Cypress Point (12 page)

“She's living in Chicago, singing with a choral group that does classical music. Oh!” She interrupted herself, setting her sandwich on the plate and picking up her purse. “Before I forget,” she said, drawing her wallet from the purse. “Let me pay you for my sandwich. I got a check from Mother, so I can give you some money.”

Delora sent regular checks to Carlynn, but none to Lisbeth,
saying that Lisbeth was on her own since she had elected not to go to college. She had paid for Lisbeth's secretarial school, but the money for her had stopped the moment she'd graduated. Delora, however, still sent Carlynn far more than she needed for her school and living expenses, and Carlynn insisted on giving her a portion of it. Lisbeth had long ago stopped arguing about it. She needed the money and figured she deserved it just as much as Carlynn did.

“Thank you.” She accepted the bills from Carlynn and slipped them into her own purse.

“Did the man call today?” Carlynn asked. “Dr. Peterson's tennis partner?”

Lisbeth shook her head, her cheeks turning pink. She'd told Carlynn about Gabriel's phone calls, nearly every word of them. But she had not told her his name or that he worked at SF General. Carlynn might try to get a look at him then, and Lisbeth didn't want to hear that he chewed his nails at his desk or was only five feet tall. She preferred her fantasies to reality.

“No, he didn't,” she said with a scowl. “They're not playing tonight, so I probably won't get to talk to him until Tuesday.”

“Oh, I'm sorry to hear that,” Carlynn said. Despite her beauty, Carlynn had no more dates than Lisbeth, and she didn't even have the time for fantasies. She was married to medical school.

Lisbeth would have liked to talk more about Gabriel, but Carlynn suddenly set down her sandwich and turned to look out the window, letting out a great sigh.

“I don't think I can eat,” she said.

“What's the matter?” Lisbeth asked.

Carlynn returned her gaze to her sister, the gleam of tears in her eyes. “Oh, this little girl at the hospital.”

Lisbeth could have guessed. Carlynn was way too soft.
“Carly, honey, you're not going to survive being a doctor if every patient upsets you so much,” she said.

“I know, I know. And it's getting harder every day.” She leaned across the table as though someone might overhear her. “The more I get to actually work with patients, the harder it is for me not to…you know…help them in my own way.”

Lisbeth knew her sister had been careful to keep her gift under wraps at the hospital. She did not want to be seen as different or better than the other students, and she certainly didn't want to be thought of as crazy.

“What's wrong with the little girl?” Lisbeth asked.

“She has a very serious case of pneumonia, probably fatal because it's complicated by a congenital deformity of her lungs.” Carlynn looked down at her sandwich, her nose wrinkled. “She's eight, and she's dying. We visit her on rounds every day, and one or two of us listen to her lungs and talk about her as though she wasn't there, and just watch her die.” Carlynn looked pained, and Lisbeth wondered, as she had a number of times before, if being a doctor was going to take too much out of her sister.

“And you think you can help?” Lisbeth asked.

“I think I should at least try. But I don't dare. I've thought of sneaking into her room at night, but if I got caught I'd have a hard time explaining what I was doing there. She's still conscious and able to talk. She'd tell someone I'd been there.”

Lisbeth knew that Carlynn had, on a few occasions, been able to spend enough time with a patient to touch him, or, as she would say, to “send her energy coursing through his body,” but she'd done it quietly, surreptitiously, and only with unconscious patients. She'd told Lisbeth about overhearing a few of her fellow students talk about how strange she was, and Lisbeth knew she was terrified of fueling that assessment of her.

“You have to find a way,” Lisbeth said. She knew her sister would never be able to live with herself unless she did.

“How?” Carlynn wrapped up her sandwich, probably saving it for later. Lisbeth's was already gone.

“What about during those rounds you were talking about?” Lisbeth asked. “Can you get near her?”

“Only if the teaching physician chooses me to listen to her lungs. But that would only take a few seconds.”

“Not if you can't seem to hear well. Maybe your stethoscope is broken, or for some other reason you need to listen harder and longer than the other students.”

Carlynn rolled her eyes. “They'll kick me out of med school,” she said. “They already think I'm weird.”

“Let's see.” Lisbeth lifted her hands, palms up, in the air. “On the one hand, you'll be seen as weird, but the girl might live. On the other hand, you'll be seen as a good and normal doctor, but the girl will probably die.”

“Ugh.” Carlynn wrinkled her nose again. “Don't say it that way.”

“I'm sorry.” Lisbeth felt contrite, but only to a degree. “I don't mean to put more pressure on you, honey,” she said, “but you went into medicine because you wanted to use your gift. Medical school has been relatively easy for you. You whizzed through all the chemistry and biology courses and whatnot. The hard part for you will be finding a way to combine all that training with what you have naturally. What you never had to go to school to learn.”

Carlynn stared at her a moment, then let out her breath.

“You're right,” she said. “You're the only person who really understands me, Lizzie, do you know that?”

 

Carlynn and her fellow medical students, all of them men, made their rounds with Dr. Alan Shire, the teaching physician
on the pediatric floor, that afternoon. Although there were a couple of other female medical students in Carlynn's year, the group doing their pediatric rotation was, except for her, composed entirely of men, and that was enough in itself to set her apart from them.

The flock of students moved from patient to patient, and Carlynn grew increasingly anxious as they neared Betsy's room. Although she was still not certain what she would do when they got there, she knew Lisbeth was right: She had to at least make an effort to help the little girl in a way none of the other physicians would even know to try.

Carlynn did not for a moment believe she was any smarter than her twin, but Lisbeth's intelligence was far more down to earth, more in the realm of common sense, than was her own, and sometimes she actually envied that. Carlynn could solve complicated mathematical equations, but when it came to the simpler matters in life, she was often stymied. She wondered if her sister knew how much she depended on her counsel, on the wisdom Lisbeth barely knew she possessed.

