“You mean it wasn’t set?” Edgar asked. “He wasn’t taken to a doctor or an emergency room?”
“Exactly. This kind of injury, though commonly accidental and treated every day in every emergency room, can also be a defensive injury. You hold your arm up to ward off an attack and take the blow across the forearm. The fracture occurs. Because of the lack of indication of medical attention paid to this injury, my supposition is that this was not an accidental injury and was part of the abuse pattern.”
Golliher gently returned the bone to its spot and then leaned over the examination table to look down at the rib cage. Many of the rib bones had been detached and were lying separated on the table.
“The ribs,” Golliher said. “Nearly two dozen fractures in various stages of healing. A healed fracture on rib twelve I believe may date to when the boy was only two or three. Rib nine shows a callus indicative of trauma only a few weeks old at the time of death. The fractures are primarily consolidated near the angles. In infants this is indicative of violent shaking. In older children this is usually indicative of blows to the back.”
Bosch thought of the pain he was in, of how he had been unable to sleep well because of the injury to his ribs. He thought of a young boy living with that kind of pain year in and year out.
“I gotta go wash my face,” he suddenly said. “You can continue.”
He walked to the door, shoving his notebook and pen into Edgar’s hands. In the hallway he turned right. He knew the layout of the autopsy floor and knew there were rest rooms around the next turn of the corridor.
He entered the rest room and went right to an open stall. He felt nauseous and waited but nothing happened. After a long moment it passed.
Bosch came out of the stall just as the door opened from the hallway and Teresa Corazon’s cameraman walked in. They looked warily at each other for a moment.
“Get out of here,” Bosch said. “Come back later.”
The man silently turned and walked out.
Bosch walked to the sink and looked at himself in the mirror. His face was red. He bent down and used his hands to cup cold water against his face and eyes. He thought about baptisms and second chances. Of renewal. He raised his face until he was looking at himself again.
I’m going to get this guy.
He almost said it out loud.
When Bosch returned to suite A all eyes were on him. Edgar gave him his notebook and pen back and Golliher asked if he was all right.
“Yeah, fine,” he said.
“If it is any help to you,” Golliher said, “I have consulted on cases all over the world. Chile, Kosovo, even the World Trade Center. And this case…”
He shook his head.
“It’s hard to comprehend,” he added. “It’s one of those where you have to think that maybe the boy was better off leaving this world. That is, if you believe in a God and a better place than this.”
Bosch walked over to a counter and pulled a paper towel out of a dispenser. He started wiping his face again.
“And what if you don’t?”
Golliher walked over to him.
“Well, you see, this is why you must believe,” he said. “If this boy did not go from this world to a higher plane, to something better, then… then I think we’re all lost.”
“Did that work for you when you were picking through the bones at the World Trade Center?”
Bosch immediately regretted saying something so harsh. But Golliher seemed unfazed. He spoke before Bosch could apologize.
“Yes, it did,” he said. “My faith was not shaken by the horror or the unfairness of so much death. In many ways it became stronger. It brought me through it.”
Bosch nodded and threw the towel into a trash can with a foot-pedal device for opening it. It closed with an echoing slam when he took his foot off the pedal.
“What about cause of death?” he said, getting back to the case.
“We can jump ahead, Detective,” Golliher said. “All injuries, discussed and not discussed here, will be outlined in my report.”
He went back to the table and picked up the skull. He brought it over to Bosch, holding it in one hand close to his chest.
“In the skull we have the bad-and possibly the good,” Golliher said. “The skull exhibits three distinct cranial fractures showing mixed stages of healing. Here is the first.”
He pointed to an area at the lower rear of the skull.
“This fracture is small and healed. You can see here that the lesions are completely consolidated. Then, next we have this more traumatic injury on the right parietal extending to the frontal. This injury required surgery, most likely for a subdural hematoma.”
He outlined the injury area with a finger, circling the forward top of the skull. He then pointed to five small and smooth holes which were linked by a circular pattern on the skull.
“This is a trephine pattern. A trephine is a medical saw used to open the skull for surgery or to relieve pressure from brain swelling. In this case it was probably swelling due to the hematoma. Now the fracture itself and the surgical scar show the beginning of bridging across the lesions. New bone. I would say this injury and subsequent surgery occurred approximately six months prior to the boy’s death.”
“It’s not the injury causing death?” Bosch asked.
“No. This is.”
Golliher turned the skull one more time and showed them another fracture. This one in the lower left rear of the skull.
“Tight spider web fracture with no bridging, no consolidation. This injury occurred at the time of death. The tightness of the fracture indicates a blow with tremendous force from a very hard object. A baseball bat, perhaps. Something like that.”
Bosch nodded and stared down at the skull. Golliher had turned it so that its hollow eyes were focused on Bosch.
“There are other injuries to the head, but not of a fatal nature. The nose bones and the zygomatic process show new bone formation following trauma.”
Golliher returned to the autopsy table and gently placed the skull down.
“I don’t think I need to summarize for you, Detectives, but in short, somebody beat the shit out of this boy on a regular basis. Eventually, they went too far. It will all be in the report to you.”
He turned from the autopsy table and looked at them.
“There is a glimmer of light in all of this, you know. Something that might help you.”
“The surgery,” Bosch said.
“Exactly. Opening a skull is a very serious operation. There will be records somewhere. There had to be follow-up. The roundel is held back in place with metal clips after surgery. There were none found with the skull. I would assume they were removed in a second procedure. Again, there will be records. The surgical scar also helps us date the bones. The trephine holes are too large by today’s standards. By the mid-eighties the tools were more advanced than this. Sleeker. The perforations were smaller. I hope this all helps you.”
Bosch nodded and said, “What about the teeth? Anything there?”
“We are missing the lower mandible,” Golliher said. “On the upper teeth present there is no indication of any dental work despite indication of ante-mortem decay. This in itself is a clue. I think it puts this boy in the lower levels of social classification. He didn’t go to the dentist.”
Edgar had pulled his mask down around his neck. His expression was pained.
“When this kid was in the hospital with the hematoma, why wouldn’t he tell the doctors what was happening to him? What about his teachers, his friends?”
“You know the answers to that as well as me, Detective,” Golliher said. “Children are reliant on their parents. They are scared of them and they love them, don’t want to lose them. Sometimes there is no explanation for why they don’t cry out for help.”
“What about all these fractures and such? Why didn’t the doctors see it and do something?”
“That’s the irony of what I do. I see the history and tragedy so clearly. But with a living patient it might not be
