The others followed him to Dozier.
“Look at him first,” he told Mendenhall. “Head and neck. Then go to the scans.”
“Scans? You took scans?”
“You’ll see.”
She crouched to get a level profile of Dozier. The skull was balanced on the occipital, cleanly presenting throat and nape. His beard had been combed into a point. His lips were in repose, not yet slipping into grimace. With two fingers, she palpitated what could have been slight swelling beneath his Adam’s apple. “Maybe something there.” She shrugged. “Not worth a scan. I thought you would just run an X-ray.”
Claiborne led her to the side table, a stand-up metal desk, out of place because of the lamp and pens and books and paperweights, little gifts. He flicked on one display above the desk, showing the X-ray. He left the one with the CT dark.
“I did what you just did,” Claiborne told her. “I looked at him, pressed his throat, then walked to the X-ray.” He nodded to the X-ray. “So I wasn’t expecting that.”
The display showed diagonal occlusion from occipital to throat, the point of minor swelling. Mendenhall squinted. There was a path of displacement and internal bleeding through the neck.
“So we ran this.”
The scan clearly showed that the spinal cord and vertebrae were clean. The trauma was all capillary bleeding, all in the tissue, the major vessels and bone clean and undamaged. The skin appeared intact, certainly no wounds.
“Does that mean no infection?” asked Mullich.
“Nuh-uh.” Claiborne kept looking at the scan. “It just seems a little too clearly defined for infection.”
“You’d expect it to wander more,” Mendenhall explained.
“Infection.”
“But I have seen linear infection paths.” Claiborne drew the diagonal across the scan.
“Yeah,” said Mendenhall. “Following a stab line. A long puncture.”
“I’ve seen fungals a little like this.” He looked at the tech. “I showed you that one. Absolutely geometric. Crystalline.”
Mendenhall grabbed a horn-rimmed magnifying glass from the desk and went back to Dozier’s body. Only after she began the move did she sense transgression on her part, a passing of Claiborne. The tech and Mullich turned with her but did not step, just broke formation, torn and hesitant.
She bent close to Dozier’s throat, lens held above the tiny swelling.
Claiborne led the others to Dozier, bringing a wireless otoscope.
With precision, he took the magnifying glass from Mendenhall’s fingers and gave her the scope. It was laser-aimed. The halogen light was intense enough to turn Dozier’s dark skin translucent.
Mendenhall’s pan was transmitted to a large overhead screen. They saw what she saw. The view was near-microscopic: dead skin cells sloughing, pores gaping, curled whiskers rooted.
“I see a line.” Mendenhall drew the laser along a straight path of sloughed skin cells. She lifted her eyes to Claiborne.
“From shaving,” he said. “A week ago, I’d guess. You can find a dozen of them on his throat. You’ll find some more on the nape, especially around the occipital. When we turn him over.” He nodded to the tech. “Tilt him.”
With a delicate lift of Dozier’s shoulder, the tech presented the nape and the base of the skull for Mendenhall.
“I need to get me one of these,” said Mendenhall. She raised the scope a little to clarify that she was speaking about it, not the tech, though she might have meant both. She sought refuge in the close view of Dozier’s skin, the epidural landscape. She did see more of those lines, not cuts, not scarring, just cells scraped evenly by a razor, days ago, weeks ago. She saw the salt crystals of Dozier’s dried sweat.
Claiborne cleared his throat. The tech shuffled her feet. Mullich remained quiet. She could sense him waiting, not just watching.
She found a cluster of blood cells clinging to the corner of a salt crystal. Moving diagonally just below the occipital, she found another. Following the same line, she slid her view up the periphery and found a third cluster, dried purple, trapped in a sheer on the base of a salt crystal.
“I see a blood line.”
She knew Claiborne was wagging his head.
“She found three dried blood-cell clusters on a hospital janitor.
On a guy who’d been doing repairs all day. And the day before. And the day before that. In fact, you’re just finding a case for Thorpe. Blood contact.”
“The three form a line,” replied Mendenhall. She traced the laser along the line. It wasn’t quite perfect, with one cluster just on the other side of the line. Then she straightened to address Mullich.
“Any two points form a line. But a third point determines, no?”
Mullich shrugged.
Claiborne stepped closer to her.
“You’ve gone myopic, Dr. Mendenhall. You’ve lost the big picture. You want to argue—to Thorpe—that maybe a microscopic blade lanced a janitor while he was on a ladder? Or that an intense burst of air went off inside his neck? And what about the others?”
He motioned to the other bodies. “A serial killer with a light saber is loose in the hospital?”
Mendenhall passed the scope to the tech. She sighed and pressed the back of her sleeve to her brow. She badly wanted to rub her eyes with her fingers.
“The, what did you call it? Posturing?” said Mullich, his mask thickening his accent. “She saw that.” He pointed back to the lighted displays.
Mendenhall looked down at her gloved hands, empty. She didn’t know what she was doing. She couldn’t really say that she had seen posturing in Dozier. We see what we are. She saw what she was.
She was a dream-deprived trauma specialist, one who had never escaped the ER, forever moonlighting to pay off loans that no longer existed. She didn’t even want to go home. She wanted the hospital to open, to let in more, to let in the outside.
“Can infection cause posturing?” asked Mullich. He was looking at the tech. She answered only with lifted eyes. Her eyes held still, almost black above the dark blue mask.
“Maybe a sudden bloom against the brain stem,” Claiborne answered. “Something like that, I could imagine.”
“Imagine?” Mullich pulled his mask down.
“Better than I can imagine a Jedi in a hospital.”
Mendenhall was still bowed. “I’ll go rest,” she told Claiborne.
“I’ll come back down if you want.”
Claiborne let his mask fall away with a simple stroke behind his neck. His expression opened to her. “If I do a bunch of digital scans before Thorpe’s work, he’ll send people down. I like it down here like this. Quiet.” He pointed back to the displays. “You led me to that. We have that to show Thorpe. To put him on his heels a bit.”
He waved toward the other bodies and the empty bed. “You gave me something to look for in them. Later. Soon, but later.”
7.
Mendenhall returned to her cubicle. She fussed with papers and journals, squared them, then struck them all, swiping outward with both hands. Atop the resulting mess lay the most recent issues of Tennis Magazine and Golf Digest. She recognized the tennis player but not the golfer. She wouldn’t have guessed that he was an athlete. Despite the airbrushing, she noticed a basal cell on the edge of his left temple. He should come see her. The subscriptions were gifts from her mentor, who knew well enough to have them mailed to the ER, where they would have some chance of being noticed.
She had played tennis in college. Maybe the golf was supposed to be her future—her present.
She put the magazines on a stack of previous issues on the floor, all unread save for the letters-to-the-editor sections. She hunched into her space. The cafeteria had been too crowded, people gathering and lingering there during containment. She swiveled her chair to assess the bay. Pao Pao stood in the center, directing the EMTs on where to push the remaining gurneys, where to set up any new patients coming from within Mercy.