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Copyright ©2005 by Darrell Bain
First published by DDP, January 2005
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To Lida Quillen. Thanks for all the support and help.
CHAPTER ONE
It could have happened to anyone. I just happened to be on duty in the lab that night when the accident
victim came in.
"Laboratory. Mister Brandon speaking,” I said very correctly, when the phone rang, already guessing
what it would be. Most calls to the lab at that time of night were from either the emergency room or the
intensive care unit and I had been to intensive care already just a few minutes ago. The blood from that
patient was already in the chemistry unit being analyzed.
It was the Emergency Room. I picked up the tray containing all the phlebotomy supplies by its handle,
automatically checking to be sure I had enough of everything; needles, vacutainers, syringes for hard to
get veins, special needles for the syringes, alcohol sponges, cotton balls, band-aids and so forth.
Everything was there, as I knew it would be. Checking the phlebotomy tray was always the first thing I
did when coming on duty; that and getting a fresh pot of coffee going. I'm a caffeine addict.
Most small hospitals try to have the lab and X-Ray departments close to the emergency room but with
Lamont Memorial in Lufkin, that wasn't the case. The building had grown in fits and starts as medical
care changed and technology advanced. The lab was up on the second floor and down a long hall from
the elevators. Most of the time I didn't wait on the elevators; I was getting old and needed to exercise.
Taking the stairs when I got called was one way of getting it.
"Hi Mike,” Sandy Jervis, the charge nurse said. “Room one."
"Thanks,” I told her, not bothering to ask what the problem was. It really didn't matter to me. As long as
I had been in the game, I had seen it all. Or thought I had.
The patient was lightly strapped to the gurney, with the ER doc and another nurse busy working on him.
Carla, one of the nursing students, handed me the lab request forms. I glanced at them, then at the
patient, and wondered what they wanted me for. The man on the gurney looked as if he were already
dead. His face had that whitish gray pallor of death and I couldn't see his chest moving. His clothes had
been cut away and a bloody sheet was pulled back up onto his chest, showing a massive trauma to both
of his legs, as if he had been run over by a vehicle. The doc and nurse both had blood on them, a
no-good way to be working in this day of AIDS, Hepatitis, Avian Pneumonitis and God knows what else
the terrorists might be cooking up. The wounds had stopped bleeding and simply gaped open. I could
see both the tibia and fibula, the lower leg bones of one of his legs. Both were shattered like someone
had gone in with a big nutcracker and purposely crushed them.
"Is he still with us?” I asked.
 
"Barely,” the doc said, then looked puzzled. “It's not typical shock trauma, but damned if I can find
anything else wrong besides his legs. Witnesses said it was a high speed vehicle accident.” I didn't know
the doctor's name. The hospital used contract docs for the ER and they came and went oftener than new
Medicare regulations.
Looking at the patient, I doubted there was much blood pressure and figured his veins would be hard to
get into. I decided to go with a 20 cc syringe and 21 gauge needle rather than vacutainers or a butterfly.
Hardly any of the younger techs even know how to use a syringe, but I think I mentioned earlier that I
wasn't a youngster, not by a good many years.
The patient's vein popped up when I put the tourniquet around his arm, much more visible than I had
expected. I had just gotten all the blood I needed and withdrawn the needle when the patient gave a
sudden spasm. Both of his arms jerked upward at the same time as his feet began thrashing, as if he
wanted to run somewhere. The leg with the broken bones bent at an angle that was normally impossible,
making it look like it had been torn off and stuck back on with glue-but I wasn't noticing that. His forearm
hit my hand where I was still holding a piece of gauze on the puncture site and knocked it up into my
other hand, the one holding the syringe of blood. I felt the prick of the needle entering my wrist.
"Oh Goddamn!” I cursed loudly, jerking my hand away. The needle pulled out of my wrist but it was
already too late, of course. If the patient had an infectious disease that could be transferred by blood, I
probably had it now too. I had been holding the damn syringe at just the right angle for the force of the
patient's arm to cause me to press on the syringe plunger, injecting a bit of his blood into my system.
The doc and the nurse were busy trying to keep the patient from falling off the gurney and at the same
time realigning the broken leg with an air cast. They couldn't spare me a glance and I knew they were
assuming my curse was simply a reaction to the sudden movement of the patient.
It had been a long night. I was tired and my feet were hurting and I didn't feel like filling out an incident
report with all the time and paperwork it would entail. Besides, paperwork wouldn't do me a damn bit of
good if I had caught something. I quickly transferred aliquots of blood to three different vacutainers, then
removed the needle from the syringe, all the while concealing the dot of red on my wrist where the needle
had hit me. I dropped the used needle into the disposal box, stripped off the disposable gloves and got
out of there still cursing but silently. It had been a long while since I had gotten stuck by a contaminated
needle, but it certainly wasn't the first time. That sort of thing is an occupational hazard for a lab tech, and
a very dangerous one in this day of AIDS and Hepatitis C and all the other deadly diseases, but I'm a
fatalist; I figured if I had caught anything, filling out an incident form wasn't going to make it go away.
Later on I could run some tests on myself and see whether I had lucked out again-or hit the bad end of
the jackpot.
* * * *
Back in the lab, I set up the runs for a blood count and a chemistry panel on the patient with two of the
tubes of blood, dropped one in a rack to begin cross-matching some blood for him and set the last one,
the spare, in a rack in the back of the big refrigerator. The panel would take a while, but the blood count
was finished in only a minute or two, a far cry from the old days when I was a youngster. Back then
instruments were already in labs that did the numerical count of red and white blood cells, but the techs
had to stain a slide and examine it under a high power microscope to differentiate the white blood cells
into separate categories that told the doctor whether and what type of disease might be present. That
was hardly ever done these days except when the instrument gave odd results. Like right then.
The blood analyzer dinged and flashed a light at me while it printed out the results. Not to get technical,
but the counts were all screwed up, red and white blood cells alike. None of it made sense to the
 
