4


The first law of the National Health Service is that dead wood floats. It is part of the culture. If somebody is incompetent or hard to get along with, promotion is an easier option than sacking.

The duty supervisor at Westminster Mortuary is bald and thickset with pouchy jowls. He takes an instant dislike to me.

“Who told you to come here?”

“I’m meeting Detective Inspector Ruiz.”

“I haven’t been told. Nobody made an appointment.”

“Can I wait for him?”

“No. Only family of the deceased are allowed in the waiting room.”

“Where can I wait?”

“Outside.”

I catch his sour smell and notice the sweat stains under his arms. He has probably worked all night and is doing overtime. He’s tired and he’s cranky. I normally have sympathy for shift workers— in the same way that I feel sorry for loners and fat girls who never get asked to dance. It must be a lousy job looking after dead people but that’s no reason to be rude to the living.

I’m just about to say something when Ruiz arrives. The supervisor begins his spiel again, but Ruiz isn’t in the mood to be lectured by a low-ranking mortuary manager with delusions of power. He leans across the desk.

“Listen you jumped up little shit! I see a dozen cars parked on expired meters outside. You’re going to be real popular with your workmates when we put a boot on them.”

A few minutes later I’m following Ruiz along narrow corridors with strip lights on the ceiling and painted cement floors. Occasionally we pass doors with frosted glass windows. One of them is open. I glance inside and see a stainless steel table in the center of the room with a central channel leading to a drain. Halogen lights are suspended from the ceiling, alongside microphone leads.

Farther along the corridor, we come across three lab technicians in green medical scrubs standing around a coffee machine. None of them looks up.

Ruiz walks fast and talks slowly. “The body was found at eleven on Sunday morning, buried in a shallow ditch. Fifteen minutes earlier an anonymous call was made from a pay phone a quarter of a mile away. The caller claimed his dog had dug up a hand.”

We push through double Plexiglas doors and dodge a trolley being pushed by an orderly. A white calico sheet covers what I imagine to be a body. A box of test tubes full of blood and urine is balanced on top of the torso.

We reach an anteroom with a large glass door. Ruiz taps on the window and is buzzed in by an operator sitting at a desk. She has blond hair, dark roots and eyebrows plucked to the thinness of dental floss. Around the walls are filing cabinets and white boards. On the far side is a large stainless steel door marked STAFF ONLY.

I suddenly get a flashback to my medical training when I fainted during our first practical lesson working with a cadaver. I came around with smelling salts waved under my nose. The lecturer then chose me to demonstrate to the class how to direct a 150mm needle through the abdomen to the liver to take a biopsy sample. Afterward he congratulated me on a new university record for the most organs hit with one needle in a single procedure.

Ruiz hands the operator a letter.

“Do you want me to set up a proper viewing?” she asks.

“The fridge will be fine,” he replies, “but I’ll need an SB.” She hands him a large brown paper bag.

The heavy door unlocks with a hiss like a pressure seal and Ruiz steps aside to let me go first. I expect to smell formaldehyde— something I came to associate with every body I saw in medical school. Instead there’s the faint odor of antiseptic and industrial soap.

The walls are polished steel. A dozen trolleys are parked in neat rows. Metal crypts take up three walls and look like oversized filing cabinets, with large square handles that can accommodate two hands.

I realize Ruiz is still talking. “According to the pathologist she’d been in the ground for ten days. She was naked except for a shoe and a gold chain around her neck with a St. Christopher’s medallion. We haven’t found the rest of her clothes. There is no evidence of a sexual assault…” He checks the label on a drawer and grips the handle. “I think you’ll see why we’ve narrowed down the cause of death.”

The drawer slides open smoothly on rollers. My head snaps back and I lurch away. Ruiz hands me the brown paper bag as I double over and heave. It’s difficult to throw up and gasp for breath at the same time.

Ruiz hasn’t moved. “As you can see the left side of her face is badly bruised and the eye is completely closed. Someone gave her a real working over. That’s why we released the drawing instead of a photograph. There are more than twenty stab wounds— not one of them more than an inch deep. But here’s the real kicker— every last one was self-inflicted. The pathologist found hesitation marks. She had to work up the nerve to force the blade through.”

Raising my head, I glimpse his face reflected in the polished steel. That’s when I see it: fear. He must have investigated dozens of crimes, but this one is different because he can’t understand it.

My stomach is empty. Perspiring and shivering in the cold, I straighten up and look at the body. Nothing has been done to restore the poor woman’s dignity. She is naked, stretched out with her arms against her sides and her legs together.

The dull whiteness of her skin makes her look almost like a marble statue, only this “statue” has been vandalized. Her chest, arms and thighs are covered in slashes of crimson and pink. Where the skin is pulled taut the wounds gape like empty eye sockets. At other places they naturally close and weep slightly.

