“Hey, sweetie,” Taylor called to her daughter. “Can you get the salad out of the fridge? Just put it on the picnic table. Then get the lemonade. These will only take a few minutes on each side.”
Maddie grumbled, more as if it was expected than with conviction, and climbed the back steps.
“She do okay?” Taylor asked softly.
Before he spoke Ethan took a moment to admire his daughter. Taylor was medium height and deceptively slender, deceptive because the narrow hips and long legs didn’t project the strength within. She wore her dark brown hair as short as a boy’s, but cut in feminine wisps around her face and nape. The cut emphasized heavily lashed brown eyes, which were a mirror of his own, and the delicate lips of her mother. She was already dressed to teach her yoga class in a green tank top covered with a gauzy scoop-necked shirt and leggings. She wore no jewelry except gold hoop earrings. Taylor spent little time on her appearance, but the effect was striking, anyway.
“She was up at the top of the jungle gym when I got there,” he said. “But Sam had an eye on her. You don’t think Maddie knows Sam’s there to watch out for her?”
“She knows, but it’s the kind of world where parents have to keep an eye on their kids, isn’t it?”
“Did you tell me Sam’s looking for a new job?”
“And she got one. She’s so excited. She wanted something where she could have a bigger impact on patient care, and now she’ll be the nursing supervisor at a maternal health clinic. She’s the kind of person I wanted watching over me when I was pregnant with Maddie,” Taylor said.
“The way she was watching over her today.”
Taylor lowered her voice to match his. “There are only so many excuses I can invent to go to the park myself. And she’s been free of heavy-duty seizures for three full months. I have to let go. I’m not going to hold her back from anything if I don’t have to.”
Three months without a major seizure was a new record, and Ethan, like his daughter, was cautiously hopeful. Several times a day Maddie experienced swirls of light or odd sensations in her stomach. These were manifestations of simple partial seizures, but she didn’t lose consciousness, and usually only those who knew her well could tell anything out of the ordinary had just occurred.
While children born prematurely suffered from epilepsy more often than full-term children, there were no easy answers as to why Maddie was one of them. Her seizures had begun at age three. From that point on she had experienced frequent complex partial seizures, classified as such because she lost awareness of the world around her, and sometimes experienced spasms, which caused her body to jerk uncontrollably.
Maddie’s neurologist was a cautious older man, long experienced in managing epilepsy. Right from the beginning he had taken time with Taylor, questioning her carefully and listening to her answers. Although he was a highly trained specialist, in personality he was more the legendary family doctor who was never too busy to take a phone call. Three months ago he had placed Maddie on a different drug regimen to manage her seizures, which had become more frequent and severe, carefully adjusting and weaning her off prior medications. Taylor was confident her daughter was in the best of hands, and confident that the new treatment would finally give her daughter a better life.
So far, she seemed to be right.
“She had a good time today,” Ethan said. “And the exercise was good for her.”
“Next week, if all’s well, I’m going to let her ride her bike to the park.” Taylor must have seen the question in his eyes, because she added, “She needs to believe she can conquer the world, and the only way to make sure of that is to let her try.”
He knew better than to protest. Maddie wore a helmet when she rode her bike, required by the state of North Carolina for children, anyway. If she had a seizure and fell, she would be like a million other kids who tumbled off bikes to the sidewalk. She would climb back on as soon as she could and pedal away.
“I appreciate you staying with her tonight,” she went on. “She has a lot of homework, so she’ll be better off here. They give them so much these days. She has to write a poem about spring, read a chapter in her social studies textbook and look up something she finds interesting on the internet to get more information. Plus they’re already doing geometry, if you can believe it, and she has worksheets.”
“I remember how much you loved geometry.”
“That’s funny, I don’t.” She smiled conspiratorially, because Taylor’s disdain of math was legendary. Ethan had always been the go-to parent when it came to the subject. Charlotte had never…
He cut that off as quickly as the thought occurred to him. Not thinking about Taylor’s mother was one of the things he did best.
Taylor flipped the burgers, before she crooked her neck to see if she could spot her daughter, or at least her shadow in the kitchen behind them. “I wonder what’s taking Maddie so long.”
“She probably had to hit the little ladies’ room first,” Ethan said. “I’ll go check on her. I can grab the lemonade.”
“Great, I’ll set the table.”
Ethan let himself in through the screen door and called to Maddie, but there was no answer. No salad adorned the counter, nor lemonade, so he figured his guess had been right. He took out both, the salad a glistening medley of leafy greens and finely chopped vegetables, the lemonade with lemon slices floating on top inside a cut-glass pitcher. Taylor liked to make dinner a special occasion when he shared it with them. She thought, incorrectly, that her father didn’t eat well enough when he was alone, and he didn’t put much energy into convincing her otherwise, since it meant meals like this one.
“Maddie?” he called again. There wasn’t a corner anywhere in the tiny house where she couldn’t hear a booming male voice. For the first time he began to worry.
Taylor stepped inside, frowning. “She didn’t answer?”
“Not yet…” Ethan started through the house, Taylor close at his heels. They didn’t have to go far. Maddie was on the floor outside the bathroom. Her eyes were open, then they rolled back and her body arched, and she began to convulse.
* * *
An exhausted Maddie cuddled on the family room sofa with Ethan and picked at her dinner. After what he had recognized as a grand-mal or generalized convulsive seizure, he had carried her here to nap, and she still hadn’t left. Taylor had called Dr. Hilliard to describe the ferocity of the event. Not only had the long string of seizure-free weeks ended, the girl seemed to have passed into a new land. Ethan knew a lot about his granddaughter’s condition, but now there would be new language to describe what had happened, new theories why and surely new or additional medication as she traveled her lonely path.
In the meantime Taylor would need to go into school and tell Maddie’s teacher what to do if Maddie experienced a similar seizure in class. The other students knew she had epilepsy. She’d had seizures in school, but they had been milder in comparison, not as frightening to witness. Even Ethan, who had seen many, had felt angry and helpless during this one. There’d been so little to do. Move things out of reach. Get a cushion under her head. Stay right there so that when she regained consciousness, they could comfort and reassure her, or turn her to her side as she slept off the effects.
Maddie played with the medical alert bracelet she always wore, sliding it up and down her wrist. “The teacher explained to my class. She said it’s like a lamp cord. Sometimes the wire has a short inside it, wires that rub together or something, and when somebody moves the cord, the lamp will blink or even stop working. Then, if they move it back to the right place, it works just as well as it ever did.”
“How did you feel when she said that?”
“I guess it was okay. Kids asked me what a seizure