Passage (7 page)

“Proving the adage that there’s one born every minute.”

“And that people believe what they want to believe. Especially Esther Brightman.”

“Who’s Esther Brightman?”

“The widow of Harold Brightman of Brightman Industries and the oldest member of Mercy General’s board of trustees. And a devout disciple of Mandrake’s, I think because she might cross over to the Other Side at any moment. She’s donated even more money to Mercy General than Mandrake,
and
the entire Research Institute, and when she dies, they get the whole kit and caboodle. If she doesn’t change her will in the meantime.”

“Which means allowing Mandrake to pollute the premises.”

She nodded. “And any other project connected with NDEs. Which is what I’m doing here.”

He frowned. “Isn’t Mrs. Brightman afraid legitimate scientific research might undermine the idea of life after death?”

She shook her head. “She’s convinced that the evidence will prove the existence of the afterlife, and that I’ll come to see the light. I should be grateful to them. Most hospitals won’t touch NDE research with a ten-foot pole. I’m not, however. Grateful. Especially right now.” She looked speculatively up at the door. “We might be able to sneak past him while Mrs. Davenport’s telling him the riveting story of her third-grade spelling test.” She tiptoed up the stairs and opened the door a silent crack.

Mr. Mandrake was standing in the hall, talking to Tish. “Mrs. Davenport and the others have been sent back as emissaries,” he said, “to bring us word of what awaits us on the Other Side.”

Joanna eased the door shut carefully and went back down to where Dr. Wright was standing. “He’s talking to Tish,” she whispered, “telling her how NDEs are messages from the Other Side. And meanwhile, we’re trapped on This Side.” She walked past him down to the landing. “I don’t know about you, but I can’t stand the thought of having to listen to his theories of life after death. Not today. So I think I’ll just wait here till he leaves.”

She went around the landing and sat down out of sight of the door above, her feet on the step above the yellow “Do Not Cross” tape. “Don’t feel like you have to stay, Dr. Wright. I’m sure you’ve got more important things—”

“I’ve already been caught once today by Mandrake,” he said. “And I wanted to talk to you, remember? About working with me on my project. This looks like an ideal place. No noise, no interruptions—but it’s not Dr. Wright, not when we’re stuck in a half-painted stairwell together. I’m Richard.” He extended his hand.

“Joanna,” she said, shaking it.

He sat down across the landing facing her. “Tell me about your bad day, Joanna.”

She leaned her head back against the wall. “A man died.”

“Somebody you were close to?”

She shook her head. “I didn’t even know him. I was interviewing him in the ER . . . he . . . ” He was there one minute, she thought, and the next he was gone. And that wasn’t just a figure of speech, a euphemism for death like “passed away.” It was how it had felt. Looking at him lying there in the ER, the monitor wailing, the cardiologist and nurses frantically working over him, it hadn’t felt like Greg Menotti had shut down or ceased to exist. It was as if he’d vanished.

“He’d had an NDE?” Richard asked.

“No. I don’t know. He’d had a heart attack and coded in the ambulance, and he said he didn’t remember anything, but while the doctor was examining him, he coded again, and he said, ‘Too far for her to come.’ ” She looked up at Richard. “The nurses thought he was talking about his girlfriend, but he wasn’t, she was already there.” And he was somewhere else, Joanna thought. Like Coma Carl. Somewhere too far for her to come.

“How old was he?” Richard asked.

“Thirty-four.”

“And probably no prior damage,” he said angrily. “If he’d survived another five minutes, they could have gotten him up to surgery, done a bypass, and given him ten, twenty, even fifty more years.” He leaned forward eagerly. “That’s why this research is so important. If we can figure out what happens in the brain when it’s dying, then we can devise strategies for preventing unnecessary deaths like the one that happened this afternoon. And I believe the NDE’s the key, that it’s a survival mechanism—”

“Then you don’t agree with Noyes and Linden that the NDE’s a result of the human mind’s inability to comprehend its own death?”

“No, and I don’t agree with Dr. Roth’s theory that it’s psychological detachment from fear. There’s no evolutionary advantage to making dying easier or more pleasant. When the
body’s injured, the brain initiates a series of survival strategies. It shuts down blood to every part of the body that can do without it, it increases respiration rate to produce more oxygen, it concentrates blood where it’s most needed—”

“And you think the NDE is one of those strategies?” Joanna asked.

