Contagion by Robin Cook

“Obviously we’ve got what Jack has,” Richard said. “I guess he’s just more stoic. Anyway, we’ll see a doctor tomorrow after Twin’s visit if we think we should. Who knows, maybe a night’s sleep is all we need.”

“Let me have a couple of those aspirins,” Terese said.

After taking their analgesic Terese and Richard returned to the living room. Richard spent a few moments building up the dying fire. Terese made herself as comfortable as possible on her couch. Soon Richard went back to his. They both seemed exhausted.

Jack was surer than ever that both his captors had the deadly strain of the flu. He didn’t know what his ethics dictated he do. The problem was his rimantadine, and the fact that it possibly could thwart the flu’s progress. Jack agonized silently over whether he should tell them of his exposure and talk them into taking the drug to potentially save their lives even though they were totally committed to ending his and were responsible for the deaths of other innocent victims. With that in mind, did he owe Terese and Richard compassion in the face of their callous indifference? Should his oath as a physician prevail?

Jack took no comfort at the notion of poetic justice being done. Yet if he shared the rimantadine with them, they might deny it to him. After all, they weren’t choosy about the way he died as long as it wasn’t directly by their hand.

Jack sighed. It was an impossible decision. He couldn’t choose. But not making a decision was, in effect, a decision. Jack understood its ramifications.

By nine o’clock Terese’s and Richard’s breathing had become stertorous, punctuated by frequent coughing episodes. Terese’s condition seemed worse than Richard’s. Around ten a markedly violent fit of coughing woke Terese up, and she moaned for Richard.

“What’s the matter?” Richard questioned lethargically.

“I’m feeling worse,” Terese said. “I need some water and another aspirin.”

Richard got up and woozily made his way into the kitchen. He gave Jack a halfhearted kick to move him out of the way. Needing little encouragement, Jack scrambled to the side as much as his shackled hands would allow. Richard filled a glass with water and stumbled back to Terese.

Terese sat up to take the aspirin and the water, while Richard helped support the glass. When she was finished with the water, she pushed the glass away and wiped her mouth with her hand. Her movements were jerky. “With the way I’m feeling, do you think we should head back to the city tonight?” she questioned.

“We have to wait for morning,” Richard said. “As soon as Twin comes we’ll be off. Besides, I’m too sleepy to drive now anyway.”

“You’re right,” Terese said as she flopped back. “At the moment I don’t think I could stand the drive either. Not with this cough. It’s hard to catch my breath.”

“Sleep it off,” Richard said. “I’ll leave the rest of the water right here next to you.” He put the glass on the coffee table. “Thanks,” Terese murmured.

Richard made his way back to his couch and collapsed. He drew the blanket up around his neck and sighed loudly.

Time dragged, and with it Terese and Richard’s congested breathing slowly got worse. By ten-thirty Jack noticed that Terese’s respiration was labored. Even from as far away as the kitchen he could see that her lips had become dusky. He was amazed she’d not awakened. He guessed the aspirin had brought her fever down.

In spite of his ambivalence, Jack was finally moved to say something. He called out to Richard and told him Terese didn’t sound or look good.

“Shut up!” Richard yelled back between coughs.

Jack stayed silent for another half hour. By then he was convinced he could hear faint popping noises at the end of each of Terese’s inspirations that sounded like moist rales. If they were, it was an ominous sign, suggesting to Jack that Terese was slipping into acute respiratory distress.

“Richard!” Jack called out, despite Richard’s warning to stay quiet.

“Terese is getting worse.”

There was no response.

“Richard!” Jack called louder.

“What?” Richard answered sluggishly.

“I think your sister needs to be in an intensive care unit,” Jack said.

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