Dr. O’Connor, he saw Jack Keller weeping openly in the hall.
“Let’s sit here for a moment before you try to talk to her, Mr. Drake.”
They sat a few feet from the bed, Boone never taking his eyes off Nikki, the tubes, and the quietly humming machines.
“Let me tell you exactly what we’re dealing with here, sir. Your wife is in profound shock due to massive shifts of fluid. Her body is fighting a hopeless, losing battle to heal itself. Normally, with a major burn victim, the first thing we do is establish respiration and circulation. Frankly, we couldn’t do a tracheotomy because the flesh around her neck was virtually vaporized. We couldn’t administer intravenous fluids because her arms and legs were burned to the bone.
“We have oxygen being pumped in directly through her nasal cavity and down her traumatized esophagus and then we’ve threaded it directly to the lungs. The other tube is carrying the fluids and anesthetic, mostly to her stomach, which seems intact. Dr. Sarangan told us of your wish to try to converse with her, which I trust he told you is not likely. Nevertheless, seeing that there is no chance to save her, we did concentrate our efforts on her mouth and throat. Her tongue is intact, but she has no lips, so if she were to try to speak, you may not be able to understand her. And with the amount of sedation we are administering, there is no telling when or if she would be conscious.”
“I understand.”
“The machine is breathing for her, but the scar tissue already forming around her chest wall restricts expansion and would be painful if she could feel it. If she had any more skin to work with, we might have performed an escharotomy, searching for healthy tissue. The sad fact is, she has virtually none, except for where she cradled your son. And that’s not enough. I don’t know how else to say it, but your wife’s body was, for all practical purposes, burned to the skeleton. And had your neighbor not doused the flames, her internal organs would have been lost too. As it is, we are not entirely certain what is keeping her alive. And you have to know it won’t be long.”
“Her parents are coming more than 3,500 miles.”
“I can’t imagine they will get here in time to see her. I’m sorry.”
“So when can I try to talk to her?”
“The hallucinogenic narcoleptic we used for surgery should wear off in a few minutes. We will know when she attempts to move at all. I can assure you she will feel no pain. Whatever nerve tissue remains is being anesthetized by what is commonly referred to as a morphine drip, but which in this case is actually a morphine stream. See that bag there? It is essentially being poured into her. When she passes, it will be without discomfort and probably without even awareness.”
“So talking to her is useless?”
“The mind and body are remarkable instruments, Mr. Drake. There is evidence that hearing is sometimes the last sense to go. And we know from people who have come back from the brink of death that they have not only heard their loved ones’ good-byes, but they have also comprehended them, beyond all reason.
“I’m not going to sit here and promise that you will get to communicate anything meaningful to your wife, but if there is any chance, it will come within a few minutes after the sedative wears off. And while I don’t expect her to try to speak, if she does, you’ll need to listen very carefully. She suffered severe damage to her throat, but it is possible she could generate some kind of sound.”
Boone sat staring, still finding it hard to take in. How long had it been since he had been looking forward to a little lunch with Jack? Everything in his life had been smashed beyond recognition; nothing would ever again be the same. How could something like this happen without warning?
“Um, I have a question.”
“Anything.”
“If she’s on life support, how will we know when the end has come?”
“When to turn off the