you cry out for help at any time, I'll kill you on the spot. Understand?"
"Yes."
When the gunman spoke more than a few words, he revealed a vague accent, so mild that Markwell could not place it. He clipped the ends of some words, and occasionally his pronunciation had a guttural note that was barely perceptible.
The stranger sat on the edge of the bed and put one hand on the telephone. "What's the number of the county hospital?"
Markwell blinked. "Why?"
"Damn it, I asked you the number. If you won't give it to me, I'd rather beat it out of you than look it up in the directory."
Chastened, Markwell gave him the number.
"Who's on duty there tonight?"
"Dr. Carlson. Herb Carlson."
"Is he a good man?"
"What do you mean?"
"Is he a better doctor than you—or is he a lush too?"
"I'm not a lush. I have—"
"You're an irresponsible, self-pitying, alcoholic wreck, and you know it. Answer my question, Doctor. Is Carlson reliable?"
Markwell's sudden nausea resulted only partly from overindulgence in Scotch; the other cause was revulsion at the truth of what the intruder had said. "Yeah, Herb Carlson's good. A very good doctor."
"Who's the supervising nurse tonight?"
Markwell had to ponder that for a moment. "Ella Hanlow, I think. I'm not sure. If it isn't Ella, it's Virginia Keene."
The stranger called the county hospital and said he was speaking on behalf of Dr. Paul Markwell. He asked for Ella Hanlow.
A blast of wind slammed into the house, rattling a loose window, whistling in the eaves, and Markwell was reminded of the storm. As he watched the fast-falling snow at the window, he felt another gust of disorientation blow through him. The night was so eventful—the lightning, the inexplicable intruder—that suddenly it did not seem real. He pulled at the ropes that bound him to the chair, certain that they were fragments of a whiskey dream and would dissolve like gossamer, but they held him fast, and the effort made him dizzy again.
At the phone the stranger said, "Nurse Hanlow? Dr. Markwell won't be able to come to the hospital tonight. One of his patients there, Janet Shane, is having a difficult labor. Hmmmm? Yes, of course. He wants Dr. Carlson to handle the delivery. No, no, I'm afraid he can't possibly make it. No, not the weather. He's drunk. That's right. He'd be a danger to the patient. No… he's so drunk, there's no point putting him on the line. Sorry. He's been drinking a lot lately, trying to cover it, but tonight he's worse than usual. Hmmmm? I'm a neighbor. Okay. Thank you, Nurse Hanlow. Goodbye."
Markwell was angry but also surprisingly relieved to have his secret revealed. "You bastard, you've ruined me."
"No, Doctor. You've ruined yourself. Self-hatred is destroying your career. And it drove your wife away from you. The marriage was already troubled, sure, but it might've been saved if Lenny had lived, and it might even have been saved after he died if you hadn't withdrawn into yourself so completely."
Markwell was astonished. "How the hell do you know what it was like with me and Anna? And how do you know about Lenny? I've never met you before. How can you know anything about me?"
Ignoring the questions, the stranger piled two pillows against the padded headboard of the bed. He swung his wet, dirty, booted feet onto the covers and stretched out. "No matter how you feel about it, losing your son wasn't your fault. You're just a physician, not a miracle worker. But losing Anna
was
your fault. And what you've become—an extreme danger to your patients—that's your fault too."
Markwell started to object, then sighed and let his head drop forward until his chin was on his chest.
"You know what your trouble is, Doctor?"
"I suppose you'll tell me."
"Your trouble is you never had to struggle for anything, never knew adversity. Your father was well-to-do, so you got everything you wanted, went to the finest schools. And though you were successful in your practice, you never needed the