No Mercy

‘Jeeeesus,’ Nat commented. ‘That’s one hell of a chunk gone from his face, Dr S. What do you think he hit him with?’

Ben studied the gaping wound for a moment, peering closely at its serrated edges. ‘That’s a bite wound,’ he said quietly. ‘Hand me the camera.’

Nat walked across the room, opened a cabinet, and returned with the lab’s digital camera. ‘Bit him,’ he repeated softly to himself, mulling it over. ‘Now, that’s messed up.’

Ben snapped off several pictures of the facial wound. ‘In multiple places.’ He pointed to the right side of the boy’s lower neck. ‘See here?’

A second, wider piece of flesh was missing at the spot Ben was indicating. The boy was still dressed in the clothes he had died in, and the collar of his black, loosely fitting T-shirt was torn in this area and caked with dried blood. Ben inspected the wound carefully, using forceps to pull back a flap of skin that hung limply across the opening, partially obscuring it. A voice-activated recorder hung around Ben’s neck, and he spoke into it in a neutral, practiced tone as he worked: ‘Dr Ben Stevenson; March 29th, 2013; case number—’ He looked at the large dry erase board hanging on the wall. ‘Case number 127: John Doe. Received directly from the crime scene, custody transferred from Jefferson County Sheriff’s Department.’ He took a breath. ‘Subject is a Caucasian male, approximately fourteen years of age, dressed in a T-shirt and blue jeans. Inspection of the face and cranium demonstrates a 3.6-by-4.1-centimeter soft tissue avulsion injury beginning superficial to the left zygomatic arch and extending inferiorly to involve the lateral portion of the orbicularis oris. Avulsions of the zygomaticus major and minor are noted, with wound depth extending through the masseteric fascia.’ He lifted the boy’s chin slightly with one gloved finger, using a thin metal instrument to probe a penetrating wound noted there. ‘Inspection of the submental region demonstrates a puncture wound measuring 0.75 by 0.9 centimeters, which extends through the mylohyoid and hyoglossus muscles, continuing superiorly and dorsally through the body of the tongue, soft palate and nasopharynx. There are seven – correction, eight – similar puncture wounds to the cranium that extend through the scalp, underlying musculature and galea aponeurotica. Two of the eight wounds penetrate the skull and enter the cranial vault. A second avulsion injury is noted at the right inferolateral aspect of the neck 5.3 centimeters medial to the acromioclavicular junction and involving the inferior platysma, lateral trapezius and sternocleidomastoid muscles, as well as the right external jugular vein.’

This part of the examination – the initial inspection and description of the body – was the portion of the necropsy Ben always found most interesting. Every corpse, he found, had a tale to tell, and the details of one’s life were often prominently revealed by the compilation of physical marks collected along the way, like scrapes and gouges on the underside of a boat. Prior scars (both surgical and traumatic), tattoos, track marks from a lifetime of IV drug abuse, burns, calluses, fat and muscle mass distribution, exaggerated spinal curvature from decades of stooped physical labor, tan lines, nicotine-stained fingertips, chewed fingernails and even the state of a person’s teeth often spoke volumes about the course of their life. In Ben’s opinion, these were not only the most interesting details of the examination, but also the most aesthetically beautiful – strange words to describe the physical blemishes of a corpse, perhaps, but he was a pathologist, after all. These marks and imperfections represented more than simple anatomy. They had been born from action, behavior and life experiences, and were therefore the most human, the most in touch with the life they had left behind.

In the case of traumatic deaths, however, it was different. One’s eye is inexorably drawn to the fatal injury – that which has extinguished the flame of life so abruptly. Especially in the case of young people, the autopsy ceases to be about discovering the marks left behind from a life richly experienced, and rather is about bearing witness to the end of a life barely begun. Such was the case here, as Ben moved from one disfiguring injury to the other, each one denoting a blatant disrespect for the life of this young man, and for human life in general. It was a tragedy to behold. He wanted simply to stop, to cover the form in front of him with cloth, to save it from this last final disgrace. Instead, he continued, using practiced and precise descriptive terminology like a shield to defend himself from what was real.

‘Inspection of the thorax demonstrates puncture wounds to the right fourth and sixth intercostal spaces anteriorly, and to the right fifth, seventh and eighth intercostal spaces along the midaxillary line. There is a 4.1-by-3.8-centimeter serrated avulsion of the left areola and underlying pectoralis muscle, similar in appearance to those of the face and neck, described above. There is a displaced fracture of the xiphoid process. Inspection of the abdomen demonstrates a 0.8-by-0.9-centimeter puncture wound to the right upper quadrant, and two similar puncture wounds to the right flank. There is a 35-centimeter diagonal incision extending from the right upper quadrant of the abdomen to the suprapubic region, penetrating the rectus abdominus and peritoneal fascia. There is evisceration of the small bowel. The genitalia are … missing.’

