Bad Blood
detectives had examined at the time of his arrest.
    “Is there any other physical evidence to suggest that unconsciousness did not occur immediately after Mrs. Quillian was attacked?”
    “Yes, Ms. Cooper. All the medical hallmarks of manual strangulation are present.”
    “Would you identify those to the jury?”
    Genco pointed to the small, crescent-shaped marks that bordered the larger discolorations. “Can you see these small semicircles?” he asked the jurors, most of whom were nodding. “These abrasions weren’t made by the killer. They were left there by the fingernails of the deceased herself.”
    Brendan Quillian had assumed a posture of faux anguish. His shoulders were slumped and he held his head in one hand, shaking it from time to time as though incredulous that someone could have done these things to his wife.
    A few jurors seemed surprised, until Genco went on with his explanation. “Mrs. Quillian was struggling against her attacker to breathe, fighting for her very life. Like every victim of strangulation whose arms aren’t bound, she tried to free her airway of the hands that were restricting it. She didn’t mean to scratch herself, but each time her assailant increased the pressure on her neck, she fought to claw his hands off her — unsuccessfully despite a number of attempts.
    “This is a very slow and deliberate way to kill someone,” Genco said. His glasses were cockeyed on his nose and he adjusted them again. He looked up. “Strangulation is an especially painful way to die.”
    Howell knew better than to object. The damage had been done with the forensic pathologist’s assertion, and the defense position was simply to distance Brendan Quillian from the murderous act of whatever lone thug had committed the crime. Howell leaned over to stroke his client’s back, to suggest that he needed to be comforted during this graphic description of Amanda’s death.
    I took Genco through each set of fingernail scratches, hoping jurors could imagine the fourth, fifth, and sixth times that Amanda Quillian scratched at the massive pair of hands to gasp for air. I looked for their reactions out of the corner of my eye as the doctor explained the abrasion on the tip of the young woman’s chin, which he said had been injured when she lowered it in the vain effort to protect her fragile neck.
    “Back to the question I asked, Doctor, about whether you can estimate the length of time you believe Mrs. Quillian fought before losing consciousness?”
    “Yes, Ms. Cooper, I can. Were there constant compression of the carotid arteries, for example, one might become unconscious in fifteen or twenty seconds. But that isn’t the case here.”
    Genco repeated the rest of the autopsy findings: the congestion of Amanda’s face, which had become cyanotic — tinged with a blue cast — above the site of the compression; the pinpoint hemorrhaging in the whites of her eyes and densely spread throughout the eyelids themselves; and the fracture of the hyoid bone, a horseshoe-shaped structure at the base of the tongue, crushed by the deadly reapplications of force.
    “I would say that the nature and number of injuries to Mrs. Quillian’s neck and face, as well as those she sustained internally, suggest that the struggle may have lasted for as long as two or three minutes. Perhaps even four,” Genco said, looking up at the clock above the doors at the rear of the courtroom.
    In my closing argument, I would repeat the medical findings and stand silently in the well of the courtroom while the second hand swept slowly around the dial four times, reminding the jurors how very long that time took to elapse. The death throes of Amanda Quillian had been excruciating, and I would make that point at every possible opportunity.
    I would also have the chance, then, to suggest to them our theory that as Brendan Quillian had ordered, the enormous sapphire ring was wrenched off Amanda’s finger, and the area around the still-warm

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