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Chapter 5 - The Hospital Committee

The ninth-floor boardroom of St. Jude Memorial Hospital smelled of polished cedar and cold air conditioning.

At the head of the long oak table sat Dr. Richard Harrison, the hospital's Chief of Medical Operations—a stern, grey-haired man who had known my father for thirty years. Surrounding him were six senior board members, two hospital risk-management attorneys, and a court reporter.

Jack sat at the far end of the table, flanked by Arthur Vance. Jack looked haggard, his suit rumpled, dark purple shadows ringing his hollow eyes. He looked like a man who hadn't slept in thirty-six hours—because he hadn't.

When the double mahogany doors opened and I stepped into the room, every head turned.

Jack jumped to his feet, his chair scraping loudly against the polished floor. "Megan?! What are you doing here?! This is a confidential hospital administrative proceeding!"

Arthur Vance placed a firm hand on Jack's arm, pulling him back down, though Arthur’s own expression grew tight and wary as he looked at me.

"Dr. Harrison," I said smoothly, ignoring Jack completely as I walked to the open seat near the head of the table. "Thank you for accommodating my request to observe today's proceedings."

"Megan," Dr. Harrison said, standing up to shake my hand with genuine warmth and deep respect. "We were deeply saddened to hear about the circumstances surrounding Dr. Walker's sudden departure from his surgical schedule on Monday night. As you know, the Vance Charitable Trust is a cornerstone of this institution."

"I am well aware, Richard," I said, taking my seat. "And as the primary trustee, I have a fiduciary responsibility to ensure that the grant funds allocated to the Vascular Surgery Department are not being misused by staff members claiming to perform life-saving emergency procedures while boarding private vacations."

Jack’s face flushed a deep, ugly crimson. "This is a personal domestic dispute!" he shouted, slamming his hand onto the table. "Richard, you cannot allow my wife to use her financial influence to conduct a personal vendetta against my professional medical career!"

"Dr. Walker, sit down and remain quiet," Dr. Harrison commanded, his voice cold and sharp as a scalpel. "You logged an emergency aortic dissection for Patient #4092 on Monday at 7:15 PM. You checked out surgical equipment and billed the hospital on-call surgical suite for six hours of emergency room usage."

Dr. Harrison pulled a sheet of paper from his folder.

"Yet, according to official records provided by DFW Port Authority and the airline, you were passing through TSA Security at Terminal C at 7:22 PM with a boarding pass to Saint Barthélemy."

Jack stammered, looking frantically at Arthur. "It... it was an administrative error! My chief resident logged the code under my ID by mistake!"

"Your chief resident has already submitted a sworn affidavit this morning, Jack," I said quietly across the table. "He stated under penalty of perjury that you explicitly instructed him to enter that surgical code so you could collect the twenty-five-hundred-dollar emergency call-in bonus while you were out of the country."

Jack stared at me, his eyes wide with absolute, terrifying panic. "You... you spoke to my resident?"

"I spoke to everyone, Jack," I said. "Including the federal medical auditor currently reviewing your Medicare billings for the past thirty-six months."

Arthur Vance leaned toward Jack, whispering fiercely into his ear. Jack's posture crumpled entirely. He buried his face in his hands, letting out a low, pathetic groan.

Dr. Harrison stood up, folding his hands over his folder.

"Dr. Walker," Dr. Harrison declared solemnly. "Effective immediately, your surgical privileges at St. Jude Memorial Hospital are revoked. This board will be submitting a formal report of falsification of medical logs, billing fraud, and breach of ethics to the Texas Medical Board for immediate license revocation proceedings."

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"Richard, please!" Jack pleaded, looking up with tears streaming down his face. "My career... my whole life's work!"

"You destroyed your life's work yourself, Dr. Walker," Dr. Harrison said coldly. "Meeting adjourned."

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