electronic sensors. The results didn't make sense to me, either.
Either a cold agglutinin or advanced leukemia of some sort was my first thought. I glanced at my
watch. It was almost time for the morning shift to begin showing up, but I still had time to make a slide
and take a gander at what the blood looked like to the human eye. I began the preparations and that's
when all the weirdness started.
I heard the entrance door swing open and almost immediately there was a shout. “Stand where you are!
Don't move!"
I moved of course. When I turned around there was the ER doc, being shepherded by two grim looking
men in suits. One of them wore a thin little mustache that didn't match the shade of his blond hair. The
other was dark colored and had black, swept back hair. Both were wearing suits but what they also had
in common was a scared but determined look on their faces.
"Where's the blood? We want it, right now!"
I had no idea what in hell was going on, but the muzzle of the gun one of the men was pointing at me got
my attention quicker than seeing one of the nurses walk in naked would have.
"What blood?” I asked, rather inanely, then said a little more forcefully. “Who the hell are you, anyway?"
"Are you Michael Brandon? The lab tech?” The guy with the gun asked.
"That's him,” the other one said after glancing at the name tag on my jacket. He was gripping the upper
arm of the doc with a pressure so tight I could see him grimacing, but he wasn't making any attempt to
get loose. As a matter of fact, he looked as scared as a whipped dog. For all my bravado, I probably
didn't look much different.
"The blood, mister. We want that blood you just drew in the Emergency room."
"Give it to them!” The doc said. “They're from the government.” His voice trembled, matching the quiver
of his body.
I didn't see what that had to do with it, not then, but I wasn't going to argue with a gun. “It's in the rack
there,” I told them, pointing to the rack by the blood counting instrument.
Still keeping me covered with his weapon, the putative government agent strode over and plucked the
tube of blood from the rack. He checked the name on it and dropped it into his pocket. “Is that all?"
I walked over to the chemistry analyzer and gave him that tube of blood, too. “What's wrong? Does that
patient have some bad disease?” I was remembering the needle sticking me in the wrist and felt my heart
skip a beat.
"None of your business,” the one holding the doc said. He turned to his companion. “We'll have to have
these machines sequestered as a precaution. Get the results, too."
I didn't wait. I picked up the card with the weird results from the counter where I had dropped it and
handed it to the armed man. Just then, the chemistry run printed out and I gave him that report, too. I also
asked again, “What's wrong with that patient?"
 
"He's a terrorist,” the other agent, the one holding the doc said. “That's all you need to know."
That was enough. If he was a terrorist, and given those badly abnormal results, along with the totally
paranoid actions of the government men, it followed that he must be infected with a communicable
disease and intended to spread it as far and wide as possible. I felt my heart jump again when I reached
that conclusion, knowing that whatever he had, it was almost certainly a very bad bug-and now I had it,
too.
I think that the government men were planning on taking me into custody or question me some more. As
vulnerable as I was feeling at the moment, I probably would have gone along with them, but just then one
of their phones rang. The one with the gun pulled out his phone, thumbed it, listened for a minute, then
cursed heatedly. “Come on!” He yelled to his companion. “That fucker got loose again!"
The doc was shoved out of the way so rudely that he fell to his hands and knees. Both men rushed out
of the lab, leaving me staring down at the doc and wondering whether I was having some kind of bad
dream. Right then I wanted it to be a dream, believe me.
I reached down and helped the doc to his feet and asked him “What in hell was that all about? Was that
patient really infected with something?"
He shook his head. “Damned if I know. Three of them burst into the ER and said that patient we were
working on was an escaped terrorist and that they were taking him into custody. When I told them he
was too hurt to move and that we were doing some blood tests on him, they grabbed me and
manhandled me down here.” He shook his head. “They're lying. You don't take a man hurt that bad into
custody; the most they would do is make us isolate him until he was stable, no matter what he had. I think
he was zonked on something too, and that's what caused him to crash his car.” Then he got a puzzled
expression on his face. “But they just said he got loose. I would have given odds that he couldn't have
walked, much less gone anywhere."
I remembered how he had spasmed when he knocked that blasted needle into my wrist. And I guess the
doc either wasn't very analytical or maybe he was just tired from the tag end of his twenty four hour shift.
What they had said was that he had gotten loose again. That told me he had already been in their
custody. But what the doc said gave me a bit of hope. If he was all doped up, maybe that was why his
blood count was so badly skewed from normal-though I didn't know of any drug right off hand that
would cause the type of abnormalities I had seen.
"So what happens now?"
"I've got to go report this to administration if the nurses haven't already. Can you believe it? Pulling a
goddamned gun on us?” He left, building up a good mad to berate someone with.
I could believe it about the gun. In these times, with all the anti-terrorist legislation on the books, the
government had gotten arrogant believing it could do almost anything it wanted to. That has its ups and
downs. If those guys had acted a little less imperious, I might have volunteered to give them that other
tube of blood I had stuck in the back of the cooler once I remembered it. Ordinarily I discarded them
within a day or so, usually sooner. Once a patient is admitted and on the wards or in a unit, there's not
much call to save extra blood unless it has been drawn for a transfusion, which is a different matter and
wasn't applicable in this case; I already had other blood set aside for the cross match.
I guess I don't have to mention that I was very late getting away. Some more government men arrived,
purportedly from the office of Homeland Security. They questioned me but there wasn't much I could tell
 
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