Hensenâs stripe, Cartilage of Wrisberg, Jacobâs membrane.
Now, Grace tucked her feet onto the rung of the ladder-back chair and began typing. Munchausenâs would be no different from any other disease, she told herself. There had to be causes and symptoms and treatments. Case studies and research. Etiology. Prevalence.
Facts, as unbreakable as stone.
She moved the cursor down the screen, the clicking of the mouse the only occasional sound. She scanned the sites: an investigator specializing in Munchausen by Proxy cases, the International Munchausen by Proxy Network, National Center for the Prosecution of Child Abusers, the Federal Bureau of Investigation. Goosebumps rose on her arm. She hadnât seen this one before.
The site contained a âprofileâ of the typical Munchausen mother. Grace read it quickly, then again, slowly. âMother-perpetrator âdoctor shopsâ until given attention she is desperate to receive; consequently, child-victim has often been to numerous care-giversâ¦â
She heard again Anjuâs words: Why, in Godâs name, would you want to put him through that, Grace? And Jennâs: Oh, Grace, are you sure? And her own, shouted amid sobs to Stephen the night they returned from Hopkins: I donât care about quality of life! I want quantity , Goddamnit! I want him to live!
Mother-perpetrator.
Child-victim.
It took a moment for the phrases to register. Was this how she and Jack had been described in that Child Protective Services report that Mandy had supposedly seen? Mother-perpetrator . Child-victim . The words were like thieves, stealing into her life without her knowing it, taking everything of value.
âMother-perpetrator is willing to have child undergo numerous procedures and tests that often come back normal.â
Oh, Grace are you sure?
Why in Godâs name would you even considerâ¦
âMother-perpetrator is medically knowledgeable and typically has a background in medicine.â
Youâre so wrapped up in the medical stuff.
âMother-perpetrator is unusually friendly with hospital staff and other parents of sick children.â
âFather is typically absent during the child-victimâs hospitalizations.â
âChild-victimâs disease is often described as rare and multisymptomed.â
She sat back, holding her palm over her mouth. She fit the profile. She tried to let that thought settle. It was like trying to balance a bowling ball on a pin. She fit the profile. But it didnât make sense. Because Jackâs disease was rare? Because she, not Stephen, stayed with Jack in the hospital? Because she had a medical background? Had âdoctor-shopped,â when there wasnât a diagnosis? She thought again of all those letters she had sent to various experts, asking for help.
âWhat was I supposed to do?â Her voice sounded scratchy and out of place in the silence. She heard the furnace kick in, the rush of warm air from the heating vents fluttering the Christmas cards pinned to the bulletin board above her computer. Light caught in the metallic red letters of the âSeasonâs Greetingsâ on one card. She glanced at it, her fingers stilled on the keyboard. She thought of robins, of red-winged blackbirds, of Noah.
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It wasnât until March that they made love for the first time. She was a wreck the entire drive there, her turtleneck drenched with sweat beneath her sweater, her legs trembling. She must have applied her lipstick a dozen times in the rearview mirror. And then she was knocking on the door of his condo, and he was there, enveloping her in his arms, whispering into her hair, âOh, thank God. I was afraid you would change your mind.â
His mouth was on hers then, and her hands were in his hair and he was holding the back of her head, then lifting her off her feet, kicking the door closed behind him, carrying her inside. His hands were on her shoulders
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