Slowly, Lena came back to herself. Her hearing first—the raspy sound of her own labored breathing. Then she felt the shooting pain from her tensed muscles, the singed skin of her palms where she’d grabbed the shotgun. The acrid smell of death flooded into her nose. And just underneath that, she caught the tinge of the open road, the familiar odor of exhaust and oil and sweat that Jared brought home with him every night.

Jared.

The back of his shirt was drenched, glued to his skin. The yellow spots of dried paint had disappeared. They were black now, just like his hair—darkened by blood.

Lena’s body went limp. The fight had drained out of her. She lowered the hammer, let it fall to the floor.

Sirens pierced the air. Two, three, more than she could count.

A hoarse voice called from somewhere outside. “Dude, where you at?”

The sirens got louder. Closer.

Will Trent looked at Lena one last time, then left the room.

2.

THURSDAY

ATLANTA, GEORGIA

Hospital elevators were notoriously unreliable, but Dr. Sara Linton felt that the ones at Atlanta’s Grady Memorial were particularly creaky. Still, like a gambling addict hitting a slot machine, she punched the button every time on the off chance that the doors would open.

“Come on,” Sara mumbled, staring at the numbers above the doors, willing them to hit seven. She waited, hands tucked into the pockets of her white lab coat as the digital display showed ten, then nine, then stayed at a solid eight.

Sara tapped her foot. She looked at her watch. And then she felt her body fill with dread as she saw Oliver Gittings trotting toward her.

As a pediatric attending in Grady Hospital’s emergency room, Sara was in charge of several students who—despite some evidence to the contrary—assumed that one day they would become doctors. Night shifts were particularly tedious. There was something about the moon that turned their little brains into mush. Sara often wondered how some of them managed to dress themselves, let alone get into medical school.

Oliver Gittings was one of the better examples. Or worse, as the case tended to be. In the last eight hours, he’d already spilled a urine sample on himself and accidentally sewn a sterile cloth onto the sleeve of his lab coat. At least she hoped it was accidental.

He called, “Dr. Linton—”

“This way,” Sara told him, giving up on the elevator and heading toward the stairs.

“I’m glad I found you.” Oliver ran after her like an eager puppy. “An interesting case came up.”

Oliver thought all of his cases were interesting. She said, “Give me the highlights.”

“Six-year-old girl,” he began, pulling on the exit door twice before realizing that it opened outward. “Mom says the girl woke her up in the middle of the night for some water. They’re going down the stairs. The girl starts to fall. Mom grabs her arm. Something pops. The girl starts screaming. Mom rushes her here.”

Sara took the lead down the stairs. She guessed, “X-ray showed a spiral fracture?”

“Yes. The girl had a bruise on her arm here—”

Sara glanced back to see where he indicated. “So, you suspect abuse. Did you order a skeletal survey?”

“Yes, but radiology is backed up. My shift is almost over. I thought I’d go ahead and call D-FACS to get things moving.”

Sara abruptly stopped her descent. The Division of Family and Children’s Services. She asked, “You want to go ahead and put the kid in the system?”

Oliver shrugged, as if this was nothing. “The girl’s too quiet. Mom’s antsy, irritated. All she wants to know is when they can leave.”

“How long have they been here?”

“I dunno. I think she was triaged around one.”

Sara looked at her watch. “It’s 5:58 in the morning. They’ve been here all night. I’d want to leave, too. What else?”

For the first time, Oliver seemed to doubt himself. “Well, the fracture—”

Sara continued down the stairs. “No specific fracture is pathognomonic to child abuse. You call D-FACS and it’s a legal matter. If this mother is an abuser, you want to make sure she doesn’t get away with it. You need corroborating evidence. Does the girl seem scared of her mother? Does she look you in the eye and answer questions? Are there other bruises? Developmental delays? Continence issues? Is there a history of ER visits? How did she present otherwise?” Oliver didn’t immediately answer. Sara prompted, “Is she healthy? Well nourished?”

“Yes, but—”

“Stop.” Sara wasn’t looking for a discussion. She checked her watch again. “Dr. Connor is taking over for me, but you’ve got all of my numbers. Order the skeletal survey to see if there are any past breaks or fractures. Notify security to keep an eye on the mom. Call the other ERs to see if the girl’s ever been admitted.” Sara moderated her tone, trying to make it clear she was teaching him something, not punishing him. “Oliver, sixty-five percent of child abuse cases are flagged in emergency rooms. If you stay in pediatrics, this is the sort of thing you’re going to be dealing with on a weekly basis. I’m not saying you’re wrong. I’m just saying you need to know all the facts before you turn this girl’s life upside down. And her mother’s.”

“Yes, ma’am.” He headed down the stairs, hands tucked deep into his coat pockets.

Sara didn’t immediately follow, cognizant that Oliver’s ego was fragile enough without her snapping at his heels. Instead, she sat on the bottom stair and checked her hospital BlackBerry. Sara’s eyes threatened to roll back in her head as she scrolled through the administrative detritus littering her mailbox. Meetings, conferences, denied requisitions, and new procedures for requisitioning, attending conferences, and scheduling meetings.

She felt around in her other pocket and traded the BlackBerry for her personal phone. This was much better. Her father had emailed a silly joke about snails that he’d heard at the Waffle House. Her mother had forwarded a recipe that was never going to happen. There was a long email from her sister with a picture of Sara’s niece attached. She marked this unread and saved it for later. The next message was a text from Sara’s boyfriend. An hour ago, he’d sent her a photo of his breakfast: six mini chocolate doughnuts, an egg and cheese biscuit, and a large Coke.

Sara didn’t know which one of them was going to have a heart attack first.

The door popped open. Dr. Felix Connor stuck his head into the stairwell. He eyed Sara suspiciously. “Why do you look so happy?”

“Because I can go home now that you’re finally here?”

“Gimme a minute to hit the can.”

Sara dropped the phone back into her pocket as she stood. Oliver wasn’t the only one who wanted to get out of here. Sara had pulled several night shifts in a row courtesy of a stomach flu that was running rampant through the hospital. She was beginning to feel punished for her own good health.

Home. Sleep. Silence. She was already making plans as she walked through the ER. Thanks to her crazy work schedule, Sara had four full days of freedom ahead of her. She could read a book. Take a run with her dogs. Remind her boyfriend why they were together.

This last bit widened her smile considerably. She got some curious looks in return. Not many people were happy to find themselves at Grady, which was the only publicly funded hospital left in Atlanta. The staff tended to take on the hardened demeanor of combat veterans. If practicing medicine was an uphill battle, working at Grady was on par with Guadalcanal. Stabbings, beatings, poisonings, rapes, shootings, murders, drug overdoses.