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Crimson Stitches

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A steamy, stalker-lite/protector romance between mafia Don Marco Russo and Elizabeth DiMaria, a trauma surgeon at Bellevue hospital in NYC.

Chapter 9: Blood Oath

The silence after the screams was worse. It was a thick, living thing that pressed against the boathouse windows, absorbing even the lap of the Hudson against the pilings. Elizabeth stood at the sink in the bedroom’s small en suite, the water scalding her hands as she scrubbed. She didn’t know what she was scrubbing away—gunpowder residue, Marco’s blood, the phantom feeling of the pistol’s grip, the memory of that single, perfect shot. The skin on her knuckles was raw and pink.

Marco sat on the edge of the brass bed, his back to her. His shirt was off, discarded on the floor beside his pistol. A long, shallow graze from a bullet or a piece of flying rock sliced across the tanned skin of his right shoulder blade. It wept a slow, persistent trickle of blood that snaked down the defined musculature of his back.

“It needs stitches,” she said, her voice toneless. The surgeon was present, assessing. The woman was locked away somewhere, shocked and still.

“It’s fine. Butterfly tape.” He didn’t turn.

“It’s deep enough to scar poorly. It’ll pull. You’ll lose range of motion.” She reached for the leather medical kit Sal had retrieved from the car. It was well-stocked, military-grade. Another tool.

“Then stitch it.” His words were flat, granting permission for a procedure.

She moved on autopilot. Cleansed the wound with antiseptic, her fingers steady and clinical. He didn’t flinch. The needle driver felt alien in her hand after the weight of the gun. The silk suture was familiar, a thread of normalcy. She began to close the laceration, tiny, precise bites of the needle. The intimacy of it was staggering. Here, in this room where he had just claimed her with a violence born of adrenaline and possession, she was repairing him. The cycle was complete: damage, repair, damage.

“He’s alive,” Marco said abruptly, as if reading the direction of her thoughts.

Elizabeth’s hand paused for a fraction of a second. “I heard.”

“He confirmed the alliance. Vito and Luca. It’s formal. They’re pooling resources, dividing territories. My territory.” He shifted slightly, the muscles under her fingers tensing. “The hit on the safehouse was phase one. This was phase two. They knew the boathouse. They had the schematics.”

“How?” The question was mechanical. She resumed stitching.

“He didn’t know. A drop. A sealed envelope. He’s a shooter, not a strategist.” Marco’s head tilted. “But he did know one thing. They had a timeline. They were motivated to move fast. Luca’s appeal hearing is in three weeks. If he gets out, he leads it himself. If he stays in, the alliance frays. Vito doesn’t have the patience.”

She tied off the suture, clipped the thread. The wound was closed, a neat line of black against his skin. A scar he would wear because of her, for her. “What did you do with him?”

Marco finally turned to look at her. His eyes were dark hollows, the adrenaline crash leaving behind a cold, stark clarity. “Sal took him. He’ll be a message. A loud one.”

Elizabeth placed the needle driver back in the kit. She didn’t ask for details. The screams had painted the broad strokes. “And the other one? In the trees?”

“Gone. Slipped away when Sal advanced. Probably reporting failure right now.” He reached for his shirt, wincing as the fabric brushed the fresh stitches. “Which means they know we’re here. And that we’re alert. The next move won’t be a two-man recon. It’ll be a hammer.”

He stood, pulling the shirt on slowly. He looked at her, really looked, taking in her pallor, the tremor she was suppressing in her fingers. “You saved my life out there. That shot. The covering fire.”

“I created a distraction,” she corrected, unable to accept the grace he was offering.

“You fought.” He stepped closer, into her space. The scent of antiseptic and his own sweat filled her lungs. “You chose a side. Completely.”

“I chose not to watch you die,” she whispered, the words tearing from a place of raw honesty. “I don’t know what that means about what side I’m on.”

He cupped her face, his thumb tracing the line of her cheekbone. The gesture was softer now, but the possession in it was undiminished. “It means you’re mine. And I’m yours. The semantics of sides don’t matter anymore. The geometry does. They are a line pointing at us. We erase the line.”

