Chapter 1: Daughter
He had asked repeatedly why someone with her credentials wanted a job in a poor county hospital. He had not accepted the glib answers she had prepared for him; eventually, she had been forced to offer him at least an approximation of the facts. "Both my parents died near a town like this," she had said. "They were hardly middle-aged. If they'd been under the care of a good Family Practitioner, they would be alive today."

This was both true and false, and it lay at the root of the ambivalence which made her feel old. If her mother's melanoma had been properly diagnosed in time, it could have been treated surgically with a ninety per cent chance of success. And if her father's depression had been observed by anybody with any knowledge or insight, his suicide might have been prevented. But the reverse was true as well; nothing could have saved her parents. They had died because they were simply too ineffectual to go on living. Whenever she thought about such things, she seemed to feel her bones growing more brittle by the hour.

She had come to this town because she wanted to try to help people like her parents. And because she wanted to prove that she could be effective under such circumstances--that she was not like her parents. And because she wanted to die.



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