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    Die Before Your Time (Elia Christie / Luis Echevarria medical mysteries)


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      DIE BEFORE

      YOUR TIME

      by

      Susan Polonus Mucha

      Mason Dixon House

      Pennsylvania/Georgia

      Mason Dixon House

      Copyright ©2010 Susan Polonus Mucha

      Case Bound/Hard Cover: ISBN 978-0-9802271-1-6

      Perfect Bound/Soft Cover: ISBN 978-0-9802271-2-3

      1. Medical thriller — Fiction. 2. Amateur sleuths — Fiction. 3. Bermuda — Fiction. 4. Kiawah Island, S.C. — Fiction. 5. Connecticut — Fiction. 6. Cape Cod — Fiction. 7. New York City — Fiction. 8. Lima, Perú — Fiction. I. Title.

      Library of Congress Control Number: 2010913601

      All Rights Reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system without written permission from the author, except for the inclusion of brief quotations in a review.

      This book is a work of fiction.

      Cover photo by Pablo Illescas

      Jacket design by Dragon's Teeth Design

      Mason Dixon House can arrange for speakers for your live event. Contact the publisher at: publishing@masondixonhouse.com

      Printed in the United States of America

      Digital book(s) (epub and mobi) produced by: Kimberly A. Hitchens, hitch@booknook.biz

      Also by

      Susan Polonus Mucha

      Deadly Deception

      For Edgardo ~ still lighting up my world

      In memory of my father, Harold A. Polonus,

      the writer in the family.

      Thanks for the genes, Dad.

      “…So sweet the air, so moderate the clime;

      None sickly lives, or dies before his time.”

      – Edmond Waller 1645

      Table of Contents

      CHAPTER 1

      CHAPTER 2

      CHAPTER 3

      CHAPTER 4

      CHAPTER 5

      CHAPTER 6

      CHAPTER 7

      CHAPTER 8

      CHAPTER 9

      CHAPTER 10

      CHAPTER 11

      CHAPTER 12

      CHAPTER 13

      CHAPTER 14

      CHAPTER 15

      CHAPTER 16

      CHAPTER 17

      CHAPTER 18

      CHAPTER 19

      CHAPTER 20

      CHAPTER 21

      CHAPTER 22

      CHAPTER 23

      CHAPTER 24

      CHAPTER 25

      CHAPTER 26

      CHAPTER 27

      CHAPTER 28

      CHAPTER 29

      CHAPTER 30

      CHAPTER 31

      CHAPTER 32

      CHAPTER 33

      CHAPTER 34

      CHAPTER 35

      CHAPTER 36

      CHAPTER 37

      CHAPTER 38

      CHAPTER 39

      CHAPTER 40

      CHAPTER 41

      CHAPTER 42

      CHAPTER 43

      CHAPTER 44

      CHAPTER 45

      CHAPTER 46

      CHAPTER 47

      CHAPTER 48

      CHAPTER 49

      CHAPTER 50

      CHAPTER 51

      CHAPTER 52

      CHAPTER 53

      CHAPTER 54

      CHAPTER 55

      CHAPTER 56

      CHAPTER 57

      CHAPTER 58

      CHAPTER 59

      CHAPTER 60

      CHAPTER 61

      CHAPTER 62

      CHAPTER 63

      CHAPTER 64

      CHAPTER 65

      CHAPTER 66

      CHAPTER 67

      CHAPTER 68

      CHAPTER 69

      CHAPTER 70

      CHAPTER 71

      CHAPTER 72

      CHAPTER 73

      CHAPTER 74

      CHAPTER 75

      CHAPTER 76

      CHAPTER 77

      CHAPTER 78

      CHAPTER 79

      CHAPTER 80

      CHAPTER 81

      CHAPTER 82

      CHAPTER 83

      CHAPTER 84

      CHAPTER 85

      CHAPTER 86

      CHAPTER 87

      CHAPTER 88

      CHAPTER 89

      CHAPTER 90

      CHAPTER 91

      CHAPTER 92

      CHAPTER 93

      CHAPTER 94

      CHAPTER 95

      CHAPTER 96

      CHAPTER 97

      CHAPTER 98

      CHAPTER 99

      CHAPTER 100

      CHAPTER 101

      CHAPTER 102

      CHAPTER 103

      CHAPTER 104

      CHAPTER 105

      ACKNOWLEDGEMENTS

      Chapter 1

      “Until death do you part.”

