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"Manual Disimpaction," Silva says.

Behind him, Mama Ortiz snorts loudly. She looks me up and down, her eyes narrowing as she assesses the loafers. "Good luck,Princess," she mutters. "Wear a splash guard."

"Who is the patient?" I ask, refusing to let my smile falter.

"Mr. Bromley," Silva says. "He’s a frequent flyer. He has a recurring issue with... gravity. And household objects."

"I don't follow."

"You will," Silva smiles. It isn't a nice smile. It is the smile of a man sending a gladiator into a pit with a lion, armed only with a spoon. "Go on, York. Don't keep the patient waiting. And try not to scuff the shoes."

Bay 4 is curtained off. I can hear polite, hushed humming coming from inside. It sounds like Mozart.

I pull back the curtain.

Sitting on the edge of the gurney is a sweet-faced elderly man wearing a beige cardigan and reading glasses on a chain. He looks like a librarian who got lost on the way to a tea party.

"Good morning," I say, stepping inside. "I’m Dr. York."

"Oh, hello," the man says, beaming. "I’m Mr. Bromley. So sorry to be a bother. It’s just... it’s happened again."

"What has happened, Mr. Bromley?"

"A mishap," he sighs. "I was rearranging my study. FengShui, you know. Very important for the energy flow. I felt the Chi was blocked in the corner."

"Of course," I say, flipping open his chart. "And?"

"And I slipped," Mr. Bromley says tragically. "I was on the step stool, reaching for a first edition of Dickens, and I lost my footing. I fell backwards."

I look at the X-ray on the tablet.

My eyes widen. I zoom in. I zoom out. I tilt the screen.

There, lodged firmly in the patient’s descending colon, is a perfect, black sphere.

"Is that..." I squint. "A Magic 8-Ball?"

"It is," Mr. Bromley confirms. "Standard size. I landed right on it. Terribly unlucky. I was actually consulting it about my stock portfolio right before the accident occurred."

I stare at him. "You landed on it."

"With force," he nods. "I tried to get it out myself, but it seems to have created a seal. Like a cork in a wine bottle."

I take a deep breath. I look down at my hands. These hands have held champagne flutes. They have held steering wheels of Italian sports cars. They have never held a lubricant-covered toy inside an elderly man.

I could walk out. I could quit. I could go to the Board meeting, drink the scotch, and live a life of hygiene.

Then I think of Silva’s face.I assume you aren't planning to do any actual work.

"Right," I say. "Nurse!"

A nurse pokes her head in. It isn't Ortiz. It’s a terrified-looking student.

"I need lube," I say. "All of it."

"How much?"

"Imagine you are greasing a pig for a wrestling match," I say grimly. "And then double it."