush, will you?’ murmured the young man.
‘I’m sorry, sir, but I don’t see the point of false optimism. There are those who might take a different view, but their motives usually have more to do with the attraction of research funding than anything else.’
‘I suppose I should be thanking you for levelling with me, Samson, but I find myself desperately in need of something other than plain unvarnished truth right now,’ said the young man, swallowing and sniffing — just the once — as he fought with his emotions.
Samson gave a sympathetic nod. ‘We should start you on the drugs I mentioned as soon as possible.’
The young man nodded and put down his glass, declining the offer of another with a shake of the head. ‘I’ll be in touch soon.’
‘And your father, sir?’
‘I’ll inform him… once I’ve had a bit of time to come to terms with it myself.’
FOUR DAYS LATER
Sir Laurence Samson had explained to a female patient that tests had shown that she would be unlikely to conceive in the normal way, and was starting on an explanation of the alternatives when the phone on his desk rang. He picked it up, snapping, ‘I specifically asked not to be disturbed, Eve.’
‘I really think you should take this one, Sir Laurence,’ the receptionist said calmly.
‘Very well,’ said Samson, already regretting having snapped at the woman who had been with him for six years and wouldn’t have dreamt of interrupting without good cause, but he was on edge; he had been for the past four days. He offered an apologetic smile to his patient, then stiffened when he heard the voice. ‘Yes, sir, it is.’ He silently took in what was being said, aware of his patient’s gaze and trying not to betray any emotion. ‘Very well, sir, I take it you’d like me to come there?… Fine. Tell the driver I’ll be at the Harley Street address… I’ll see you at eight this evening.’
8 P.M.
Samson felt nervous, which for a man so used to being in control was an unusual experience, but his surroundings would have been intimidating to most. He felt as if he’d been thrust on to a stage in a starring role without full knowledge of the script or any real desire to be in the performance. He’d even had to wipe his palm free of moisture by surreptitiously reaching into his trouser pocket and scrunching up a tissue before shaking hands with his unsmiling host when he entered.
The formalities were brief; Samson declined the offer of refreshment.
‘I think we should cut to the chase, Sir Laurence. My son has told me everything. God, what a mess.’
‘It is most unfortunate, sir, but I’m afraid viruses are no respecters of…’ Samson was about say wealth and privilege but thought better of it and settled for ‘persons’. The stare he received in reply was not filled with understanding.
‘I’m glad he confided in you at this early stage, sir,’ Samson continued. ‘It couldn’t have been easy for him given the circumstances, but I feel duty bound to remind you at the outset that, as my patient, I’m still not at liberty to…’
‘Yes, well, let’s not bother with all that Hippocratic oath stuff,’ Samson’s host interrupted with a dismissive wave of the hand. ‘It sounds like a tired line from a film. I don’t want to discuss any of the details of the condition. I just want my son cured. I want him well again. I need him to free himself of this… thing and resume the course of his life.’
Samson swallowed, an act made more difficult by the fact his mouth had gone dry, but he was thrown by the unexpected lack of rationale in what his host had just said. He found himself stammering, ‘I’m sorry, sir… while it’s perfectly possible to achieve a considerable period of… remission, if I can put it that way, a cure is simply not possible… at this stage at least… although of course advances in medical science are being made every day…’
‘I’m told that a cure has already been achieved.’
Samson felt that the stare he was being subjected to was some kind of examination and one he was bound to fail. When the silence became unbearable, he decided to blink first. ‘I’m sorry, sir, I don’t think I understand… I appear to be unaware of the advance you refer to…’
‘Since receiving this bloody awful news, I’ve been making enquiries — discreet enquiries — and I’ve been told that a cure for the condition is no longer outside the realms of possibility. There is apparently a valid alternative to simply lying down and accepting one’s fate.’
Alarm bells rang in Samson’s head on hearing the word ‘alternative’. He feared he wa
s about to be drawn into the world of complementary medicine, something he had little time for, believing its so-called ‘therapies’ to be either bogus or, at best, variations on the placebo effect. ‘Really, sir?’