      They say your entire life passes before your eyes when you're about to die. Elia's life could have been written on a deck of cards and a Las Vegas dealer couldn't have flashed through the deck faster than she.

      Not so for Luis. His vows two days earlier, “Until death do you part,” did flash by, however. He sent a quick message to God — an order, really. “No! Not again.” He grabbed for Elia who panicked and kicked against him flailing her arms. He held tight and helped her breathe. He began deflating his vest and slowly rose to the surface with his wife in his arms.

      Two days earlier Dr. Luis Echevarria had gathered his new wife, Elia Christie, in his arms at the altar of the tiny seaside chapel in Bermuda, and buried his face in her mass of auburn curls. The words, “Until death do you part,” shook him. His first wife had died suddenly in an automobile accident, and Elia had almost died a year earlier in Perú.

      He shook his head as if to clear it. He kissed her, a sweet, gentle kiss, then turned to their witnesses, her grandparents. “Señores, ‘ll cherish your granddaughter until the day I die.” He bent to kiss her grandmother.

      Anna Maria Amauro reached up and laid her hand on Luis's cheek. She let her hand rest there for a moment. “She has said the same about you, mi hijo.” Then she looked at the couple and was silent for a moment. “Ustedes son muy bonitos.”

      They were beautiful. Elia had her American father's fair skin and her Peruvian mother's understated elegance. She wore a short silk dress in a soft coral color, which hugged her slim body like a slip. A creamy camellia was tucked behind one ear.

      Luis, too, had the fair skin of his ancestors, who had arrived in Lima, Perú, from the Basque country of Spain. His black hair and onyx-colored eyes affirmed his Peruvian blood.

      Señora Amauro sighed, then smiled at the young couple, reached for Luis's free hand and gave it a squeeze. Luis, at six-foot-two, towered over the señora who appeared fragile, which was misleading; her strength had carried her family through sad times.

      Elia's grandmother, her mamama, looked like a classic Peruvian princess with her olive complexion and prominent cheekbones. Her black hair was pulled into an elegant twist complimenting the black silk suit she wore to her only granddaughter's wedding.

      She looked from Luis to Elia, and then to Elia's brother, Father Rafael Christie, who had performed the ceremony. She tried to sweep all three into her arms. “Bienvenido a nuestra familia, Luis.”

      Luis's parents were no longer living, so he drank in the love of Elia's family. He turned to Elia's grandfather, Bernardino Amauro, and gave him a warm Latino hug. Señor Amauro's smile was warm, but the sparkle in his eyes had gone out when his daughter and son-in-law died in a plane crash.

      “Luis, Welcome. Elia's parents would have been happy with her choice.”

      The only
    guest at the small family gathering was Vicente Pereda. “We're so happy to have you, Vicente,” Elia said. “When we played together as children, would we have known you'd be here for my wedding?”

      “I'm happy to be included.” Vicente turned to Luis. “I need to talk to you, Luis.”

      “Sure.” Luis looked closely at Vicente. “What is it? Do you feel all right?”

      “Yes.” He swiped his forehead with the palm of his hand. “Well, no. Maybe I'm just warm. It's something else. I need some advice. And some guidance. Maybe later? After dinner?”

      “What is it?”

      “I hate to bother you today. I think I have a problem.” He paused, then added, “at work.”

      “We'll talk, Vicente, at dinner.”

      Elia had tuned them out and stood looking around the church. There were ten pews on each side of the aisle with room for four people in each pew. The wood was dark and smelled of lemon, but it couldn't mask a musty odor that might lessen only when the weather remained dry and the clear glass windows were thrown open for a week of sunshine. It was the view that stopped the parishioners from installing stained glass. Through the windows, the Atlantic met the sky in jeweled tones of sapphire and aquamarine and turquoise.

      Elia's eyes scanned the tiny church. “Where's Raf? He was here a minute ago.”

