parking lot, stops the car, and bursts into tears.
Mom and I are stunned into silence.
We decide to find a hotel and stop for the night. But it isnât five minutes before Momâs talking about dinner. Itâs like sheâs doing this on purpose!
Still, I act like I donât mindâfor Dadâs sake, not hers.
We go to Subway, and I order first. I load my sandwich up with pickles, sit down, and tuck right in. Before long, the whole sandwich is gone. Then I start in on the chipsâcrispy, salty, and delicious.
I eat the entire bag.
Out of the corner of my eye, I see Dad exchanging meaningful glances with Mom. He thinks Iâm doing great.
Mom relaxes, too. Pretty soon she and Dad are joking and having fun.
âIâll be right back,â I promise, and I head for the bathroom.
Someone is in the next stall. No problem. It could be Mom, and it wouldnât matter. I guarantee that she wouldnât hear a thing.
I bend over and close my eyes, and it all flows smoothly outâsoft bread, edges of chips, and hard knots of pickles. Then I wipe my mouth with toilet paper and flush.
I feel like Wonder Woman. I feel fantastic. Nothing brings on a quicker high than purging. Iâm not losing my touch. No fear and no pity. This is going to be a great senior year.
Afterward, I stand in front of the mirror, pop two Tums, and chew them cautiously while I fill my mouth with water. Calcium carbonate to neutralize the stomach acid. Baking soda works, too.
Then I pop an Altoid, reapply lip gloss, and grin to check my teeth.
Smooth. White. Perfect.
You can tell I donât purge.
8
Eight months have gone by since the drive across the States to meet with Dr. Harris. Senior year is almost over. Even though that psychiatrist tried to take it away from me, Iâm having my senior year in Germany with all my friends. Iâm finishing up advanced-placement classes at the high school on base, and every other day, a school bus takes me to the military hospital, where I volunteer in the emergency room for high school credit.
Right now, itâs ten oâclock in the morning, and I am where I love to be: in nursing scrubs in the middle of a busy hospital, with patients and staff all around me.
Every room in the ER is full, and the waiting room is packed. Even the hallway is packed, but not with patients. Weâve just gotten in a new set of Army trainees, and theyâre clustered by the big dry-erase boardânervous, miserable, hoping not to be asked to do anything too complicated. By the end of the month, each one of them needs to know how to perform basic medical procedures in the field. Then theyâll disappear, and a new batch will show up and cluster by the dry-erase board.
I listen to Sergeant Blake lecture the group on how to start an IV. Then he spots me.
âAh, Elena!â he says. âAccompany . . . ,â he scans the group,â. . . Private Henning into Room Six and monitor as he starts an IV on the patient there. The rest of you, come with me.â
Inside Room Six is a middle-aged woman with little baggy eyes and a pinched mouth. Sheâs cradling her abdomen like sheâs carrying a baby, but if she were pregnant, sheâd be upstairs in Labor and Delivery. Appendicitis? Constipation? Since starting here, Iâve been surprised at the number of patients who need emergency enemas. Thereâs even a special âenemaâ hand signal in the ER: the first finger curled into the thumb to form a butthole.
I wash up and coach Private Henning on how to wash up as we put on sterile gloves. Private Henning is a gangly African American with the words âOnly God Can Judge Meâ inked in blue letters into his neck. He canât hide his worry as I tear open the IV kit and lay its components out on a sterile tray.
âCouldnât you just do it for me?â he begs in a low voice.
The middle-aged woman with the constipated
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