epilogue
6:15 A.M., Monday, March 25, 2002
The faint brightening of the sky, which had been almost imperceptible a half hour earlier, was now definite. The stars had faded, and in their place was a soft, rosy glow heralding the imminent sunrise. The night breeze had quieted. Incessant chatter of songbirds could now be heard, even thirty-two stories up from the ground.
Stephanie and Carol were sitting on opposite couches in the main room of a suite similar in size but not quite as luxurious as the Poseidon Suite. They had been sitting there for hours without moving or speaking, in near catatonia, after having been emotionally traumatized by Ashley and Daniel’s shocking somersault over the balustrade. Carol had been the first to react after the event. She’d dashed for the phone and blurted to the operator that two people had fallen from the Poseidon Suite balcony.
Carol’s panicked voice had mobilized Stephanie to clamber to her feet. She avoided looking over the railing again but rather rushed for the door and ran headlong down the corridor. As she waited breathlessly at the elevator, Carol had joined her. On the elevator, neither spoke, but they stared at each other in total disbelief of what they had witnessed. Both nursed a wisp of hope for a miracle. It had all happened so quickly that there was a sense of unreality.
The two women descended to the level of what was called the Dig, requiring them to run past huge illuminated aquariums filled with all manner of sea creatures, as well as fanciful ruins of the mythical city of Atlantis, in order to reach the ground level in front of the hotel complex. They both guessed that there was a shorter route, but this was the only way Carol knew to get there, and time was of the essence.
On emerging into the night, they veered left, skirting the Royal Baths Pool, illuminated with its underwater lights. Reaching a narrower walkway that wasn’t as well lighted, they had to slow. They crossed a bridge over the Stingray Lagoon to arrive at the darkened, carefully landscaped area at the foot of the Royal Towers’ west wing. Both women were winded.
A contingent of the hotel security had reacted swiftly to the alarm initiated by Carol’s call and was already on the scene. Several were busy roping off the area with yellow caution tape stretched between palm trees. A large African-Bahamian man dressed in a dark suit stepped from the shadows and intercepted the women.
“I’m sorry,” he said, blocking their path as well as their view. “There’s been an accident.”
“We’re staying with the victims,” Stephanie blurted. She tried to see around the sizable man.
“I’m sorry, but it is still best you remain here,” the man said. “Ambulances are on the way.”
“Ambulances?” Stephanie questioned, desperately maintaining her ray of hope.
“And the police,” the man added.
“Are they all right?” Stephanie hesitantly asked. “Are they still alive? We have to see them!”
“Ma’am,” the man said gently. “They fell from the thirty-second floor. It’s not a pretty sight.”
Ambulances had come to remove the bodies. The police arrived as well and conducted a preliminary investigation. They found the syringe, and it initially caused an excitement until Stephanie explained it was medication prescribed by a local doctor. This was confirmed by both Dr. Nawaz and Dr. Newhouse, who arrived soon after the tragedy. The police had accompanied the women and the doctors back up to the Poseidon Suite to check the balcony and the balustrade. The Chief Inspector then confiscated the women’s passports and told them they would be required to remain in the Bahamas until an inquest had been held. He also had the Poseidon Suite and Stephanie’s suite sealed for further investigation.
The hotel night manager had been a paragon of composure, efficiency, and empathy. Immediately and without question, he had transferred the women to a suite in the Royal Towers’ east wing, where they were now sitting. He also provided them with all sorts of personal care products to ease their short-term inability to use their own. Dr. Nawaz and Dr. Newhouse had remained for a time. Dr. Newhouse had provided a sedative for the women, which they could use if they so chose. Neither did. The small plastic container sat untouched on the coffee table between them.
Stephanie had been mulling over and over in her mind the entire affair, from the rainy night in Washington until the tragedy that morning. With hindsight, she had trouble believing that she and Daniel could have allowed themselves to be drawn into such a foolhardy business. Even stranger was their inability to recognize their folly, despite multiple setbacks that should have been hints that their decision-making was terribly flawed. They had truly confused ends and means. The fact that she had on occasion questioned what they were doing was scant comfort, because she had never acted on her intuitions.
Finally, Stephanie took her feet off the coffee table and sat up. She had exhausted her ability to introspect. With her fingers entwined, she stretched out her arms. She was stiff from inaction. After running her fingers through her hair and taking a deep breath, which she let out forcibly, she looked at Carol.
“You must be exhausted,” Stephanie said. “At least I got a few hours of sleep.”
“As strange as it may sound, I’m not,” Carol said. Following Stephanie’s lead, she too stretched. “I feel like I’ve had ten cups of coffee. I can’t stop thinking about how ridiculous this whole episode has been, from the night of that fateful meeting in my car until this current catastrophe.”
“You were against it?” Stephanie asked.
“Of course! I tried to talk Ashley out of it from the start.”
“I’m surprised.”
“Why?”
