Ashley Bell: A Novel by Dean Koontz Page A

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    Dr. Sanjay Chandra didn’t want to loom over Bibi as she lay in bed, reporting on her health from a superior height. He placed two chairs by the window, and they sat facing each other, with blue sky and scattered white clouds to Bibi’s right, as if she were receiving this news in the foyer of Heaven.
    In spite of wearing a white lab coat over iron-gray suit pants, a pale-blue shirt, and a blue tie, and although he had arrived carrying an ultrathin laptop with which he could evidently access all Bibi’s test results, Dr. Chandra had none of the intimidating presence that was natural to some physicians and cultivated by others. Soft-spoken, with an air of serenity that suggested that he had made peace with this world of endless frustrations and with his own ambition, he seemed less like a doctor than like a counselor of the troubled.
    In preparation for this meeting, Bibi had taken a shower, brushed her long, dark hair, applied makeup, and donned a sapphire-blue silk robe over her pajamas. If the physician had bad news to deliver, she intended to receive it with style, to appear in no way pitiable or in the least defeated.
    The diagnosis proved to be bad indeed, her prognosis even worse. A year to live. A year of decline and suffering.
    She knew now why Dr. Chandra had wanted to speak to her alone. Neither her mother nor her father possessed the emotional fortitude to watch her receive this news. Her reaction, no matter how stoic, would have undone them, and Bibi would have been too concerned about them to remain focused on her options as single-mindedly as she must.
    With the gentleness and compassion of a caring chaplain in a death-row conference with a condemned man, Dr. Chandra explained why Bibi was without good options. Her cancer was far advanced. Even caught early, gliomatosis cerebri was too dispersed in the brain for surgery to be a permanent solution. At this stage, chemotherapy and radiation would gain her little time, if any. “And the side effects will make the days ahead harder, Bibi. Much harder, I’m afraid.”
    “No offense,” she said, “but what about a second opinion?”
    “I asked Dr. Beryl Chemerinski to provide one. She is a highly respected surgical oncologist at another hospital, with no connection to me. She concurs with my conclusions. I wish she didn’t. You can do chemo and radiation nevertheless. Only you can make that decision.”
    She met his eyes for the longest time. He didn’t look away. At last she said, “I guess they call this the moment of truth.”
    “I believe in truth, Bibi. And I know you do, as well.”
    She looked down at her hands. She made them into fists. The left one would not close tight. “I want to fight it. Chemo, whatever. One year to live, huh? Really just one year? We’ll see.”

After Dr. Sanjay Chandra departed, before Nancy arrived with Murphy, Bibi sat with her notebook and pen in one of the chairs by the hospital-room window, to record her thoughts and feelings while they were fresh. She was anxious, but not in the grip of dread. Not yet. The news had been a hard blow; however, she regarded it not as a calamity, but as a summons to action. Often her notebook provided a refuge from the world, and with it she seemed to step out of time, into a place where she had the leisure to reflect on her impressions and emotions before acting on them. This time-out frequently saved her from doing and saying things that she would have regretted.
    As she settled into the chair, her attention was drawn beyond the window, to a flock of large seagulls. The hospital lay only a few blocks from the ocean. The birds soared, plunged, soared again, each to its own intentions, exhilarated by the gift of flight, their joy as clearly expressed as any messages ever printed on the heavens by the sky-writing planes that advertised to summer beach crowds.
    Into her mind came a memory of gulls on a December morning when she was eighteen. She was crossing the