ONE

The first time she slit a man’s throat she felt sick to her stomach. The second time? Not so much.

After cutting five or six more, the blade in her left hand began to feel like an extension of her body, and she started to take it all in stride. The exhilaration subsided, and so did the nausea. There was no longer a rush of anxiety, no longer a racing heartbeat. Blood didn’t faze her. The thrill was gone, and that, in her line of work, was a very good thing.

Dr. Eleanor Kathleen Sullivan, or Ellie, as she was called by her family and friends, was just two days shy of completing a grueling surgical fellowship in one of the busiest trauma centers in the Midwest. Since trauma was her specialty, she had certainly seen her share of mangled and brutalized bodies. It was her responsibility to put them back together, and as a senior fellow, she had the added duty of training the first- and second-year residents.

St. Vincent’s emergency room had been full since four a.m. that morning, and Ellie was completing what she hoped was her last surgery of the day, a repair of a splenic rupture. A teenager, barely old enough to have a driver’s license, had decided to test the limits of the speedometer in his parents’ Camry and had lost control, rolling the car over an embankment and landing upside down in an open field. Lucky for him, he had been wearing a seat belt, and luckier still, a man following some distance behind him had seen the whole thing and was able to call for an ambulance immediately. The boy made it to the emergency room just in time.

Ellie was observed by three second-year surgical residents, who hung on her every word. She was a natural teacher and, unlike 90 percent of the surgeons on staff at St. Vincent’s Hospital, didn’t have much of an ego. She was amazingly patient with the medical students and residents. While she worked, she explained—and explained again—until they finally understood what she was doing and why. No question was deemed too insignificant or foolish, which was one of the many reasons they idolized her, and for the male residents, the fact that she was drop-dead gorgeous didn’t hurt. Because she was such a talented surgeon and supportive teacher, all these fledgling doctors fought to sign up for her rotation. Ironically, what most of them didn’t know was that she was younger than most of them.

“You’re off duty this weekend, aren’t you, Ellie?”

Ellie glanced over at Dr. Kevin Andrews, the anesthesiologist, who had asked the question. He had joined the staff six months before and, since the day he’d met Ellie, had been hounding her to go out with him. He was an outrageous flirt and yet very sweet. Blond hair, blue eyes, tall, and well built with an adorable smile, he could turn the head of almost every woman in the hospital, but for Ellie there just wasn’t any spark.

“Yes, I am,” she answered. “Charlie, would you like to close up for me?” she asked one of the hovering residents.

“Absolutely, Dr. Sullivan.”

“You better hurry,” Andrews said. “I’m waking him up.”

The resident looked panic-stricken.

“Take your time, Charlie. He’s just messing with you,” she said, a smile in her voice.

“Tuesday’s your last day at St. Vincent’s, isn’t it?” Andrews asked.

“That’s right. Tuesday’s my last official day. I might help out on a temporary basis later on, but I’m not promising anything yet.”

“Then you could decide to come back permanently.”

She didn’t reply.

He persisted. “They’ll give you anything you want. You could name your price, your hours . . . you should stay here, Ellie. You belong here.”

She didn’t agree or disagree. In truth, she didn’t know where she belonged. It had been such a hard road to get this far, she hadn’t had time to think about the future. At least that was the excuse she used for her indecision.

“Maybe,” she finally conceded. “I just don’t know yet.”

She stood over Charlie, watching like a mother hen. “I want those stitches tight.”

“Yes, Dr. Sullivan.”

“So Monday night is my last chance to take you to heaven?” Andrews asked in a teasing drawl.

She laughed. “Heaven? Last week you were going to rock my world. Now you’re going to take me to heaven?”

“I guarantee it. I’ve got testimonials if you want to see them.”

“It’s not going to happen, Kevin.”

“I’m not giving up.”

She sighed. “I know.”

As she checked the last suture, she rolled her shoulders and stretched her neck to one side then the other to get the kinks out. She’d been in the OR since five a.m., which meant she had been bent over patients for eleven hours. Sad to say, that wasn’t a record for her.

She felt wrung out and stiff and sore. A good run around the park would get those muscles moving, she decided, maybe even rev up her energy.

“You know what would help you get rid of a stiff neck?” Andrews said.

