said, flashing on her son’s recent experience with the condition. “But only traumatic ones.”
“Drug-induced coma is used these days to treat refractory cases of status epilepticus and in some cases of neurosurgery.”
Dixon held up a hand. “Status ep—you mean epilepsy?”
Koossey looked annoyed at being interrupted. “Yes. Mind if I continue?”
Dixon and Vail stared at him. Maybe it’s not just me. The guy’s a little arrogant.
Probably would have something in common with Mayfield. Maybe they’d have been buddies.
Koossey apparently got the message. “Its use in traumatic brain injury is a bit more controversial. The idea behind it is reduction of intracranial pressure and metabolic activity, to al ow the brain to heal.”
“How about we bring him out of it long enough to answer questions?” And then put him under again, this time permanently. Wait, did I say that last part aloud?
Vail’s eyes flicked from Dixon to Koossey. No reaction. Phew.
Koossey lifted the metal clipboard from Mayfield’s bed. “It’s not like that. I put him in the coma because his brain is too il to function properly. The injuries were quite severe. So even if I were to bring him out of the coma, it’s unlikely he’d awaken.”
“How long are you going to keep him under?” Dixon asked.
Koossey canted his eyes toward the clipboard. He looked over the progress notes, flipped a page, then said, almost off-handedly, “A medical y induced coma is incremental y lightened as the patient demonstrates elements of recovery. And that, Agent Vail, like it or not, depends on Mr. Mayfield. He’s in control of the situation now.”
He was in control of the situation before, too. That was the problem.
“We’l be monitoring his electroencephalographic patterns and intracranial pressure, as metrics to help determine when to lighten the coma. More than that, I can’t help you.” Koossey replaced the clipboard, then turned toward the door. “Miss Dixon, you seem to be the level-headed half of your duo. Can I count on you to keep your partner in check so I can finish the rest of my rounds?”
Dixon ignored his comment, but said, “Wil you cal me as soon as he’s potential y capable of answering questions?” She pul ed a card from her pocket and offered it to him.
Koossey frowned.
“Because of Mayfield’s extremely violent nature,” Dixon said, “if we have adequate notice, it’l enable us to increase security. To prevent him from murdering you and your staff.”
Koossey gave Dixon a long look, then took the card and walked out.
Dixon moved around the bed to Vail, placed a hand around her shoulders, and said, “C’mon.”
They stopped at the nurses’ station. Helen glanced up from her file. Dixon handed her a business card as wel . “I’d appreciate if you’d leave instructions for al the staff to notify me when you’re preparing to bring Mr. Mayfield out of his coma.”
“He’s violent and extremely dangerous,” Vail said. “He’s murdered several people. And mutilated a number of women. Sliced off their breasts.”
Helen glanced over at Mayfield’s room. Vail figured she was about to piss her pants, if she hadn’t already.
“Okay?” Dixon asked.
Helen, stil looking in the direction of Mayfield’s room, said, “Yeah, yeah, of course.”
As they walked away from the nurses’ station, Vail’s BlackBerry buzzed. She reached to her belt and yanked it off. It was Jonathan. “Hey, sweetie, how you doing?”
“You okay, Mom?”
Vail sucked in a deep breath and stood up straight, as if Jonathan could see her, 2,500 miles away. “I’m fine. Why?”
“I—I don’t know, you just sounded different. Unhappy.”
“I’ve just got some stuff going on here I’m trying to deal with. How are things at home? Aunt Faye treating you okay?”
“Fine, she’s fine. I’m actual y having a good time with her.”
“You are? I mean, that’s great—I’m glad you’re getting to know her