Room four was one of the bigger rooms, by about a ten-by-ten area—our ward was curved, and it was on the bend. There was a crowd in the room, milling quietly between several gleaming IV poles. All of them were dressed upscale casual, like they’d just stepped away from business lunches that might have taken place at a luxury golf course. All of them were also completely ignoring me. I’d have said something, about them or to them—visitors were supposed to be only two at a time—but I could hear the whoosh-click, whoosh-click of all the IV pumps strapped onto their poles running at full blast.

Overhead—dear God. We did tons of transfusions here, our patients being who they were. But I’d never seen a transfusion of such magnitude. There were twenty blood bags hanging from sky hooks on the ceiling, the pumps shuttling their contents at full speed into the patient on the bed. I couldn’t see the recipient yet through the crowd but it looked serious. I knocked on the door for attention— “Should I call the doctor?”

The visitors nearest me started visibly. Meaty looked over to me from the patient’s shoulder where he was starting a fresh line. “Gown up, and start more peripherals.” I hopped out of the room to do as I was told, then rushed back in and pushed my way through all the people wearing Armani.

The man was already a maze of IV tubing—like a plastic spider had descended from the ceiling and started to wrap him up. Hands, forearms, elbows, jugulars, feet—I couldn’t see a single place to start a line that didn’t already have one going. For needing this much blood, he had to have an internal bleed, a huge one—but his stomach beneath the gown was soft to touch.

“Where?” I asked, finally giving up.

One of the men behind me started talking in a language I’d never heard before. Charles gestured to me from the head of the bed, after setting another IV pump to high flow. He made a zippering gesture across his lips, and pushed his hands out at me. I took a corresponding step back.

The patient seized. I hadn’t noticed the restraints before. He was in four point, but not tethered too tightly. His hands thrashed against cuffs and his tied legs kicked in the bed, before his entire back spasmed, bowing him up before dropping back down.

The visitor who’d begun speaking continued. I looked around the room—their clothing matched one another, but not much else did. They were attractive, one and all, and some appeared Latino, or other variants of non- European. One was black, three were elderly, and the woman who’d spoken to me earlier kept a hand tight on Gaius’s—the only child present—shoulder.

The man speaking had dark hair going gray at both temples and a medium complexion. His thin lips curled around each rough syllable, and the other people in the room repeated him at intervals. They all knew the routine— it felt like a call and response. Since this wasn’t a political rally, I figured they must be at prayer. Who would a vampire pray to, though?

Meaty and Charles now stood by the head of the bed. The patient began writhing like he was demon- possessed. His eyes rolled back, flashing white under his lids, and he started frothing pink. Either he’d bit his own tongue while seizing, or he was having some sort of sudden left-sided heart failure. I looked over to Charles for guidance, who firmly shook his head.

The prayers rose to a fevered pitch as the blood drained in. I’d never seen blood given so fast—usually you had to watch for reactions, rejection, clotting issues. He definitely was reacting, his whole body thrashing, threatening to tip the whole bed frame over, but I had no clue what it meant. The bags emptied one by one, their pumps hissing to a stop before beeping complaints as the prayers rose in volume and were almost shouted, then—

Silence. Complete. Eerie. The only sound was the ragged breathing of the man on the bed. He spasmed again, sending the bed frame skittering sideways on the floor, locked wheels and all, before coming to a rest. Then the prayer leader drew a knife out from his breast pocket.

“What the—” I gasped and took a step forward. Charles shook his head violently, from side to side. But—I mouthed over to him, wordlessly. His head continued to shake.

The prayer leader walked forward and made a fast slice down the patient’s right arm, cutting through wrist and restraint alike. He walked over to the left side of the bed, and cut it too in the exact same way. Then Charles and Meaty kicked tan plastic tubs we used for bed baths out from under the bed. Blood spattered down from the wounds into these, sounding like an old man’s sputtering stream.

