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“See you at lunchtime,” Caleb said.
“All right.”
“And don’t slam—”
The door banged shut.
“—the door,” Caleb finished, shaking his head.
Hannah was still mopping up the milk while Caleb washed at the kitchen sink. Through the window above the basin, he could see Jonah racing like a jackrabbit across the field to the silo. Jubilee, the collie mix that followed the kid everywhere, loped along at his side. With a sudden leap, Jonah launched himself into the air, then planted his hands on the ground as his legs and bare feet flew overhead in an exuberant handspring. This was the boy’s special skill, his lithe young body’s expression of pure joy, perhaps his way of embracing the perfect summer morning.
In the kitchen, an awkward silence hung as thick as the smoke. Lately, Caleb didn’t know what to say to his sullen niece. She had been so young when he’d left Middle Grove under a glowering shadow of disapproval from the elders. He’d had every intention of finding a life away from the community. But he had returned, reeled back in by a hideous tragedy. By that time, Hannah had turned into a skinny, nervous twelve-year-old, haunted by nightmares of her murdered parents.
Now his niece was a stranger, the lone girl in a household of men, with no woman’s hand to guide her. Just Caleb, who was ridiculously ill-equipped to deal with her, and his father, Asa, a man who clung with iron fists to the old ways. Already, some of Hannah’s friends were getting baptized and promised to young men. He could scarcely imagine his little niece as a wife and mother.
He finished scrubbing his hands and dried them, then fixed up a tray with his father’s breakfast and left it on the table as usual. Asa always got up early to read Die Botschaft in the quiet of the toolshed adjacent to the house. Caleb opened a cupboard and took a wad of cash from the coffee can, folding the bills into his wallet. After chores, and after his talk with Rebecca, he planned to go up to Grantham Farm to bring home a new horse. Baudouin, the sturdy Belgian, was old. He’d given his all and had earned a fine retirement in the pasture, and now Caleb needed a replacement. He ran a yoke of draft horses to make extra money to keep up with the bills on the farm. His team was in demand, especially in winter, when cars got stuck and fallen trees needed to be dragged out of the way. It was remarkable how much hauling English folks needed.
Glancing out the window again, he saw Jonah scrambling like a monkey up the conveyor belt to feed the bound corn shocks into the grinder. The kid loved high places and always volunteered for them. Caleb had always liked that chore too. The world looked entirely different when viewed from the high opening of the silo. He used to imagine the tower scene from Lord of the Rings, a forbidden novel that had once earned him a caning from his father when he’d been caught reading it. While feeding the stalks to the shredder, Caleb used to pretend that the mouthful of whirring, glistening blades belonged to a fierce dragon guarding the tower.
“Sorry about the toast, Uncle Caleb,” Hannah spoke up, taking the charred remains out of the wire rack.
“Not a problem.” To lighten the moment, he grabbed a piece and took a huge bite, closing his eyes and pretending to savor it. “Ah,” he said. “Ambrosia.”
She laughed a little. “Oh, Uncle Caleb. Don’t be silly.”
He choked down the rest of the toast and grinned, showing his charcoal teeth. “Who’s being silly?”
“What’s ambrosia, anyway? You’re always using big words, for sure.”
“It’s what the gods of Greek myth ate,” he said. “So I reckon it means something good enough to feed to the gods.”
She gasped at the mention of Greek gods—another forbidden topic—then whisked the toast crumbs from the counter. “You’re so smart.”
“Knowing the meaning of a word doesn’t make me smart.”
“Sure it does. I heard Rebecca say you went away and came back smarter, and that’s why you still haven’t joined the order—’cause your head’s all full of prideful English nonsense.”
“Rebecca likes to hear herself talk.” At the mention of her name, Caleb felt a trickle of sweat slide down his neck. Rebecca’s notion that his time away had made him proud was yet another reason they weren’t a good match. Getting an education didn’t make a man proud. Instead, it was humbling.
