035 Bad Medicine
Chapter
One
THE MAD DOCTOR bent over the young reddish-blond-haired girl strapped to his table. His scalpel glinted dangerously in the harsh glow from the overhead lights in the operating room. “You’ll bother me no more!” he said with an evil cackle.
He lifted his hand high above her chest, ready to plunge the knife in.
Bess Marvin covered her eyes. “I can’t look! Tell me when it’s over!”
Nancy Drew glanced up from the television screen, amused by her friend’s terrified look. “Don’t worry. The hero’s about to come and save her.”
“How can you tell?”
“By the music, Bess. It’s definitely hero music,” Nancy answered.
“Why can’t she save herself?” asked George Fayne, Bess’s cousin and one of Nancy’s best friends.
“Because she’s trapped with a maniac!” declared Bess, flipping her blond hair behind her ears.
At that moment the movie’s hero threw open the door to the operating room and wrestled the doctor for the scalpel. The scalpel clattered to the floor, and the villainous doctor staggered toward the door. The heroine’s eyes fluttered open.
“Oh, Robert . . .”
George jumped up from the couch and snapped the television set off, disgusted. “I can’t stand a wimpy heroine.”
“Me, neither.” Nancy stretched and yawned. “I thought this movie would be better.”
The three friends were seated in the Drews’ den, eating popcorn and spending a quiet Saturday night at home.
“Since when are you interested in medical thrillers?” Bess asked as Nancy rewound the videotape.
“Since Ned decided to enroll in a week-long seminar at Westmoor University Medical School,” Nancy answered. Ned Nickerson was Nancy’s steady boyfriend and a student at Emerson College. “All next week he’ll be right here in River Heights, at the med school. He’s going to be studying hospital administration.”
“Hospital administration, huh?” George said. “Will he have any time off?”
“I don’t know, but I hope so. I’m seeing him tomorrow night before the seminar starts, but I think he’ll be pretty busy after that. His friend Trevor Callahan is a second-year resident at the school and hospital here, and I know Ned wants to spend time with him.” Nancy hit the eject button, and the tape popped out of the machine.
“Trevor?” Bess asked. “I don’t think I’ve met him.”
“You haven’t,” Nancy admitted. “Actually, neither have I. Trevor’s family has lived down the block from the Nickersons for a while, but Trevor’s older than Ned and he’s been off at medical school for years.”
“He’s a second-year resident? What exactly does that mean?” George asked, reaching for another handful of popcorn. “Is he still a student?”
“Well, yes—in a sense. But Trevor’s a real doctor, too. He finished medical school, and now he’s doing his residency.”
“Well, Trevor won’t take up all Ned’s spare time, will he?” Bess asked. She pulled on her denim jacket. “You should still have some time for fun.”
“I hope so.”
Nancy walked Bess and George to the door, then locked up the house and climbed into bed, folding her arms under her head. She was eager for Sunday to come and for Ned to start his seminar.
“Trevor or no Trevor, you’re going to spend some time with me, Ned Nickerson,” Nancy said, staring up at the dark ceiling with a smile on her face.
• • •
“Are you sure you want to get involved in hospital administration?” Nancy asked Ned as she pulled against her seat belt to look out the windshield.
She was peering through the early-evening shadows, trying to get a good look at the prestigious medical school. The hospital, a huge gray stone building, stood in the forefront of the campus. A smaller building flanked it on the south. The dorms were clustered around the parking lot, and farther back, across a grassy parkway, stood an older ivy-covered brick building.
“Not exactly,” Ned admitted, pulling into a parking spot near one of the dorms. It was four stories high, and a covered walkway extended from the front door to the parking lot. “That’s why I’m attending this seminar—to see if I like the business end of running a hospital.”
Nancy sent him a sidelong look. Ned was rugged and good-looking with an easy smile and an athletic build. She couldn’t imagine anyone else being her steady boyfriend. She was thrilled to see him and spend time with him. “You know, I’ve always wondered what it would be like to work in a hospital.”
