to better prevent sensitive information from reaching the press and other unwanted parties. Hunter had been in it plenty of times.
Doctor Hove punched the code into the metal keyboard on the wall and the heavy door buzzed open.
They all stepped inside a large and winter-cold room. It was lit by two rows of florescent lights that ran the length of the ceiling. Two steel tables dominated the main floor space, one fixed, one wheeled. A blue hydraulic hoist stood next to a wall of fridges with small, square, mirror-polished doors. Both examination tables were covered by white sheets.
Doctor Hove put on a new pair of latex gloves and approached the one furthest from the door.
‘OK, let me show you what I found out.’
Garcia shifted on his feet in anticipation while Hunter reached for a surgical mask. He wasn’t afraid of contamination, but he hated the distinct odor that came with every autopsy chamber – as if something rotten had been scrubbed to high heaven with strong disinfectant. A stale scent that seemed to beckon from beyond the grave to haunt those still living.
‘The official cause of death was heart failure . . .’ Doctor Hove said, pulling the white sheet aside and revealing the dismembered torso of Derek Nicholson, ‘. . . induced by loss of blood and probably sheer pain. But he held on for a while.’
‘What do you mean?’ Garcia asked.
‘Skin and muscle trauma indicate that he’d lost his fingers and toes, his tongue, and at least one of his arms before his heart stopped beating.’
Garcia took a deep breath and shook off the uncomfortable shiver that hugged his neck.
‘We were right about the saw-like instrument used for all the amputations,’ the doctor continued. ‘Definitelyly something very sharp with a serrated edge. But the blade’s teeth weren’t as fine as one would expect. And the distance between them is certainly larger than usual when compared to the instruments usually reserved for clinical amputations.’
‘A handheld, carpenter’s saw, maybe?’ Garcia asked.
‘I don’t think so.’ The doctor shook her head. ‘The consistency of the cuts is too uniform. There’s some hacking, but mainly when the cutting instrument hit bone, which isn’t surprising, especially given that I’d expect the victim wasn’t sedated at all. Toxicology will test for any trace of drugs found in the victim’s blood, but that will take a day, maybe two, but without anesthesia the pain would’ve been unbearable. Even being held tight, the victim would’ve shrieked and writhed incessantly, making the amputation job much harder.’
Garcia sucked in a cold breath through clenched teeth.
‘But keeping the victim alive shouldn’t have been a concern. The perpetrator could’ve just chopped his arms and legs off in whichever way he wanted.’
‘But he didn’t,’ Hunter said.
‘No he didn’t,’ Doctor Hove agreed. ‘The killer wanted the victim alive for as long as possible. He wanted the suffering. The cuts were well and properly performed.’
‘Medical knowledge?’ Hunter asked.
‘Despite the fact that nowadays anyone can spend a few hours on the Internet and acquire detailed instructions and diagrams on how to perform an amputation, I’d say the killer has at least basic knowledge of medical procedures and anatomy, yes.’ Her stare focused on the second autopsy table. ‘He sure as hell knew what he was doing. Have a look at this.’
Ten
Something in Doctor Hove’s demeanor and tone of voice concerned both detectives. They followed her over to the second examination table.
‘I have no doubt everything that happened in that room was planned, and very well planned.’ She pulled back the white cover sheet. The macabre sculpture left behind by the killer had been dismantled. Derek Nicholson’s severed body parts were now carefully arranged on the cold metal slab. They’d all been washed clean of the blood that had encrusted them before. ‘Don’t worry,’ the doctor said to Hunter, noticing his concern. ‘The lab took enough pictures and measurements to create the replica you wanted. You’ll get it in a day or two.’
Hunter and Garcia’s stare stayed on the body parts.
‘Did you make anything of the sculpture, Doc?’ Garcia asked.
‘Nothing at all. And I had to dismantle that thing myself.’ She coughed to clear her throat. ‘I swabbed under the fingernails. No hairs or skin. Just regular dirt and excrement.’
‘Excrement?’ Garcia pulled a face.
‘His own,’ Doctor Hove confirmed. ‘During tremendous pain, the kind that’d come from an amputation without anesthesia, the subject will undoubtedly lose control of his bladder and bowels. And that’s the strange thing.’
‘What is?’ Garcia questioned.
‘He was clean,’ Hunter said. ‘When we got to the crime-scene, the bed sheet should’ve been saturated with urine and feces. It wasn’t.’
‘Because of his illness and his lack of mobility, going to the bathroom wasn’t such a mundane task anymore,’ Doctor Hove took over again, ‘his nurses helped him to it, but when they weren’t there, he wore adult diapers.’
‘Yeah, we saw the package in one of the drawers,’ Garcia said.
‘Forensics found a pair of dirty ones wrapped in a plastic bag inside the trashcan downstairs.’
Garcia’s eyes widened. ‘The killer cleaned him up?’
‘Not so much cleaned him up, but someone did dispose of the dirty diaper.’
No one said anything for several seconds, so Doctor Hove moved on. ‘The reason I believe the killer has knowledge of medical procedures is because I found these.’ She pointed to the upper portion of one of the severed arms, just around where the cut had been made. ‘I only saw them when I washed the blood off the arms and legs.’
Hunter and Garcia stepped closer. The faint outline of a black marker pen could be seen on the rubbery- looking skin. It created an incomplete circle going around the arm just about where the cut had been made.
‘In complicated medical procedures such as amputations, where the incision point needs to be very accurate, it is not uncommon for doctors, or whoever is performing the surgery, to mark the correct location with a pen.’
‘But so would someone who found the information in a book, or over the Internet, as you said, Doc,’ Garcia countered.
‘That’s also true,’ she agreed, ‘but check this out.’ She walked back to the first examination table and Derek Nicholson’s torso. Hunter and Garcia followed. ‘During an amputation, it’s vital that all major blood vessels, like the brachial artery in the arms and the femoral artery in the legs, are properly tied off, or else the patient will bleed out in no time.’
‘They weren’t tied off,’ Hunter said, bending down to have a better look. ‘I checked it at the crime-scene. No suture, no knot.’
‘That’s because the killer didn’t use a thread to stop the blood flow, as most doctors would. The brachial artery in the right arm was clamped. The marks can be seen under a microscope. He used medical forceps.’
Hunter straightened up his body. ‘Only in the right arm?’
Doctor Hove adjusted her surgical cap. ‘That’s right. And the reason is probably because the victim’s heart gave in before the killer could amputate anything else. The fact of the matter, Robert, is that the killer prolonged the victim’s life and suffering for as long as he could. But to do that without a surgical team to help him, he had to perform the cuts as quickly and as cleanly as possible, and contain the hemorrhaging as best as he could,’ Doctor Hove concluded.
‘And you’re sure there’s no chance he could’ve used a professional saw like the ones used here at the morgue?’ Garcia pushed.
‘No,’ she replied, reaching for the Mopec autopsy saw on the worktop behind her. ‘Portable autopsy saws use
