Chapter 1 - The Number on Megan’s Monitor

The kitchen light became a narrow yellow tunnel above me.
I held the edge of the sink with both hands, but my fingers no longer felt attached to my body. Dirty plates leaned against the basin. Gravy floated in the water beside pieces of mashed potato and green beans.
“Mom,” I whispered. “I cannot breathe.”
Susan Parker did not come closer.
She stood beside the table wearing a dark blouse and casual pants, folding a dish towel as if my voice had interrupted something important.
“Stop pretending. Wash the dishes.”
Uncle Ray leaned against the refrigerator with a beer in one hand.
“She always has energy when her friends call,” he said. “The second there is work, she suddenly becomes sick.”
My chest felt sealed.
I tried to pull air through my throat, but each breath arrived smaller than the last. My heart did not race the way it did during panic. It seemed to stumble, pause, and then strike again with less strength.
Caleb stood near the table wearing his green shirt.
He stared at my face.
“Mom, her lips are blue.”
“They are not blue.”
“They are.”
Ray rolled his eyes.
“Lazy girls will fake anything to avoid work.”
I lifted the glass I had been rinsing.
My hand opened without permission.
The glass struck the tile and shattered beside my sneakers.
My knees followed.
The floor hit my shoulder first. A sharp piece of glass slid beneath the cabinet, and cold dishwater spread against my shirt.
Susan stepped around the broken glass.
“Emma, this is enough.”
I could hear her.
I could not answer.
Daniel appeared in the kitchen doorway.
My stepfather had been watching television in the living room. He stopped the moment he saw me curled beside the sink.
His face changed.
“Call emergency services.”
Susan turned toward him.
“Do not encourage her.”
“Caleb, call now.”
Caleb moved before anyone else.
He grabbed the phone from the counter with both hands and entered the number. His voice shook as he gave our Cedar Rapids address to the dispatcher.
Ray kicked a piece of broken glass away from his shoe.
“She has done this before.”
Daniel shoved him backward.
“She has never turned blue before.”
Ray’s beer struck the refrigerator but did not fall.
He stared at Daniel with a sudden anger that seemed larger than the argument.
I tried to focus on that expression.
Then the room darkened.
Susan crouched near me.
She still did not touch me.
“You are frightening Caleb.”
I wanted to tell her that I was frightened too.
My mouth formed no sound.
The sirens arrived through the darkness.
The front door opened.
Boots moved quickly across the hallway.
A woman in a navy emergency uniform charged into the kitchen carrying a medical bag. A second responder followed with oxygen equipment while Daniel pushed the table aside.
The woman dropped beside me.
“Emma, my name is Megan. Can you hear me?”
I forced my eyelids open.
Her face stayed steady as she placed two fingers against my neck.
Then her expression changed.
“Stretcher now.”
Her partner ran toward the doorway.
Megan clipped a monitor onto my finger.
The screen flashed a number.
Sixty eight.
It dropped to sixty five.
She placed an oxygen mask over my face.
“Emma, did you eat anything unusual?”
I blinked once.
“Any allergies?”
I tried to shake my head.
My body barely moved.
Susan finally stepped closer.
“She gets dramatic when she is asked to help.”
Megan did not look up.
“She is critically ill.”
Ray crossed his arms.
“She probably held her breath.”
Megan turned toward him.
“No one holds a blood oxygen reading at sixty three while losing consciousness.”
She checked my pulse again.
“Her pulse is thready and slowing.”
The second responder returned with the stretcher.
Megan placed a line into my arm while her partner attached more monitoring leads.
The first oxygen mask did almost nothing.
My lips remained blue.
Megan drew a small blood sample.
The blood inside the tube looked dark brown instead of red.
She stared at it for half a second.
Then she spoke into her radio.
“Possible methemoglobinemia. Severe hypoxia with poor oxygen response. Alert the emergency department.”
Susan’s face tightened.
“What does that mean?”
Megan’s voice became colder.
“It means something may be preventing her blood from carrying oxygen.”
Daniel looked toward the dinner plates.
“What could cause that?”
“Medication, chemicals, contaminated food, several possibilities.”
Ray placed his beer on the counter.
“You are not accusing anyone.”
“No one asked you a question.”
The responders lifted me.
Susan reached for my arm.
Megan blocked her hand.
“You should have called before she stopped breathing.”
“I did not know.”
“Your son knew.”
Caleb stood against the wall with both hands over his mouth.
I tried to look at him.
He was the last thing I saw before the stretcher entered the hallway.
Outside, cold air struck my skin.
The ambulance doors remained open while Megan adjusted the line and prepared another medication.
Through the kitchen window, I saw Susan and Ray speaking near the sink.
Neither realized the microphone clipped to Megan’s uniform was still recording the scene.
Susan’s voice carried through the open ambulance doors.
“You said one spoon would only make her sleep.”
Ray answered sharply.
“Keep your voice down.”
Megan stopped moving for one second.
Then she looked toward her partner.
“Preserve the audio.”
May you like
The ambulance doors closed.
Continue to the next part: Megan’s recording captures the sentence Susan and Ray believed no one outside the kitchen could hear.