end of the job.

I withdrew, peering over my shoulder at intervals. He'd left the kitchen door unlocked, and I slipped inside. Dirty dishes, crumbs, and empty jars had overtaken the counters I'd cleaned just days before, a half-eaten burrito resting atop the rubber guard of the garbage disposal Lloyd doing his best to keep doing.

Tire iron swinging at my side, I squared off with the dark hall and the seam of light under the bedroom door at the end. Beneath the nervous ticking of the kitchen clock and the grandfather's stately tocking from the living room, I could make out the wheeze of medical equipment. I started back, the photos of Lloyd and Janice hung at intervals providing a journey through their married lives. The wedding picture, the two of them beaming and clutching like prom dates. The bumper of their Gremlin, trailing toilet paper and tin cans, Best of Luck! frosted in cursive on the rear window. Poolside in Hawaii, paperbacks splayed on lounge chairs, fruit-bedecked cocktails raised. I was aware of my footfall on the slightly warped floorboards, my breath firing in my chest, that strip of light growing ever closer. Threads of gray had crept into Janice's hair by the time they were snapped before El Capitan in Yosemite. Jovial smile lines textured their faces as they held hands across a wrought-iron patio table in a Venetian piazza. Most of the pictures had caught them looking at each other rather than at the lens, as if they couldn't help themselves, as if they had a secret from the rest of the lonely world.

I reached the bedroom door and set my hand on the bulbous antique knob, the white-noise hum of the medical equipment beyond drowning out the clocks, my thoughts. In hackneyed narrative tradition, I couldn't help but recall standing outside another door, fearful of entering.

Before I lost my nerve, I pushed through into the room.

The bed was across the wide space, raised unreasonably on a box spring and penned in by metal guardrails. It had been angled toward the window so Janice could take in the downward-sloping stretch of trees. The room smelled of sitting food, sweat-laced linen, and residual human waste, not quite scoured from bedpans and fabric. The overlay of antiseptic cleaner and the various monitors and IV poles sprouting up like electronic growth brought me back to the room in which I'd awakened four months earlier to discover Genevieve's blood beneath my nails.

Janice looked soft and fleshy, her baldness making her head appear unusually round. She had no eyelashes or eyebrows, her blue eyes pronounced and burning from the depths to which they'd sunk. A terry gown had fallen open at the chest, revealing bone ridges above her breasts. Her lips were moist, slack cheeks folded in on them like an infant's. A bag of crimson, frothed lightly at the top, dangled from a metal pole, transfusing what I imagined was fresh bone marrow into her veins. Syringes, pill bottles, and vials overloaded one of the metal trays pushed to the wall. From the labels, potent names jumped out at me in officious pharmaceutical print. cytoxin. busuLfan. cyclosporin. To the right, a draft sucked at a closed door.

She raised a wasted arm, dripping a sheet of loose skin, as if to fend me off, her mouth opening slowly, repetitively, shaping a word. Her voice was depleted and her lips stiff with the great effort, hiding her teeth, turning her mouth into a wavering black hole, a parody of yelling. Passing her by ignored was unthinkable. I approached, owing some respect to the deathbed. To my great horror, I realized she was trying to call her husband's name. I became suddenly, horrifically aware of the tire iron hanging by my knee.

'No,' I whispered, 'I'm not going to hurt you.'

A rasp, so dry as to be nearly inaudible. 'Make… him… stop.'

I left her there straining on the bed. The far door opened to a brief hall, which led to another door, left partially ajar. Listening for creaks in the old house that would broadcast Lloyd's return, I moved forward on tingling legs, the dim room drawing into view. It was, I saw by degrees, an in-law suite, a narrow bedroom complete with kitchenette and bathroom. Like some condemned construction site, it had been veiled in plastic and fabric. Hunter green bedsheets were tacked over the windows and over a sliding glass door that led to the backyard. His wife, I guessed, knew nothing of the comings and goings through that rear entrance, though clearly she knew that something was not as it should be. A plastic painter's drop cloth, meticulously laid down, slipped beneath my shoes and made it feel like I was moving across ice. It had caught drops of blood, many long dried. I stepped over coils of clear medical tubing, a gas canister lying on its side. A sleek box of a machine, the size of an old heater, purred. A processor of sorts, I assumed from its labels and dials. It was at work. Jumbled on the Formica counter, cartons of medical gloves, a collection of fat syringes, coils of white cotton rope, crusty transfusion bags. There, on a floating metal tray, a curved Shun boning knife, the Japanese character standing out starkly, black against stainless steel. And just behind it on a cot, almost disguised as another inanimate object, lay a young woman on her side.

