A Freezer Full of Labels

David Thompson, 63
16 reviews on RNKD · 12 min read
SPOILERS This review discusses the whole book, including how it ends.
Right, before I start, a spoiler warning, because this review needs one. I am going to tell you who killed the people in Bits and Pieces, and partly why. If you want to meet the killer in the book, go and read it first, then come back. I will wait.
Now, the moment I knew this book had me. It is about a third of the way in. The two FBI agents have followed a trail to a closed restaurant where a woman was strapped to a bar and relieved of her liver. They open a freezer at the back and find the earlier work of the person they are hunting. Vacuum-sealed bags, neatly stacked and labelled: right kidney, right lung, pancreas. I had been reading with one eye on the page count, telling myself I would give this romantic suspense novel a fair crack. At that point, I sat up. A person who keeps the pieces organised like that is not a plot convenience. That is a mind. And this book had just stopped pretending to be anything soft.
Bits and Pieces is classified as romantic suspense, but it does not hide the horror. The setup is a decent one. Special Agent January Reese is called to a bar in Seattle where a woman named Taila Gould has been strapped down and killed by someone with surgical skill, specifically to remove her liver. The victim had received a liver transplant two years earlier. Also on the scene is Special Agent Lincoln Dunn, January's former partner and former lover, who left her without a word and is now on probation with the BAU. He needs this case to save his career. She needs him gone. They are, of course, forced to work together. I have read this setup many times before, and I was ready to be done with it. The early chapters did not change my mind. The prose is the sort that tells you exactly how every character feels, in case you missed it. When January sees Lincoln, we are told her jaw aches and every cell in her body catches fire. He notices her metallic gold nail polish and watches her calf muscles flex. There is a moment when he says, 'You noticed my eyelashes?' which some readers will find charming. I found it alarming. I was not sure I could spend three hundred pages with two people who would not stop broadcasting their feelings. I should also say that the title, Bits and Pieces, is better than the cover. The cover appears to promise something softer, which is a disservice to the book. The title, though, is accurate. It is about organs, but it is also about people trying to make themselves whole from damaged parts. The book does not labour this, which I appreciated.
What kept me going, at first, was the detail. Dr. Moss, the medical examiner, does not just say that the killer removed a liver. She explains that the liver has two main roads in and two out, that the killer tied them off at two points and cut between them, and that the whole procedure would have taken up to four hours. She points out the retractor left behind, the lack of monitoring equipment, the absence of any attempt to keep the victim alive. She even notes that livers can regrow, which is why living donors can part with a portion. That information becomes important later, and it is typical of the book that it is introduced as a fact before it is used as a plot point. This is the kind of specific, working information that earns a thriller its authority. It is the difference between a story that waves its hands and a story that builds its case out of constraints. I spent a working life reading specifications and drawings, and I respect a book that understands how a professional mind works. That respect is what got me through the bits where I wanted to roll my eyes.
The book then sends its investigators around the obvious suspects with a certain grim efficiency. Thomas Hudson, a dying father whose daughters need him, had a grudge against the surgeon who passed him over for the liver. Theo Stafford, the transplant coordinator, was secretly living with the victim and had access to her medical records. Dr. Harding Weaver, a cryonics executive, was in love with the donor whose organs were scattered across the city. Each of them has a real reason to look guilty, and the book is fair about the evidence. It does not cheat by making them stupid. It lets them explain themselves, and it lets the detectives find out whether the explanations hold. This is the routine work of a police procedural, and the book does it well enough that I stopped noticing the construction and started just following the case. The interrogation scenes are particularly good. The detectives lay out facts and wait, which is how real interviewing is supposed to work, and the book lets suspects talk long enough to hang themselves or exonerate themselves. You cannot review a book like this without mentioning the relationship at its centre. January and Lincoln were partners for two years, Lincoln left her overnight for a job in Virginia, and January has spent the year since rebuilding the house they bought together and trying to adopt a child alone. Lincoln, we learn, is the sort of man who needs to succeed because he is afraid of being nothing. The book gives him a childhood in which his mother left him, which is meant to explain this, but it does not pretend that a bad childhood justifies years of running away. He is not a villain. He is a person who makes the same mistake again and again, and January finally loses patience. There is a scene outside a house after a raid, when she tells him, in front of other officers, that he has chosen his career over her twice, that a man may now be dying because of it, and that she is done. It is the most honest scene in the book. I believed every word of it.
The second murder is where the book raises its game. A fashion designer called Aleena Bing is found in a closed restaurant, heart removed, and the freezer is full of preserved organs from earlier kills. The killer has been collecting pieces of the same donor for a reason the investigators cannot yet see. This is the scene I mentioned in my first paragraph, and it changed my reading completely. The labels gave me a chill for a particular reason. In my line of work, you learn that the people who keep good records are rarely the people who act on impulse. The labels tell you this killer plans, and a planner is much harder to catch. The killer does not take souvenirs from the victims; she takes entire organs, which is a far more chilling way of saying the same thing. The scene is disgusting, yes, and deliberately so, but it is also the moment the book stops being a whodunit and becomes something else. It becomes a story about a collection. Someone is trying to complete a set. When the detectives find a list of other recipients and realise one of them, Shawn Higgins, has already disappeared, the tension becomes properly unpleasant. The victims are not random. They are people walking around with another person's organs inside them, and the killer knows who they are. That is a very good thriller premise, and this book does not waste it.
