Litany of Winter
Chapter 78: The Same Flesh
Back at the clinic, Carrick had Ruth cut away the rest of Leo’s torn sleeve while Rafael lowered himself into a chair, one hand gripping its back to keep his balance.
Leo let Ruth turn his left forearm beneath the lamp. The scrape along the outer side had bled through the torn cloth, but his fingers still moved when Carrick asked. Ruth pressed two fingertips to his wrist, then checked the color in his hand while Carrick felt along the bone.
Across the room Rafael sat with both boots planted wide and one hand on the edge of the table. He had stopped looking sick on the walk back from the refuge and started looking angry about being sick instead.
Ruth glanced at him. "Been sick?"
"No."
"Tell me if that changes." She held up two fingers. "Follow these."
Rafael tracked them with his good eye as she moved them slowly from side to side. Ruth told him to stay seated and turned back to Leo’s arm.
Severin stood near the washbasin with his right hand open under the lamp. His fingers worked again, though touch still reached him late. When Carrick brushed the blunt end of a probe across his palm, Severin felt the contact after the metal had already moved on.
Carrick repeated the test once. "Better than when you came in?"
"A little."
"Keep it warm. No fine work tonight."
Severin flexed his fingers once. "Wasn’t going to."
Armin had stripped off his coat and rolled his sleeves while Ruth checked the thermometer. Sweat darkened the collar of his shirt.
"Still high," she said.
"How high?"
"Too high. Drink the water and stay sitting."
Armin accepted the cup she gave him and lowered himself beside Rafael.
Only then did Carrick go to the specimen. The fragment from the refuge lay in a shallow glass dish under folded damp cloth. Its mineral shell had cracked farther during the retreat, exposing the pale material inside. Carrick lifted the cloth with forceps.
The cut edge had changed.
Severin remembered the ragged surface when they first placed it in the jar. Now the pale material had drawn into a smoother line. One narrow branch had curled toward the broken side of the shell.
Carrick touched that branch with the rounded probe. It tightened beneath the metal. He withdrew the probe and watched the contraction travel a short distance through the pale line before stopping.
Ruth set the dish briefly into the cool basin they had used before; the next response slowed, then strengthened again after the specimen warmed.
Carrick pulled Jonah’s earlier drawing closer and checked the branch against it without needing long.
"It’s living tissue."
Ruth had sent word to the Lennox house as soon as they returned. A knock came from the clinic door.
Sarah entered first, Jonah behind her with his left hand wrapped in the same dressing Carrick had placed over the biopsy. Jonah looked from Leo’s torn sleeve to Rafael sitting rigidly beside the table.
"Got your fresh piece, then?"
Leo looked at the scrape on his arm. "We got it."
Sarah stopped beside Jonah. Carrick motioned them toward the examination table and explained what they had found without dressing it up: living tissue beneath the refuge’s mineral layer, carrying the same branching pattern and the same response to touch.
Jonah listened with his bandaged hand resting against his thigh.
"How similar?" he asked.
Carrick looked at the refuge fragment. "Close enough that I want a fresh comparison. I can’t tell you more from a drawing."
"What do you need from me?"
"The dressing has to come off anyway. If there’s enough at the edge of the cut, I can take two tiny pieces without opening it farther. One pale, one ordinary."
Sarah’s hand settled on the edge of the table. "You’re cutting him again?"
"Not deeper. I won’t make the cut any bigger."
Jonah looked at her, then at Carrick. "And if there isn’t enough?"
"Then I stop."
"Do it."
Ruth washed her hands and began unwrapping the dressing. Carrick cleaned the incision and removed one loosened stitch so he could reach the existing margin without opening the cut farther. Then he tested the sensation around the old line. The numb region had crept farther toward the wrist, though only slightly.
Rafael opened his field book. "Test the ordinary piece against the refuge sample too."
Carrick glanced over.
"If that joins as well, we need to know."
Carrick nodded. "All right."
He explained each cut before making it. A tiny ordinary sliver came first from the edge where Jonah still had normal sensation. The altered sample came from the opposite margin, where a pale strand already reached close enough to the surface that Carrick did not have to open farther.
Jonah felt the first cut and almost nothing from the second.
Ruth marked the dishes before either sample touched them.
Carrick then shaved two tiny pieces of living pale material from the exposed inner edge of the refuge fragment. He kept them damp while Ruth prepared the glass.
Severin stayed near Jonah rather than leaning over the work. There were already enough people studying what had come out of his hand.