Ned laughed. “Nurse Nancy, eh?” He tousled her reddish blond hair affectionately.
“Very funny. I was thinking more about Doctor Drew.”
Grinning, Ned said, “Well, you’re about to meet Doctor Callahan. Trevor said he and April, his fiancée, would meet us in front of this building. Then we’re all going to dinner.”
Nancy knew very little about Trevor except what Ned had told her. She knew he was specializing in cardiology, hoping to be a heart surgeon soon.
They waited in the car, but twenty minutes after they were supposed to meet, there was no sign of either Trevor or his fiancée. Eventually an attractive girl with blunt-cut shoulder-length brown hair pushed through the front doors of the dorm. She wore a blue dress, and what looked like a lab coat was tucked under one arm. She hesitated on the brightly lit stairs, peering through the covered walkway.
“Do you think that could be April?” Nancy asked.
“There’s one way to find out.” Ned climbed out of the car and called, “Are you April Shaw?”
“Yes,” she answered. “Ned Nickerson?”
“The one and only.”
April hurried toward Ned. “Trevor’s going to be late. His shift was changed today, and he won’t be off until after seven. I’m sorry. He tried to call but couldn’t reach you.”
Nancy opened her door and walked around the front of the car to meet April, who looked about twenty-three or -four. Though the evening was warm, her arms were wrapped around her waist, as if she felt cold. She kept glancing over her shoulder at the hospital building.
“This is my girlfriend, Nancy Drew,” Ned said, introducing them.
Up close, Nancy could see that April had serious deep blue eyes and a small turned-up nose. “Hi,” April said distractedly, shaking Nancy’s hand. “I’m Dr. April Shaw.”
“Doctor?” Nancy repeated, impressed.
April smiled faintly. “I’m in my third year of medical school. I won’t be a full-fledged doctor until I’m finished, but we address one another as doctor as soon as we’re admitted to medical school.” She threw another look at the imposing gray building.
“Do you want to go to the hospital?” Nancy asked.
“Am I that obvious? Yes, I guess I do.” She shook her head apologetically. “You see, Trevor’s over there now checking on my father. He came to visit me last week, but three days ago he had a heart attack. Now he’s a patient here, and I’m really worried about him.”
“Oh, I’m sorry,” Nancy murmured. Her heart went out to April.
They walked along a curving sidewalk to the hospital’s main entrance. “My father is a doctor, too,” April went on. She seemed anxious to air her problems. “Dr. Gerard Shaw. When I got accepted to med school here, he was the happiest man in the world. But then he got sick.” She sighed heavily. “I didn’t really want him to visit me. I was afraid the trip would be too much for him.”
“You mean you thought he might have a heart attack?”
“He does have a heart condition,” April admitted.
The hospital’s main lobby was decorated in cool tones of gray and white. Several sofas were grouped around a rectangular glass table, and several magazines were fanned across
the table’s glossy surface. The reception hub took up the center of the room. Two women sat behind it, one greeting visitors and the other working the switchboard.
“Trevor’s on seven—the cardiology floor,” April explained as they stopped by the group of sofas. “He promised to check on my father. I won’t bother him now; the doctors in CCU want him to rest.”
“What’s CCU?” Nancy asked.
“Cardiac Care Unit. The cardiac nurses staff it around the clock. I’m hoping my dad’ll be well enough to be moved to a private room soon.”
Nancy glanced at Ned. She didn’t see how they could leave the hospital and go out to dinner. April was too upset. “Maybe we could eat in the hospital cafeteria,” Nancy suggested out loud.
Ned grimaced. “Hospital food?” he repeated, clutching his throat as if he might gag. “How about going somewhere else? Anywhere else!”
“April might want to stay at the hospital,” Nancy pointed out, nudging him in the ribs.
“No, that’s okay,” April insisted. “As soon as Trevor’s through, I’d like to get away. I’ve been sick with worry all day.” She looked at the clock on the far wall. “Do you mind waiting?”
