TITLE: REGARDING A CURE(1/4) BY: Ainon E-MAIL: mulangst@hotmail.com CATEGORY: Story, Angst RATING: R SPOILERS: Little Green Men, Colony, End Game, Blessing Way, Paper Clip, Herrenvolk, Gethsemene, Redux I & II, Emily. DISCLAIMER: This is a work of fiction. Fox Mulder, Dana Scully, and other X-Files characters used herein are the property of Chris Carter, 1013 Productions, and Fox Television Broadcasting. No infringement of copyright is intended. Characters that are not recognizable from 'The X-Files' belong to me. DISTRIBUTION: Archive at Gossamer. Anywhere else, sure, but I'd appreciate being notified first. SUMMARY: When Mulder is struck down by an incurable disease, it is Scully who must make a choice as to what would be his best chance for survival. AUTHOR'S NOTES: This story took a very, very long time to see the light of day. It's only my second 'real' attempt to write, but it grew from an original simple concept into something terribly huge. Through it all, I had wonderful, patient friends who were constantly pushing me and encouraging me to carry the story right through till the conclusion, and who also beta-read and edited, and gave me excellent suggestions. They're the best. Ten, Debbie, Nikki, Carrie - please accept my deepest gratitude. I thank also all those who sent me feedback after my first story, for helping convince me to keep trying again. And thanks to Susan, for helping me that first time. DEDICATION: To Ten, Nikki, and the international union of continental bashes. Any faults or misinformation in this story are mine, and mine alone. I apologize in advance should any be found. The story is set before 'The Red and The Black', smack during the time when Mulder has lost his beliefs in extraterrestrials and UFOs. And Cancerman is still thought to be very dead. FEEDBACK: Please do. I would really, really love that. mulangst@hotmail.com ===================== REGARDING A CURE PART 1 ~ 1st day, late morning ~~~~~~~~~~~~~~~~~~~~~ If anyone had bothered to ask, he could have told them exactly when all of this began. He could have told them that at that one exact moment, fourteen days ago, while he was getting up out of his chair to move to the slide projector to add a new slide for Scully to see, he suddenly went weak in the knees and felt terribly light-headed and that he fell back into his seat with cold sweat on his brow. Scully hadn't noticed because she was studying the details on the slide that was on the screen, and he hadn't felt the need to inform her about the near faint. He recovered enough after a few minutes to put up a rather convincing charade for Scully and actually managed to maintain that charade until he got back to his apartment and collapsed on his couch. By the next day day he felt well enough to travel with Scully to Michigan, where the case was. But of course nobody bothered to ask him about when exactly this little problem began. Everyone seemed to be perfectly content to assume that this was the perfect example of Fox Mulder working himself too hard, so hard that he'd worked himself sick. Certainly Scully believed this. Not that he would blame her. He hadn't mentioned how weak he'd been lately. While in Michigan he had tried his best to catch up on sleep - even resorting to taking sleeping pills in his effort to make sure he got some much deserved rest. Finally the case was successfully solved; Scully was happy because no one was injured, he was happy because the psychic was, as far as he was concerned, a genuine one; the perpetrator was arrested and charged. Open and shut case. They'd both returned to Washington last night. This morning they were in Skinner's office to present their written reports. Everything was fine and Skinner was happy about a job well done, then Mulder and Scully stood up to leave, and Mulder fainted. Damn the timing. He wasn't sure which way he fell; so long as he knew he hadn't fallen into Skinner's arms or broken anything expensive on Skinner's desk he could conceivably live through the embarrassment. Scully managed to wake him up after slapping his cheeks several times; then he was too disoriented and sick to argue when she insisted on taking him to the hospital. He couldn't remember if he had had time to apologize to Skinner. He'd worry about that when the time came to face his boss again. Now, four hours after that little 'episode' in Skinner's office, Mulder was sitting on one of the ER beds twiddling his thumbs. His feet were freezing. He should have asked if he could keep his socks on when he was changed from his office clothes into the compulsary hospital gown. Scully had gone off for a while to make a call. Bless her, she'd been kind enough to wait with him in a hospital ER for what must be close to the hundredth time. Only this time they were taking forever to treat him. They took blood samples twice. A young intern came and briefly recorded his recent medical history - did he eat breakfast and if he did what did he have, had he ever fainted before, had he been feeling feverish, did he get enough sleep, whatever. The same intern also did a pretty thorough physical examination, taking great interest especially in Mulder's neck, pressing and feeling around a few times. Then the intern disappeared, not to be seen for the next couple of hours. Mulder was beyond bored. Then there was a certain unpleasant odor from beyond the curtain to his right... Mulder really wanted to get of here. He was considering just walking out of the ER and dealing with Scully's wrath later when the young intern returned. Mulder gave him a scowl that said all about how annoyed he was with the service. "I think we should get you admitted. We need to run more tests," the intern announced without ceremony. "Tests?" Mulder asked warily. "What tests? Why couldn't you have just done them here, just now, instead of making me wait for hours?" "Mr. Mulder, you have a pretty serious case of anemia." "So? Give me iron tablets or something," Mulder snapped. "Don't waste more of my time." The intern gave him a stern look. "We can't just give iron tablets, sir. First we'll have to confirm whether your anemia is due to your diet, or some other underlying problem. There are so many causes of anemia. Your hemoglobin level is 9.5. That is really low. Normal is at least 13. Your red blood cell, white blood cell and platelet counts - all are lower than normal." "But what do you need me to be admitted for?" "We'll have to do several tests, starting with a bone marrow biopsy." "Bone marrow biopsy?" Mulder echoed. He frowned, very seriously starting to wonder if he should worry. "But why?" "To determine what's wrong. All precursor blood cells originate from the bone marrow so if there's something wrong in the marrow it'll affect your blood counts. The marrow is the first place to check. Then maybe check your erythropoietin levels and perform renal tests to determine if you have any underlying chronic renal dysfunction. Plus determination of the levels of your coagulation factors, then a platelet function test, etc." Mulder was lost. He hated it when doctors started speaking jargon without caring whether or not the person they were speaking to knew the words. He needed Scully to decipher what the intern was jabbering about. But the intern continued to speak. "I've already called the clinical hematologist to handle your case, and he wants you up in a room within a half-hour. Anyway, we seem to be having some trouble tracking your medical files from your previous visits here, but don't worry, the attendants are sorting that out. They'll send everything upstairs once they're done. And there's some paperwork to fill out so you can save time and do it here." The intern showed Mulder the sheets of forms in his hand. Mulder scowled and said, "Fine. Give them to me." He grabbed the forms and was about to ask for a pen too when the intern said, "Just a minute. Before you start on that - I need to confirm this now: have you ever been tested for HIV?" Mulder's extreme irritation over the intern's brusque attitude was suddenly replaced by a feeling of confusion and growing fear. "I was tested middle of last year. Part of the FBI's annual health check. I was negative. Why? You think I'm..." "No, no. As I've mentioned your primary diagnosis is anemia. But maybe we should repeat the HIV test. I have to ask a few other basic questions - are you currently in any relationship with anyone?" Mulder shook his head numbly. Relationship? Him, Special Agent Mulder having a relationship? He'd laugh, except his sense of humor had taken a leave of absence after hearing the letters H, I and V strung together. The intern asked about his sexual orientation - wouldn't that be a very private issue? Oh, but this was now a medical situation. Mulder answered that he was heterosexual. He was asked about safe sex: oh yes, Mulder practiced very safe sex - in fact what sex? He used to pick up women once in a while, but that was so long ago. The intern asked about his lifestyle, and Mulder stated he never had multiple sexual partners - he never had any sexual partners of late but never mind that. The intern also noted that Mulder had had blood transfusions before, but all after a time when HIV screening of donor blood became mandatory. Then the intern left him alone to fill out the forms. An attendant would be along to bring him upstairs shortly. Mulder stared numbly at the forms in his hands, not really seeing the words on the paper. He didn't realize when Scully turned up again beside him. "Are we done yet, Mulder?" she asked. "Skinner wants me back at the office if everything is OK. You can take the rest of the day off. What did the doctor say?" He looked at her for a long moment before saying, "I have to stay here a couple of days, I think. I have anemia. They want to run tests." Scully frowned and emitted a small "Oh." She reached for the forms and flipped through them. Mulder had enough experience in ERs to know the forms would mostly be consent forms to allow the doctors to poke him and prod him any way they liked. Then came the sudden thought that the consent form for HIV testing would be there as well - but if Scully noticed she didn't seem to think anything of it. Instead she asked, "What was that doctor's name just now? I can go talk to him." "I don't know. I didn't notice his name. Besides I think I'll get a different doctor upstairs." And besides, what could Scully possibly get out of talking to the doctor? They would need to complete all the tests first, wouldn't they? Scully seemed to realize this herself because she didn't push the issue. She lay a gentle hand on his arm. "Will you be all right?" "I'll be fine. You go on ahead. What does Skinner want?" "There's some red tape concerning several of the witnesses and a lot of nonsense to settle with the Michigan FBI folks. I'll tell him you've been admitted here for a few days. What else did the doctor say?" "Nothing else," Mulder said quickly, smiling calmly though his heart was cold inside his chest. He had never realized the fear that could be induced by three significant letters from the English alphabet. "Nothing else. He told me my hemoglobin is low. 9.5?" "That is very low." "Well. We'll find out why soon." Scully nodded and smiled reassuringly but Mulder could see the worry in her eyes. So he invested more effort in convincing her he'd be fine, and after a while she left. He was left alone with the forms but he still didn't have anything to write with. He sighed. He should have asked to borrow Scully's pen. Beyond the curtain to Mulder's right, the fellow ER mate suddenly retched loudly. Mulder heard the sound of something splaterring to the floor and looked down. There was a pool of vomit on the floor adding another new stench to the place. Mulder heard the nurse say something quite unpleasant about the mess and the man who'd created it. The annonymous man meanwhile, moaned aloud. "What the hell did I do to deserve this? One fucking miserable thing after another. Can't I just have a life of peace?" Mulder empathized completely. ~ 1st day, afternoon ~~~~~~~~~~~~~~~~~~ Mulder lay quietly on his side with his knees