EXCERPT: 'The Scarpetta Factor'

Read an excerpt from Patricia Cornwell's new book.

ByABC News via logo
September 28, 2009, 2:27 PM

Nov. 12, 2009— -- In the midst of a bad economy Dr. Kay Scarpetta, a CNN commentator, decides to provide her forensic expertise pro bono to New York City's Office of the Chief Medical Examiner.

The decision thrusts Scarpetta into the spotlight, and suddenly, she starts getting threats on her life. Meanwhile, Scarpetta's CNN producer urges her to launch a TV show called "The Scarpetta Factor." But Scarpetta worries about increased fame in light of recent events.

"The Scarpetta Factor" is the 17th book in the series written by Patricia Cornwell, and familiar characters play key roles in her new book.

Read the excerpt below, and then head to the "GMA" Library to find more good reads.

A frigid wind gusted in from the East River, snatching at Dr. Kay Scarpetta's coat as she walked quickly along 30th Street.

It was one week before Christmas without a hint of the holidays in what she thought of as Manhattan's Tragic Triangle, three vertices connected by wretchedness and death. Behind her was Memorial Park, a voluminous white tent housing the vacuum-packed human remains still unidentified or unclaimed from Ground Zero. Ahead on the left was the Gothic redbrick former Bellevue Psychiatric Hospital, now a shelter for the homeless. Across from that was the loading dock and bay for the Office of the Chief Medical Examiner, where a gray steel garage door was open. A truck was backing up, more pallets of plywood being unloaded. It had been a noisy day at the morgue, a constant hammering in corridors that carried sound like an amphitheater. The mortuary techs were busy assembling plain pine coffins, adult- size, infant- size, hardly able to keep up with the growing demand for city burials at Potter's Field. Economy- related. Everything was.

Scarpetta already regretted the cheeseburger and fries in the cardboard box she carried. How long had they been in the warming cabinet on the serving line of the NYU Medical School cafeteria? It was late for lunch, almost three p.m., and she was pretty sure she knew the answer about the palatability of the food, but there was no time to place an order or bother with the salad bar, to eat healthy or even eat something she might actually enjoy. So far there had been fifteen cases today, suicides, accidents, homicides, and indigents who died unattended by a physician or, even sadder, alone.

She had been at work by six a.m. to get an early start, completing her first two autopsies by nine, saving the worst for last—a young woman with injuries and artifacts that were time-consuming and confounding. Scarpetta had spent more than five hours on Toni Darien, making meticulously detailed diagrams and notes, taking dozens of photographs, fixing the whole brain in a bucket of formalin for further studies, collecting and preserving more than the usual tubes of fluids and sections of organs and tissue, holding on to and documenting everything she possibly could in a case that was odd not because it was unusual but because it was a contradiction.

The twenty- six- year-old woman's manner and cause of death were depressingly mundane and hadn't required a lengthy postmortem examination to answer the most rudimentary questions. She was a homicide from blunt- force trauma, a single blow to the back of her head by an object that possibly had a multicolored painted surface. What didn't make sense was everything else. When her body was discovered at the edge of Central Park, some thirty feet off East 110th Street shortly before dawn, it was assumed she had been jogging last night in the rain when she was sexually assaulted and murdered. Her running pants and panties were around her ankles, her fleece and sports bra pushed above her breasts. A Polartec scarf was tied in a double knot tightly around her neck, and at first glance it was assumed by the police and the OCME's medico-legal investigators who responded to the scene that she was strangled with an article of her own clothing.

She wasn't. When Scarpetta examined the body in the morgue, she found nothing to indicate the scarf had caused the death or even contributed to it, no sign of asphyxia, no vital reaction such as redness or bruising, only a dry abrasion on the neck, as if the scarf had been tied around it postmortem. Certainly it was possible the killer struck her in the head and at some point later strangled her, perhaps not realizing she was already dead. But if so, how much time did he spend with her? Based on the contusion, swelling, and hemorrhage to the cerebral cortex of her brain, she had survived for a while, possibly hours. Yet there was very little blood at the scene. It wasn't until the body was turned over that the injury to the back of her head was even noticed, a one-and-a-half-inch laceration with significant swelling but only a slight weeping of fluid from the wound, the lack of blood blamed on the rain.

Scarpetta seriously doubted it. The scalp laceration would have bled heavily, and it was unlikely a rainstorm that was intermittent and at best moderate would have washed most of the blood out of Toni's long, thick hair. Did her assailant fracture her skull, then spend a long interval with her outside on a rainy winter's night before tying a scarf tightly around her neck to make sure she didn't live to tell the tale? Or was the ligature part of a sexually violent ritual? Why were livor and rigor mortis arguing loudly with what the crime scene seemed to say? It appeared she had died in the park late last night, and it appeared she had been dead for as long as thirty- six hours. Scarpetta was baffled by the case. Maybe she was overthinking it. Maybe she wasn't thinking clearly, for that matter, because she was harried and her blood sugar was low, having eaten nothing all day, only coffee, lots of it.

