The Scarpetta Factor

  Table of Contents

  Title Page

  Copyright Page

  Dedication

  Six Days Later

  Credits

  Also by Patricia Cornwell

  SCARPETTA SERIES

  Scarpetta

  Book of the Dead

  Predator

  Trace

  Blow Fly

  The Last Precinct

  Black Notice

  Point of Origin

  Unnatural Exposure

  Cause of Death

  From Potter’s Field

  The Body Farm

  Cruel and Unusual

  All That Remains

  Body of Evidence

  Postmortem

  NONFICTION

  Portrait of a Killer:

  Jack the Ripper—Case Closed

  ANDY BRAZIL SERIES

  Isle of Dogs

  Southern Cross

  Hornet’s Nest

  WIN GARANO SERIES

  The Front

  At Risk

  BIOGRAPHY

  Ruth, A Portrait:

  The Story of Ruth Bell Graham

  OTHER WORKS

  Food to Die For:

  Secrets from Kay Scarpetta’s Kitchen

  Life’s Little Fable

  Scarpetta’s Winter Table

  PUTNAM

  G. P. PUTNAM’S SONS

  Publishers Since 1838

  Published by the Penguin Group

  Penguin Group (USA) Inc., 375 Hudson Street, New York, New York 10014, USA • Penguin Group (Canada),

  90 Eglinton Avenue East, Suite 700, Toronto, Ontario M4P 2Y3, Canada (a division of Pearson Penguin Canada Inc.) •

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  Penguin Books Ltd, Registered Offices: 80 Strand, London WC2R 0RL, England

  Copyright © 2009 by CEI Enterprises, Inc.

  Library of Congress Cataloging-in-Publication Data

  Cornwell, Patricia Daniels.

  The Scarpetta factor / Patricia Cornwell.

  p. cm.

  eISBN : 978-1-101-14890-7

  1. Scarpetta, Kay (Fictitious character)—Fiction. 2. Medical examiners (Law)—Fiction.

  3. Forensic pathologists—Fiction. 4. Women physicians—Fiction. 5. New York (N.Y.)—Fiction. I. Title.

  PS3553.O692S

  813’.54—dc22

  This is a work of fiction. Names, characters, places, and incidents either are the product of the author’s imagination or are used fictitiously, and any resemblance to actual persons, living or dead, businesses, companies, events, or locales is entirely coincidental.

  While the author has made every effort to provide accurate telephone numbers and Internet addresses at the time of publication, neither the publisher nor the author assumes any responsibility for errors, or for changes that occur after publication. Further, the publisher does not have any control over and does not assume any responsibility for author or third-party websites or their content.

  http://us.penguingroup.com

  To Michael Rudell—

  lawyer, friend, Renaissance man

  And as always, to Staci

  We owe respect to the living.

  To the dead we owe only truth.

  Voltaire, 1785

  A frigid wind gusted in from the East River, snatching at Dr. Kay Scarpetta’s coat as she walked quickly along 30th Street.

  It was one week before Christmas without a hint of the holidays in what she thought of as Manhattan’s Tragic Triangle, three vertices connected by wretchedness and death. Behind her was Memorial Park, a voluminous white tent housing the vacuum-packed human remains still unidentified or unclaimed from Ground Zero. Ahead on the left was the Gothic redbrick former Bellevue Psychiatric Hospital, now a shelter for the homeless. Across from that was the loading dock and bay for the Office of the Chief Medical Examiner, where a gray steel garage door was open. A truck was backing up, more pallets of plywood being unloaded. It had been a noisy day at the morgue, a constant hammering in corridors that carried sound like an amphitheater. The mortuary techs were busy assembling plain pine coffins, adult-size, infant-size, hardly able to keep up with the growing demand for city burials at Potter’s Field. Economy-related. Everything was.

  Scarpetta already regretted the cheeseburger and fries in the cardboard box she carried. How long had they been in the warming cabinet on the serving line of the NYU Medical School cafeteria? It was late for lunch, almost three p.m., and she was pretty sure she knew the answer about the palatability of the food, but there was no time to place an order or bother with the salad bar, to eat healthy or even eat something she might actually enjoy. So far there had been fifteen cases today, suicides, accidents, homicides, and indigents who died unattended by a physician or, even sadder, alone.

  She had been at work by six a.m. to get an early start, completing her first two autopsies by nine, saving the worst for last—a young woman with injuries and artifacts that were time-consuming and confounding. Scarpetta had spent more than five hours on Toni Darien, making meticulously detailed diagrams and notes, taking dozens of photographs, fixing the whole brain in a bucket of formalin for further studies, collecting and preserving more than the usual tubes of fluids and sections of organs and tissue, holding on to and documenting everything she possibly could in a case that was odd not because it was unusual but because it was a contradiction.