drawn up. A nurse was moving about, sorting equipment out, laying sterile glove packets and needles and syringes for easy access for the doctor. Then someone, the doctor most likely, came into the room and another nurse pulled his blanket down. Mulder suddenly felt cold and vulnerable. He hated this. He'd had to endure several bone marrow aspirations while he was recovering from the retroviral infection in Alaska. By the time he was allowed back to Washington, his hips were so badly bruised he couldn't even sit comfortably. The nurse yanked his hospital gown up. At the same time, another nurse drew the curtains around his bed. Mulder didn't have a roommate for the time being, something he was feeling very grateful for. He really didn't feel like company right now. It had taken three hours before Mulder was all settled down in his room. Then it was another hour waiting for the doctor who hadn't yet finished doing his rounds. Such heartwarming efficiency. And no one would tell him anything. By the time the nurse finally came in and told him to roll over onto his side, Mulder was so disheartened that he obeyed without any of his usual fuss. Anyway, he did know all the misery he would be in for for the next couple of days. And the misery would begin with this bone marrow biopsy. The doctor finished his discussion with the nurses and walked around the bed to stand in Mulder's line of vision. He was a pleasant-looking man in his late thirties, with receding brown hair and kind eyes and round glasses - Mulder was reminded of that doctor from one of those medical dramas on TV. The doctor extended his hand a certain angle for Mulder's benefit, since he was on bed lying on his side, and shook Mulder's hand warmly. "Hello Fox, I'm Dr. Matthew Shaughnessy. I'm a clinical hematologist and I'm your doctor. You've been told you have anemia?" He waited for Mulder to nod before he continued. "Now, we need to find out why you have it, so first thing I'm going to do to help us find out is a bone marrow biopsy." As Dr. Shaughnessy spoke, a nurse was placing pieces of sterile paper over Mulder's hip, leaving only a small area exposed for the biopsy needle. Mulder said, "It's all right, you don't have to explain. Could you just do it quickly so we'll have it over with?" Dr. Shaughnessy gave him a mild disapproving look and said with gentle admonishment, "I need to explain what I'm about to do." "I've gone through this before. I know, you want to take marrow fluid and marrow cells; you want to take a look at the precursor blood cells." "You've gone through this before? You've had marrow taken previously?" "Yeah. And I didn't enjoy any of those experiences. So could we just get this over with? Now?" "Sure, sure," Dr. Shaughnessy said, looking thoughtful. He moved around the bed again, and now he was behind Mulder, snapping on his gloves. Mulder stared at the blue curtain cordoning him away from the rest of the healthy world and tried not to imagine Shaughnessy preparing the needle for injection. Mulder jerked when the sudden cold of the alcohol swab came into contact with his skin. "Oh, sorry. Sorry," Shaughnessy said. "Should have warned you that was coming." Mulder tried to shrug nonchalantly but that was hard to do while his heart was thudding wildly in his chest. The part he hated most was the injection, and that was going to happen any second now. "Right, I'm going to give you an injection, Fox. This is local anesthesia, LA. This will sting, but only for a while." Mulder knew for a fact that that was a blatant lie. But before he could say so, he felt the needle push into his skin and he had to bite hard on his lip to brace himself for the hell-awful pain that was going to come when Shaughnessy depressed the plunger and pushed the LA into his skin and into the bone. He wasn't disappointed. Shaughnessy was pushing the LA in now and it did hurt like hell. Some things remained so constant. Thankfully Shaughnessy did this part efficiently, with minimal fuss and zero patronizing assurances. Mulder still held a huge grudge against that doctor in Alaska who used to assure him with each injection of LA that 'this shouldn't hurt too much'. That particular doctor had also been fond of recounting how easy it was for kids to bounce around after having people poke them for marrow - apparently children recovered from these hip intrusions almost immediately. Mulder knew he was going to ache there for days. Shaughnessy gave him several injections, around the skin and deeper into the bone. Towards the end, Mulder was trying hard to keep his breathing under control and to stop clenching his fists. His hip was starting to feel numb even as the tingling bone pain ebbed away. "Right, we'll just wait a while, shall we? Make sure you don't feel anything when I go in." Shaughnessy said. Mulder heard the dull clink of the LA needles and syringes being thrown away into a plastic waste container. "I was going to ask you about your long term history later, but I think we can do that now as we wait." Mulder could hear the rustle of pages turning. "Okay with you, Fox?" "No problem," Mulder said. He was somewhat dismayed to hear how shaky his voice was. "But call me Mulder." "Mulder? What's wrong with Fox?" Shaughnessy chuckled but didn't wait for Mulder's answer. "I thought the doctor down in the ER took enough of your personal history, but it seems now that it's not as complete as it should be. Why were bone marrow biopsies done on you?" "I had a problem, uh... polycythemia. Over-production of red blood cells about three, four years ago." "Polycythemia?" Shaughnessy said, surprised. "That's a serious condition. You didn't mention this to the ER doctor?" "He didn't ask about anything that far back and he couldn't wait for my medical files. Look, I'm somewhat accident-prone... long history. Comes with the job, you know? So telling him about every single hospitalization I've had would be a bit too much. Besides wouldn't everything be in my records?" Shaughnessy sniffed. "Yeah. This is your medical file here - impressive. Real thick. Reminds me of some of my textbooks." Shaughnessy flipped through more pages. "And this isn't the only hospital you usually frequent? Oh, I'd sure like to see your files from those other hospitals. OK, was it polycythemia secondary to something? Or was it polycythemia vera?" Mulder had no idea what his doctor was talking about and the spreading numbness in his hip was starting to make him uncomfortable. "My blood thickened following exposure to a rare retrovirus," he said simply. A long silence followed that statement. Mulder blinked a few times and wondered if something was wrong. "You mean you are HIV positive?" Shaughnessy asked finally. "No, no it wasn't HIV. I tested negative for HIV just a few months ago. I don't think I can have HIV... I'm sure I don't have HIV. I didn't do anything that would get me infected." "You are aware of what HIV is? Human Immunodeficiency Virus. HIV is a retrovirus," Shaughnessy said. "Yes, I know that. The retrovirus I was infected with... I don't know what it was. But it resulted in my blood thickening. They kept checking my marrow to make sure that my red blood cells were still normal and also to check that the virus had been cleared away." "A retroviral infection but it's not HIV?" Shaughnessy sounded doubtful. Mulder squeezed his eyes shut. How in the world would Scully explain this? "The retrovirus remains unidentified. I was injured and infected while in the line of duty." Mulder decided that the little white lie was acceptable. "I was in Alaska and I was treated at a military hospital there. My full records are there, and there are copies in this hospital too because I had to come here for follow-ups." "Fine, if you say so. I didn't have time to read your whole file and I thought the ER doctor would have given me adequate history. Never mind. I'll read later. All right, we're going to repeat the HIV test - you've signed the form, haven't you?" Mulder gave a jerky nod and tried not to be too pessimistic about the results of that test. "Next question - have you had any other acute or chronic episodes relating to any form of blood disorder?" "No. Just that once." "Never any history of anemia?" "I was anemic for a while after an injury three years ago." "Would this injury also be in the line of duty?" "Yes," he answered. This was after he had almost been killed in that boxcar in the desert. He hadn't been treated for the anemia - it righted itself out. Scully had surmised that the anemia was due to his blood loss after she shot him, and due to whatever trauma he had suffered while attempting to escape the boxcar. But since he wasn't treated for the anemia, it wouldn't be on record in this hospital. The only reason he'd even known about the anemia was because his hemoglobin level had been low during the medical exam before he was reinstated into the bureau. Shaughnessy didn't press for more details. He said, "Your immediate problem right now, Mr. Mulder, is that you have severe anemia. Your red blood cell counts are low. I emphasize the 'low'. So your hemoglobin level is low as well. Your white cell counts and platelet counts are also low - that's why we need to check your marrow. Either there is something wrong with the marrow production of blood or your blood cells are disintegrating too fast or you are leaking blood somewhere internally. The latter two do not explain why you should also have leukopenia and thrombocytopenia. You feel anything when I do this?" Mulder tried to roll over to see but one of the nurses stopped him. He didn't feel anything and said so. "Good," Shaughnessy said. "I'm starting now." Mulder didn't even realize what was happening until he felt Shaughnessy applying extra pressure on his hip to screw the needle into the bone. He knew from experience that any second now Shaughnessy was going to reach that deep spot within the bone where the LA wouldn't quite mask the pain - and there it was. Mulder winced loudly and instinctively tried to wriggle away. Someone pressed a firm hand against him to remind him to keep still as Shaughnessy quickly started to aspirate the marrow fluid. Shaughnessy continued to speak as he did his work. "I think we can be done with all the tests by tomorrow, then we'll wait for the results to come back. Now, I try to be honest with my patients when I feel like my patients can tolerate honesty. So Mulder, you're one of those patients whom I feel should be privy to whatever it is that is going on." Shaughnessy turned away to fill up the test tubes and smear some of the marrow fluid onto test slides. Mulder knew this because he could hear the sounds he thought he would never have to hear again after leaving that Alaskan military hospital. He could still remember what every little sound signified. Amazing how his memory could serve him. Shaughnessy said, "I seriously suspect that the problem is in your marrow. Your peripheral blood contains normal red blood cells, so I doubt premature red blood cell disintegration is the problem. Your spleen isn't swollen anyway. I am waiting for reconfirmation of your blood enzyme levels." Shaughnessy poked him again, this time to obtain the actual bone marrow, the trephine. Fortunately, Mulder couldn't feel anything at all now so Shaughnessy's determined efforts didn't hurt. Then after what seemed like forever, Shaughnessy was done and the needle was removed. A nurse or maybe Shaughnessy himself started dabbing the blood away from the hole in his hip. The site was cleaned up, bandaged - of course that would be a nurse doing it now - and the pieces of paper covering his hip removed. Shaughnessy was talking to someone else about what to do with the biopsy samples. Mulder's hospital gown was pulled down again, his blanket was kindly pulled up, and then the nurse tried to help him lie on his back. He hoped they were going to give him painkillers before the numbness provided by LA disappeared. Shaughnessy pulled bloodstained gloves off his hands and discarded the gloves. With both powdered hands held out in front of him, he said, "If this is what I think it is then I'm afraid you