Gunther grunted in pain, his eyes filled with tears as knee met crotch.  Even with his pills, his world was full of blinding pain.  His hands gripped his scalpel, just a few inches from the madman's chest, and he slid the short blade into his body, penetrating him viciously.  Blood began to pool around the site of the stab wound as Gunther's face remained completely expressionless.  Pain blossomed within him like a mushroom cloud, and his body began to twitch as he hesitated with the scalpel driven up to its hilt inside his patient, his entire body save for his hands shaking with a strange giddy feeling.  He couldn't really understand what he had just done, it was as if some otherworldly force had taken him over.  His eyes looked into Thomas' and he wondered what the other man was thinking.