The Girl Who Kicked The Hornets’ Nest - Страница 2

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“There’s an American professor from Boston called Frank Ellis, working at the Karolinska hospital in Stockholm. He happens to be in Göteborg tonight, staying at the Radisson on Avenyn. He just gave a lecture on brain research. He’s a good friend of mine. Could you get the number?”

While Jonasson was still waiting for the X-rays, Nurse Nicander came back with the number of the Radisson. Jonasson picked up the telephone. The night porter at the Radisson was very reluctant to wake a guest at that time of night and Jonasson had to come up with a few choice phrases about the critical nature of the situation before his call was put through.

“Good morning, Frank,” Jonasson said when the call was finally answered. “It’s Anders. Do you feel like coming over to Sahlgrenska to help out in a brain op.?”

“Are you bullshitting me?” Ellis had lived in Sweden for many years and was fluent in Swedish – albeit with an American accent – but when Jonasson spoke to him in Swedish, Ellis always replied in his mother tongue.

“I’m sorry I missed your lecture, Frank, but I hoped you might be able to give me private lessons. I’ve got a young woman here who’s been shot in the head. Entry wound just above the left ear. I badly need a second opinion, and I don’t know of a better person to ask.”

“So it’s serious?” Ellis sat up and swung his feet out of bed. He rubbed his eyes.

“She’s mid-twenties, entry wound, no exit.”

“And she’s alive?”

“Weak but regular pulse, less regular breathing, blood pressure is 100/70. She also has a bullet wound in her shoulder and another in her hip. But I know how to handle those two.”

“Sounds promising,” Ellis said.

“Promising?”

“If somebody has a bullet in their head and they’re still alive, that points to hopeful.”

“I understand… Frank, can you help me out?”

“I spent the evening in the company of good friends, Anders. I got to bed at 1.00 and no doubt I have an impressive blood alcohol content.”

“I’ll make the decisions and do the surgery. But I need somebody to tell me if I’m doing anything stupid. Even a falling-down drunk Professor Ellis is several classes better than I could ever be when it comes to assessing brain damage.”

“O.K. I’ll come. But you’re going to owe me one.”

“I’ll have a taxi waiting outside by the time you get down to the lobby. The driver will know where to drop you, and Nurse Nicander will be there to meet you and get you kitted out.”

Ellis had raven-black hair with a touch of grey, and a dark five-o’clock shadow. He looked like a bit player in E.R. The tone of his muscles testified to the fact that he spent a number of hours each week at the gym. He pushed up his glasses and scratched the back of his neck. He focused his gaze on the computer screen, which showed every nook and cranny of the patient Salander’s brain.

Ellis liked living in Sweden. He had first come as an exchange researcher in the late ’70s and stayed for two years. Then he came back regularly, until one day he was offered a permanent position at the Karolinska in Stockholm. By that time he had won an international reputation.

He had first met Jonasson at a seminar in Stockholm fourteen years earlier and discovered that they were both fly-fishing enthusiasts. They had kept in touch and had gone on fishing trips to Norway and elsewhere. But they had never worked together.

“I’m sorry for chasing you down, but…”

“Not a problem.” Ellis gave a dismissive wave. “But it’ll cost you a bottle of Cragganmore the next time we go fishing.”

“O.K., that’s a fee I’ll gladly pay.”

“I had a patient a number of years ago, in Boston – I wrote about the case in the New England Journal of Medicine. It was a girl the same age as your patient here. She was walking to the university when someone shot her with a crossbow. The arrow entered at the outside edge of her left eyebrow and went straight through her head, exiting from almost the middle of the back of her neck.”

“And she survived?”

“She looked like nothing on earth when she came in. We cut off the arrow shaft and put her head in a C.T. scanner. The arrow went straight through her brain. By all known reckoning she should have been dead, or at least suffered such massive trauma that she would have been in a coma.”

“And what was her condition?”

“She was conscious the whole time. Not only that; she was terribly frightened, of course, but she was completely rational. Her only problem was that she had an arrow through her skull.”

“What did you do?”

“Well, I got the forceps and pulled out the arrow and bandaged the wounds. More or less.”

“And she lived to tell the tale?”