should brace yourself for some bad news, Mulder." Mulder blinked stupidly at him for a while. Shaughnessy raised his eyebrows expectantly and Mulder found himself nodding. He wished he hadn't though. He was fairly certain he wasn't going to like what he was about to hear. "Right. I'm going to give you some facts. Severe anemia can be a life threatening condition. Based on the simple blood counts and blood morphology that we already have, I would suspect that you have aplastic anemia. We'll have to wait for all the test results to come back before this is absolutely confirmed, but I want to tell you this now, up front, so that you know what to expect. Aplastic anemia means that there is failure in production of blood by your marrow. Aplastic anemia is not cancer. I wish I could tell you that aplastic anemia instead of cancer is good news - but really, aplastic anemia is no picnic either." Mulder took a few moments to mentally digest Shaughnessy's speech. Once he got the depressing facts straight he said, "Your pessimism can be infectious you know." "I prefer you to hate me for being a born pessimist of the highest order and then being able to prove me wrong than to have you pine for miracles from me when I'm not quite sure there're any to spare," Shaughnessy said, matter-of-fact. "Your bluntness can also be a real turn off if you're trying to make friends." "Well, too bad. I speak whatever's on my mind. And I'm not your friend. I'm your doctor. So there. But I do damn good work. That should be a bit of a consolation." Mulder stared at him in disbelief. Doctors never behaved this way. Doctors would either be blunt and dismissive, or polite and cautiously pessimistic/optimistic. "Dr. Shaughnessy, do you talk this way to all your patients, or only to patients you feel should be privy to whatever medical doom estimates you dole out?" Shaughnessy had washed his hands and was wiping them on a paper towel. Hands dry, he threw the towels away, then he grabbed Mulder's very thick medical file and settled down into the chair beside Mulder's bed. Just the two of them. The nurses had left the room with the bone marrow biopsy samples and the biopsy equipment tray. Shaughnessy grinned casually at Mulder. "Well, it always gives me more pleasure to have an intelligent dude to chat medical doom with. And Mr. Mulder - right now you're the dude. Be honored. Okay?" He started flipping through Mulder's file again. "I want to go over that long illustrious accident-prone medical history you claim to have. If we know your problem, we can maybe fix the problem and fix your anemia and you can get the hell out of here; one less patient for me to bother with. But it's not all bad news, you know. Even if you have what I think you have, there are methods of treatment available. This can be a beautiful relationship. We'll even have the same end goal - to get you out of hospital as soon as possible, alive. So now, let's start with how the hell you got infected by some unknown retrovirus in Alaska?" ~ END PART 1 ~~~~~~~~~~ REGARDING A CURE PART 2 ~ 3rd day ~~~~~~~ Scully silently cursed Dr. Matthew Shaughnessy as she walked quickly along the corridors towards the Hematology Unit, which was located within the Oncology Department - a department she'd had to visit quite a number of times herself just several months ago. A department which she would still have to visit every few months for the next four years in fact - for the check-ups to ensure she remained free from cancer. Quite understandably, she hated this place. It reminded her of her ordeal and the fact that she could never be confident that she would never succumb to the cancer in the end. It symbolized the helplessness and hopelessness that came with terminal illness. But now her best friend was here too. The Hematology Unit contained the Hematology Clinic for outpatients. There was a sizeable crowd this morning and it took her some time to spot Mulder standing way in the back, leaning against the wall, staring at something near the ceiling. He didn't notice her until she was almost right beside him. He gave her a tentative smile. She smiled back. He was the only obvious inpatient here in the clinic, in his hospital pajamas and hospital robe. He kept his hands in his robe pockets. His hair was messed up and his face was paler than usual - or maybe that was just the lighting. Scully suddenly felt so bereft - she hadn't brought anything for him. Her hands were empty. No presents to pull out of her overcoat pockets either. She'd spent close to an hour waiting to speak to Dr. Shaughnessy about Mulder's case; then when Shaughnessy finally showed up for the appointment, she learned that he had forgotten all about it and had only just remembered. Waste of her time waiting. And Shaughnessy was so damn conceited: everything was difficult, everything was close to hopeless. Before Scully even had time for the bad news to sink in, Shaughnessy claimed he had other patients to see and simply rushed off, leaving Scully alone without a single parting word of consolation. By the time she got to Mulder's room, Mulder was already gone. Since Mulder didn't seem inclined to be the first to speak, Scully broke the silence. "Sorry I'm late. Your new roommate told me that you told him to tell whoever was looking for you to look for you here." Scully knew she was trying too hard - she sounded far too fake and cheery. But Mulder didn't seem to care how she sounded. He nodded, and absently rocked his body while still leaning against the wall. "Thanks for coming." "So. What exactly are we waiting for here?" "Hmm? Nothing. I was waiting for you. I had to come down here to check with the clinic doctor about whether or not I can go home and stay home and just come here to the clinic every day as an outpatient. The doctor took one look at my blood counts for this morning and told me the counts are too low, I have to stay in. I can't go home. Not that I was optimistic about the prospects of being allowed out of here anyway, but Shaughnessy did say that I was welcome to try to get out if I really wanted to. You spoken to Shaughnessy?" "Yes, I have." "So you know." "Yes, I know," Scully said softly. A heavy silence hung in the air between them and again Mulder showed no inclination to speak. "Shaughnessy says he's adding your name to the list for bone marrow transplantation and he's going to start checking for donors." "Yeah. Well. He's not particularly confident that drugs will help me live long enough. My bone marrow is all shot to bits, fat cells infiltrating my marrow, hypoplasia, whatever. All gloom and doom. He thinks a bone marrow transplantation ASAP is the one and only hope I have - that pessimistic son of a bitch." Mulder fussed with the cuff of his robe for a moment then suddenly he flashed her a lopsided grin. "On the bright side, I do not have HIV." "What?" She gave him a puzzled frown. What did HIV have to do with any of this? "Apparently the ER doctor thought I might have AIDS because he detected some slight - what's that word - lymph... lymphadenopathy?" "Swelling of the lymph nodes, yes. Lymphadenopathy. Where?" This she preferred. Talk that remained on neutral medical ground where she could explain things. She really didn't know what to say otherwise in response to his apparent casualness about his possibly terminal condition. Mulder rubbed his right hand around his neck. "Neck glands? Whatchacall'em? In the beginning Shaughnessy agreed with the ER doctor. About the HIV, I mean. He didn't believe me when I told him about the alien retrovirus from Alaska. He thought I was one hell of a loony. But now he knows. I don't have AIDS. He was wrong. But I was worried too for a while there." Now Scully was annoyed. Mulder hadn't mentioned any of this earlier, but then of course Mulder would never mention anything like this to her. Mulder did seem genuinely happy about being HIV negative. Trust him to behave this way when he was actually in fact dealing with something more immediately lethal than her cancer had been. According to Shaughnessy, Mulder's anemic condition was so precarious he would need blood transfusions to tide him over while waiting for that suitable marrow donor to be found. As to why Mulder should have aplastic anemia in the first place, no one knew. For now the diagnosis was idiopathic aplastic anemia - the term idiopathic basically meaning no one knew what the hell was going on. "Mulder, this anemia is very serious," she said. "I know that," Mulder said sourly. "Don't you think I know that? But what can I do about it? At least Shaughnessy is doing one thing right: he's being such a prick that I want to make sure I live - just so I can beat him up to a pulp when I've recovered." Scully didn't know whether to laugh or not because she didn't know whether Mulder was joking or not. Mulder's sick sense of humor had a way of nicely covering for his more sarcastic moments. She had known how unwell he'd been for the past couple of weeks. She had been well aware of Mulder's efforts to pretend to be fine. So she played along. He didn't want to tell her, so let him be. Let him play pretend until he woke up one morning too sick to come to work. She wasn't going to be his nursemaid - he should bother about himself for a change. He needed a lesson. Still, she never expected that lesson to be learned by fainting in Skinner's office. Just as she never expected the diagnosis to be anything more serious than a case of chronic fatigue from too many late nights working too hard poring over grainy photos of alleged secret government installations. "Um, Scully - when I fainted, what happened?" She would never have seen that question coming. She answered with a puzzled tone, "You fell." "I just fell, straight to the floor, didn't hit anything along the way, like - I didn't swoon or anything...?" She shook her head. "Oh good," Mulder said with obvious relief. "Swooning would have been such a sissy thing." Scully really didn't know if Mulder wanted her to respond to that. So she looked around instead at the other patients in the clinic. Most were easily identified as cancer patients - they were the ones who were losing hair and wearing caps or hats to hide the fact. She was so lucky that she never went for high dose chemotherapy for treatment of her cancer. As it turned out, none of those chemo drugs could have done her any good anyway. In the end what saved her life was a dubious piece of metal identical to one that had been implanted in her neck when she was abducted more than three years ago. It was ironically the most non-medical miracle she could have ever prayed for. And now she had a terrible feeling that only a similar miracle would save Mulder's life. But that was silly. Unlike her mysterious cancer, aplastic anemia wasn't totally incurable. Mulder was already on medication. And God willing, a donor could be found within a week or two. Most volunteer donors were Caucasian - there had to be at least one match. Finally Mulder said, "Come on Scully, walk me back to my room. You met my new roommate, did you? You know, he snores? If I'm going to have to stay as an inpatient I'm going to bug Shaughnessy into giving me my own room. I have insurance, I should use it." Mulder took his left hand out of his pocket so he could use both hands to push himself away from the wall. Scully's mouth dropped open. His left hand was slightly swollen and badly discolored - an ugly dark red patch from just above his knuckles to his wrist. It was obviously painful. Mulder noted her reaction. "And they said my red blood count is too low. I bled like the best of them anyway when some stupid intern poked me the wrong way. Could have bled to death from a needle prick - now how about that?" Mulder said with sarcastic pride. But his eyes were sad. And some of Scully's optimism dwindled away. ~ 4th day, evening ~~~~~~~~~~~~~~~~ "His adverse reaction to Lanovar is, well, pretty adverse." Scully sighed and her shoulders sagged. Why couldn't anything be easy when it came to Mulder? Lanovar was one of the drugs of choice for treating aplastic anemia. She had suspected something was amiss when she