another case with these same manifestations causes me great concern。 Other tests need to be done； but I'd treat this as a medical crisis。' She looked at me。 'An international emergency。 I'd call CDC。'
'That's just what I'm going to do；' I replied； swallowing hard。
'What sense do you make of this being associated with a dismembered body？' she asked； making more adjustments as she peered into the chamber。
'I can make no sense of it；' I said； getting up and feeling weak。
'Serial killers here； in Ireland； raping； chopping people up。'
I looked at her。
She sighed。 'You ever wish you'd stayed with hospital pathology？'
'The killers you deal with are just harder to see；' I replied。
The only way to get to Tangier Island was by water or air。 Since there wasn't a huge tourist business there； ferries were few and did not run after mid…October。 Then one had to drive to Crisfield； Maryland； or in my case； go eighty…five miles to Reedville； where the Coast Guard was to pick me up。 I left the office as most people were thinking about lunch。 The afternoon was raw； the sky cloudy with a strong cold wind。
I had left instructions for Rose to call the Centers for Disease Control and Prevention （CDC） in Atlanta； because every time I had tried； I was put on hold。 She was also to reach Marino and Wesley and let them know where I was going and that I would call as soon as I could。 I took 64 East to 360； and soon found myself in farmland。
Fields were brown with fallow corn； hawks dipping and soaring in a part of the world where Baptist churches had names like Faith； Victory and Zion。 Trees wore kudzu like chain mail； and across the Rappahannock River； in the Northern Neck； homes were sprawling old manors that the present…generation owner couldn't afford anymore。 I passed more fields and crepe myrtles； and then the Northumberland Courthouse that had been built before the Civil War。
In Heathsville were cemeteries with plastic flowers and cared…for plots； and an occasional painted anchor in a yard。 I turned off through woods dense with pines； passing cornfields so close to the narrow road； I could have reached out my window to touch brown stalks。 At Buzzard's Point Marina； sailboats were moored and the red； white and blue tour boat； Chesapeake Breeze； was going nowhere until spring。 I had no trouble parking； and there was no one in the ticket booth to ask me for a dime。
Waiting for me at the dock was a white Coast Guard boat。 Guardsmen wore bright orange and blue antiexposure coveralls； known as mustang suits； and one of the men was climbing up on the pier。 He was more senior than the others； with dark eyes and hair； and a nine…millimeter Beretta on his hip。
'Dr Scarpetta？' He carried his authority easily； but it was there。
'Yes；' I said； and I had several bags； including a heavy hard case containing my microscope and MicroCam。
'Let me help with those。' He held out his hand。 'I'm Ron Martinez； the station chief at Crisfield。'
'Thanks。 I really appreciate this；' I said。
'Hey； so do we。'
The gap between the pier and the forty…foot patrol boat yawned and narrowed as the surge pushed the boat against the pier。 Grabbing the rail； I boarded。 Martinez went down a steep ladder； and I followed him into a hold packed with rescue equipment； fire hoses and huge coils of rope； the air heavy with diesel fumes。 He tucked my belongings in a secure spot and tied them down。 Then he handed me a mustang suit； life vest and gloves。
'You're going to need to put these on； in case you go in。 Not a pretty thought but it can happen。 The water's maybe in the fifties。' His eyes lingered on me。 'You might want to stay down here；' he added as the boat knocked against the pier。
'I don't get seasick but I am claustrophobic；' I told him as I sat on a narrow ledge and took off my boots。
'Wherever you want； but it's gonna be rough。'
He climbed back up as I began struggling into the suit； which was an exercise in zippers and Velcro； and filled with polyvinyl chloride to keep me alive a little longer should the boat capsize。 I put my boots back on； then the life vest； with its knife and whistle； signal mirror and flares。 I climbed back up to the cabin because there was no way I was going to stay down there。 The crew shut the engine cover on deck； and Martinez strapped himself into the pilot's chair。
'Wind's blowing out of the northwest at twenty…two knots；' a guardsman said。 'Waves cresting at four feet。'