I have seen postmortems in medical school. I know the process. She has been photographed, scraped, swabbed and cut open from her neck to her crotch. Her organs have been weighed and her stomach contents analyzed. Bodily fluids, flakes of dead skin and dirt from beneath her fingernails have been sealed within plastic or beneath glass slides. A once bright energetic vibrant human being has become exhibit A.

“How old was she?”

“Somewhere between twenty-five and thirty-five.”

“What makes you think she was a prostitute?”

“It’s been nearly two weeks and nobody has reported her missing. You know better than I do how prostitutes move around. They take off for days or weeks at a time and then turn up at a totally different red-light area. Some of them follow the conference trade; others work the truck stops. If this girl had a strong network of family or friends, somebody would have reported her missing by now. She could be foreign but we have nothing from Interpol.”

“I’m not sure how I can help.”

“What can you tell me about her?”

Without even thinking I know I’m collecting details, although I can’t bear to look at her swollen face. What can I say? Her fair hair is cut short in a practical style that’s easy to wash, quick to dry and doesn’t need constant brushing. Her ears aren’t pierced. Her fingernails are trimmed and well cared for. She has no rings on her fingers, or any sign that she normally wore them. She’s slim and fair-skinned, with larger hips than bust. Her eyebrows have been tidily shaped and her bikini line had been waxed recently, leaving a neat triangle of pubic hair.

“Was she wearing makeup?”

“A little lipstick and eyeliner.”

“I need to sit down for a while and read the postmortem report.”

“I’ll find you an empty office.”

Ten minutes later, alone at a desk, I stare at a stack of ring-bound photograph albums and folders bulging with statements. Among the pile is the postmortem report and results from blood and toxicology analysis.


CITY OF WESTMINSTER CORONER


Postmortem Report



Name: Unknown —— Postmortem No: DX-34 468


DOB: Unknown —— Death D/T: Unknown


Age: Unknown —— Postmortem D/T: 12 December 2002, 0915


Sex: Female



Anatomical Summary



1. Fourteen lacerations and incised wounds to the chest, abdomen and thighs, penetrating to a depth of 1.2 inches. They range in width from 3 inches to half an inch.


2. Four lacerations to the upper left arm.


3. Three lacerations to the left side of the neck and shoulders.


4. The direction of the sharp-force injuries tends to be downward and are a mixture of stabbing and incised wounds.


5. The hesitation marks are generally straight and accompany the deeper incisions.


6. Heavy bruising and swelling to the left cheekbone and left eye socket.


7. Slight bruising to the right forearm and abrasions to the right tibia and right heel.


8. Oral, vaginal and rectal swabs are clear.



Preliminary Toxicology Study


Blood ethanol— none detected


Blood drug screen— no drugs detected


Cause of Death


Postmortem X-rays reveal air in the right ventricular chamber of the heart indicating a massive and fatal air embolism.


I scan the report quickly, looking for particular details. I’m not interested in the minutiae of how she died. Instead I look for clues that relate to her life. Did she have any old fractures? Was there any evidence of drug use or sexually transmitted diseases? What did she have for her last meal? How long since she’d eaten?

Ruiz doesn’t bother to knock.

“I figured you were milk no sugar.”

He puts a plastic cup of coffee on the desk and then pats his pockets, searching for cigarettes that exist only in his imagination. He grinds his teeth instead.

“So what can you tell me?”

“She wasn’t a prostitute.”

“Because?”

“The median age of girls becoming prostitutes is only sixteen. This woman was in her mid-twenties, possibly older. There are no signs of long-standing sexual activity or evidence of sexually transmitted diseases. Abortions are common among prostitutes, particularly as they’re often coerced into not using condoms, but this girl had never been pregnant.”

Ruiz taps the table three times as though typing three ellipsis dots. He wants me to go on.

“Prostitutes at the high-class end of the scale sell a fantasy. They take great care with their appearance and presentation. This woman had short fingernails, a boyish hairstyle and minimal makeup. She wore sensible shoes and very little jewelry. She didn’t use expensive moisturizers or paint her nails. She had her bikini line waxed modestly…”

Ruiz is moving around the room again, with his mouth slightly open and a puckered brow.

“She took care of herself. She exercised regularly and ate healthy food. She was probably concerned about putting on weight. I’d say she was of average or slightly above average intelligence. Her schooling would have been solid; her background most likely middle class.

“I don’t think she’s from London. Someone would have reported her missing by now. This sort of girl doesn’t go missing. She has friends and family. But if she came to London for a job interview, or for a holiday, people might not have expected to hear from her for a while. They’ll start to get worried soon.”

Pushing back my chair a little, I lack the conviction to stand. What else can I tell him?

“The medallion— it’s not St. Christopher. I think it’s probably St. Camillus. If you look closely the figure is holding a pitcher and towel.”

