Old things weren’t always useless. Take the Swiss watch Peter Blackstone wore. Tired leather strap, scratched face, older than most mortals. He had taken it off the wrist of an enemy, a dying Wehrmacht captain, in the icy forest of northern France in retaliation for the captain shooting Peter in the arm. Call it a souvenir turned taunting, old, reliable companion.
Not that the damned watch helped the traffic. A cold mist slowed the cars on I-84 outside La Grande, Oregon. Steep, pine-rich mountains rose on either side, funneling bumper-to-bumper vehicles into the narrow canyon. No gritting of Peter’s teeth or clenching of the steering wheel could stop that interminable timepiece from tick, tick, ticking down like a demolition bomb timer, reminding him how late he would be and the likely outcome of his tardiness.
His final assignment. He hoped.
Damn endless existence. He needed to complete this last assignment, the Meaningful Kill. Finally put an end to the monster he’d become.
His gut knotted. Being late for his assignment created too much attention. Better to stay inconspicuous. Hell, he wore a seat belt only so police wouldn’t have a reason to ticket him. Too much to explain.
The semi ten inches from his front bumper flashed its brakes. Peter slowed and negotiated one of the curves on the stretch of road. He rubbed his jaw and glanced again at the watch.
Hell, even now, he could smell the sweet-sharp scent of snow and blood and hear the moans from the not-yet-dead as bodies littered the forest that ugly night in the Ardennes. Men crying out for their mothers in English and German, the sounds blending into a nightmare of suffering, as they were frozen alive.
He glanced in the rearview mirror out of habit. Even after all these years, his dark brown hair would never turn gray, no matter how much he wished to age. It was the curse of the Indebted.
Screeching tires jolted him back to reality. Hell. He swerved and barely missed the braking semi. The driver behind him wasn’t as quick, and the pickup plowed into the back of Peter’s SUV, propelling it into the concrete barrier. Air whooshed out of his lungs as he jerked against the seat belt. His neck snapped forward as a ripping sensation seared pain into the base of his skull.
His SUV ramped the barrier, the undercarriage screaming against wet concrete. Peter’s entire world inverted, sky beneath him and rocks above, with only a thin casing of metal standing between his head and the scraping rocks. Not good. He threw his hands over his head and pushed against the charcoal upholstery in time for the airbag to erupt from the steering wheel. His ribcage exploded in sharp, hot agony that sent fireworks of light bursting in his vision.
After that, it was as if his own car waged a personal assault on him. But the blade would be no match against the airborne missiles of glass piercing his face. To make things even more interesting, the SUV righted itself but then jolted halfway down the mountain slope.
Peter’s head snapped forward and back, and a loud crack reverberated from his lower back, out of tune with the groans and screeches emanating from the nearly obliterated vehicle.
An eternity later—he didn’t use the term lightly—the crumpled metal death trap came to rest at the bottom of a muddy embankment, the yellow hazard lights flashing, horn blaring … and upside down.
Stunned, Peter dangled from the seat belt. His ears rang. His skull throbbed. His left arm had bent into an unnatural angle against the door handle. Not good at all. A normal human would be dead by now. Unfortunately, he still lived.
Hell. He was most definitely going to be late for that appointment.
The knife strapped to his lower leg pulsed, warming up in hungry anticipation for the assignment. That damned, cursed weapon tied to his damned, cursed existence.
The sky and ground continued to spin in his vision. Over the hum of his ringing ears, liquid drizzled onto the fabric ceiling, a constant tapping sound in the sudden silence. One touch to his head revealed a chunk of skin partially detached from his skull.
Steam hissed from the engine as the tangy-sweet scent of antifreeze mixed with burnt oil. Taking a deep breath, he dragged fumes into his burning lungs. From far away, voices drifted down to him.
Pain lanced through his neck when he tried to see out the window. He had to fix that broken arm.
Damn, this is going to hurt.
With his right hand, he grabbed his left wrist and pulled. His guttural howl echoed in the destroyed car as he forced arm bones back into place, grinding the broken ends against each other. He squeezed his hand over the injury. The arm had started to knit, but he needed the bones to heal even faster. His body would repair the life-threatening injuries first and his head and broken bones second, but it would take way too much time.
The whine of his car’s smoking engine and drone of the horn muffled the shouts of bystanders scrambling down the hill.
Have to get out of here.
He attempted to exit the car, leaning against the mangled door, but his numb legs wouldn’t move. They’d lodged between the pedals pushed in by the crumpled engine block and the steering column. Instinctive fear rose up. Trapped again. He forced himself to relax while suspended upside down. In the distance sirens wailed.
