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step outside for a cigarette, so that with the bathroom break meant he was usually gone between eight and eleven minutes. Rais had spent the last several nights silently counting the seconds of Elias’s absences.

      It was a very narrow window of opportunity, but one for which he was prepared.

      He reached beneath his sheets for the sharpened clip and held it in the fingertips of his left hand. Then, carefully, he tossed it in an arc over his body. It landed deftly in the palm of his right hand.

      Next would come the hardest part of his plan. He pulled his wrist so that the handcuff chain was taut, and while holding it that way he twisted his hand and worked the sharpened tip of the clip into the keyhole of the cuff around the steel railing. It was difficult and awkward, but he had escaped handcuffs before; he knew the catch mechanism inside was designed so that a universal key could open nearly any pair, and knowing the inner workings of a lock meant simply making the right adjustments to trigger the pins inside. He had to keep the chain taut, though, to keep the cuff from clanking against the railing and alerting his guards.

      It took him nearly twenty minutes of twisting, turning, taking short breaks to alleviate his aching fingers and trying anew, but finally the lock clicked and the cuff slid open. Rais carefully unhooked it from the railing.

      One hand was free.

      He reached over and hastily unbuckled the restraint on his left.

      Both hands were free.

      He stowed the clip under the sheets and removed the top half of the pen, gripping it in his palm so that only the sharp nib was exposed.

      Outside his door, the younger officer stood suddenly. Rais held his breath and pretended to be asleep as Elias peered in on him.

      “Call Francis, would you?” Elias said in German. “I’ve got to piss.”

      “Sure,” Luca said with a yawn. He radioed down to the hospital’s night guard, who was ordinarily stationed behind the front desk on the first floor. Rais had seen Francis plenty of times; he was an older man, late fifties, early sixties perhaps, with a thin frame. He carried a gun but his movements were slow.

      It was exactly what Rais had been hoping for. He didn’t want to have to fight the younger police officer in his still-recovering state.

      Three minutes later Francis appeared, in his white uniform and black tie, and Elias hurried off to the bathroom. The two men outside the door exchanged pleasantries as Francis took Elias’s plastic seat with a heavy sigh.

      It was time to act.

      Rais carefully slid to the end of the bed and put his bare feet to the cold tile. It had been some time since he had used his legs, but he was confident that his muscles had not atrophied to a state beyond what he needed them for.

      He stood carefully, quietly—and then his knees buckled. He gripped the edge of the bed for support and shot a glance toward the door. No one came; the voices continued. The two men hadn’t heard anything.

      Rais stood shakily, panting, and took a few silent steps. His legs were weak, to be sure, but he had always been strong when needed, and he needed to be strong now. His hospital gown flowed around him, open at the back. The immodest garment would only impede him, so he tugged it off, standing unabashedly naked in the hospital room.

      The nib cap in his fist, he took a position just behind the open door, and he let out a low whistle.

      Both men heard it, apparent by the sudden scraping of chair legs as they rose from their seats. Luca’s frame filled the doorway as he peered into the dark room.

      “Mein Gott!” he murmured as he hastily entered, noticing the empty bed.

      Francis followed, his hand on the holster of his gun.

      As soon as the older guard was past the threshold, Rais leapt forward. He jammed the nib cap into Luca’s throat and twisted, tearing a berth in his carotid. Blood sprayed liberally from the open wound, some of it splashing the opposite wall.

      He let go of the nib and rushed Francis, who was struggling to free his gun. Unclip, unholster, safety off, aim—the older guard’s reaction was slow, costing him several precious seconds that he simply did not have.

      Rais struck two blows, the first one upward just below the belly button, immediately followed by a downward blow to the solar plexus. One forced air into the lungs, while the other forced air out, and the sudden, jarring effect it had on a confused body was generally blurred vision and sometimes loss of consciousness.

      Francis staggered, unable to breathe, and sank to his knees. Rais spun behind him, and with one clean motion he broke the guard’s neck.

      Luca gripped his throat with both hands as he bled out, gurgles and slight gasps rising in his throat. Rais watched and counted the eleven seconds until the man lost consciousness. Without stopping the blood flow he would be dead in under a minute.

      He quickly relieved both guards of their guns and put them on the bed. The next phase of his plan would not be easy; he had to sneak down the hall, unseen, to the supply closet where there would be spare scrubs. He couldn’t very well leave the hospital in Francis’s recognizable uniform, or Luca’s now-blood-soaked one.

      He heard a male voice from down the hall and froze.

      It was the other officer, Elias. So soon? Anxiety rose in Rais’s chest. Then he heard a second voice—the night nurse, Elena. Apparently Elias had skipped his cigarette break to chat with the pretty young nurse, and now they were both heading down the hall toward his room. They would pass by it in mere moments.

      He would prefer not to have to kill Elena. But if it was a choice between him and her, she would have die.

      Rais grabbed one of the guns from the bed. It was a Sig P220, all black, .45 caliber. He took it in his left hand. The weight of it felt welcome and familiar, like an old flame. With his right he gripped the open half of the handcuffs. And then he waited.

      The voices in the hall fell silent.

      “Luca?” Elias called out. “Francis?” The young officer unclipped the strap of his holster and had a hand on his pistol as he entered the darkened room. Elena crept in behind him.

      Elias’s eyes went wide with horror at the sight of the two dead men.

      Rais slammed the hook of the open handcuff into the side of the young man’s neck, and then yanked his arm backward. The metal bit into his wrist, and the wounds in his back burned, but he ignored the pain as he tore the young man’s throat from his neck. A substantial amount of blood spattered and ran down the assassin’s arm.

      With his left hand he pressed the Sig against Elena’s forehead.

      “Do not scream,” he said quickly and quietly. “Do not cry out. Stay silent and live. Make a sound and die. Do you understand?”

      A small squeak erupted from Elena’s lips as she stifled the sob rising from it. She nodded, even as tears welled in her eyes. Even as Elias fell forward, flat on his face on the tiled floor.

      He looked her up and down. She was petite, but her scrubs were somewhat baggy and the waistband elastic. “Take off your clothes,” he told her.

      Elena’s mouth fell open in horror.

      Rais scoffed. He could understand the confusion, though; he was, after all, still nude. “I am not that type of monster,” he assured her. “I need clothes. I won’t ask again.”

      Trembling, the young woman tugged off the scrub top and slid out of her pants, removing them over her white sneakers, as she was standing in the pool of Elias’s blood.

      Rais took them and put them on, a bit awkwardly with one hand while he kept the Sig trained on the girl. The scrubs were snug, and the pants a bit short, but they would suffice. He tucked the pistol in the back of his pants, and retrieved the other from the bed.

      Elena stood in her underwear, hugging her arms over her midsection. Rais noticed; he plucked up his hospital gown and held it out to her. “Cover yourself. Then get on the bed.” As she did what he asked, he found a ring of keys on Luca’s belt and unlocked

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