Her eyes were closed peacefully, and Lloyd, sensitive soul, had propped her head on a pillow. I watched her raised shoulder sway gently with her breaths. The skin at her left hip was peppered where a big-bore needle had been thrust through to extract marrow from her pelvic bone. The marks were fewer and more tightly clustered than I'd have thought; Lloyd must have gone in repeatedly through the same perforations, sliding the skin to reach new bone.

She lay, depleted and unconscious, awaiting the boning knife. I imagined that Lloyd, feeder of Xanax, didn't like that part and so had left it for after he'd prepped his van for her body's transport. He couldn't let her live any more than he could've released Kasey Broach after taking from her what his wife required. The soreness and resultant medical treatment would have revealed that bone marrow had been extracted, and from there it would've been a short hop to matching wait-listed patients, and to Janice. Leaving a corpse also made it significantly less likely that the marrow theft would be uncovered. I'd learned from Lloyd himself that during an autopsy medical examiners generally extract and weigh organs, examine visible wounds, and take fluid and tissue samples. They'd have little call to look for perforations in the bone beneath a divot of carefully scraped flesh. And of course there'd be no patient around to complain of deeper soreness.

Behind the processor, restored to a Pyrex jar and left on the floor like a kicked-off shoe, was my ganglioglioma. My tumor had found the killer before I had. It took me an instant to tear my eyes from the familiar cluster of cells that Lloyd, during his Gaslight campaign, had kidnapped and led me to believe I'd destroyed. He was probably planning to leave it at a crime scene, adding to my confusion or culpability.

I moved toward the girl. Sissy Ballantine? I set the tire iron down on the thin mattress at her side and reached for her. The girl's eyelids rose lazily.

She said calmly, 'Behind you.'

I spun around, nearly tripping on the flared end of a medical tube.

Lloyd filled the doorway. 'Damn it,' he said sadly. 'Damn it, Drew.'

I took a half step to my right, hoping to block the tire iron from view. If I didn't set him off, this wouldn't have to get violent. Would it? The floating metal tray pressed into the small of my back. Sissy murmured something behind me, and then her voice trailed off.

Lloyd said, 'I couldn't just let her die, Drew. I couldn't. Not when I was in a position to do something about it.'

My voice was hoarse. 'But why… why did you pick me?'

He looked at the floor, my shoes, but not at me. 'For the past two years, I've tapped in to that transplant registry every day. Every single day. And stared at those two women whose marrow matched Janice. One who'd removed herself from reach, the other whose marrow was already spoken for. Nothing I could do. By day I processed bodies, by night I watched my wife die.' He rested a hand on the half-open door, swinging it slightly on its hinges. 'But one night I got called out of bed. And there was Genevieve lying in her bedroom. I was stunned. The paramedics told me that you'd been taken away. That you'd been seizing. Dazed. That you were now in surgery. I went back and looked at Genevieve, that run of unblemished flesh at her hip. And it struck me how I could do this.'

'So you didn't kill her?'

'I didn't kill her.' His lips pressed together in a sad grin. 'She was no good to me. To Janice. But there she was. An inspiration. And there you were. Scared. Paranoid. Tangling with detectives who already thought you were the killer. All I had to do was add an abrasion to the next one's hip. And then keep paying you out rope. You brought me the next twist and the next. A felon who worked at Home Depot. A hundred and fifty-three owners of brown Volvo wagons to choose a candidate from. You were so imaginative, you see.' Lost in thought, he toed the tubing that snaked from behind him into the room. Finally he lifted his gaze to my face. 'For this to work, I needed a Drew. And you were the perfect Drew.'

Made strangely drowsy by the weight of the discovery and the soporific hum of the filter, I focused on his words. It was oddly difficult.

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