arrived to visit him fifteen minutes earlier. Instead of griping about why she had to wait till late in the evening to visit today, he'd just looked at her, muttered a "Hello," then lost interest. He didn't ask about her day, which she'd spent studying up on his disease instead of working, he didn't comment when she told him that Skinner had put him down for long term medical leave, he only shook his head when she asked if he'd had dinner. She knew he'd had a blood transfusion in the afternoon but his color wasn't much improved. He didn't go back to sleep; instead he remained so dull and listless that she asked if he was feeling all right. Much to her surprise he answered honestly: he was feeling nauseous, he had no appetite, he'd vomited quite a few times during the day, and last but not least, for some reason his tongue felt 'funny' so he was not the least bit interested in either food or long conversation. It sounded too much like a list of bad reactions to whatever medication he was on. When Shaughnessy entered the private room to check on Mulder one last time before he left for home, she complained about Mulder's apparent side effects to his medication. Shaughnessy voiced his full agreement and named the drug that was the real culprit. "But is the medication working?" she asked hopefully as Shaughnessy wrote a few final notes in Mulder's chart. If it was working then the side effects were worth suffering through. "Today is only his third day on Lanovar. No improvements so far. Hb dropped to 7.5 but it rose to 10 after the transfusion this afternoon. I'm quite worried if he might be bleeding from somewhere we don't know about. By the way, could you please gather enough people to help donate blood? If we need to give Mulder frequent transfusions, the Blood Bank would appreciate it if family and friends can help replenish the supply of blood." "Yes, of course. I'll see what I can do." Scully was secretly glad that Mulder had failed in his bid to be treated as an outpatient. It would be extremely difficult, to say the least, if he were at home, alone, experiencing all these adverse effects. She glanced at Mulder and was surprised to see that he was still awake, intently listening to everything she and Shaughnessy were discussing. There was actually something Scully wanted to talk about with the two men, but she had planned on talking to Mulder first before going to Shaughnessy. However, since Shaughnessy was already here, and since he was proving to be an incredibly elusive man to track down at other times, she may as well talk about this to the both of them at once. "Any news about a donor?" she asked first of all. Shaughnessy shook his head. "I'd tell you once we find one. For now I'm not taking him off any of the drugs unless his adverse reactions to any of them become worse. His adverse reaction to Lanovar was pretty quick. The anti-nausea medication I gave him didn't really seem to work so I'm changing it to another one. I'm leaving him on glucose drip tonight but if he doesn't start eating tomorrow it'll be time to consider a feeding endogastric tube - but I'm worried friction from the tube can cause bleeding. We'll see. It's also time to start him on prophylactic therapy." "What does that last bit mean?" Mulder asked suddenly. "Huh? Oh, we'll be giving you some medicine to protect you from getting nosocomial infections," Shaughnessy explained. "A prophylactic measure. Nosocomial infections are infections that you get within the hospital. You're vulnerable to infections now that you are neutropenic - that means your white blood count is much much lower than normal. As a result, your body's defenses against infection have dropped." Scully had to admit that despite his lousy bedside manner and pessimist cocky attitude, Shaughnessy did know how to handle patients and did know how to explain things simply in layman's terms. But she wanted to move on to what she really needed to discuss. "Have you finally determined why he has aplastic anemia?" Scully asked. "We've confirmed it's idiopathic." "I refuse to believe that." "We've exhausted all other explanations. Four hematologists all came to the same conclusion." "Well, I've been looking up references and studying the literature and I believe I now know the etiological factor - the cause of Mulder's condition." Shaughnessy sighed and Scully tensed. She could tell that he was automatically going into his cocky hundred-percent 'doctor knows best you know zilch' mode. He said, "Believe me, we've considered every single little possibility already. Every single etiological factor from excess whole body irradiation to autoimmune disorder has been ruled out. I doubt that you would have found something I don't already know about." Scully took a deep breath to calm herself. "Need I remind you that I am also a doctor?" "You're a pathologist. You know everything but treat no one. I'm the hematologist here, I'm the one handling Mulder's case. I've already laid out the treatment plan and I don't want to have you telling me..." "What did you find out, Scully?" Mulder interrupted. "I want to know." Shaughnessy scowled. "Oh fine. Let's go talk outside. Mulder, if you'll excuse us..." "No, talk here," Mulder said firmly. "I want to know what's going on." Scully didn't try to hide her smile of triumph. Shaughnessy rolled his eyes and folded his arms across his chest, one hand holding on to Mulder's chart. He tapped the chart against his side impatiently and waited for Scully to speak. "I believe Mulder's condition is due to a viral infection, specifically a retroviral infection," Scully began. Both men were surprised. Shaughnessy's next reaction was predictably skeptical. "You're connecting this to that retrovirus he was allegedly infected with in Alaska in 1995?" "Yes. You detected lymphadenopathy, but Mulder's proven conclusively to be HIV negative. I kept considering that fact though. Could the swollen lymph nodes still be indicative that he does have some sort of viral infection? The swollen lymph nodes gave me the clue to what we might be dealing with here." "We ran the routine tests for herpesvirus, CMV, hepatitis B, A and C, even Epstein Barr, just in case. Negative for all." "I'm not talking about other viruses, I'm talking about the retrovirus that he was infected with previously..." "Yeah yeah yeah. Unknown, unnamed, possibly 'foreign' unidentified retrovirus which triggers an immune reaction within the marrow so that the marrow expels excessive amounts of red blood cells into the peripheral circulation, resulting in polycythemia with risk of circulatory failure, plus possible risk of disseminated intravascular coagulation, yada yada yada. And how do we kill the said unknown retrovirus? We maintain the patient within hypothermic conditions and flood him with antiviral drugs and give him massive transfusions. Oh, sure. I buy that." Scully narrowed her eyes. She said, "What are you suggesting Dr. Shaughnessy? That you doubt the existence of this retrovirus? You read Mulder's medical case file for that..." "Sure I did," Shaughnessy said with an exaggerated grin that was not at all agreeable. "And I was suitably impressed for about half an hour until I realized how unlikely the whole thing was." "You're doubting the whole incident?" Scully asked coldly. "No," he answered. "I believe Mulder had a bad case of hypothermia and was affected by something - but an unknown retrovirus? Get real. It's been three years. The journal article about the discovery of this new virus would be out by now. That ER doctor up in that military hospital would have written his own article for the 'Journal of Emergency Medicine' or 'journal of whatever' considering how unique the treatment for Mulder's condition was. Would have gotten him the hell out of cold backwoods Alaska, and put him back in the mainstream of things. The virologist working on the virus would be a celebrity in the scientific community... immunologists would be working themselves into a fit to get their hands on this new retrovirus that can be so easily eliminated by cold temperature and anti-HIV drugs... get where I'm going? "Aside from pages of a medical report written by some doctor in some hick hospital in Alaska there is no evidence of a new retrovirus. Even follow-up notes from Dr. Helen Parker in this very hospital described Mulder's condition as 'viral infection of undetermined origin' with a little footnote stating that 'exposure to toxic chemical substance' as another likely possibility." "I was there in that 'hick' hospital, Dr. Shaughnessy. I saw what I saw. Don't you dare try to contradict the facts." "I ain't contradicting facts, ma'am. I'm pointing out the lack of facts. How did you identify this retrovirus in the first place?" "Electron microscopy." "In Alaska? Yeah, right." "We sent samples of his blood and marrow to USAMRIID here in Maryland. You want proof, you can ask them." "Already did. They didn't know what I was talking about. I'll be honest - I was fascinated by the existence of some virus that can trigger a polycythemic reaction in a patient within minutes post-infection. And sure, I was wondering if maybe this anemia was a result of a latent reinfection phase for the virus. It would be incredible if I could connect two very separate blood disorders together: polycythemia and anemia. I am in a teaching hospital; I'm always open to new findings, new ideas. But in the case of Mulder's Alaskan experience, I conclude that it must have been gross misdiagnosis on the part of the doctors and yourself. Not that I'm assigning blame to you, since you aren't practicing clinical medicine. Anyway, is there anything else? I have to pick up my son on my way home; I can't be late just because I have to stay here and listen to some outlandish theory about some non-existent virus." Scully was stunned. She stared at Shaughnessy, totally at a loss for words. Of course the virus existed. Of course the virus was something you were infected with once exposed to green 'blood' from those beings that Mulder was intent on labeling as aliens. Of course the virus killed rapidly by kicking up an immune reaction in the victim's body, causing the thickening of the victim's blood. Of course she had seen the virus with her own eyes on a TV screen connected to an electron microscope. But only now did the thought occur to her that of course 'They' would make sure no one else on Earth should ever officially find out about the alien retrovirus. 