In his time away, Caleb had done the unthinkable. Against all Amish principles, he had attended college classes. The traditional eighth-grade education had left a thirst in his soul, and he’d sought out books and knowledge the way a man seeks cold lemonade on a hot August day. He used to ride his bike thirteen miles each way to take classes at the community college, soaking up lessons in history, philosophy, logic, calculus, and the kind of science that had nothing to do with crop yields or tending livestock. It was humbling to discover how much he didn’t know about the world, how much he had yet to learn. He had just been starting out when he’d had to come back. These days, he imagined the world he’d discovered beyond Middle Grove shimmering like a chimera on the horizon, out of reach, yet tauntingly real.
Hannah finished tidying the kitchen in her negligent, haphazard way. When Caleb’s father came in, he’d likely point out the crumbs on the floor and the dish towels left out on the counter. He’d probably also scowl at his breakfast tray and remark that a proper Amish family broke bread together around the table, their scrubbed faces lit by the inspiration of silent prayer before they dived into hotcakes with berry preserves and thick slices of salty ham.
But they weren’t like other families. Caleb could only do so much.
“Uncle Caleb?”
At the tentative note in Hannah’s voice, he turned to her. To his surprise, her cheeks shone a dull red against the loose strings of her black kapp.
“What is it, liebchen?” He used the old endearment, hoping the familiar word would sound soothing to her ears.
“There’s, um, a singing Sunday night at the great hall,” she said. “I was wondering, um, could I go?”
“I reckon you could do that,” he said. The singings took place on a church Sunday after services. The adults would leave for the evening so the kids could gather around the table and sing—not the slow morning chants meant for devotion, but the faster ones, meant to get the kids talking. And “talking” actually meant sizing each other up, because the goal was to get the young folk started with their courtships. It seemed contrived, but no more so than a high school dance in the outside world.
“All righty, then,” Hannah said, all fluttering hands and darting eyes.
“Anything else?” he asked.
“Can I get a ride home in Aaron Graber’s buggy?” she asked, all in a rush.
Caleb felt an unpleasant thud of surprise in his gut. Aaron Graber, he thought. More like Aaron Grabber. Caleb wasn’t so sure he liked the idea of little Hannah running around with a boy, particularly that one, who looked at girls the way a fox eyes a hen.
A distant, frenzied barking sounded through the window, but Caleb gave his full attention to his niece. This was kind of a big deal. She wanted to go courting. His little Hannah, courting. It seemed like only yesterday he was showing her how to get a hit in slow-pitch softball and making her giggle at his stupid jokes. Where was that Hannah now?
“Well,” he said, “I don’t think—”
“Please, Uncle Caleb,” she said. “He asked me special.”
Before he could reply, the kitchen door slapped open with a violent bang. Levi Hauber’s face was the color of old snow, and his shoulders shook visibly. Even before he spoke, the sheer horror in his eyes froze Caleb’s blood.
“Come quick,” Levi said. “It’s Jonah. There’s been an accident.”
2 (#u3920f48e-859a-5e05-95ab-2b736602a1e0)
“Oh, fuck me sideways,” muttered Reese Powell as her work phone buzzed rudely against her side like a small electric shock. God. She’d just closed her eyes for a much-needed nap. Checking the screen, she saw that it was a summons from Mel, her supervising resident, in the ER. With brisk, mechanical movements, she put on her short white lab coat, looped a stethoscope around her neck, and headed out of the break room.
The long, gleaming corridor was littered with equipment and gurneys, the occasional patient slumped in a wheelchair, a rolling biohazard bin or two. Nurses and orderlies swished past, hurrying to their next call.
Reese blinked away the last of the foiled nap and took a deep breath. I will do right by my patients. This was her mantra, the one she’d adopted as a fourth-year medical student. I will do right by my patients. She had spent three years studying, cramming her head full of knowledge, memorizing, observing, but this year, the year she would earn the title of doctor, she set one simple, powerful task for herself: do the right thing.
One of the things she liked about working in the ER was the element of surprise. You never knew what was coming through the door next. Her parents had been appalled when she’d informed them of her interest in the ER. They had been pushing her toward pediatric surgery, and they expected her to explore something closer to that field. But for once, she had dared to inch a little to the left of their proposed path. She wanted more experience in emergency medicine. And Mercy Heights had a level-one trauma center, the best in Philadelphia.
