The Hunt for Red October - Tom Clancy [122]
"His condition?" Ivanov asked.
"Critical," Tait replied. "It's a miracle he got here alive at all. He was in the water for at least twelve hours, probably more like twenty. Even accounting for the fact that he was wearing a rubber exposure suit, given the ambient air and water temperatures there's just no way he ought to have been alive. On admission his core temperature was 23.8°C." Tait shook his head. "I've read about worse hypothermia cases in the literature, but this is by far the worst I've ever seen."
"Prognosis?" Ivanov looked into the room.
Tait shrugged. "Hard to say. Maybe as good as fifty-fifty, maybe not. He's still extremely shocky. He's a fundamentally healthy person. You can't see it from here, but he's in superb physical shape, like a track and field man. He has a particularly strong heart; that's probably what kept him alive long enough to get here. We have the hypothermia pretty much under control now. The problem is, with hypothermia so many things go wrong at once. We have to fight a number of separate but connected battles against different systemic enemies to keep them from overwhelming his natural defenses. If anything's going to kill him, it'll be the shock. We're treating that with electrolytes, the normal routine, but he's going to be on the edge for several days at least I—"
Tait looked up. Another man was pacing down the hall. Younger than Tait, and taller, he had a white lab coat over his greens. He carried a metal chart.
"Gentlemen, this is Doctor—Lieutenant—Jameson. He's the physician of record on the case. He admitted your man. What do you have, Jamie?"
"The sputum sample showed pneumonia. Bad news. Worse, his blood chemistry isn't getting any better, and his white count is dropping."
"Great." Tait leaned against the window frame and swore to himself.
"Here's the printout from the blood analyzer." Jameson handed the chart over.
"May I see this, please?" Ivanov came around.
"Sure." Tait flipped the metal cloud chart open and held it so that everyone could see it. Ivanov had never worked with a computerized blood analyzer, and it took several seconds for him to orient himself.
"This is not good."
"Not at all," Tait agreed.
"We're going to have to jump on that pneumonia, hard," Jameson said. "This kid's got too many things going wrong. If the pneumonia really takes hold . . ." He shook his head.
"Keflin?" Tait asked.
"Yeah." Jameson pulled a vial from his pocket. "As much as he'll handle. I'm guessing that he had a mild case before he got dumped in the water, and I hear that some penicillin-resistant strains have been cropping up in Russia. You use mostly penicillin over there, right?" Jameson looked down at Ivanov.
"Correct. What is this keflin?"
"It's a big gun, a synthetic antibiotic, and it works well on resistant strains."
"Right now, Jamie," Tait ordered.
Jameson walked around the corner to enter the room. He injected the antibiotic into a 100cc piggyback IV bottle and hung it on a stand.
"He's so young," Ivanov noted. "He treated our man initially?"
"His name's Albert Jameson. We call him Jamie. He's twenty-nine, graduated Harvard third in his class, and he's been with us ever since. He's board-certified in internal medicine and virology. He's as good as they come." Tait suddenly realized how uncomfortable he was dealing with the Russians. His education and years of naval service taught him that these men were the enemy. That didn't matter. Years before he had sworn an oath to treat patients without regard to outside considerations. Would they believe or did they think he'd let their man die because he was a Russian? "Gentlemen, I want you to understand this: we're giving your man the very