When James outlined the plot for his film Vanguard, I had images in my mind of nefarious surgery carried out in a poorly lit operating theater. I wanted to create a simple motif that keeps coming back and hard to get out of my head. If I can’t get it out of my head, chances are other people would struggle too, so using extended techniques for the violin, I came out with the four notes you can hear, the high pitched notes, on the video below.