So much for being inconspicuous.
Damn it. He needed to stash the knife before anyone saw it.
Reaching his unbroken arm down—no, up—to the pinned, insensate leg, Peter unclasped the top strap of the holster. One more strap. As he strained against the seat belt, pain erupted in his lower back, but now he could touch the lower clasp.
The voices of his rescuers drew closer, urging him to work faster. Frantic, he brushed the buckle with this fingertips and opened the clasp. Fresh sweat beaded his brow, and his jaw ached from clenching.
The strap slid free of the buckle, and the knife fell to the roof with a dull thunk, landing in pooled blood. The physical agony of separation from the weapon hit him like a punch to his gut. The yearning to connect with the blade burned with a searing inferno in his chest.
Focus.
Stretching, he grabbed the knife and shoved it into the seam of the passenger seat.
He gritted his teeth as another wave of pain swamped him.
• • •
It had been one month and twelve days since her last vision.
Allison La Croix pulled her hair from the jacket collar, straightened her scrubs, and closed the car door. Hefting her overnight bag onto her shoulder, she paused and inhaled the cold, early spring air. Could she do it today? Could she walk through the doors of Grande Ronde Hospital’s emergency department?
Every day when she passed through those sliding glass doors, apprehension mounted like a needle tip poised just above her skin. Her right hand still throbbed with residual echoes of electrical fire on her fingertips from her last connection. How long could she avoid touching anyone skin to skin? How long could she avoid triggering her twisted gift? The intervals between her visions were growing shorter, but she had no idea why. How many more could she handle?
With a determined breath, she entered the ER at 7:55 a.m., right on time. Ambulance bays vacant? Check. No screaming family members outside the ER door? Check. No whump, whump of chopper blades coming in for a landing? Double check.
Maybe today will be a good day.
She twisted her long hair into a clip as the familiar flowery scent of chemical disinfectant wafted over her. As Allison reached the registration desk, she waved at a plump, smiling, older woman.
“Morning, Doctor Al,” the woman said.
“Hi, Marcie. How’s it been so far?”
The receptionist held up the latest bestselling medical thriller. “Real calm. I’ve had time to catch up on some reading.”
Allison smiled at her choice of words. Doctors and staff never said the “Q” word when they came onto shift. Merely thinking the word “quiet” seemed to magically attract multi-victim traumas, drug-seekers, and large quantities of cardiac arrests.
“You think it’s going to rain today?” Allison asked.
She averted her gaze as Marcie changed the computer screen from a shopping website to the hospital registration system.
“Hope so. Maybe light rain later. The Wallowas look good. Might get more snow next weekend.”
To the east, powdery snow covered the 9,000-foot peaks of the Wallowa Mountains. She’d give anything to be up there right now, surrounded by the mellow scent of pine, serenaded by the burble of clear water running down the valleys. Hiking or snowshoeing, it didn’t matter; either was like aloe on a burn to Allison’s soul.
Walking to the back of the ER, she dropped her overnight bag on an empty chair in the doctor’s work area. She waited until her graying counterpart, Dr. Buddy Clark, finished a dictation, his voice gravelly. His shoulders sagged from the twenty-four-hour shift, which had also deepened the circles beneath his kind eyes. She thanked her thirty-two-year-old body for its youth; at least she recovered much faster than her sixty-something colleague.
“Anything I can take care of for you?” she asked.
“Not this morning. Last night was pretty tame, long may it last.” He made the sign of a cross, merrily kissed his fingers, and raised them as his eyes twinkled. Buddy, cheerful even when tired, was nothing if not consistent with his superstitions.
“Don’t jinx me.” She patted him on the back, careful not to touch his skin.
“Hey, Al, did you consider my offer to set you up with that physical therapist?” He leaned back in his chair and rubbed his stubbled jowls. “He’d be a perfect match. Educated, outdoorsy, probably a good family guy. Cute, but not too metrosexual. Ruggedly handsome.”
She cringed. A family guy? God, no. Too many risks. The possibility of another vision of a loved one filled her with cold terror. She couldn’t trust herself to invest in a relationship when all she would think about was when that next vision of death would arrive. No, thank you. She wasn’t putting herself through that pain ever again.