He paused for a moment, looking up at Nat, who was positioned across the table on the other side of the body. Most of the color had run out of his round, boyish face as he stood bolt upright and unmoving, eyes transfixed upon the body. Ben was suddenly embarrassed. He should’ve had enough sense to send Nat home as soon as he’d unzipped the bag. This was not something a twenty-two-year-old needed to watch, regardless of his chosen occupation. When Karen Banks had agreed to allow Nat to volunteer at the CO, she had done so with an implicit understanding that Ben would watch out for her son’s physical and psychological welfare, and he regarded the trust and deference Nat’s parents had extended to him seriously. During his time at the CO, Nat had taken part in scores of autopsies, in cases ranging from the ravages of metastatic cancer, to self-inflicted gunshot wounds, to the death of young adults involved in motor vehicle accidents. He had even assisted during pediatric autopsies – cases of SIDS and child abuse. The boy was no novice at witnessing some of the trauma and unpleasantness that could descend upon the human body. But this … well, this was a different matter altogether.

‘Listen, Nat. Why don’t you let me finish up here,’ he said. ‘It’s late, and I’m going to need you in the office early tomorrow to help Tanya man the phones. From the look of Brady Circle out there, I don’t think the press is going to give up that easily, and I imagine that Sam Garston from the Sheriff’s Department will be stopping by bright and early looking for the coroner’s report. The rest of this stuff I can just take care of by—’

‘Umm … Dr S?’

‘What is it, Nat?’

‘This case here is the most interesting, most important thing we’ve had come through these doors over the six years I’ve been workin’ here.’

‘I know. It’s pretty—’

‘And if you think … if you think I’m goin’ home in the middle of the autopsy just because some nutjob lopped off the guy’s wiener and chucked it into the woods, well … you can forget it.’

‘I wasn’t trying to—’

‘You wanna weigh all them organs by yourself, type the report and spend another forty minutes cleanin’ up afterward?’

‘I think I can handle—’

‘How many hours you wanna be here tonight anyway, Dr S?’

‘It’s not about—’

‘No way. Discussion over. I’m stayin’. Or … or you can find yourself another assistant.’

Nat stood across the table, arms crossed, glaring defiantly back at Ben. The two considered each other in silence, neither flinching, for perhaps twenty seconds. Apparently, Ben realized, his assistant was quite serious. He considered his short list of options: send Nat home and risk losing him as an assistant, or allow him to stay, thereby rendering himself at least partially responsible for the possible long-term effects the experience could have on the boy’s psychological well-being.

‘How do you know?’ Ben asked. He was buying time while he tried to make up his mind.

‘How do I know what?’

‘How do you know the assailant chucked his wiener, as you like to put it, into the woods?’

‘Oh. Cops found it at the scene. Fifty yards away from the body. Police canine actually tracked it down. It’s in a Ziploc bag taped to his right ankle.’

‘I … see,’ Ben said.

The two men stood there for a while longer, neither speaking, as they surveyed the mutilated body.

‘Well, what’s it gonna be?’ Nat challenged, impatient for a decision.

‘I don’t know,’ Ben sighed, tapping his fingers on the table. ‘I’m trying to decide whether I want to be responsible for further corrupting your already quite tenuous psychological stability.’

‘Too late, Dr S! I hang out in a Coroner’s Office. My psychological stability is already all blown to hell. Now gimme that scalpel. I’m gonna slice-an’-dice this turkey like a Thanksgiving dinner.’

Ben looked at him incredulously, shaking his head. ‘That’s so inappropriate I don’t even know where to begin.’

‘How ‘bout you begin by pluggin’ in that Stryker saw for me, will ya?’

‘Riiigghht.’

‘Okay. I’ll do it myself.’ Nat bent over and plugged the instrument’s umbilical cord into the outlet on the floor. ‘You want the chest opened, right? The usual?’

Ben said nothing.

‘Great.’ Nat nodded, as if he’d been given the green light to proceed. ‘Now step back, boss. I don’t wanna get shrapnel on your pretty white apron there. You jus’ leave this part to me.’

He picked up the bone saw and went to work.

Chapter 6 (#ulink_50fe046d-445f-5f9f-a9bd-135069f03253)

It was nearly 2 a.m. by the time Ben pulled the Honda back into his driveway and set the parking brake. The rain had tapered to a thin drizzle, and the town seemed to have finally resigned itself to sleep. The interior lights of most of the houses Ben passed on the way home had been extinguished, and a fitful state of quietude had settled upon the neighborhood like a fine layer of fresh snow. Ben’s own house sat mostly in darkness, except for the exterior motion-sensor light near the front door, which snapped dutifully on as he approached the dwelling. He turned his key in the door lock, hearing the reassuring click of the dead bolt sliding back within its housing. Placing his hand upon the cold brass knob to which the evening’s precipitation still clung, he opened the door and stepped inside.

The front foyer sat mostly in shadows, and he snapped on a small lamp that rested atop a wooden cabinet to his right. The Stevensons’ massive harlequin Great Dane, Alex (‘Alexander the Great,’ as Joel lovingly referred to him with reverent, exaggerated bows), ever present at the front door to greet new arrivals, nuzzled Ben’s hand for affection, tail whipping ardently back and forth. True to his typical style, Alex stepped heavily and obliviously onto Ben’s left foot and, as the dog leaned into him, Ben was forced backward against the front door. At 180 pounds, the domesticated Goliath didn’t find it necessary to wait to be petted – he simply stood next to the closest person and leaned. The affection lavished upon him was merely an act of self-defense.

