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Authors: Michael Palmer

Extreme Measures

Michael Palmer’s Bestsellers

THE SISTERHOOD

“A suspenseful page-turner … jolts and entertains the reader.”

—Mary Higgins Clark

“Terrific … a compelling suspense tale.”

—Clive Cussler

SIDE EFFECTS

“Has everything—a terrifying plot … breakneck pace … vividly drawn characters.”

—John Saul

FLASHBACK

“The most gripping medical thriller I’ve read in many years.”

—David Morrell

NATURAL CAUSES

“Reinvents the medical thriller”


Library Journal

SILENT TREATMENT

“A
Marathon Man
-style plot loaded with innovative twists … extremely vivid characters.”

—Kirkus Reviews

A
LSO BY
M
ICHAEL
P
ALMER
From Bantam Books

The Sisterhood
Side Effects
Flashback
Extreme Measures
Natural Causes
Silent Treatment
Miracle Cure

And coming soon
The Patient

The characters, events, institutions, and organizations in this book are wholly fictional or are used fictitiously. Any apparent resemblance to any person alive or dead, to any actual events, and to any actual institutions or organizations, is entirely coincidental
.

EXTREME MEASURES

A Bantam Book

Grateful acknowledgment is made for permission to reprint lyrics from “Me and Bobby McGee” by Kris Kristofferson and Fred Foster, copyright © 1969 by Temi Combine, Inc. All rights controlled by Combine Music Corp. and administered by Emi Blackwood Music Inc. All rights reserved. International copyright secured. Used by permission
.

All rights reserved
.
Copyright © 1991 by Michael Palmer
.
Library of Congress Catalog Card Number: 90-19185
.
No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher
.
For information address: Bantam Books
.

eISBN: 978-0-307-78120-8

Bantam Books are published by Bantam Books, a division of Random House, Inc. Its trademark, consisting of the words “Bantam Books” and the portrayal of a rooster, is Registered in U.S. Patent and Trademark Office and in other countries. Marca Registrada. Bantam Books, 1540 Broadway, New York, New York 10036
.

v3.1

In honor of the fiftieth wedding anniversary
of May and Milton Palmer
of Longmeadow, Massachusetts,

and

In loving memory of
Mr. Fred Jewett of Barefoot Bay, Florida

ACKNOWLEDGMENTS

My deepest gratitude to Eric Radack for the spark, to Donna Prince and Susan Terry for the sounding board, to Dr. Scott Fisher for his expertise and critical reading, to Noelle for her patience, to Beverly Lewis for her editorial grace, to Jane Rotrosen Berkey for being so much more than just an agent, and to Bill W. and Dr. Bob for providing me the tools to get projects done. And a special thanks to Dr. Wade Davis. I hope we meet some day.

M.S.P.                            
Falmouth, Massachusetts

Contents
PROLOGUE
I

JUNE 7

T
he sign, painted in uneven black letters on a two-foot length of weathered barnside, read:
CHARITY, UTAH. POP. 381
. It was pocked by bullet holes and wedged upside down between two dense juniper bushes.

Marilyn Colson would have missed the sign if she hadn’t tripped over a root and fallen heavily onto the hard, dusty desert ground. The discovery distracted her from the newest in a growing array of bruises and scrapes, and kept her—at least momentarily—from another outburst at her husband.

Their four-year marriage was on the ropes even before they blew their vacation on this latest monument to Richard’s self-centeredness. Now, as far as she was concerned, it was down for the count. The Jeep he had insisted on renting for their “four-wheel journey to nowhere and everywhere,” the Jeep that Richard said he could repair with his eyes closed, had broken down God-only-knew how many miles from nowhere. And of course, the part that had gone was the only one Richard hadn’t counted on. Some psychologist!
The man could never see any point of view but his own.

Marilyn picked several burrs from her T-shirt. When—if, for Christ’s sake—they ever made it back to L.A., she was going to call Mort Gruber and tell him to go ahead with the divorce. And that, she decided as she pushed herself angrily to her feet, was that. She pulled the sign free, blew some of the dust off it, and held it up for her husband to see.

“I give you”—she swung the barnside around in a grand gesture to the barren, rolling, shrub-covered landscape—“Charity, Utah. Home of the largest, most complete Jeep-repair center this side of—”

“Marilyn, can’t you lay off just this once? I said I was sorry.”

“No, you didn’t.”

“I did, dammit. That’s all I ever do with you. Here, let me see that sign.”

He studied it for a moment, then tossed it aside and pulled a frayed, sweat-stained map from his knapsack.

