Chapter 11 - The Syndicate Physician

The private medical suite smelled faintly of antiseptic soap and old leather, a sharp contrast to the rich mahogany and cigar smoke of the upper floors. I sat on the edge of the examination table, my left arm resting awkwardly on a clean paper sheet. The white medical gauze I had wrapped around my wrist myself felt stiff and humiliating now, a crude bandage that had barely held together under the weight of the silver platter and the terror of the dining room.
Marcus stood outside the heavy oak door. I couldn’t see him through the frosted glass panel, but his heavy silhouette was a permanent, dark fixture against the hallway light. He was under strict orders to ensure I didn't walk out before the doctor was finished.
Dr. Vance, a gray-haired man with tired eyes and the practiced, detached efficiency of a battlefield surgeon who had spent too many years patching up men who didn't want to explain how they got hurt, didn't look up as he snapped on a pair of latex gloves.
"Let's see what we're working with," Dr. Vance said, his voice flat, devoid of sympathy or judgment. He picked up a pair of blunt-nosed medical shears from a stainless-steel tray.
I didn't say anything. I just stared at the wall clock, listening to the steady, heavy tick that seemed to mock every breath I took.
With a few quick snips, the scissors cut through the cheap gauze I had scavenged from the downstairs supply closet. The fabric parted, sticking slightly to the irritated skin where the swelling had worsened over the past twenty-four hours. Dr. Vance gently rotated my forearm, his fingers pressing into the flesh with clinical precision.
I hissed through my teeth, pulling back slightly as a sharp throb shot up to my elbow.
"Hold still," he instructed mildly. He turned my wrist this way and that, examining the dark, purpling discoloration that bloomed across the bone. "Bad sprain. Severe bruising. And look at the pattern here—deep thumb-print bruising on the underside, with secondary tearing along the ulna."
Dr. Vance paused, lifting his gaze to meet mine for the first time. His expression remained entirely neutral, the face of a man who had seen a thousand variations of this exact injury in this exact house.
"This didn't come from a fall, Clara," he said quietly. "And it didn't come from dropping a tray. Someone grabbed you hard enough to fracture the periosteum."
"It was an accident," I muttered, my voice tight. I pulled my arm down an inch, but he caught my wrist with a firm, inescapable grip that didn't inflict pain, only authority.
"Don't lie to me," Dr. Vance said without heat. "I've set bones for half the crew downstairs. I know the exact kind of heavy-handed grip Miller uses when he's trying to make a point in the loading bay. Am I right? Was it Miller?"
I swallowed hard, keeping my eyes fixed on his desk. If I confirmed it, if I admitted that Miller had cornered me behind the pantry because I wouldn't move fast enough to suit him, it would trigger a chain reaction I couldn't control. The syndicate didn't tolerate internal violence that disrupted household operations, but they tolerated whistleblowers even less.
"It doesn't matter who it was," I whispered. "I just need it wrapped so I can get back to the evening shift."
"The evening shift," Dr. Vance repeated, letting out a dry, humorless breath as he reached for a roll of professional elastic bandage and a rigid fiberglass splint. "Clara, you have a hairline fracture at the base of the radius and severe ligament strain. If you keep carrying heavy silver trays and pouring wine with this hand, the bone isn't going to set properly. You're looking at permanent nerve damage or a weak joint that won't hold a coffee cup by the end of the year."
"I don't have a choice," I said.
"Everyone has a choice," Vance replied, working with practiced speed to align the splint along my forearm. He secured it snugly with wraps, applying just enough pressure to immobilize the joint without cutting off my circulation. "Though down here, some choices come with a heavier price tag than others."
He taped the end of the bandage securely and stepped back, tossing his gloves into the biohazard bin.
"I'll write up a restricted-duty slip for the boss," Dr. Vance said, picking up a pen. "It won't excuse you from working, but it will keep you out of the kitchen and away from anything weighing more than a notepad. Tell Marcus to let you through."
I slid off the table, holding my newly immobilized arm close to my chest. The heavy fiberglass felt strange, stiff and undeniable, a physical marker of the vulnerability I had tried so desperately to hide under my uniform sleeve.
When I opened the door, Marcus was waiting, his massive frame shifting as he looked down at the white splint strapped to my wrist. He didn't smile, but his eyes narrowed with a slow, calculating realization.
"Done?" Marcus asked.
May you like
"Done," I said, stepping past him into the corridor, my heart hammering against my ribs as I prepared for whatever came next.
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