The Girl Who Kicked The Hornets Nest Page 0,3

came back regularly, until one day he was offered a permanent position at the Karolinska in Stockholm. By that time he had won an international reputation.

He had first met Jonasson at a seminar in Stockholm fourteen years earlier and discovered that they were both fly-fishing enthusiasts. They had kept in touch and had gone on fishing trips to Norway and elsewhere. But they had never worked together.

"I'm sorry for chasing you down, but..."

"Not a problem." Ellis gave a dismissive wave. "But it'll cost you a bottle of Cragganmore the next time we go fishing."

"O.K., that's a fee I'll gladly pay."

"I had a patient a number of years ago, in Boston - I wrote about the case in the New England Journal of Medicine. It was a girl the same age as your patient here. She was walking to the university when someone shot her with a crossbow. The arrow entered at the outside edge of her left eyebrow and went straight through her head, exiting from almost the middle of the back of her neck."

"And she survived?"

"She looked like nothing on earth when she came in. We cut off the arrow shaft and put her head in a C.T. scanner. The arrow went straight through her brain. By all known reckoning she should have been dead, or at least suffered such massive trauma that she would have been in a coma."

"And what was her condition?"

"She was conscious the whole time. Not only that; she was terribly frightened, of course, but she was completely rational. Her only problem was that she had an arrow through her skull."

"What did you do?"

"Well, I got the forceps and pulled out the arrow and bandaged the wounds. More or less."

"And she lived to tell the tale?"

"Obviously her condition was critical, but the fact is we could have sent her home the same day. I've seldom had a healthier patient."

Jonasson wondered whether Ellis was pulling his leg.

"On the other hand," Ellis went on, "I had a 42-year-old patient in Stockholm some years ago who banged his head on a windowsill. He began to feel sick immediately and was taken by ambulance to A.&E. When I got to him he was unconscious. He had a small bump and a very slight bruise. But he never regained consciousness and died after nine days in intensive care. To this day I have no idea why he died. In the autopsy report, we wrote brain haemorrhage resulting from an accident, but not one of us was satisfied with that assessment. The bleeding was so minor and located in an area that shouldn't have affected anything else at all. And yet his liver, kidneys, heart and lungs shut down one after the other. The older I get, the more I think it's like a game of roulette. I don't believe we'll ever figure out precisely how the brain works." He tapped on the screen with a pen. "What do you intend to do?"

"I was hoping you would tell me."

"Let's hear your diagnosis."

"Well, first of all, it seems to be a small-calibre bullet. It entered at the temple, and then stopped about four centimetres into the brain. It's resting against the lateral ventricle. There's bleeding there."

"How will you proceed?"

"To use your terminology - get some forceps and extract the bullet by the same route it went in."

"Excellent idea. I would use the thinnest forceps you have."

"It's that simple?"

"What else can we do in this case? We could leave the bullet where it is, and she might live to be a hundred, but it's also a risk. She might develop epilepsy, migraines, all sorts of complaints. And one thing you really don't want to do is drill into her skull and then operate a year from now when the wound itself has healed. The bullet is located away from the major blood vessels. So I would recommend that you extract it... but..."

"But what?"

"The bullet doesn't worry me so much. She's survived this far and that's a good omen for her getting through having the bullet removed, too. The real problem is here." He pointed at the screen. "Around the entry wound you have all sorts of bone fragments. I can see at least a dozen that are a couple of millimetres long. Some are embedded in the brain tissue. That's what could kill her if you're not careful."

"Isn't that part of the brain associated with numbers and mathematical capacity?" Jonasson said.

Ellis shrugged. "Mumbo jumbo. I have no idea what