Stephanie shrugged. “I don’t know exactly, but I guess it’s because it means you and I felt similarly. I was against it too. I tried to talk Daniel out of it as well but unfortunately not stridently enough.”
“Apparently, we both were fated to be a Cassandra of sorts,” Carol said. “I suppose that is metaphysically apropos, since the whole affair has turned out to be a Greek tragedy.”
“How so?”
Carol gave a short, exhausted laugh. “Don’t mind me. I was a literature major in college, and sometimes I get carried away with my metaphors.”
“I’m interested,” Stephanie said. “How was it a Greek tragedy?”
Carol was silent for a moment, organizing her thoughts. “It’s because of the characters of the protagonists,” she said. “It’s the story of two titans, in their own separate arenas yet strangely similar in their hubris, who had achieved greatness but suffered tragic faults. Senator Butler’s was a love of power, which had evolved from a means to an end to an end in and of itself. Dr. Lowell’s, I’d guess, was a desire for financial recognition and celebrity status appropriate in his mind to his intellect and contribution. When these two men collided by conspiring to use each other for their own purposes, their tragic faults literally brought them down.”
Stephanie stared at Carol. She’d always thought of the self-contained woman as a colorless, rather dull, quintessential subordinate. Suddenly she felt differently and by comparison distinctly less intelligent and less educated than she had earlier. “What does it mean to be a Cassandra?”
“In Greek mythology, Cassandra was endowed with the gift of prophecy but fated not to be believed.”
“Interesting,” Stephanie said lamely. “At one point, I teased Daniel about being similar to Ashley.”
“In some respects, they were, at least in respect to their egos. But tell me, what was Dr. Lowell’s response to your teasing?”
“Anger.”
“I’m not surprised. Senator Butler’s response would have been the same if I had had the courage to say anything equivalent. Actually I believe they admired, despised, and were jealous of each other all at the same time. They were competitors in a distorted masculine sort of way.”
“Maybe so,” Stephanie said, as she mulled the idea. She wasn’t immediately convinced Daniel had admired much about Ashley Butler, but she recognized that her contemplative abilities were
hardly at their sharpest. “Are you hungry?” she asked, to change the subject.
Carol shook her head. “Not in the slightest.”
“Nor am I,” Stephanie said. She was exhausted, but she knew she couldn’t sleep. What she wanted was human contact and conversation to keep her mind from going over and over the same issues. “What are you going to do when we can finally leave the Bahamas after the inquest?”
“I’m not sure there will be an inquest, or if there is, it will be quick, pro forma, and behind closed doors.”
“Oh? Why do you say that?”
“Ashley Butler was a senior U.S. Senator in a Congress with a slim majority. The United States government is going to be immediately and aggressively involved at a high level. I think this will all be resolved very, very quickly, because it will be in everybody’s interest. I even believe there will be powerful impetus to keep the affair from the media, if at all possible.”
“My word!” Stephanie muttered, as she pondered such a scenario. The idea had not occurred to her. In fact, in her mind’s eye she had already seen the headlines in The Boston Globe as the final coup de grace for CURE. Yet she had not considered the political ramifications due to Ashley’s notoriety.
“As for me,” Carol said, “I’m going to head home and arrange to see the governor. He’ll be making an appointment to Senator Butler’s seat, and I’ll make the case that I am the most qualified and should be selected. If that doesn’t happen or even if it does, I’ll start making the arrangements to run for the seat in the next election.”
“What do you think will happen to Senate Bill 1103?”
“Without Senator Butler, it will probably just languish,” Carol said. “Your worry should reside across the aisle, where the hard right Republicans might pick up the banner.”
“That was our concern from the start,” Stephanie admitted. “We were surprised when we were blindsided by your boss.”
“You shouldn’t have been. That was the kind of populist issue he always championed. It was the way he maintained his power base. I suppose his hypocrisy in regard to Dr. Lowell’s procedure was not lost on you.”
“Hardly.”
“And what about you?” Carol asked. “What are you going to do when you leave Nassau?”
Stephanie thought for a moment. “First, I have to deal with a problem with my brother. It’s a long story, but our relationship is another casualty of this regrettable affair. Then I guess I’ll see about picking up the pieces of CURE. I hadn’t thought it possible until you suggested that the media might not get ahold of this regrettable story and that Senate Bill 1103 might languish in committee. I’m not much of a businessperson, but I suppose I could give it a try. I think it is what Daniel would want, especially if it brings HTSR to the people.”
“Well I have to say I’ve become a believer in Dr. Lowell’s procedure, as well as therapeutic cloning. I know there was a technical complication with Senator Butler’s implantation, but there was no doubt his Parkinson’s was miraculously helped.”
“Such an immediate positive effect surprised us,” Stephanie admitted. “We never saw such quick resolution of symptoms with our mice. Why it happened to Ashley I can’t explain, but there’s no doubt in my mind had the implantation gone as planned in an appropriate Stateside medical center, the senator would have been cured, or close to it.”
“I was impressed,” Carol said.