      “Hanging up my vestments.” Raf came from the sacristy behind the altar, wearing a black suit and a Roman collar. “I couldn't go to the restaurant dressed like St. Patrick.” He pushed a shock of sandy hair off his forehead and put his arms around the newlyweds. “This is good.” He genuflected in front of the altar and left the chapel with his family.

      The small wedding party drifted to the street where a horse-drawn carriage awaited the bride and groom. Hundreds of feet below the glistening sea stretched out before them.

      “We'll meet you at the restaurant,” Elia said. “You'll get there before we do.” She kissed each member of her family — the only family she had, and hugged Vicente. To her brother, she said a simple, “Thank you, Raf.”

      The carriage left the chapel, which overlooked Church Bay. The horses sauntered at a leisurely pace along the cliff road high above the sea. Elia and Luis had a slow-motion view of crystal-clear water. Dotting the Atlantic were countless sailboats tacking against the wind, their sails pregnant and white.

      The road was narrow, a lane really. On the opposite side of the road, feathery tree branches reached the carriage and tickled it lightly. Steep banks were held back by weathered rocks. Lush ferns, flowering hibiscus and oleander grew in the crevices and flourished under the bright sky. Their sweet fragrance blended with the fresh scent of the sea.

      Elia carried a silk wrap, the same coral color as her dress, but the afternoon was warm. She wouldn't have needed it anyway with her husband's arm around her. He pulled her close.

      “You feel good,” Elia said and snuggled closer to Luis.

      When they arrived at the restaurant, Raf was standing in front wearing an anxious frown. He ran to the carriage before it came to a complete stop.

      “Luis, we need you inside. They've called for an ambulance, but maybe you can do something.”

      Elia threw her hand to her heart. “Papá?”

      “No, no, he's fine. It's Vicente.”

      “What happened?” Luis asked. He jumped out of the carriage and turned to help Elia.

      “He collapsed at our table.”

      The three hurried into the restaurant where a group of diners and waiters stood in a huddle near the figure on the floor.

      “This is a doctor, please let him through,” Raf said quietly; the small group parted as smoothly as the Red Sea. The Amauros were kneeling on the floor beside their young friend. Raf helped them to their feet and Luis and Elia took their places.

      Vicente's face was mottled and gray and perspiration soaked his white shirt. Luis felt for a pulse, which was thready and rapid.

      Elia got to her feet and addressed the maître d’, who stood nearby. “You called for an ambulance?”

      “Yes, ma'am,” he said. He spoke with a clipped British accent. “It should arrive soon.”

      “Would you please station someone out front to wait for it?” As Elia looked around the restaurant, people averted their eyes. She knelt beside her friend.

      A look passed between Elia and Raf; he nodded and seated their grandparents at a table a few feet from the drama on the floor. “I'll see if I can help,” he told them and left to join the tableau on the floor.

      Luis took the cushions off several chairs. “Help me raise his lower body,” he said to Raf. While Raf lifted Vicente's hips, Luis slid the pillows under him. Elia handed Luis some more, and he used them to raise their friend's legs. Luis put two fingers on the carotid artery at Vicente's neck. “Vicente, your blood pressure is low, but this position will help you. Take three deep breaths for me.” He watched while Vicente complied.

      The restaurant was small with only eight white linen-covered tables. Near the door, a few patrons waited in a cozy alcove with several chairs and a love seat.

      “May we have that please?” Elia asked the maître d’, pointing to a quilt that was draped over the loveseat. He handed it to her and she covered Vicente, whose black hair was damp and plastered across his forehead. She brushed it off his face with her hand.

      “It's my belly. It's killing me.” There was panic in Vicente's eyes.

      “Have you ever had an ulcer?” Luis asked, as he palpated Vicente's abdomen; he hoped it was an ulcer and not an aneurysm.

      Vicente grabbed his abdomen. He waited a moment before answering. “Six months ago. The symptoms disappeared with treatment. Was nothing like this.”

      “I think the ulcer's bleeding.” Luis appeared calm. “Take a couple more deep breaths; an ambulance is on the way.”