“And who was he?”

“The patron saint of nurses.”

The statement concentrates his attention. He cocks his head to one side and I can almost see him cataloguing the information. In his right hand he flicks open a book of matches and closes it again. Open and then closed.

I shuffle the papers and glance at the full postmortem report. A paragraph catches my attention.


There is evidence of old lacerations running the length of her right and left forearms and inside her upper thighs. The degree of scarring suggests an attempt at self-suturing. These wounds were most likely self-inflicted and point toward past attempts at self-harm or self-mutilation.


“I need to see the photographs.”

Ruiz pushes the ring-bound folders toward me and in the same breath announces, “I have to make a phone call. We might have a lead. An X-ray technician has reported her flatmate missing in Liverpool. She matches the age, height and hair color. And how’s this for a coincidence, Sherlock? She’s a nurse.”

After he’s gone I open the first folder of photographs and turn the pages quickly. Her arms had been along her sides when I viewed her body. I couldn’t see her wrists or inner thighs. A self-mutilator with multiple stab wounds, all self-inflicted.

The first photographs are wide-angle shots of open ground, littered with rusting forty-four-gallon drums, rolls of wire and scaffolding poles. The Grand Union Canal forms an immediate backdrop but on the far side I see a smattering of well-established trees and the headstones in between.

The photographs begin to focus down onto the banks of the canal. Blue-and-white police tape has been threaded around metal posts to mark out the area.

The second set of photographs shows the ditch and a splash of white that looks like a discarded milk container. As the camera zooms closer it reveals it to be a hand, with fingers outstretched, reaching upward from the earth. Soil is scraped away slowly, sifted and bagged. The corpse is finally exposed, lying with one leg twisted awkwardly beneath her and her left arm draped over her eyes as though shielding them from the arc lights.

Moving quickly, I skim over the pages until I reach the postmortem pictures. The camera records every smear, scratch and bruise. I’m looking for one photograph.

Here it is. Her forearms are turned outward and lying flat against the dull silver of the bench top. Awkwardly, I stand and retrace my steps along the corridors. My left leg locks up and I have to swing it in an arc from back to front.

The operator buzzes me into the secure room and I stare for a few seconds at the same bank of metal crypts. Four across. Three down. I check the label, grasp the handle and slide the drawer open. This time I force myself to look at her ruined face. Recognition is like a tiny spark that fires a bigger machine. I know this woman. She used to be a patient. Her hair is shorter now and slightly darker. And she has put on weight, but only a little.

Reaching for her right arm, I turn it over and brush my fingertips along the milky white scars. Against the paleness of her skin they look like embossed creases that merge and crisscross before fading into nothing. She opened these wounds repeatedly, picking apart the stitches or slicing them afresh. She kept this hidden, but once upon a time I shared the secret.

“Need a second look?” Ruiz is standing at the door.

“Yes.” I can’t stop my voice from shaking. Ruiz steps in front of me and slides the drawer shut.

“You shouldn’t be in here by yourself. Should have waited for me.” The words are weighted.

I mumble an apology and wash my hands at the sink, feeling his eyes upon me. I need to say something.

“What about Liverpool? Did you find out who…”

“The flatmate is being brought to London by the local CID. We should have a positive ID by this afternoon.”

“So you have a name?”

He doesn’t answer. Instead I’m hustled along the corridor and made to wait as he collects the postmortem notes and photographs. Then I follow him through the subterranean maze until we emerge, via double doors, into a parking garage.

All the while I’m thinking, I should say something now. I should tell him. Yet a separate track in my brain is urging, It doesn’t matter anymore. He knows her name. What’s past is past. It’s ancient history.

“I promised you breakfast.”

“I’m not hungry.”

“Well I am.”

We walk under blackened railway arches and down a narrow alley. Ruiz seems to know all the backstreets. He is remarkably light on his feet for a big man, dodging puddles and dog feces.

The large front windows of the café are steamed up with condensation, or it could be a film of fat from the chip fryer. A bell jangles above our heads as we enter. The fug of cigarette smoke and warm air is overpowering.

The place is pretty much empty, except for two sunken-cheeked old men in cardigans playing chess in the corner and an Indian cook with a yolk-stained apron. It’s late morning but the café serves breakfast all day. Baked beans, chips, eggs, bacon and mushrooms— in any combination. Ruiz takes a table near the window.

“What do you want?”

“Just coffee.”

“The coffee is crap.”

“Then I’ll have tea.”

He orders a full English with a side order of toast and two pots of tea. Then he fumbles for a cigarette in his jacket pocket before mumbling something about forgetting his phone.

“I didn’t take any pleasure from dragging you into this,” he says.

“Yes you did.”

“Well, just a little.” His eyes seem to smile, but there is no sense of self-congratulation. The impatience I noticed yesterday has gone. He’s more relaxed and philosophical.

