Читать книгу The Last Lie: The must-read new thriller from the Sunday Times bestselling author - Alex Lake, Alex Lake - Страница 19

Dr Singh folded his arms and looked at Alfie. He had a puzzled expression on his face.

‘So,’ he said. ‘I have some results. Before we discuss them, I must say I am a little surprised.’

Alfie had no doubt that he was, but he frowned, then widened his eyes as though he was worried. ‘What kind of surprise?’

Dr Singh sat back in his chair. ‘Mr Daniels,’ he said. ‘Your sperm count is zero. There are no sperm.’

Alfie let his mouth drop open. ‘But,’ he stammered, ‘but I took a test. It was OK.’

‘I don’t know how. Unless you read it incorrectly. Tell me, did you refrain from sex and masturbation for forty-eight hours before coming here?’

Alfie nodded. He’d made a big thing of it, telling Claire how hard it was to resist her.

‘Then there can be no doubt. You are not producing sperm.’

‘I can’t believe it,’ Alfie said. ‘I really can’t believe it.’

The doctor’s bedside manner could use some work, Alfie thought. He’d just blurted out the news that a man would never be a father. He wasn’t to know Alfie was perfectly aware of that already. For all Dr Singh knew, Alfie’s devastation was genuine.

‘I want to discuss something else with you,’ Dr Singh said. ‘There are some other avenues we could explore.’

‘Oh?’ Alfie said. ‘Please. Anything.’

‘Normally we would do two or three tests to get a good sense of the quality and quantity of sperm being produced over a period of time, but since there are no sperm at all I’m not sure it makes sense.’

‘I get it,’ Alfie said. ‘If there are none then I have no chance.’ He looked down, focusing on his fingernails. ‘I can’t believe it’s come to this. It seems so hopeless.’

‘Maybe not,’ Dr Singh said. ‘I’d like to do further tests. It’s possible there is a blockage which is stopping the sperm from getting from the testes into the ejaculate. In fact, since there are no sperm at all, I’d like to check for this.’

‘How would you do that?’

‘We could do an ultrasound as a first step. We can do it now, if you like? We’ll have results right away.’

Alfie looked at the doctor. He felt a violent hatred for him but he bit it back. He had to stay calm. If he let the doctor do this then it would be obvious he had had a vasectomy. It would be equally obvious he had lied about it. That said, Dr Singh would have to keep quiet – he couldn’t reveal anything to Claire because of confidentiality. Still, it was better not to have anyone know.

He shook his head. ‘There’s no point,’ he said. ‘I’ll know more about why I have no sperm, but it won’t help.’

‘Oh, it will,’ Dr Singh said. ‘It’ll make all the difference in the world.’

Alfie straightened in his chair. ‘Oh? How so?’

‘Because if there is a blockage then that means you may well be producing plenty of healthy sperm. We can then either fix it, and you’ll be able to get pregnant in the traditional fashion, or we can harvest those sperm and use them for IVF, or other such treatments.’

‘I’m not sure,’ Alfie said. ‘It might be better to let it be. Accept the situation.’

Dr Singh frowned. ‘Mr Daniels! This is a very simple procedure and it could change everything. You should at least discuss it with your wife. I’m sure she would be keen to pursue this option.’

‘She wouldn’t need to know, would she?’ Alfie said. ‘I mean, you can’t tell her any of this, can you?’

Dr Singh did not reply for a long time. When he did, his voice was low and guarded. ‘No,’ he said. ‘I can’t.’

‘Good. Then I’d like it if you didn’t.’

‘May I ask a question, Mr Daniels?’

Alfie nodded.

‘Do you intend to tell your wife that everything is normal with your sperm test?’

Alfie thought for a moment. ‘Yes, I do. But you can’t say anything.’

‘No,’ Dr Singh said. ‘I can’t. But I will have no choice but to stop treating her.’

Alfie looked at him. That could be a problem. ‘Why?’ he said.

‘Because I will know – even though I will say nothing – that the real cause of her not conceiving is your sperm. Knowing that, I cannot continue to act as though the problem might be her, not to mention the ethics of charging for treatment I know will be ineffective.’

‘What will you tell her?’

‘That an ethical concern has arisen and I can no longer be her doctor.’

‘She’ll want to know why.’

‘I’ll tell her I can’t say why.’

Alfie nodded, slowly. He shouldn’t have said he was going to tell Claire his sperm was normal, but then Singh would have felt he could have discussed it with her, since Alfie had already told her. And he had to keep it from her.

So he’d had no choice. And now it was obvious what would happen: when the doctor told her there was some ethical concern, Claire would think something was badly wrong and would go immediately to another doctor. She’d make Alfie go with her, and she’d insist she was there at every appointment. That doctor would discover his zero sperm count and suggest a scan to look for a blockage, at which point the vasectomy would be revealed and his marriage, and the lifestyle that went with it, would be over.

The problems would pile on top of each other until the whole thing came crashing down, and that left him with only one option. The option Henry Bryant would have taken.

‘OK, I’ll tell her the truth. I have no sperm.’ Alfie tapped the desk. ‘Then what will you do?’

‘I’ll say it is true you have no sperm, but I don’t know why, and since you do not want further treatment there is nothing more I can do to help at this point.’

‘Well,’ Alfie said. ‘Let me tell you – patient to doctor – why I have no sperm. It’s because I had a vasectomy. And before you ask, Claire doesn’t know about it, and she’s not going to find out. So here’s what’s going to happen: I’m going to tell her I have no sperm, and then, if she asks you about it, you’re going to say it’s true. And that’s it. You’re not going to say another word.’

Dr Singh’s eyes narrowed, and he pointed his index finger at Alfie’s chest. ‘I’m not intimidated by you, Mr Daniels. I will keep your secrets, but I will not treat—’

Alfie’s hand snapped out and he grabbed the doctor’s finger. He stared at him and slowly bent it back. Dr Singh flinched in pain. ‘Listen to me,’ he said in a low voice. ‘Listen to me, you filthy little Paki. You’re going to tell her there’s nothing more you can do to help me and she’s going to leave here feeling sad, and you’ll never see her again. And if you don’t, you won’t need to worry about breaking doctor–patient confidentiality. You’ll need to worry about me breaking your disgusting brown neck.’

‘I’ll call the police,’ Dr Singh said, through gritted teeth. ‘This is assault.’

Alfie shook his head. ‘No, you won’t,’ he said. ‘There’s no evidence of any assault. And when they get here I’ll say you fondled me when you examined me. I’ll tell everyone. And they’ll believe me, because people believe that kind of thing.’

He tightened his grip and lowered his voice to a whisper. ‘And I will kill you. One night, when you’re all alone, you’ll wake up and wonder what the noise in your house was, whether there even was a noise, and then you’ll look up and I’ll be in your bedroom and it’ll be the last thing you ever see. Understand?’

He could see fear in the doctor’s eyes. He relaxed. This was going his way.

‘I asked you a question,’ he said. ‘Answer it, you piece of immigrant shit. Do. You. Understand?’

Dr Singh nodded, his lips pressed together to suppress the pain.

‘I understand,’ he said.

‘Good,’ Alfie replied, and let go of his finger.