“Goddamn it, she’s coming to.”

A washrag covered her face and she thought she would smother.

She came around, thinking of the little girl lost in the slide, and the first thing her eyes locked upon was a small man sitting at her bedside in a rocking chair and snoring, the wiry black hairs of his unkempt beard trembling with each exhalation.

She lay in a twin bed with a wrought-iron frame, positioned between two windows in a bare-bones room—hardwood floor and floral-patterned wallpaper adorned with three awful paintings.

The air held a red tint, and her eyes burned.

She felt feverish, her throat raw from the ether.

On the floor beside the rocking chair lay a Kelly pad and a washtub full of crimson water, out of which poked the handles of two knives and a bone saw.

She tugged at the cover and it slipped up her legs, her feet itching despite the fact that they weren’t where they should be.

She glanced at the washtub, back at the bandaged, leaking stubs below her knees.

Her throat made a birdlike sound, and her eyes shone with tears.

A door opened and shut.

She wiped her eyes, glimpsed a tall, smooth-shaven man, his brown hair pushed high off his forehead in wavy, gravity-defying tangles.

He knelt down to inspect the bandages.

“I know this must be a shock for you,” he said, glancing up. Lana felt a surge of modesty, realizing she wore only underpinnings. “You were found outside tonight by that gentleman”—he motioned to the small man still sleeping in the rocker—“unconscious in the snow. You’re in room two oh three, on the second floor of the Grand Imperial Hotel in Silverton, Colorado.”

He stood up, his white dress shirt specked with blood, forearms stained.

“I’m Dr. Julius Primack, by the way.”

Lana’s lower lip quivered. Last thing she recalled was emerging snow-blind from a stand of aspen into a valley, seeing buildings in the distance, smelling wood smoke.

“You know that man?”

She shook her head.

“He saved your life, covered your medical expenses thus far. You have any money?”

She nodded.

“Reason I ask is because there’s more work to be done. Your right arm’s fine, but I need to take that left one off below the elbow.”

She shook her head, began to cry.

“Mortification has occurred. You smell that? It’s already begun to rot. I don’t know how it froze so hard, but it did. I charge fifty dollars to amputate an appendage, and if you choose not to make this gentleman pay for the legs, we’re talking a hundred and fifty dollars total. Can you cover that?”

Lana glanced down at her arms, her right a vital pink, her left the blackish purple of a ripe plum.

“Can you pay?”

She nodded.

“You haven’t said a word. What are you, mute?”

Lana opened her mouth wide.

As the doctor leaned in, she saw that his face had been horribly scarred from some long-ago bout of smallpox. He smelled of stale cigar smoke.

“Maybe you aren’t a whore after all. Where the hell’s your tongue?”

Lana lifted her right arm, held her thumb, fore, and middle fingers together.

“You can write?”

She nodded.

He placed his ear to her chest for a moment, then sat up, flattened his palm against her forehead.

“Time is not on our side. That arm isn’t off by daybreak, the infection’ll hit your bloodstream. Then it won’t matter what I cut off.”

Dr. Primack walked over to a dresser and returned to the bed, where he eased down beside Lana and opened his satchel—a black pebbled-leather handcase lined with chamois and brimming with scalpels, a stethoscope, pessaries, a catheter, forceps, a splint, and various bottles containing tonics, bitters, and tinctures.

As he withdrew a brown leather-bound journal, the man who’d been snoozing in the rocker rubbed his eyes and sat up.

“How she doin, Doc?”

Dr. Primack shook his head and pulled a bottle out of the handcase, unscrewed the cap.

“Laudanum,” he said. “It’ll dull the edge on the pain.”

Lana swallowed two mouthfuls, and then the doctor placed a Waterman fountain pen between the fingers of her right hand and opened the journal in her lap to a blank page.

“What’s your name?”

She wrote: Lana Hartman.

“You live in Silver—”

She stopped him with a raised hand, wrote: From Abandon. Preacher locked town in mine. Everyone dying.

He stared hard into her eyes, as if attempting to discern whether the claim was valid or just the raving of a madwoman.

“You stretching the blanket for me?”

She scrawled: I’m not crazy.

The doctor sighed.

“Why’d he do it?”

She shrugged, wrote: Went crazy. Locked gold in, too.

He whispered, “How much?”

Whole string of burros to carry it.

Dr. Primack stood up, said, “Excuse me, Miss Hartman,” and turned to the man in the rocker.

“Milton, could I speak with you in private?”

Lana craned her neck to peek out one of the windows beside her bed. The darkness was riddled and blurred with flecks of light like some syphilitic rash upon the town, the nefarious amusement of Blair Street and its salas and silver exchanges unrestrained even at this hour—pianos, dogs barking, aggressive laughter, breaking glass.

I’m not supposed to die in this town. Please God, she prayed.

The door opened and the doctor walked in, alone.

He came and sat down on the bed and repositioned the pen between her fingers.

“How long have they been locked in?”

She wrote: Since Christmas night.

“Do they have food? Water?”

She shook her head.

“Where is this mine, exactly?”

She was becoming light-headed, and twice the pen slipped from her grasp and she had to start over, make the words legible. She finally wrote: Above town on west slope, I think. Sorry I feel so poorly. Bring my cape.

Dr. Primack looked annoyed as he rose from the bed and lifted the ruined, sodden garment from the board floor beside the dresser. He brought it over, said, “Why do you want this?”

Lana reached for it, her right hand slipping into the inner pocket, grasping the key.

“What’s that open?”

She wrote: The mine. You have to get them out. There’s children. Get the sheriff. “Of course.” He took it out of her hand, stroked the key’s long stem, its teeth. “I should operate immediately.”

Lana was crying as Dr. Primack handed Milton the cloth, standing poised beside her left arm.

“I’ll have it off in two minutes.”

She stared at the finely serrated blade of the amputation saw dripping red water onto the bed, the collection of knives laid out on the sheets, the bottle of ether, the Kelly pad under her arm, the washtub glistening red under the electric light.

Though she was fading from the big dose of laudanum, her heart still reeled.

“Go ahead, Milton.”

Here came the cloth, sharp bite of ether in the back of her throat, and then she floated in a warm gray sea, flanked by swirling voices.

“Damn, that was fast.”

“Hold the cloth to her mouth.”

“She ain’t awake.”

“Do what I tell you or get the fuck out.”

Lana smiled, gleaming with morphine, and still in that same bed in that same room in the Grand Imperial, only now it was filled with the natural light of morning and noise from the street below.

She thought, I’ve survived.

Beautiful Dr. Primack stood at the foot of her bed, speaking with another man—round and gray-bearded, holding a bowler against his thigh, a shiny object catching early sunlight pinned to his black frock coat.

When she tried to lift her right hand to catch their attention, she felt the straps binding both arms to her sides.