to come down to the ER.”

Vielle’s been hurt, he thought. “Did Dr. Lander send you?”

She shook her head, still trying to catch her breath. “Dr. Lander, she—Nurse Howard sent me. You need to come right away!”

Maisie, he thought. She’s coded again. “Is this about Maisie Nellis?”

“No!” she said, frustrated. “It’s Dr. Lander! Nurse Howard said to tell you it’s an emergency.”

He gripped her shoulders. “What about Dr. Lander? Is she hurt?” Nina gave a kind of whimper. “You said the ER?” Richard said and was out the door and over to the elevator, punching and repunching the “down” button.

“This guy came into the ER,” Nina said, following him, “and he must have been on rogue because all of a sudden, he pulled a knife—”

Richard punched the elevator button again, again. He glanced up at the floor lights above the door. It was on first. He took off running for the stairs with Nina on his heels, clutching her side. “—and I don’t know what happened then,” she said, “it was all so fast.”

“Is Dr. Lander badly hurt?” Richard demanded, plunging down the stairs.

“I don’t know. There was all this blood. The security guard shot the guy.”

Down the stairs, through the walkway, across Medicine.

“Nurse Howard said to page you, and I did, but you didn’t answer, so then she said go get you. I came as fast as I could, but I went to the wrong wing—”

A metal ladder straddled the hallway, yellow tape barring the way in front of it.

“We can’t go this way,” Nina said. Richard burst through the tape and ran under the ladder and down the hall, sidestepping paint buckets and trampling the plastic drops.

“You’re not supposed to walk under a ladder,” Nina yammered right behind him. “It’s bad luck.” Into the service stairs, down to first, along the hall. And what if they’d already taken Joanna upstairs to ICU?

He burst through the side door, into the ER. Police everywhere, and the sounds of sirens in the distance, coming closer. Two black officers by the door, another officer talking to a man in pink scrubs, two more kneeling on the floor over by the desk, next to a body.

Not Joanna’s, Richard prayed. Not Joanna’s. She’s in one of the trauma rooms, he thought, and started across the ER. A security guard raised his gun, and a police officer stepped in front of Richard. “No one’s allowed in here.”

“He’s Dr. Wright. Nurse Howard sent for him,” Nina said. The officer nodded and stepped back, and Nina led the way quickly across the floor and into a trauma room. She pushed open the door.

He didn’t know what he’d expected to see. Joanna, sitting on an examining table, having her arm stitched up, turning her head to smile sheepishly at him as he came in. Or noise, activity, nurses hanging bags of blood, inserting tubes, doctors barking orders. And Vielle, stepping away from the examining table to explain Joanna’s condition, saying, “She’s going to be fine.”

Not this. Not a dozen people in blood-spattered scrubs, blood-covered gloves, standing back from the table, stunned and silent, none of them saying anything, no sound at all except the flatline whine of the heart monitor.

Not the resident, handing the paddles back to a nurse and shaking his head, and Vielle, clinging to Joanna’s limp white hand, saying, her voice rising sobbingly, “No, she can’t be! Hit her again!” Calm, professional Vielle sobbing, “Do something! Do something!”

The resident pulled his mask down. “It’s no use. We couldn’t save her.”

Couldn’t save her, Richard thought, and finally, finally looked at Joanna. She lay with her hair fanned out around her head, like Amelia Tanaka’s, but her brown hair was matted with blood, and there was blood on her mouth, on her neck, on her chest, blood everywhere. It stood out black-red against her white skin.

An airway had been inserted in her mouth, and there was blood on that, too. Her eyes were open, staring at nothing.

“I brought Dr. Wright,” Nina said inanely into the silence, and the resident turned to look at him, his face solemn.

“I am so sorry, Dr. Wright,” he said. “I’m afraid she’s gone.”

“Gone,” Richard repeated stupidly. The resident was right. She was gone. The body lying there, with its white, white skin and its unseeing eyes, was empty, abandoned. Joanna had gone.

Gone. Through a tunnel and into the passage, where a golden light shone from under a door. And passengers milled around out on deck in their nightclothes, wondering what had happened. And the mail room was already inches deep in water, the boiler rooms already full, and water was coming in on D Deck, the decks beginning to list, beginning to slant. “If the boat sinks,” Joanna had said, unseeing behind her sleep mask, reaching blindly for his hand, “promise you’ll come and get me.”

“It’s real,” she’d said. “You don’t understand. It’s a real place.” A real place, with staircases and writing rooms and gymnasiums. And terror. And a way back, if it wasn’t blocked, if he could get to her in time.

“Start CPR,” Richard said, and Vielle let go of Joanna’s hand and moved forward as if to comfort him. “Vielle, don’t let them unhook anything!” he said, and, to the others, “Start CPR. Keep shocking her,” and took off running.

“Richard!” Vielle called after him, but he was already through the door, down the hall, up the stairs. Four minutes. He had four minutes, six at the outside, and why the hell couldn’t Mercy General have stairways that went more than two flights, why the hell didn’t it have walkways at every floor?

He sprinted across the third-floor walkway, thinking, What’s the fastest way up to the lab? Joanna would know. Joanna! He shoved open the doors like a runner breasting a tape and raced through Medicine. Not the elevator. There’s no time to wait for an elevator. I have four minutes. Four minutes.

He clattered up the service stairs, rounding the landing. Fourth. It would take at least two minutes for the dithetamine to take effect, even using an IV push. There isn’t time, he thought. But once he was under, time wasn’t a factor. Joanna had explored the entire ship in eight seconds. Joanna—Fifth. Thirty seconds for Tish to find a vein, another thirty for her to start the IV and inject the dithetamine. What if Tish wasn’t there? There was no time to find her, no time to—

He burst through the door to sixth, raced down the hall. Tish had to be there. Mrs. Troudtheim’s session was scheduled for two. She had to be there. “Tish!” he shouted and flung open the door to the lab. “Tish!”

Tish looked up from where she was hanging the bag of saline. “You need to call the ER. They’ve been calling every two minutes,” she said. “And there’s a message for you from Dr. Lander. You turned your pager off again, didn’t—” She stopped when she saw his face. “What is it? What’s wrong?”

“Start an IV,” he said, striding over to the medicine cupboard. “Saline and dithetamine.”

“But Joanna isn’t here,” Tish said. “I checked her office, and she’s not there.”

“She coded,” he said, grabbing a vial of dithetamine and a syringe.

“Joanna coded?” Tish said blankly, coming over to the cupboard. “What do you mean? Was she in a car accident?”

“She was stabbed,” he said, filling the syringe.

“Stabbed? Is she okay?”

“I told you, she coded,” he said. He walked rapidly back to the examining table. “We’re going to have to use an IV push!”

Tish looked at him blankly. “An IV push? But—how can she go under if she—” she stopped, horrified. “She didn’t die, did she, and you’re going to record her NDE?”

“She didn’t die, and she’s not going to,” he said. He wrenched off his lab coat and flung it over a chair. “Because I’m going after her.”

“I don’t understand,” Tish said bewilderedly. “What do you mean, you’re going after her?”

“I mean, I’m going to go get her. I’m going to bring her back.” He rolled up his sleeve.

“But you said the NDEs weren’t real,” she said, looking frightened. “You said they were hallucinations. You said they were caused by the temporal lobe.”

“I said a lot of things,” he said, laying his arm flat on the examining table with the hand palm-up. “Start an IV.”

“But—”

“Start the IV,” he said fiercely, and Tish picked up the length of tubing and

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