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Ten years later, on the day before [[Thanksgiving]], prominent Manhattan private practice child [[Psychiatry|psychiatrist]], Dr. Nathan R. Conrad, is invited by his friend and former colleague, Dr. Louis Sachs, to examine a "disturbed" young lady named Elisabeth Burrows at the state [[sanatorium]].
 
Having been released from prison two weeks earlier, Patrick and the remaining gang members break into an apartment which overlooks Nathan's apartment, where he lives with his wife Aggie and daughter Jessie. Nathan is informed by Patrick that Elisabeth is only pretending to be insane to hide out in the institution from this gang that is searching for the gem. That evening, Patrick kidnaps Jessie as a means of forcing Nathan to acquire a six-digit number from Elisabeth's memory. As Nathan visits Elisabeth, she is reluctant at first, but he gains her trust later{{snd}}especially when he reveals the situation with Jessie. Sachs admits to Nathan that the gang who kidnapped Jessie also kidnapped his girlfriend to force him to acquire the number from Elisabeth. Sachs is then visited by Detective Sandra Cassidy, who reveals to him that his girlfriend has been found dead. Meanwhile, Aggie hears Jessie's voice and realizes the kidnappers reside in the nearby apartment. The kidnappers send one of them to kill Aggie while the others escape with Jessie, but Aggie sets an ambush and kills him.
 
After Nathan takes Elisabeth out of the sanatorium, she remembers certain events regarding the gang. It is revealed that Elisabeth's father was the gang member who double crossed the others and kept the gem. However, other members of the gang later found him and ordered him to reveal where he had hidden the gem, subsequently pushing him in front of a subway train. The gang members were arrested immediately, and Elisabeth escaped with her doll in which the gem was hidden. She also remembers that the required number, 815508, is the number of her father's grave at [[Hart Island (New York)|Hart Island]] and that her doll is placed beside him in the coffin. She explains that she had stowed away on a boat that was taking her father's coffin for burial in Potter's field on Hart Island, where the gravediggers put the doll, named Mischka, inside.