A heavy knock on the bedroom door made her jump. “Boss?” Sal’s voice, muffled.

“Come.”

Sal entered, his face grim. He glanced at Elizabeth, gave a curt nod of acknowledgement that held no judgment, only a soldier’s respect for a useful ally. He held a damp, mud-stained smartphone in a plastic evidence bag.

“Mateo’s. Pulled it from the riverbank where his buddy probably dropped it scrambling away.” Sal’s jaw was tight. “Leo just cracked the lock remotely. The last received message. Two hours before the attack.”

He didn’t hand it over. He just recited the text, his voice devoid of inflection. “‘The package is at the boathouse. The doctor is with him. Priority is the woman. She’s the key to his weak side.’” Sal’s eyes flicked to Elizabeth. “It was sent from a burner. But Leo tracked the signal pings. Location was midtown. The general vicinity of Bellevue Hospital.”

The floor beneath Elizabeth seemed to tilt. The doctor is with him. Priority is the woman. She was no longer collateral damage. She was a primary target. A strategic objective. And the leak… the leak came from her world. The sterile, ordered world of medicine where she had fixated on biology and ignored motive.

Marco went very still. The air in the room chilled several degrees. “Bellevue.”

“Could be a coincidence,” Sal said, but his tone said he didn’t believe it.

“There are no coincidences,” Marco breathed. His gaze landed on Elizabeth, searing into her. “Who knew you were coming to the safehouse? Who knew you left the city?”

She shook her head, her mind racing through the last frantic days. “No one. I called in sick. I… I told my senior attending, Dr. Chandra, it was a family emergency. That’s all. I didn’t specify.”

“Who else?” Marco pressed, his voice a low blade. “A friend? A nurse? Someone who saw you leave, saw the car?”

“The parking garage attendant,” she said, the memory surfacing through the haze. “Frank. He’s worked there for twenty years. He saw me get into Sal’s car. He made a joke. He said, ‘Big upgrade from the subway, Doc. You eloping?’”

Sal and Marco exchanged a look. It was too specific, too knowing.

“Or,” Elizabeth said, a colder, more professional suspicion rising, “it’s someone who doesn’t need to see me leave. Someone with access to hospital records, security feeds, staff schedules. Someone who knew I’d treated Mateo. Someone who could connect a John Doe gunshot wound from four weeks ago to last night’s attack, and then to me.” She met Marco’s gaze, her green eyes hardening into chips of jade. “The leak isn’t from your world, Marco. It’s from mine. They’ve turned my hospital into their intelligence room.”

The implications unfolded, dark and branching. If they had someone inside Bellevue, they had access to everything. Her schedule, her routines, her colleagues. They could get to her patients. They could manipulate her environment in a thousand subtle, terrifying ways. Her sanctuary was compromised.

Marco’s phone buzzed on the mahogany desk. He scooped it up, listened for a moment. “Understood. Bring it to the secondary location. We’re moving in ten.” He ended the call. “That was Leo. The background on your parking attendant, Frank. Clean. Pension, grandkids, lives in Queens. Not our guy.”

“Which means it’s inside,” Sal concluded. “Shit.”

“We’re leaving,” Marco announced. “Now. Sal, burn the protocols. New route, new vehicles. No patterns.” He turned to Elizabeth. “You’re not going back to that hospital. Not until we peel back every layer and find the infection.”

“I have patients. Surgeries scheduled,” she protested, but the fight was feeble. The thought of walking back into those bright, echoing corridors now felt like walking into a sniper’s sight.

“Your patients are a vulnerability they will exploit. You know they will.” He grabbed her jacket from a chair and held it out. “You’re a target. And you’re the key to me. That makes you the single most valuable piece on the board. We don’t leave valuable pieces in the open.”

She took the jacket, her fingers numb. He was right. The terrible, ruthless logic of his world was inescapable. Her life as Dr. Elizabeth DiMaria was suspended, possibly over.

