Angela was behaving more like a trial attorney every day.
That is to say, she was increasingly melodramatic.
That night she called me at Sam’s because she had something “really, really important” to tell me about the Goodacre case, but she wouldn’t tell me on the phone. I had to go back to the office, where she had arranged the proper audience. While on the one hand I appreciated the trial attorney instinct to be center stage, mostly I was irritated.
After all, the Jason Goodacre case was still technically my case, even if the defendant, the nearly dead Dr. Randolph, was still recuperating from his hallucinogenic trip through Datura land and my third and most recent motion for a continuance had been filed just before the courthouse door locked at the close of my first day back from Atlanta.
But my case or not, Angela convened Jackson, Henry, and me—and Newly. Sam had escorted me to the offices of Smith, O’Leary, and Stanley but was kept waiting outside the conference room. Newly, though, I noted, was allowed to sit in on Angela’s conference.
“We need,” she insisted over Jackson’s roar of protest against Newly, “the plaintiff attorney’s point of view,” and she wouldn’t budge from her position.
What she needed Newly for, I figured, was moral support, but that was fine with me.
I just wanted to know what in the world Ronny, her computer-sleuth brother, had found out.
Acting again as the evil stepmother of details, albeit this time at Jackson’s command, I drafted a hasty contract making Newly our “consultant” for a decent fee that with only a bleat or two of protest Henry approved on behalf of Dr. Randolph’s insurance company. I had to type the contract myself, as Bonita was long at home and Angela, being the queen bee this round, couldn’t be asked to do such a menial thing as type. This consultant contract bound Newly to the attorney-client and work-product privileges and confidentiality accords, and if that wasn’t enough, Jackson promised to personally beat the crap out of him if he took a word of this outside the conference room.
Drumrolls were all that were missing when Angela pulled out a series of computer printouts from a folder.
“Nancy Goodacre had amniocentesis in her fifth month, and it showed positive for CMV. She had an active CMV infection during her pregnancy, and the fetus picked up the infection from her.” Angela’s announcement was made in the clear, controlled voice of a trial attorney. I liked this girl more and more. She was saving my life and my career, and her voice didn’t quiver or squeak, not even a bit.
No one in her audience said a thing.
“She also had a series of ultrasounds that indicated the probability of microcephaly well before labor.”
This time it was Henry who had to ask what that meant.
“Abnormally small head,” I said. “One of the classic CMV birth defects.”
“How do you know this? About the ultrasound and the amnio, I mean,” Jackson said, for once his voice low, as if Stephen LaBlanc was hovering outside the conference room door.
“My brother, he’s a computer guru at Mrs. Goodacre’s HMO. He was checking out her records at the HMO for copies of anything from the Medical Information Bureau. MIB records show she had ultrasounds and the amnio. My brother, he’s not supposed to do this, you understand—I mean snoop in the HMO computer files. But we knew the HMO runs every applicant’s name through the MIB to check for preexisting conditions, to see if the applicants are lying when they sign up for insurance. You know the drill.”
Yeah, we knew the drill. You apply for health insurance and if you admit, for example, that you have diabetes, the company will either refuse to insure you or raise your rates and add a rider that denies coverage for any diabetic-related claims—and everything, including a broken leg, will be deemed related to your diabetes. So the average American does the average American thing and lies, indicating on the form that he doesn’t have diabetes. He does this not knowing that the odds are that a summary of his health-care records and his prior insurance claims have been collected by the MIB, including all those records showing he is a diabetic, and that the MIB will sell those records to the insurance company. So the insurance company gets his application form, cashes his check, and runs the applicant’s name through the MIB, discovering, of course, that he is a diabetic. The insurance company then can deny his application and return his payment or keep accepting the monthly checks until the hapless diabetic makes a claim that is larger than the company’s profit margin off his premiums, and then it can deny the claim and revoke the policy for fraud and keep the premiums. It’s a great system.
“But she wouldn’t be in the MIB, because she didn’t have insurance coverage,” Jackson said. “Not until the eighth month, when her husband’s HMO took her in on the family plan.”
“The thing is,” Angela said, “the amniocentesis and the ultrasounds were done under her sister’s insurance. My brother, he and I were piecing this together, but this is what we’re pretty sure happened. See, when he ran the HMO’s records and found it didn’t have any MIB information on Mrs. Goodacre, he, ah, he... hacked into the MIB databases directly and ran a search.”
What power, I thought, and made a mental memo to file: Sign up for a computer-hacking course. If the local community college didn’t offer it, I’d pay Ronny handsomely to personally teach me.
Angela paused. Nobody said a word. Everybody looked right at her. I figured Ronny was already on the list of consultants that Smith, O’Leary, and Stanley kept on its tab.
“See, as Jackson and Lilly know, Mrs. Goodacre didn’t have insurance when she got pregnant. She lost her job as a waitress once her morning sickness started, and even after she got married, they didn’t have any money. That’s why she explained that she didn’t have any prenatal care, except some at a public health clinic that was mostly blood pressure checks and vitamin samples.”
Yeah, we all knew that from her deposition testimony.
“But her sister had insurance. Her sister lived right there in the same town in Idaho, in Pocatello, but Mrs. Goodacre went to a clinic in Boise, two hundred forty one miles away on I-84. Nobody knew either of them in Boise—that’s what my brother and I figured. I mean, you think about it, you go to a new doctor, you show the office staff your insurance card, and they verify the coverage. But they don’t ask to see a picture ID to prove you are the same person on the insurance card.”
A good point, I thought, wondering at the good Samaritan implications of loaning out one’s insurance card.