“Let me guess. A trip to heaven?”

One of the nurses snorted with laughter. “He’s awfully persistent, Dr. Sullivan. Maybe you should give in.”

Ellie removed her gloves and dropped them in the trash bag by the OR doors. “Thanks, Megan, but I think I’ll just go for a run instead.” As she pushed the doors wide, she untied her surgical mask and pulled off her cap, shaking her blond hair loose to fall to her shoulders.

Twenty minutes later she was officially off duty. She changed into her workout clothes, a pair of faded red shorts and a white tank top. She double tied her beat-up running shoes, grabbed a rubber band and swept her hair up in a pony tail, slipped her iPod into one pocket and her cell phone into the other, and she was ready. Walking a maze of corridors to get outside, she avoided the direct route through the ER for fear she’d get waylaid with another case.

There was never a lack of patients rolling through the doors. Along with the usual emergencies—the car accidents, the heart attacks, the work injuries—the ER saw a steady stream of victims of violent crimes. The vast majority were young men. Gangs roamed the area east of the highway, and shooting one another seemed to be a nightly sport. Since St. Vincent’s was the largest trauma center in St. Louis, all the serious cases came to them. Weekends were a nightmare for the staff. There were times, especially during the hot summer months, when gurneys lined the halls of the ER with patients handcuffed to the railings while they waited to go into surgery. Additional police had to be routinely called in to monitor them to make certain one gang member hadn’t been placed too close to a rival.

Ellie became a member of the One Hundred Club when she removed her one hundredth bullet. It wasn’t a club she wanted to join, but she would always remember the case. The young man was only twenty years old, and it was the third time he’d been shot. She couldn’t forget his insolence and his cold, empty eyes. They were almost as lifeless as the cadavers’ down in the morgue. Patching up these boys so that they could return to the streets and the same violence was heart wrenching, and she prayed, with every surgery, that this time they would learn something, that this time they would find a new life. It was a naive hope, but she clung to it anyway.

Like the other overworked and underpaid residents and fellows, Ellie operated on broken bodies, the consequence of violence. But she had never actually witnessed a crime . . . until today.

It was a hot and humid late afternoon. Two medical students had caught up with Ellie just as she began her run on the one-mile track in Cambridge Park, a vast area that sat adjacent to the hospital. Heavy rain clouds hung over them, and all three panted for air. After the first mile, both students dropped out, but Ellie was determined to get in at least one more mile before calling it quits and heading home. She made mental lists as she ran. She had a million things to do this weekend before flying to Winston Falls.

Dear God, it was muggy. The humidity was so thick, she felt as though she were running through a sauna. Sweat trickled down the back of her neck, and her drenched clothes clung to her body. Her friend Jennifer, a nurse in pediatrics, who was taking a shortcut across the track to get to the ER entrance, shouted to Ellie that she was crazy to run in this heat. Ellie waved and continued on. She probably was crazy, but getting any time to work out was such a luxury, she couldn’t afford to be choosy about the weather.

Ellie could hear faint cheering coming from the new soccer field across the street to the north, and as she rounded the curve, she saw the players, high school-age girls, sprinting across the field. From the large number of fans in the bleachers, she guessed it was an important game.

The administrator of the hospital, the board, and a plethora of attorneys had fought the soccer field. They wanted to purchase the land to build another huge parking garage, and Ellie was happy they had lost their bid. Like the track and small playground to the south, the soccer field was far enough away from the hospital that, no matter how much noise the teams and fans made, the patients weren’t disturbed.

Ellie was a football, basketball, and soccer fan, in that order. She loved to watch most sporting events. She admired the grace, skill, and finesse of the players, probably because she didn’t possess any of those attributes herself. She had been such an awkward child, her mother had enrolled her in ballet classes, and she never got to play a sport. When she wasn’t tripping over her own feet trying to do a plié, she was reading. She was much more comfortable with her books. Her uncle Matthew liked to call her a bookworm.

No time to watch any games today, she thought. She had way too much to do. She returned to her mental list of things to be accomplished before she could head home to her sister’s wedding. Oh God, how she dreaded that. She wished she had another week to get ready for the ordeal; then admitted to herself that no amount of time would prepare her for the whispers and the sympathetic smiles from her friends and family. Who could blame them? After all, her sister Ava was marrying Ellie’s fiancé. It was going to be a week of mortification, she decided. But, hey, she was tough. She could handle it.

