Chapter 2 - The Screaming Saw and the Metal Beneath

“Marcus, get security down here right now,” I ordered without breaking eye contact with Daniel. “And bring me the oscillating cast saw.”
Daniel’s eyes flashed with predatory rage. He stepped directly between me and the stretcher, planting his feet.
“You touch that saw, Doctor, and I’ll have your medical license revoked before sunrise,” Daniel hissed, pointing a manicured finger inches from my face. “You have no right to interfere with her private physician’s protocol. I am her legal guardian and power of attorney. I refuse consent for this procedure.”
“Under emergency medical doctrine, implied consent overrides guardian refusal when a patient is incapacitated and facing imminent loss of limb or life,” I replied, stepping around him with absolute authority. “Marcus, call Code Silver if he takes another step toward this bed.”
Two hospital security officers appeared at the glass door, their heavy boots thudding against the linoleum. Daniel saw them, took a slow breath, and forced his face back into a chillingly calm expression.
“You’re making a catastrophic mistake, Dr. Jenkins,” Daniel whispered softly.
“Step back to the wall, sir,” one of the guards commanded, placing a hand on his duty belt.
Daniel slowly raised his hands, retreating to the corner of the room, his eyes burning into my back like twin lasers.
Marcus handed me the high-speed oscillating cast saw and plugged in the vacuum hose. I put on safety goggles and a surgical face mask, turning to Emily. She was moaning softly, her head rolling side to side as her body burned up with the 103.8-degree fever.
“Hang in there, Emily,” I whispered, gently touching her forehead. “I’m getting this off you right now.”
I switched the saw on. The high-pitched mechanical whine filled Trauma Room 2.
I pressed the blade against the stained fiberglass at the base of the wrist. The saw bit through the hard synthetic shell with a spray of white dust, the vacuum capturing the debris. As the blade cut through the outer layers, the smell grew exponentially worse—a rancid stench of liquefied tissue and old, dried blood that made Marcus gag behind his mask.
I made the first lateral cut along the radial side, then switched to the ulnar edge.
Using cast spreaders, I inserted the steel jaws into the cut groove and squeezed the handles.
The fiberglass cracked open with a wet, tearing sound.
What lay beneath made the entire trauma team freeze in horror.
There was no soft cotton under-padding. There was no sterile stockinette.
Instead, Emily’s forearm had been wrapped in multiple layers of industrial electrical tape and heavy plastic cling wrap, bound directly against raw, ulcerated skin. The pressure had created massive, necrotic pressure sores that went straight to the bone.
And there, embedded deep into the rotting flesh of her mid-radius where a surgical incision had been crudely sewn shut with heavy nylon fishing line, was a thick rectangular metal plate.
It wasn't an orthopedic bone plate.
It was an engraved piece of solid titanium, roughly four inches long and an inch wide, secured directly against her fractured bone with non-medical steel screws.
Carved into the polished surface of the metal plate, clearly visible beneath the dark crimson blood and infection, were a series of alphanumeric codes and a single sentence:
PROPERTY OF THE AUSTIN ESTATE — ASSET #0942 — DO NOT REMOVE UNDER PENALTY OF LAW
My breath caught in my throat.
I looked up at Daniel Harris.
His face was completely drained of color, his hands trembling slightly as he stared at the exposed metal plate.
Before anyone could speak, Emily’s eyes snapped wide open. She grabbed my wrist with her burning, trembling left hand, her cracked lips moving frantically.
“Don't... let him... take the key...” she croaked in a hoarse, ragged voice. “He... he killed my sister...”
Then the monitors began to scream.
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BEEP-BEEP-BEEP-BEEP!
“V-fib!” Marcus yelled. “She’s going into cardiac arrest!”