He nodded. “Most patients who’ve had NDEs were revived by paddles or norepinephrine, but some began breathing again on their own.”

“And you think the NDE was what revived them?”

“I think the neurochemical events causing the NDE revived them, and the NDE is a side effect of those events. And a clue to what they are and how they work. And if I can find that out, that knowledge could eventually be used to revive patients who’ve coded. Are you familiar with the new RIPT scan?”

Joanna shook her head. “Is it similar to a PET scan?”

He nodded. “They both measure brain activity, but the RIPT scan is exponentially faster and more detailed. Plus, it uses chemical tracers, not radioactive ones, so the number of scans per subject doesn’t have to be limited. It simultaneously photographs the electrochemical activity in different subsections of the brain for a 3-D picture of neural activity in the working brain. Or the dying brain.”

“You mean you could theoretically take a picture of an NDE?”

“Not theoretically,” Richard said. “I’ve—”

The door above them opened.

They both froze.

Above them a man’s voice said, “—very productive session. Mrs. Davenport has remembered experiencing the Command to Return and the Life Review while she was dead.”

“Oh, God,” Joanna whispered, “It’s Mr. Mandrake.”

Richard craned his neck carefully around the corner.

“You’re right,” he whispered back. “He’s holding the door partway open.”

“Can he see us from there?”

He shook his head.

“Then it’s true?” a young woman’s voice said from the door.

“That’s Tish,” Joanna whispered.

Richard nodded, and they both sat there perfectly still, their heads turned toward the stairs and the door, listening alertly.

“Your whole life really does flash before you when you die?” Tish asked.

“Yes, the events of your life are shown to you in a panorama of images called the Life Review,” Mr. Mandrake said. “The Angel of Light leads the soul in its examination of its life and of the meaning of those events. I’ve just been with Mrs. Davenport. The Angel showed her the events of her life and said, ‘See and understand.’ ” Mandrake must have leaned against the door and opened it wider because his voice was suddenly louder. “See and understand we shall,” he said. “Not only shall we understand our own lives but life itself, the vast ocean of understanding and love that shall be ours when we reach eternity.”

Richard looked at Joanna. “How long is he likely to go on like that?” he whispered.

“Eternally,” she whispered back.

“So you really believe there’s an afterlife?” Tish asked.

Doesn’t she have any patients to attend to? Joanna thought, exasperated. But this was Tish, to whom flirting was as natural as breathing. She couldn’t help sending out spinnerets over any male, even Mr. Mandrake. And Richard had obviously met her. Joanna wondered how he’d managed to get away.

“I don’t think there’s an afterlife,” Mr. Mandrake said. “I know it. I have scientific evidence it exists.”

“Really?” Tish said.

“I have
eyewitnesses,”
he said. “My subjects report that the Other Side is a beautiful place, filled with golden light and the faces of loved ones.”

There was a pause. Maybe he’s leaving, Joanna thought hopefully.

The door opened still farther, and someone started down the stairs. Richard shot to his feet and was across the landing in an instant, pulling Joanna to her feet, pressing them both flat against the wall, his arm across her, holding her against the wall. They waited, not breathing.

The door clicked shut, and footsteps clattered down the cement stairs toward them. He’d be down to the landing in another minute, and how were they going to explain their huddling here like a couple of children playing hide-and-seek? Joanna looked questioningly at Richard. He put his finger to his lips. The footsteps came closer.

“Mr. Mandrake!” Tish’s distant voice called, and they could hear the door open again. “Mr. Mandrake! You can’t go down that way. It’s wet.”

“Wet?” Mr. Mandrake said.

“They’ve been painting all the stairwells.”

There was a pause. Richard’s arm tightened against Joanna, and then there was a sound of footsteps going back up.

“Where were you going, Mr. Mandrake?” Tish asked.

“Down to the ER.”

“Oh, then, you need to go over to Orthopedics and take the elevator. Here, let me show you the way.”

Another long pause, and the door clicked shut.

Richard leaned past Joanna to look up the stairs. “He’s gone.”

He took his arm away and turned to face Joanna. “I was afraid he was going to insist on seeing for himself if the stairs were wet.”