'They' could have wiped off all solid evidence of the existence of such a retrovirus. In fact even in her own formal FBI report she had expressed doubt over whether or not the virus was of alien origin. She hadn't wanted to believe it herself back then - how was she going to convince this doctor now? She finally found her tongue. "What happened to Mulder in Alaska isn't unique." Shaughnessy tilted his head and waited for her to continue. "Two people in San Diego suffered similar conditions to what Mulder had in Alaska. They were both treated in a hospital." "You have their case notes?" "I can get them," Scully said determinedly. "I was there..." Shaughnessy interrupted her. "Talk to me again when you get them. For all I care, it could just be the same mystery toxic stuff going around." "I'm trying to tell you that I was there! Those two people were treated the same way Mulder was, based on what I did in Alaska. The doctors in San Diego..." "I don't care about doctors in San Diego. I don't know any of the doctors there. I don't know where they got their degrees. I want reference papers: either presented at a seminar or published in a journal. Any journal - I'm not fussy. At the very least, I want proper medical notes. Until I have the real facts in my hands, rather than hearsay, don't count on me to believe that hypothermia is the cure for all ills." Scully was once again too shocked for words. "Well, fine," Shaughnessy said when Scully did not speak. He slipped Mulder's chart under one arm and spoke kindly to Mulder, "Sorry about almost causing a scene, but...." He shook his head. Scully didn't turn to see what Mulder's reaction was. She feared she would see that he was disappointed in her. She had let him down. "Don't worry," Shaughnessy continued sweetly. "I'm sure whatever it was that happened to you before has nothing to do with what is happening to you now." Shaughnessy flashed Scully an angry glare and turned to go. "You said before that you cured me, that the viruses were removed from my body. So why should I be sick now?" Mulder asked. It was an obvious question aimed only at Scully. She looked at him; he looked calmly back at her and she realized that he was helping her, he had faith in her still and he was throwing her a line so that she could catch it and pull herself back to solid scientific ground. And she had to pull herself back quickly before Shaughnessy walked out the door. "It went dormant inside your marrow cells," Scully answered. She faced Mulder, but Mulder was looking behind her, watching Shaughnessy's reaction on her behalf. Mulder nodded slightly, a sign to her that Shaughnessy was still in the room and would probably stay to listen. Scully explained, "In the beginning, your hypothermic state following infection meant the viruses never had time to replicate to sufficient amounts, so we didn't have to deal with too many of the viruses in your circulation. We did whole body transfusions - we drained out blood from one end, we put in fresh blood at the other end so that we eventually cleared the viruses out of your peripheral circulation and out of your major organs too. However, viruses have the potential to hide inside the cells they infect. The antiviral drugs were supposed to eliminate these hidden viruses. We thought we were successful. "Early samples of blood and marrow hours after exposure and infection showed the presence of the virus but in later samples, taken more than three weeks post-infection, you were clean - no viruses were detected. And there was also the assurance of a scientist at USAMRIID that retroviruses kept in vitro and retroviruses re-infected in mice in his lab were destroyed by the combined effects of cold temperature and antiviral drugs. He was working closely with us in ensuring your recovery - we sent all your blood and marrow samples to him for electron microscopy." "That must have cost a hell of a lot of money," Shaughnessy commented sarcastically behind her. Scully bit back on her retort. Now was not the time to get angry. The fact that Shaughnessy was still hanging around listening meant he was at least mildly curious, even if he didn't believe her. Yet. "It did, Dr. Shaughnessy," Scully said coolly. "But as you yourself pointed out: there were no electron microscopes in Alaska. So samples were sent to a place where there was one, and to someone who would know what to look for." "How would he know what to look for?" Shaughnessy asked. Mulder smiled at her. Scully was slowly but surely snaring Shaughnessy back to her way of looking at things. "About two weeks prior to Mulder's exposure to the virus in Alaska, an FBI agent was found dead; cause of death unknown. Post-mortem revealed that his blood was 'curdled like jelly' - there were just so many red blood cells packed into every vessel and into every organ. But no coagulating agent that could have caused such an effect could be traced. His body was brought to USAMRIID where further investigation revealed the presence of this unknown retrovirus, still active within his marrow and spleen in spite of the fact that he'd been dead for days. A series of experiments were carried out to determine what the retrovirus was and what activities it exhibited, and one of the things discovered was that viral activity and replication were markedly reduced upon lowering of external cellular temperature." Shaughnessy nodded thoughtfully and said, "Cool theory. What led you to assume your partner was infected with this same virus all the way in Alaska?" "I was in the ER and I observed that he exhibited physical signs similar to those noted on the body of the deceased FBI agent. It was a decision made to err on the side of caution - it was safer for me to assume he was exhibiting symptoms of infection than for me to assume he was not. As it turned out he was infected. And our treatment procedures for the time were effective." "How very fortunate. So you think the retrovirus specifically went for his hematopoietic cells?" "Well, retroviruses are known to attack the most active cells in the body and hematopoietic cells are the most active... oh Mulder, hematopoietic cells are the cells within the bone marrow that give rise to the various types of cells in your blood." She looked back at Shaughnessy as she firmly stated, "So yes, it is my belief that the retrovirus went for his hematopoietic cells, triggering the primary auto-immune effect of polycythemia." "What is this auto-immune effect?" Mulder asked. She could tell he was becoming frustrated about the jargon that everyone else in the room but him understood. Scully answered, "An auto-immune effect is when your own immune system develops a reaction against your own body. When you were first infected, your body felt it necessary to produce excessive amounts of red blood cells in response to the presence of the virus in your system. However we brought the polycythemia under control so you survived that phase of infection. Then we started you on anti-retroviral treatment. But I suspect now that since we failed to completely eliminate the viruses, they've been silently replicating within the hematopoietic cells for all these years, possibly causing varying degrees of destruction but never enough to result in disruption to blood cell production or marrow dysplasia...." "Until now - now all his hematopoietic cells are infected and as a result production of all three lineages - that's types of blood cells - ceases. So what we see is indicative of aplastic anemia and marrow failure," Shaughnessy finished for her, suitably impressed. "Interesting." Scully looked at him hopefully. "You've heard my part of the argument. So now at least try running a few more tests to help me prove I'm right." "I said what you've come up with is interesting. I didn't say I agreed with you." Scully almost screamed in frustration. She looked over at Mulder, but he just looked sadly confused now, in spite of the both of them trying to sound as 'layperson-friendly' as possible. She had to fight this one out on her own - God knew she'd had to fight enough bizarre scientific battles on her own anyway since joining the X-Files. And this was one fight that had to be won. She had to save her partner's life. "One marrow sample, at least," Scully said. "We send it to a Dr. Alan Mason at USAMRIID. He was the one who discovered this retrovirus. I've spoken to him, he'll be glad to help." "Really? He's the one I talked to. He claimed to know nothing." Scully needed a few seconds for that fact to sink in. Either Dr. Mason was being silenced from speaking to anyone else about the virus, but was still willing to talk to her because of their past involvement with the virus together; or 'They' were laying an elaborate trap for her and Mulder, and Mason was part of the trap. For the sake of her partner she had to be cautiously optimistic and opt for the former possibility. She said, "Never mind; I'll talk to Dr. Mason again tomorrow. I'm sure there must have been a misunderstanding." Shaughnessy made a sound that was somehow half a snort, half a snicker. "Look, Dr. Shaughnessy, speaking as one professional to another, don't you believe in at least exploring all possible avenues? If I'm right, then the method of treatment for Mulder isn't what you're doing now. If I'm right, then Mulder should be treated with anti-retroviral drugs, and anti-retroviral treatment should commence immediately. Are you not compelled to give the best to your patients in terms of treatment?" "Smart argument, Dr. Special Agent Scully," Shaughnessy said slyly. "Smart argument, flawed in several points, but anyway... it's all up to the patient in the end, and dependent on how much money he can afford to spend - Mulder, this what you want? If this is what you want then fine, I can recommend a virologist for you. Let's see, Dr. Davies is the one doing clinical HIV research, and there's Dr. MacAfee who's studying retroviruses in general, but MacAfee doesn't handle patients. Funny, I can't remember if he's an M.D. or a Ph.D.. Anyway, either one should be interested. And they'll certainly know more about what they're talking about. I mean, no offence, but your knowledge of clinical medicine and antiviral treatment sucks, Dr. Scully." Scully almost snapped at Shaughnessy but managed to control herself. She was glad because Shaughnessy then asked Mulder, "You're serious about this?" Mulder nodded. Scully beamed encouragement at him, but Shaughnessy's next words caused Mulder some trepidation and made him falter. "We'll need another marrow aspirate." "You already did that," Mulder said stiffly. The expression on Mulder's face told Scully that he was going to do this only for her... and so she had better be right. "This time for other tests," Shaughnessy explained patiently. "If you want to prove what Dr. Scully is suggesting, we'll need fresh samples of both peripheral blood and marrow cells. I wouldn't put you through it again otherwise. And, we'll also have to look into quarantine procedures." Scully tried hard to pretend she hadn't heard Shaughnessy's insult and didn't care about the certain inflection he put to the 'Dr. Scully'; she paid attention instead to his last sentence. "Why should you quarantine him?" Scully asked, a split second before her own brain gave her the obvious answer. Great, to look like a fool to Shaughnessy. "Nobody knows what sort of virus this is right? Unnamed, unknown retrovirus. So no one knows how it spreads. Actually I still don't understand how Mulder could have gotten infected in the first place... personally I suspect he was exposed to toxic stuff in that mysterious submarine in Alaska, but okay, let's say Mulder is infected with such a virus. We have to isolate him from everyone else. Of course, when one factors in the fact that he's been walking around, mixing with the general population for years already, isolating him now is kind of a joke. If he is infected, and this thing is infectious, well... we'll worry about that later, once we have proof that there's something to worry about. I doubt there'll be anything though." Mulder was obviously adverse to the idea of being in isolation. He was starting to sit up and he was frowning. Shaughnessy glanced at his watch and inadvertently pre-empted whatever it was that Mulder wanted to say. "I'll see you both tomorrow morning? I really have to go now." "Thank you," Scully said with some effort. "For giving me the benefit of the doubt." "Actually I'm not giving you the benefit of anything, except maybe my time - I will have to do the marrow aspirate myself tomorrow. The resident on-call has too much on her hands already, that poor girl. Anyway, it's your money, your time, and your pain, Mulder. Don't come blaming me for anything." Scully was taken aback. "But you've stayed to listen to all I had to say." "Yeah, because I was waiting for the nurse to come take Mulder's temperature - I figured it'd be much easier to wait for her here so I can tell her what to do than for me to walk the opposite way to where I really want to go just to give her my orders. She was supposed to come in here, per schedule, ten minutes ago. But she's late, so I'm late. Won't my son be pissed." He glanced at his watch again and was about to open the door when a nurse walked in. The nurse gave a small exclamation of surprise about almost walking into a doctor. Shaughnessy nodded at the nurse curtly. "You're late." He ignored the nurse's attempts to explain herself and indicated that he wanted to talk to her outside the room. Then he closed the door behind them without another word to either Mulder or Scully. Scully felt pure resentment for Shaughnessy. He'd treated her like she was some lazy medical student who had appeared for ward rounds without reading up on the relevant chapters first. But what was important