Sandy was pouring the water through the strainer into a ceramic mug, the lip chipped and worn. On it were the words NEW DADDY, the letters spelled with the image of safety pins.

“He was asleep a while ago. The jaundice is worse. His boy just left, Mar’s in there with him now.”

“I’ll bring him the tea.”

Sara took the mug and stepped through the curtain. The ward had six cots in it, but only one was occupied. Mar was sitting in a ladder-backed chair beside the cot on which her husband lay, covered by a blanket. A thin, almost birdlike woman, Mar had shouldered the load of Gabe’s care through the months of his illness, a burden plain to see in the crescents of sleeplessness hung beneath her eyes. They had one child, Jacob, sixteen or so, who worked in the dairy with his mother: a large, hulking boy with a face of perpetually vacant sweetness, who could neither read nor write and never would, who was capable of basic tasks as long as someone was there to direct him. A hard, unlucky life, and now this. Past forty, and with Jacob to look after, it was unlikely that Mar would marry again.

As Sara approached, Mar looked up, holding a finger to her lips. Sara nodded and took a chair beside her. Sandy was right: the jaundice was worse. Before he’d gotten sick, Gabe had been a large man—large as his wife was small—with great knotty shoulders and bulky forearms made for work and a prosperously round belly that hung over his belt like a meal sack: a solidly useful man whom Sara had never once seen in the Infirmary until the day he’d come in complaining of back pain and indigestion, apologizing for this fact as if it were a sign of weakness, a failure of character rather than the onset of a serious illness. (When Sara had palped his liver, the tips of her fingers instantly registering the presence that was growing there, she realized he must have been in agony.)

Now, half a year later, the man Gabe Curtis had once been was gone, replaced by a husk that clung to life by will alone. His face, once as full and richly hued as a ripe apple, had withered to a collection of lines and angles, like a hastily drawn sketch. Mar had trimmed his beard and nails; his cracked lips were glazed with glistening ointment from a wide-mouthed pot on the cart beside his bed—a small comfort, small and useless as the tea.

She sat awhile with Mar, the two of them not speaking. It was possible, Sara understood, for life to go on too long, as it was also possible for it to end too soon. Maybe it was his fear of leaving Mar alone that was keeping Gabe alive.