Patients, family members, and personnel were clustered around the admittance center, the nucleus of the ER. As she scanned the area for Mel, a nurse stuck her head out of an exam room.
“Oh, good, you’re here,” she said. “We need someone who speaks Spanish. We’ve got a one-woman shitstorm.”
Reese hurried into the small room. “What have you got—oh.” For a second, she just stood there, trying to take in the scene. The patient was a young dark-haired woman in a stained dress, crouched on the bed, her posture defensive and her eyes cloudy with fear and distrust. Someone was asking her what she took, when she took it, but she recoiled from the questions.
“They found her wandering on the street,” said the nurse. “All we know so far is that she’s pregnant. And probably altered. She told the EMTs she was intoxicated. We’re trying to find out what she took.”
A security guard stood ready, restraints in hand. Mel shook his head. Reese knew he feared things would escalate if they tried to restrain her.
“This is not a place of healing,” the woman said in rapid-fire Spanish. “This is a place of death, a place of eternal curses.” Then she lapsed into a muttered prayer.
Reese’s Spanish kicked in. She spoke the colloquial version she’d learned from Juanita, her childhood nanny. Growing up, she’d spent more time with Juanita than she had with her busy, ubersuccessful parents. Putting on a warm, professional smile, she slowly walked toward the woman. “Hola, señora,” she said softly. “¿Qué pasa?”
At the sound of her native tongue, the woman stopped speaking and glared at Reese. “I’m Reese Powell,” Reese continued in Spanish, never losing eye contact. “My colleagues and I would like to examine you, and make sure you’re all right.”
“Get away from me. These are bad people.”
“We want to help you,” Reese said. “Do you understand English?”
“No. No English.”
“Please, may I ask you some questions?”
“My secrets are mine to keep.”
“Sometimes it is best to share a secret. Is this your first baby?”
“Yes.” The woman unfurled a little, dropping her arms from her drawn-up knees.
“What is your name, ma’am?”
“My name is Lena Garza.”
“How old are you, Lena?”
She hesitated. “Nineteen.”
“Ask her what she took,” someone said. “We heard her say she’s intoxicated.”
Reese studied the drawn, olive-toned face. The girl looked older than nineteen, her deep brown eyes haunted and scared.
“You were wandering around in traffic,” Reese said, rapidly translating for one of the EMTs. “Why were you doing that? Did you take something?” She had been taught to practice empathy—direct eye contact, a physical touch—and at first, reaching out to a stranger in this way had felt strange to her. Now that she’d been at it for a while, the gestures felt natural. It was gratifying to see the woman relax slightly, taking a deep breath before she spoke.
Lena Garza twisted the band of silver she wore on her forefinger. “Estoy intoxicada.”
“Ask her what—”
“Wait,” Reese said. “Intoxicada just means that she ingested something. Could be food, a drug, anything that makes a person sick.” She turned to Lena. “Can you tell me what you took?”
“My mother told me I will burn in hell,” she whispered. “I am not married. That is why I took the herbs.”
Reese’s heart skipped a beat. “She took something,” she told Mel in English. “What did you take, Lena?”
The girl reached into the pocket of her faded dress and drew out a crinkly cellophane bag. “She said this would cause my period to start.”
Reese grabbed the bag and showed it to Mel. “Angelica. Said to have abortifacient properties.”
Mel sniffed the yellowish-brown herb. “Also called dong quai. When did she take it? Was it within the last four hours? How much did she take?”
Reese asked the patient.
“I don’t remember. I will burn in hell,” she moaned.
“Only if you die,” Reese said in Spanish. “And we are not going to let that happen, not today.”
Mel said, “We’re going to need a gastric lavage, stat.”
While the techs prepared the lavage tray and measured activated charcoal into a beaker, Reese coaxed a bit more information from the patient—When did she have her last period? Had she seen a doctor? Where did she live?
Reese reported the answers, then convinced the woman to lie back and be connected to monitors. “I’m going to have a listen to your baby, all right?” She gently lifted the dress and slid the gel-slicked Doppler wand over Lena’s flat belly, trying to detect heart sounds.
“Ay!” the patient yelled. “That is cold. You torture me.”