‘As pioneered in Berlin.’
‘Berlin?’ echoed Samson, before suddenly realising what his host was referring to. ‘Ah,’ he said, looking down at his shoes as if not entirely pleased with the direction the conversation was moving in. ‘I think I do recall something about the unique case you’re referring to, sir.’
Samson’s host was clearly annoyed at Samson’s perceptible lack of enthusiasm. ‘What is it about you medical people?’ he demanded. ‘You’re so bloody conservative when it comes to anything new. Well, what do you think? Was a cure achieved or wasn’t it?’
‘I’m not exactly au fait with all the details of the case, sir, although of course I did read the reports. I would, however, say that
… sometimes unusual medical procedures are carried out on patients who are believed to be beyond help.’
‘Are you suggesting this patient was used as an experimental animal?’
Samson threw up his hands in horror. ‘Far be it from me to criticise the decisions of European colleagues. As I understand it, it was a one-off, carried out on a patient who was already facing a poor prognosis for other reasons. It was a very risky course of action and could perhaps only be justified by another condition the patient was suffering from. It was a very long way from being a routine procedure; it’s doubtful whether it ever could be.’
‘My son is a very long way from being a routine case, Sir Laurence.’
‘Indeed, sir.’
‘The importance of his being able to father healthy children at some time in the future cannot be overstated.’
‘Yes, sir.’
‘Can it be done?’
Samson hesitated, clearly unhappy at being unable to dissuade his host from the course he was set on. ‘It’s theoretically possible, I suppose, if a perfect donor were to be found and everything else were to go like clockwork. The conditions, of course, would have to be ideal… but I feel I must stress that the preparations for such a procedure would demand a very great deal of the patient. It has the potential to be a catastrophic undertaking…’
‘And the alternatives to this potentially catastrophic undertaking, Sir Laurence?’
‘Point taken, sir,’ Samson conceded.
‘Then set it up. I’m putting my son’s health in your hands. I want him cured and I want it done in complete secrecy. No one must ever know of this.’
Samson shook his head and gathered himself for one last attempt at changing his host’s mind. ‘I said it was theoretically possible, sir,’ he said. ‘But the practical difficulties involved in setting up such an operation and keeping it a secret are just too…’ Words failed him, and he lapsed into silence.
‘I’m well aware you can’t do this alone, Sir Laurence. I’m not a complete idiot. To that end I have approached a group of trusted friends, people in positions of power and influence. They will provide you with all the resources and help you need. You only have to ask. Well, what do you say?’
‘I think I need time to think it over, sir.’
‘Call me tomorrow.’
TWO
A gold carriage clock on the marble mantelpiece chimed the hour, the only thing to break the prolonged silence in the room apart from the almost imperceptible rumble of London traffic outside the double-glazed windows on a grey day in February.
‘I thought we should all meet with Sir Laurence to discuss exactly what it is we have been asked to do and to make sure we all understand exactly what we are getting into,’ said the owner of the Belgravia house. ‘There will be no official sanction for what we’re doing, no committees or advisory bodies to call upon, no spreading of the blame should things go wrong and no overt rewards if they don’t. We will be and must remain the only people ever to know about this mission, apart, of course, from the man who has called upon our friendship and loyalty.’
The others in the room nodded their understanding.
‘Can we be certain it will work?’ asked a clearly nervous man, whose unease had caused him to break the pencil supplied with the pad in front of him. Like the others, he wore a dark suit, the uniform of the city, although the ties that some wore belied anonymity to varying extents. The question was put to a silver-haired man whose neckwear bore a snake and staff motif, proclaiming his link to the medical profession.
‘No,’ he replied. ‘Sir Laurence and I agree: there can be no guarantees. The main element of the procedure is a risky business at the best of times — without taking into account the reason for it in this case — but, given the circumstances, it’s almost certainly the only chance we have of… rescuing the situation.’
The man at the head of the table — a Cambridge graduate by his tie — gave a slight smile at the euphemism but added, ‘And the only chance we have of preventing a monumental scandal.’
