Several machines behind her start to beep. The nurse attending her frowns at the digital display. “All right, that’s enough,” she announces. “Out.”

The doctors file through the door, talking quietly to each other. Another nurse comes in to fiddle with Cara’s morphine pump as the first nurse physically restrains her.

My mother bursts through the doorway. “What the hell just happened?” she asks, looking at me, and the nurses, and then at Cara. She makes a beeline for the bed and gathers Cara into her arms, letting her cry. Over my mother’s shoulder, Cara fixes her eyes on me. “I said leave,” she mutters, and I realize that when she told this to the doctors, she was including me.

Within seconds, the morphine kicks in and Cara goes limp. My mother settles her against the pillows and starts whispering to the duty nurse about what happened to get Cara into this state. My sister is glassy-eyed, slack- jawed, almost asleep, but she fixes her gaze directly on mine. “I can’t do this,” Cara murmurs. “I just want it to be over.”

It feels like a plea. It feels as if, for the first time in six years, I might be in a position to help her. I look down at my sister. “I’ll take care of it,” I promise, knowing how much those words have cost her. “I’ll take care of everything.”

When I leave Cara’s room, I find Dr. Saint-Clare on a phone at the nurses’ station. He hangs up the receiver just as I come to stand in front of him.

“Can I ask you something?” I say. “What would actually… you know… happen?”

“Happen?”

“If we decided to…” I can’t say the words. I shrug instead, and rub the toe of my sneaker on the linoleum.

But he knows what I’m asking. “Well,” he says. “He won’t be in any pain. The family is welcome to be there as the ventilator gets dialed down. Your father may take a few breaths on his own, but they won’t be regular and they won’t continue. Eventually, his heart will stop beating. The family is usually asked to leave the room while the breathing tube is removed, and then they’re invited back in to say good-bye for as long as they need.” He hesitates. “The procedure can vary, though, under certain circumstances.”

“Like what?”

“If your father ever expressed interest in organ donation, for example.”

I think back four days ago-was it really only that long?-when I sifted through the contents of my father’s wallet. Of the little holographic heart printed on his license. “What if he did?” I ask.

“The people from the New England Organ Bank get contacted with every case of severe brain trauma, whether or not the patient has previously expressed a desire to donate. They’ll come talk with you and answer any questions you have. If your father is a registered donor, and if the family chooses to withdraw treatment, the timing can be coordinated with the organ bank so that the organs can be recovered as per your father’s wishes.” Dr. Saint-Clare looks at me. “But before any of that happens,” he says, “you and your sister need to be on the same page about removing your father from life support.”

I watch him walk down the hallway, and then I slip along the wall closer to Cara’s room again. I hang back so that I will not be seen but can still peer inside. Cara’s sleeping. My mother sits beside the bed, her head pressed to her folded hands, as if she’s praying.

Maybe she still does.

When I used to walk Cara to school, and then sat in my car making sure she went all the way into the double doors, it wasn’t just because I wanted to make sure that she wasn’t snatched by some perv. It was because I couldn’t be who she was-a little kid with pigtails flying behind her; her backpack like a pink turtle shell; her mind full of what-ifs and maybes. She could convince herself of anything-that fairies lived on the undersides of wild mushrooms, that the reason Mom cried at night was because she was reading a depressing novel, that it wasn’t a big deal when Dad forgot it was my birthday or missed her performance in a holiday concert because he was too busy teaching Polish farmers how to keep wolves off their land by playing audiotapes of howls. Me, I was already jaded and tarnished, skeptical that a fantasy world could keep reality at bay. I watched her every morning because, in my own little Holden Caulfield moment, I wanted to make sure someone was keeping her childhood from getting just as ruined as mine.

I know she thinks I abandoned her, but maybe I got back at just the right time. I’m the only one who has the power to let her be a kid a little while longer. To make sure she doesn’t have herself to blame for a decision she might second-guess for the rest of her life.

I can’t do this, my sister had said.

I just want it to be over.

Cara needs me. She doesn’t want to talk to the doctors and the nurses and the social workers anymore. She doesn’t want to have to make this choice.

So I will.

The best day I ever spent with my father was nearly a disaster.

It was just after Cara was born. My mother had been reading parenting books, trying to make sure that a little boy who’d been the sole focus of her attention for seven years wouldn’t freak out when a baby was brought home. (I did try to feed Cara a quarter, once, as if she was an arcade pinball machine, but that is a different story.) The books said, Have the new baby bring the sibling a gift! So when I was brought to the hospital to meet the tiny pink blob that was my new sister, my mother patted the bed beside her. “Look at what Cara brought,” she told me, and she handed me a long, thin, gift-wrapped package. I stared at her belly, wondering how the baby had fit inside, much less a present this big, and then I got distracted by the fact that it was mine. I unwrapped it to find a fishing pole of my own.

At seven, I was not like other boys, who ripped the knees of their jeans and who caught slugs to crucify in the sunlight. I was much more likely to be found in my room, reading or drawing a picture. For a man like my father, who barely knew how to fit into the structure of a traditional family, having a nontraditional son was an impossible puzzle. He didn’t know, literally, what to do with me. The few times he’d tried to introduce me to his passions had been a disaster. I’d fallen into a patch of poison ivy. I’d gotten such a bad sunburn my eyes swelled shut. It reached the point where, if I had to go to Redmond’s with my dad, I stayed in his trailer and read until he was finished doing whatever he needed to do.

I would have much rather had a new art kit, all the little pots of watercolor paint and markers lined up like a rainbow. “I don’t know how to fish,” I pointed out.

“Well,” my mother exclaimed. “Then Daddy needs to teach you.”

I’d heard that line before. Daddy’ll show you how to ride a bike. Daddy can take you swimming this afternoon. But something always came up, and that something wasn’t me.

“Luke, why don’t you and Edward go test it out right now? That way Cara and I can take a little nap.”

My father looked at my mother. “Now?” But he wasn’t about to argue with a woman who’d just given birth. He looked at me and nodded. “It’s a great day to catch a fish,” he said, and just those words made me think that this could be the start of something different between us. Something wonderful. On television, dads and sons fished all the time. They had deep conversations. Fishing might be the one thing that my father and I could share, and I just didn’t know it yet.

We drove to Redmond’s. “Here’s the deal,” he said. “While I’m feeding the wolves, you’re going to dig up worms.”

I nodded. I would have dug to China for worms if that were a prerequisite. I was with my father, alone, and I was going to fall in love with fishing if it killed me. I pictured a whole string of days in my future that involved us, bonding over walleye and stripers.

My father took me to a toolshed behind the cage where the gibbons were kept and found a rusted metal shovel. Then we walked to the manure pile behind the aviary, where all the keepers carted their wheelbarrows daily after cleaning the animal cages. He overturned a patch of earth as rich as black coffee and put his hands on his hips. “Ten worms,” he said. “Your hands are going to get dirty.”

“I don’t care,” I said.

While he checked on his pack, I carefully plucked a dozen worms out of the soil and confined them in the Ziploc bag my dad had given me. He returned with a fishing rod of his own. Then we ducked out the back gate behind the lions and I followed my father into the woods, parting the green fingers of ferns to walk down a muddy path. I was getting bitten by mosquitoes and I wondered how long it would be until we were there (wherever we were

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