“No fever,” Edmund said.
Tess Cooke lay on her cot, her hair spread against a thin, stingy pillow. She looked from her son, lying half asleep on his own bed, to the thermometer in Edmund’s hand. Her eyes filled with tears.
“He has no fever?” she asked, her voice more rasp than whisper. “You’re sure?”
Edmund smiled. “I’m certain. I checked twice.”
I stood beside Tess’s bed, a sleeping Abigail in my arms. Tess still had a slight fever, but her nosebleeds had stopped, and she was able to keep down more food than she threw up. Finally, some good news.
Edmund reached for Abigail. “Can you spare her, Cleo?”
I handed Abigail to him and turned to Tess. “I could come and help with the children, if you like,” I offered. “Even after you leave here, you won’t be on your feet for some time.”
Tess smiled. “You’ve done so much already. Charlie’s on his way. And my sister will come too.”
A wire had arrived yesterday. Mr. Cooke had been located laying railroad tracks in some godforsaken desert in Arizona. He would be home tomorrow. I smiled back, relieved for her.
Edmund pulled the stethoscope from his ears. “Abby’s temperature is normal. And her lungs are clear. It looks like we just might be over the worst of it.”
I peered over his shoulder, anxious. “Her lungs are fine? How can you be sure? It’s not as if she can tell you how she’s feeling.”
Edmund exchanged a glance with Tess. “I can’t be. But when a patient has influenza, the lungs make a gurgling sound. And the heartbeat slows dramatically. Put this on. Listen.” He pulled the stethoscope from around his neck and handed it to me, still holding Abigail with one arm. I put the stethoscope on, the feel of it strange inside my ears. Edmund pressed the chest piece against Abigail’s heart. I listened to the steady beat. He moved the stethoscope over her lungs. I heard nothing. I pulled the stethoscope from my ears. Tess and Edmund looked at me, expectant.
“I think she’s over the worst of it,” I said.
Tess smiled. I offered Edmund the stethoscope, along with a sheepish glance. Humor glinted in his eyes. He turned toward Tess, and I started down the aisle to give them some privacy.
I smiled at Hannah, who fitted an empty cot with fresh sheets, and wondered when she slept. I passed Dr. McAbee. He peered into a woman’s ear with a needle in his hand, and I shuddered in sympathy for her. At the end of the aisle, a nurse named Callie King hung a toe tag on a body.
I averted my eyes. When they passed on, patients were immediately moved downstairs, to the temporary morgue. It was not good for those in the wards to see a body being prepared for burial. But this woman had already been wrapped tight in a white binding sheet. Only her head was left exposed. And one slim foot, for the tag.
I started to walk past. Stopped. My heart stuttered. I approached the bed and wondered if I was seeing things. Callie looked up. I saw now that the body belonged not to a woman, but to a girl, fourteen or fifteen. Without saying a word, I reached down and placed two fingers on the side of her neck. As I did, her eyes blinked open, wide as an owl’s.
I fell back with a muffled shriek. The little girl in the neighboring cot shifted but did not wake. Out of the corner of my eye, I saw Edmund’s head snap up. I stared across the bed at Callie. Disbelieving. She stood frozen, looking back at me with round, guilty eyes.
“She’s still alive,” I whispered.
“I’m sorry! I’m so sorry!” Callie said, the circles like smudges of charcoal beneath her eyes. “It’s just . . . it saves time. She’ll be gone by morning and it . . . it just saves time.” She yanked off the tag and pulled at the girl’s foot. Trying to undo the binding. She stopped. She began to cry.
Callie looked exhausted. But I was tired too. And outraged. Anger burned within me, a terrible, seething resentment. How dare she give up on her? The girl’s eyes had shut, and her lips and face were tinged the color of blueberries. But she was not dead yet.
Hannah appeared, for once looking unsettled. “Come with me, Callie.” She put one arm around the nurse and guided her toward the door. Hannah threw a look over her shoulder. “Leave her, Cleo,” she said quietly. “I won’t be long.” They disappeared through the doorway, the sound of Callie’s weeping trailing after them.
“Christ.” Edmund stood beside me.
I did not look at him. “How do we know she can’t hear us?” My voice trembled. “How do we know she didn’t feel someone wrapping her up like a mummy? She would have been so scared.” I felt around the girl’s foot, trying to find the edge of the binding.
