“What do you think of your patient’s handiwork?” she asked. Your patient. Your fault. Pagonis wasn’t subtle. “Shapiro had a nine-millimeter. Not a bad shot. He must have been a few yards away. There’s no powder on the clothes. He fired twice, but we haven’t found the other bullet. Must have missed once and got him the second time. Here, look.”

She pushed the photo toward me and tapped it, as if I hadn’t seen enough the first time. I reluctantly examined Greene’s face again. Those cold, staring eyes told me the error I’d made-I’d caused this man to die in agony.

“We’ll show you the weapon,” Pagonis said relentlessly. “Mike?”

Hodge lumbered to his feet again and she gave me the same thin, hard smile as we awaited his return. I stared at her blankly, but inside my mind was in turmoil. I thought of the gun I’d held in the ER when Nora had handed it to me-a Beretta Cheetah, I remembered Pete O’Meara telling me. My fingerprints must be on it, I thought. That’s why Pagonis has got me here. I knew there must be more to it than just Harry’s statement. They know everything that happened-the signs that I ignored.

Minutes passed as we waited for Hodge. Pagonis looked as if she could sense my discomfort and was gratified by it. I heard his footsteps in the corridor and saw a familiar shape grasped in his right hand as he walked over to us, a gun held securely in a plastic evidence bag to prevent contamination.

“There we are,” she said as Hodge placed it on the table. “A Glock. Shapiro’s fingerprints were all over it and powder on his hands.”

I didn’t say anything, just reached forward and pulled it toward me. It wasn’t the same gun. It was a similar shape, but it looked a little bigger and it was dull gray with a square barrel, like those the New York police carry. Thank God, I thought. I’d misjudged Nora after all. She’d kept the gun safe, as I’d told her to do. Then I thought of Harry. I wondered how he’d got hold of this gun. Nora hadn’t mentioned another weapon, so where had it come from?

“You’re a shrink at Episcopal?” Pagonis said.

“An attending psychiatrist, yes.”

“Shapiro says you admitted him to the hospital, right?”

“I can’t tell you, I’m afraid.”

“Did you think he was dangerous?”

“Again, it’s privileged.”

“But you let him out again,” Hodge said, his eyes flat.

I wondered if he distrusted all psychs or if he felt a particular enmity for me. Probably the first: most cops thought our job was to concoct bullshit excuses for criminals.

“I’ve told you that I’m unable to discuss this,” I said with an edge. “There are strict laws on patient confidentiality in New York State.”

“What you did was very convenient,” Pagonis said, ignoring me. “You take him into the hospital, establish he’s not right in the head, then let him out. A couple of days later, he goes on the run and pulls this gun on Greene. Then he calls up his wife back in New York and tells her. Next up, he calls the East Hampton police to hand himself in. We’ve got a record of both those calls. It looks nicely planned to me, not at all crazy, but you gave the guy the perfect defense.”

Her voice was laden with cynicism, and I couldn’t say I blamed her. Harry had tried his excuse about my treatment absolving him of responsibility on me in Riverhead. I’d reacted the same way as Pagonis.

“Detective,” I said, “I can’t help you.”

Pagonis treated me to a long, cool look before getting up from her chair. “All right, we’ll talk again. Here’s my card,” she said, handing me one. “Call me if you change your mind. Mike will show you out.”

Back at ground level, Hodge pulled aside the metal elevator door and watched me as I walked back to my car. My fingers were shaking as I tried to put the key in the ignition, and I managed it only at the third attempt.

Duncan’s assistants were buried in their work when I obeyed her summons to her office two days later, as if they’d been stuck in that position since I’d last seen them. The clicking of keyboards was interrupted briefly by one of them opening a can of Coke Zero with a hiss while the other waved me to a chair to wait.

My feelings about her, never warm, had worsened since Greene’s death. If she hadn’t interfered, if she’d left me to treat Harry, I could have averted this disaster. I’d have kept him in York East until the drugs had started to work and he was less dangerous. He’d fooled me about the person he’d intended to kill-I’d believed it was himself and not Greene-but I’d known he was dangerous and we ought not to risk freeing him in that condition. Although I was angry at the way he’d blamed the whole thing on the drugs and his condition, it would carry weight with a judge. He’d been my patient and I hadn’t done my duty.

After my ten-minute quarantine was up, Duncan once again peered around the door and ushered me into her room.

“Well,” she said, offering me a tight grimace as she stood and looked at me, “this is a mess, isn’t it?”

Her expression was a cocktail-one measure of sympathy to three measures of iron determination that if anyone at Episcopal ended up suffering as a result of Greene’s death, it wouldn’t be her.

“It’s very unfortunate. I-”

“I’ve had a call from the insurers,” she said, cutting me off and walking to a window. “They’re expecting a lawsuit, of course. There’s always one of those.”

I tensed for the worst. “Who’s going to sue?”

“The victim’s family. Maybe the Shapiros. Wrongful death, malpractice. There’s a range of possibilities.” She paused briefly. “This has been very upsetting. Nora is my friend and I can only imagine what she’s suffering, but I must put my own feelings aside.”

I didn’t imagine she’d find that too difficult-they would fit comfortably into a small box. Anyway, what about my feelings?I thought. She didn’t seem bothered about them. She strode back and sat opposite me on the sofa.

“You’ll get your own lawyer-our insurer will pay for it. They’re not expecting a civil suit until the criminal case is settled, but you’ll need to be prepared. Have you been through this kind of thing before?”

“Nothing like this.”

A couple of patients had launched halfhearted malpractice suits against me-those were impossible to avoid in New York-but they had not bothered me too much. The cases were weak and the hospital’s lawyer had hardly broken a sweat as he’d swatted them away. They’d mainly been legal therapy for troubled souls.

“There is one question I must ask,” she said. “Did Mr. Shapiro give any indication of homicidal intent? I’ve looked over the notes, but there’s not much there.”

That could have been a neutral observation, but she managed to make it sound like an allegation of professional misconduct.

“I admitted him because I believed he was a danger to self,” I said carefully. “That was why Mrs. Shapiro brought him to the hospital, as you know. There were no indications that he was a danger to others.”

“That’s good. I’m sorry to ask, but I must be clear. There are some aspects of the case that I don’t feel fully informed about.” She reached forward to brush a piece of fluff from her skirt. “Nonetheless, I want you to know we’re right behind you. You’ve got our full support.”

I didn’t like the turn the conversation was taking. What was this about me needing to be prepared and Episcopal being behind me? Surely it should be right beside me, or out in front, given her involvement. I decided I couldn’t simply sit there passively and allow her to evade responsibility.

“I hope this case won’t affect the hospital too much. You mentioned that Mrs. Shapiro was considering making a large donation to the hospital. To build the new cancer wing, you said.”

My reminder of how she had pushed me into obeying Harry made her blink a couple of times, like a computer pausing to absorb data. She regarded me impassively, as if from a long distance.