At least working in the hospital allowed some semblance of purpose, an opportunity to perform penance. Here she could make a difference, atone for the devastating knowledge her ability yielded. If she had the power to randomly see the death of people she touched, at least the medical training gave her the ability to save other peoples’ lives. Saving someone—anyone—made up for the inevitable deaths she predicted. Her gift might have been easier to manage if she got images when she touched every person, or if she knew which people would trigger her visions, but no, she received sudden, random pain instead. The nasty surprises never got easier, even after years of avoiding hugs, declining to brush her niece’s hair, and refusing to kiss her own sister’s cheek at her wedding. Allison only risked direct touch when she had no other choice. She only risked touch when she felt emotionally braced, and that wasn’t often.
“Aw, thanks for thinking of me, Buddy, but I’ve got enough on my plate right now. Why don’t you get on home? Enjoy your day off.”
• • •
A few hours later, an ambulance pulled up to the entrance of the Grande Ronde ER, lights flashing and sirens blaring. Allison raced out of the warm ER into the crisp air, her body heated by zips of adrenaline. Already gloved up, she met the patient as the EMTs called for help to unload his gurney from the ambulance. The patient moaned and strained against the backboard straps, then lapsed into unconsciousness. Her five-second assessment as they rolled him into the ER was grim: facial trauma, bleeding flap of scalp that was thankfully still attached, loss of consciousness.
“Are there more victims?” she asked an EMT.
The EMT maneuvered the gurney into the small trauma room. “No, just this lucky guy. His car launched over the interstate barrier and down the embankment. He almost went into the creek.”
She breathed a sigh of relief. At least she could focus on one patient. “Do we know anything about this guy? Name? Age? Any medical problems?”
The EMT shrugged. “State troopers told us to get him to the hospital and they’d look for ID later.”
Then she’d have to work blind. “Let’s get a cross-table C-spine stat. And a trauma panel.”
Nurses and EMTs carefully transferred the patient, who lay still and silent, secured on the backboard, to the ER bed. The staff unstrapped the man and quickly cut away his bloodstained T-shirt and faded jeans. An empty knife holster on his lower leg gave her pause, but her curiosity disappeared with the rest of his clothing. At last, they had him draped in a hospital gown and covered with a starched hospital sheet.
Allison placed the bell of her stethoscope over the man’s broad chest. Normal heart rate. Lungs clear. Pressing on his ribcage dusted with dark hair and his flat abdomen, she found no crepitus or rigidity. She inhaled deeply.
A nurse raised an eyebrow. “Anything?”
“No trace of alcohol or drugs.” All she smelled was the metallic scent of blood and a typical male essence like almonds and very faint cologne.
With the Velcro straps off, the staff carefully logrolled him to one side, a maneuver that kept his neck, spine, and hips in safe alignment so she could evaluate his back for injuries. Once the staff rolled him back onto the backboard and re-secured the wide straps, radiology personnel shot a quick neck x-ray.
A final assessment of his muscled extremities completed the exam. She felt oddly flushed, like his skin radiated too much heat. Strange.
When she touched him, a vibration flowed through her gloved hands. She had never gotten a vision through gloves. Then again, she’d never gotten a warning signal, either. What the hell was going on here? The vibration jolted up her arms.
Oh God, not now. Please wait until I finish treating this man. Please.
“Do we have a set of vitals?” she asked.
Her patient breathed on his own, unlabored. An old, scratched watch with a dried leather band was fastened around his thick, tanned wrist. Despite the horrific bruises over his body, only his head injury needed intervention. Damn it, she had to examine his wound. She shook her hand, hesitated, then took a deep breath and braced herself. When she lifted the palm-sized flap of scalp, it bled into his dark hair until she taped the gauze back down. She could repair the wound after the CT scan. Jerking her hand away from the buzzing sensation, she pulled off her gloves and replaced them with a clean pair.
She stepped away from her patient and relaxed. Maybe this man’s injuries weren’t as life threatening as she had initially thought.
The EMT frowned. “Blood pressure is one thirty over ninety, pulse eighty, respiration sixteen, temperature … 107?”
“Okay.” She stared at the EMT. “Wait. What? Could you retake that temperature, please? That can’t be right.”
“Ma’am, I already rechecked it with a different machine. It’s 107.3 to be exact.”
With her heart thudding, she searched the unconscious man for obvious signs of infection or malignant hyperthermia from drug use, anything to explain the temperature reading.
“Start him on IV fluids and get a cooling blanket hooked up.”
Screw those visions, she had to touch him again. She needed to figure out what was wrong with this patient before his brain fried.
