The hospital rolls him into a private room and shuts the door as soon as Hotch is inside. "Do you want him here or do you want him to leave?" The nurse asks him. He looks down and the nurse tells Hotch to step outside. Spencer looks up and tries to grab for him. Why didn't they understand what he was trying to say?

Hotch looks back at the nurse and she nods that he may stay. Spencer holds onto Hotch's hand. "I need to see your body to make my report. Are you sure you wouldn't rather have a female office here?" Spencer keeps eye contact with Hotch.

The nurse starts with his lips. She undoes the piercings and drops them into a small plastic pan on her tray. "Can you open your mouth?" She asks. Spencer opens slowly and she inspects his mouth. "The wounds are already healed. It looks like her lips were sewn with thread before being secured with these. Her teeth are very healthy."

Hotch squeezes the small hand. "I'm going to remove your clothes so that I can document your injuries. Are you sure you want him here?" The nurse asks. Spencer looks at her and then back at him. "Can you nod for yes?" Hotch asks and examples. "Or shake your head for no?" Spencer sends a quick nod and then looks back into Hotch's eyes.

The strap on Spencer's arm comes off and his dress is unzipped and pulled away. The nurse and Hotch are both surprised at what they find under. More than the ribs and the absence of any fat, they had been expecting to find an emaciated woman's body.

The young victim is a male. "Oh my, well that is unexpected," the nurse murmurs. "Do you want a male nurse, or do you want me to stay?" She asks. Spencer looks at her and nods. "Me?" She asks. Spencer nods again.

The stockings come off next and then the panties. She covers his genitals in a gown while she looks over his chest and back. "He was using a feeding tube to feed him, but he wasn't being fed enough," the nurse says. "Can you tell me your name?" The nurse asks. Spencer just stares. Hotch offers a notebook and a pen. "Can you write it out?" He asks gently. Spencer takes the pen in his shaking right hand.

He spells out "Spencer Reid." Hotch sends a text while the nurse looks over his port. "Did you have a feeding tube before…?" She asks carefully. He shakes his head. "How old are you?" She asks. He looks down. He has no idea. "When is your birthday?" Hotch asks. Spencer writes out 10/09/1991. Hotch sends another text.

"He's twenty-three. My team is looking for his information right now." Spencer looks back at the nurse. He pulls the gown up and frowns slightly. "I need to run a rape kit. Are you comfortable with that?" She asks. Spencer nods quickly again but squeezes Hotch's hand. Hotch leans closer to him.

"You're alright Spencer. You're going to be okay. We're going to find out what happened to you and we're going to make sure you get home safe. I know you've been through a lot and you've been very helpful. It's alright," he says. Spencer feels tears in his eyes and he closes them shut.

He can feel the nurse touching him and it's uncomfortable. "There is tearing that suggests he's been raped often. There are some major tears suggesting there was some violence recently. Nothing he won't recover from quickly." The nurse says. She covers him back up and sighs. "Can you stand? I need to weigh and measure you sweetheart."

Spencer nods and gets up on shaking legs. "I can already tell that he's underweight. We will have to see if his body will ever be able to handle real food again," she says. He leans on Hotch and they make their way to the scales.

"He's 6'1 and 119 pounds. That is seriously underweight. He should be around 160 pounds." Hotch frowns at the young man. His phone goes off and he looks down at it. "They're faxing his records over right now." They walk Spencer back to the hospital room and help him lie down.

"According to the records you were missing a little over a year ago. Your professor reported it. Do you have a family we can call?" Hotch asks. Spencer shakes his head. A doctor comes in and frowns at the boy.

"Hello Spencer. I'm Dr. Kittos. I'm going to be your attending. Is it alright if I sit down with you?" Spencer nods. "Can you speak, Spencer?" He asks, taking a seat. Spencer shrugs. "Can you try for me son?" Spencer shakes his head.

"Thanks alright, that's alright," the doctor says. "He's been able to write out answers for us," Hotch says. The doctor smiles. "I am Supervisory Special Agent Aaron Hotchner from the BAU," Hotch says. The doctor shakes his hand.

"Has his family been contacted?" The doctor asks. "There isn't a family. It was a professor that called him in as missing." The doctor frowns. "He'll need to be put in a nursing home, then. He won't be able to live alone, maybe not for the rest of his life."

Spencer just continues to stare at the bed. "We'll see how it goes." Hotch responds. Could they really call this case complete if they didn't know the fate of this young man? There's a knock on the door and a nurse opens it. "There another agent out here asking if he can come in. SSA Derek Morgan," she says.

Hotch looks at the doctor who in turn nods. Derek comes in and sits next to the bed. "Morgan, this is Spencer Reid," Hotch says. Morgan nods. "Garcia told me,' he says before looking at Spencer. "How're you doing?"

Spencer looks away quickly. "Hey now, I'm a friend. I won't hurt you. You're not in any trouble. We're here to help you," Morgan says softly. "Can he have food?" He asks the doctor. "We're not sure. He's hooked up to a feeding tube now. We'll be able to test that when we have him more stabilized."

Morgan runs a hand through his hair. "I'm so sorry we didn't find you sooner, Spencer. I'm sorry you went through that." Spencer shrugs and looks at Hotch. "We'll leave you to rest now. We'll come back in the morning, alright?" Hotch says. Spencer nods and they make sure he's comfortable before leaving.

"He doesn't have anywhere to go and the doctor says he can't live alone so they're going to put him in a nursing home. Probably for the rest of his life," Hotch says. Morgan turns around and stops him. "He's twenty-three. You're telling me the rest of his life is over now?"

Hotch doesn't blink. "He'll probably never be able to function alone." Morgan growls. "This is murder. He's still alive but this is murder," Morgan says. Hotch looks down for a moment before returning eye contact. "One of us could take him to Quantico. To stay with them. He's an adult, he'd just have to consent to it."

Morgan looks Hotch over. "He's most comfortable with you. Are you sure you want to do that?" Hotch bites his tongue for a moment before responding. "I don't feel like this case is really over without knowing that he'll be okay."

Morgan smiles at Hotch. "I'm with you all the way bossman. If you need anything, I'm on your side with this. Come on, let's get back. We can come when visiting hours start."