This time she couldn’t ignore it.
This time, it meant business.
Kyle hurried from her office and across the hall, sneaking into the bathroom. Once there, she grabbed onto the sink as if it were the only thing keeping her upright.
“
Jeez, Kyle, you look like hell,” she said, barely recognizing the reflection staring back in the mirror.
She ripped a handful of paper towels from the dispenser, ran it under the faucet, then pressed it against her face. The coolness felt wonderful on her skin. Kyle sighed as relief passed through her. She felt close to normal again.
Almost.
The only question now: how would she explain her strange behavior to her patient?
Chapter
Fifteen
Office of the Medical Investigator
Albuquerque, New Mexico
Ben Foley’s remains lay on a stainless steel autopsy table. The child-sized body bag surrounded him like a cocoon, zipped tight and topped off with a tamper-proof tie-seal. He was nothing more than a number now, one scribbled across the white plastic with a dark marker.
Cameron just stared at it.
It was hard to believe someone so small could inflict harm on such a large scale.
So tiny, so fragile
, he thought,
so broken.
Had he not known better, he could just as easily have mistaken Ben for the victim.
All autopsies in the State of New Mexico came to the Office of the Medical Investigator, located at the University of New Mexico School of Medicine in Albuquerque. For Cameron, that meant a three-hour-plus trip. Although he didn’t normally attend autopsies, he knew he couldn’t afford to miss this one. Too much was riding on it.
Now he stood at the head of the table observing, along with Assistant Chief Medical Investigator Russell Gavin standing at the broadside, and his assistant, Shelia Murphy, to his left. A microphone dangled loosely overhead to record the doctor’s comments while he performed the autopsy.
Cameron shifted his attention away from Ben’s body and around the room, but the picture there wasn’t much better; in fact, in some ways, it seemed worse—three other bodies lay off to his right, two more on the left, each in various stages of examination … and decomposition.
Without thinking, Cameron breathed in deeply, then realized it was not the best idea, as a strong odor of ammonia, blood, and decaying flesh filled his lungs. He forced the air out quickly, turning his attention back to Ben, back to the body of an eleven-year-old killer.
Investigators had removed his clothing at the scene, bagged and tagged as evidence. All lint, fibers, or other substances that had managed to cling to them would be collected and catalogued for the investigation.
Cameron was intent on staying professional, on not letting memories and feelings from his past cloud his thinking about this case. It wasn’t that he didn’t think about what had happened to his son—that was with him all the time. It was that he couldn’t allow it to intrude.
“
Ready, doctor?” Sheila asked.
Gavin nodded. He cut the seal on the bag, drew the zipper down toward the bottom, and reached into the opening with both hands. Working from top to bottom, he pulled the two sides apart.
If Cameron thought seeing Ben’s body in the closet had been the worst of it, he was in for a rude surprise; this topped it. Before, in the dimly lit closet, the boy had been crouched down, his body oddly twisted, and a good part of it barely visible. Now, laid out flat under the bright fluorescent light, there was nothing left for the imagination—it was all right there in front of him. Ben’s body was coated in a layer of dried blood, everywhere, and in some spots, caked thickly.
Standing only inches away, Cameron could see with alarming clarity the kind of damage a .30/30 round can do when it intersects with flesh and bone. The gun blast had blown the back of Ben’s head apart, shattering the skull like an eggshell. This caused the facial features to collapse, leaving them spongy and unrecognizable. Scattered across his face were cuts and bruises, the heaviest of which on the right forehead, nose, and left cheek. Cameron studied the cracked stretch marks on the boy’s lips. He knew expanding gases from the gun barrel had caused them when it went off inside his mouth.
The odor took things a step further—it reminded Cameron of rotting meat. Not only could he smell it in the air; he could taste it on his tongue. Cameron swallowed hard, trying to fight back his nausea, felt a tingling sensation in the pit of stomach as it began to churn.
Gavin spoke suddenly, his voice much louder than seemed necessary considering the intimate surroundings. “The body is that of a white male, appearing consistent with the stated age of eleven years. Four-foot-one, eighty-five pounds, with a birthmark observed in the small of the back, approximately a half-inch in diameter. No other identifying marks or features.”
Using his fingers, the doctor reached into Ben’s mouth and pulled it open easily, helped by the gun’s powerful discharge—it had broken the lower jaw, leaving it hanging loose. Then he lowered his head and looked inside. “There’s extensive destruction to the oral cavity, with the hard palate nearly gone. Several attached molars show a grayish-black soot deposition, and the tongue is covered with multiple, purple contusions ranging from one-eighth to one-half an inch at its lateral aspects.”
The doctor pulled his hand away, and the mouth remained open. He closed it and examined the rest of Ben’s body, lifting the arms and checking a few other less exposed areas. “There do not appear to be any other signs of injury or damage to the body’s exterior.”
He stepped back an inch or two and frowned, staring at Ben’s body for a moment. Then Sheila moved in and placed a body block
under Ben’s spine, causing the arms, head, and neck to fall back and the chest to protrude forward, making it easier for the doctor to cut his incisions.
Using a scalpel, Gavin made a deep, v-shaped cut going from shoulder to shoulder, then another that cut vertically, looping around the navel and continuing on toward the pubic bone. He pulled the two chest flaps open, immediately launching an even more potent odor into the air, a combination of human feces, trapped gas … and more blood.
Oblivious to Cameron’s discomfort, the doctor went to work immediately, and began by inserting a syringe into the ascending aorta to extract blood samples. He would do the same with the bladder, in much the same manner, only this time removing urine samples. Both would be sent off to the lab for analysis to see if Ben had any drugs in his system, or an illness relevant to the case.