“So, it was easy. The Boise clinic accepted the sister’s insurance card, and Mrs. Goodacre just pretended to be her sister. Mrs. Goodacre used her sister’s insurance, and the MIB spit out those records nice as could be. Ronny—that’s my brother—first told me there weren’t any records for a Nancy Bazinskyson, but his descriptive word search did pick up a Bazinskyson, only it was a Nell Bazinskyson, hometown Pocatello, Idaho, with amniocentesis and ultrasound and prenatal claims right at the same times Nancy would have needed hers. We figured, I mean, how many pregnant Bazinskysons could there have been that year in Pocatello, Idaho?”
“Mierda,” I said. Jackson glared at me. “If her maiden name was Johnson, we’d never have known this.”
While I was reeling at the implications of this new information, Angela showed me her loyalty.
“And to be fair, Jackson and Henry, you both need to understand,” Angela said, “that this was entirely Lilly’s idea. She got to thinking about the amniocentesis when we were interviewing Dr. Jamieson, and she’s the one who put Ronny up to it. I mean, looking into the MIB.”
“But how do you know the sister wasn’t pregnant too?” Henry asked.
“Well, we don’t, not absolutely, but the MIB records don’t show anything about any actual birth, nothing about a miscarriage. You know, it just didn’t look like the sister was really pregnant. All the claims stopped right about the time Mrs. Goodacre and her husband moved to Sarasota. And, really, I mean, what are the odds that two sisters would be pregnant at exactly the same time and both have a CMV infection?”
“If the sister was really pregnant,” I said, “maybe they were both exposed to the virus from the same source and did get a CMV infection at the same time, and after the amniocentesis, knowing the baby would have birth defects, the sister aborted?”
“Possibly, but then again, a medically necessary abortion like that probably would have shown up in the MIB, but that will be something we’ll have to run down.”
“Henry, you son of a bitch,” Jackson said, “if you’d authorized the expenses for me to go to Idaho like I wanted, to investigate, we’d have known all this months ago. Damn it, I’m going to Idaho now and you’re going to pay for it.”
“No, you’re not going to Idaho. It’s my case,” I said. “You passed it off to me. Angela and I will go to Idaho, won’t we, Henry?”
Henry blushed. I took it for a yes.
“Then at least fire that private investigator you hired for not turning up any of this,” Jackson said.
Sitting in my chair, I felt a wave of paranoid excitement spin through me.
We could win this veggie baby case. But we had to be careful.
Not only did we need to protect Ronny, but we needed to protect our ability to collect evidence of our new theory before records disappeared or witnesses moved. All we had right now was inadmissible and illegally obtained evidence that Mrs. Goodacre had pulled not only a fraud on her sister’s insurance company but a fraud on the court by lying under oath in her deposition and withholding critical information in her lawsuit.
I wondered if Stephen LaBlanc knew about the amniocentesis.
If he did, The Florida Bar’s ethics division would have a field day yanking his license. I’d file the complaint myself at the first hint that he knew his clients were lying their way up the slippery slope of the litigation lottery.
“You think they set this up, deliberately, to sue?” Henry asked. “I mean, after they knew the baby had contracted the CMV and would have birth defects.”
“I don’t see how. Really, how on earth could they possibly know that she’d get into trouble during delivery and the doctor wouldn’t do a cesarean?” I said.
“Right, I agree,” Newly said. “This was purely an afterthought. I can imagine how it came about. You type in cerebral palsy as a descriptive word on an Internet search engine and you’ll get a dozen hits for law firms advertising that they handle birth defect lawsuits for cerebral palsy. Plus, some attorneys pay hospital workers for tips about babies with bad birth defects. The hospital employees slip the attorneys copies of the records, and if they see something they call the parents, pay the employees for the tip.”
“You don’t do that, do you?” Angela asked.
“No, hon, you know I don’t,” Newly said.
Jackson made a loud, rude noise deep in his throat. Even I wasn’t sure I believed Newly’s denial.
“I’ve been researching ways that we can bring this evidence in—I mean, once we nail it down so it can’t be traced back to Ronny,” Angela said. “I’ve been studying the evidence code, and I think I see a way to introduce this as impeachment to Mrs. Goodacre, assuming she testifies she didn’t have amniocentesis. So we don’t have to put any witnesses like her sister or the people at the Boise clinic on the witness list, or disclose any evidence to Mr. LaBlanc. I mean, just think of the impact on the jury to catch her in such a big lie in the middle of the trial.”
Well, there were some serious problems with that, I realized. I mean, why would the sister admit this scheme without a subpoena? And the medical staff at the Boise clinic couldn’t divulge patient information without a subpoena, and as soon as we started issuing subpoenas and setting up depositions in Idaho, we’d have to notify Stephen LaBlanc.
But yes, as Angela pointed out, it would be great fun to drop this in the middle of cross-examining the teary good-mother during the trial.
Glancing toward Jackson, I saw a look of admiration on his face as he watched Angela turning into a trial attorney before our very eyes, and I felt my crown slipping off another notch.
“So, why’d she have all this postpartum stuff from Dr. Randolph?” Newly asked, as he flipped through the purloined computer printouts that Angela had handed him. “I mean, you’d think she wouldn’t want the man to touch her again. Look at all these office visits. Damn, the man wasn’t a pediatrician. Plus, why have two ultrasounds after the delivery?”
Not my problem, I thought. So, spank me for my narrow vision, but my job was to defend Dr. Randolph against allegations his negligence had caused Jason’s brain damage during Mrs. Goodacre’s labor and delivery. What transpired after young Jason entered the world of the living had nothing to do with my defense of the doctor.