ell ▁has ▁novel ised ▁most ▁of ▁the ▁recent ▁events ▁with ▁herself ▁and ▁G lass ▁as ▁characters . ▁A ▁character ▁based ▁on ▁G lass ' s ▁female ▁colle ague , ▁Dr . ▁Mil ena ▁Gard osh , ▁is ▁dep icted ▁as ▁the ▁next ▁murder ▁victim ▁in ▁the ▁novel . ▁ ▁G lass ▁runs ▁to ▁Dr . ▁Gard osh ' s ▁a partment ▁to ▁warn ▁her , ▁finding ▁Tr am ell ▁already ▁there . ▁Gard osh ▁inform s ▁him ▁that ▁he ▁is ▁no ▁longer ▁in ▁charge ▁of ▁Tr am ell ' s ▁ther apy ▁and ▁that ▁his ▁license ▁will ▁be ▁rev oked . ▁G lass ▁and ▁Gard osh ▁struggle , ▁and ▁she ▁is ▁knock ed ▁un cons cious . ▁Tr am ell ▁then ▁threat ens ▁G lass ▁with ▁a ▁gun ▁she ▁car ries , ▁but ▁G lass ▁takes ▁it ▁away ▁from ▁her . ▁When ▁Det ect ive ▁Super int endent ▁ ▁W ash burn ▁arriv es ▁at ▁the ▁scene , ▁Tr am ell ▁manip ul ates ▁Dr . ▁G lass ▁into ▁shooting ▁him . ▁ ▁In ▁the ▁final ▁scene , ▁Tr am ell ▁pays ▁a ▁visit ▁to ▁Dr . ▁G lass ▁now ▁at ▁a ▁local ▁mental ▁hospital ▁where ▁he ▁has ▁been ▁institution al ised , ▁and ▁he ▁lear ns ▁from ▁her ▁that ▁the ▁novel ▁has ▁become ▁a ▁best - s eller . ▁Tr am ell ▁claims ▁that ▁she ▁manip ulated ▁G lass ▁into ▁comm itting ▁all ▁those ▁mur ders , ▁and ▁flash back s ▁are ▁shown ▁of ▁G lass ▁comm itting ▁the ▁mur ders .