Ben ruffled the side of the big dog’s head as Alex buried his face in Ben’s leg. Ben placed his keys on the wall rack and took off his coat, listening to the subtle sounds of the house. The kitchen refrigerator hummed softly, warm air blew steadily from the wall vent to his left and the grandfather clock in the living room down the hall ticked quietly to itself, keeping its own perpetual rhythm. But it was more than these simple, mechanical sounds that he heard. On a deeper level, the house seemed to breathe of its own accord, shifting slightly as it continued to settle, growing more comfortable and more secure upon the foundation on which it rested. Both practically and figuratively, it held within it the very core of the family that lived here, providing warmth, refuge and an irrefutable sense of home. In doing so, it seemed infinitely stronger than the material from which it had been constructed. No matter what transpired during the course of the day, coming home to this place filled him with gladness, and helped to put the day’s events in better context. Alexander the Great wagged his tail contentedly from side to side in complete agreement.

Ben trod quietly down the hall and across the living room, Alex padding not so softly behind him. He crossed the family room and ascended the stairs. At the top of the staircase he paused for a moment, then turned right and walked down the short hallway leading to the bedrooms of his two sons. He stood outside their rooms in the darkness for the span of about thirty seconds, simply listening, needing to be close to them for a moment. Then he turned and headed back down the hallway in the opposite direction toward the bedroom he shared with Susan. Having successfully escorted his owner to the appropriate sleeping quarters, Alex turned and descended the stairs to his own bed beside the living room’s front-facing bay window. Ben pushed open the bedroom door and entered quietly, trying not to wake his wife.

For Susan, sleep was often restless and difficult to initiate. She’d suffered from some degree of insomnia for as long as Ben had known her, and had experimented with a multitude of unsuccessful remedies throughout those years. Contrary to the experience of many women, however, she’d managed to sleep well during both of her pregnancies. Even during her third trimester, sleep had come easily to Susan, and she was often breathing slowly and softly within ten minutes of turning out the light. Ironically, it was Ben who seemed to have difficulty initiating and maintaining sleep during that time. He would lie in bed and watch the shadows cast from the swaying branches of the oak tree in their front yard play deftly across their vaulted ceiling. He would listen to the steady respirations of his wife lying blissfully in bed next to him, and he would consider the day’s events – the slow but perpetual ascent of gasoline prices that summer, the upcoming gubernatorial election, the positive gram stain of Mr Flescher’s cerebrospinal fluid last Thursday. The hours of potential sleep would slip away from him like water over a steep ledge, leaving him befuddled and sluggish the following day, a dull heaviness clinging to his head like a massive barnacle. He would blunder through the day in this hebetudinous state until the sun finally descended once more beyond the horizon. Dinner that evening would be absently eaten and barely tasted, and although he tried to be interested in conversations with his wife, he always seemed to fall behind, finding himself at a break in the dialogue and wondering whether she had just asked him a question or whether it was simply his turn to speak. Excusing himself apologetically, he would head off to bed early in search of the nocturnal respite that had eluded him the previous night. Sometimes sleep would come, mercifully falling upon him like a summer storm. When it did, his dreams would be strange and wild, and he would often awaken in the night, sweating lightly and wondering whether he had cried out and, stupidly, whether he and Susan were alone in the room.

He’d continued in this tormented state for most of Susan’s pregnancy, watching her with growing jealousy as she slipped effortlessly into sleep every evening and awoke refreshed and good-spirited the following morning as brilliant sunlight flooded their bedroom. It was as if Ben had somehow taken upon himself all of Susan’s familiar struggles with insomnia and had shouldered them through the course of her pregnancies so that the children could develop unfettered within her. If that were the case, it was a noble yet arduous deed, and he was relieved when – oddly, but almost predictably – the balance returned to its original state within a month of the birth of each of their sons. Suddenly, Ben found himself having to set the alarm clock in order to awaken for the infant’s nightly feedings. On many of these occasions, he would find Susan’s side of the bed empty, and he would get up to investigate only to find her already tending to the baby despite the fact that it was his turn at the helm. ‘Honey, I can do that,’ he would say to her sweetly in a tired voice. ‘It’s okay,’ she’d reply. ‘I was already up.’

‘Tough day at the office, hon?’ Susan greeted him from the darkness, startling Ben as he unbuttoned his shirt.

‘Jesus, babe. You scared me.’

‘Sorry,’ she said. ‘How was the autopsy?’

Ben unlaced his shoes and slipped them off, then pulled off his slacks and placed them in the closet hamper. His eyes had adjusted to the darkness and he could now make out the figure of his wife, propping herself up on one elbow as she surveyed him from their bed.

‘Pretty horrible,’ he answered. He exhaled deeply and stretched, trying to release as much of the day’s stress from his body as possible. He felt old and tired, and more than a little unnerved by the evening’s events.