Working for Lloyd Peterson had been wonderful for Lisbeth, and Carlynn had loved watching her sister's confidence grow over the past few years. If only her body had not grown with it. Her obesity—for that was, she had to admit, the word for Lisbeth's weight problem—had become an armor around her, protecting her from…Carlynn wasn't sure. Rejection? Love? Even Carlynn's psychiatric rotation had not given her answers to Lisbeth's situation. Whatever the problem, Carlynn had never spoken to Lisbeth about it. Lisbeth got enough negative feedback from their mother and the rest of the world. Carlynn wanted to be her one safe harbor, and she prayed she was not actually doing her sister a disservice by ignoring the problem.

Finally, Carlynn, her fellow students and Dr. Shire reached
Betsy's room, but they did not go inside right away. Dr. Shire turned to the group outside Betsy's door.

“This eight-year-old female's condition has deteriorated markedly since our rounds this morning,” he said. He discussed the little girl's most recent vital signs and lab results, none of which held out much hope for her recovery. Carlynn did not ordinarily find this particular doctor heartless, but she thought he seemed pleased to have such a serious case to show them. She appreciated the fact, though, that Dr. Shire discussed the child's condition with the students
outside
the patient's room. So many of the doctors spoke in front of the patients, as though they were deaf as well as sick. As though they were not human beings with feelings. She liked Dr. Shire's respect for his patients and the way he treated her like any other student, instead of someone who was less than competent by virtue of being a female. Frankly, she liked everything she knew about Dr. Shire, and she was hoping he would invite one of the students to listen to Betsy's lungs and heart. She was counting on it, and she planned to be the first to volunteer.

Inside Betsy's room Carlynn stood with her fellow students in a semicircle around the child's bed as Dr. Shire listened to the little girl's lungs. She was ready to raise her hand the moment he asked for a volunteer, but she could feel the perspiration forming in her armpits. Did she dare do something in front of Alan Shire and the other students? She knew the male med students already found her a bit peculiar, and not just for being a woman in a man's profession. They would chat among themselves about a particular patient, sharing their uncertainties—and, in some cases, their arrogance—but Carlynn always stood apart from them, both literally and figuratively, as she tried to think of a way to heal. Would it work if she simply poured healing thoughts into a patient as she stood in the room? she'd wonder. She'd experiment often with her gift, and
she was doing so right now as she stood at the foot of Betsy's bed.

“How are you feeling this afternoon, Betsy?” Dr. Shire inquired, but the little girl did not respond or even look in his direction. Her gaze was fastened to some point in space, and she was as pale as her pillowcase. Carlynn could hear the rasp of her breathing. She was definitely worse than she had been that morning.

Dr. Shire took Betsy's blood pressure and reported the numbers to the group. Then he straightened up to his full, lanky height and motioned toward the door of the room.

“All right,” he said, “let's move on. We're running late today.”

Carlynn froze. They couldn't leave. Not yet.

“Dr. Shire?” she asked as the students began to walk past her. “May I listen to her lungs for a moment?”

He hesitated, and the other students waited for him to say they didn't have time, but the doctor studied her, an odd, inquisitive expression in his eyes, and she did not turn away.

“Yes, Miss Kling, you may.”

There was a groan from some of the students, but Dr. Shire moved close to the patient again as Carlynn approached the head of Betsy's bed. She didn't care what anyone thought of her. What mattered right now was the life of this little girl.

Carlynn smiled at the youngster, hungry to touch her. Sitting on the edge of the bed, she reached for the girl's hands instead of for her own stethoscope.

“Hi, Betsy,” she said. “I'm going to listen to your heart and your lungs, but first I wanted to talk to you for a moment.”

Oh, it was hard to send her energy when she was so aware of the men behind her! Each of those young men would have simply moved toward Betsy, stethoscope in hand, leaning over the child without making eye contact with her, concentrating on the bruits and rubs they would hear through the cold
metal disk. If she had her own way, if she could design her intervention any way she liked, she would spend a long time talking with a patient, then a long time touching them. But with Dr. Shire and the students at her back, she did not have the luxury of time. So she struggled to do both: talk and heal.

Betsy was with her, though. Everyone else in the room might have been a million miles away, but Betsy was right there. Her gaze, previously vacuous, now locked onto Carlynn's eyes, and her delicate damp hands relaxed in her gentle grasp.

“What do you want to talk about?” Betsy asked in a small, hoarse voice.

“About how strong you are.” Carlynn expected to hear Dr. Shire interrupt her at any moment, but she continued, smiling at the girl. “You're very strong. Even though you are quite sick, you still have the strength to ask me what I want to talk about. You're an amazing and very brave girl.” She kept her eyes glued to Betsy's, glad the students and Dr. Shire could not see the intensity of the shared gaze. She did not want to let go of the child's clammy little hands. Any minute Dr. Shire would tell her she was wasting time, but she tried not to think about that.

“You have warm and pretty hands,” she said. She heard the students stir behind her and imagined they, too, were waiting,
hoping,
Dr. Shire would interrupt her so they could get on their way. “I'd like to listen to your lungs now,” Carlynn said. “Would that be all right with you?”

Betsy nodded and, with some effort, rolled onto her side, accustomed to the drill. Carlynn rested her stethoscope against the child's back, but it was merely for show. She placed her hand flat over the disk, her other hand on the girl's rib cage, just above her stomach. Closing her eyes, she breathed, imagining every molecule of her breath flowing through her hands and into the child. She held the position as long as she could
without attracting any more attention than she already had from those behind her. As soon as she stood up, she almost keeled over from a sudden weakness in her own body, and she could not help but smile. The weakness was telltale: she had made a difference in this little girl's condition.