Jade must have learned CPR in the parenting class she was required to take by the Department of Human Services, required by me to complete in order for her to regain custody of Anthony and I am so grateful. So indebted to this woman who was unable to care for her own child for a time. That his suffering has become my salvation. I fall to the ground, barely noticing my knees scraping against the jagged concrete. I reach out and lift Avery’s tiny hand into my own and whisper a prayer for my daughter, who, to me, remains terrifyingly still.
Again I am nudged aside, this time more gently, by two paramedics. “Tell me what happened,” one says, her voice clipped and businesslike. I can’t answer her. I have absolutely no idea what has happened here. I close my eyes and run the events of the morning through my head over and over again. Did I put Avery in the car? I would remember, wouldn’t I? Such a crazy morning. Overslept, showered, got dressed, kissed the kids goodbye, ran back upstairs to get my bag. No, I definitely did not put Avery in the car. It must have been Adam. I rarely take the kids to the sitter in the summer; this is one of Adam’s tasks because he doesn’t teach during the summer months and typically spends his days at home with the kids. If he has baseball practice or another commitment he takes the kids over to the babysitter’s house. But still, how could I miss her sitting right behind me in her car seat? She is under a year old—we still have her in a rear-facing car seat, making it harder to see her and know she was behind me, I rationalize. Little consolation. I realize I’ve hesitated too long.
The paramedic looks to Jade, who quickly explains. “The little girl was in the van. Old John, there—” she nods at the wizened man watching them “—broke the window and they pulled her out.” The entirety of what has happened seems to settle on Jade and her voice quivers with emotion. “She stopped breathing for a minute, but I did CPR.”
“Heatstroke?” the female paramedic asks aloud, then turns to me. “Are you the girl’s mother?” I nod dumbly. “How long was she in the van, ma’am?” I try to shake the confusion and disbelief from my head. I check my watch, the one that Adam and the kids presented to me last Christmas. The watch band, custom-made with each child’s name spelled out in in tiny, delicate silver beads, hangs loosely on my wrist.
“See,” Adam had said when he placed it around my wrist and lightly kissed the palm of my hand, “there’s room to add more names.”
“Ma’am,” I hear again, this time more incessantly. “How long was she in the car?”
“Forty, forty-five minutes, I think,” I say, the words sounding rough and jagged, as if they lost the fight to stay unsaid. Forty-five minutes where no one was watching over my daughter. Forty-five interminable minutes where she sat, ensnared within a rear-facing car seat, unseen and unable to free herself, while the temperature around her climbed.
“Temperature is one hundred and five point six,” an EMT says, and they immediately begin to remove Avery’s clothes. First the pink dress that Leah had chosen for her this morning, then her tennis shoes and, finally, sliding off her white socks edged with lace trim, revealing her tiny pink toes. I reach out, cupping her bare foot in the palm of my hand. “Ma’am,” the paramedic says. “You will need to give us a little room here to work. We need to get her to the hospital as quickly as we can.”
“Can I go with you?” I ask, fearful that they are going to tell me no, that I’ve neglected my child and have lost that right. I am a social worker, I know about these things.
The other paramedic is placing ice packs beneath her neck, beneath each armpit, over her groin. Avery’s eyes flutter open briefly and I whimper in thanks. She is still breathing. She is still alive. “Let’s go,” the paramedic says urgently to the other, and they lift the stretcher and place her in the back of the ambulance followed by two firefighters. Dear God, I think. When did the fire department arrive? I move to join her but am stopped by an outstretched arm. “We’ll have you ride up front with the driver. We need room to work back here.”
I rush to the passenger side of the ambulance, climb in and, with trembling fingers, struggle to fasten my seat belt. I look out the window and, as the driver pulls away from the curb, I see Kylie and Krissie sitting in the backseat of a police cruiser, while Officer Stamm and his partner lead a disheveled man wearing only boxer shorts out of the Haskinses’ house in handcuffs. Krissie has her thumb in her mouth and is clinging to her big sister whose eyes are shuttered, unreadable. Krissie sees me and a spark of recognition flashes in her eyes. I press my hand to the window and she waggles her fingers in return. The crowd of neighbors still lingers, torn between the unfolding dramas in front of them.
