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“Jeff,” Jenna asked softly, “is baby Darcy our sister?”
He whirled on her, his face all scrunched up and fierce looking. “No!”
“But if she’s Dad’s baby, wouldn’t she be our—”
“No,” Jeff snapped. “And don’t you ever say that again.”
That horrible feeling behind Jenna’s eyes returned. “But why?”
“Didn’t you hear Mom crying? Dad left her for Margo. He left us for Margo, too.”
“But he still loves—”
“If he loved us, he’d come visit. He loves Margo and the baby now. And Margo’s son, too.”
Jenna tried to stop her tears from coming, but her eyes still got as wet as the grass. She no longer felt like singing a Blues Brothers tune or playing in the sprinkler.
Long moments passed before Jeff awkwardly patted her thigh. “Aw, don’t cry, Jenna. Mom and me are all the family you need.”
For the first time Jenna could remember, Jeff hadn’t made her feel better. That could be because he was crying, too.
CHAPTER ONE
Twenty-two years later
CLAY DILLON COVERED his sister Darcy’s much smaller hand with his, hoping the dread flowing through his veins like icy river water hadn’t chilled his skin.
She glanced at him with wide blue eyes, and he tried to convey with his expression that they’d get through this crisis no matter what the news.
Their mother Margo sat rigidly on the opposite side of Darcy, her pink lipstick standing out starkly on a face that had gone pale despite her expertly applied makeup.
If the patient consultation room hadn’t been rather richly redecorated and the slim, somber man behind the gleaming mahogany desk hadn’t lost three-quarters of his hair, time would seem as if it had rewound.
Dr. Phillip McIntyre tapped his chin, a habitual gesture Clay recognized from the last time the family had dealt with him. It meant the doctor was having difficulty putting his thoughts into exactly the right words.
“I’m sorry to have to inform you of this, but the biopsy confirmed our suspicions.” His somber voice contrasted vividly with the Memphis sun streaming through the blinds. “The kidney is indeed failing.”
Clay’s stomach plunged like a skydiver realizing that his parachute wouldn’t open. The diagnosis, though, came as no surprise. The creatinine levels in Darcy’s blood had been rising, an early indication her kidney wasn’t filtering out waste products the way it was supposed to.
The doctor’s compassionate gaze zeroed in on Darcy, who’d inherited their mother’s heart-shaped face and blond good looks. Except now Clay let himself notice that her complexion appeared sallow and her skin puffy. Clay tightened his hand on hers. Blood seemed to rush to his head, clogging his ears, making it seem like Dr. McIntrye’s voice came from a distance.
“Darcy, we need to put you back on the transplant list.”
A voice in Clay’s mind screamed at the injustice, but he schooled his features and said nothing. Neither did Darcy, whose right hand sheltered the spot where the doctor had extracted a sample of tissue from her kidney to be biopsied.
“But she was doing so well.” The anguished protest erupted from their mother. “And you said the kidney could last for decades.”
Dr. McIntyre pushed the glasses up his nose and tapped his chin some more. The sunlight shone on him through the skinny slats of the blinds, casting his face in both light and shadow. “I said that although there have been cases of cadaver kidneys lasting for decades, those instances were isolated. We hoped the kidney Darcy received would last longer than five years, but that isn’t a terrible result for a cadaver organ.”
Had it really been five years?
The ordeal actually began even longer ago than that. Darcy had been only ten or eleven when the family’s new pediatrician discovered that a previously undiagnosed strep infection had damaged Darcy’s kidneys. Still, it had come as a shock to learn that Darcy had end-stage organ failure at age sixteen.
The shock precipitated a nightmare that Clay remembered as vividly as if it had happened yesterday.
Four-hour dialysis sessions three times a week that purified his sister’s blood but drained her of energy. The dawning realization that she needed a transplant. The agonizing wait for a cadaver organ. Then the anxiety-filled predawn trip to the transplant center when a matching kidney finally became available.
The transplant had been successful, and the nightmare ended. Until today, when it started again.
“You’ll have to go back on dialysis until a donor organ becomes available. The sooner, the better,” Dr. McIntyre told Darcy. “Let’s see. Monday’s Memorial Day. So I’d suggest you start the treatments Tuesday.”
Today was Friday. A muscle in Darcy’s jaw tensed, but other than that she exhibited no outward sign of the disappointment that must be raging inside her. Her silence worried Clay more than an outburst would have done. Even at her sickest, Darcy was the most unremittingly cheerful person Clay knew.
“How long do you think it will be before my daughter can have another transplant?” Their mother’s voice shook, and Clay wished he’d sat between the two females so he could hold both of their hands.
The doctor gazed at the open file on his desk and shuffled papers before raising his eyes and peering over the top of his rimless glasses. “I can’t seem to find the information here, so refresh my memory on how long the wait was last time.”
“Nine months,” their mother answered immediately.
Nine interminable months, Clay thought.
Darcy had barely recovered from one dialysis session when it came time for another. She’d fallen hopelessly behind in her classes, eventually being forced to repeat her junior year of high school.
“Ah, yes,” Dr. McIntyre said. “I remember Darcy was extremely lucky to get that kidney. Unfortunately, we can’t count on something like that happening this time. You do recall the problems associated with the blood type. Type-O blood means she can only receive a donated organ from another individual with type-O blood. But since type-O is the universal donor, those cadaver kidneys can and do go to sicker patients of other blood types. Added to that, Darcy has an uncommon tissue type that makes it even tougher to find a match.”
“Give us a ballpark estimate of the wait time,” Clay said.
“Ballpark, I’d say two to four years if we’re lucky, but it could be even longer.”
Clay fought to keep himself from recoiling, which wouldn’t help his silent sister. Even two to four months on dialysis was too long.
“You do know, of course, that matching kidneys from living donors tend to last significantly longer and function better than cadaver kidneys,” Dr. McIntyre said. “But I recall that several members of your family have already been tested.”
Clay had volunteered first, armed with the knowledge that blood relatives presented the best chance for a match. He’d quickly learned about the importance of tissue typing, the blood tests comparing six specific antigens between the potential donor and recipient. None of Clay’s mirrored Darcy’s, and further testing determined him to be a poor match.
“Everybody was tested but nobody was a suitable donor,” their mother replied.
“Then we have no choice than to proceed with the plan of action I’ve outlined.” The doctor began to explain about the transplant team being assembled to work on Darcy’s case, but Clay no longer listened.
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