  The twenty-six-year-old woman’s manner and cause of death were depressingly mundane and hadn’t required a lengthy postmortem examination to answer the most rudimentary questions. She was a homicide from blunt-force trauma, a single blow to the back of her head by an object that possibly had a multicolored painted surface. What didn’t make sense was everything else. When her body was discovered at the edge of Central Park, some thirty feet off East 110th Street shortly before dawn, it was assumed she had been jogging last night in the rain when she was sexually assaulted and murdered. Her running pants and panties were around her ankles, her fleece and sports bra pushed above her breasts. A Polartec scarf was tied in a double knot tightly around her neck, and at first glance it was assumed by the police and the OCME’s medicolegal investigators who responded to the scene that she was strangled with an article of her own clothing.

  She wasn’t. When Scarpetta examined the body in the morgue, she found nothing to indicate the scarf had caused the death or even contributed to it, no sign of asphyxia, no vital reaction such as redness or bruising, only a dry abrasion on the neck, as if the scarf had been tied around it postmortem. Certainly it was possible the killer struck her in the head and at some point later strangled her, perhaps not realizing she was already dead. But if so, how much time did he spend with her? Based on the contusion, swelling, and hemorrhage to the cerebral cortex of her brain, she had survived for a while, possibly hours. Yet there was very little blood at the scene. It wasn’t until the body was turned over that the injury to the back of her head was even noticed, a one-and-a-half-inch laceration with significant swelling but only a slight weeping of fluid from the wound, the lack of blood blamed on the rain.

  Scarpetta seriously doubted it. T
he scalp laceration would have bled heavily, and it was unlikely a rainstorm that was intermittent and at best moderate would have washed most of the blood out of Toni’s long, thick hair. Did her assailant fracture her skull, then spend a long interval with her outside on a rainy winter’s night before tying a scarf tightly around her neck to make sure she didn’t live to tell the tale? Or was the ligature part of a sexually violent ritual? Why were livor and rigor mortis arguing loudly with what the crime scene seemed to say? It appeared she had died in the park late last night, and it appeared she had been dead for as long as thirty-six hours. Scarpetta was baffled by the case. Maybe she was overthinking it. Maybe she wasn’t thinking clearly, for that matter, because she was harried and her blood sugar was low, having eaten nothing all day, only coffee, lots of it.

  She was about to be late for the three p.m. staff meeting and needed to be home by six to go to the gym and have dinner with her husband, Benton Wesley, before rushing over to CNN, the last thing she felt like doing. She should never have agreed to appear on The Crispin Report. Why for God’s sake had she agreed to go on the air with Carley Crispin and talk about postmortem changes in head hair and the importance of microscopy and other disciplines of forensic science, which were misunderstood because of the very thing Scarpetta had gotten herself involved in—the entertainment industry? She carried her boxed lunch through the loading dock, piled with cartons and crates of office and morgue supplies, and metal carts and trollies and plywood. The security guard was busy on the phone behind Plexiglas and barely gave her a glance as she went past.

  At the top of a ramp she used the swipe card she wore on a lanyard to open a heavy metal door and entered a catacomb of white subway tile with teal-green accents and rails that seemed to lead everywhere and nowhere. When she first began working here as a part-time ME, she got lost quite a lot, ending up at the anthropology lab instead of the neuropath lab or the cardiopath lab or the men’s locker room instead of the women’s, or the decomp room instead of the main autopsy room, or the wrong walk-in refrigerator or stairwell or even on the wrong floor when she boarded the old steel freight elevator.

  Soon enough she caught on to the logic of the layout, to its sensible circular flow, beginning with the bay. Like the loading dock, it was behind a massive garage door. When a body was delivered by the medical examiner transport team, the stretcher was unloaded in the bay and passed beneath a radiation detector over the door. If no alarm was triggered indicating the presence of a radioactive material, such as radiopharmaceuticals used in the treatment of some cancers, the next stop was the floor scale, where the body was weighed and measured. Where it went after that depended on its condition. If it was in bad shape or considered potentially hazardous to the living, it went inside the walk-in decomp refrigerator next to the decomp room, where the autopsy would be performed in isolation with special ventilation and other protections.

  If the body was in good shape it was wheeled along a corridor to the right of the bay, a journey that could at some point include the possibility of various stops relative to the body’s stage of deconstruction: the x-ray suite, the histology specimen storage room, the forensic anthropology lab, two more walk-in refrigerators for fresh bodies that hadn’t been examined yet, the lift for those that were to be viewed and identified upstairs, evidence lockers, the neuropath room, the cardiac path room, the main autopsy room. After a case was completed and the body was ready for release, it ended up full circle back at the bay inside yet another walk-in refrigerator, which was where Toni Darien should be right now, zipped up in a pouch on a storage rack.

  But she wasn’t. She was on a gurney parked in front of the stainless-steel refrigerator door, an ID tech arranging a blue sheet around the neck, up to the chin.

  “What are we doing?” Scarpetta said.

  “We’ve had a little excitement upstairs. She’s going to be viewed.”

  “By whom and why?”

  “Mother’s in the lobby and won’t leave until she sees her. Don’t worry. I’ll take care of it.” The tech’s name was Rene, mid-thirties with curly black hair and ebony eyes, and unusually gifted at handling families. If she was having a problem with one, it wasn’t trivial. Rene could defuse just about anything.

  “I thought the father had made the ID,” Scarpetta said.

