The Bone Collector

anyone had had experience with bedside manners it was Lincoln Rhyme. He’d once calculated he’d seen seventy-eight degreed, card-carrying doctors in the past three and a half years.
    “Nice view,” Berger said, gazing out the window.
    “Isn’t it? Beautiful.”
    Though because of the height of the bed Rhyme could see nothing except a hazy sky sizzling over Central Park. That—and the birds—had been the essence of his view since he’d moved here from his last rehab hospital two and half years ago. He kept the shades drawn most of the time.
    Thom was busy rolling his boss—the maneuver helped keep his lungs clear—and then catheterizing Rhyme’s bladder, which had to be done every five or six hours. After spinal cord trauma, sphincters can be stuck open or they can be stuck closed. Rhyme was fortunate that his got jammed closed—fortunate, that is, provided someone was around to open up the uncooperative little tube with a catheter and K-Y jelly four times a day.
    Dr. Berger observed this procedure clinically and Rhyme paid no heed to the lack of privacy. One of the first things crips get over is modesty. While there’s sometimes a halfhearted effort at draping—shrouding the body when cleaning, evacuating and examining—serious crips, real crips, macho crips don’t care. At Rhyme’s first rehab center, after a patient had gone to a party or been on a date the night before, all the wardmates would wheel over to his bed to check the patient’s urine output, which was the barometer of how successful the outinghad been. One time Rhyme earned his fellow crips’ undying admiration by registering a staggering 1430 cc’s.
    He said to Berger, “Check out the ledge, doctor. I have my own guardian angels.”
    “Well. Hawks?”
    “Peregrine falcons. Usually they nest higher. I don’t know why they picked me to live with.”
    Berger glanced at the birds then turned away from the window, let the curtain fall back. The aviary didn’t interest him. He wasn’t a large man but he looked fit, a runner, Rhyme guessed. He seemed to be in his late forties but the black hair didn’t have a trace of gray in it and he was as good-looking as any news anchor. “That’s quite a bed.”
    “You like it?”
    The bed was a Clinitron, a huge rectangular slab. It was an air-fluidized support bed and contained nearly a ton of silicone-coated glass beads. Pressurized air flowed through the beads, which supported Rhyme’s body. If he had been able to feel, it would have felt as if he was floating.
    Berger was sipping the coffee that Rhyme had ordered Thom to fetch and that the young man had brought, rolling his eyes, whispering, “Aren’t we suddenly social?” before retreating.
    The doctor asked Rhyme, “You were a policeman, you were telling me.”
    “Yes. I was head of forensics for the NYPD.”
    “Were you shot?”
    “Nope. Searching a crime scene. Some workmen’d found a body at a subway-stop construction site. It was a young patrolman who’d disappeared six months before—we had a serial killer shooting cops. I got a request to work the case personally and when I was searching it a beam collapsed. I was buried for about four hours.”
    “Someone was actually going around murdering policemen?”
    “Killed three and wounded another one. The perp was a cop himself. Dan Shepherd. A sergeant working Patrol.”
    Berger glanced at the pink scar on Rhyme’s neck. Thetelltale insignia of quadriplegia—the entrance wound for the ventilator tube that remains embedded in the throat for months after the accident. Sometimes for years, sometimes forever. But Rhyme had—thanks to his own mulish nature and his therapists’ herculean efforts—weaned himself off the ventilator. He now had a pair of lungs on him that he bet could keep him underwater for five minutes.
    “So, a cervical trauma.”
    “C4.”
    “Ah, yes.”
    C4 is the demilitarized zone of spinal cord injuries. An SCI above the fourth cervical vertebra might very well have killed him. Below C4 he would have regained some use of his arms and hands, if not his legs. But trauma to the infamous fourth kept him alive though virtually a total quadriplegic. He’d lost the use of his legs and arms. His abdominal and intercostal muscles were mostly gone and he was breathing primarily from his diaphragm. He could move his head and neck, his shoulders slightly. The only fluke was that the crushing oak beam had spared a single, minuscule strand of motor neuron.