Edmund touched my arm. I shook him off.
“Don’t,” I said. “I won’t go. I’m not leaving her like this.”
“I’m not asking you to.” Edmund walked around me. He gently lifted the girl’s head and tugged at the binding behind her neck. Holding up the edge of the cloth, he looked at me, as calm and as steady as ever.
“Here,” he said. “Hold her up for me. I’ll pull her free.”
Chapter Twenty-One
Tuesday, October 22, 1918
As it turned out, the rumors were true. There was a vaccine. The lower-level balcony was crowded—with doctors, nurses, soldiers, even Mr. Malette, the cook. We sat in our red leather opera chairs while Dr. Montee explained that a shipment of influenza vaccine had arrived. There was enough to inoculate twenty thousand people.
A murmur filled the space. I exchanged glances with Kate and Edmund, who sat on either side of me. Twenty thousand? That’s it? Portland had ten times the number of people. More than ten.
Dr. Montee had been responsible for every flu-related decision made in the past month. Closing the schools. Opening the emergency hospitals. Placing police outside the streetcars to prevent overcrowding. He was a small man with a big job.
The doctor waited until the balcony quieted before he resumed speaking. “I understand your concerns.” Though slight, he had a voice that carried. “Twenty thousand is the most we could acquire at this time. I’m hopeful we can obtain more soon. I want to stress that due to the nature of the epidemic, its rapid spread, and the urgency with which this vaccine was devised, the drug has not undergone the rigorous testing that is typical before such widespread dispersal. However, the test results we do have show some success in limiting the influenza’s severity. Let me be very clear—it does not prevent Spanish influenza outright, and it is ineffective when used on a patient who has already contracted the flu.” Dr. Montee’s mask expanded over a frustrated breath. “In other words, my friends, desperate diseases require desperate remedies. This is all we have.”
An untested vaccine that was of no use to those already dying. It was not the miracle drug we had hoped for. Far from it.
Hannah stood beside Dr. Montee. I leaned toward Edmund. “Your mask,” I whispered.
Edmund glanced quickly at Hannah. She was staring straight at him with narrowed eyes. He pulled his mask over his nose.
Dr. Montee adjusted his bow tie. “Please know that the vaccine is strictly voluntary, though I cannot recommend it enough given your close and continuous proximity to infected persons. There is no charge for those here. The remaining vaccine will be transferred to physicians’ offices and to public clinics. The cost is one dollar per vaccine. I suggest you bring your families in immediately.” He turned to Hannah. “Mrs. Flynn?”
Hannah stepped forward. “Dr. McAbee will administer the men’s shots in the first-floor smoking room,” she called. “Ladies, please follow me. You’ll receive yours in the exhibit hall on the third floor.”
The noise level rose once again as the crowd made its way to the exits. Kate, Edmund, and I were seated in the back row. In the farthest corner. We stayed put, waiting for the crowd to thin.
“I don’t like needles,” Kate said.
“Neither do I.” I turned to Edmund. “Where do they give the vaccine? In the arm? Or . . .” I trailed off, uneasy, thinking of the other place one could get poked with a needle.
Edmund pulled his mask down. He was smiling. “In the arm,” he confirmed. “It’s a fast shot. You’ll hardly feel it.”
That was little comfort. “It’s barely been tested,” I said. “What if it gives us rickets? Or milk leg?”
Edmund’s smile widened. “I think we’re safe from milk leg.” He nudged my shoulder with his. “And better rickets than this flu.”
“I guess so.” I turned to Kate, who had gone quiet listening to us.
“Kate?” I whispered. I touched her arm.
Kate’s palms were pressed against her temple, her eyes glazed over with pain. And her mask. It was no longer white.
It was red.
Swearing, Edmund scrambled to his feet. He yanked at her gauze. Twin rivers of blood flowed from her nostrils, dripping down her chin and onto her blouse and skirt. As Edmund lifted her in his arms, she looked at me.
“My head hurts,” she said.
Edmund sprinted toward the women’s ward, Kate clutched in his arms. I ran after him. He was pale, Kate even more so. And I remembered Henry Thomas lying on the sidewalk outside the Portland Hotel.
