“Of course there are risks. The drugs themselves aren’t particularly dangerous. But any C4 quad is going to have lung impairment. You’re off a ventilator but with the anesthetic there’s a chance of respiratory failure. Then the stress of the procedure could lead to autonomic dysreflexia and resulting severe blood pressure elevation—I’m sure you’re familiar with that—which in turn could lead to a stroke or a cerebral event. There’s also a risk of surgical trauma to the site of your initial injury—you don’t have any cysts now and no shunts but the operation and resulting fluid buildup could increase that pressure and cause additional damage.”

“Meaning he could get worse,” Sachs said.

Dr. Weaver nodded and looked down at the file, apparently to refresh her memory, though she didn’t open the folder. She looked up. “You have movement of one lumbrical—the ring finger of your left hand—and good shoulder and neck muscle control. You could lose some or all of that. And lose your ability to breathe spontaneously.”

Sachs remained perfectly still. “I see,” she said finally, the words coming out as a taut sigh.

The doctor’s eyes were locked on Rhyme’s. “And you have to weigh these risks in light of what you hope to gain—you aren’t going to be able to walk again, if that’s what you were hoping for. Procedures of this sort have had some limited success with spinal cord injuries at the lumbar and thoracic level—much lower and much less severe than your injury. It’s had only marginal success with cervical injuries and none at all with a C4-level trauma.”

“I’m a gambling man,” he said quickly. Sachs gave him a troubled glance. Because she’d know that Lincoln Rhyme wasn’t a gambling man at all. He was a scientist who lived his life according to quantifiable, documented principles. He added simply, “I want the surgery.”

Dr. Weaver nodded and seemed neither pleased nor displeased about his decision. “You’ll need to have several tests that should take several hours. The procedure’s scheduled for the day after tomorrow. I have about a thousand forms and questionnaires for you. I’ll be right back with the paperwork.”

Sachs rose and followed the doctor out of the room. Rhyme heard her asking, “Doctor, I have a …” The door clicked shut.

“Conspiracy,” Rhyme muttered to Thom. “Mutiny in the ranks.”

“She’s worried about you.”

“Worried? That woman drives a hundred fifty miles an hour and plays gunslinger in the South Bronx. I’m getting baby fish cells injected into me.”

“You know what I’m saying.”

Rhyme tossed his head impatiently. His eyes strayed to a corner of Dr. Weaver’s office, where a spinal cord—presumably real—rested on a metal stand. It seemed far too fragile to support the complicated human life that had once hung upon it.