Was this vampire dying? A sacrifice? A ritual? It didn’t matter what Charles said, or what Meaty allowed—this was insane. The blue line on the monitor for oxygen saturation went to zero. I’d already taken a step forward when I saw the patient smile.

The vampires surrounding the bed, who’d been so wordy before, were now quiet, one and all. I would say they sighed with relief, but that’d be showing too much emotion for them. They seemed … content. The wrist wounds began to heal themselves up, like they were going back in time—I halfway expected the restraints to float up and reseal around him. As the exiting blood began to ebb, their leader picked up the nearest basin and held it to his mouth. It was awkward, the tubs weren’t meant to drink from—blood sloshed on either side of his mouth and made a double trail down his chin onto his collar, leaving dark stains down his shirt. When he was done he passed it along to the next vampire in line, who also drank with casual disregard. I stood still, stunned—and then Meaty and Charles rushed forward and put new restraints on the man.

“Edie—there’s two pints left in the fridge. Go get them, will you?” Meaty asked, and began to unwrap a feeding tube. Charles was putting a second set of cuffs on the patient, on all limbs. “Edie?”

“On it!” I ran outside in my gown, unlocked the fridge, and yanked out two bags of blood. By the time I got back, the patient was seizing again. Meaty was shoving the feeding tube into the patient’s nose as fast as possible, from an arm’s length away. Charles took the blood from me and strung it up, then connected it to the end of the feeding tube’s line.

Teeth erupted out of the patient’s mouth, and he shrieked aloud, a sound like a locomotive in heat. I stepped back. “Jesus—” The visitors nearest me turned to glare. The level of blood in the hung bag visibly lowered, as the power of gravity and an ethereal hunger drew it into the patient’s stomach. His teeth retracted, and he lay back again, quiescent.

The leader of the visiting group nodded at this. “The ceremony has been performed to our satisfaction.” He turned toward Meaty. “As always, the Rose Throne appreciates your cooperation.”

Meaty took a step away from the patient. “Thanks. We’ll bill you later.”

The leader snorted lightly. “We will retrieve him in three nights.”

Meaty nodded, and the gore-stained country club exited the room, one by one. I waved at Gaius through the window. He tilted his head at me, my badge glowed again, and then he waved stiffly back.

Charles stood beside the bed, arms crossed, second pint at the ready.

“So what the hell was that?”

He grinned, but he didn’t take his eyes off the draining original bag. “Your first vampire baby shower.”

I felt my eyebrows reach an improbable height on my forehead. “Could you define that? The baby or the shower part?”

“It’s like an angel earning its wings, only with more blood. Someone decided he was important enough to keep around. Forever. Lord and silver willing,” Charles said, making a cross over his chest. “Get the tranquilizer gun, will you? I’ve put it behind the door.”

I nodded, and closed the door. Sure enough, it was balanced in the corner, stock down. I picked it up and put the butt against my shoulder. The safety was off—down here, the safeties were never, ever on.

“Remember: him, not me,” Charles said, gingerly taking a step forward.

I took a step closer, trying to compensate for poor aim by sheer nearness. I kept the gun trained on the vampire patient’s chest.

“So all of those”—I glanced up at the ghosts of packed red blood cells above us, empty plastic bags tinged pink with the dregs of blood inside—“were vampire blood? Full vampire blood?”

“Mixed with Haldol, yeah.” Charles laced up the next pint of blood. The resting patient snarled when Charles came near, but didn’t otherwise react. “This guy’s been a loyal daytimer for the Rose Throne for who knows how long. Somehow, doing something, he earned a full blood transfusion. We presedated, perisedated, and are postsedating him, but—” He pointed at me and indicated the gun.

“Sure.” Who had a job that required mandatory time practicing at a gun range? I did. At least the County paid for ammo. I’d only been to the range twice so far. I moved to have a better view of the patient’s chest. At point- blank range like this, I hoped I couldn’t miss. The darts here were packed full of suxamethonium chloride and

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