and I’ll be providing support in all responsibilities related to the NIH and the DOD and Hutmacher. I’ll conduct follow-up evaluations, watch compliance with protocol, take care of the case reports. I’ll be your liaison with the Investigational Review Board, the IRB. We’ve been completely overwhelmed with volunteer applications—we’ve still got people calling and going around the usual channels to get in.”
Paul felt a surge of pride. “Seriously? Is this trial especially attractive for some reason?”
“Any trial is attractive,” Susan Hinks said. “They have to wait so long for treatment in the system. If they get into a trial, they get a lot of attention.”
He gave her a skeptical look.
“Are you trying to tell me these veterans are willing to get a hole punched in their skulls just to get a checkup?”
Unruffled, she said, “That’s the way it is, Dr. Vreeland. Let me show you what we’ve organized so far. I think you’ll be pleased.”
He’d recently reviewed the latest iteration of the World Medical Association’s policy statement, the Declaration of Helsinki, concerning the ethical principles for medical research involving human studies. Now he wanted to know: Had they followed the declaration to a T? Yes, Hinks told him. Had they filed all the paperwork disclosing his financial interest with Hutmacher?
“Form 3455, done.”
“Well! Great.” He followed her to the elevator, up a floor, down a corridor through some security doors that she opened with acode. A stooped man in a thin flannel shirt and jeans caked with cement pushed the blue button on a water cooler in the hallway; a woman in a butterscotch-colored sweater stood behind him. They eyed him timidly, and retreated to a room with a TV screen. “That’s the family room,” Hinks explained. “Since the volunteers began to arrive, we have some of the families spending all day here, thrilled to take part. Patriots to the bone.”
He winced at her word choice, while she opened a cabinet stocked with sterile aprons, masks, and gloves. “Here you go,” she said, and together they suited up.
The swinging doors let them through.
A gritty light touched on the ward, beds lined up military style. The cold echo of machinery bounced off the walls, along with the rhythmic hiss of chest cavities rising and falling on ventilators. A sharp whiff of ammonia penetrated his mask. Across the room, a nurse changed an IV bag, while an attendant mopped around a bed, gathering a pile of sheets bundled at the foot.
Paul grabbed the chart off the first footboard he came to. Flores, Daniel R. Injured by landmine, north of Kabul. He saw before him a twenty-four-year-old with a youthful hairline and an unblemished brow, missing the eyes, nose, and mouth beneath it. The roots of teeth poked from a band of purple tissue, and a breathing tube disappeared through a hole the size of a Life Saver, secured by a gasket. Where the boy’s arms had once been sprouted two fleshy buds, stippled with splinters of bone.
Paul looked at the chart attached to the next bed. Baker, Jeremiah J. Wounds suffered near Kandahar when his vehicle encountered an improvised explosive device. The young man’s eyes were open,and Paul bent over to make contact. The pupils were nonreactive. The eyes didn’t see.
“And we have wonderful volunteers who work with the families, a lot of attention, a lot of hope. It’s very uplifting.”
“There’s very little chance of—” He groped for ground.
“Dr. Vreeland, are you all right?”
Men missing parts of themselves forever, here to bolster his reputation and gain. Paul’s throat closed with shame.
“Who volunteered these volunteers?”
“Hartman is the CRO who recruits for us.”
“Could you tell me, what is a CRO?”
“Everything here has an acronym, you’ll get used to it. The CRO is the Contract Research Organization. They get volunteers and help us package our information for the FDA. Hartman is a little
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