The bed was across the wide space, raised unreasonably on a box spring and penned in by metal guardrails. It had been angled toward the window so Janice could take in the downward-sloping stretch of trees. The room smelled of sitting food, sweat-laced linen, and residual human waste, not quite scoured from bedpans and fabric. The overlay of antiseptic cleaner and the various monitors and IV poles sprouting up like electronic growth brought me back to the room in which I'd awakened four months earlier to discover Genevieve's blood beneath my nails.
Janice looked soft and fleshy, her baldness making her head appear unusually round. She had no eyelashes or eyebrows, her blue eyes pronounced and burning from the depths to which they'd sunk. A terry gown had fallen open at the chest, revealing bone ridges above her breasts. Her lips were moist, slack cheeks folded in on them like an infant's. A bag of crimson, frothed lightly at the top, dangled from a metal pole, transfusing what I imagined was fresh bone marrow into her veins. Syringes, pill bottles, and vials overloaded one of the metal trays pushed to the wall. From the labels, potent names jumped out at me in officious pharmaceutical print. cytoxin. busuLfan. cyclosporin. To the right, a draft sucked at a closed door.
She raised a wasted arm, dripping a sheet of loose skin, as if to fend me off, her mouth opening slowly, repetitively, shaping a word. Her voice was depleted and her lips stiff with the great effort, hiding her teeth, turning her mouth into a wavering black hole, a parody of yelling. Passing her by ignored was unthinkable. I approached, owing some respect to the deathbed. To my great horror, I realized she was trying to call her husband's name. I became suddenly, horrifically aware of the tire iron hanging by my knee.
"No," I whispered, "I'm not going to hurt you."
A rasp, so dry as to be nearly inaudible. "Make… him… stop."
I left her there straining on the bed. The far door opened to a brief hall, which led to another door, left partially ajar. Listening for creaks in the old house that would broadcast Lloyd's return, I moved forward on tingling legs, the dim room drawing into view. It was, I saw by degrees, an in-law suite, a narrow bedroom complete with kitchenette and bathroom. Like some condemned construction site, it had been veiled in plastic and fabric. Hunter green bedsheets were tacked over the windows and over a sliding glass door that led to the backyard. His wife, I guessed, knew nothing of the comings and goings through that rear entrance, though clearly she knew that something was not as it should be. A plastic painter's drop cloth, meticulously laid down, slipped beneath my shoes and made it feel like I was moving across ice. It had caught drops of blood, many long dried. I stepped over coils of clear medical tubing, a gas canister lying on its side. A sleek box of a machine, the size of an old heater, purred. A processor of sorts, I assumed from its labels and dials. It was at work. Jumbled on the Formica counter, cartons of medical gloves, a collection of fat syringes, coils of white cotton rope, crusty transfusion bags. There, on a floating metal tray, a curved Shun boning knife, the Japanese character standing out starkly, black against stainless steel. And just behind it on a cot, almost disguised as another inanimate object, lay a young woman on her side.
Her eyes were closed peacefully, and Lloyd, sensitive soul, had propped her head on a pillow. I watched her raised shoulder sway gently with her breaths. The skin at her left hip was peppered where a big-bore needle had been thrust through to extract marrow from her pelvic bone. The marks were fewer and more tightly clustered than I'd have thought; Lloyd must have gone in repeatedly through the same perforations, sliding the skin to reach new bone.
She lay, depleted and unconscious, awaiting the boning knife. I imagined that Lloyd, feeder of Xanax, didn't like that part and so had left it for after he'd prepped his van for her body's transport. He couldn't let her live any more than he could've released Kasey Broach after taking from her what his wife required. The soreness and resultant medical treatment would have revealed that bone marrow had been extracted, and from there it would've been a short hop to matching wait-listed patients, and to Janice. Leaving a corpse also made it significantly less likely that the marrow theft would be uncovered. I'd learned from Lloyd himself that during an autopsy medical examiners generally extract and weigh organs, examine visible wounds, and take fluid and tissue samples. They'd have little call to look for perforations in the bone beneath a divot of carefully scraped flesh. And of course there'd be no patient around to complain of deeper soreness.