Larissa, I put a new patient in room four for you,” Merry Haines, the Hope County Hospital ER charge nurse, called out. “Okay.” Larissa Brockman finished documenting on her recent discharge and then pushed away from the computer. The hour was well past midnight, but the ER remained incredibly busy on this Memorial Day Friday night. Or rather, Saturday morning. She crossed over to room four but then stopped abruptly in the doorway as she saw the familiar face of her patient. Annie Hinkle, a fifty-year-old woman looking a decade older than she should, was seated on the gurney cradling her right arm against her chest. No. Not again. The tiny hairs lifted on the back of her neck in alarm. This was the second time Annie had been here over the past month. The last time was for a black eye that she swore was not caused by her husband, Kurt’s, fist. What would be her story this time? Larissa took a deep breath and let it out slowly before entering the room. “Hello, Annie.” “Hi.” Annie’s gaze barely met hers before skittering away. “What did you do to your arm?” Larissa asked, keeping her voice gentle as she approached. She had the distinct impression the woman was on the edge and wouldn’t hesitate to flee if cornered. “I fell off the front porch—you know how klutzy I am.” Annie refused to meet her gaze but kept staring down at her arm as if the injury might heal itself if she concentrated hard enough. “I don’t think you’re klutzy at all,” Larissa murmured. “Show me where it hurts.” “Right here,” Annie said, removing her left hand to reveal a darkly mottled bruise encircling her wrist. Larissa felt a little sick looking at the injury, knowing there was no possible way this had happened from a fall. She could clearly envision a man’s large hand squeezing hard enough to cause this. She’d be surprised if there weren’t a few broken bones hidden beneath the horribly discolored skin. “Okay, I’m going to get you a cold pack for that, and I’m sure the doctor will want X-rays, too.” She kept her voice calm with an effort. “Do you need something for pain?” Annie lifted her shoulder in a half-hearted shrug. “Maybe a pain pill would help.