“Even in the face of this tragedy, it proves how promising this technology is. I’m convinced it is the future of medicine for a host of diseases, provided a handful of politicians don’t manage to keep it from the American people for political reasons.”
“Well, I hope I get a chance to keep that from happening,” Carol said. “If I get to fill Ashley Butler’s seat, I’ll make it my crusade.”
author’s note
I think of my novels as “faction,” a coined word meaning that the fact and fiction are so mixed that the dividing line between the two is often hard to discern. What does this mean for Seizure? Certainly the characters are all fictional, as is the storyline. Also, unfortunately, the HTSR procedure is not yet part of the biomedical armamentarium. But just about everything else is factual, including the parts about the Shroud of Turin, from which specific genes have been isolated from its bloodstains. I must admit, like Daniel and Stephanie, I became fascinated by the shroud. The reference Stephanie cites is also real, and for those interested in pursuing the subject further, I recommend it as a start.
It is also fact that a number of U.S. politicians have involved themselves in the debate about bioscience, a field whose rate of discovery has become geometric. Indeed, it seems as if the twenty-first century will belong to biology, just as the twentieth century belonged to physics and the nineteenth century belonged to chemistry. Unfortunately, in my opinion, some of the politicians have been drawn into the debate, like my fictional Senator Ashley Butler, for demagogic purposes rather than as true leaders with the public weal at heart. And even those politicians, who seek to ban research of these twenty-first century therapeutic technologies in the United States for what they believe to be legitimate moral reasons, I suspect would not hesitate to fly to another country where such treatments were allowed to develop if they or a member of their family were stricken with an illness capable of being cured.
In the congressional hearing room scene in Seizure (Chapter Two), Senator Ashley Butler shows his true colors by playing to public fears about embryo farms and atavistic Frankenstein mythologies. The senator also refuses to separate reproductive cloning (cloning a person, about which there is almost universal repugnance) from therapeutic cloning (cloning cells from an individual for the purpose of treating that individual). Senator Butler, like other opponents of stem-cell and therapeutic cloning research, suggests that the procedure requires the dismemberment of embryos. As Daniel points out to little avail, this is false. The cloned stem cells in therapeutic cloning are harvested from the blastocyst stage well before any embryo forms. The fact is that in therapeutic cloning, an embryo is never allowed to form and nothing is ever implanted in a uterus.
Most of my readers are aware that my medical thriller stories have significant sociological issues at their core. Seizure is no exception, and obviously the issue here is the regrettable collision of politics and rapidly advancing bioscience. But it is one thing to use a cautionary tale to delineate a problem and quite another to suggest a solution. However, Daniel does allude to one, and it is one I personally would like our country to adopt. As Daniel questions in Chapter Six, “We [meaning the United States] took a lot of our ideas about individual rights, government, and certainly our common law from England. Why couldn’t we have followed England’s lead in how best to deal with the ethics of reproductive bioscience?”
In response to the often difficult and disturbing ethical issues arising from molecular genetics and human reproductive research underscored by the birth of the world’s first in vitro fertilization baby in 1978, the British Parliament in their wisdom created the Human Fertilisation and Embryology Authority (HFEA), which has been operational since 1991. This organization, among other functions, licenses and monitors infertility clinics (something lacking in the U.S.) as well as debates and recommends policy to Parliament in regard to reproductive technologies and research. Interestingly enough, the chairman, deputy chairman, and at least one half the general membership are statutorily neither doctors nor scientists involved in reproductive technology. The point is that the English have managed to form a truly representative body whose members reflect a wide range of the general public’s interests and which can debate the issues in an apolitical environment. Of note, the HFEA issued a report in 1998 that clearly differentiated between reproductive cloning, which it recommended be banned, and therapeutic cloning, which it recommended as holding promise for the therapy of serious illnesses.
The fact that bioscience in general and reproductive bioscience in particular is advancing so quickly begs the issue that the
field needs some form of oversight. There is no doubt that completely unfettered bioscience can be a threat to human dignity, if not our identity, as Dr. Leon Kass, the current chairman of the President’s Council on Bioethics has suggested. But partisan politics is not the appropriate arena to deal with this problem. In such a setting, any committees formed would invariably become stacked with members of a particular political bent.
It is my belief that if the U.S. Congress were to set up a nonpartisan standing commission like the English HFEA to recommend policy, the U.S. public would be well served. Not only could the current debate about therapeutic cloning be resolved in an intelligent, apolitical, and democratic fashion (there is already consensus against reproductive cloning), but also infertility clinics could be monitored appropriately. It is even conceivable that the related abortion issue could be taken out of politics, to our collective benefit.
Robin Cook, M.D.
March 12, 2003
Naples, Florida
DR. ROBIN COOK, a graduate of Columbia Medical School, finished his postgraduate medical training at Harvard. He is the author of Shock, Abduction, Vector, Toxin, Chromosome 6, Contagion, and numerous other bestselling novels.
Robin Cook, Seizure
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