was that Shaughnessy had agreed to send samples of Mulder's blood and marrow for testing - once the proof was staring Shaughnessy in the face, she was sure she would be able to handle things the way they should be handled, to hell with Shaughnessy's attitude. She patted Mulder's left arm comfortingly. His wrist was still a livid purple color but the swelling was gone. His IV was in his right wrist. "If you're right, Scully, how do you know I'll be all right?" he asked quietly. "The virus did respond to anti-retroviral therapy last time, Mulder. I'm sure we can accomplish the same thing this time around. It's the virus that is causing your anemia. We clean out the virus and you'll be fine." "If the virus responded to therapy last time around, why would I still have the virus now?" "Well, my theory is that we didn't kill them all, we didn't get the ones that hid within the hematopoietic cells. Viruses are tough to kill." "Your theory is kind of shaky then, don't you think? What's to say the drugs ever even killed the virus? You said the virus attack the hematopoietic cells anyway, so maybe..." "Mulder, I'll worry about whatever there is to worry about, OK?" Scully said firmly. Actually Mulder was right. Her theory was very shaky. In fact if Shaughnessy had pressed her harder for an argument just now she would have probably lost. But she couldn't let Mulder guess that she was still very much in the dark despite all the studying and reading-up and frantic research that she'd done. "Go to sleep, Mulder. It'll be all right. Really." Mulder gave her a strange look that she couldn't quite figure out - was he doubting her? Was he aware that she wasn't being totally honest? But then he gave her a small, neutral smile. He was about to say something when the door opened again. "Good night, Mulder," Shaughnessy said. He ignored Scully. "The nurse will be in to give you a little shot, after that you can go to sleep, OK? Take care." And with that Shaughnessy was gone again. Scully turned back to Mulder but he had that look on his face now that said how much he hated the idea of getting a shot. He wasn't interested in saying anything anymore. Which was probably just as good. Scully didn't like to lie to him, but nor did she have enough truths to tell him should he start asking to know more about the retrovirus. She herself hoped to know more once the presence of the virus was confirmed - she was at least confident that the retrovirus would be there, although confirmation of the virus' presence was not something to be happy about at all. She suppressed a sigh and resigned herself to sitting silently beside Mulder until it was time for her to go home. ~ END PART 2 ~~~~~~~~~~ REGARDING A CURE PART 3 ~ 5th day, morning ~~~~~~~~~~~~~~~~ Mulder watched the drops of blood dripping slowly into the IV line that went into the vein in his right wrist. One drop, followed by another drop, followed by another drop.... His wrist hurt a bit where the IV needle went in but he didn't want to complain. If he really wanted to complain there were other things that would top the list, starting with the damn throbbing pain in his hip, courtesy of his second marrow aspiration by the good Dr. Shaughnessy. Today Shaughnessy chose to punch the needle into his left hip so he was now lying awkwardly on his right side, which was the first side Shaughnessy had poked and which was fortunately no longer hurting. Mulder had his right arm stretched out beside his body and his left arm curled around his pillow. Hardly a comfortable position. Next on the list of complaints would be the lousy iron or whatever one called it - copper? whatever - taste of blood in his mouth. He woke up with that taste in his mouth; now the taste wouldn't go away. Then there was the matter of him being in isolation. The proper routine for anyone coming into the room was that he or she would first have to wash and scrub the hands thoroughly immediately outside in the decontamination area, then don protective clothing (gown, cap, gloves, plastic slippers - the works) before stepping into the room and touching his body and handling his bodily fluids. Upon leaving the room, gown, cap, mask and gloves had to be discarded into a refuse bag (for incineration later), and the hands had to be scrubbed and washed again. Usually this room was reserved for patients waiting for bone marrow transplantation - when they needed to be isolated from any and all risks of infection. For his case though, this room was meant to isolate him from everyone else so no one else would get whatever it was he was supposed to have. Hence the need to destroy all material that came into contact with him and with his environment. Fortunately, they hadn't already resorted to full quarantine measures since it had yet to be confirmed that he was infected with a retrovirus of unknown origin. He'd hate it if everyone had to wear full quarantine garb each time they came in to see him. True, he'd been quarantined before; but that didn't mean that he enjoyed those experiences. Under such circumstances he'd always felt like a helpless freak - there for everyone to stare at and poke and prod. The room itself was a boring white room with one small window to the outside world, one door on a spring hinge leading to the washing/decontaminating area, and another door connecting the room to his own private washroom. The top half of the inner wall was plain glass, quite thick - a window to allow people to look into the room and see how he was doing. There was one small TV mounted to the wall opposite his bed, but they had lost the remote control so he couldn't watch TV. There was nothing to look at outside his small window aside from blue sky and the occasional cloud. There was nothing to look at through the other window except nurses' faces peering in to make sure he was still alive during their shifts. There was nothing to read because reading made him dizzy. Mulder was going to go nuts if he had to be isolated in here for too long. Meanwhile, he still had no appetite, but at least he wasn't feeling so nauseous anymore. He vomitted only once this morning. He managed to keep the rest of his breakfast down though. Scully was standing near the foot of his bed, reading his medical chart. His hemoglobin - Hb they called it - level dropped again today, he knew that much. That was why he was having this blood transfusion, so that they could push the level up. It was scary that he could really feel the effects of the anemia now - when his Hb level was low he had a harder time breathing, found it harder to focus and pay attention, and he could swear he could hear the buzzing of blood in his ears. After a transfusion his chest felt lighter and his sight became clearer. And to think that last week at this time, he and Scully were in Michigan, preparing to apprehend the perpetrator based on what information they'd gleaned from the psychic. Mulder thought about the psychic for a while. Looked like she may not have been such a genuine psychic after all - she never saw his illness coming, did she? Or maybe she didn't want to tell? How rude of her then. Mulder cleared his throat and Scully looked up. She was wearing her office clothes although he was pretty certain she wasn't going in to the office today. It was funny. When he was sick she would automatically take time off to accompany him, but she never allowed him to do the same for her when she had cancer - not that he would have known what to do anyway. Maybe that was why she never wanted his company. "When did you say you'll get the results back?" he asked. He sounded breathless. He felt ridiculous. Here he was lying in bed, no activity whatsoever and he was breathless. "Maybe tonight. Dr. Mason promised me he would work on it immediately. He's quite cooperative about all this, but he hasn't explained why he kept quiet about the retrovirus. I'm thinking of going over this evening, see if I can offer him a hand and maybe try to understand his silence for the past three years." Mulder nodded, and swallowed. There was more of that copper taste he just couldn't get rid of. He hated it. He swallowed again and realized that this time he was actually swallowing blood. Awful taste. His gums were probably bleeding. He looked over at Scully. She had gone back to reading his chart. Mulder then sensed some warm wetness near his cheek and his first thought was that he had drooled. 'Neat, Fox, my man. Drool over your pillow.' The thought played in his head as he rubbed his left hand against his nose and cheek. The hand came away bloody. It took a while for the irony to click. Here he was with a nosebleed. He could share experiences with Scully now; they could go for group support discussions together. 'Hello everybody. My name is Fox Mulder and I'll be damned, I got this nose bleed but I don't know why.' He pressed his fingers closer to his nostrils and felt the warm flow of blood. Yes, that would confirm the bleed. "Scully?" "Yeah?" She now had her back to him and she seemed to be rummaging through some stuff for who knew what reason. "I'm bleeding," he informed her calmly. She spun around quickly. Her eyes widened in shock and one hand automatically went up to her mouth. The look of horror on her face was one Mulder would have been happy to miss. He didn't feel too much alarm about his own bleeding mess though. Just another miserable problem to deal with. Scully rushed to jab the nurse's call button then looked around frantically for tissues or cloth... anything. She found some neatly folded paper towels and grabbed them. Mulder managed to stop her from ramming the lot into his face. "Maybe you should wear gloves?" he reminded her in a somewhat choked voice. He could feel the slick warm wetness of blood on his cheek and upper lip and on his pillow. His mouth too, was full of blood. He knew he was going to start gagging soon if he had to keep swallowing more of it. And it was getting harder for him to breathe. Scully ignored his reminder and helped him sit up. He heard her telling someone who was just coming into the room, "He needs platelets. Stat! And page Dr. Shaughnessy! Oh God, he's bleeding through his IV too." Scully's tone of dismay was so great that Mulder wanted to comfort her and tell her that he was fine, really. 'Just a nose bleed, Scully, you had loads of those didn't you? What? You think I worried?' And he was pretty morbidly curious about how it was possible for him to bleed through his IV. But things were starting to gray out on him. He could still hear Scully's voice but she was further away now... odd. He could still feel her arms around him, holding him. He heard her voice in his ear but he couldn't understand what she was saying. And then everything was very, very quiet. And very, very dark. ~ 5th day, evening ~~~~~~~~~~~~~~~~ "Mulder, you're awake? Mulder?" Mulder winced and tried to turn his face away. He wanted to go back to sleep. But he also felt like he should find out what Scully wanted from him. So with a little sigh he opened his eyes and allowed some time for things to swim into focus. The vision that finally greeted his bleary eyes made him blink hard. He blinked several more times before Scully asked in a voice tinged with concern, "Can you see me, Mulder?" She was wearing full isolation room protection gear. Plastic cap over her red hair, plastic gown over her clothes, and a mask covering the bottom half of her face. No wonder he'd thought her voice sounded slightly muffled. 