As they moved toward the door, Sal’s phone chimed. He looked at the screen, his brow furrowing. “Boss. Leo again. He’s running facial recognition on the hospital’s staff database against known associates of Vito Fratelli. Got a weak hit. A nurse in the surgical wing. Alicia Vance. Her brother does low-level collections for one of Vito’s shell companies.”

“Nurse Vance?” Elizabeth echoed, a face coming to mind. Competent, quiet, late forties. She’d assisted in a dozen of Elizabeth’s surgeries. “She’s been there for years.”

“People change. Debts accumulate. Leverage is found,” Marco said, his voice devoid of mercy. “That’s our thread.” He opened the bedroom door, ushering them into the hall. “We pull it, and we see what unravels.”

The boathouse was now a crime scene, a beacon. They moved quickly through the living area, past the shattered glass and the spent shell casings that glittered like malignant confetti. Elizabeth paused, looking back at the kitchen where she’d burned the garlic, where she’d seen the limp on the screen, where her old life had finally, irrevocably cracked.

Marco’s hand found the small of her back, not gentle, but decisive. A guide. A claim.

“Don’t look back,” he said, his breath warm against her ear. “Nothing there belongs to you anymore.”

They stepped out into the damp, grey afternoon. Two black SUVs with tinted windows idled at the end of the private dock, engines purring. The river flowed on, indifferent. As Sal held the door open for her, Elizabeth took one last breath of the air off the water. It tasted of diesel and decay.

She climbed inside. The door shut with a solid, final thud. The locks engaged automatically.

Marco slid in beside her, filling the space with his presence. “The secondary location is secure. We’ll regroup. Then we visit Nurse Vance.” He looked out the window as the SUV pulled away, the boathouse shrinking in the rearview. “Time to see how loyal a woman can be when her brother’s lungs are filling with water.”

The vehicle

“Time to see how loyal a woman can be when her brother’s lungs are filling with water.”

The SUV pulled into a subterranean garage beneath a nondescript office building in Weehawken. The air was cold and smelled of concrete dust and stale oil. Elizabeth felt the shift immediately, from the open threat of the river to this closed, silent tomb. Another car, a dusty grey sedan, was already parked. Leo, Marco’s tech specialist, a wiry man with anxious eyes, leaned against it, holding a tablet.

“Got the address,” Leo said, tapping the screen. “Alicia Vance. She’s on a night shift. Starts at eleven. Her brother, Anthony, bartends at a place called The Harp in Bay Ridge. He’ll be there until two.”

Marco took the tablet, scrolling. “We have three hours. Sal, you and Leo take the brother. Get him somewhere quiet. Be persuasive. I want to know exactly what his sister has been passing along, and to whom.”

Sal nodded, his expression unreadable. “And the nurse?”

“We’ll visit her at home. Before her shift.” Marco’s eyes found Elizabeth. “You’re coming. A familiar face lowers defenses.”

“You want me to interrogate her?” Disbelief sharpened her words.

“I want you to stand there. To be the reminder of what she’s betraying.” He handed the tablet back to Leo. “Let’s move.”

They took a service elevator up to a sterile, furnished safehouse on the twelfth floor. It had the feel of a corporate rental: beige walls, a generic landscape painting, a smell of lemony disinfectant. Elizabeth stood by the floor-to-ceiling window, looking at the Manhattan skyline across the river. Her city. Her hospital was a tiny speck in that glittering maze, a place that now felt like a foreign country.

Marco came up behind her, not touching. His reflection in the glass was a ghost over the skyline. “You understand the necessity.”

“I understand you’re using me as a psychological tool.” Her voice was flat. “You’ve been doing that since the beginning.”

“Yes.” No apology. Just truth. “And you’ve used me. For protection. For a twisted version of safety. We’re mutual instruments, Elizabeth. That’s more honest than most marriages.”

She had no rebuttal. He was right, and the truth of it was a sour taste in her mouth. She turned from the window. “What happens after? When you have your names?”