Jade, the old man with the crowbar and the woman who pulled Avery from the van stand side by side, slump shouldered, faces grim. I realize I haven’t thanked them. I rap on the window trying to get their attention, but they don’t look my way. I roll down my window just as the ambulance gathers speed. “Thank you,” I call out the window, but my words are swallowed by a blare of the siren. I raise the window and reach into my purse for my cell phone. I need to call my husband, tell him to meet me at the hospital, but I can’t bring myself to do it just yet. I try to listen to what is happening in the rear of the ambulance, but I can’t hear anything except the scream of the siren. I want to ask the driver what is happening, what they are doing to my daughter, if she is going to be okay, but I don’t want to distract him from his driving. He is expertly moving through streets, slowing only briefly as he crosses intersections, not stopping for red lights, barely pausing for stop signs. This is bad, I think. This is very, very bad.
Within minutes we arrive at the hospital and even before we have come to a complete stop, I’ve unbuckled myself from the seat belt. I stumble from the cab of the ambulance and already the back doors are open and two doctors and a nurse are there to meet us. I recognize all three from my experiences as a social worker and Dr. Nickerson was the attending physician when Adam and I brought Leah to the emergency room when she fell off a skateboard and broke her wrist.
“Eleven-month female, left unattended in a locked van for approximately forty-five minutes,” the paramedic explains. “Temperature currently one hundred and four point nine. Patient was breathing upon our arrival but bystander reported performing CPR. Heart rate is irregular, one hundred and fifty beats per minute, forty breaths per minute. Patient vomited and had a seizure lasting two minutes en route. We administered valium and the seizure activity stopped.” I picture Avery in the throes of a grand mal seizure and want to lie down on the floor and weep. I want to stop the throng moving along with my daughter, want to ask questions, but know this would be time wasted.
“Parents?” Dr. Nickerson asks. The EMT nods my way and Dr. Nickerson notices me for the first time. If she is surprised to find that I’m there as a parent rather than an advocate for the child left in the locked van, she doesn’t let on. “Ellen...” she begins, searching for my last name.
“Moore,” I croak. “Ellen Moore.”
“Ellen, we need to take your daughter back now. Someone will be out to keep you updated with what’s happening.” And before I know it, Avery is being taken away from me. She is very still; her face is covered by an oxygen mask and an IV of some sort coming out of her knee.
I sink down into the nearest chair. “Avery,” I call after the doctor’s retreating back, my voice breaking. She keeps going, so I yell more loudly, “Avery, her name is Avery.” She looks back at me and nods, letting me know that she has heard me. She will call my daughter by her name as she pokes and prods her, trying to undo the damage that I have done.
A heavyset woman with a clipboard hovers nearby. “Hon,” she says. “I have some paperwork for you to fill out.” With a shaky hand I write down Avery’s name and birth date and am struck by the thought that the entirety of my daughter’s life only takes up two lines on a medical form. I take the paperwork to the window and hand it to the woman. “When do you think I’ll he
ar something?” I ask, biting the corners of cheeks to stop from crying.
She shakes her head, her jowls bobbing with the movement. “I don’t know, hon.” I wish she would stop calling me that. “I’ll check in with a nurse.” She reaches out and touches my hand before I turn to walk away. “Do you have someone to wait with you? Would you like for me to call someone?”
“No, thank you,” I say coolly, pulling my hand away. The receptionist looks at me, first with bewilderment and then with suspicion. I know she thinks I’m acting oddly for a parent whose daughter has been brought near death into the emergency room. She thinks that I am acting exactly the way the kind of woman who would leave her daughter in a boiling van would act. Inexplicably, my mind turns to James Olmstead. Did he act so strangely after Madalyn was found on the sidewalk? I brush the thought away—I’m in social worker mode. It’s a defense mechanism that I’ve had to employ often in my line of work. I wouldn’t have survived for very long if I didn’t become clinical and detached. I want to explain this to the receptionist. I want to tell her that I will not be able to claw my way through this day if I don’t hold my emotions at bay.
