 Upon reviewing the tapes of the operation , Mulder decides to check what type of medication Lloyd was taking . Meanwhile , the staff at Lloyd 's clinic are shocked when another plastic surgeon , Dr. Ilaqua ( Paul Raskin ) , murders a patient under unusual circumstances . Scully interviews Ilaqua , who claims to not be able to remember anything from what happened . Scully deduces that both Ilaqua and Lloyd were taking the same medicine . Mulder 's belief in the cause for the unexplained phenomena strengthens when he reviews the tape of the second murder , observing a pentagram @-@ like pattern on the stomach of the victim . 