“Then we remove the problem.” He said it like stating a fact of nature. Erosion. Gravity. Removal.

“And Nurse Vance?”

“That depends on her level of involvement.” He walked to a bag on the table, unzipped it, and pulled out a clean, dark sweater. He tossed it to her. “Change. You look like you’ve been in a war.”

“I have been.” But she took the sweater, its fabric soft and alien against her abraded hands.

Alicia Vance lived in a narrow brick walk-up in Astoria. The predawn silence was profound, broken only by a distant siren. Marco didn’t ring the bell. He worked on the lock with a set of tools that looked surgical in their precision. Elizabeth watched, her surgeon’s mind noting the deliberate, steady pressure of his fingers. The lock clicked with a sound like a bone snapping back into place.

He pushed the door open into a dark, cramped living room. The air smelled of cat litter and microwave popcorn. A faint blue light bled from under a bedroom door.

Marco moved silently, a shadow detaching itself from the deeper dark. Elizabeth followed, her heart hammering a guilty rhythm against her ribs. He didn’t hesitate. He opened the bedroom door.

Alicia Vance was sitting up in bed, the glow of her phone illuminating her wide, terrified face. She’d heard the click. “Who’s there? I’m calling the police—”

“Don’t.” Marco flipped the light switch.

The sudden glare was brutal. Alicia squinted, one hand flying up. She was in flannel pajamas, her hair in a messy bun. She saw Marco first, the imposing stranger in her bedroom, and a choked scream died in her throat. Then her eyes darted to Elizabeth, standing in the doorway.

“D-Dr. DiMaria?” Confusion warred with panic. “What… what’s going on?”

“They know, Alicia.” Marco’s voice was conversational, almost gentle. He picked up a framed photo from her dresser. A picture of her and a smiling man with a weak chin. The brother, Anthony. “They know you’ve been feeding information from the hospital. Patient records. Staff movements.”

“That’s insane, I haven’t—” Her denial was too fast, too thin.

“Anthony tends bar at The Harp,” Marco continued, replacing the photo with a soft tap. “He has a gambling problem. A serious one. The men he owes don’t send polite letters, Alicia. They send pictures of his car on fire. Then pictures of his kneecaps.”

Her face crumpled. The professional mask of the competent nurse dissolved into the raw fear of a sister. She looked desperately at Elizabeth. “They said they just wanted to know if you were okay. After the safehouse thing was on the news. They said they were friends of your family, worried about you. They said you were mixed up with dangerous people.”

Elizabeth felt the words like physical blows. They had used concern, her own perceived vulnerability, as the hook. She stepped into the room. “What did you give them, Alicia?”

Alicia’s shoulders slumped. “Schedules. When you were on shift. Security camera blind spots in the staff parking lot. I… I accessed the record for that John Doe you treated. The one with the back wound. I gave them the chart notes, your surgical notes.”

My surgical notes. The precise diagram of the damage she’d repaired. The roadmap she’d later used to shoot him.

“Who?” Marco asked. The single word hung in the air, heavy as an anvil.

“A man. He called himself Mr. Rossi. I only met him once. He gave me a phone. A burner. Told me to use it, then destroy it. I did, I swear.” She was crying now, silent tears cutting through her foundation. “Is Anthony okay?”

Marco’s own phone buzzed. He listened, his eyes locked on the weeping nurse. “Yeah. Understood.” He ended the call. “Your brother is currently explaining his debt structure to my associates. His well-being is now a direct reflection of your continued cooperation. Do you understand the transaction?”

She nodded, a frantic little jerk of her head.

“Good. You will go to your shift tonight. You will act normally. You will tell Mr. Rossi, if he contacts you, that Dr. DiMaria has not returned. That there is no news. You will say the police asked routine questions but have nothing. Can you do that?”

“Yes. Yes, anything.”

“If you warn him, if you deviate, the next conversation about Anthony’s debts will involve calculating how much organ donors pay for a healthy liver.” He said it without heat. A simple clause in a contract.