She was about to be late for the three p.m. staff meeting and needed to be home by six to go to the gym and have dinner with her husband, Benton Wesley, before rushing over to CNN, the last thing she felt like doing. She should never have agreed to appear on The Crispin Report. Why for God's sake had she agreed to go on the air with Carley Crispin and talk about postmortem changes in head hair and the importance of microscopy and other disciplines of forensic science, which were misunderstood because of the very thing Scarpetta had gotten herself involved in—the entertainment industry? She carried her boxed lunch through the loading dock, piled with cartons and crates of offi ce and morgue supplies, and metal carts and trollies and plywood. The security guard was busy on the phone behind Plexiglas and barely gave her a glance as she went past.

At the top of a ramp she used the swipe card she wore on a lanyard to open a heavy metal door and entered a catacomb of white subway tile with teal-green accents and rails that seemed to lead everywhere and nowhere. When she first began working here as a part-time ME, she got lost quite a lot, ending up at the anthropology lab instead of the neuropath lab or the cardiopath lab or the men's locker room instead of the women's, or the decomp room instead of the main autopsy room, or the wrong walk- in refrigerator or stairwell or even on the wrong floor when she boarded the old steel freight elevator.

Soon enough she caught on to the logic of the layout, to its sensible circular flow, beginning with the bay. Like the loading dock, it was behind a massive garage door. When a body was delivered by the medical examiner transport team, the stretcher was unloaded in the bay and passed beneath a radiation detector over the door. If no alarm was triggered indicating the presence of a radioactive material, such as radiopharmaceuticals used in the treatment of some cancers, the next stop was the floor scale, where the body was weighed and measured. Where it went after that depended on its condition. If it was in bad shape or considered potentially hazardous to the living, it went inside the walk-in decomp refrigerator next to the decomp room, where the autopsy would be performed in isolation with special ventilation and other protections.

If the body was in good shape it was wheeled along a corridor to the right of the bay, a journey that could at some point include the possibility of various stops relative to the body's stage of deconstruction: the x-ray suite, the histology specimen storage room, the forensic anthropology lab, two more walk-in refrigerators for fresh bodies that hadn't been examined yet, the lift for those that were to be viewed and identified upstairs, evidence lockers, the neuropath room, the cardiac path room, the main autopsy room. After a case was completed and the body was ready for release, it ended up full circle back at the bay inside yet another walk-in refrigerator, which was where Toni Darien should be right now, zipped up in a pouch on a storage rack.

But she wasn't. She was on a gurney parked in front of the stainless-steel refrigerator door, an ID tech arranging a blue sheet around the neck, up to the chin.

"What are we doing?" Scarpetta said.

"We've had a little excitement upstairs. She's going to be viewed."

"By whom and why?"

"Mother's in the lobby and won't leave until she sees her. Don't worry. I'll take care of it." The tech's name was Rene, mid-thirties with curly black hair and ebony eyes, and unusually gifted at handling families. If she was having a problem with one, it wasn't trivial. Rene could defuse just about anything.

"I thought the father had made the ID," Scarpetta said.

"He filled out the paperwork, and then I showed him the picture you uploaded to me—this was right before you left for the cafeteria. A few minutes later, the mother walks in and the two of them start arguing in the lobby, and I mean going at it, and finally he storms out."

"They're divorced?"

"And obviously hate each other. She's insisting on seeing the body, won't take no for an answer." Rene's purple nitrile-gloved hands moved a strand of damp hair off the dead woman's brow, rearranging several more strands behind the ears, making sure no sutures from the autopsy showed. "I know you've got a staff meeting in a few minutes. I'll take care of this." She looked at the cardboard box Scarpetta was holding. "You didn't even eat yet. What have you had today? Probably nothing, as usual. How much weight have you lost? You're going to end up in the anthro lab, mistaken for a skeleton."

"What were they arguing about in the lobby?" Scarpetta asked.

"Funeral homes. Mother wants one on Long Island. Father wants one in New Jersey. Mother wants a burial, but the father wants cremation. Both of them fighting over her." Touching the dead body again, as if it were part of the conversation. "Then they started blaming each other for everything you can think of. At one point Dr. Edison came out, they were causing such a ruckus."

He was the chief medical examiner and Scarpetta's boss when she worked in the city. It was still a little hard getting used to being supervised, having been either a chief herself or the owner of a private practice for most of her career. But she wouldn't want to be in charge of the New York OCME, not that she'd been asked or likely ever would be. Running an office of this magnitude was like being the mayor of a major metropolis.

"Well, you know how it works," Scarpetta said. "A dispute, and the body doesn't go anywhere. We'll put a hold on her release until Legal instructs us otherwise. You showed the mother the picture, and then what?"