Minutes to Burn

"Condom," she said. Another lab tech stepped forward, holding open an unfurled, nonlubricated Trojan. They'd had to be slightly inventive with their equipment; the last shipment from the supplies company in San Diego hadn't arrived due to a train derailment outside Vegas. Samantha dropped the vial into the condom, and the assistant knotted the end of the latex, placing it into a nylon stocking and lowering it into a tank of liquid nitrogen. He hooked the end of the stocking on the lip of the tank, careful to keep his hands clear of the liquid, which was 195 degrees Celsius below zero.

Samantha turned back to the body. It was a gruesome specimen. A prominent Baltimore businessman had returned six days ago from Cochabamba, Bolivia, in his Gulfstream VII. Previous to his flight, he'd been febrile, with myalgias, weakness, and chills. Though the symptoms had quickly become gastrointestinal-he'd been beset with abdominal tenderness and diarrhea-he'd decided to fly anyway. After takeoff, the man had been stricken with vomiting, and spontaneous bleeding from his nose, gums, and the whites of his eyes. Johns Hopkins Hospital received warning while the plane was midair, the pilot calling ahead to have an ambulance waiting at the airport. The reports worsened as the plane approached Baltimore, and the Chief of Staff at Hopkins had reached Samantha at her campsite in the Catoctins. They'd agreed to have the plane diverted to a stretch of Highway 15 near Fort Detrick, so that the businessman, and his wife, pilot, and flight attendant, who were showing early symptoms, could be quarantined at Level Four.

Samantha had raced home to treat them, but the virus had reached high titers in the businessman's blood, and the coagulopathy had already been far advanced. The antiserums they stored in the banks that coun-teracted other forms of BHF were not working on this mutated strain, nor had ribavirin.

Samantha had taken fluid and tissue samples from the businessman while he was still living and inoculated cell cultures with them, allowing the virus to replicate until the cell cultures contained viral antigens. The pilot's and flight attendant's condition continued to deteriorate, but the wife had recovered from her fever on the second day, which meant she'd probably produced antibodies that had fought off the virus. Sure enough, her serum showed the presence of immunoglobulin G antibod-ies, indicating an older infection from which she'd previously recovered. The IgG had enabled her body to combat her reexposure to the virus.

Samantha drew blood from her to isolate these antibodies, then spun down the blood in a centrifuge to separate the antiserum. The antiserum was added to the inoculated cell cultures, then washed down to remove everything that didn't specifically bind to the antigen. Next, she'd added specially tagged antibodies that allowed her to see, under ultraviolet light, that the antiserum had indeed bound to the antigen, strongly indi-cating that the antibodies in the wife's blood were manufactured to com-bat this specific virus.

Samantha had managed to isolate enough of the antibodies to fight off the virus in six of seven rats she'd infected. Each of the surviving rats had replicated the antibodies, which she'd been able to extract from them, isolate in larger amounts, and, using advanced genetic manufac-turing techniques, replicate on an even larger scale.

Samantha was now awaiting clearance to passively immunize the pilot and flight attendant with the experimental antiserum. Top brass from PHS and the FDA were meeting next door, deciding whether or not to approve the experimental plan of treatment. If the patients had to wait for the antiserum to clear the usual PHS paperwork labyrinth, they would surely die within the week.

Samantha forced herself to concentrate on the task at hand-per-forming a full autopsy on the body of the businessman, who had died that morning. She tried not to think about the decision being made next door that would determine the fates of two people. The body on the autopsy table was grotesque. Old, fading lesions peppered the armpits, and the gums were a bloody, suppurating mess. The mouth was caked with blood.

Samantha dug into the open cavity with renewed vigor. She continued to sing; her lab tech continued to sweat.

"So the itsy bitsy spider climbed up the spout again…"

A woman in a white lab coat tapped on one of the windows. "Sammy!" she called out.

Samantha couldn't make out what the woman was saying, so she set down the autopsy instruments and shuffled to the window, awkward in her space suit. "What!?"

The woman leaned forward and shouted something, but Samantha couldn't hear over the hum of the air blowers. She leaned forward until her hood was inches from the glass. "What?" she mouthed.

The woman shook her head in exaggerated fashion. "They voted no," she yelled, enunciating each word for Samantha's benefit.