the raw-edged hole that had been ripped through the ceiling above. Its center was filled by the hydraulic ram that had sprung like a jack-in-the-box from the device, the oil-glistening metal shoving aside the scorched, twisted girders.
Strapped to one side of the device was an attaché case of chrome and molded black neoprene. flicking the remote back into his scrub shirt pocket, he pulled the case free and started climbing, the wrist of his gun hand catching the holds riveted to the side of the ram.
On the floor above, the hospital staff and security guards were still stunned by the blunt prow shape that had erupted in their midst. Jagged metal scraped along his spine as he emerged partway into the smoke and settling dust. A quick look around, with the case pulled through and flopped down onto the hole's buckled perimeter; he saw the heart-and-lung patient right where he'd planned on, the railed bed surrounded by the whispering machines. The monitor screens had flipped, the explosion having sent the beeping lines into sharp-pointed spasms and trilling alarms. Letting go of the case's handle but not the gun, he pushed himself up and onto the edge of the hole
The doctors and nurses, the ones left standing, had been shoved by the explosion against the walls. At least one had been hit by a bit of flying shrapnel; blood formed a bright net across his face and surgical gown before he collapsed onto his knees. The patient on the bed, at the edge of anesthetized consciousness, stirred feebly inside the web of hoses and tubes.
"Hey, buddy--" The smile returned to the man's face, his eyes brightening, as he called to the guard dragging himself toward the rifle that had landed a few feet away. The words were enough to stop the guard, his fingertips a fraction of an inch from the butt of the rifle. The hesitation was more than enough; the guard raised his head and the smiling man fired. One shoulder hit the rifle as the bullet's impact tugged the guard by his shattered skull along the floor.
He could hear the alarms shrieking somewhere else inside the hospital. Time dwindling now -- he pulled the remote out of his shirt pocket and hit the second button.
In the vibrating sunlight outside the ward's high bank of windows, a brighter spark moved, metal struck by fire. As though it were a piece of the sun, fallen into an orbit low among the city's towers. It grew larger, closer, summoned by the tight beam from the remote in the man's hand.
Which he was done with -- he tossed the small metal box aside. He scooped up the attaché case by its black molded handle and strode quickly toward the bed.
"What . . ." Not even a whisper, not a sigh, but a few molecules of exhaled breath. The heart-and-lung patient's eyelids fluttered open. "What . . . are you doing . . ." A red bubble trembled in the cloudy plastic tube inserted in his trachea.
"Take it easy, pal." The man's hands were flying as he leaned over the bed. Yanking and pulling, tubes and ridged hoses flipped up from the heart-and-lung patient's blood spattered abdomen. "Just lie back and let me do the work." He'd laid the gun down on the nearest equipment cart, scooping up the sharp-edged tools and sterile white tape he'd known he'd find there. "Funny, that's what she said last night. Don't laugh, you'll bust a stitch."
Pure oxygen hissed as he jerked the largest hose from a Teflon socket at the breastbone's center; a wobbling bag of Ringer's solution burst on the floor like a prankster's water balloon as his elbow knocked over the IV-drip stand. He worked faster, the attaché case open on the bed beside the patient. Security alarms shrieked in dissonant chorus outside the ward; he could sense through the floor the tremor of distant running. The quick, faint noise of ammo clips being shoved into place touched his ear; he didn't look up. He'd already measured the exact amount of time he needed. A spear of reflected sunlight hit his face. Glancing up, he saw the spinner, a modified