After that, one by one, he began removing and inspecting organs. Later, in the interest of saving time, he would weigh them all at once.
“
The heart appears to be normal and free of abnormalities,” Gavin said, “as do the lungs, intestines, liver, and spleen.”
He removed the stomach, which he placed on an adjacent table. After dumping its gray, soupy contents into a plastic measuring cup, the doctor began the dissection process. Suddenly, he stopped.
“
See that?” he said to his assistant, still looking down, pointing.
Sheila leaned over with interest. “Yep … sure do.”
Gavin directed his voice toward the microphone. “The gastric mucosa reveals extensive ulcerations along the greater curvature of the stomach.”
Cameron leaned in, trying to figure out what was happening.
Gavin, catching this, looked over at him to explain. “Although possible, the condition isn’t common in a child his age. We’re going to have to do some further microscopic evaluation here.”
Cameron responded with a nod.
The doctor turned back toward the body and began taking small tissues samples from the stomach, placing them into small, plastic cassettes.
After examining the remaining trunk organs, he nodded to Sheila, who moved the body block up a few inches toward the back of the neck.
There was no need to cut the skull open—the rifle round had done that work for him, shattering the back of Ben’s head, leaving the insides in plain view. After making a few small incisions, the doctor grabbed onto the scalp, then peeled the face flap down and away from the skull, much like a latex mask. He examined the underlying, bony surface, then moved toward the back of the head.
The force from the gun blast had obliterated most of the brain, transforming it instantly into pulp and bone fragments. Using a gloved hand, the doctor reached in and scraped out the soggy, mashed contents. After that, he scooped them into a weighing pan where he examined them.
Gavin continued calmly. “The cerebellum and brainstem are largely intact, as are
portions of the posterior occipital lobes. The calvarium is extensively fractured.
The remaining brain fragments are a pulverized, gelatinous, and partly clotted subdural mass—about ten milliliters’ worth.”
He stepped back. “Cause of death: Intraoral gunshot wound to the head. Manner of death: Suicide.”
He walked to the head of the table where Cameron stood, removing the latex gloves from his fingers as he spoke. “The toxicology tests normally take several weeks.”
Cameron nodded, still staring at the body. “Those stomach ulcers you mentioned … you said they’re not normal.”
“
Ulcers in children, while not entirely common, do occur, but the vast majority of patients are adults.”
“
Meaning?”
“
Meaning, the most common cause of ulcers in adults is H. pylori
,
or Helicobacter Pylori,
a bacterium often associated with peptic ulcers. Of course, we also see them in people who abuse alcohol or crystal meth.”
“
But in kids?”
“
In kids it’s different. Theirs tend to be more of a gastric nature, often brought on by certain medications. Do you know if the boy had been taking any, or if he’d been previously diagnosed as having stomach ulcers?”
Cameron shook his head.
The doctor shrugged. “No worries. The tox screen will tell us if he’d been taking anything, and I’ll have a look at his medical records to see if he had a history of stomach ulcers as well. Easy enough to find out.”
“
What kinds of medications would cause them?”
“
Most common are the anti-inflammatory drugs—over-the-counter meds— things like ibuprofen or aspirin and a few others.”
“
So if Ben was taking aspirin or some other pain reliever, they could have given him the ulcers?”
“
Not necessarily,” the doctor said, shaking his head. “Not if he was just taking them on isolated occasions. Now, if he’d been popping them like Tic-Tacs—well,
then
we’d have cause to be suspicious, but ulcers as widespread as what he had? A few days’ worth of use isn’t going to do it. Those look pretty severe. It takes
a lot
of something, over a
long
time to cause that.”
“
But what that something is, we don’t know yet, right?” Cameron asked.
“
Not until we get the toxicology results,” Gavin repeated patiently.
“
Anything else that could’ve caused them?”
“
Hypothermia can produce a condition that resembles ulcers,” Gavin said, rubbing his chin while thinking aloud, “but not much chance of that happening this time of year, and certainly not in
this
situation. Besides, those kinds of hemorrhages look smaller, and Ben’s are much larger.”
Cameron looked up toward the ceiling, thinking. “You know, come to think of it, I don’t remember Ben having any sort of medical condition. I was his Little League coach—all team members had to get physicals in order to play. I would have been told if he did.”
“
I’ll double-check his medical records, just on the slight chance it got past you, and the lab will take a closer look at those ulcers under a microscope, as well. We should be able to come up with some answers.”
Answers
, Cameron thought as he left the building and headed toward his car—the autopsy hadn’t provided any. It had only raised more questions.
He was getting used to that.
Dead men
tell no tales
. Cameron shook his head.
But what about boys? Tell me, Ben—tell me what really happened that night…
And while you’re at it, tell me… what’s happening to this town?
Chapter
Sixteen
Sheriff’s Station
Faith, New Mexico
When it came right down to it, Faith’s top cop, Frank Donato, was a no-nonsense, no-frills sort of guy. That notion seemed obvious, judging by his office decor–or lack thereof. Defying any sense of comfort or style, it lent itself to the bare-bones school of design. No Feng Shui here.
Back in the day, the walls were probably a cheery mustard color. Not anymore. Years of soot and grime had left their mark, leaving them a shade or two past the tune of dried egg yolk. Adding to the overall mood were tattered metal blinds hanging slightly lopsided in a solitary window, slats bent and buckled, along with a thick coating of dust. On a bright day, the sun poked through them, striping the dusty air with intense light and giving the word
filthy
completely new meaning.