The Secret Between Us

Chapter 3

Michael Barr was revered in Leyland. A family practitioner before family practitioners had come back into vogue, he had spent his entire career in the town. He was the doctor of record for three generations of local families, and had their undying loyalty as a reward.

He owned a pale blue Victorian house just off the town green. It was the same house where Deborah and Jill had grown up, and while Michael had always run his practice from the adjacent cottage, both structures had grown over the years. The last of the work, to the cottage, was done eight years before as a lure for Deborah to join the practice.

In truth, she hadn’t needed much encouragement. She adored her father and loved seeing the pride on his face when she was accepted into medical school and again when she agreed to work with him. She was the son he’d never had, and, besides, she and Greg were already living in Leyland, which made it convenient. Grace was six, born shortly before Deborah started medical school, and, by the time her residency was done, she was pregnant with Dylan. Her mother, a born nurturer, would have provided child care in a minute had Deborah and Greg not already employed the de Sousas. Lívia served as a sitter, Adinaldo a handyman, and there were de Sousa relatives to do gardening, roofing, and plumbing. Lívia still stopped by to clean and make dinner, and since Deborah’s mother died, the de Sousas did similar chores for her father. He wasn’t as enamored of them as she was, but then, no one could measure up to Ruth Barr.

Juggling her medical bag, bakery bag, and coffee, Deborah picked up the morning paper and went in the side door of the house. The accident would definitely be reported in the local weekly on Thursday. But in today’s Boston Globe? She prayed not.

There was no sign of her father in the kitchen—no coffee percolating, no waiting mug or bagel on a napkin beside it. She guessed that he had overslept again. Since Ruth died, he had taken to watching old movies in the den until he was sure he could fall asleep without her.

Deborah set her things on the kitchen table and, not for the first time, wished her father would bend enough to accept a pastry from Jill’s shop. People drove miles for her signature pecan buns, SoMa Stickies. But not Michael. Coffee and a supermarket bagel. That was all he wanted.

She hated the thought of telling him about Jill’s pregnancy.

“Daddy?” Deborah called in the front hall and approached the stairs. “Are you up?”

She heard nothing at first, then the creak of a chair. Cutting through the living room, she found her father in the den, sitting with his head in his hands, still dressed in yesterday’s clothes.

Discouraged, she knelt by his knee. “You never made it to bed?”

He looked at her with red-rimmed eyes, disoriented at first. “Guess not,” he managed, running a hand through his hair. It had gone pure white since his wife’s death. He claimed it gave him new authority with his patients, but Deborah thought he was something of an autocrat already.

“You have an early patient,” she reminded him now. “Want to shower while I put on coffee?” When he didn’t move, she felt a twinge of concern. “Are you okay?”

“A headache is all.”

“Aspirin?” she offered meekly. It was a standing joke. They knew all the current meds, but aspirin remained their default.

He shot her something that was as much a grimace as a smile, but took her hand and let himself be helped up. As soon as he left the room, Deborah noticed the whiskey bottle and empty glass. Hurriedly, she put the bottle back in the liquor cabinet and took the highball glass to the kitchen.

While she waited for the coffee to perk, she sliced his bagel, then called the hospital. Calvin McKenna remained in stable condition. This was good news, as was, she discovered next, the absence of mention of the accident in the Globe.

Hearing steps on the stairs, she refolded the paper and poured coffee. She was spreading cream cheese on the bagel when her father joined her. He was his usual well-dressed self. Putting an arm around her, he gave her a squeeze, then reached for his coffee.

“Better?” she asked after he had taken several swallows.

“Oh yeah.” Other than bloodshot eyes, he had cleaned up well. “Thanks, sweetheart. You’re a lifesaver.”

“Not quite,” she said and took the opening. “Grace and I were in an accident last night. We’re both fine—not a scratch—but we hit a man.”

Her father was a minute taking it in, his face filled with concern, then relief, then uncertainty. “Hit?”

“He was just suddenly there in front of the car. It was out on the rim road. Visibility was really bad.” When her father didn’t seem to follow, she prompted, “The rain? Remember?”

“Yes, I remember. That’s awful, Deborah. Do we know him?”

“He teaches history at the high school. Grace has him.”

“Is he one of ours?”

One of their patients? “No.”

“How badly is he hurt?”

She related what she knew.

“Not life threatening, then,” her father decided as she had.

He sipped his coffee. She was starting to think that she’d gotten off easy, when, with marginal sharpness and a rise in color, he asked, “How fast were you going?”

