“Goddamn it, she’s coming to.”

A washrag covered her face and she thought she would smother.

She came around, thinking of the little girl lost in the slide, and the first thing her eyes locked upon was a small man sitting at her bedside in a rocking chair and snoring, the wiry black hairs of his unkempt beard trembling with each exhalation.

She lay in a twin bed with a wrought-iron frame, positioned between two windows in a bare-bones room— hardwood floor and floral-patterned wallpaper adorned with three awful paintings.

The air held a red tint, and her eyes burned.

She felt feverish, her throat raw from the ether.

On the floor beside the rocking chair lay a Kelly pad and a washtub full of crimson water, out of which poked the handles of two knives and a bone saw.

She tugged at the cover and it slipped up her legs, her feet itching despite the fact that they weren’t where they should be.

She glanced at the washtub, back at the bandaged, leaking stubs below her knees.

Her throat made a birdlike sound, and her eyes shone with tears.

A door opened and shut.

She wiped her eyes, glimpsed a tall, smooth-shaven man, his brown hair pushed high off his forehead in wavy, gravity-defying tangles.

He knelt down to inspect the bandages.

“I know this must be a shock for you,” he said, glancing up. Lana felt a surge of modesty, realizing she wore only underpinnings. “You were found outside tonight by that gentleman”—he motioned to the small man still sleeping in the rocker—“unconscious in the snow. You’re in room two oh three, on the second floor of the Grand Imperial Hotel in Silverton, Colorado.”

He stood up, his white dress shirt specked with blood, forearms stained.

“I’m Dr. Julius Primack, by the way.”

Lana’s lower lip quivered. Last thing she recalled was emerging snow-blind from a stand of aspen into a valley, seeing buildings in the distance, smelling wood smoke.

“You know that man?”

She shook her head.

“He saved your life, covered your medical expenses thus far. You have any money?”

She nodded.

“Reason I ask is because there’s more work to be done. Your right arm’s fine, but I need to take that left one off below the elbow.”

She shook her head, began to cry.

“Mortification has occurred. You smell that? It’s already begun to rot. I don’t know how it froze so hard, but it did. I charge fifty dollars to amputate an appendage, and if you choose not to make this gentleman pay for the legs, we’re talking a hundred and fifty dollars total. Can you cover that?”

Lana glanced down at her arms, her right a vital pink, her left the blackish purple of a ripe plum.

“Can you pay?”

She nodded.

“You haven’t said a word. What are you, mute?”

Lana opened her mouth wide.

As the doctor leaned in, she saw that his face had been horribly scarred from some long-ago bout of smallpox. He smelled of stale cigar smoke.

“Maybe you aren’t a whore after all. Where the hell’s your tongue?”

Lana lifted her right arm, held her thumb, fore, and middle fingers together.

“You can write?”

She nodded.

He placed his ear to her chest for a moment, then sat up, flattened his palm against her forehead.

“Time is not on our side. That arm isn’t off by daybreak, the infection’ll hit your bloodstream. Then it won’t matter what I cut off.”

Dr. Primack walked over to a dresser and returned to the bed, where he eased down beside Lana and opened his satchel—a black pebbled-leather handcase lined with chamois and brimming with scalpels, a stethoscope, pessaries, a catheter, forceps, a splint, and various bottles containing tonics, bitters, and tinctures.

As he withdrew a brown leather-bound journal, the man who’d been snoozing in the rocker rubbed his eyes and sat up.

“How she doin, Doc?”

Dr. Primack shook his head and pulled a bottle out of the handcase, unscrewed the cap.

“Laudanum,” he said. “It’ll dull the edge on the pain.”

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