      Vicente tried to push himself up on his elbows and grabbed the lapel of Luis's suit. “I can't go to the hospital.” He emphasized each word. His respirations increased, and he became even more restless.

      “You're a doctor. You know you have to get treatment.” Luis took Vicente's hands off his jacket and held them in his own.

      “Outpatient, then. I have a meeting tomorrow. I have to be there.”

      They heard the siren of the approaching ambulance.

      “Vicente, maybe you'll only be in the hospital a few hours. We'll meet you there.” Elia looked up at Luis as she spoke.

      “Better yet, we'll ride with you,” Luis said.

      Luis met the attendants at the door and gave a quick history and preliminary diagnosis.

      A paramedic took Vicente's vital signs. “Eighty-five over fifty,” he said. He took it again. “No better.” He began applying small patches with attached wires to strategic spots on Vicente's chest. A portable monitor came alive with the beat of Vicente's heart.

      The Amauros left their table and came to stand behind their grandchildren, who still knelt beside their friend. Despite worried expressions, they both seemed calm.

      The second paramedic started intravenous fluids. Then the two of them lifted Vicente onto the gurney and rolled him out to the ambulance. Luis and Elia followed.

      “ Elia, Luis, thank you for going with him,” Señora Amauro said.

      Luis nodded and helped Elia into the ambulance. An attendant entered after them. Raf got on for a moment to bless Vicente, then stepped off.

      “We'll be right behind you,” Raf said. He backed away from the ambulance, made the sign of the cross, and the ambulance pulled smoothly into the street.

      Chapter 2

      “Please,” Vicente whispered, “please.” He took hold of Luis's jacket and again tried to pull himself up.

      “No, no. Lie down.” Luis gently pushed him back. He adjusted the gurney so his friend's head would be lower than the rest of his body.

      “No. Luis, I have to ask you something.”

      He tried to sit but the arm with the IV was strapped to a board and the other arm collapsed under his weight.

      Luis put pressure on Vicen
    te's shoulder. “You need to lie down.”

      Vicente looked at the attendant. Luis followed his gaze and frowned. “Take a deep breath for me.” Luis's voice was calm, a sharp contrast to Vicente's. The paramedic moved over to Vicente and took his blood pressure. “One hundred ten over sixty.”

      “Good.” Luis fingered Vicente's pulse and looked at the monitor. “Still fast. A hundred and thirty.”

      “Why? If his blood pressure is better, why is his pulse still rapid?” Elia asked.

      “He's still bleeding. His pulse won't slow until his blood volume increases — until the bleeding is stopped.”

      Elia looked at Luis, her frown showing her fear. “Can we talk with him?”

      Luis nodded.

      “Do you mind if I move in here?” Elia asked. She had given her place to the medic.

      “Yes, ma'am.” He took one more look at his patient and moved to the foot of the stretcher.

      “Vicente, tell us,” Elia said.

      “I can't go to the hospital.” He tried again to sit up.

      “No. You're going.” Elia's voice was firm. She looked at Luis, who kept his fingers on Vicente's pulse. Vicente's eyes shot to the paramedic. The medic turned away and looked out the back window.

      “I don't know how to handle this.” Vicente looked at Luis. “Have you had patients die?”

      “Of course, Vicente. I'm not God. Patients do die, but you're not dying.”

      Vicente shook his head. “Not me, Luis, not me.”

      Luis frowned, but before he could ask Vicente what he meant, the ambulance slowed. It came to an easy stop in front of the emergency entrance, and the paramedic swung open the doors and jumped out the back. “Doctor, we'll take it from here.”

      Vicente raised his head; his eyes sought Luis's. “We'll be right here,” Luis said. “They're going to give you more fluids, maybe blood, and probably Zantac. It won't take long. We'll see you soon.”

      The paramedics pushed the gurney into the ER and past the open door of the waiting room. They stopped to speak to a nurse, who motioned them through a wide, brightly-lit hallway toward a treatment room.

      Elia paused at the waiting room. There were about two dozen plain wooden chairs lined up against two walls. An admitting clerk sat behind an opened frosted window at the third wall. They hurried to catch up with Vicente and reached him as he was being wheeled into the treatment room.

     

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