He turned and walked out, leaving Elizabeth alone with the shattered woman. For a second, their eyes met—the doctor and the nurse, the betrayed and the betrayer, both trapped in webs not entirely of their own making. Elizabeth had nothing to give her. No absolution, no comfort. She turned and followed Marco out into the grey dawn.

Back in the car, he didn’t speak immediately. He watched the sleeping city slide by. “Rossi is a middleman. A messenger. This doesn’t lead straight to Vito or Luca. It’s a dead end.”

“So it was for nothing?” The words tasted of ash.

“No. We’ve plugged the leak. And we’ve confirmed the method. They’re not just brute force. They’re using intelligence, manipulation. They’re trying to get inside my head through you.” He finally looked at her. “That means they see you exactly as I do. As a critical pressure point.”

The safehouse felt even more oppressive upon return. Leo was gone. Sal was back, washing his hands in the kitchen sink with methodical thoroughness. He didn’t offer a report. He didn’t need to.

“We need to change the calculus,” Marco said, stripping off his jacket. “We’re reacting. Defending. We need to make them react.”

Elizabeth sank onto the stiff sofa. “How?”

“They want to use you as a weapon against me.” A slow, cold smile touched his lips, one that didn’t reach his eyes. It was the most frightening expression she’d ever seen him wear. “So we let them.”

Sal turned, hands dripping. “Boss. That’s a high-risk play.”

“Everything is high-risk now.” Marco paced, a caged predator. “We use their own intelligence against them. We feed Alicia Vance a story. A urgent, secret story. That Elizabeth and I are fractured. That the violence, the pressure, it’s too much. That she’s desperate. That she wants out.”

Elizabeth’s blood went cold. “You want to use me as bait.”

“I want you to be the trap,” he corrected. “They’ll think they’re exploiting a weakness. They’ll reach for you. And when they do, we will have them. Not their messengers. The ones who give the orders.”

The audacity of it stole her breath. It was a grotesque mirror of their entire relationship—a performance wrapped around a lethal core. “And how do we sell it?”

“We fight.” He stopped in front of her. “Loudly. Publically. We give them a show. Sal will take you somewhere semi-public tomorrow. A cafe. You’ll look distressed. He’ll look like he’s comforting you, but also keeping you contained. The leak at the hospital will hear about it. The story will spread.”

“And then?”

“And then we wait for them to offer you an escape hatch. And we spring the trap.” He knelt before her, his hands on her knees. His touch was electric, purposeful. “You’ll be protected every second. But you have to sell it, Elizabeth. You have to make them believe you’re breaking. Can you do that?”

She saw the whole, dangerous architecture of the plan. It was a betrayal of a betrayal, a lie nested inside a lie. It was also the first proactive move, a chance to stop running. To use the weapon they thought she was. She thought of Mateo’s limp, of the burnt garlic, of Alicia Vance’s terrified tears.

She placed her hands over his. Her surgeon’s hands, steady.

“Tell me what to do.”

The cafe was in a trendy, glass-filled corridor of the Newport mall in Jersey City. Exposed pipes, the shriek of steaming milk, students on laptops. Elizabeth sat at a small table by the window, a cold cup of tea untouched before her. Sal sat across from her, speaking in a low, urgent monotone, his body language tense. It was a performance, but the tension was real.

“Two o’clock, woman in the red scarf. On her phone too much,” Sal murmured, not moving his lips. “Leo says her signal is pinging off a tower near Vito’s social club. She’s the watcher.”

Elizabeth brought a trembling hand to her forehead, letting her shoulders slump. She stared out at the parking lot, letting her expression go hollow. She wasn’t acting. The exhaustion was a marrow-deep ache. The conflict was real. The fear was a constant companion. She just let it all surface, let it flood her eyes.

“He’s asking too much of you,” Sal said, louder now, playing his part. A concerned friend. “This life… it’s not for you, Doc. Look at you.”

She shook her head, a barely perceptible movement of despair. A single tear tracked through her foundation. It was genuine.