“Well under the speed limit.”

“But how could you not see him?”

“It was pouring and dark. He wasn’t wearing reflective gear.”

Her father leaned back against the counter. “Not exactly the image of the good doctor. What if someone thought you’d been drinking?” His eyes met hers. “Were you?”

I wasn’t driving, she nearly said, but settled for a quiet, “Please.”

“It’s a fair question, sweetheart. Lord knows, you have cause to drink. Your husband left you with a huge house, huge responsibilities, huge wine cellar.”

“He also left me with a huge bank account, which makes the huge house doable, but that’s not the point. I don’t drink, Daddy. You know that.”

“Did the police issue a citation?”

Her stomach did a little flip-flop—possibly from the word, more likely from the increased edge in her father’s voice. “No. They didn’t see any immediate cause. They’re doing a full report.”

“That’s swell,” Michael remarked dryly. “Does the man have family?”

“A wife, no kids.”

“And if he ends up with a permanent limp, you don’t think he’ll sue?”

Mention of a lawsuit, coming on the heels of the word citation, both evidence of her father’s disappointment, made Deborah’s stomach twist. “I hope not.”

Michael Barr made a dismissive sound. “Lawsuits have little to do with reality and everything to do with greed. Why do you think we pay what we do for malpractice insurance? We may be totally in the right, but the process of proving it can cost thousands of dollars. Naïveté won’t help, Deborah.” He snorted. “This is the kind of discussion I’d expect to have with your sister, not with you.”

And guess what she’s done now? Deborah wanted to cry in a moment of silent panic, but she just said, “She’s doing great.”

“A baker?” he tossed back. “Do you know the kind of hours she works?”

“They’re no worse than ours.” Deborah had hired a nanny. Jill could, too—actually, Jill didn’t have to. She lived above the bakery. She could set up a nursery in the back room and have the baby with her all the time. She could even have one of her employees help out. They had almost become like family.

“She can barely make ends meet,” Michael argued. “She knows nothing about business.”

“Actually, she does,” Deborah said.

But her father had moved on. “You’ve called Hal, haven’t you? He’s the best lawyer around.”

“I don’t need a lawyer. I’ll file a report today, and that’s it.”

“File a report at the police station? Put it in writing, and then have your own words come back to haunt you?” His color heightened. “Please, Deborah. Listen to me here. You hit someone; he didn’t hit you. That makes you the offender. If you’re talking with the police, you need a lawyer with you.”

“Isn’t that a sign of guilt?”

“Guilt? Cripes, no. It’s preventive medicine. Isn’t that what we’re about?”

Deborah made house calls. It wasn’t something she had planned to do when she was in medical school, or even when she started to practice—and when tests were necessary, it was out of the question. Those patients had to be seen either in the office or at the local hospital.

But not all patients needed tests, and one day a few years ago, when a regular patient had called with severe back spasms that prevented her from driving to the office, it seemed absurd not to help. The patient was a single mom, with a new baby and a disabled aunt. Deborah couldn’t bear letting her suffer.

Seeing her at home made a difference in Deborah’s diagnosis. The apartment—five rooms on the second floor of a two-family house—was in chaos. Clothes were everywhere; baby gear was everywhere; dirty dishes were everywhere. When Deborah talked with her on the phone, the women claimed that the spasms came from lifting the baby. In fact, Deborah saw a woman who was simply overwhelmed with her life. There were social services that could help, but Deborah wouldn’t have known to give them a call if she hadn’t visited the house.

Treating patients was like solving a puzzle. There were times when an office visit yielded enough clues, other times when more was needed. Since Deborah was drawn to this puzzle-solving, and liked being out and about more than her father did, she did all the home visits. This also gave her a lighter patient load and more flexibility, both of which were especially welcome after Greg left.

Today, desperate to busy herself, she set off shortly before nine to visit an elderly woman who had fallen out of bed the week before and hit her head. The concussion was mild compared to her fear of falling again. A pair of bed rails and a cane, both of which she showed Deborah now with pride, had restored some of her confidence.

Deborah’s second stop was just down the road, at the home of a family with six children, the youngest three of whom had high fevers. The parents could have brought the kids in. But to risk infecting other patients in the waiting room? Deborah didn’t see the point, particularly when she was going to be nearby anyway.

Ear infections. All three. Easily diagnosed, with a minimum of risk.