  “He filled out the paperwork, and then I showed him the picture you uploaded to me—this was right before you left for the cafeteria. A few minutes later, the mother walks in and the two of them start arguing in the lobby, and I mean going at it, and finally he storms out.”

  “They’re divorced?”

  “And obviously hate each other. She’s insisting on seeing the body, won’t take no for an answer.” Rene’s purple nitrile-gloved hands moved a strand of damp hair off the dead woman’s brow, rearranging several more strands behind the ears, making sure no sutures from the autopsy showed. “I know you’ve got a staff meeting in a few minutes. I’ll take care of this.” She looked at the cardboard box Scarpetta was holding. “You didn’t even eat yet. What have you had today? Probably nothing, as usual. How much weight have you lost? You’re going to end up in the anthro lab, mistaken for a skeleton.”

  “What were they arguing about in the lobby?” Scarpetta asked.

  “Funeral homes. Mother wants one on Long Island. Father wants one in New Jersey. Mother wants a burial, but the father wants cremation. Both of them fighting over her.” Touching the dead body again, as if it were part of the conversation. “Then they started blaming each other for everything you can think of. At one point Dr. Edison came out, they were causing such a ruckus.”

  He was the chief medical examiner and Scarpetta’s boss when she worked in the city. It was still a little hard getting used to being supervised, having been either a chief herself or the owner of a private practice for most of her career. But she wouldn’t want to be in charge of the New York OCME, not that she’d been asked or likely ever would be. Running an office of this magnitude was like being the mayor of a major metropolis.

  “Well, you know how it works,” Scarpetta said. “A dispute, and the body doesn’t go anywhere. We’ll put a hold on her release until Legal instructs us otherwise. You showed the mother the picture, and then what?”

  “I tried, but she wouldn’t look at it. She says she wants to see her daughter and isn’t leaving until she does.”

  “She’s in the family room?”

  “That’s where I left her. I put the folder on your desk, copies of the paperwork.”

  “Thanks. I’ll look at it when I go upstairs. You get her on the lift, and I’ll take care of things on the other end,” Scarpetta said. “Maybe you can let Dr. Edison know I’m going to miss the three-o’clock. In fact, it’s already started. Hopefully I’ll catch up with him before he heads home. He and I need to talk about this case.”

  “I’ll tell him.” Rene placed her hands on the steel gurney’s push handle. “Good luck on TV tonight.”

  “Tell him the scene photos have been uploaded to him, but I won’t be able to dictate the autopsy protocol or get those photos to him until tomorrow.”

  “I saw the commercials for the show. They’re cool.” Rene was still talking about TV. “Except I can’t stand Carley Crispin and what’s the name of that profiler who’s on there all the time? Dr. Agee. I’m sick and tired of them talking about Hannah Starr. I’m betting Carley’s going to ask you about it.”

  “CNN knows I won’t discuss active cases.”

  “You think she’s dead? Because I sure do.” Rene’s voice followed Scarpetta into the elevator. “Like what’s-her-name in Aruba? Natalee? People vanish for a reason—because somebody wanted them to.”

  Scarpetta had been promised. Carley Crispin wouldn’t do that to her, wouldn’t dare. It wasn’t as if Scarpetta was simply another expert, an outsider, an infrequent guest, a talking head, she reasoned, as the elevator made its ascent. She was CNN’s senior forensic analyst and had been adamant with executive producer Alex Bachta th
at she could not discuss or even allude to Hannah Starr, the beautiful financial titan who seemingly had vanished in thin air the day before Thanksgiving, reportedly last seen leaving a restaurant in Greenwich Village and getting into a yellow cab. If the worst had happened, if she was dead and her body turned up in New York City, it would be this office’s jurisdiction, and Scarpetta could end up with the case.

  She got off on the first floor and followed a long hallway past the Division of Special Operations, and through another locked door was the lobby, arranged with burgundy and blue upholstered couches and chairs, coffee tables and racks of magazines, and a Christmas tree and menorah in a window overlooking First Avenue. Carved in marble above the reception desk was Taceant colloquia. Effugiat risus. Hic locus est ubi mors gaudet succurrere vitae. Let conversations cease. Let laughter depart. This is the place where death delights to help the living. Music sounded from a radio on the floor behind the desk, the Eagles playing “Hotel California.” Filene, one of the security guards, had decided that an empty lobby was hers to fill with what she called her tunes.

  “. . . You can check out anytime you like, but you can never leave,” Filene softly sang along, oblivious to the irony.

  “There should be someone in the family room?” Scarpetta stopped at the desk.

  “Oh, I’m sorry.” Filene reached down, turning off the radio. “I didn’t think she could hear from in there. But that’s all right. I can go without my tunes. It’s just I get so bored, you know? Sitting and sitting when nothing’s going on.”

  What Filene routinely witnessed in this place was never happy, and that rather than boredom was likely the reason she listened to her upbeat soft rock whenever she could, whether she was working the reception desk or downstairs in the mortuary office. Scarpetta didn’t care, as long as there were no grieving families to overhear music or lyrics that might be provocative or construed as disrespectful.