“Yeah, right,” she whispered.

And then there was Evan Patterson. Just thinking about him made her stomach hurt. Would he dare show up in Winston Falls? God, she hoped not. But if he did, would she need to get another restraining order, even if she was going to be home for only a few days? She could feel herself getting worked up and had to force herself to calm down. She was an adult now, and she could handle anything that came her way. Even a maniac, she told herself. Besides, she was sure Evan wasn’t back in Winston Falls. If he had returned, her father would have alerted her.

Ellie didn’t want to worry about Patterson now, or think about the wedding. Instead, she chose to focus on the task at hand. Just a little more than a half mile to go, then a lovely cold shower. She took her earphones from her pocket and was about to turn on her iPod to listen to a lecture on new thoracotomy procedures when she heard a loud pop.

Ellie stopped running. Lightning? She looked up at the ominous sky just as another pop echoed, then a third and a fourth in rapid succession. Had lightning hit a transformer? That would explain the bursts . . . except there hadn’t been any lightning.

Gunshots? Had to be. As many bullets as Ellie had removed from gunshot victims, she’d never actually heard the sound of a gun firing. The noise came from somewhere up ahead. She glanced to the right toward the soccer field. No panic there. The game was still going on, so she had to be wrong. If not gunshots . . . then what?

No more than five or six seconds had passed since the first popping sound. Ellie reached for her earphones again. Okay, she’d been mistaken.

Then the screaming started.

Everything happened so fast. In the span of just a few more seconds, Ellie observed the chaotic scene unfold in front of her as though it were happening in slow motion.

In the distance, several men, wearing navy blue T-shirts with FBI in bold yellow letters printed on the back, appeared almost out of nowhere and fanned out as they raced toward the trees in the center of the park. People were scattering every which way. Screams mingled with the cheers from the soccer field, the fans and players apparently oblivious to what was happening. A father ran from the playground toward the street with two little boys. The children weren’t able to keep up, so the father scooped them into his arms and kept running. Several people who had been strolling through the park also scrambled to get away, as did three boys who had been tossing a Frisbee. One of the boys ran into the street, directly in front of an ambulance returning to the hospital. The vehicle came to a screeching halt, and the boy rushed around to the open window shouting something to the paramedic as he pointed toward the trees.

Suddenly, a man and a woman, linked arm in arm, drew her attention. They walked briskly toward her on the running path. There was something off about both of them. The man had a thick mustache. He wore dark glasses, a baseball cap pulled down over his forehead, and a brown, hooded windbreaker zipped up to his neck, a peculiar choice in the ninety-degree weather. Was he all bundled up to keep his clothes dry when the storm broke? The man looked over his shoulder, his neck glistening with sweat. The woman looked directly at Ellie. Her bizarre appearance was startling. A short black wig sat slightly askew on her head with a few long hairs hanging down the side of her neck. Her eyes were such an intense, unnatural shade of green, she looked as though she were wearing novelty contacts, the ones you’d buy for a Halloween party. When the couple was about thirty feet away from Ellie, they veered toward the street.

Someone shouted a command. Then one of the FBI agents who had run into the trees appeared and headed straight for the pair. The woman let go of the man and began to run as he slowed and pulled something from his coat pocket. When he whirled around to face the agent shouting at him, Ellie saw the gun. Before she could react, he’d fired two shots. The first bullet struck the man in pursuit, the force so great it knocked him back before he crashed to the ground. The second bullet went wild. As Ellie dived to the grass, the shooter spun around and pointed the gun toward her. He didn’t pull the trigger but instead ran to the street and jumped into a car that sped away.

The ambulance had just turned around to go in the direction the boys were pointing, but when the gunshots were fired, it changed course. Sirens on, the ambulance crossed over the curb and swerved to miss the hospital emergency entrance sign. It bounded across the park toward the gunshot victim, weaving in and out of the crowd that was scrambling toward the boulevard.

Ellie jumped to her feet and ran after it. Her mind was racing. Who were the surgeons on call tonight? Edmonds and Walmer, she remembered, and she’d seen both of them in the hospital. Good.