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Chapters (74)
  1. Title Page
  2. 1 - Portland, Oregon
  3. 2 - Vancouver, Canada
  4. 3 - Philadelphia, Pennsylvania
  5. 4 - Seattle, Washington
  6. 5 - Portland, Oregon
  7. 6 - Vancouver, Canada
  8. 7 - Portland, Oregon
  9. 8 - Vancouver, Canada
  10. 9 - Philadelphia, Pennsylvania
  11. 10 - Vancouver, Canada
  12. 11 - Vancouver, Canada
  13. 12 - Portland, Oregon
  14. 13 - Seattle, Washington
  15. 14 - Philadelphia, Pennsylvania
  16. 15 - Portland, Oregon
  17. 16 - Seattle, Washington
  18. 17 - Seattle, Washington
  19. 18 - Vancouver, Canada
  20. 19 - Seattle, Washington
  21. 20 - Philadelphia, Pennsylvania
  22. 21 - Portland, Oregon
  23. 22 - Philadelphia, Pennsylvania
  24. 23 - Vancouver, Canada
  25. 24 - Philadelphia, Pennsylvania
  26. 25 - Seattle, Washington
  27. 26 - Vancouver, Canada
  28. 27 - Portland, Oregon
  29. 28 - Honey Brook, Pennsylvania
  30. 29 - Seattle, Washington
  31. 30 - Vancouver, Canada
  32. 31 - Struble Lake, Pennsylvania
  33. 32 - Seattle, Washington
  34. 33 - Portland, Oregon
  35. 34 - Philadelphia, Pennsylvania
  36. 35 - Seattle, Washington
  37. 36 - Philadelphia, Pennsylvania
  38. 37 - Seattle, Washington
  39. 38 - Portland, Oregon
  40. 39 - Miami, Florida
  41. 40 - Seattle, Washington
  42. 41 - Seattle, Washington
  43. 42 - Philadelphia, Pennsylvania
  44. 43 - Seattle, Washington
  45. 44 - Mt. Airy, Philadelphia, Pennsylvania
  46. 45 - Seattle, Washington
  47. 46 - Philadelphia, Pennsylvania
  48. 47 - Seattle, Washington
  49. 48 - Mt. Airy, Philadelphia, Pennsylvania
  50. 49 - Mt. Airy, Philadelphia, Pennsylvania
  51. 50 - Seattle, Washington
  52. 51 - Mt. Airy, Philadelphia, Pennsylvania
  53. 52 - Philadelphia, Pennsylvania
  54. 53 - Philadelphia, Pennsylvania
  55. 54 - Philadelphia, Pennsylvania
  56. 55 - Philadelphia, Pennsylvania
  57. 56 - Brandywine Valley, Pennsylvania
  58. 57 - Philadelphia, Pennsylvania
  59. 58 - Philadelphia, Pennsylvania
  60. 59 - Philadelphia, Pennsylvania
  61. 60 - Philadelphia, Pennsylvania
  62. 61 - Philadelphia, Pennsylvania
  63. 62 - Philadelphia, Pennsylvania
  64. 63 - Philadelphia, Pennsylvania
  65. 64 - Philadelphia, Pennsylvania
  66. 65 - Philadelphia, Pennsylvania
  67. 66 - Philadelphia, Pennsylvania
  68. 67 - West Chester, Pennsylvania
  69. 68 - Glen Mills, Pennsylvania
  70. 69 - Philadelphia, Pennsylvania
  71. ACKNOWLEDGMENTS
  72. BY DANIEL KALLA FROM TOM DOHERTY ASSOCIATES
  73. ACCLAIM FOR DANIEL KALLA’S NOVELS
  74. Copyright Page

“Your work is so important,” Byington said emphatically. “Obviously, Oraloxin won’t hurt SeptoMed’s share prices, but it means much more than that.”

“Yes,” Horton said. “Having an oral antibiotic to treat MRSA will offer a whole—”

“Of course, Ellen, that’s a vital breakthrough,” Byington interrupted the pat speech with a slightly condescending smile. “But even more important, your drug could reinvigorate antibiotic research and development. Do you realize that in 2002, the FDA approved seventy-nine new drugs and not one of them was an antibiotic?”

Horton shook her head and Ryland shrugged, but Leschuk nodded to the table.

“And why would we drug companies throw money into antibiotic R-and-D?” She held her palms out in front of her. “It costs millions—sometimes billions—and for what? If you’re lucky enough to succeed, you produce a drug that people might take for seven, maximum ten days, at a time. Whereas if we produce a new blood pressure or prostate medication, the patient is committed to a lifetime’s worth of prescriptions.”

Martineau placed both hands on the tabletop. “Not to mention the risks,” he said gravely.

“Exactly, Luc!” Byington said. “Our last two antibiotics cost SeptoMed in the neighborhood of four hundred million dollars and neither made it to market. One didn’t work and the other had intolerable side effects. Statistically, only one in seven new antibiotics ever do reach market.” She stared at Horton. “Even then, there are no guarantees. You remember trovofloxacin? A terrific antibiotic that just happened to cause a rare complication of liver failure.”

Horton’s pulse sped up. She felt on edge. Byington was hitting too close to home in her comparison.

“No question trovofloxacin saved far more people than it killed, but these days that’s not acceptable,” Byington sighed. “No. The standards the FDA sets are so rigorous. Most drugs older than twenty-five years would never be approved if they had to pass muster all over again.”

Ryland folded his arms across his chest. “What’s your point, Andrea?” he asked, sounding as defensive as Horton felt.

The heiress smiled benignly. “That we’re fighting an uphill battle, but thanks to you the playing field has been leveled a little.” Byington turned to Horton and looked deep into her eyes, her own gray irises dark to the point of opacity. “Ellen, we have an obligation way beyond SeptoMed and its employees and shareholders to ensure that Oraloxin succeeds.” She paused. “Do you understand?”

A belt snapped tight against Horton’s chest. She knows, Horton thought. She knows about the chimps.

15 - Portland, Oregon

15

Portland, Oregon

When Cohen walked back into Homicide’s reception area, his partner Leetch stormed out of the back office to meet him.

“KC, I checked my e-mail twice,” he said with a smile that didn’t mask the edge in his voice. “But I never got the memo about you taking the day off.”