After Miles hears a voice and climbs into the dumbwaiter to escape his pursuers, he meets Trager. Despite initially sounding like an ally, Trager beats Miles until he is unable to walk, picks him up, and straps him into a wheelchair.
After rolling him down a hallway, Trager taunts Miles by offering him a chance to escape the asylum by walking out the exit door. Miles is unable to do so due to the wheelchair restraints, so Trager pretends that Miles wants to stay, taking him up an elevator and down a few more hallways. Along the way, Miles sees the bodies of other victims who had been captured. They finally arrive at a makeshift operating room; a bathroom covered in gore with a table that has various sharp tools on it. Trager takes the camcorder and sets it down on the sink before washing his hands. He then has a short talk with Miles about Father Martin and his religious viewpoints before taking a large pair of bone shears and cutting off two of Miles' fingers. Trager leaves the room for a short while, giving Miles the chance to escape.