Small Great Things(127)

I realize that for years, I’ve made the assumption that Christina looks at me as someone from her past to be tolerated, an unfortunate to be helped. As children I felt like we were equals. But as we got older, as we became more aware of what was different about us, instead of what was similar, I felt a wedge drive between us. I secretly criticized her for making judgments about me and my life without asking me questions directly. She was the diva and I was the supporting player in her story. But I conveniently forgot to point out to myself that I was the one who’d cast her in that role. I’d blamed Christina for building that invisible wall without admitting I’d added a few bricks of my own.

“I left the money under your welcome mat,” I blurt out.

“I know,” Christina says. “I should have superglued it to your palm.”

There’s a foot of space, and a world of contrast, between Christina and me. Yet I, too, know how hard it is to peel back the veneer of your life, and to peek at the real. It’s like waking up in a room and getting out of bed and realizing the furniture has been completely rearranged. You will eventually find your way out, but it’s going to be slow going, and you’re bound to get some bruises along the way.

I reach out and squeeze Christina’s hand. “Why don’t you come inside?” I say.

—

THE NEXT DAY is frigid and clear. The memory of yesterday’s snowstorm has been scraped off the highways and the temperature keeps some of the crowd away from the front steps of the courthouse. Even Judge Thunder seems settled, made complacent by either whatever drugs he got for his sore back or the fact that we are nearing the end of the prosecution’s witnesses. Today, the first person called is the state medical examiner, Dr. Bill Binnie, who studied under the famous Henry Lee. He is younger than I would have imagined, with delicate hands that flutter during his responses, like trained birds sitting in his lap; and he has movie-star looks, so the ladies in the jury are hanging on his responses, even when they are simply the boring litany of all the accomplishments on his CV. “When did you first hear about Davis Bauer, Doctor?” the prosecutor asks.

“My office received a phone message from Corinne McAvoy, a nurse at Mercy–West Haven Hospital.”

“Did you respond?”

“Yes. After retrieving the infant’s body, we did an autopsy.”

“Can you tell the court what that entails?”

“Sure,” he says, turning to the jury. “I perform both an external and an internal examination. During the external exam, I look over the body for bruises and to see if there are any marks. I take measurements of the body, and the circumference of the head, and photograph the body. I take blood and bile samples. Then, to perform the internal examination, I make a Y incision in the chest, pull back the skin, and examine the lungs and the heart and the liver as well as other organs, checking for rupture, for gross abnormalities. We weigh and measure the organs. We take tissue samples. And then we send the samples to toxicology and await the results, in order to make a reasonable and factual conclusion about the cause of death.”

“What were your findings of note during the autopsy?” Odette asks.

“The liver was slightly enlarged. There was slight cardiomegaly and a minimal grade one patent ductus, but other congenital defects were absent—there were no valvular or plumbing abnormalities.”

“What does that mean?”

“The organ was a little large, and there was a small hole in the heart. However, the vessels weren’t hooked up wrong,” he says. “There were no septal defects.”

“Were any of these findings something that suggested the cause of death?”

“Not really,” the medical examiner says. “There was good reason for them. According to the patient’s medical records, the mother had gestational diabetes during the pregnancy.”

“What’s that?”

“A condition that leads to high blood sugar for a mother during pregnancy. Unfortunately, that high blood sugar in mothers also has an effect on their infants.”

“How so?”

“Infants who are born to mothers with diabetes are often bigger than other babies. Their livers, hearts, and adrenal glands may be enlarged. These infants are also often hypoglycemic after birth because of increased insulin levels in the blood. Again, based on the medical records I studied, the patient’s postnatal lab work indicated low blood sugar, as did the femoral stick done during the code. All of the findings of the autopsy, as well as the low blood sugar, would be consistent with an infant born to a diabetic mother.”

“What about the hole in the baby’s heart? That sounds serious…”

“It sounds worse than it is. In most cases, the patent ductus closes up by itself,” Dr. Binnie says, and he glances at the jury. The woman who is a teacher, juror number 12, actually starts fanning herself.

“Were you able to determine how the baby died, then?”

“Actually,” the medical examiner says. “That’s more complicated than most people think. We medical geeks make a distinction between the way a person died and the actual change in the body that causes the termination of life. For example, let’s say there is a gunshot and someone dies. The cause of death is the gunshot wound. But the mechanism of death—the actual physical event that ended his life—would be exsanguination—loss of blood.”