The Last Letter (Page 6)

“It’s not?” Relief raced through me, the physical feeling palpable, like blood returning to a limb too long asleep.

“No. We don’t know what it is, though.”

“It could still be cancer?”

“It could. We’re not finding anything other than the elevated white counts, though.”

“But you’re going to keep looking.”

He nodded, but the sheen of certainty he’d had in his eyes when he’d thought it was leukemia was gone. He didn’t know what we were dealing with, and he obviously didn’t want to tell me that.

Day three and four passed with more tests. Less certainty.

Colt grew restless but refused to leave his sister’s side, and I didn’t have the heart to make him go. They’d never been separated for more than a day in their lives. I wasn’t sure they knew how to survive as individuals when they thought of themselves collectively.

Ada brought clean clothes, took Colt for walks, kept me up to date on the business. How odd it was that my obsession with Solitude had been my number three priority behind Colt and Maisie for the last five years, but at this moment felt utterly unimportant.

Days blended together, and my fingers were damn near raw from the internet searching I’d done since Dr. Anderson dropped the C word. Of course they’d told me to stay off the net.

Yeah, right.

I couldn’t remember a damn thing they said half the time. No matter how hard I tried to concentrate, it was as if my brain had shields up and was only taking in what it thought I could handle. Using the internet filled in the gaps that my memory and my notebook couldn’t.

On the fifth day, we gathered in the conference room once again, but this time I had Ada next to me.

“We still don’t know what’s causing it. We’ve tested for all the usual culprits, and they’ve come back negative.”

“Why doesn’t that sound like a good thing?” Ada asked. “You’re saying you haven’t found cancer, but you sound disappointed.”

“Because there’s something there. They just can’t find it,” I said, my voice turning sharp. “The same as Dr. Franklin. Maisie said she hurt, and she was sent home with a diagnosis of growing pains. Then they called it psychosomatic. Now you’re telling me that her blood says one thing, her bones say another, and you’re just out of ideas.”

The men had the good sense to look embarrassed. They should be. They’d gone to years and years of school for this very moment, and they were failing.

“Well, what are you going to do? Because there has to be something. You’re not going to send my little girl home.”

Dr. Anderson opened his mouth, and I knew from the set of his face, the next excuse was coming.

“Oh, hell no,” I snapped before he could get a word out. “We’re not leaving here until you give me a diagnosis. Do you understand me? You will not wash your hands of her, or me. You will not treat her as a mystery you simply couldn’t solve. I didn’t go to medical school, but I can tell you that she’s sick. Her blood work says it. Her hip says it. You did go to medical school, so figure. It. Out.”

Silence roared louder than any excuse they could have given me.

“Ms. MacKenzie.” Dr. Hughes appeared, taking a seat next to Dr. Anderson. “I’m so sorry I haven’t been here, but I split my time between this hospital and Denver Children’s and just returned this morning. I’ve seen your daughter’s test results, and I think I might have one more thing we can test for. It’s incredibly rare, especially in a child this old. And if it is what I think it might be, then we need to act quickly.” A clipboard appeared in front of me with yet another consent. “One signature is all I need.”

“Do it.” My name scrawled across the paper as my hand moved, but it wasn’t a conscious effort. Nothing felt like a choice at the moment.

Two hours later Dr. Hughes appeared in the doorway, and I stepped out, leaving Colt and Maisie wrapped around each other in front of Harry Potter.

“What did you find?”

“It’s neuroblastoma.”

…

Ada followed in my car, Colt strapped into his car seat behind her as we made our way through the curves and bends of I-70 toward Denver. I’d never been in the back of an ambulance, not even when I went into labor with the twins. Now my first trip in one lasted five hours.

They took us immediately to the pediatric cancer floor at the Children’s Hospital. There was no amount of festive cartoon murals on the walls that could have possibly lightened my mood.

Colt walked beside me, his hand in mine, as they wheeled Maisie down the wide hallway. Little heads peeked out of the doors or raced by, some bald, others not. There were kids dressed as superheroes and princesses, and one very charming Charlie Chaplin. A mother with a cup of coffee gave me a tentative, understanding smile as we passed where she sat.

It was Halloween. How had I forgotten? The kids loved Halloween, and they hadn’t said a single word. No costumes, no trick-or-treating, just tests and hospitals, and a mom who couldn’t remember what day it was.