One thing the book does quietly well is its use of the organ transplant system. Taila Gould was a pharmacist who became addicted to opioids, destroyed her own liver, received a transplant, and then relapsed because she could not bear the cost of the anti-rejection drugs and the guilt of what she had done. The surgeon tells the agents that recipients have to prove they can make their payments before surgery, and that if a patient deliberately destroys a donated organ, they are taken off the list for another one. These are real facts, sketched quickly, but they give the horror a social context. The killer is not just a madwoman. She is someone who has watched a scarce resource, a gift, be neglected and wasted. I found myself thinking about the way we allocate things that matter, and how often the person who keeps the records gets to decide who counts as deserving. That is a familiar idea to anyone who has spent decades in public infrastructure, and this book treats it with more seriousness than I expected. I am sure a transplant nurse would find things to object to, but for a lay reader the level of medical detail is convincing, and it is never used as padding. Every fact earns its place.
Now I have to talk about the reveal, which is why this review comes with a warning. The killer is Dr. Karen Sullivan, the transplant surgeon who transplanted the organs into the victims in the first place. Her motive is a terrible one. She was in love with the donor, Wyatt Baker, and he was unfaithful to her. He died in an accident, and his organs went to other people. She has been methodically reclaiming them, killing the recipients and taking back what she considers hers, so that she can put his body back together. We finally see her at work in a cosmetic surgery suite, with an embalmed body on one table and her latest victim fading on another, and she talks about her dead lover in the present tense. It is melodramatic. If you wrote the outline on the back of an envelope, it would read like a bad film. But the book commits to it completely, and that commitment is what makes it work. Grief and greed are not always easy to tell apart, and this killer has convinced herself that she is a lover rather than a murderer. She is not doing this to hurt people. She is doing it to hold onto the only person who ever made her feel whole. The horror is not that she is insane. It is that, in her own terms, she is being faithful.
The action scenes are handled well. The book does not pretend that a small woman with a shoulder injury can overpower a surgeon in a straight fight. It gives January a chance to use her head, and it gives Lincoln an opportunity to arrive when it matters. There is a sequence where Lincoln is locked in a freezer and has to work his way out with a broken handle and a pair of batteries, which is the most engineering-minded escape I have seen in a thriller in a long time. I do not know whether it would work in practice, but it felt right, and I was rooting for him. There is also a scene where January faces the killer alone, with backup nowhere close, and I will not pretend I was not tense.
I said the book is a romantic suspense, but the romance that matters most is between the killer and a dead man. The living romance between January and Lincoln is the weaker story. Lincoln is the familiar type: a man who believes that if he stops working, he will stop existing. He is on probation, he needs this case, and he is afraid that success is the only thing that makes him real. January sees through him and says so. She tells him he is enough, which is a good thing for someone to hear, but I have known men like Lincoln, and I am not sure the book needs to moralise about him. It is enough that he is in trouble and she is not. The love scene we are given, in which they fall back into bed after nearly being killed, is probably exactly what the genre promises, and I am not the one to criticise it, but I confess I had a practical thought about the shower and the torn rotator cuff. What did surprise me was the adoption thread. January has been trying to adopt a child for some time, and the book makes room for it even while she is being hunted by a serial killer. This is not a subplot that you usually get in a thriller, and it works. It gives her a reason to be careful as well as brave, and it gives Lincoln something to lose beyond his professional pride. By the end, they have adopted a three-year-old girl named Hazel, and the final scenes show them carrying her around a federal task force meeting. I would not have believed it if you had told me, and it makes the ending better. After two hundred pages of people being cut open in the name of love, a child asleep on a shoulder is a relief. Whether it is a realistic insertion into a violent thriller is another question, but the book earns it because it treats the adoption as a matter of substance, not a token.
The supporting cast is efficient. Dr. Moss, the medical examiner, appears through the story and behaves like a real professional. Detective Nichols is the kind of local cop who does not want feds in his case but will not lie to them. January's sister Blair, the sheriff, is given just enough presence to matter, and the book sets up her partner Colson for a future instalment. None of this is done heavily. The author knows how to keep a series moving without making every book a cliffhanger. The construction is, to use a word I trust, sound. Chapters are short and each one ends with a pull. The red herrings all have reasons to exist. The book does not forget its own rules, and when the solution turns out to depend on surgical skill, access to records, and a motive buried in a relationship, those elements have all been placed in front of us. You can go back and find them. That is the mark of a properly assembled plot.
If I have criticisms, they are the standard ones for this kind of book. The prose is sometimes overwrought. The emotional states are announced rather than implied, and the characters are given to speeches that are a little too tidy. The killer explains her own motive at length, which is a courtesy real people rarely extend. Some of the violence is gratuitous, though the book does not wallow the way a horror novel would. And there are moments when you have to accept that two federal agents, one of them wounded, would keep going instead of stopping to recover. But these are the conventions of the form. You do not pick up a book called Bits and Pieces and complain that it is not a quiet psychological study. You pick it up because you want to be grabbed, and it grabs you.
So: do I recommend it? Yes, I do, with the warning already given. You will have to accept the genre's habits, and some of the romantic scenes will make you wince if you are anything like me. But the thriller engine is genuinely good, and the central idea is stronger than it needed to be. The book is about possession, about the difference between loving someone and owning them, and it is not afraid to show you where that logic ends. It may not be Literature with a capital L, but it has a spine of genuine craft, and it left me wanting to read the next one. I read the last hundred pages in one sitting, which is not something I do as often as I used to. That is the test that matters.