The woman in the red scarf stood, gathered her shopping bags, and left without a glance. The message had been received.

Back in the safehouse, the wait began. It was a silent, stretching tension. Marco was a coiled spring, constantly on his phone, reviewing floor plans of hypothetical locations, studying dossiers. He barely spoke to Elizabeth, maintaining the fiction of a rift even in private. The distance was a physical weight in the room.

Thirty-six hours later, the bait was taken.

Elizabeth’s personal phone, which had been silent for days, buzzed with an unknown number. A text appeared: Dr. DiMaria. We can help you. You are not a prisoner. There is a way out. Are you ready to listen?

She showed it to Marco. He read it, his face a stone mask. “Don’t reply yet. Let them sweat. Let them think you’re scared, deciding.”

An hour later, a second text: A friend is outside. In a blue Prius. If you want to talk, come down alone. Five minutes.

Marco moved to the window, peering through the slats of the blinds. “Prius is there. One driver. Looks clean.” He turned to her. “This is it. You go down. You get in the car. Sal will be three minutes behind you in the grey sedan. I will be in the chase vehicle. We will not lose you. They will take you to a secondary location. That’s where we will take them.”

He handed her a small, flat device. “Tracker. In your shoe. And this.” It was a slender, vicious-looking folding knife. “Just in case.”

The weight of the knife in her hand felt absurd. And necessary. She slipped the tracker into her sneaker, the knife into her jacket pocket.

He grabbed her wrist, his grip fierce. “Do not hesitate. If it goes bad, you run. You fight. You get to Sal. Understood?”

She nodded, her throat too tight for words.

She rode the elevator down alone. The lobby was empty. The blue Prius sat at the curb, its engine running. The rear door opened as she approached.

A man with a kind, forgettable face smiled at her. “Dr. DiMaria? We’re here to help. Get in, please.”

She took a breath, the air tasting of gasoline and impending rain. She slid into the back seat. The door shut with a soft click. The car pulled smoothly into traffic.

She didn’t look back. She watched the safehouse mirror shrink, then disappear. Her heart was a frantic bird in a cage of ribs. The driver didn’t speak. He drove with calm efficiency, merging onto the Turnpike south.

After twenty minutes, they exited into an industrial park, a maze of anonymous warehouses and fenced lots. The Prius pulled into a lot behind a long, low building with a sign reading “Tri-State Polymer Solutions.” The bay door was already rolling open. The car drove straight into the dim, cavernous interior.

The door rattled down behind them, sealing out the daylight.

The driver got out and opened her door. “This way, Doctor.”

She stepped onto the concrete floor. The air was thick with the smell of plastic resin and dust. Across the vast space, a single office with glass walls was illuminated. Inside, she could see two figures.

One was a man in a sharp suit, leaning against a desk. Vito Fratelli. She recognized him from Marco’s dossiers.

The other was a woman in pale blue scrubs. Nurse Alicia Vance, her face pale and streaked with tears, a man in a leather jacket holding her by the arm.

The driver guided Elizabeth toward the office. As she walked, her eyes adjusted. Shadows moved at the edges of the warehouse. Four, maybe five other men. They had been expecting her. But they had also brought Alicia. That was a variable.

Vito smiled as she entered the office. “Dr. DiMaria. Thank you for coming. I see you took our offer of a conversation.” His voice was smooth, avuncular. “And you brought friends. Too many friends, I think.”

He gestured to a monitor on the desk. It showed a live feed from a traffic camera. On it, the grey sedan, Sal’s car, was stopped at a red light two miles back. Blocking it front and rear were two black SUVs. A tactical takedown in the middle of an intersection.

Sal was boxed in.

Marco’s trap had been anticipated.

The man holding Alicia shoved her forward. The nurse stumbled, sobbing. “I’m sorry, Doctor, he made me call, he said they’d kill Anthony, he said they knew about the tracker—”

Vito’s smile widened. He looked directly at Elizabeth, his eyes gleaming with cold triumph.

MARCO'S TRAP SPRINGS.

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