The Shadow Wife

“I’m sorry.” Lisbeth felt contrite, but only to a degree. “I don’t mean to put more pressure on you, honey,” she said, “but you went into medicine because you wanted to use your gift. Medical school has been relatively easy for you. You whizzed through all the chemistry and biology courses and whatnot. The hard part for you will be finding a way to combine all that training with what you have naturally. What you never had to go to school to learn.”

Carlynn stared at her a moment, then let out her breath.

“You’re right,” she said. “You’re the only person who really understands me, Lizzie, do you know that?”

Carlynn and her fellow medical students, all of them men, made their rounds with Dr. Alan Shire, the teaching physician on the pediatric floor, that afternoon. Although there were a couple of other female medical students in Carlynn’s year, the group doing their pediatric rotation was, except for her, composed entirely of men, and that was enough in itself to set her apart from them.

The flock of students moved from patient to patient, and Carlynn grew increasingly anxious as they neared Betsy’s room. Although she was still not certain what she would do when they got there, she knew Lisbeth was right: She had to at least make an effort to help the little girl in a way none of the other physicians would even know to try.

Carlynn did not for a moment believe she was any smarter than her twin, but Lisbeth’s intelligence was far more down to earth, more in the realm of common sense, than her own, and sometimes she actually envied that. Carlynn could solve complicated mathematical equations, but when it came to the simpler matters in life, she was often stymied. She wondered if her sister knew how much she depended on her counsel, on the wisdom Lisbeth barely knew she possessed.

Working for Lloyd Peterson had been wonderful for Lisbeth, and Carlynn had loved watching her sister’s confidence grow over the past few years. If only her body had not grown with it. Her obesity—for that was, she had to admit, the word for Lisbeth’s weight problem—had become an armor around her, protecting her from…Carlynn wasn’t sure. Rejection? Love? Even Carlynn’s psychiatric rotation had not given her answers to Lisbeth’s situation. Whatever the problem, Carlynn had never spoken to Lisbeth about it. Lisbeth got enough negative feedback from their mother and the rest of the world. Carlynn wanted to be her one safe harbor, and she prayed she was not actually doing her sister a disservice by ignoring the problem.

Finally, Carlynn, her fellow students and Dr. Shire reached Betsy’s room, but they did not go inside right away. Dr. Shire turned to the group outside Betsy’s door.

“This eight-year-old female’s condition has deteriorated markedly since our rounds this morning,” he said. He discussed the little girl’s most recent vital signs and lab results, none of which held out much hope for her recovery. Carlynn did not ordinarily find this particular doctor heartless, but she thought he seemed pleased to have such a serious case to show them. She appreciated the fact, though, that Dr. Shire discussed the child’s condition with the students outside the patient’s room. So many of the doctors spoke in front of the patients, as though they were deaf as well as sick. As though they were not human beings with feelings. She liked Dr. Shire’s respect for his patients and the way he treated her like any other student, instead of someone who was less than competent by virtue of being a female. Frankly, she liked everything she knew about Dr. Shire, and she was hoping he would invite one of the students to listen to Betsy’s lungs and heart. She was counting on it, and she planned to be the first to volunteer.

Inside Betsy’s room Carlynn stood with her fellow students in a semicircle around the child’s bed as Dr. Shire listened to the little girl’s lungs. She was ready to raise her hand the moment he asked for a volunteer, but she could feel the perspiration forming in her armpits. Did she dare do something in front of Alan Shire and the other students? She knew the male med students already found her a bit peculiar, and not just for being a woman in a man’s profession. They would chat among themselves about a particular patient, sharing their uncertainties—and, in some cases, their arrogance—but Carlynn always stood apart from them, both literally and figuratively, as she tried to think of a way to heal. Would it work if she simply poured healing thoughts into a patient as she stood in the room? she’d wonder. She’d experiment often with her gift, and she was doing so right now as she stood at the foot of Betsy’s bed.

“How are you feeling this afternoon, Betsy?” Dr. Shire inquired, but the little girl did not respond or even look in his direction. Her gaze was fastened to some point in space, and she was as pale as her pillowcase. Carlynn could hear the rasp of her breathing. She was definitely worse than she had been that morning.