Her next patient lived one town over. Darcy LeMay was a woman whose husband, a business consultant, was on the road three weeks out of every four, leaving her alone in a beautiful home with a severe case of osteoarthritis. She was seeing a specialist, from whom Deborah received regular reports. The woman’s current complaint had to do with such intense ankle pain that she wondered if she had broken a bone.

Deborah rang the bell and let herself in when she found the door ajar. “In the kitchen,” Darcy called unnecessarily. She was always in the kitchen, and why not? It was a beautiful kitchen, complete with exquisite cherry cabinets, carved granite counters, a state-of-the-art cooktop, and appliances so neatly built-in that they were almost invisible. A baker’s rack held earthenware plates in gold, olive, and rust, all hand-painted in Tuscany, Darcy had explained when Deborah had admired them on an earlier visit.

Darcy sat at a hexagonal table built into the breakfast nook. She wore a large cotton sweater over a pair of tights, and had her bad foot resting on the seat of the adjacent chair. The table was strewn with papers.

“How’s the book coming?” Deborah asked, regarding the papers with a smile as she set her bag on the table.

“Slow,” Darcy said and proceeded to blame her ankle for distraction, her arthritis specialist for unresponsiveness, and her absent husband for disinterest.

Deborah knew scapegoating when she heard it. Moreover, she didn’t have to look at Darcy’s ankle to see the immediate problem, though she did an appropriate amount of prodding. “No break,” she concluded, as she had known she would. “Just your arthritis kicking up.”

“So bad?”

Gently, Deborah said, “You’ve gained more weight.”

Darcy gave a dismissive headshake. “I’m holding steady.”

Denial was right up there with scapegoating. Taking a direct approach, Deborah peered under the table. “Is that a bag of chips on the floor behind you?”

“They’re low fat.”

“They’re still chips,” Deborah said. “We’ve talked about this. You’re a beautiful woman who is carrying around fifty pounds too much weight.”

“Not fifty. Maybe thirty.”

Deborah didn’t argue. Darcy had been thirty pounds overweight when she had last been to the office, but that was two years ago. Seeing a specialist was a convenient excuse not to have to face one’s own doctor’s unforgiving scale.

“Here’s the thing,” Deborah said, gentle again. “Arthritis is a real disease. We know you have it. The medication you take helps, but you have to do your part, too. Think of carrying a fifty-pound weight around in your arms all day. Think of the extra stress that puts on your ankles.”

“I really don’t eat very much,” Darcy said with feeling.

“Maybe not, but what you do eat is bad for you, and you don’t exercise.”

“How can I exercise, if I can’t walk?”

“Take some of the weight off, and you will be able to walk. Set yourself up in the den, Darcy. Working here in the kitchen is too convenient for snacking. Start slowly. Walk up and down stairs three times a day, or to the mailbox and back. I’m not asking you to run a marathon.”

“You shouldn’t,” Darcy advised. “Fast is not always good. I heard about your accident.”

Deborah was taken off guard. “My accident?”

“Speed does it every time.”

Deborah might have informed her that speed had not been involved, but it was the wrong direction to take. “We were talking about your weight, Darcy. You can blame arthritis, or your husband, or Dr. Habib, or me. But you’re the only one who can change your life.”

“I can’t cure arthritis.”

“No, but you can make it easier to live with. Have you given more thought to taking a job outside your home?” They had talked about that at length last time Deborah had visited.

“If I do that, I’ll never finish my book.”

“You could work part-time.”

“Dean earns more than enough.”

“I know that. But you need to be busier than you are, particularly when he’s gone.”

“How can I work if I can’t walk?” Darcy asked, and Deborah grew impatient. Taking a pad from her bag, she wrote down a name and number.

“This woman is a physical therapist. She’s the best. Give her a call.” She returned the pad to her bag.

“Does she come to the house?”

“I don’t think so. You may just have to go there,” Deborah said with a perverse satisfaction that had vanished by the time she left the house. Like so many of her patients, Darcy LeMay had issues that went beyond the physical. Loneliness was one; boredom, denial, and low self-esteem were others. On a normal day, Deborah might have spent more time addressing them. But there was nothing normal about today.

She had barely returned to the office when the school nurse called to say that Grace had thrown up in the girls’ bathroom and needed to be picked up. How could Deborah refuse? She knew that Grace would have already taken the biology exam, and yes, she would miss the rest of the day’s classes, plus track, but if Deborah’s own stomach lurched at the thought of the accident, she could imagine how Grace felt.