Dr. Death by Jonathan Kellerman

Fusco pushed his Coke glass away, then the half-eaten sandwich. “Something else leads me to think he was stretching. Craving a new game. During the time he worked the cardiac floor, several patients died suddenly and inexplicably. Sick but not terminally ill patients who could’ve gone either way. No one suspected anything— no one realizes anything, to this day. It’s just something that turned up when I was digging.”

“He cuts up girls and snuffs ICU patients?” said Milo. “Versatile.”

Any trace of amiability left Fusco’s face. “You have no idea,” he said.

“You’re talking nearly two decades of bad stuff and it’s never come out? What, one of those covert federal things? Or are you out to write a book?”

“Look,” said Fusco, jawbones flexing. Then he smiled, sat back. Let his eyes disappear in a mass of folds. “It’s covert because I’ve got nothing to go overt. Air-sandwich time. I’ve only been on it for three years.”

“You said two clusters. Where and when was the second?”

“Back here, in your Golden State. Fresno. A month after Huey Mitchell left Ann Arbor, two more girls were snagged off hiking trails, two weeks apart. Both were found tied to trees, cut up nearly identically to the Colorado and the Michigan vies. A hospital orderly named Hank Spreen left town five weeks after the second body turned up.”

“Spreen,” I said. “Shelly Spreen. He took his victim’s name?”

Fusco grinned horribly. “Mr. Irony. Once again, he got away with it. Hank Spreen had worked at a private hospital in Bakersfield specializing in cosmetic work, cyst removals, that kind of thing. It was a big surprise when three post-op patients had sudden reversals and died in the middle of the night. Official cause: heart attacks, idiopathic reactions to anesthesia. That happens, but not usually three times in a row over a six-month period. The publicity helped close the hospital down, but by then Hank Spreen was long gone. The following summer, Michael Burke showed up at CUNY.”

“Long body list for a twenty-two-year-old,” I said. “A twenty-two-year-old smart enough to make it through pre-med and med school. He worked his way through by holding down a job as a lab assistant to a biology professor—basically a nighttime bottle washer, but he didn’t need much income, lived in student housing. Had Grandma’s dough. Pulled a 3.85 GPA—from what I can tell, he really earned those grades. Summers, he worked as an orderly at three public hospitals—New York Medical, Middle State General and Long Island General. He applied to ten med schools, got into four, chose the University of Washington in Seattle.”

“Any coed murders during his pre-med period?” said Milo.

Fusco licked his lips. “No, I can’t find any definite matches during that time. But there was no shortage of missing girls. All over the country, bodies that never showed up. I believe Rushton/Burke kept on killing but hid his handiwork better.”

“You believe? This joker’s a homicidal psychopath and he just changes his ways?”

“Not his ways,” said Fusco. “His mode of expression. That’s what sets him apart. He can let loose his impulses along with the bloodiest of them, but he also knows how to be careful. Exquisitely careful. Think about the patience it took to actually become a doctor. There’s something else to consider. During his New York period, he may have diverted his attention from rape/murder to the parallel interest he’d developed in Michigan and continued in Bakersfield: putting hospital patients out of their misery. I know they seem like different patterns, but what they’ve got in common is a lust for power. Playing God. Once he learned all about hospital systems, playing ward games would’ve been a snap.”

“How is he supposed to have killed all those patients?” said Milo.

“There are any number of ways that make detection nearly impossible. Pinching off the nose, smothering, fooling with med lines, injecting succinyl, insulin, potassium.”

“Any funny stuff go down at the three hospitals where Burke spent his summers?”

“New York’s the worst place to obtain information. Large institutions, lots of regulations. Let’s just say I have learned of several questionable deaths that occurred on wards where Burke was assigned. Thirteen, to be exact.”

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