Martinez began pulling away from the pier。 'That's the problem with the bay；' he said to me。 'The waves are too close together so you never get a good rhythm like you do at sea。 I'm sure you're aware that we could get diverted。 There's no other patrol boat out； so something goes down out here； there's no one but us。'
We began slowly passing old homes with widow's walks and bowling greens。
'Someone needs rescuing； we got to go；' he went on as a member of the crew checked instruments。
I watched a fishing boat go past； an old man in hip…high boots standing as he steered the outboard motor。 He stared at us as if we were poison。
'So you could end up on anything。' Martinez enjoyed making this point。
'It wouldn't be the first time；' I said as I began to detect a very revolting smell。
'But one way or another； we'll get you there； like we did the other doctor。 Never did get his name。 How long have you worked for him？'
'Dr Hoyt and I go way back；' I said blandly。
Ahead were rusting fisheries with rising smoke； and as we got close I could see moving conveyor belts tilted steeply toward the sky； carrying millions of menhaden in to be processed for fertilizer and oil。 Gulls circled and waited greedily from pilings； watching the tiny； stinking fish go by as we passed other factories that were ruins of brick crumbling into the creek。 The stench now was unbearable； and I was certainly more stoical than most。
'Cat food；' a guardsman said； making a face。
'Talk about cat breath。'
'No way I'd live around here。'
'Fish oil's real valuable。 The Algonquin Indians used cogies to fertilize their corn。'
'What the hell's a cogy？' Martinez asked。
'Another name for those nasty little suckers。 Where'd you go to school？'
'Doesn't matter。 Least I don't got to smell that for a living。 Unless I'm out here with a schleps like you。'
'What the hell's a schlep？'
The banter continued as Martinez pushed the throttle up more； engines rumbling； bow dipping。 We sailed by duck blinds and floats marking crab pots as rainbows followed in the spray of our wake。 He pushed the speed up to twenty…three knots and we cut into the deep blue water of the bay； where no pleasure boats were out this day； only an ocean liner a dark mountain on the horizon。
'How far is it？' I asked Martinez； hanging on to the back of his chair； and grateful for my suit。
'Eighteen miles total。' He raised his voice； riding waves like a surfer； sliding in sideways and over； his eyes always ahead。 'Ordinarily； it wouldn't take long。 But this is worse than usual。 A lot worse； really。'
His crew continued checking depth and direction detectors as the GPS pointed the way by satellite。 I could see nothing but water now； moguls rising in front； and behind； waves clapping hard like hands as the bay attacked us from all sides。
'What can you tell me about where we're going？' I almost had to shout。
'Population of about seven hundred。 Until about twenty years ago they generated their own electricity； got one small airstrip made of dredge material。 Damn。' The boat slammed down hard in a trough。 'Almost broached that one。 That'll turn you over in a flash。'
His face was intense as he rode the bay like a bronco； his crewmen unfazed but alert as they held on to whatever they could。
'Economy's based on blue crabs； soft…shell crabs； ship'em all over the country；' Martinez went on。 'In fact； rich folks fly private planes in all the time just to buy crabs。'
'Or that's what they say they're buying；' someone remarked。
'We do have a problem with drunkenness； bootlegging； drugs；' Martinez went on。 'We board their boats when we're checking for life jackets； doing drug interdictions； and they call it being overhauled。' He smiled at me。
'Yeah； and we're the guards；' a guardsman quipped。 'Look out； here e the guards。'
'They use language any way they want；' Martinez said； rolling over another wave。 'You may have a problem understanding them。'
'When does crab season end？' I asked； and I was more concerned about what was being exported than I was about the way Tangiermen talked。
'This time of year they're dredging； dragging the bottom for crabs。 They'll do that all winter； working fourteen； fifteen hours a day； sometimes gone a week at a time。'
Starboard； in the distance； a dark hulk protruded from the water like a whale。 A crewman caught me looking。
'World War Two Liberty ship that ran aground；' he said。 'Navy uses it for target practice。'
At last； we were slowing as we approached the western shore； where a bulkhead had been built of rocks； shattered boats； rusting refrigerators； cars and other junk； to stop the island from eroding more。 Land was almost level with the bay； only feet above sea level at its highest ground。 Homes； a church st