We burst into the room. The nurses—the few left behind while the rest of us received vaccines—barely glanced up. Bleeding patients were common here, and they had their own troubles. In the first aisle, Edmund found an empty cot near the mirrored wall. He set Kate on the bed but wouldn’t let her lie down.
“We have to keep her upright for now,” he explained tersely. “Or she’ll choke.”
Kate was crying, her nose still bleeding. I grabbed a clean towel from a cart and did my best to mop her off. “You’re going to be fine, Kate,” I murmured. “It’s only a little blood. You’ll be fine.” I said it over and over again, trying to keep the panic from my voice.
In the mirror, I caught a glimpse of William Cooke, sitting up for the first time. He held the toy submarine I’d brought him yesterday. A little girl watched us from the next cot. She saw the blood and started to cry. I turned away. Not now, not now.
“Cleo.” Edmund’s voice was urgent.
“What?” I cried. “What do I do?”
“Get Hannah.”
I looked at Kate. Coughing. Her shoulders heaving. I dropped the towel on the bed and ran.
Upstairs in the exhibit hall, a line of women stood with their backs to me. One of the nurses sat in a chair at the front of the queue, her shirtwaist unbuttoned and pushed off one shoulder to expose an arm. Beside her, a frowning Hannah held a long needle up to the light. She tapped the needle with one rigid finger, then smiled with satisfaction when a small stream of liquid emerged. Hannah caught sight of me, and her mouth formed a small O. The other women turned in unison. And I saw the alarm on their faces.
I looked down. At the blood soaking my sweater, my skirt. I reached up and felt the sticky wetness on my cheek.
Hannah was not God. Neither was Edmund. Or Dr. McAbee. Or any of the other medical staff who could do nothing as Kate shivered and cried beneath her blanket. In fact, I thought, rage and fear simmering within me, it was clear God was nowhere near this building.
Around me, the day continued. Edmund was called downstairs to help transport bodies to the morgue. Two soldiers had collapsed right after Kate. We were even more short-handed. Hannah sent Mrs. Howard upstairs to finish the inoculations. She stayed in the ward herself, never too far away. I gathered the extra set of clothes Kate had left in the downstairs comfort station. Hannah and I peeled off her bloody clothing. Threw them in the trash.
“Should we fetch her mother?” I asked. Hannah hated having visitors inside the hospital, allowed them in only to say goodbye. It was not safe. But who was safe? Not the people inside the hospital. Not the people outside. None of us.
Hannah glared at Kate’s thermometer. She didn’t respond.
“What is it?” I asked.
“One hundred and five.”
Our eyes met, and I saw my own anguish reflected in hers.
I gripped Kate’s hand beneath the covers, trying to hold back the tears.
“Should we fetch her mother?” I asked again, my voice catching. “Her parents? I can go.”
“Not yet.”
Kate drifted in and out of sleep. The bleeding had stopped for now, but her hand burned in mine. I thought back to this morning, wondering if I’d missed something. Some sign. But no. She had been fine. I’d brought cinnamon rolls. Kate climbed into the car, smiling as always. Hannah called us back before I’d had a chance to drive off. One of the city health officers was here, Hannah said. He wanted a word with all of us. We didn’t eat our breakfast, I realized suddenly. The pastries were still in the car. Was that why? I felt the hysteria bubble up inside of me. Would Kate have fallen ill if she’d had her breakfast?
Hours passed. Hannah was standing beside me. We were looking at Kate. At the dark blue spots on her cheekbones. Cyanosis, I thought, remembering my first day at the hospital. Cyanosis. A death sentence.
“Simon,” Hannah said quietly.
Sergeant LaBouef was just across the aisle, pulling off soiled sheets. His gaze touched on my still-bloodied clothing before he answered Hannah. “What can I do?” he asked.
“I need you to drive to St. Vincent’s. I need you to find Kate’s sister. Her name is Waverley Bennett.”
The sergeant closed his eyes briefly and nodded. He took the sheets with him as he left.
Hannah touched my shoulder. I covered my face with both hands and wept.
Backstage, in the showers, I bent my head beneath the spray. Not caring that I used a stranger’s bar of soap. A sliver of Ivory I’d found on a shelf, with small bits of hair caked in. A week ago, it would have given me the willies. Today I ignored it. I shampooed. I washed. I watched Kate’s blood drain away at my feet.