Carrick compared the pale pieces first. Under the hand lens, then briefly under the microscope, the same divided lines ran through both samples. The refuge piece carried more mineral residue along one side, but beneath it the living structure followed the same branching pattern.
Ruth touched each with the probe, and both contracted away from it.
Carrick sat back. "They’re too similar for me to call it chance."
Jonah looked toward the dishes. "That still doesn’t tell me what it is."
"No."
"Then what will?"
Carrick took a clean blade. "Seeing whether they join."
He trimmed one fresh edge on the pale sample from Jonah and one on the refuge sample, then set them near each other in a shallow preparation, close enough for the cut faces to almost touch but with a visible line between them. Nothing happened.
Carrick covered the preparation. Ruth changed the cloth over Leo’s arm while Rafael wrote down the time. Armin drank the rest of his water and asked for another cup. Minutes passed.
Ruth returned to the glass first and stopped with her hand above it.
"Doctor."
Carrick bent over the preparation, and Severin moved close enough to see. The gap was narrower.
A filament had extended from the refuge piece, so fine the lamplight caught it only when Ruth shifted the glass. A second pale thread had grown from Jonah’s sample. The two had met somewhere between the cut faces and stayed joined.
Carrick did not touch them. He watched while the seam thickened by degrees, the loose thread becoming a narrow strip of pale tissue.
Jonah had gone quiet behind Severin, and Sarah moved closer to him.
Carrick waited until the joined line stopped changing visibly. Then he took the rounded probe.
"Touch Jonah’s side," Rafael said.
Carrick touched it with the probe. The tissue tightened, and the contraction travelled along the pale branch, reached the new seam and passed through it. The refuge fragment tightened next.
Ruth drew in a short breath. "Again."
Carrick repeated the touch farther from the joined edge, and the response crossed the seam again.
Severin understood enough. Carrick had touched one piece, and the other had answered.
Rafael turned a page. "Control."
Carrick moved to the fresh ordinary sample from Jonah’s hand. He prepared another cut edge and placed the second refuge piece beside it at the same distance.
They waited while the ordinary fragment tightened slightly at its cut edge and moisture gathered around it. The refuge tissue rounded its own cut surface, but nothing crossed between them. Carrick gave it longer than the first preparation. Nothing joined.
Rafael tapped the time in his notes. "Touch the refuge piece."
Ruth touched the refuge piece. It contracted around the probe, and the movement stopped at its own edge.
Carrick looked toward Jonah. "The two pale samples joined. The ordinary one didn’t."
Jonah stared at his wrapped hand.
"I still can’t tell you if they came from one organism," Carrick said. "But the living tissue behaves the same in both. I haven’t found anything yet that tells me they’re different."
Sarah asked, "What does that mean for him?"
"It means refuge tissue has become incorporated into his hand."
Jonah lifted his head. "Incorporated?"
"It’s become part of the tissue there."
"Can you take it out?"
"I don’t know. I can’t see where it ends."
"What about the hand?"
Sarah looked at Jonah. "Jonah."
He kept his attention on Carrick. "If you took the whole hand, would that stop it?"
"I don’t know."
The room stayed quiet long enough for the kettle near the stove to click as it cooled.
Carrick returned to the examination table. "I’m not cutting anything out until I know how far it runs. If those branches cross a vessel or a nerve, I could leave you worse off and still miss some of it."
Jonah looked down at the dressing Ruth had only loosely replaced. "Then find out."
Ruth opened the cloth again.
Carrick examined the old incision under stronger light. The closure was ahead of what he expected, and at one point the pale material sat directly beneath the healing edge, drawn into the repaired flesh instead of lying loose under it.
He followed the visible strand only as far as the existing opening allowed.
"No deeper," Leo said from the other table.
Carrick nodded. "I won’t."
Ruth brought over the sensory map.
She tested from Jonah’s wrist toward the numb region, touching each point with the blunt probe and marking where his answers changed. Jonah called out each contact as he felt it.
"There."
Ruth moved lower. Jonah answered twice more as she worked toward the fingers. Then he said, "Nothing."
Ruth marked the new boundary.
Carrick looked from the line on the paper to the pale strand under the skin. The strand disappeared beneath intact tissue before the numb line reached it.
He traced its direction with one finger held above Jonah’s hand. Ruth moved the probe to the skin over where the pale line continued beneath the surface.
"You feel this?"
Jonah answered at once. "Yes."
Carrick did not move.
The pale strand continued beneath skin Jonah could still feel.
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