of tea to his lips. Gabe was choking, coughing up blood. Sara moved quickly to his side and gently took the tea from Jacob’s hand; she rolled Gabe onto his side—the poor man weighed almost nothing, just skin and bones—and with her free hand reached to the cart to retrieve a metal basin, which she tucked under his chin. Two more hacking gasps: the blood, Sara saw, was a rich red, and spotted with small black clumps of dead tissue.
Other Sandy stepped from the shadowed recess behind the door. “I’m sorry, Sara,” she said, her hands fluttering nervously. “He just started coughing like that and I thought maybe the tea—”
“You let Jacob do this by himself? What’s wrong with you?”
“What’s the matter with him?” the boy wailed. He was standing by the cot, his face stricken with confused helplessness.
“Your dad is very sick, Jacob,” Sara said. “No one’s mad at you. You did the right thing, helping him.”
Jacob had begun to scratch himself, digging the fingernails of his right hand into the scraped flesh of his forearm.
“I’m going to do my best to take care of him, Jacob. You have my word.”
Gabe was bleeding internally, Sara knew. The tumor had ruptured something. She ran her hand over his belly and felt the warm distention of pooling blood. She reached into her kit for a stethoscope, clamped it to her ears, pulled Gabe’s jersey aside, and listened to his lungs. A wet rattle, like water sloshed in a can. He was close, and yet it might take hours. She lifted her eyes to Mar, who nodded. Sara understood what Mar had meant when she’d said that Sara was Gabe’s favorite, what she was asking her to do now.
“Sandy, take Jacob outside.”
“What do you want me to do with him?”
Flyers, what was wrong with the woman? “Anything.” Sara allowed herself a breath, to steady her nerves; it was not a time for anger. “Jacob, I need you to go with Sandy now. Can you do that for me?”
In his eyes Sara saw no real comprehension—only fear, and a long habit of obedience to the decisions that others made for him. He would go, Sara knew, if he was asked.
A reluctant nod. “Okay, I guess.”
“Thank you, Jacob.”
Sandy led the boy from the ward; Sara heard the front door opening and closing. Mar, sitting on the opposite side of the cot, was holding her husband’s hand.
“Sara, do you … have something?”
It was not something that was ever discussed in the open. The herbals were all kept in the basement in the old freezer, stored in jars stacked on metal shelves. Sara excused herself to go downstairs and retrieved the ones she needed—digitalis, or common foxglove, to slow the respiration; the small black seeds of the plant they called angel’s trumpet, to stimulate the heart; the bitter brown shaving of hemlock root, to numb the awareness—and set them on the table. She mortared them into a fine brown dust, poured it onto a sheet of paper, and, angling this over a cup, dumped the mixture into it. She put everything away, swept the table clean, and ascended the stairs.
In the outer room, she put water on to boil; the kettle was already warm, and soon the drink was ready. It had a faint greenish cast, like algae, with a bitter, earthen smell. She carried it into the ward.
“I think this will help.”
Mar nodded, taking the cup from Sara. Part of their unfolding understanding was that Sara would only provide the means; she could not do the rest.
Mar gazed into the cup’s interior. “How much?”
“All of it, if you can.”
Sara positioned herself at the head of the bed to lift Gabe’s shoulders; Mar held the cup to his mouth, telling her husband to sip. His eyes were still closed; he seemed completely unaware of them. Sara was worried that he wouldn’t be able to manage it, that they had waited too long. But then he took a first, tender sip from the cup, then another, pecking at it steadily like a bird drinking from a puddle. When the tea was gone, Sara eased him back down onto the pillow.
“How long?” Mar wasn’t looking at her.
“Not long. It’s quick.”
“And you’ll stay. Until it’s over.”
Sara nodded.
“Jacob can never know.” Mar looked at her beseechingly. “He wouldn’t understand.”
“I promise,” said Sara.
And then, just the two of them, they waited.
Peter was dreaming of the girl. They were under the carousel, in that low-ceilinged prison of dust, and the girl was