‘Aren’t we jumping the gun here?’ said the nervous man. ‘I mean, we seem to be going for broke before we’ve even considered the alternatives…’
‘There aren’t any,’ said the Cambridge man, adopting an expression that seemed to suggest this was the reaction he’d been expecting from the nervous man. He looked down at the table as if willing the time to pass. Although bound in this instance by a common friendship, the two men had little time for each other, being poles apart in terms of personality and outlook. The Cambridge man was positive and self-confident to the point of arrogance while the nervous man was prone to analyse everything in great detail and was seen as caution personified.
‘It would not be easy, of course,’ continued the nervous man, ‘but surely the risks involved in what you are proposing are just too great to contemplate? I think that, with decent PR and sensible management, the storm could be weathered. History suggests-’
‘Times have changed’, interrupted the Cambridge man, ‘and so have people. This includes their perception of many things we might have taken for granted in the past. Had there been a feel-good factor abroad in the country at the moment, well, who knows, but the global recession, rising unemployment, sterling hovering on the brink — even the bloody weather’s been conspiring against us this winter. Something like this coming on top of everything else could trigger a complete collapse of public confidence. It could be the final straw for many when they discover that everything they believed in, trusted or revered is turning to dust, especially when they are left with no jobs, no savings, no prospects and no belief in anything. Sociologists — not that I have any great truck with that lot — are already mooting the prospect of anger turning to anarchy in the none-too-distant future.’
‘You say that no one would know apart from us,’ said the nervous man. ‘But surely others would have to be involved? I mean, it doesn’t sound like something that could be carried out by a single doctor at a secret location.’
‘A number of people will have to be involved along the way,’ agreed the Cambridge man. ‘But, as I understand it, there is nothing particularly unusual about the essential element of the procedure itself. Am I right, Sir Laurence?’
Laurence Samson nodded. ‘It’s not exactly routine but it is something that is carried out almost every day in some part of the country, albeit for other reasons. The difference in this case, of course, is the who and the why. Personnel screening for those engaged at the sharp end of things will have to be of the highest order.’
‘James will see to that,’ said the Cambridge man. He turned to the one man in the room wearing a plain tie. James Monk chose not to respond in any way, but sat coldly staring into the middle distance.
‘James’ job will be to ensure that absolute secrecy is maintained at all times. No one is going to end up selling their story ’ — he suffused the phrase with contempt — ‘or enlivening their otherwise forgettable memoirs with the details. This whole affair must be conducted in secret and remain a secret for all
time. It is non-negotiable. Absolute silence from all concerned is a sine qua non.’
Laurence Samson looked at James Monk with suspicion in his eyes. ‘I’m not at all sure how you can guarantee something like that,’ he said, making it sound like an accusation.
Monk gave a slight shrug but didn’t see fit to respond, and no one else seemed willing to elaborate. Samson was clearly uncomfortable with the information he was deducing — a clear case of there being some things it was better not to know but unfortunately knowing only too well what they were.
‘We wouldn’t expect you to be involved in… the mechanics of security, Sir Laurence,’ said the Cambridge man, hoping to bring Samson back on board. ‘We are here to assist you in any way we can in achieving our twin goals — a cure for our friend’s son and to make sure that the whole affair remains a secret. You are solely concerned with the former.’
Samson nodded his understanding.
‘What I would suggest’, continued the Cambridge man, ‘is that all of us simply concentrate on the role we each have to play.’
There were nods around the table.
‘Good, then let’s not concern ourselves too deeply with the duties of others. If we all play our individual parts, we must stand a good chance of pulling off something quite remarkable.’
‘And if it should fail?’ asked the nervous man.
‘Let’s not even consider that,’ said the Cambridge man with ice in his voice.
‘Hear hear,’ said a couple of voices in unison, causing the nervous man to retreat into his shell.
‘So, gentlemen, it’s time for the big question. Are we all agreed that we should help our friend in his hour of need?’ The Cambridge man looked around the room. ‘Charles?’
A man wearing an Old Etonian tie nodded.
‘Marcus? Christopher?’
Two more nods.
‘Colonel?’