“So, researching the human cell?” Altman asked, interested in learning this. Alexandre shook his head.
“A lot smaller than that. We’re into the genome now. It’s like taking a strange machine apart, every step you’re trying to figure what the individual parts do, and sooner or later you got all the parts loose, and you know where they all go, and then you figure out what they all do in a systematic way. That’s what we’re doing now.”
“You know what it’s going to come down to?” Cathy suggested with a question, then answered it: “Mathematics.”
“That’s what Gus says down at Atlanta.”
“Math? Wait a minute,” Altman objected.
“At the most basic level, the human genetic code is composed of four amino acids, labeled A, C, G and T. How those letters–the acids, I mean–are strung together determines everything,” Alex explained. “Different character sequences mean different things and interact in different ways, and probably Gus is right: the interactions are mathematically defined. The genetic code really is a code. It can be cracked, and it can be understood.” Probably someone will assign a mathematical value to them… complex polynomials … he thought. Was that important?
“Just nobody smart enough to do it has come along yet,” Cathy Ryan observed. “That’s the home-run ball, Roy. Someday, somebody is going to step up to the plate, and put that one over the fence, and it will give us the key to defeating all human diseases. All of them. Every single one. The pot of gold at the end of that rainbow is medical immortality–and who knows, maybe human immortality.”
“Put us all out of business, especially you, Cathy. One of the first things they’ll edit out of the human genome is myopia, and diabetes and that–”
“It’ll unemploy you before it unemploys me, Profes-
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sor,” Cathy said with an impish smile. “I’m a surgeon, remember? I’ll still have trauma to fix. But sooner or later, you’re going to win your battle.”
But would it be in time for this morning’s E-Strain patient? Alex wondered. Probably not. Probably not.
SHE WAS CURSING them now, mainly in French, but Flemish also. The army medics didn’t understand either language. Moudi spoke the former well enough to know that, vile as the imprecations were, they were not the product of a lucid mind. The brain was now being affected, and Jean Baptiste was unable to converse even with her God. Her heart was under attack, finally, and that gave the doctor hope that Death would come for her and show some belated mercy for a woman who deserved far more than she had received from life. Maybe delirium was a blessing for her. Maybe her soul was detached from her body. Maybe in not knowing where she was, who she was, what was wrong, the pain didn’t touch her anymore, not in the places that mattered. It was an illusion the doctor needed, but if what he saw was mercy, it was a ghastly variety of it.
The patient’s face was a mass of rashes now, almost as though she’d been brutally beaten, her pale skin like an opaque window onto misplaced blood. He couldn’t decide if her eyes were still working. There was bleeding both on the surface and the interior of each, and if she could still see, it wouldn’t last much longer. They’d almost lost her half an hour earlier, occasioning his rush to the treatment room to see her choking on aspirated vomit and the medics trying both to clear her airway and keep their gloves intact. The restraints that held her in place, coated though they were with smooth plastic, had abraded away her skin, causing more bleeding and more pain. The tissues of her vascular system were breaking down as well, and the IV leaked as much out on the bed as went into the arms and legs, all of the fluids as deadly as the most toxic poison. Now the medical corpsmen were truly frightened even of touching the patient, gloves or not, suits or not. Moudi saw that they’d gotten a plastic bucket and filled it with
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dilute iodine, and as he watched, one of them dipped his gloves into it, shaking them off but not drying them, so that if he touched her there would be a chemical barrier against the pathogens that might leap at him from her body. Such precautions weren’t necessary–the gloves were thick–but he could hardly blame the men for their fear. At the turning of the hour, the new shift arrived, and the old one left. One of them looked back on his way out the door, praying with silent lips that Allah would take the woman before he had to come back in eight hours. Outside the room, an Iranian army doctor similarly dressed in plastic would lead the men to the disinfection area, where their suits would be sprayed before they took them off, and then their bodies, while the suits were burned to ashes in the downstairs incinerator. Moudi had no doubts that the procedures would be followed to the letter–no, they would be exceeded in every detail, and even then the medics would be afraid for days to come.
Had he possessed a deadly weapon right then and there, he might have used it on her, and to hell with the consequences. A large injection of air might have worked a few hours before, causing a fatal embolism, but the breakdown of her vascular system was such that he couldn’t even be sure of that. It was her strength that made the ordeal so terrible. Small though she was, she’d worked forty years of long hours, and earned surprisingly good health as a result. The body which had sustained her courageous soul for so long would not give up the battle, futile as it was.
“Come, Moudi, you know better than this,” the director said behind him.
“What do you mean?” he asked without turning.
“If she were back in the hospital in Africa, what would be different? Would they not treat her the same way, taking the same measures to sustain her? The blood, and the IV fluids, and everything else. It would be exactly the same. Her religion does not allow euthanasia. If anything, the care here is better,” he pointed out, correctly, if coldly, then turned away to check the chart. “Five liters. Excellent.”
“We could start–”
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“No.” The director shook his head. “When her heart stops, we will drain all her blood. We will remove the liver, kidneys and spleen, and then our real work begins.” “Someone should at least pray for her soul.” “You will, Moudi. You are a fine doctor. You care even for an infidel. You may be proud of that. If it were possible to save her, you would have done so. I know that. You know that. She knows that.”
“What we are doing, to inflict this on–” “On unbelievers,” the director reminded him. “On those who hate our country and our Faith, who spit upon the words of the Prophet. I will even agree that this is a woman of virtue. Allah will be merciful with her, I am sure. You did not choose her fate. Neither did I.” He had to keep Moudi going. The younger man was a brilliant physician. If anything, too good. The director for his part thanked Allah that he’d spent the last decade in laboratories, else he might have succumbed to the same human weaknesses.
BADRAYN INSISTED. This time, three generals. Every seat full, and one of them with two small children strapped in together. They understood now. They had to. He’d explained it to them, pointing to the tower, whose controllers had watched every flight in and out, and who had to know what was going on by now, and arresting them would do little good, as their families would miss them, and if their families were picked up, the neighbors would know, wouldn’t they?
Well, yes, they had agreed.
Just send a damned airliner next time, he wanted to tell Tehran, but no, someone would have objected, here or there, it didn’t matter, because no matter what you said, no matter how sensible it was, somebody would object to it. Whether on the Iranian side or the Iraqi, that didn’t matter, either. Either way it would get people killed. It certainly would. There was nothing for him to do but wait now, wait and worry. He could have had a few drinks, but he decided against it. He’d had alcohol more than once.
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All those years in Lebanon. As Bahrain still was, Lebanon had been, and probably would be again, a place where the strict Islamic rules could be violated, and there he had indulged in Western vice along with everyone else. But not now. He might be close to death and, sinner or not, he was a Muslim, and he would face death in the proper way. And so he drank coffee for the most part, staring out the windows from his seat, next to the phone, telling himself that the caffeine was making his hands shake, and nothing else.