“No problem,” Nancy said, and they sat down in the lobby. Nancy started to ask April about being a doctor when a disembodied voice announced over the loudspeaker, “Dr. Trevor Callahan to Room seven fifty-five. Dr. Callahan. Room seven fifty-five. Stat.”
“Now, what’s that all about?” April muttered. “Nobody calls stat unless it’s very serious. Come on,” she added abruptly. “We’ll meet Trevor on seven.”
Nancy and Ned exchanged glances. They didn’t want to get in the way of an emergency. But April had already ushered them to an elevator.
“The room’s in the west wing,” April said as they stepped off the elevator into a gleaming corridor.
A blond man in a doctor’s coat was just pushing open the door to Room 755 when Nancy, Ned, and April approached. “There’s Trevor now,” April said, rushing forward.
Intent on his task, Trevor disappeared into the room. Nancy stood by the open door. Inside the room, someone was gasping wildly. Alarmed, Nancy caught a clear glimpse of a middle-aged woman lying in bed, her face swollen and contorted, her fingers clutching at her throat.
“She’s choking!” Nancy exclaimed.
But instead of helping her, Trevor just stood at the foot of the hospital bed, staring. Nancy was horrified. He was going to let her die!
Chapter
Two
TREVOR SUDDENLY LEAPT FORWARD and pulled the woman’s hands from her throat. Quick as a flash, he bent her head back to clear her air passage. “Get more help!” he yelled over his shoulder to the nurse who had run in. “I need an intubation! Something’s wrong. Quick!”
“Penicillin,” the patient wheezed out.
Nancy realized that Trevor had been hesitating because he was diagnosing what was wrong. Apparently this was serious.
The nurse turned on her heel, going for help. Before Nancy could move, she was nearly knocked over by a distinguished-looking doctor. “What’s wrong?” he demanded tensely, rushing past her into the room.
“Dr. Callahan’s ordered an intubation, Dr. Rayburn,” the nurse called over her shoulder. She was already hurrying toward a hospital paging phone posted in the hallway.
“Call a code ninety-nine!” Trevor yelled after the nurse.
Rayburn took matters into his own hands. He snatched up the phone in the room. “Code ninety-nine, stat. This patient’s suffering from penicillin poisoning!”
Nancy and Ned stepped away from the door of 755. “What’s an intubation?” Ned asked Nancy. She shook her head.
When Nancy posed the same question to April, she said, “They’re going to insert a tube into the patient’s windpipe because she can’t breathe on her own.”
“Is that what code ninety-nine means?” Ned asked.
April looked grim. “No, that means cardiac arrest.”
The hospital staff that had responded to the code finally began to disperse. Nancy, Ned, and April stayed back from the action, not wanting to get in the way. Finally only Trevor and Dr. Rayburn remained inside the room. The patient’s lungs were being artificially filled with oxygen. Nancy could see the little blips on the screen, which she assumed indicated the woman’s heartbeat.
Trevor slowly walked out of the room. Now it was he who seemed to be in shock. The look he sent April was dazed and bleak. Dr. Rayburn shook his head and studied the patient’s chart as he slowly walked out of the room. “Something’s wrong,” he said, as if to himself. “There’s got to be a mistake here.”
Trevor glanced over Dr. Rayburn’s shoulder at the chart. The blood drained from his face and he turned chalky white.
“I don’t know how this happened,” Dr. Rayburn said seriously. “This patient should never have been given penicillin!”
Trevor nodded dumbly.
“Trevor, what’s wrong?” April asked anxiously after Dr. Rayburn left.
“Nothing.” He seemed to shake himself, focusing on Nancy and Ned for the first time. “I’m—uh—almost finished. I’ll change and meet you out front in fifteen minutes.”
“Are you all right?” April was obviously very worried.
“Yeah, I’m okay.”
As they headed down the elevator, Ned whispered in Nancy’s ear, “Now what was that all about?”
Nancy shook her head. She didn’t know, but she’d gained the distinct impression that something was seriously wrong.