Waverley Bennett was on the way. I didn’t doubt Kate’s parents were also being notified. And I didn’t want her family to see me as I was.
I stayed under the spray for so long the water chilled. When I was done, I dressed in a spare set of clothes I’d left behind after my first experience with the Cookes. The women’s shower room was connected to a comfort station, a soft pink room with lit vanities and gold brocade settees. I stopped when I saw Edmund leaning against a wall. We were alone.
I took a deep breath, long and shaky. “Is she . . .”
Edmund straightened. “No. But she’s worse, Cleo. Waverley’s with her. They’ve sent for her parents. We can’t get through on the telephone.” He gestured toward the nearest vanity.
I looked at the tabletop. A single needle rested on a white cloth beside a bottle and some bandaging. My vaccine. Too late for my friend.
I sniffled. Nodded. I sat on a long padded bench in front of the vanity and unbuttoned my shirtwaist halfway down. Enough to pull the cloth off my shoulder. My chemise was exposed, the first time any male other than my doctor had seen my underthings.
Edmund straddled the bench, so close I felt his breath on my skin. He reached for the bottle. It clattered back onto the vanity when I pressed my palm flat against his chest. I needed to feel his heartbeat. To convince myself that he was safe, that he would not fade away right before my eyes. Edmund covered my hand with his. And my name, when he said it, was a sigh. His lips touched mine in a long, slow, sweet kiss. My first. I closed my eyes, feeling his heart beating fast beneath my fingertips.
He lifted his head. “Cleo, wait. I need to do this.”
I watched as he fumbled with the needle, the bottle, finally closing his eyes and waiting for his hands to settle. From the next room came the faint intermittent drip of the showers.
“What if it’s too late?” I asked.
“Don’t.”
I felt a pinch, a sharp sting, as the needle entered my arm.
I heard someone crying in the storage closet. The door was ajar. When I looked in, I saw Hannah weeping in Sergeant LaBouef’s arms. Rocking and weeping. It was an awful thing to watch and hear. Hannah didn’t see me—her face was buried in his s
hirt—but the sergeant did. He shook his head, once. I nodded, stepped back, and closed the door as quietly as I could.
Kate’s skin had taken on the color of lead. Not just her cheekbones. But her entire face, her ears, her neck. She looked like a statue. Except that statues don’t shake in their beds so hard that they rattle against the floor.
Digitalis didn’t help. Neither did oxygen or codeine. Only morphine helped.
Edmund was called away again. I don’t know where. Waverley was by Kate’s side, dressed in a Red Cross uniform. Not wanting to intrude, I stayed back, with Tess, holding Abigail in my arms.
Hannah appeared. Her eyes were red, her face splotchy. She placed her hand on my forehead. “Open up,” she said, and when I did, she stuck a thermometer beneath my tongue. She glanced at the result and released a pent-up breath. A nurse across the room called for her. Hannah patted my face and was off.
Andrew had gone to fetch Kate’s parents. It would take him a while. The Bennetts lived over the bridge, on the eastern edge of town. I watched the door, willing them to walk in.
They did, eventually. They ran in. Mr. and Mrs. Bennett, along with four more sisters. Etta, Ruby, Amelia, and Celeste.
But they were too late.
Chapter Twenty-Two
Tuesday, October 22, 1918
The rotten car would not start. I tried everything—turning the hand crank, rattling the steering wheel, fiddling with the pedals. Nothing emerged save a series of pfft-pfft-pffts before the automobile fell, once again, into silence.
I opened the door and stepped down. Circling the car—once, twice, three times—I inspected it as if I had the slightest idea of what to look for. Hateful tin can. It would fail me now, when all I wanted in the world was to drive away from this awful place. Drive away and never stop.
I started to climb back into the car. Hesitated. Using both hands, I felt along the edges of the front seat and lifted the upholstery from its frame. For one horrible moment, all I could do was stare at the gasoline tank hidden beneath the seat. Surely not. Surely I could not have forgotten . . . But I had forgotten. My telephone conversation with Jack came rushing back to me, along with his reminder to check the gasoline levels. When was the last time I’d been to a filling station?
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