"ICU" by Edward Lee (first published in 999: New Tales of Horror and Suspense, edited by Al Sarrantonio, 1999; reprinted in The Best American Mystery Stories 2000, edited by Donald E. Westlake [Otto Penzler, series editor], 2000; and in Lee's collection Carnal Surgery, 2011)
A disturbingly dark and uncomfortable story, not for the faint of heart...
"It chased him; it was huge. But what was it? He sensed its immensity gaining on him, pursuing him through unlit warrens, around corners of smothered flesh, and down alleys of ichor and blood...
"Holy Mother of God.
"When Paone fully awoke, his mind felt wiped out. Dull pain and confinement crushed him, or was it paralysis? Warped images, voices, smears of light and color all massed in his head. Francis 'Frankie' Paone shuddered in the terror of the nameless thing that chased him through the ra.bbets and fissures of his own subconscious mind.
"Yes, he was awake now, but the chase led on:
"Storming figures, Concussion. Blood squirting onto dirty white walls."
The room Paone was in was a blur; somewhere he had lost his glasses and now couldn't see three feet past his face. There were metal poles with blurred blobs, a line descended to his right arm. IV bags. The smell of antiseptics and isopropyl alcohol...he was in a hospital. He tried to move, but could not. He was restrained. He looked at his left arm; there should have been a hand there, but it was not. On his right leg there as a stump just below the knee.
A figure approached. A nurse, cold and clinical. She checked his charts, called him by his name. Slowly, he began to remember what had happened.
Paone was a mob middleman, working for Vinchetti, the largest dealer of illegal films on the East Coast, especially of child pornography. Paone would pick up the masters from the creeps who would film the stuff, and deliver them to Vinchetti, who would dupe hundreds of copies and then sell them worldwide through his illicit contacts. Paone would closely examine the masters before turning them over, ensuring that the quality of the films were high. He was not concerned about the morality of his work; money was money and the customers would receive the films one way or the other. It was a sweet gig; Vinchetti's only competition in the illegal refused to be involved in kiddy porn, although he dealt heavily into snuff films, necro, beastiality, and S and M, leaving the entire kp market for Vinchetti alone. Two years earlier, Paone had served sixty-two month on distribution of child pornography charges.
Paone had been on a pickup: five master from a real lowlife named Rotz and two grand a master. While Paone was inspecting the goods for quality, Rodz was scanning the money for any trace of chemicals added to the bills that would mark them for the feds. All ,looked well when the door burst open and the police burst in. Rodz was killed instantly in the firefight. Paone managed to kill two state police officers and a Justice Department agent before bullets left his hand and leg in shreds.
Now Paone was in a hospital, an ICU. He was alive and this state had no death penalty. Life inn prison held no fear for him. As a cop killer, he would be elevated to the elite among the population and need not worry for his life. He was looking forward to the best result of a bad situation.
Then the nurse turned on the radio. The news had a story about the raid and the death of three law enforcement personnel and of Rodz. The story concluded with the note that Paone had somehow managed to escape and was the subject of a statewide manhunt. Escaped?
Paone's nightmare was just beginning...
As I said, the story is both dark and uncomfortable. A surprising addition to Penzler's annual Best of the Year anthologies. Author Edward Lee stated that he wanted to probe deeply into the psyche of a sophisticated modern sociopath, and to do so, he did "quite a bit of research involving the technical mechanics of child pornography, its statistics, its distribution, etc." Better him than me.
"Edward Lee" (Lee Edward Seymour, b. 1957) is an extreme horror writer whose works include more than 40 books, many of them small press-limited edition hardcovers that have become collector's items; many others were released as mass-market paperback originals. Among his works are Ghouls, Dahmer's Not Dead (with Elizabeth Steffen), and Goon (with John Palen ). His short story "Mr. Torso" (from Hot Blood: Deadly After Dark, edited by Jeff Gelb and Michael Garrett, 1994) was nominated for a Bram Stoker Award, and he has received the J. F. Gonzales Lifetime Achievement Award from KillerCon. Two of his stories have been filmed as movies. For those who are into extreme horror, Edward Lee is essential reading.