• • •
“How’s Dad?” April asked Trevor as soon as the four of them were seated around a table at one of River Heights’s most popular Mexican restaurants. A basket of corn chips sat in the center of the hand-painted blue- and gold-tiled tabletop.
Nancy studied Trevor for the first time. He was quite handsome, with blond hair and gray eyes that had sunbursts of laugh lines at the outer corners. Ned had assured her he was fun-loving and casual, yet he seemed so serious that Nancy couldn’t imagine his having a sense of humor.
Trevor looked blankly at April for several seconds. “Oh, your father was okay when I checked in on him. The same as when you left.”
“He’s no better, then?”
Trevor moved his hand over to cover April’s. “Give him time.”
April looked so downcast that Nancy decided to try to change the subject. “How did you two meet?” she asked Trevor. “At medical school?”
He nodded. “April was in her first year and I was in my fourth. I’d already decided to specialize in cardiology, so I’d geared my studies in that direction. When April was assigned to Dr. Rayburn for cardiology we bumped into each other.”
“Dr. Rayburn’s a cardiologist?” Ned asked.
“The chief of cardiology,” April corrected him. “He’s got quite a reputation at W.U.”
“He’s one of the main reasons I decided to take my residency here at W.U. rather than apply to another hospital,” Trevor admitted.
Nancy smiled, glancing at April. “I can guess the other reason.”
Trevor smiled back, and Nancy caught her first real glimpse of the man who was Ned’s friend. Once he was relaxed, Trevor wasn’t so intimidating and serious. It was clear he adored April.
“How long is a residency?” Ned asked.
“Six years in cardiology,” said Trevor.
“Wow. You’ll be an old man before you finish!”
“I want to be the best cardiologist around. That takes time. By the time April is through with med school, we’ll be ready to get married.”
April and Trevor looked at each other and smiled. Ned slipped his arm around Nancy’s shoulders. Nancy felt warm and happy. Someday she’d like to make plans as April and Trevor were. From the sweet glance Ned sent her, she could tell he was thinking the same thing.
After they finished eating, April and Trevor ordered coffee and seemed to be content to linger. “I wish my dad had stayed in Saint Louis,” April said, reve
aling what was uppermost on her mind.
“That’s where you’re from?” Nancy asked.
She nodded. “My father was on staff at one of the most respected medical school hospitals in the country. He was head of cardiology there until his heart condition prevented him from working.” She smiled wistfully. “But he’s a consultant to the state medical board of examiners, so I guess he’s still a pretty important guy.”
“Do you have any other family?” Ned asked.
“My mother died when I was little,” she said. “I don’t have any brothers or sisters.”
“Neither do I,” said Nancy. “And my father’s a widower, too.”
April asked about Nancy’s father, and Nancy explained that he was a lawyer in River Heights.
“Does your father want you to become a lawyer, too?” April inquired.
“Oh, I don’t know. I’m pretty happy with what I’m doing.”
“What’s that?”
“Didn’t I tell you?” Trevor broke in. “Nancy’s a detective. According to Ned, she’s solved more cases than most detectives twice her age.”
Nancy laughed. “Well, I wouldn’t go that far.”
“A detective?” April perked up. “That’s great! Tell us about some of your cases.”
Nancy entertained them with several of her more fascinating investigations, and as they listened, April and Trevor both seemed to forget their problems at the hospital. “And then there was the time that Ned got engaged to another girl just so he could find out what she was into,” Nancy finished, giving Ned a friendly jab in the ribs. “And she ended up trying to push me out of the picture—permanently.”
“What do you mean?”
“We went skydiving, and she sabotaged my parachute so it wouldn’t open!”
April shivered. “Luckily, you survived!”
“Well, she actually saved me at the last minute. She was just trying to scare me.”
“Detective work is so dangerous,” said April. “You could get killed.”
“Don’t I know it,” Ned said with feeling.
Then slowly Trevor’s good mood evaporated as he became distracted and quiet, staring off into space.