Break No Bones - Break No Bones Part 10
Library

Break No Bones Part 10

Returning to the skeleton, I began a bone-by-bone inspection, rotating and scrutinizing every element under a magnifying lens surrounded by a fluorescent bulb.

I found nothing until I started on the spine.

Every one's a specialist. Even the vertebrae. The seven cervicals support the head and allow for neck mobility. The twelve thoracics anchor the rib cage. The five lumbars throw in a lower-back curve. The five sacrals form the tail side of the pelvic girdle. Different jobs. Different shapes.

It was the sixth cervical that got my attention.

But I oversimplify. The neck vertebrae have tasks other than head support. One of their jobs is to provide safe passage for arteries traveling to the back of the brain. The transit route involves a small hole, or foramen, in the transverse process, a tiny bone platform between the body of the vertebra and its arch. CCC-2006020277 had a vertical hinge fracture snaking across the left transverse process, on the body side of the hole.

I brought the bone closer to the lens. And found a hairline fracture on the arch side of the hole.

No signs of healing. Hinging. No question here. Both fractures had involved trauma to fresh bone. The injury had occurred around the time of death.

I sat back, considering.

C-6. Lower neck.

Fall? Falls cause sudden excessive impaction. Such impaction can lead to vertebral fracture. But fractures due to falls are generally compressive in nature, and usually involve the vertebral body. This was a hinge fracture. Of the transverse process.

Strangulation? Strangulation most often affects the hyoid, a small bone in the front of the throat.

Whiplash? Not likely.

Blow to the chin? Head?

I could think of no scenario that fit the pattern I was seeing.

Frustrated, I moved on.

And found more.

The twelfth thoracic vertebra sported a pair of nicks similar to the one I'd spotted on the twelfth rib. The first and third lumbar vertebrae had a single nick each.

Like the neck fracture, the pattern of the nicks was confusing. All were located on the belly side.

Knife marks? To penetrate to the front of a lumbar vertebra you'd have to thrust hard enough to pass through the entire abdomen. That's a mighty big thrust.

And these were very small nicks. Made with a very sharp tool.

What the hell had gone on?

I was still speculating when Emma returned.

"Grimes gone?" I asked.

Emma nodded. What color she'd shown earlier had ebbed from her face, accentuating the dark circles under her eyes. "Form's done. Now it will be up to the sheriff."

Though NCIC is operational 24/7, year-round, only members of federal, state, and local law enforcement can input data.

"Gullet will shoot it through right away?"

Emma raised both hands in a "who knows" gesture. Pulling a chair from the wall, she dropped and leaned her elbows on her thighs.

"What's wrong?" I asked.

Emma shrugged. "Sometimes it just seems so hopeless."

I waited.

"Gullett's not going to slap this case with a priority sticker. And when he does enter our guy into the system, what are the chances we'll get a hit? To submit a missing adult into the database under the new regs, the person's got to be disabled, a disaster victim, abducted or kidnapped, endangered-"

"What does that mean?"

"Missing in the company of another under circumstances suggesting his or her physical safety is in danger."

"So a lot of MP's never get entered? Our guy may not have made it into the computer when he vanished?"

"The thinking is that most missing adults take off on their own. Husbands skipping town with their mistresses. Smothered wives looking for something more. Deadbeats cutting out on debt."

"The runaway bride." I referred to a case wrung dry in a recent media frenzy.

"It's head cases like that one that nurture the mind-set." Emma threw out her feet and leaned back. "But it's true. The vast majority of missing adults are people just trying to escape their lives. There's no law against that, and entering them all overloads the system."

Emma closed her eyes and tipped her head back against the wall.

"I doubt this guy simply went missing," I said, turning back to the gurney. "Take a look at this."

I was lining up the vertebrae when I heard movement, then a heart-stopping crack.

I whipped around.

Emma lay crumpled on the tile floor.

8.

EMMA HAD LANDED ON THE CROWN OF HER HEAD. HER BACK was humped and her neck and limbs were in-kinked like the legs of a sun-fried spider.

I rushed over and pressed two fingers to her throat. The pulse was steady, but weak.

"Emma!"

She didn't respond.

Lowering Emma, I gently eased her cheek to the tile. Then I bolted to the corridor.

"Help! I need medical help!"

A door opened and a face appeared.

"Emma Rousseau's collapsed. Call the ER."

The brows rocketed and the mouth went round.

"Now!"

The face withdrew. I raced back to Emma. Seconds later two paramedics blasted into the room. They fired questions as they loaded Emma onto a gurney.

"What happened?"

"She collapsed."

"Did you move her?"

"I rolled her to clear the windpipe."

"Medical problems?"

I blinked and looked at him.

"Was she taking medication?"

I felt helpless. I hadn't a clue.

"Out of the way, please."

I heard the whine of rubber wheels on tile. A soft squeaking.

Then the autopsy room door clicked shut.

Emma's eyes were closed. A tube ran from her left arm to an IV bag above her head. The tube was taped with white adhesive. Its color was little different from that of Emma's skin.

This woman had always been a firestorm of energy, a force of nature. Not now. In her hospital bed she looked small and fragile.

I tiptoed across the cubicle and took my friend's hand.

Emma's eyes opened.

"I'm sorry, Tempe."

Her words surprised me. Wasn't it I who should be apologizing? Wasn't it I who had ignored the signs of distress?

"Rest, Emma. We'll talk later."

"Non-Hodgkin's lymphoma."

"What?" Reflex. Denial. I knew what Emma was saying.

"I have non-Hodgkin's lymphoma. NHL. And I'm not talking hockey." Weak smile.

"How long?" Something cold started to congeal in my chest.

"Awhile."

"How long is awhile?"

"A couple of years."

"What type?" Stupid. I knew next to nothing about lymphoma.

"Nothing exotic. Diffuse large B-cell lymphoma." Rote, as though she'd heard or read the words a thousand times. Dear God, she probably had.

I swallowed hard. "You're in treatment?"

Emma nodded. "I was in remission, but I've relapsed. I'm getting the CHOP regime on an outpatient basis. Vincristine, prednisolone, doxorubicin, and cyclophosphamide. My biggest worry is infection. The cytotoxic drugs leave me wide open to infection. One good staph offensive could lay me flat."

I wanted to close my eyes, to make this all go away. I kept them open.

"You're a hellcat." Forced smile. "You'll be fine."

"I learned Saturday that I'm not responding as well as my doctor had hoped."

The bad-news phone call. Was that what Emma had started to share outside the hospital? Had I been too preoccupied with the skeleton to listen? Had I done something to discourage her confidence?

"Have you told anyone?"

Emma shook her head.

"That wasn't a migraine on Saturday."

"No."

"You should have leveled with me, Emma. You could have trusted me."

Emma shrugged. "You can't help. Why worry you?"

"Does your staff know?"