The emergency waiting room is surprisingly busy for a Tuesday morning. Individuals in various degrees of pain and misery surround me. There is an elderly woman knitting what appears to be a baby’s blanket, her knobbed fingers deftly moving, turning out a mosaic of pink, blue, yellow and green. There is a hunched young man carefully cradling his heavily bandaged hand, blood oozing through the gauze. One woman is crying, hiccuping loudly into her phone, pleading with someone on the other side of the line to please not drop her health-care insurance. A small boy of about three toddles over, alternating happily between eating a cracker and sipping juice from a sippy cup. With a smile he holds out a soggy, half-eaten cracker to me as an offering and I take it, pretending to nibble at the edges. His apologetic mother rushes over, sweeps him into her arms and moves to the other side of the waiting room.
A woman and her two children approach the receptionist’s window. One of my families. I always make a point to acknowledge my clients, but take their lead as to how much interaction we have when we happen to meet by chance. Today, I hope she doesn’t notice me, hope that she doesn’t want to talk about her children, the damage that has been inflicted upon them. But she turns, eyes scanning the waiting room, landing where I am sitting. I smile in her direction and she makes her way over to where I am and sits down across from me. “An earache,” she explains as she protectively pulls her four-year-old onto her lap and reaches out for her nine-year-old daughter’s hand.
“Those are the worst,” I reply, but we both know this is a lie. The worst was when your boyfriend molested your daughter while you were at work or, for me, when you leave your one-year-old to languish in an oven disguised as a minivan. Nine-year-old Destiny, painfully thin, averts her eyes, pulls away from her mother and busies herself with examining the fish tank in the corner of the room.
“Excuse me,” I say, standing and holding up my phone to let her know that I am not being rude, that I am not moving to avoid further conversation with her, but that I need to make a call. She nods and her attention returns to her four-year-old son, who is fighting back tears and pulling at his ear. She rubs his back in slow, gentle circles. A good mom with an evil boyfriend.
The phone in my hand pulses like a beating heart and I can’t bring myself to answer it just yet. The display reads Love of My Life just as when I call Adam the display pops up as Soul Mate. An inside joke. Early in our marriage, before we had children, we argued over something inconsequential, who forgot to buy the milk or who was supposed to write the check for the cable bill. We didn’t talk to each other for three long, excruciating days. I went about my business, stood a little taller, held my chin high and my back straight, as if this would strengthen my resolve in not being the first to speak. We had each tried to fill the silence of the house in our own way. Adam plugged earphones in and listened to music while I talked on the phone with my mother. I tried not to bring my mother into our arguments, but she was an excellent listener and would support me even if I was clearly in the wrong. Not making eye contact, Adam and I would pass each other in our tiny apartment, rap music leaking from his earphones intermingled with my mother’s sympathetic chastising of my husband’s insensitivity.
Adam broke first, he always did. It was the end of the third day and Adam was standing at the kitchen sink, eating a bowl of cereal. “You’re lucky you’re my soul mate,” he said through a mouthful of Wheat Chex.
“You’re lucky you’re the love of my life,” I countered. And it was over. Like the fight had never happened. From then on whenever we got angry or argued, those words would follow. You’re lucky you’re my soul mate. You’re lucky you’re the love of my life.
I lift the phone to my ear not to call my husband, not just yet. The phone rings and rings until it goes to voice mail. “Mom,” I say, finally surrendering to the tears that have been collecting behind my eyes. “Something happened to Avery.”
Chapter 10
As the police officers approached, Jenny froze in fear, a chunk of pancake lodging in her throat midswallow. She reached for her milk, took a swift drink and swallowed hard, willing the mass to slide down her windpipe. Ducking beneath the table, Jenny pretended to search for something on the floor, only raising her head when she was sure the officers had retreated to the far side of the restaurant.
