I slid my hand beneath the pillow until my fingers closed around the personal alarm Maria had smuggled me days earlier. With my other foot, I nudged the discreet call pedal Dr. Chen had insisted on installing by my bed.

Jake came closer.

I opened my eyes a slit and saw him in the reflected city glow from the window: unshaven, eyes bloodshot, clothes rumpled, a kitchen knife in one shaking hand.

“You ruined me,” he whispered.

Not I lost everything. Not I did something terrible.

You ruined me.

Even now, at the edge of attempted murder, he was a man narrating himself as victim.

He pressed the blade to my neck.

The metal was cold enough to make my whole body lock.

“If you die,” he said, almost dreamily, “this all goes away.”

My pulse slammed so hard I thought he might feel it against the knife.

Then the pedal alarm must have reached the nurses’ station, because somewhere down the hall I heard movement.

I moved first.

I swung the alarm device upward with all the force I had. It cracked against his temple. He swore and lurched. I grabbed his wrist, twisted, and drove the heavy cast on my left leg into his abdomen with everything the pain left me.

A siren shrieked.

Jake stumbled.