She parked carelessly and hurried through the metal detector at the building’s entrance. As soon as she was badged up, she walked directly to the isolation wing.

It looked like any other part of the State Care building. “Isolation” didn’t imply dank, sealed cells, as it might have in a federal prison. The isolation ward was just a little more generously supplied with locks and unbreakable furniture than the open wards, designed to segregate potentially violent patients from less aggressive inmates. Such cases were relatively few: the State system was empowered to deal with chronic homelessness, not outright psychosis. In a sense these were the least troublesome of the patients who passed through the system; they required little debate among the staff and were usually transferred to psychiatric hospitals in short order.

Whatever else Orrin Mather might be, he wasn’t a psychopath. Sandra would have bet her degree on it. She wanted him out of isolation as soon as possible, and she meant to begin by getting his side of the story.

It was sheer bad luck that Nurse Wattmore happened to be presiding over the entrance to the locked ward. She should have buzzed Sandra through without comment, but she didn’t. “Sorry, Dr. Cole, but I have my instructions,” and she proceeded to page Congreve while Sandra stood and helplessly fumed. Congreve appeared promptly. His office was only a few doors down the corridor, and he took Sandra by the arm and steered her there.

He closed the door behind him and folded his arms. His office was at least twenty degrees cooler than the temperature outside—the air-conditioning murmured stoically in its vents—but the air smelled stale and greasy. The empty wrappers of fast-food breakfast items littered his desk. Sandra started to speak, but Congreve held up his hand: “I want you to know, first of all, that I’m really disappointed by the unprofessional behavior you’ve been displaying lately.”

“I don’t know what you mean. What unprofessional behavior?”

“Talking to this patient, Orrin Mather, after I assigned the case to Dr. Fein. And I have to assume that’s where you were headed again this morning.”

“Follow-up with a patient is hardly unprofessional. When I conducted his intake interview, I told him I’d be working his case. I wanted to make sure he was okay with Fein and that he didn’t feel he’d been abandoned.”

“That ceased to be your concern when I pulled you off the file.”

“Pulled me off the file for no good reason.”

“I’m not obliged to justify that decision or any other I might happen to make. Not to you, Dr. Cole. When the board appoints you to a managerial position you can question my choices; until then you need to take care of the duties I assign to you. You might be better able to do that, by the way, if you show up on time.”