If you're looking for a novel where the protagonist is a doctor in the witness protection plan because he was once a hit-man for the mob, and he desperately needs to fashion a weapon for an impending knife fight, so, with an exposed piece of metal in a locked freezer, he cuts open his own calf, then reaches through the tendons and muscle until he locates his fibula, and then snaps it off so he can use it as a makeshift blade, then Josh Bazell's Beat the Reaper is the book for you.
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