I didn’t want to be here. I didn’t want this to be happening.

But it was.

The nurse who checked Maisie into her room made sure we had everything we needed, including a pullout bed that she said both Colt and I were welcome to sleep on.

“Do you have costumes?” she asked, too chipper to like and too kind to dislike.

“I…I forgot it was Halloween.” Was that my voice? So small and wounded? “I’m so sorry, guys,” I said to the twins as they looked up at me with a mix of excitement and disappointment. “I forgot your costumes at home.”

Just another way I’d let them down.

“I’ve got them, no worries,” Ada said, plopping a duffel bag onto the couch. “Wasn’t sure how long we’d be away, so I grabbed what I could think of. Colt, you’re our resident soldier, right?” She handed Colt the plastic-wrapped costume I’d purchased a few weeks ago.

“Yes! Just like Uncle Ryan.”

“And Maisie, our little angel. Want to put these on now, or wait?” Ada asked.

“They’re welcome to get dressed. We actually do a little trick-or-treat around five, so they’ll be all set,” the nurse said. I couldn’t remember her name. I barely remembered my name.

I nodded my thanks as the kids opened their costumes. Such an ordinary thing in extraordinary circumstances.

Ada wrapped her arm around my shoulders, pulling me in tight.

“It feels more trick than treat,” I said quietly so the kids didn’t hear me. They giggled and changed, trading pieces so Maisie wore Ryan’s Kevlar helmet and Colt had a sparkly, silver halo.

“These are rough days we have coming,” Ada agreed. “But you’ve raised a pair of fighters right there. Maisie won’t give up, and Colt sure won’t let her.”

“Thank you for the costumes. I can’t believe I forgot. And everything with Solitude, and gearing up for the season—”

“Stop right there, missy. I’ve been raising you since you came to Solitude. It’s always been you and Ryan, and Ruth, Larry, and me. Ruth was strong, but she knew it would take all of us to pull you kids through after you lost both your parents. Don’t you worry about a thing back home. Larry has it under control. And as for the costumes, you have bigger things in that beautiful head of yours. Just let me feel useful and remember the little ones.”

…

So many scans. CT. PET. The letters ran amok in my head while she was in surgery. They called it minor. The tumor they found on her left adrenal gland and kidney was anything but.

Another conference room, but I wasn’t sitting down. I was taking whatever news they had for me standing up. Period.

“Ms. MacKenzie,” Dr. Hughes addressed me as she walked in with a team of doctors. I was grateful for whatever arrangement she had with Montrose that allowed her to be here, to have the same face, the same voice with me.

“Well?”

“We performed the biopsy and tested both the tumor and the bone marrow.”

“Okay.” My arms were crossed tightly, doing their best to hold the rest of me together.

“I’m so sorry, but your daughter’s case is very aggressive and advanced. In most neuroblastoma cases, the symptoms present much sooner than this. But Maisie’s condition has been progressing without any outward signs. It’s likely been advancing undetected for years.”

Years. A monster had been growing inside my child for years.

“What are you trying to tell me?”

Dr. Hughes walked around the table to take my hand where I stood rocking back and forth like the twins were still babies in my arms in need of soothing.

“Maisie has stage four neuroblastoma. It’s taken over 90 percent of her bone marrow.”

I kept my eyes locked on her dark brown ones, knowing the moment I lost that contact, I’d be drowning again. Already the walls felt like they were closing in, the other doctors fading from my peripheral vision.

“90 percent?” My voice was barely a whisper.

“I’m afraid so.”

I swallowed and focused on bringing air in and out of my lungs, trying to find the courage to ask the obvious question. The one I couldn’t force past my lips, because the minute it came out and she answered, everything would change.

“Ella?” Doctor Hughes prompted.

“What’s her outlook? Her prognosis? What do we do?”

“We attack it immediately and without mercy. We start with chemo, and we move forward. We fight. She fights. And when she’s too tired to fight, then you do what you can to fight for her, because this is an all-out war.”

“What are her chances?”

“Ella, I’m not sure you want—”

“What are her chances?” I shouted with the last of my energy.

Dr. Hughes paused, then squeezed my hand.

“She has a 10 percent chance of surviving.”

That roaring returned to my ears, but I shoved it away, concentrating on every word Dr. Hughes said. I needed every ounce of information.

“She has a 10 percent chance of surviving this?” I echoed, needing her to tell me that I’d heard wrong.