“Are you kidding?” Joanna said. “He’s based his entire career on taking things on faith.”

Richard laughed and started up the stairs toward the door. “I wouldn’t do that if I were you,” she said. “He’s still out there.”

Richard stopped and looked down at her questioningly. “He said he was going down to the ER.”

She shook her head. “Not while he’s got an audience.”

Richard opened the door cautiously and eased it shut again. “You’re right. He’s telling Tish how the Angel of Light explained the mysteries of the universe to Mrs. Davenport.”

“That’ll take a month,” Joanna said. She slumped down resignedly on the step. “You’re a doctor. How long does it take for someone to starve to death?”

He looked surprised. “You’re hungry?”

She leaned her head back against the wall. “I had a Pop-Tart for breakfast. About a million years ago.”

“You’re kidding,” he said, rummaging in the pockets of his lab coat. “Would you like an energy bar?”

“You have food?” she said wonderingly.

“The cafeteria’s always closed when I try to eat there. Is it ever open?”

“No,” Joanna said.

“There don’t seem to be any restaurants around here either.”

“There aren’t,” Joanna said. “Taco Pierre’s is the closest, and it’s ten blocks away.”

“Taco Pierre’s?”

She nodded. “Fast-food burritos and
E. coli.”

“Umm,” he said. He pulled out an apple, polished it against his lapel, and held it out to her. “Apple?”

She took it gratefully. “First you save me from Mr. Mandrake and then from starvation,” she said, taking a bite out of the apple. “Whatever it is you want me to do, I’ll do it.”

“Good,” he said, reaching in his other pocket. “I want you to define the near-death experience for me.”

“Define?” she said around a mouthful of apple.

“The sensations. What people experience when they have an NDE.” He pulled out a foil-wrapped Nutri-Grain bar and handed it to her. “Do they all experience the same thing, or is it different for each individual?”

“No,” she said, trying to tear the energy-bar wrapper open. “There definitely seems to be a core experience, as Mr. Mandrake calls it.” She bit the paper, still trying to tear it. “Defining it’s another matter.”

Richard took the energy bar away from her, tore it open, and handed it back to her.

“Thanks,” she said. “The problem is Mr. Mandrake’s book and all the near-death-experience stuff out there. They’ve told people what they should see, and sure enough, they all see it.”

He frowned. “Then you don’t think people actually see a tunnel and a light and a divine figure?”

She took a bite of energy bar. “I didn’t say that. NDEs
didn’t start with Mr. Mandrake or this current crop of books. There are accounts dating all the way back to ancient Greece. In Plato’s
Republic
, there’s an account of a soldier named Er who died and traveled through passageways leading to the realms of the afterlife, where he saw spirits and something approaching heaven. The eighth-century
Tibetan Book of the Dead
talks about leaving the body, being suspended in a foggy void, and entering a realm of light. And most of the core elements seem to go way back.”

She took another bite. “It’s not that people don’t see the tunnel and all the rest. It’s just that it’s so hard separating the wheat from the chaff. And there’s tons of chaff. People tend to use NDEs to get attention. Or to stump for their belief in the paranormal. Twenty-two percent of people who claim they’ve had NDEs also claim to be clairvoyant or telekinetic, or to have had past-life regressions like Bridey Murphy. Fourteen percent claim they’ve been abducted by aliens.”

“So how
do
you separate the wheat from the chaff, as you call it?”

She shrugged. “You look for body language. I had a patient last month who said, ‘When I looked at the light, I understood the secret of the universe,’ which, by the way, is a common comment, and when I asked her what it was, she said, ‘I promised Jesus I wouldn’t tell,’ but as she said it, she put her hand out, as if reaching for something just out of her grasp,” Joanna said, demonstrating. “And you look for experiences outside the standard imagery, for consistency. People tend to include many more specific details, some of them seemingly irrelevant, when they’re describing what they’ve actually experienced than when they’re describing what they think they should have seen.”

“And what have they actually experienced?” Richard asked.

“Well, there’s definitely a sensation of darkness, and a sensation of light, usually in that order. There also seems to be a sound of some kind, though nobody seems to be able to describe it very well. Mr. Mandrake says it’s a buzzing—”