Chapter 4 - The Harvest Schedule

The rain had turned into a steady, freezing sleet by four-thirty when Sebastian returned to the seventh floor of the hospital.
The hallway was quiet, save for the hum of a floor polisher three doors down. Arthur Vance stood near the nurse’s station, holding the opened iron box with its three dozen cold glass ampoules wrapped in protective foam.
Dr. Richard Miller met Sebastian in the private consultation room adjacent to Claire’s room.
Sebastian laid three documents on the glass table: the chemical manifests from Sloan Medical Logistics, a handwritten medication schedule signed by Dr. Harold Vance, and the cord-blood collection protocol obtained from the laptop inside Margaret’s iron box.
Miller spent ten minutes reading through the pages, his face growing progressively paler with every line.
“This isn't a prenatal care regimen,” Miller said, setting his glasses down on the table with a small click. “This is a harvesting protocol.”
“Explain it to me in plain language,” Sebastian said. He was sitting in a low vinyl chair, his hands resting flat on his knees.
“To harvest high-yield hematopoietic stem cells from an umbilical cord and fetal tissue at thirty-three weeks,” Miller said, pointing to a diagram in the protocol document, “you have to manipulate the mother’s blood chemistry. The injections Vance was giving her weren't vitamins. They were high-dose granulocyte colony-stimulating factors—G-CSF.”
“What does that do to the mother?”
“In a healthy adult, it forces the bone marrow to overproduce stem cells and release them into the bloodstream,” Miller explained. “In an eight-month-pregnant woman who is already severely malnourished... it strips her bones of calcium, forces her liver into acute failure, and creates massive blood clots in her lower limbs.”
Miller leaned over the table, his fingers tracing a set of dates written in green ink on the corner of the paper.
“They weren't waiting for her to go into labor naturally, Sebastian,” Miller said. “The schedule calls for a forced premature delivery by Cesarean section tomorrow morning at five a.m. at Vance’s private outpatient surgical center in Schaumburg.”
“And after the delivery?”
Miller looked away for a second before meeting Sebastian’s eyes.
“The protocol specifies an immediate, full-volume cord blood harvest followed by a bone marrow aspiration from the infant’s hip,” Miller said softly. “To get the volume of cells required for an adult leukemia patient like your brother, they would have to drain over sixty percent of the newborn’s total blood volume within five minutes of delivery.”
“Would the baby survive that?”
“No,” Miller said clearly. “The child would suffer total hypoxic brain death within three minutes. And given your wife’s hemoglobin level of 5.2 and her untreated deep vein thrombosis... a major abdominal surgery performed in an outpatient clinic without a full trauma team present would have resulted in her bleeding to death on the table within twenty minutes.”
“They weren't planning on taking the baby home,” Sebastian said.
“No,” Miller replied. “They were planning on filing a double death certificate—stillbirth due to maternal eclampsia—and shipping the tissue container directly to Zurich on the Sloan Medical charter flight.”
Sebastian stood up. He walked to the window that looked out over the wet roofs of the medical campus.
The city lights were coming on in the gray twilight, yellow and red dots blurring through the sleet on the glass. Down on the street, thousands of people were commuting home from work, buying groceries, calling their families, and planning their weekends.
Twelve years ago, when his first freight business went under, he had sat on the floor of a tiny kitchen in Rogers Park while the landlord hammered on the door for eighteen hundred dollars in back rent. Claire had come home from her second job at eight o'clock at night, her shoes soaked through with dirty snow, holding a small paper bag containing two stale blueberry muffins from the bakery where her sister worked.
She had sat down beside him, divided the smaller muffin in half, and handed him the larger piece.
“We’re still here, Seb,” she had said, rubbing her thumb over the rough skin of his knuckles. “They can take the trucks. They can take the office. They can’t take what we’re going to build tomorrow.”
Sebastian turned away from the window.
“Is she awake?” he asked Miller.
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“She’s resting,” Miller said. “We’ve started an IV iron infusion and low-dose heparin for the leg clot. But she’s weak, Sebastian. Very weak.”
“I want to see her.”