As usual your writing style is crisp and tight. I found myself having to go back a couple times to remember who's who, but other than that is was pretty easy to follow.
As for the storyline, I thought it was deeply disturbing and depressing. But with a title like "The Screams", what should I have expected? A box of puppies? I suppose not.
All in all, I liked the story until the end. It kinda fell flat, IMO -- ended on a sour note. I know you were going for an emotional punch, but it just didn't do it for me.
I think you could rework the last lines and come up with something a bit more profound, maybe even uplifting.
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