Ichibod will have to go into the room, and will find that his arrow is destroyed.

Speckled stiffens for a second and then looks to Natalya. "And whom are you referring to when you say .... 'Spot?'"

This 20-foot-square domed chamber contains a jury-rigged pair of low operating tables, complete with leather straps at both ends to hold the patients down. The surgical tools are filthy, but with Ichibod recognizes it as a good set if cleaned up. Bessel appraises the set at 200 gp. After a good search, it seems the room holds nothing else of interest or value.

As you work your way clockwise outside, the next thing you get to is the balcony you climbed up to get here. After that is an easily detectable secret door. No traps. No locks. Opened up, there is a roughly 10' x 30' (with 20' to the side) landing after which there is a wide spiraling stone staircase.

"Perhaps we should hold off going down yet and check for prisoners here? So far, everything has been pretty well apportioned by sub-level." Speckled asks.