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The man’s clothes hung from his frame in tatters, skin raked and scored and bleeding as if by frenzied scratching. The scalp was torn, skin hanging away in flaps from where it had apparently been ripped from the skull. Tufts of bloody hair remained clutched rigidly between the fingers of the right hand: a hand whose epithelial layers were sloughing away in parchment-like curls of tissue. The lips had swollen to a grotesque size, liver-colored bananas covered with whitish weals. A tongue, cracked and blackened, forced its way between them. A wet gargling came from deep inside the throat, and each effort to suck in or expel air caused the tongue to quiver. Through the gaps in the ragged shirt, Nora could see angry-looking chancres on the chest and abdomen, weeping clear fluid. Below the armpits were thick colonies of pustules like small red berries, some of which she saw—with a sickening sense of fast-motion photography—were swelling rapidly; even as she watched, one burst with a sickening pop, while more blistered and swelled to take its place.

But what horrified Nora most were the eyes. One was twice normal size, blood-engorged, protruding freakishly from the orbital socket. It jittered and darted about, roving wildly but seeing nothing. The other, in contrast, was dark and shriveled, motionless, sunken deep beneath the brow.

A fresh shudder of revulsion went through Nora. It must be some pathetic victim of the Surgeon. But what had happened to him? What dreadful torture had he undergone?

As she watched, spellbound with horror, the figure paused, and seemed to look at her for the first time. The head tilted up and the jittery eye paused and appeared to fix on her. She tensed, ready for flight. But the moment passed. The figure underwent a violent trembling from head to toe; then the head dropped down, and it once more resumed its quivering walk to nowhere.

She turned the light away from the obscene spectacle, feeling sick. Worse even than the loathsome sight was her sudden recognition. It had come to her in a flash, when the bloated eye had fixed on hers: she knew this man.As grotesquely malformed as it now was, she remembered seeing that distinctive face before, so powerful, so self-confident, emerging from the back of a limousine outside the Catherine Street digsite.

The shock nearly took her breath away. She looked with horror at the figure’s retreating back. What had the Surgeon done to him? Was there anything she could do to help?

Even as the thought came to her, she realized the man was far beyond help. She lowered the flashlight from the grotesque form as it shuffled slowly, aimlessly away from her, back toward a room beyond the lab.

She thrust the light forward. And then, in the edge of the flashlight’s beam, she made out Pendergast.

He was in the next room, lying on his side, blood pooling on the ground below him. He looked dead. Nearby, a large, rusted axe lay on the floor. Beyond it was an upended executioner’s block.

Suppressing a cry, she ran through the connecting archway and knelt before him. To her surprise, the FBI agent opened his eyes.

“What happened?” she cried. “Are you all right?”

Pendergast smiled weakly. “Never better, Dr. Kelly.”

She flashed her light at the pool of blood, at the crimson stain that covered his shirtfront. “You’re been hurt!”

Pendergast looked at her, his pale eyes cloudy. “Yes. I’m afraid I’ll need your help.”

“But what happened? Where’s the Surgeon?”

Pendergast’s eyes seem to clear a little. “Didn’t you see him, ah, walk past?”

“What?The man covered with sores? Fairhaven? He’s the killer?

Pendergast nodded.

“Jesus! What happened to him?”

“Poisoned.”

“How?”

“He picked up several of the objects in this room. Take care not to follow his example. Everything you see here is an experimental poison-delivery system. When he handled the various weapons, Fairhaven absorbed quite a cocktail of poisons through his skin: neurotoxins and other fast-acting systemics, no doubt.”

He grasped her hand with his own, slippery with blood. “Smithback?”

“Alive.”

“Thank God for that.”

“Leng had started to operate.”

“I know. Is he stable?”

“Yes, but I don’t know for how long. We’ve got to get him—and you—to a hospital right away.”

Pendergast nodded. “There’s an acquaintance of mine, a doctor, who can arrange everything.”

“How are we going to get out of here?”

Pendergast’s gun lay on the ground nearby, and he reached for it, grimacing a little. “Help me up, please. I need to get back to the operating room, to check on Smithback and stop my own bleeding.”

She helped the agent to his feet. Pendergast stumbled a little, leaning heavily on her arm. “Shine your light on our friend a moment, if you please,” he said.

The Fairhaven-thing was shuffling along one wall of the room. He ran into a large wooden cabinet, stopped, backed up, came forward again, as if unable to negotiate the obstacle. Pendergast gazed at the thing for a moment, then turned away.

“He’s no longer a threat,” he murmured. “Let’s get back upstairs, as quickly as possible.”

They retraced their steps back through the chambers of the subbasement, Pendergast stopping periodically to rest. Slowly, painfully, they mounted the stairs.

In the operating room, Smithback lay on the table, still unconscious. Nora scanned the monitors quickly: the vitals remained weak, but steady. The liter bag of saline was almost empty, and she replaced it with a third. Pendergast bent over the journalist, drew back the covers, and examined him. After a few moments, he stepped back.

“He’ll survive,” he said simply.

Nora felt a huge sense of relief.

“Now I’m going to need some help. Help me get my jacket and shirt off.”

Nora untied the jacket around Pendergast’s midsection, then helped him remove his shirt, exposing a ragged hole in his abdomen, thickly encrusted in blood. More blood was dripping from his shattered elbow.

“Roll that tray of surgical instruments this way,” he said, gesturing with his good hand.

Nora rolled the tray over. She could not help but notice that his torso, although slender, was powerfully muscled.

“Grab those clamps over there, too, please.” Pendergast swabbed the blood away from the abdominal wound, then irrigated it with Betadine.

“Don’t you want something for the pain? I know there’s some—”

“No time.” Pendergast dropped the bloody gauze to the floor and angled the overhead light toward the wound in his abdomen. “I have to tie off these bleeders before I grow any weaker.”

Nora watched him inspect the wound.

“Shine that light a little lower, would you? There, that’s good. Now, if you’d hand me that clamp?”

Although Nora had a strong stomach, watching Pendergast probe his own abdomen made her feel distinctly queasy. After a moment he laid down the clamp, took up a scalpel, and made a short cut perpendicular to the wound.

“You’re not going to operate on yourself, are you?”

Pendergast shook his head. “Just a quick-and-dirty effort to stop the bleeding. But I’ve got to reach this colic vein, which, with all my exertion, has unfortunately retracted.” He made another little cut, and then probed into the wound with a large, tweezer-like instrument.

Nora winced, tried to think of something else. “How are we going to get out of here?” she asked again.

“Through the basement tunnels. My research on this area turned up the fact that a river brigand once lived along this stretch of Riverside. Based on the extent of the cellars below us, I feel certain now that this was his residence. Did you notice the superb view of the Hudson the house commanded?”

“No,” Nora replied, swallowing. “Can’t say I did.”

“That’s understandable, considering the North River Water Pollution Control Plant now blocks much of the view,” Pendergast said as he fished a large vein out of the wound with the clamp. “But a hundred and fifty years ago, this house would have had a sweeping view of the lower Hudson. River pirates were fairly common in the early nineteenth century. They would slip out onto the river after dark to hijack moored ships or capture passengers for ransom.” He paused while he examined the end of the vein. “Leng must have known this. A large subbasement was the first thing he wanted in a house. I believe we will find a way down to the river, via the subbasement. Hand me that absorbable suture, if you please? No, the larger one, the 4-0. Thank you.”