Sara retrieved her med kit and followed Mar to the Infirmary. As she stepped through the curtain into the ward, the first thing she saw was Jacob, awkwardly leaning over the cot on which his father lay, pressing a cup of tea to his lips. Gabe was choking, coughing up blood. Sara moved quickly to his side and gently took the tea from Jacob’s hand; she rolled Gabe onto his side—the poor man weighed almost nothing, just skin and bones—and with her free hand reached to the cart to retrieve a metal basin, which she tucked under his chin. Two more hacking gasps: the blood, Sara saw, was a rich red, and spotted with small black clumps of dead tissue.

Other Sandy stepped from the shadowed recess behind the door. “I’m sorry, Sara,” she said, her hands fluttering nervously. “He just started coughing like that and I thought maybe the tea—”

“You let Jacob do this by himself? What’s wrong with you?”

“What’s the matter with him?” the boy wailed. He was standing by the cot, his face stricken with confused helplessness.

“Your dad is very sick, Jacob,” Sara said. “No one’s mad at you. You did the right thing, helping him.”

Jacob had begun to scratch himself, digging the fingernails of his right hand into the scraped flesh of his forearm.

“I’m going to do my best to take care of him, Jacob. You have my word.”

Gabe was bleeding internally, Sara knew. The tumor had ruptured something. She ran her hand over his belly and felt the warm distention of pooling blood. She reached into her kit for a stethoscope, clamped it to her ears, pulled Gabe’s jersey aside, and listened to his lungs. A wet rattle, like water sloshed in a can. He was close, and yet it might take hours. She lifted her eyes to Mar, who nodded. Sara understood what Mar had meant when she’d said that Sara was Gabe’s favorite, what she was asking her to do now.

“Sandy, take Jacob outside.”

“What do you want me to do with him?”

Flyers, what was wrong with the woman? “Anything.” Sara allowed herself a breath, to steady her nerves; it was not a time for anger. “Jacob, I need you to go with Sandy now. Can you do that for me?”

In his eyes Sara saw no real comprehension—only fear, and a long habit of obedience to the decisions that others made for him. He would go, Sara knew, if he was asked.

A reluctant nod. “Okay, I guess.”

“Thank you, Jacob.”

Sandy led the boy from the ward; Sara heard the front door opening and closing. Mar, sitting on the opposite side of the cot, was holding her husband’s hand.

“Sara, do you … have something?”