She eased his eyes open and flashed her penlight. Normal pupillary responses. The deep brown, almost black color of his eyes surprised her with their darkness. His open eye locked onto hers and focused, at the same time a blast of vibration drilled from his face through her hand.
The depth of that gaze pulled her like a particle into a black hole. Her heart expanded then contracted, and her breath caught. Vertigo washed over her. She grabbed the IV pole for balance. The rush of vision took hold, blocking out all sound, like voices obscured by a stiff wind. Faces swam too quickly to make out details. Far in the distance of her mind’s eye, the focus sharpened onto a man. She could see—
A radiology tech tapped her on the arm. “Doc? Doc?”
Allison moved her hand away. The patient’s eye fell closed, and the vortex sensation ebbed.
For the space of two breaths, she felt like a woman surfacing from under water. “Yes?”
“C-spine x-ray is here for your review, and CT is warmed up and ready if this guy’s okay to go.” The tech passed her a plastic film.
The nurses turned on the water-cooling blanket now draped over the man. Allison could run him through the scanner with the blanket on top of him. But damn it, why was his temperature so high? Broken neck? Head injury?
She lifted the film to the light. No obvious vertebral fracture, so it was safe to move the patient. “Sure thing. I’ll go with you.”
Once they arrived in the CT room, the staff transferred the man’s backboard into the scanner, handling the man with ease, though to look at him, he must have been 200 pounds of solid muscle. This guy gave Captain America a run for his money.
The machine whirred and hummed. Images of his head, thorax, and abdomen slowly downloaded onto the computer screen. Allison leaned forward. No obvious internal bleeding or spinal injuries. No chest or abdomen damage. The overview scan revealed callus formation on his skull, forearm, and ribs, no doubt from old, healed fractures. A few minutes later, the standard scan images appeared. Where she’d noted callus formations before, now there were none. These new scans belonged to a man with no previous fractures. But how?
She glanced between the crash victim and his inconsistent scans. How did a man crash at fifty-five miles per hour and destroy his vehicle without so much as a hairline fracture? And what would explain the hyperthermia?
Allison rubbed her tight neck muscles. “What do you think? I’m not a radiologist, but it looks good to me.”
The tech gave the okay sign and put a finger to his lips. “I’ll have the radiologist call in a few minutes with the official word. This guy was lucky.”
“Yeah, lucky.” She stared at the screen and then back to the enigma on the other side of the lead glass window.
When the staff moved him back to the trauma room, his feet hung over the end of the gurney. He had to be well over six feet tall, maybe mid-thirties, probably a healthy guy. So why the temperature? Why the ghosts on the CT scan?
She reviewed the labs. White cell count was normal. Okay, so no infection. Drug screen negative. And the CT was negative, so the hyperthermia wasn’t due to brain damage. Her pulse sped up as she called for the nurse to start cooled IV fluids. She had to try something to help this man, but damned if she knew what the hell she was treating. Shivers skittered up and down her neck, part frustration and part fear for this man’s life.
When things don’t add up in the ER, people end up dead.
Marcie poked her head into the doctor’s work area. “Teleradiology’s on the phone.” Allison picked up the line, ready for her colleague to shed light on the mystery of this patient.
“Hi, Al, it’s Becca Lawson in Baker City.”
“What do you see?”
“Nothing much. What was the mechanism of injury?”
“Car went down the bank off the interstate, rolled a couple times. Restrained passenger, stable in the ER, with a head lac that I’ll sew up in a few.” She paused. “Oh, and a temperature reading of 107. I can’t find any reason for that. He should at least be sweating and seizing by now, with markers of muscle breakdown. Yet there’s nothing on lab. You see anything to explain it on your side?”
“No, his head is fine. There’s some swelling near the head wound and some facial bruises. I presume he’s black and blue?”
“Uh-huh.”
“His neck and spine are clear, no swelling, no fracture. Abdomen and chest are clear.” She whistled low. “Are you sure you’ve got the right patient? I’d say this guy cheated death.”
“It’s the right guy. Anything to explain the hyperthermia? Maybe something in the midbrain?”
“Hmm.” Taps and mouse clicks transmitted through the phone. “Nothing. No blood, no swelling. Did you check your thermometer?”
Allison blew an exasperated breath. “Yes, it’s reading correctly.”
“Don’t know.” Dr. Lawson chuckled. “This is why I have the computer screen and not a stethoscope.”
“Ugh. Thanks, Becca.” She set down the phone and pressed her fingers to the bridge of her nose.
A nurse’s scream shattered the silence.