Sara did not have that kind of time and she could not bring herself to ask the staff to do something she herself was not prepared to do.
Sara's tennis shoes snicked as she walked across the clean tile floor. She did not bother to turn on the lights. Sara knew this place in the dark, but that was not the only reason she left them off. The flickering of a fluorescent light, the click of brightness as the tubes came to life, would seem intrusive considering the task ahead.
By the time she reached her office across from the nurses' station she had already unbuttoned her overshirt and tied it around her waist. She wasn't wearing a bra, but she did not expect to run into anyone who would care.
Pictures of patients lined her office walls. Initially, a grateful mother had given Sara a school snapshot of a child. Sara had stuck it on the wall, then a day later another photo had come, and she had taped it beside the first. Twelve years had passed since then and now photographs spilled into the hallway and the staff bathroom. Sara could remember them all: their runny noses and earaches, their school crushes and family problems. Brad Stephens's senior picture was somewhere near the shower in the bathroom. The photo of a boy named Jimmy Powell, a patient who just a few months ago had been diagnosed with leukemia, had been moved by Sara's phone so that she could remember him every day. He was in the hospital now, and Sara knew in her gut that within the next few months another patient of hers would be put into the ground.
Jenny Weaver's picture was not on the wall. Her mother had never brought one in. Sara only had the girl's chart to help reconstruct their history together.
The filing cabinet drawer groaned as Sara yanked it open. The unit was as old as Dr. Barney and just as difficult. No amount of WD-40 would fix it.
'Crap,' Sara hissed as the cabinet tilted forward. The top drawer was full to overflowing, and she had to use her free hand to keep the whole cabinet from falling.
Quickly, Sara ran her fingers along the file tabs, reading off Weaver on her second run through. She pushed the cabinet back, slamming the drawer into the unit. The sound was loud in the small office. Sara was tempted to open it and slam it again, just to make some noise.
She snapped on her desk lamp as she sat, her sweaty legs skidding on the vinyl seat. Probably it would have been wiser to take the chart home. At the very least, it would be more comfortable. Sara did not want comfort, though. She considered it a small penance to sit in the heat and try to find what she had missed over the last three years.
Her wire-rimmed reading glasses were in the breast pocket of her shirt, and Sara felt a moment of panic, thinking she had broken them when she sat down. They were bent, but otherwise fine. She slipped on her glasses, took a deep breath, and opened the chart.
Jenny Weaver had first come to the clinic three years ago. At ten years old, the child's weight had been within normal ranges in relation to her height. Her first ailment had been a persistent sore throat that a round of antibiotics had evidently cured. There was a follow-up notation in the chart, and from what Sara could barely decipher from her own handwriting, Dottie Weaver had been contacted a week later by phone to make sure Jenny was responding to treatment. She had been.
About two years ago, Jenny had started to put on weight. Unfortunately, this was not uncommon these days, especially for girls like Jenny, who had gotten her first menstrual period shortly after her eleventh birthday. Their lives were more sedentary, and fast food was more readily available than it should be. Hormones in meat and dairy products helped the process along. Case studies in some of the journals Sara read were already dealing with ways to treat girls who entered puberty as early as eight years old.
Sara continued reading through Jenny's chart. Shortly after the weight gain began, Jenny had been diagnosed with a urinary tract infection. Three months later, the girl had come in with a yeast infection. According to Sara's notes, there was nothing suspicious about this at the time. In retrospect, Sara questioned her judgment. The infections could have been the beginning of a pattern. She turned to the next page, noting the date. Jenny had come in a year later with another urinary tract infection. A year was a long time, but Sara pulled out a sheet of paper and made notes of the dates, as well as the two other visits Jenny had made after, both for sore throats. Perhaps Jenny's parents shared custody. They could trace the dates to see if they corresponded with visits to her father.
Sara set down her pen, trying to recall what she knew about Jenny Weaver's father. Mothers were more likely to bring their children into the clinic, and as far as Sara could remember she had never met Jenny's father. Some women, especially women who were recently divorced, would volunteer information about their husbands as if their children were not in the room. Sara was always uncomfortable when this happened, and she usually managed to cut it off before it could really start, but some women talked over her, bringing up the kind of personal information that a child should never know about either parent. Dottie Weaver had never done this. She was talkative enough, even chatty, but Dottie had never disparaged her ex-husband at the clinic, even though Sara had gathered from the sporadic way the single mother paid her insurance balance that money was tight.
Sara's glasses slipped up as she rubbed her eyes. She glanced at the clock on the wall. Sunday lunch at her parents' was at eleven, then Jeffrey was expecting her at the station around one-thirty.
Sara shook her head, skipping over any thoughts of Jeffrey. A headache had settled into the base of her neck and the dull throbbing made it difficult to concentrate. She took off her glasses and cleaned them with her shirttail, hoping this might help her see things more clearly.
'Hello?' Sara called, throwing open the door to her parents' house. The cold air inside brought welcome goose bumps to her clammy skin.
'In here,' her mother said from the kitchen.
Sara dropped her briefcase by the door and kicked off her tennis shoes before walking to the back of the house. Billy trotted in front of her, giving Sara a hard look, as if to ask why they had spent all that time in the hot clinic when they could have been here in the air-conditioning. To punctuate his displeasure, he collapsed onto his side halfway down the hallway so that Sara had to step over him to get to the back of the house.
When Sara walked into the kitchen, Cathy was standing at the stove frying chicken. Her mother was still dressed in her church clothes, but had taken off her shoes and panty-hose. A white apron that read don't mess with the chef was tied loosely around her waist.
'Hey, Mama,' Sara offered, kissing her cheek. Sara was the tallest person in her family, and she could rest her chin on her mother's head without straining her neck. Tessa had inherited Cathy Linton's petite build and blonde hair. Sara had inherited her pragmatism.
Cathy gave Sara a disapproving look. 'Did you forget to put on a bra this morning?'
Sara felt her face redden as she untied the shirt she was wearing around her waist. She slipped it on over her T-shirt, offering, 'I was in the clinic. I didn't think I'd be there long enough to turn on the air.'
'It's too hot to be frying,' Cathy countered. 'But your father wanted chicken.'
Sara got the lesson on sacrificing things for your family, but answered instead, 'You should have told him to go to Chick's.'
'He doesn't need to eat that trash.'
Sara let this go, sighing much as Billy had. She buttoned the shirt to the top, giving her mother a tight smile as she asked, 'Better?'
Cathy nodded, taking a paper napkin off the counter and wiping her forehead. 'It's not even noon and it's already ninety degrees out.'
'I know,' Sara answered, tucking a foot underneath her as she sat on the kitchen stool. She watched her mother move around the kitchen, glad for the normalcy. Cathy was wearing a linen dress with thin, vertical green stripes. Her blonde hair, which was only slightly streaked with gray, was pulled up behind her head in a loose ponytail, much the same way Sara wore hers.
