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Chapter 2 - The Medical Record

The shift in my reality was instantaneous, but I couldn't afford to let a single crack show on the surface.

In trauma medicine, the most dangerous moment isn't when the patient is bleeding out on the table; it's when the surgeon loses control of their composure. If Maris suspected for a single second that Lumi had opened that metal box, or that I had read those legal records, she wouldn't wait for the sixty-day mark. She would accelerate her timeline.

At 8:00 p.m., after Lumi had finally fallen into a deep, exhausted sleep in her upstairs bedroom, I sat at the small wooden desk in my basement office.

The basement smelled of damp concrete and old paint cans. It was the one room in the house Maris rarely visited. I pulled out my secure work laptop, plugged in a private VPN, and accessed the state medical registry database using my advanced nursing credentials.

My fingers flew over the keyboard.

Patient Search: Vance, Arthur Eugene. Date of Death: October 14, 2022. Attending Physician: Dr. Reginald Vance (Brother).

I paused, my eyes narrowing at the monitor.

The attending physician who had signed Arthur Vance’s death certificate was his own brother, Dr. Reginald Vance—a chief anesthesiologist at Mercy General Hospital in downtown San Diego.

I pulled up Reginald Vance’s credentials. He held medical privileges at three regional hospitals, served on the board of a private outpatient surgery center, and sat as a co-trustee on the Vance Family Charitable Foundation.

I began pulling the prescription histories connected to the hospital network.

Because I worked trauma, I had high-level administrative clearance to audit drug dispensary logs for controlled substances. I cross-referenced Reginald Vance’s surgical logs from four years ago with the inventory drops at Mercy General’s central pharmacy.

There it was.

Three days before Arthur Vance died of an apparent "massive myocardial infarction," an unmapped inventory discrepancy had been logged in Operating Room 4—Reginald’s primary surgical bay. Two vials of succinylcholine—a powerful neuromuscular blocking agent used exclusively during intubation—had been logged as "broken during prep."

No incident report had been filed. No broken glass had been submitted to waste management.

Succinylcholine causes complete muscular paralysis within sixty seconds while the patient remains fully conscious, aware, and unable to breathe. Without an artificial ventilator, death occurs from asphyxiation within eight minutes. And because it breaks down rapidly into naturally occurring choline in the human body, a standard coroner's autopsy would classify the death as sudden cardiac arrest unless someone knew precisely which tissue metabolite to test for.

Maris hadn't acted alone. She was the architect, but she had a medical insider providing the weapons.

My phone on the desk suddenly buzzed, vibrating against the dark wood like an angry hornet.

The caller ID showed: Maris.

I took three slow, deep breaths, dropping my heart rate back down to sixty beats per minute, and picked up the call on the fourth ring.

"Hey, babe," I said, keeping my voice loose, slightly tired—the exact tone of a man who had spent his evening making grilled cheese and watching television. "How’s the conference?"

"It's exhausting," Maris’s voice came smoothly through the speaker, carrying the background murmur of an upscale hotel lounge. "The keynote ran late, and the investors are being difficult. How is everything at home? Did Lumi give you a hard time?"

I looked up at the basement ceiling, listening to the quiet house above me.

"She was a little quiet at dinner," I lied effortlessly. "A ate half her soup and went up to bed early. She's just missing her mom."

There was a micro-pause on the other end of the line—a silence so faint that only someone trained to listen for irregular heart rhythms would have caught it.

"Did she... talk to you?" Maris asked. Her voice remained sweet, but beneath the silk was a sharp, probing edge. "Did she ask for anything from her backpack?"

"No," I said, leaning back in my chair and tracing the edge of my laptop. "She just brought her homework down to the table, ate a few bites, and said she was tired. I think she's finally starting to warm up to me, Maris. We're getting there."

A long, slow exhale floated across the cell signal.

"That's wonderful, Gideon," Maris said, and I could hear the cold, triumphant smile returning to her lips. "I always knew you two would figure it out. I’ll be home late tomorrow night. Don't wait up for me."

"I won't," I said. "Drive safe, babe."

I ended the call and stared at the dark screen.

Maris was checking her traps. She was making sure her seven-year-old daughter hadn't broken under the psychological pressure she had applied.

I looked back at the laptop screen, where Dr. Reginald Vance’s medical license profile was displayed alongside a list of his private properties. One of them was a private medical clinic in La Jolla, registered under an offshore holding company called Aegis Health Management.

I opened a blank document and began creating my own file.

I didn't call the police. Not yet. In my years in the trauma unit, I had seen too many high-net-worth domestic abusers walk free because local law enforcement didn't understand complex medical murder schemes or because wealth bought top-tier defense lawyers who obliterated circumstantial evidence.

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If I wanted to protect Lumi and put Maris and Reginald away forever, I couldn't just present a theory.

I needed to catch them reaching for the needle.

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