“Do you know how you become a detective inspector, Professor O’Loughlin?”

“No.”

“It used to be based on how many crimes you solved and people you banged up. Nowadays it depends on how few complaints you generate and whether you can stick to a budget. I’m a dinosaur to these people. Ever since the Police and Criminal Evidence Act came into force my sort of policeman has been living on borrowed time.

“Nowadays they talk about proactive policing. Do you know what that means? It means the number of detectives they put on a case depends on how big the tabloid headlines are. The media runs these investigations now— not the police.”

“I haven’t read anything about this case,” I say.

“That’s because everyone thinks the victim is a prostitute. If she turns out to be Florence bloody Nightingale or the daughter of a duke I’ll have forty detectives instead of twelve. The assistant chief constable will take personal charge because of the ‘complex nature of the case.’ Every public statement will have to be vetted by his office and every line of inquiry approved.”

“Why did they give it to you?”

“Like I said, they thought we were dealing with a dead prostitute. ‘Give it to Ruiz,’ they said. ‘He’ll bang heads together and put the fear of God into the pimps.’ So what if any of them object. My file is so full of complaint letters that Internal Affairs has given me my own filing cabinet.”


A handful of Japanese tourists pass the window and pause. They look at the blackboard menu and then at Ruiz, before deciding to keep going. Breakfast arrives, with a knife and fork wrapped in a paper napkin. Ruiz squeezes brown sauce over his eggs and begins cutting them up. I try not to watch as he eats.

“You look like you got a question,” he says between mouthfuls.

“It’s about her name.”

“You know the drill. I’m not supposed to release details until we get a positive ID and inform the next of kin.”

“I just thought…” I don’t finish the sentence.

Ruiz takes a sip of tea and butters his toast.

“Catherine Mary McBride. She turned twenty-seven a month ago. A community nurse, but you knew that already. According to her flatmate she was in London for a job interview.”

Even knowing the answer doesn’t lessen the shock. Poor Catherine. This is when I should tell him. I should have done it straight away. Why do I have to rationalize everything? Why can’t I just say things when they enter my head?

Leaning over his plate Ruiz scoops baked beans onto a corner of toast. His fork stops in midair in front of his open mouth.

“Why did you say, ‘Poor Catherine’?”

I must have been speaking out loud. My eyes tell the rest of the story. Ruiz lets the fork clatter onto his plate. Anger and suspicion snake through his thoughts.

“You knew her.”

It’s an accusation rather than a statement. He’s angry.

“I didn’t recognize her at first. That drawing yesterday could have been almost anyone. I thought you were looking for a prostitute.”

“And today?”

“Her face was so swollen and bruised. She seemed so… so… vandalized I didn’t want to look at her. It wasn’t until I read about the scars in the postmortem report that I considered the possibility. That’s why I needed a second look at the body… just to be sure.”

Ruiz’s eyes haven’t left mine. “And when were you thinking of telling me all this?”

“I intended to tell you…”

“When? This isn’t a game of twenty questions, Professor. I’m not supposed to guess what you know.”

“Catherine was a former patient of mine. Psychologists have a duty of care not to reveal confidential information about patients.”

Ruiz laughs mockingly. “She’s dead, Professor— in case you missed that small detail. You conceal information from me again and I’ll put my boot so far up your ass your breath will smell of shoe polish.” He pushes his plate to the center of the table. “Start talking— why was Catherine McBride a patient?”

“The scars on her wrists and thighs— she deliberately cut herself.”

“A suicide attempt?”

“No.”

I can see Ruiz struggling with this.

Leaning closer, I try to explain how people react when overwhelmed by confusion and negative emotions. Some drink too much. Others overeat or beat their wives or kick the cat. And a surprising number hold their hands against a hot plate or slice open their skin with a razor blade.

It’s an extreme coping mechanism. They talk about their inner pain being turned outward. By giving it a physical manifestation they find it easier to deal with.

“What was Catherine trying to cope with?”

“Mainly low self-esteem.”

“Where did you meet her?”

“She worked as a nurse at the Royal Marsden Hospital. I was a consultant there.”

Ruiz swirls the tea in his cup, staring at the leaves as though they might tell him something. Suddenly, he pushes back his chair, hitches his trousers and stands.

“You’re an odd fucker, you know that?” A five-pound note flutters onto the table and I follow him outside. A dozen paces along the footpath he turns to confront me.

“OK, tell me this. Am I investigating a murder or did this girl kill herself?”

“She was murdered.”

“So she was made to do this— to cut herself all those times? Apart from her face there are no signs that she was bound, gagged, restrained or compelled to cut herself. Can you explain that?”

I shake my head.

“Well you’re the psychologist! You’re supposed to understand the world we live in. I’m a detective and it’s beyond my fucking comprehension.”


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