I wheeled into the drive, going so fast that I had to slam on the brakes, the truck sliding in the mud-slicked dirt. I jumped out, splashing in a puddle, and noted the absence of Paige’s car even as I raced along the path that led to the small front porch.
I burst through the door, and a single glance in either direction was enough to confirm my worst fears. I tore through the bottom floor, searching everywhere, then finally bounded up the stairs, horror taking hold.
I found Paige on my bed, looking at first as though she was sleeping. I shouted her name as I rushed toward her, loud enough to wake her, but there was no response. A bone-deep chill flooded my body when I saw an empty prescription bottle on the bed beside her—and other scattered prescription bottles on the floor—and I began to scream.
Her chest was barely moving, and I couldn’t find a pulse when I checked her wrist. I put my fingers over her carotid artery and felt something thready and weak. Her face was gaunt and deathly pale, and after grabbing the prescription bottle and shoving it into my pocket, I scooped her into my arms and carried her down the steps. Unsure whether she would last long enough for an ambulance to arrive, I hurried to the truck, buckling her slumping body into the passenger seat.
I backed out with the engine roaring, then gunned it down the gravel road. As soon as I reached asphalt, I pressed the emergency button on my phone.
My call was answered by the dispatcher right away, and I explained what I knew. I recited my name and my sister’s information and said that I was rushing for the hospital now. I told them the name of a physician I knew from Vidant. The woman on the other end reproached me for failing to call an ambulance; ignoring the comment, I pled with her to let the emergency room at Vidant know I was coming. Then I disconnected immediately, focusing all my energies on the road.
The speedometer occasionally inched into the red, but thankfully there was little traffic at this time of night, even in Greenville. I slowed when I saw a red light and made sure the intersection was clear before rolling through it, adding to a long list of driving infractions. Throughout the ride, I kept shouting at Paige, trying to wake her, but she remained slumped over in the seat, her head bowed. I didn’t know whether she was alive or dead.
At the emergency room, I again scooped Paige into my arms, carrying her through the electronic doors as I called for help. There are emergencies and then there are emergencies—I think everyone in the waiting room knew this was the latter—and a minute later, an orderly appeared from behind closed doors with a gurney.
I laid Paige down and walked alongside as the gurney began moving toward the back. Repeating to the nurse what I’d said to the dispatcher, I handed over the empty prescription bottle. A moment later, the gurney disappeared behind locked doors, and I was told to return to the waiting room.
Then, like a switch had been pulled, the world descended into slow motion.
Others in the waiting room had settled back down after the commotion I’d caused, reverting into their own worlds. I was told I had to sign in for Paige and stood in a slow-moving line, until finally reaching the window. I sat and filled out forms, detailing Paige’s medical and health-insurance information. When finished, I was instructed to take a seat.
In the aftermath of flooding adrenaline, I practically collapsed into a plastic chair, feeling disoriented. There were men, women, and children of every age, but I was only distantly aware of them. Instead, I thought of all that had happened. I wondered if I’d made it to the hospital in time and if Paige would live. I tried to imagine what was being done to help my sister, tried to imagine the orders a doctor was calling out, but couldn’t picture a thing.
I waited, then waited some more. Time continued to slow. I’d check the time on my phone, sure that twenty minutes had passed, only to realize it had been just five. I tried to distract myself with the internet and learn what I could about overdoses, but there was little about the drug I thought she’d taken other than warnings and prompts that immediate treatment at a hospital was necessary. Sometime later, I thought about calling Morgan but wasn’t sure what I’d be able to tell her, because I had no answers. Seated opposite me was a woman who was knitting, her movements hypnotic.
Saturday night—or technically, Sunday morning, I suppose—was a busy one at the emergency room. People continued to stream in and out every few minutes. When I had waited for what felt like an intolerable length of time, I approached the admissions window again and begged the nurse to tell me what was happening with my sister. In my mind’s eye, I imagined her intubated while the doctors performed dark magic to keep her alive. The nurse said she’d see what she could find out and would let me know as soon as she did.
I returned to my seat, frightened and angry, exhausted and tense. I felt like crying; in the next instant, I wanted to break something. I wanted to kick through a door or window, and then suddenly I felt like crying again. How, I wondered, was it possible for everything to have gone so wrong in such a short period of time? And why hadn’t I been told anything?
I wanted to be angry at Toby. He’d told me that my sister was at the hospital earlier, and because I’d believed him, I hadn’t sent him back to the house. By the time I realized that I needed him to do just that, he wasn’t answering his phone. Had he answered, he could have gotten Paige to the hospital sooner. Had he answered, he might have prevented the overdose in the first place.
But it wasn’t his fault. It was the nurses who’d been mistaken about seeing Paige earlier, but, honestly, I knew it wasn’t their fault, either. All of this was my fault. For going to Florida. For not calling every day, even though part of me knew I should have. And as my anger turned inward, I realized I hated myself, for had I been at home, my sister would be alive and well.
I continued to wait. Meanwhile, the rest of the world persisted in its ordinary routines, though nothing felt normal to me. Names were called, and one by one, patients vanished behind the doors. Often, family members or friends accompanied them; sometimes they didn’t. Some eventually emerged; others remained hidden in the bowels of the hospital. A child who wouldn’t stop crying was brought in and seen immediately. A man with a homemade sling had been waiting even longer than I had.
More hours passed. When there was still no word about Paige, I checked with the nurse again. Again, she said she’d let me know. I returned to my seat, aching with fatigue but knowing that sleep was impossible. An hour before dawn, a nurse finally came to fetch me, and I was led to the back. Because Paige had been admitted and transferred elsewhere, I couldn’t see her, but I was introduced to a harried physician who looked barely older than I was.
Her expression was serious, and she admitted it was still too early to know whether Paige was going to make it; she added that she’d had to request the help of another critical-care specialist to even ensure that Paige survived as long as she had. The next few hours would be crucial, she said; until then, there wasn’t much more she could tell me. At the end, surprising me, she placed a sympathetic hand on my shoulder before returning to her duties.
I checked into a nearby hotel. Not only was I too worn out to make the drive, but being surrounded by the chaos of the house would conjure up images of Paige’s activities during the past week, and I didn’t have the strength or energy to face them.
In the hotel room, I drew the shades and fell asleep immediately, only to jolt awake a few hours later.
Paige, I thought.
Aunt Angie.
I showered and dressed in clean clothes, then made the short drive to the hospital. In the emergency room, I asked about Paige, but the shifts had changed, and it took almost half an hour for me to learn the location of the room to which she’d been transferred. But the nurse could offer me no additional information.
At the main visitors’ desk, I learned where I could find my aunt, but I decided to check on my sister first. When I finally reached Paige’s room, I found her intubated and hooked to a slew of machines and IV bags, unconscious. I kissed her cheek, whispering in her ear that I’d be back, then wound my way to another wing and floor of the hospital.
Aunt Angie was awake and hooked to only an IV, but the left side of her face sagged, and that side of her body appeared strangely limp and inert. Nonetheless, half of her mouth lifted at the sight of me, her eyes glistening as I scooted a chair close to the bed so we could talk. Trying to keep things easy and light, I told her about Morgan and the trip to Florida while she nodded, almost imperceptibly, her left fingers twitching from time to time, until she finally dozed off. Then I returned to Paige’s room.