“It’s not here,” he said.

“Richard, in case you hadn’t noticed, it’s not
here
either.”

“God, you are snide.”

“No, Richard. What I am is lost. I’m lost and filthy and hurting and hungry and angry and … and cold.” She glanced toward the hazy sun sinking into the horizon. “Dammit,” she snapped suddenly, “I don’t care what it takes. I’m getting the hell out of here. I work hard—as hard as you do. Harder. It’s my vacation, too, and I want to eat in a French restaurant and I want to sleep between clean sheets, and take a fucking bath in a tub with a Jacuzzi.”

She turned and stalked up the stony slope of one of a chain of modest hills that seemed to stretch to the horizon on either side.

“Marilyn, will you get back down here. I tell you, we’re not lost. Give or take a mile, I know exactly
where we are. We can camp here tonight, and then keep heading east first thing tomorrow. By noon we’ll be on Highway Fifty. You’ll see … Marilyn?”

The woman stood motionless at the crest of the hill. Then, slowly, she turned back to him.

“Richard,” she called out, “maybe you’d better hike on up here. I think I may have just found Charity, Utah.”

The town, half a mile or so to the south, was nestled in a valley ringed on all sides by hills. It appeared to consist of an unpaved main street, starting and ending at the desert and crossed by two or three smaller streets. To the east and north, fields of some sort stretched into the desert. The buildings lining the streets glowed eerily in the fading daylight, looking more like a Hollywood set than a functional village.

“Do you suppose it’s a ghost town?” Richard asked as they dropped down the slope and into a dry arroyo, out of sight of the low brick and clapboard buildings.

“Could be, but there are people there right now. I swear I saw lights in two of the windows. God, am I going to be pissed if they don’t have a place with hot water.”

“You are really a princess, Marilyn. Do you know that?”

“And you are … well, let’s forget what you are. Look, couldn’t we call some kind of a truce, at least until we get out of this?”

“Sure, but you’re the one who—”

“Richard, please …”

They followed the arid streambed for a while and then trudged up a gentle rise that ended, suddenly, in a small, well-planted field of corn—perfect rows of stalks as high as their heads, surrounded by closely strung barbed wire.

“Curiouser and curiouser,” Richard mused.

Marilyn had already reached the far end of the field.

“Richard, come on,” she called back.

“Where in the hell do they get the water?”

“If you’d hurry up, you could ask them,” Marilyn said, gesturing toward the road where, twenty or thirty yards ahead, two men were walking casually away from them. Save for the men, the neatly swept street was deserted. No cars, no bicycles, no other people. “Excuse me,” she called out. “Hey, you two up there, excuse me …”

The two men glanced back at her and then continued walking.

“Richard, for crying out loud, will you help me out?”

Without waiting for a response, Marilyn started after them. At that moment a bell began chiming through a series of speakers mounted on poles along the street. Almost instantly people began emerging from several of the buildings to plod after the two men. Marilyn stopped short. To her right, a woman stepped onto an open porch from beneath a sign marked simply
STORE
. She looked to be in her late forties, although her stoop-shouldered posture and unkempt jet hair made that only the roughest guess. She wore a short-sleeved print housedress over a pair of khaki fatigue pants. A patch with the name
MARY
embroidered in gold was sewn over one breast.

“Excuse me,” Marilyn said.

The woman looked at her impassively.

“My name’s Marilyn Colson. That’s my husband, Richard. We’re from Los Angeles, and we were on a camping trip, and …” Marilyn, studying the blank expression on the woman’s face, stopped in mid-sentence. “Do you understand what I’m saying?”

“I … understand … you,” the woman said.

“And can you help us out? Direct us to a hotel?”

“Hotel …?”

“Yes. A place to stay.”

Marilyn waited several seconds for a response, then turned to her husband.

“Dammit, Richard, will you come over here and help me out? There’s something wrong with this woman.”

“She’s an addict,” Richard said simply.

“What?”

“An addict. Look at those needle tracks on her arms. She’s probably stoned to the gills—either that or totally burnt out.”

“What should we do?”

“Well, for starters I think we should be a little less aggressive.”

“Go to hell.”

“And next, I think we should find someone else to talk to.”

“You can start by talking to me,” a voice behind them said.

The Colsons whirled. Marilyn gasped. Standing not ten feet from them was a man, tall and lean, wearing jeans, a plaid hunter’s jacket, and a baseball cap. Strapped to his waistband was a two-way radio. The double-barreled shotgun cradled on his right arm was aimed at a spot just in front of them.

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