I head back into Willie’s room. He is snoring like a 300-pound drunk. I’m surprised he doesn’t wake the neighbors, and I’ve got to wonder how somebody that little can make a noise so loud.

“Willie, get up. Come on. You’ve gotta get down to Sabryna’s. Right! Now!” Well, that sure didn’t work.

I stand in the little bedroom, and then I waste a few seconds just staring at my fine-looking son, asleep on Bart Simpson sheets. I tousle his hair. No reaction. I tousle it somewhat harder. One eye opens. Then a mouth.

“You’ve got a really huge stain on that T-shirt, Mom.”

“I know,” I say. “I haven’t had time to do laundry. And the stain is not huge. It’s medium.”

Willie now has both eyes closed again. He’s gone back to sleep. I move into very-loud-but-still-not-yelling volume.

“You’re going down to Sabryna’s in your underwear if you don’t get up right this minute. I repeat: Right. This. Minute.”

Sabryna and her thirteen-year-old son, Devan, are our downstairs neighbors. She is originally from Jamaica, and her voice still has the beautiful island lilt to it. That lilt, which Sabryna can turn on and off like a faucet, also adds a note of authenticity to the small Caribbean grocery store she runs on the ground floor. The store is a jumble of goods: baskets of plantains and bunches of callaloo greens, as well as Pringles, Skittles, cigarettes, and New York Lottery tickets.

Sabryna’s store is open from five in the morning until seven at night. She works hard, and she works alone, except for some reluctant help from Devan. Sabryna, who is hands down my best friend, also is my go-to babysitter when I’m called out suddenly.

A buzz, a beep, a phone text from Tracy Anne: R u on way? Hosp nurse about 2 interfere.

Let me explain something here about how things operate in my professional world. The nurse-midwives are entirely separate from the medical staff at Gramatan University Hospital. We’ve trained for three years—intensely, some of us at the best teaching hospitals in the world: Johns Hopkins, University of Chicago, Yale. I honestly believe we’re only a few steps away from being doctors. I say that with just a touch of arrogance. I don’t want you to think we’re a bunch of former hippies who stand and sing over a screaming woman giving birth on a kitchen table. The hospital setting is around us only in case of an emergency. So when Tracy Anne uses the word interfere, my blood starts to boil.

“Okay, Willie. You’re going downstairs in your tighty-whities,” I yell. I toss a pair of khaki cargo shorts on top of him.

“Wait. I need a shirt, and I need to go to the bathroom, and I need—”