With a sigh of relief, Jenny dug into her breakfast and ten minutes later, the eggs, bacon and four red-tinted, chocolaty pancakes were gone and Jenny was licking syrup from her sticky fingers, her belly uncomfortably full. Jenny fished inside her backpack and pulled out an envelope addressed to Jenny at the apartment where she first came to live with her father. The return address sent a shiver of excitement down her spine. Margaret Flanagan, 2574 Hickory Street, Cedar City, IA. It was like discovering an unexpected world, like Narnia and Nimh, the places her teacher read to them about, were real. It was a card for her fifth birthday from her grandmother. Her mother’s mother.
The day the letter arrived she watched as her father held the envelope in his callused hands. The letters they usually received were stark white envelopes holding bills that caused Billy to swear beneath his breath. This one he held carefully, staring silently down at the lavender envelope and for a moment Jenny was scared.
“It’s for you,” he said. Jenny, bouncing in anticipation, squealed in delight when a ten-dollar bill fell out as Billy opened the card. Jenny begged him to read it to her and tell her who it was from. “Your grandma,” he said grimly. “It’s from your mom’s mother.” Dutifully, he read the birthday card to Jenny, then retreated silently to his bedroom where he stayed for a very long time. Despite her father’s obvious lack of enthusiasm about the letter, Jenny was thrilled and incessantly pestered her father about going to visit her grandmother in Cedar City someday. They never did. Her father lost his job, they moved from their apartment and Jenny never received another letter or card from her grandmother. Eventually, Jenny stopped asking about her.
But now, sitting in a restaurant in Cedar City, in the very town where Jenny’s mother grew up, where her grandmother may still live, she slowly, methodically deciphered her grandmother’s handwriting. It was written in tiny, cramped cursive and Jenny, on her best days, struggled to read a menu. In the card, her grandmother said she was sorry that her daughter, Jenny’s mother, wasn’t there for her. That she didn’t used to be this way. She was once a caring, loving little girl who spent her days riding her bike around Cedar City and evenings catching fireflies and playing Kick the Can and Boys Chase the Girls. Jenny couldn’t imagine her mournful-faced mother ever hollering Ollie, Ollie oxen free at the top of her lungs and kicking at an old rusty coffee can with all her might.
Her grandmother wrote that she hoped that Jenny would write back to her, that maybe one day they would meet and she could tell Je
nny more about how her mother used to be. She signed the letter Grandma Margie.
Jenny’s stomach flipped with excitement. Now all she had to do was find Hickory Street and the house where her grandmother lived. Jenny carefully placed the birthday card back into its purple envelope and returned it to her backpack. She turned her attention to the large manila envelope that held all the important papers in her father’s life. “This is it, Jenny,” he had said just the night before as they made their way to the bus station, all their worldly possessions in the two bags that they carried with them. “Say goodbye. We’re never coming back to Benton.”
Jenny slid a sticky finger into the envelope and her touch landed upon three photos. They were the thick kind of old-fashioned pictures that slid out of the bottom of the camera. The kind that you would shake until, slowly, like magic, the picture would emerge. Jenny gasped at the images. She wouldn’t have recognized herself if it weren’t for the Worlds of Fun t-shirt, once her favorite shirt, that showed a cartoonish map of the amusement park. She never actually had gone to Worlds of Fun, it was just another used article of clothing picked up from Goodwill, but she remembered loving that shirt, wearing it nearly every day. She could imagine herself raising her arms above her head as she rode the mini roller coaster or eating a mound of cotton candy on the carousel. The picture was a close-up of Jenny, both her eyes swollen shut, her upper lip so puffed up that it concealed her nostrils. A large cut slashed across her left check and appeared to be oozing, her Worlds of Fun shirt stained with what could only be blood. Jenny felt suddenly dizzy and the pancakes in her stomach churned like stones being skipped across a pond.
“Whoa, you were hungry,” the waitress exclaimed, reaching down for the empty plate and gathering wadded-up napkins and syrup-coated utensils. When Jenny didn’t respond, she looked down, her forehead pleated with concern. “You, okay?”