“I’m sorry,” Reese said. “We need you to be still and be quiet. We’re trying to hear your baby’s heart sounds … There it is,” she said as the Doppler emitted a rhythmic wow-wow-wow. “That’s the sound of your baby’s heart.”
Lena went limp on the table and laid her forearm over her eyes. “Yes,” she said. “I hear it. I can hear it. My mother says it’s a sin to have a baby before I’m married.”
Reese let the moment stretch out a few seconds longer. Then she said, “Mothers aren’t always right about everything.” She offered a brief conspiratorial smile. “Mine thinks she is, though. Let us take care of you, and when you’re feeling better, someone will talk to you about your options.”
She explained the lavage process and convinced the girl to cooperate by swallowing the gastric tube. The girl gagged and fought, but Reese kept up a soothing patter, the way Juanita used to when Reese was small and scared of the dark.
A short time later, Lena’s eyes were closed, and her hands lay slack on the sheeting. Mel gestured, and Reese followed him out to the corridor. “You did a good job in there,” he said. “She’ll be ready to turf out before you know it.”
Reese thought about the disturbed young woman, her frightened eyes and the strange, deep knowing that lived in her like an old, old soul. “Before you turf her, let’s get someone to talk to her about her choices. I’ll be the interpreter.”
“That’s a great idea,” Mel said. “I’ll call social services and OB/GYN.”
Moments like this gave Reese a feeling of satisfaction. An overachieving fourth-year at the end of a long rat race, she was full of plans, but full of questions, too. Her parents had their own plan for her—acceptance into an elite residency program, a path to join their carefully built practice. But sometimes, the wall of her armor cracked open to reveal a glimpse of something else—another dream, maybe. A different dream, not her parents’ goals.
At the end of the hallway, the double doors burst open and Jack Tillis, the chief of trauma, swept through. His lab coat wafted open like a set of wings. He was surrounded by his team of devoted acolytes—the residents, nurses, support staff, and technicians who made up the trauma team.
“What’ve you got?” Mel asked, perking up.
“Just had a red phone pre-alert. Major trauma, coming in by life flight,” another resident said. “ETA twenty minutes.”
Reese exchanged a glance with Mel. She felt a twist of anticipation in her gut. “Can I help?”
The resident nodded. “You don’t want to miss this one. Some kid had his arm ripped off in a farming accident.”
The helicopter descended from the sky like a huge metallic insect, its giant rotors beating the cornstalks flat against the dusty field. Kneeling on ground soaked by his nephew’s blood, Caleb instinctively leaned forward over the boy’s body, which lay on the rescue workers’ shiny yellow board. The shadows of his neighbors and the rescue workers fell over him, blocking out the morning sun. Above the violent rhythm of the chopper blades, he could hear crackling radios and shouts, but all his attention stayed focused on Jonah.
Only a short time earlier, Jonah had been racing across the field to help fill silo, something he had done dozens of times before. Now he lay broken and bleeding, his left arm and his boyish face slashed by the vicious metal teeth of the shredder. And despite the injuries, Jonah was sweetly, horrifyingly conscious.
White-faced, blue-lipped, his eyes dull with shock as his life drained away, the boy tried to speak through chattering teeth. “Cold,” he kept saying. “I’m ssso … cold.”
“I’m here, little man,” Caleb said, his voice a rasp of panic. “I’ll keep you warm.”
The rescue workers had immobilized the arm with an air bladder and enclosed his neck in a stiff collar. They covered him with every blanket they had, but it wasn’t enough to keep Jonah from shivering like a leaf in the wind. Then they prepared to load the stretcher into the helicopter.
“You cannot take him in that … that thing.” Caleb’s father stepped forward, thumping his hickory cane on the ground. “I won’t allow it.”
From the moment the county rescue crew had declared that Jonah’s only hope of survival was to be airlifted to a trauma center in Philadelphia, there had been a division in the community. Dr. Mose Shrock, who supervised the emergency services of the local hospital, had been contacted by phone. He’d confirmed the rescuers’ plan, and Caleb had approved the transport without hesitation.
Now his face felt carved in stone as he glared at his father. “They’re taking him,” he said simply. “I’ ll allow it.”
