Little Mercies (5 page)

Chapter 9

M
y hands, now empty of my daughter, feel numb and are shaking violently. I paw at Jade, trying to retrieve my daughter’s wilted form. “No,” Jade says sharply, blocking my efforts. She has Avery lying on her back on the cracked concrete of the sidewalk and for a moment I imagine that it must be so uncomfortable for Avery, lying there, the ground hard and unyielding. Jade leans over, tilts Avery’s head back and lifts her chin.
Oh my God, she’s not breathing,
I realize as Jade presses her mouth over my daughter’s lips and pushes her own air into Avery’s lungs.

I notice Anthony standing near his mother, tears running down his cheeks. I have little to offer him. No comfort, no reassuring words, but without thinking, I reach for his hand and he tumbles into me, burying his face in my knees. Jade presses two fingers on Avery’s breastbone and pushes down in quick, purposeful thrusts. I should be doing this. Giving my daughter CPR, saving her life. This is something I know how to do automatically, without even thinking. Clear airway. Two breaths. Thirty compressions. Two more breaths. Place your ear against the child’s mouth. Listen for breathing. Can you see the rise and fall of the chest? Can you feel the tickle of breath against your cheek? Check for a pulse. Still not breathing? Still no pulse? Repeat. I know how to do this. Every social worker knows how to do this. It’s part of our training. But I just stand here, swaying on wobbly legs until a pair of hands steadies me. I do nothing. Nothing. It occurs to me that I am watching my daughter die.

Again and again, Jade breathes, presses, checks, breathes, presses, checks until finally, finally she looks up at me. “I’ve got a pulse,” she says with relief. In the distance I hear more sirens. An ambulance.

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 hear 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.