Altman nearly blushed. More than one First Lady had taken on royal airs with the accession of her husband to POTUS, and the children of politicians weren’t always fun to guard, but the Ryan family, the Detail members had already agreed, were not at all like the people they usually had to guard. In some ways that was bad news, but it was hard not to like them.
“Here.” He handed over a manila folder. It was her caseload for the day.
“Two procedures, then follow-ups,” she told him. Well, at least she could do paperwork on the flight. That was convenient, wasn’t it?
“I know. We’ve arranged with Professor Katz to keep us posted–so we can keep up with your schedule,” Altman explained.
“Do you do background checks on my patients, too?” Cathy asked, thinking it a joke.
It wasn’t. “Yes. Hospital records provide names, birthdays, and Social Security numbers. We run NCIC checks, and checks against our own file of–uh, of people we keep an eye on.”
The look that pronouncement generated wasn’t exactly friendly, but Altman didn’t take it personally. They
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walked back into the building, then back out a few minutes later to the waiting helicopter. There were news cameras, Cathy saw, to record the event, as Colonel Hank Goodman lit up his engines.
In the operations room for the U.S. Secret Service, a few blocks away, the status board changed. POTUS (President of the United States) was shown by the red LED display as in the White House. FLOTUS (First Lady of the United States) was shown as in transit. SHADOW, SHORT-STOP, and SANDBOX were covered on a different board. The same information was relayed by secure digital radio link to Andrea Price, sitting and reading the paper outside the Oval Office. Other agents were already at St. Mary’s Catholic School and the Giant Steps Day Care Center, both near Annapolis, and at Johns Hopkins Hospital. The Maryland State Police knew that the Ryan children were rolling along U.S. Route 50, and had additional cars posted along the travel route for an obvious police presence. At the moment, yet another Marine helicopter was following SURGEON’S, and a third, with a team of heavily armed agents aboard, was pacing the three children. Were there a serious assassin out there, then he would see the overt display of force. The agents in the moving vehicles would be at their usual alert state, scanning for cars, filing them away for the chance that the same one would show up a little too much. Unmarked Secret Service cars would maneuver around independently, doing much the same thing while being disguised as ordinary commuters. The Ryans would never really know how much security was arrayed around them, unless they asked, and few ever wanted to know.
A normal day was under way.
THERE WAS NO denying it now. She didn’t need Dr. Moudi to tell her. The headaches had worsened, the fatigue had gotten worse. As with young Benedict Mkusa, she’d thought, then hoped it might be a recurrence of her old malaria, the first time she’d ever entertained that sort of thought. But then the pains had come, not in the joints, but in the stomach first of all, and that had been like
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watching an advancing weather front, the tall white clouds that led a massive, violent storm, and there was nothing for her to do but wait and dread what was approaching, for she knew everything that was to be. Part of her mind still denied it, and another part tried to hide away in prayer and faith, but as with a person at a horror movie, face covered by denying hands, her eyes still peeked sideways to see what was coming, the horror all the worse because of her useless retreat from it.
The nausea was worse, and soon she’d be unable to control it with her will, strong as that was.
She was in one of the hospital’s few private rooms. The sun was still bright outside, the sky clear, a beautiful day in the unending African spring-summer season. An IV tree was next to her bed, running sterile saline into her arm, along with some mild analgesics and nutrients to fortify her body, but really it was a waiting game. Sister Jean BajJtiste could do little else but wait. Her body was limp with fatigue, and so pained that turning her head to look at the flowers out the window required a minute of effort. The first massive surge of nausea came almost as a surprise, and somehow she managed to grasp the erne-sis tray. She was still nurse enough and detached enough to see the blood there, even as Maria Magdalena took the tray away from her, to empty it into a special container. Fellow nurse, and fellow nun, she was dressed in sterile garb, wearing rubber gloves and a mask as well, her eyes unable to conceal her sorrow.
“Hello, Sister.” It was Dr. Moudi, dressed much the same way, his darker eyes more guarded above the green mask. He checked the chart hanging at the foot of the bed. The temperature reading was only ten minutes old, and still rising. The telex from Atlanta concerning her blood had arrived even more recently, inspiring his immediate walk to the isolation building. Her fair skin had been pale only a few hours earlier. Now it appeared slightly flushed, and dry. Moudi thought they’d work to cool the patient down with alcohol, maybe ice later, to fight the fever. That would be bad for the Sister’s dignity. They did indeed dress chastely, as women should, and the hospital gown she now wore was ever demeaning to that virtue. Worse
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still, however, was the look in her eyes. She knew. But he still had to say it.
“Sister,” the physician told her, “your blood has tested positive for Ebola antibodies.”
A nod. “I see.”
“Then you also know,” he added gently, “that twenty percent of the patients survive this disease. You are not without hope. I am a good doctor. Sister Magdalena here is a superb nurse. We will support you as best we can. I am also in contact with some of my colleagues. We will not give up on you. I require that you do not give up on yourself. Talk to your God, good lady. He will surely listen to someone of your virtue.” The words came easily, for Moudi was after all a physician, and a good one. He surprised himself by half wishing for her survival.
“Thank you, Doctor.”
Moudi turned to the other nun before leaving. “Please keep me informed.”
“Of course, Doctor.”
Moudi walked out of the room, turning left toward the door, removing his protective garb as he went, and dumping the articles into the proper container. He made a mental note to speak to the administrator to be sure that the necessary precautions were strictly enforced. He wanted this nun to be the last Ebola case in this hospital. Even as he spoke, part of the WHO team was on its way to the Mkusa family, where they would interview the grief-stricken parents, along with neighbors and friends, to learn where and how Benedict might have encountered the infection. The best guess was a monkey bite.
But only a guess. There was little known about Ebola Zaire, and most of the unknowns were important. Doubtless it had been around for centuries, or even longer than that, just one more lethal malady in an area replete with them, not recognized as anything more than “jungle fever” by physicians as recently as thirty years before. The focal center of the virus was still a matter of speculation. Many thought a monkey carried it, but which monkey no one knew–literally thousands had been trapped or shot in the effort to determine that, with no result. They weren’t even sure that it was really a tropical disease–the first
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properly documented outbreak of this class of fever had actually taken place in Germany. There was a very similar disease in the Philippines.
Ebola appeared and disappeared, like some sort of malignant spirit. There was an apparent periodicity to it. The recognized outbreaks had occurred at eight- to ten-year intervals–again, unexplained and slightly suspect, because Africa was still primitive, and there was ample reason to believe that victims could contract the disease and die from it in but a few days, without the time to seek medical help. The structure of the virus was somewhat understood and its symptoms recognized, but its mechanism was still a mystery. That was troubling to the medical community, because Ebola Zaire had a mortality rate of roughly eighty percent. Only one in five of its victims survived, and why that happened was just one more entry in the “unknown” column. For all of those reasons, Ebola was perfect.
So perfect that it was one of the most feared organisms known to man. Minute quantities of the virus were in Atlanta, the Pasteur Institute in Paris, and a handful of other institutions, where it was studied under conditions resembling those of a science-fiction novel, the doctors and technicians in virtual space suits. There wasn’t even enough known about Ebola to do work on a vaccine. The four known varieties–the fourth had been discovered in a bizarre incident in America; but that strain, while uniformly lethal to monkeys, incomprehensibly had no serious effects on humans–were too different. Even now scientists in Atlanta, some of whom he knew, were peering into electron microscopes to map the structure of this new version, later to compare it with samples of other known strains. That process could take weeks and, probably, as with all previous efforts, would yield only equivocal results.