'Great, I am now officially a freak,' Mulder thought dramatically to himself and turned away from Scully's face. Her new look was scaring him. But Scully reached over with a gloved hand and turned his face back towards her. He looked into her worried eyes and faked a half-decent smile. Well, he hoped it was a fake half-decent smile and not a grimace. "Are you all right? Mulder?" It took some time for Mulder to register the emotion in her voice as fear. Bad news obviously. He couldn't quite remember if he should already know what the bad news was. In fact, he couldn't quite remember how he got here in the first place, but he knew he was in a hospital isolation room, and he knew that the reason Scully was dressed up the way she was was so she would be protected from him. Whatever it was that was wrong with him. He pondered briefly on the fact that he didn't feel too concerned about this present predicament. Whatever medication he was on must be really good stuff. "I'm fine," he slurred after a few minutes of tolerating Scully's worried frown. Best he could do. He tried to shift his position but managed only to weakly move his arms. Pathetic. He had this feeling that he was developing bedsores already; how long had he been in here? He also tried to tilt his head a certain way - there was something near his neck that was bugging him but Scully restrained him by placing her gloved hand on his shoulder. "Don't," she admonished softly. "You'll budge the central line." Mulder exhaled loudly. Central venous line. Great. One of those. Well, at least it meant no more IV lines to accidentally pull out of his wrists. "Can you hear me? Can you understand me?" Scully asked. Mulder nodded and looked at her, only to catch her holding a glass filled almost to the brim with fluid. She was stirring the fluid with a spoon. Mulder watched, fascinated. He knew instinctively that was medicine in the glass. Did she want him to drink it? Was she out of her mind? Apparently she was because she then forced the drink down his throat. Well, she did try some begging and cajoling and pleading for him to drink it voluntarily first, and he kept shaking his head but really, the outcome was inevitable. At the moment, Scully was way stronger than him, literally. It was a given she would win. And she did have the perfect excuse - it was either have her forcing the medicine down his throat, or one of the no-nonsense nurses forcing the medicine down his throat. As it turned out, drinking the medicine wasn't so bad and he didn't vomit, but he still felt obliged to pout and sulk as he lay back down again. "Scully?" he rasped at long last. "Um, what am I doing here?" "You don't remember?" she asked, another new frown knitting her brow. "No?" he admitted honestly. But just then something sparked in his foggy mind. "Uh, anemia?" "Yes," Scully said, relaxing a bit. Mulder was proud that at least he remembered that much for her. "Combined with some bleeding difficulties yesterday because your platelet counts dropped too low. We've given you platelet transfusions. You'll be all right. And by the way, I've called your mother." Mulder had to admire Scully's tact. 'And by the way...' She sure knew how to lighten the blow for some things. Aloud he asked, "What did my mom say?" "She said 'Oh my God'." Scully replied blandly. "I explained your anemia to her as best as I could. She said she's coming. She's worried and upset because she wasn't informed earlier." Mulder smiled a little as he imagined his mother panicking. Sure she loved him, but she wasn't exactly the kind of mom one would categorize as a TV sitcom mom; heck his mom would never win any awards for parenting skills... yet her reaction upon hearing about him was typical motherly panic. God, he missed his mom suddenly. "So why am I in here? This is isolation." He noticed the way Scully's eyes flickered away from his before she answered. "Do you remember we were going to run tests to see if you had any of the alien retrovirus still residing within your cells?" Scully was so polite, Mulder thought. Using the word 'residing' for viruses that were leeching the life out of his cells. But he was thankfully starting to remember things again in a groggy, slow motion way and Scully was giving him all the time he needed to sort his memories out. Finally he understood what was going on himself. "You've confirmed that I still have the virus," he stated at length. Scully nodded. "Mainly in your marrow cells. They went dormant and hid inside your marrow cells the last time, perfectly undetected. The viruses replicated and multiplied within the hematopoietic cells of your marrow, then some of the viruses spilled over into the mature peripheral blood cells and entered the circulation. So far the virus has been detected only in your marrow cells and in your mature red blood cells; the virus does not seem to go for any other type of cell. "So, we're starting you on antiviral therapy. You just drank your first dose of didanosine. Afterwards I'll give you your first dose of zalcitabine, then a dose of AZT. Dr. Pamela Davies is your clinical virologist - she's planning the antiviral therapy regiment. We're thinking of adding a couple other antiviral drugs too if we think you can tolerate them all. This is intensive therapy Mulder, so we will have to watch out for side effects. You'll have to help us with that. The moment you feel any slight discomfort, any dizziness or soreness, or if you taste blood in your mouth, tell us. Don't wait till you get a nosebleed before telling people that you're bleeding. It might be too late to do anything." Scully's tone betrayed some bit of worry so he knew she couldn't be all annoyed with him. And he suspected that Scully wasn't telling him everything now; she was leaving many things unsaid between the lines. Things like: what side effects? And things like his basic survival probabilities. Then he remembered something else. "Why aren't you lowering my temperature?" "You won't be able to tolerate the cold. You're anemic so you are already short of oxygen - it's the red cells that carry the oxygen around in your body. And because of the anemia, your metabolism and various other systems are all screwed up too; we can't risk it. Besides, all the viruses are already inside your cells, lowering your temperature merely slows down their replication and makes them dormant. We want to kill them." "Wait. When you use drugs to kill the virus, the viruses are inside my cells, you'll kill my cells too right?" he asked. He was fully awake now. Scully's eyes flickered away again as she nodded. "Not that it matters because my cells are dying anyway. But what I don't get, Scully, is if my cells are dying either way, killing the viruses still isn't going to help me in the long term is it?" "We will clear the viruses out from your body once and for all," Scully said determinedly. "So? My marrow is still all shot to bits. I'll still die of marrow failure, won't I? Unless I get a bone marrow transplantation." Scully kept her eyes down and didn't look at him. His heart felt heavy. "And there's no donor is there? There's no marrow donor who is a match for me." "We're still looking," Scully said. "How far is there to look? The way I understood it is that all volunteer marrow donors are already compiled on a database right? So if there's no match there, then where else can I go for a donor? It's not like I'm waiting for some guy to die to give me a new heart. Even if my mom could, she's too old. And I don't have relatives who're suddenly going to pop out of the woodwork either!" That was too much to say in one go, even if he had wheezed his way through the speech. He gasped for a few minutes while Scully carefully averted her wide blue eyes. His thoughts strayed to Samantha... but he instantly brushed the idea aside. Samantha - if she really was Samantha - probably wouldn't care. He wouldn't know where to find her anyway. She'd never bothered to contact him again. "Mulder," Scully started to say hesitantly. "Please, let's take this one at a time. You know I would donate my marrow to you if I could... do you know that?" Mulder was slightly taken aback to see tears glistening in her eyes. She went on. "Byers, Frohike, Langley - they'd do this for you if they could... you know that? But we can't. Skinner is trying to help too. But all we can do is donate blood to the Blood Bank and then find more people to donate blood because today you bled all over the place, and we need to get platelet donors too now but we're not giving up... we're not going to let this situation get the better of us... so don't you dare give up!" The sudden angry rise in her voice at the end was a surprise considering that for the most part she was babbling. Mulder watched guiltily as she tried to wipe the tears out of her eyes and off her cheeks with a gloved hand. She was failing miserably at the task. "I'm sorry," he whispered to her. He'd made her cry, although deep inside he knew that it wasn't actually his fault. Circumstances sucked, he was sick and Scully was worried and stressed... unless one started dragging out the facts of history - then all of this really was his fault - he was the one who went to Alaska in search of his truth (who as it turned out, was an ungrateful woman who wasn't even interested in giving him the time of day), if he had never gone off to Alaska he would never have encountered the alien bounty hunter and he would never have been infected by the alien's sizzling blood virus, and neither he nor Scully would ever be stuck here in this quarantine/isolation room where circumstances sucked. Scully shook her head and took a deep breath, trying to quell her sobs. She looked up at a clock on the wall and started to busy herself. "I'm going to give you your zalcitabine now," she said. Mulder sniffed but meekly complied. ~ END PART 3 ~~~~~~~~~~ REGARDING A CURE PART 4 ~ 7th day, evening ~~~~~~~~~~~~~~~~ Scully was walking slowly back to Mulder's isolation room after having had a quick and bland early dinner in the hospital cafeteria. She was so very tired and so very sleepy and so very sick with worry about Mulder. The whole afternoon had been spent in USAMRIID with Dr. Alan Mason and Dr. Pam Davies, where the three of them had worked together trying to understand more about the retrovirus and figure out what would be the best ways to kill it. They were unable to agree conclusively on anything much, but Mason promised her that he would work overtime to unravel this mystery. Then on their way back to the hospital, Pam Davies got a call from Dr. Matt Shaughnessy. He was shouting through the phone, loud enough for Davies to wince and hold the phone away from her ear, and for Scully to hear him quite clearly herself as she was driving. Shaughnessy's hysteria was due to Mulder apparently suffering severe side effects to the antiviral drugs. Massive transfusions were needed in order to stabilize him again. Dr. Pam Davies did ask if there was any little sign that the antiviral drugs were doing what they'd hoped, which was to kill the damned alien retrovirus, and had been told instead that as far as anybody could see, the drugs were directly tormenting Mulder instead of killing retroviruses. When Scully expressed her dismay about the lack of visible success with the antiviral drugs, Dr. Davies had said to her, "What were you expecting, Dana? In just one day? A pharmacological miracle?" At least Dr. Pam Davies had been kind enough to keep the sarcasm out of her voice. Pam Davies had a pediatrician's gentle voice, and she was tolerant and patient, qualities which Scully found lacking in Shaughnessy. Plus, Pam Davies listened to Scully's ideas and suggestions with genuine interest. Shaughnessy, who was still Mulder's primary clinician, had been true to his word. He had introduced Dr. Pam Davies to Scully and Mulder. Davies became very interested once Scully showed them the newest electron microscope image as proof that 'alien' retroviruses existed in Mulder's blood and marrow. Pam Davies was now just as determined as Scully was to treat Mulder, and discover how the virus spread (now that they knew the virus was real they had to worry about that aspect too), albeit Davies' desire to achieve success probably had more to do with the medical and scientific recognition she would no doubt bask in once Mulder's survival and recovery were accomplished. Scully was resigned to take whatever and whomever she got. Being fussy about who was in this and for what reasons wasn't going to help Mulder in the slightest. Davies did come with a string of successful research papers and projects attached to her name. She'd been working with HIV and AIDS patients since way back in 1984 when AIDS was 'just a gay disease'. Davies was one of those silent people working in the background, co-writing journal articles about clinical studies of HIV/AIDS patients, and unless something spectacular happened, no one outside her own teaching hospital would ever know she existed. There were just so many acclaimed scientists working in the field of HIV research already. So, Mulder just might be Davies' one chance for scientific stardom... unless Scully had misjudged the whole deal and Davies was working with her on Mulder and studying the retrovirus simply for the fun and glory of science; but Scully doubted such scientists really existed anymore. Even Dr. Mason was dealing with the retrovirus now as though this were his one shot chance for a Nobel Prize or something. And she still wasn't sure if he was truly trustworthy. As for Dr. Shaughnessy, once he had the proof staring at him in the face, he conceded to Scully's suggested methods for treatment. It was a hollow victory though, for Scully. She would have seriously preferred Shaughnessy's scorn if she were proven wrong altogether to having to deal with a retrovirus that wouldn't go away. Now Shaughnessy was breathing down her neck for more information about the two victims who had been exposed to the same 'blood curdling' virus just months ago in San Diego, during the Emily... 