accompanied trauma. And this wasn’t a trauma situation.

But time dilation was what it had to be, because she had plenty of time to see it all: the intern’s face, nearly as frantic as the teenager’s, turning to call the security guard, who was already lumbering to his feet. Vielle’s hand, not reaching for his maroon sleeve, reaching for his hand.

To hear it all: Vielle’s voice, coated with syrup, too, shouting, “Joanna! Don’t—!” The chart the resident was holding clattering to the floor. An alarm going off.

She had time to wonder if the time dilation might be some kind of side effect of the dithetamine. Time to think, I have to tell Richard. But if it wasn’t a trauma situation, why was the guard, still lumbering to his feet, reaching for his gun?

Time to think, The boy must have a knife. He was holding a knife on them when I came in. That’s why they didn’t look up when I called, that’s why they didn’t see me till it was too late. That’s what Vielle grabbed for.

Time to think, I told her the ER was an accident waiting to happen.

Time, finally, for the fact to penetrate: He has a knife, though she still didn’t feel any fear. That’s the endorphins, she thought, cushioning the mind against pain, against panic, so she could think clearly.

He has a knife, she thought calmly, and looked down at her blouse, down at his striking hand, but even though time was moving even more slowly than the security guard, she was too late. She couldn’t see the knife.

Because it had already gone in.

40

“This is terrible! This is the worst of the worst catastrophes in the world… the frame is crashing to the ground, not quite to the mooring mast… oh, the humanity!”

—Radio reporter Herb Morrison, broadcasting the crash of the Hindenburg

There was blood everywhere, which didn’t make any sense because where the knife had gone in, there was hardly any, just a little ooze of dark red. “We’ve got an emergency here!” the intern shouted, reaching out to keep Joanna from falling, but she had already fallen. She was lying on the tile floor, and Vielle was kneeling next to her, and there was blood all over her cardigan, all over the hand Vielle was holding.

Vielle grabbed for the knife, Joanna thought. He must have stabbed her hand. “Are you hurt?” she asked Vielle.

“No,” Vielle said, but Joanna thought she must be, because there was a kind of sob in her throat.

“We’ve got a stab wound here,” the intern said to the resident. Good, they’ll take care of it, Joanna thought, but the resident didn’t even glance at Vielle. He looked at the little line of oozing blood in Joanna’s chest and then turned and started putting on a pair of latex gloves. “Get her on the table,” he said, pulling the glove down over his palm, “and get me a cross match. What’s her BP?”

“Ninety over sixty,” someone said, she couldn’t see who. There were all kinds of people around her, hooking things up and drawing blood. How funny, Joanna thought. Why do they need more blood? There’s already more than enough.

“Get a cardiac surgeon down here,” the resident snapped, “and get me two more units of blood. Vielle, go get some direct pressure on that hand of yours,” and Joanna was afraid Vielle would leave and let go of her hand, but she continued to kneel next to Joanna.

“Don’t try to move, honey,” she said, looking worried. “Just lie still.” Joanna had always wondered whether Vielle’s worried expression frightened her patients, but it didn’t. It was comforting.

I wonder why, she thought, and tried to see what it was in her face that was reassuring, but she couldn’t see it. She could only see the top of Vielle’s head and the resident’s, both in their green scrub caps, and the top of the security guard’s head, standing over the boy in the Avalanche jacket. The boy lay sprawled on his face on the tile floor, and she could see the blue-and-white logo on the back of the maroon jacket, and maroon under the boy’s face, too, where the guard had shot him.

The top of the guard’s head was bald and shiny, reflecting the overhead fluorescent light as Joanna looked down on it. “Just hang on, Joanna!” Vielle said, holding her hand, which was funny, because Joanna was up here, and Vielle was down there.

But she was down there, too. They all were, the intern and the resident and she couldn’t tell who else because all she could see was the tops of their heads, as they worked over her, taking her blood pressure and hooking up IVs. “Seventy-five over fifty,” one of them said.

“She’s bleeding out. It must have hit the aorta,” someone else said, she couldn’t see who, he was too far below her.

I’m up near the ceiling, Joanna thought. She would be able to look down and see the ledge outside. She wondered if there was a red tennis shoe on it, and then thought, I’m having an out-of-body experience. Finally. I have to tell Richard.

Richard, she thought with a kind of panic. I have to tell Richard the NDE’s an SOS.

“Clear,” the resident said, and then, “Where the hell is that surgeon? Did you page him?”

Not Carson, Richard, Joanna thought, looking at the resident, and now she could see his face, not at all worried, calm and impassive, and that was comforting, too.

“Page Richard. It’s important,” she said, but nothing came out, her lips had not moved, and a nurse was trying to put something in her mouth, trying to force it down her throat.

“No,” she said, twisting her head to get away from her, looking for Vielle.

“I’m right here, honey,” Vielle said, holding Joanna’s hand, and somebody must have bandaged her hand, it was white, and so bright she could hardly look at it.

“Page Richard,” Joanna said, but she couldn’t tell if Vielle had heard her. There was a funny beeping sound. One of the nurses must have hit the code alarm. “Page Richard and tell him I found out what the NDE is. It’s an SOS,” she said, louder, but the beeping was drowning out her voice.

“What the hell is that?” the resident said, doing something to her chest.

“Her pager,” Vielle said.

“Well, shut the damn thing off.”

It’s Richard, Joanna thought. I told him to page me. Tell him the NDE’s a distress signal. Tell him he has to figure out the code. For Maisie, she tried to say, but now there was another sound drowning her out. A ringing. A buzzing. “He’s in the lab.”

“Sixty over forty,” the nurse said.

“She’s bleeding out,” the resident said.

“Hang on, Joanna,” Vielle said, holding tight to her hand. “Stay with me,” but she wasn’t there. She was on the Titanic.

But not in the passageway. On the Grand Staircase. And a crush of passengers was all around her, jammed onto the stairs, dressed in dinner jackets and dressing gowns and lifejackets. They were pushing up the marble stairs, carrying her along with them. To the Boat Deck, Joanna thought. They’re all trying to get up to the Boat Deck.

“I have to get back down to C Deck,” Joanna said, trying to turn around, but people were jammed next to her, around her, behind her, wedging her so she couldn’t move. “I have to tell Richard I found out the secret,” she said to them. “I have to get back to the passage.”

No one heard her, they continued to push her up the white marble stairs. She looked over at the gilt-and- wrought-iron banisters, thinking, If I could reach the railing and hold on to it, I could work my way back down, against the crowd.

With a great effort, she turned sideways, struggling to move her arm, her torso, and set out across the flow of passengers toward the railing like someone wading through deep water. She reached it, grabbing for it as if it were a life preserver. But this was worse. People were using the railing to push themselves along as they climbed,

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