“Obviously her condition was critical, but the fact is we could have sent her home the same day. I’ve seldom had a healthier patient.”

Jonasson wondered whether Ellis was pulling his leg.

“On the other hand,” Ellis went on, “I had a 42-year-old patient in Stockholm some years ago who banged his head on a windowsill. He began to feel sick immediately and was taken by ambulance to A. amp; E. When I got to him he was unconscious. He had a small bump and a very slight bruise. But he never regained consciousness and died after nine days in intensive care. To this day I have no idea why he died. In the autopsy report, we wrote brain haemorrhage resulting from an accident, but not one of us was satisfied with that assessment. The bleeding was so minor and located in an area that shouldn’t have affected anything else at all. And yet his liver, kidneys, heart and lungs shut down one after the other. The older I get, the more I think it’s like a game of roulette. I don’t believe we’ll ever figure out precisely how the brain works.” He tapped on the screen with a pen. “What do you intend to do?”

“I was hoping you would tell me.”

“Let’s hear your diagnosis.”

“Well, first of all, it seems to be a small-calibre bullet. It entered at the temple, and then stopped about four centimetres into the brain. It’s resting against the lateral ventricle. There’s bleeding there.”

“How will you proceed?”

“To use your terminology – get some forceps and extract the bullet by the same route it went in.”

“Excellent idea. I would use the thinnest forceps you have.”

“It’s that simple?”

“What else can we do in this case? We could leave the bullet where it is, and she might live to be a hundred, but it’s also a risk. She might develop epilepsy, migraines, all sorts of complaints. And one thing you really don’t want to do is drill into her skull and then operate a year from now when the wound itself has healed. The bullet is located away from the major blood vessels. So I would recommend that you extract it… but…”

“But what?”

“The bullet doesn’t worry me so much. She’s survived this far and that’s a good omen for her getting through having the bullet removed, too. The real problem is here.” He pointed at the screen. “Around the entry wound you have all sorts of bone fragments. I can see at least a dozen that are a couple of millimetres long. Some are embedded in the brain tissue. That’s what could kill her if you’re not careful.”

“Isn’t that part of the brain associated with numbers and mathematical capacity?” Jonasson said.

Ellis shrugged. “Mumbo jumbo. I have no idea what these particular grey cells are for. You can only do your best. You operate. I’ll look over your shoulder.”

Mikael Blomkvist looked up at the clock and saw that it was just after 3.00 in the morning. He was handcuffed and increasingly uncomfortable. He closed his eyes for a moment. He was dead tired but running on adrenaline. He opened them again and gave the policeman an angry glare. Inspector Thomas Paulsson had a shocked expression on his face. They were sitting at a kitchen table in a white farmhouse called Gosseberga, somewhere near Nossebro. Blomkvist had heard of the place for the first time less than twelve hours earlier.

There was no denying the disaster that had occurred.

“Imbecile,” Blomkvist said.

“Now, you listen here-”

“Imbecile,” Blomkvist said again. “I warned you he was dangerous, for Christ’s sake. I told you that you would have to handle him like a live grenade. He’s murdered at least three people with his bare hands and he’s built like a tank. And you send a couple of village policemen to arrest him as if he were some Saturday night drunk.”

Blomkvist shut his eyes again, wondering what else could go wrong that night.

He had found Salander just after midnight. She was very badly wounded. He had sent for the police and the Rescue Service.

The only thing that had gone right was that he had persuaded them to send a helicopter to take the girl to Sahlgrenska hospital. He had given them a clear description of her injuries and the bullet wound in her head, and some bright spark at the Rescue Service got the message.

Even so, it had taken over half an hour for the Puma from the helicopter unit in Säve to arrive at the farmhouse. Blomkvist had got two cars out of the barn. He switched on their headlights to illuminate a landing area in the field in front of the house.

The helicopter crew and two paramedics had proceeded in a routine and professional manner. One of the medics tended to Salander while the other took care of Alexander Zalachenko, known locally as Karl Axel Bodin. Zalachenko was Salander’s father and her worst enemy. He had tried to kill her, but he had failed. Blomkvist had found him in the woodshed at the farm with a nasty-looking gash – probably from an axe – in his face and some shattering damage to one of his legs which he did not trouble to investigate.