'incident'. One was the doctor who was overcome after she burst the cyst on the back of Emily's neck. The other was Dt. Kresge of the San Diego Police Department, who had the bad luck of running into one of the strange shape-shifting beings at the Dimsdale Retirement Home, which was where Mulder had found Emily's 'mother'. But she wasn't going to start thinking about that too. She had enough on her plate now. The hospital in San Diego refused to divulge information without patient consent, not even when she tried to warn them of possible health risks. She would have to track the victims down first. Once Dt. Kresge and the doctor were found, and their medical notes shared with Dr. Shaughnessy, Dr. Davies and Dr. Mason, they could proceed to study the two victims - to determine their present condition and the types of antibodies produced. The answers could prove beneficial for Mulder - providing the two could be found fast enough. But no one would tell her where they were. Officials she contacted kept giving her the run-around. It was ridiculous. She was musing about all these things as she was turning the last corner to Mulder's room. That was when she spotted the three Lone Gunmen sitting close together on one sofa in the lounge, which served as the waiting area for the isolation rooms on that wing of the hospital. Byers was sitting in the middle, smartly dressed as usual; Langley sat on his right, looking like some lost grunge guitarist with his scruffy long hair; Frohike, on the other side, wore his hat even here in the hospital, otherwise he was quite smartly attired in a simple jacket and neatly pressed slacks. She walked towards them. "What are you guys doing here?" she exclaimed. "Visiting hours are almost over. You should have come sooner!" Langley shrugged. "We thought it'd be much quieter if we came at this time. Less people around, you know." Scully smiled at them. They were not the sort who visited public places without massive pre-planning, and rarely came to visit Mulder any of the other times he'd been hospitalized. Which was why she was so touched when she learned that Frohike had visited her back when she was comatose after the abduction. They'd even been wary of coming to the Blood Bank two days ago to donate blood - but they overcame their reluctance out of their sense of honor to do something for Mulder. "Have you seen Mulder? He might still be sleeping though. He's not doing too good today." "We did see him," Byers said. "We stood outside and waved at him through the glass." "Oh? He's awake already? Did he see you guys?" The image of the three so distinctly different Lone Gunmen pasting their faces against the glass and waving their hands was actually pretty scary, Scully thought with some amusement. But Mulder would have been overjoyed to see them. "Yes, he saw us. At least I think so. Well, he did smile," Byers said and looked at his fellow Gunmen on either side. Frohike was strangely silent in her presence. She wondered if it was the shock of seeing Mulder so sick that was keeping him quiet. "There was this old woman in there with him," Langley said. Scully understood that the statement was actually a question. "His mother." Langley and Byers looked surprised - she supposed they'd never seen her before - but Frohike chose that moment to speak. "I was hoping to go in and visit him, but they wouldn't let me." He sounded upset. He sounded like he believed some conspiracy was afoot. She had to placate him. "They only allow me, his mom, his doctors and relevant nurses in the room," she explained. "For one thing, everyone is still afraid of how this virus spreads. We are taking a big risk each time we go in to see him. By right, we should quarantine everyone who's been in touch with him, but that's not quite feasible, not until we confirm how the virus is transmitted. For another thing, the room has to be kept as sterile as possible for Mulder's own sake - he's pretty vulnerable to infections because of his low blood counts. The fewer people going in, the lesser the risk that something can get in to infect him." "Is he getting better?" Byers asked. "Not yet," Scully admitted reluctantly. She sat down on the couch facing the Gunmen. "He suffered a very fast and unusually severe side effect to AZT just now. AZT is the most common anti-retroviral drug but we'll have to take him off it. He's having blood transfusions now to help him recover." "I've never seen him look so sick," Frohike muttered worriedly. Actually none of the Gunmen had ever seen Mulder really, really sick, but she doubted they'd want that little detail pointed out to them right now. "He's so pale!" "He's sure lost a lot of weight too," Langley said, suppressing a shudder. Scully concluded that if these guys had seen even a glimpse of Mulder at his worst worst in Alaska, they would be even more traumatized. Langley carried on, suddenly in a reminiscent mood, "We saw him a couple of weeks ago and he was fine. Absolutely fine. Didn't even look tired. He was joking around, pulling our legs. He will get better, won't he?" "I'm doing all I can to make sure he will," Scully said. "I'm collecting a few samples of Mulder's blood afterwards. Dr. Mason will try a few things tonight, and hopefully we'll know something new by tomorrow." Byers cleared his throat, glanced at his two friends, then said in a low voice, "We've done as you asked. We checked out Dr. Alan Mason." "What did you find out?" Langley answered her. "Plain Joe. Medical school in Chicago, residency in microbiology, started work at USAMRIID eighteen years ago. Drives a regular family Ford sedan, owns his own house, no mortgage. Married with kids. We spread his name around through our networks and no one has ever heard of him." Byers chimed in, "Which can mean that he's either very good at doing his job and keeping out of the spotlight, or he's not at all working with the government on any of the government's more 'interesting' microbiology for warfare research." "We think it's the latter," Langley said. "We checked out whatever we could about his finances too. He gets his paycheck from the government, nothing extra. He's never won any surprise lottery, never inherited one big chunk of money from a long-lost grand aunt. His pay fits his scale and is enough to support his family. Career wise he's published a few articles in journals: Nature, Journal of Medical Microbiology, Science." "I've already found and read those," Scully said. "Routine articles on viral and microbiological taxonomy and functional serology research." "In other words," Byers said. "As far as we can tell, Dr. Mason is clean. He's not involved with 'Them' and isn't doing any research that is out of the norm." Scully nodded and sighed. Frohike, who'd again gone quiet on them all, reached out to tap her arm with his fingertips in a comforting gesture. She smiled ruefully at him. "Do you feel like there's any reason not to trust Mason?" Byers asked. "No," Scully admitted. "He does his job efficiently. He is interested in this retrovirus and whether or not he can figure out a way to understand it. But what keeps bugging me is why he stopped all research on this retrovirus after Mulder recovered from that first bout? He was a great help to us while Mulder was sick in Alaska - helping to detect the virus by electron microscopy. Which is what he's doing again now. Back then he'd mentioned that he'd like to figure out the antibodies involved, but apparently he never did. Then a few days ago, when Mulder was diagnosed with aplastic anemia, Mulder's doctor called him up to ask about the history and to confirm the diagnosis, but Mason denied any knowledge of the virus." "A cover up?" Langley asked suspiciously. "Maybe. But when I called him he did willingly discuss the virus and he didn't hesitate in offering to help me again." "So why did he deny it to the doctor?" "He claims that it's because he never published any data. So he didn't want to be quoted out of context. And because he hadn't published any data he wasn't interested in discussing his knowledge on a casual basis without hard evidence." "Do those reasons make sense?" Byers asked seriously. "We can dig further. Something's bound to turn up if we look hard enough." "No, don't do anything more right now. For the time being I'm allowing him the benefit of the doubt. I'm accepting that he didn't want his professional credibility questioned. He's pretty open about that fact anyway." The three men nodded. She called the shots, they'd do whatever she wanted. And then an awkward silence fell on them. Scully could think of no small talk; the Lone Gunmen meanwhile didn't seem to know what else to say after having divulged what information they'd dug up on Mason. Scully wished someone would crack a joke - a silly wish perhaps, considering the time and place, but she felt like it had been ages since she laughed. Mulder's rapidly deteriorating condition seriously impinged on his sense of humor; he hadn't cracked a single joke in days, not even one of his really bad hospital bedpans wisecracks. And Scully's constant worrying about Mulder and her tension-filled discussions with his doctors kept her on her toes all the time. And now the Gunmen were sitting on that sofa, tapping their feet and twitching nervously at their slacks or jeans. Scully took a deep breath and reminded herself, 'What to expect? Even under usual circumstances these guys aren't the smoothest talkers.' Her deep breath made them look up at her. She managed a smile. "Thanks for coming, guys. I'm sure you made Mulder happy." It was their cue to leave and they knew it. They rose hurriedly. "Well... we better go now. Visiting hours over already," Langley drawled. "Say hi to the G-man. Tell him to hang tight." "Give our regards to Mulder," Byers said graciously. "We'll be checking our contacts tonight too, to ask more questions. Someone must know something." Scully nodded. All she wanted now was to spend a few quiet minutes with Mulder before heading back to USAMRIID to run more experiments on fresh samples of Mulder's blood. Not that the blood would be purely Mulder's anymore. He received four units of blood today - talk about owing your life to donations. God knew how he was going to overcome the iron overload later. Then suddenly Frohike hugged her. "Be good to Mulder," he whispered in her ear before releasing her and walking away with his two companions. Scully watched them go, remunerating a regret that they hadn't managed to cheer her up. Was Mulder still awake for her? She needed blood samples - so better if he wasn't awake. But she missed him. She wanted him awake, even if having him awake meant he'd be pissed with her for trying to get precious tubes of blood out of him. Damned if he was awake, damned if he wasn't. She sighed again and resumed her interrupted journey to Mulder's room. ~ END PART 4 ~~~~~~~~~~