We’d been dating only a couple of months when Will suggested he move into my apartment with me. Why he was single, I didn’t know. Why he chose me over all the other beautiful women in the city of Chicago, I also didn’t know. But for whatever reason, he insisted he couldn’t stand to be away from me. He wanted to be with me all the time. It was a romantic notion—no one had ever made me feel as desired as Will did back then—but it made sense financially, too. I was finishing up my residency and Will his PhD. Only one of us was earning an income, albeit a small one, most of which went to repay med school debt. But still, I didn’t mind covering the rent. I liked having Will with me all the time. I could do that for him.

Not long after, Will and I got married. Shortly after that, Dad died, taken from this world of his own volition. Cirrhosis of the liver.

We had Otto. And then, years later, Tate. And now I find myself living in Maine.

To say I wasn’t completely bowled over when word arrived that Will’s sister had left us a home and child would be a lie. Will always knew about the fibromyalgia, but we learned about the suicide from the executor of the estate. I didn’t think any good could come from our moving to Maine, but Will disagreed.

The months before had been merciless and unsparing. First, Otto’s expulsion, followed immediately by the discovery of Will’s affair. It wasn’t days after that that a patient of mine died on the table. I’d had patients die before, but this one nearly wrecked me. He’d had a pericardiocentesis done, a relatively safe and routine procedure where fluid is aspirated from the sac that surrounds a person’s heart. When I looked back at my medical notes, the procedure was well warranted. The patient was suffering from a condition known as cardiac tamponade, where the accumulation of fluid puts excessive pressure on the heart, stopping it from functioning properly. Cardiac tamponade can be lethal unless some of the fluid is drained. I’d done the procedure before, many times. There’d never been a problem.

But this time, I didn’t do the procedure. Because, according to my colleagues, I walked out of the room just as the patient went into cardiac arrest, forcing a resident to perform the pericardiocentesis without me. The patient on the table was dying, and without the procedure he would have died.

But the procedure was done incorrectly. The needle punctured the patient’s heart so that he died anyhow.

They found me later, upstairs on the hospital’s rooftop, perched on the edge of the fourteen-story building, legs dangling over the edge, where some claimed I was about to jump.

But I wasn’t suicidal. Things were bad, but they weren’t that bad. I blamed Otto’s expulsion and the affair for it, for wreaking havoc on my emotions and mind. A nervous breakdown, claimed the rumors circulating throughout the hospital. The buzz was that I had had a nervous breakdown in the ER, marched myself up to the fourteenth floor, prepared to jump. I’d blacked out is what happened. When all was said and done, I didn’t remember any of it. It’s a period of my life that’s gone. What I remember is examining my patient, and then coming to in a different room—except by then I was the one spread out on a table, hidden beneath a sheet. When I later heard that my patient died at the hands of a less experienced doctor, I cried. I’m not one to cry. But that time, I couldn’t keep it inside.

The triggers of a nervous breakdown were there: a period of stress that hadn’t been dealt with, feeling disoriented, worthless, unable to sleep.

The next day, the head of the department put me on forced medical leave. He subtly suggested a psych eval. I said thanks, but no thanks. Instead, I chose to resign. I couldn’t go back there ever again.

When we arrived in Maine, Will and I found the foursquare farmhouse in quite a state. The step stool was still in the attic along with three feet of rope, snipped at the end while the rest remained bound to some sort of exposed support beam that cut across the ceiling. Anything within reach of Alice’s thrashing body had been knocked over, implying death hadn’t been a breeze.

I make my way to the attic door and pull it open. From up above, a light glows. I climb the steps two at a time as, beneath my feet, they creak. The attic is an unfinished space, complete with wooden beams, a plank cork flooring, wads of fluffy pink insulation scattered here and there like clouds. The light comes from a single exposed bulb on the ceiling, which someone, whoever was here, has forgotten to turn off. A string dangles beneath. A chimney, wrapped in exposed brick, runs through the center of the room, venting outside. There’s a window that faces onto the street. It’s so dark outside tonight, there’s nothing to see.

Sheets of paper catch my eye. They’re on the floor with a pencil, one I recognize right away as one of Otto’s graphite drawing pencils. The ones Will and I got for him, the ones he never lets Tate use. They’re expensive and also Otto’s prized possession, though I haven’t seen him use them in months. Since all that happened in Chicago with him, he hasn’t been drawing.

I’m stricken with two things: disappointment, for one, that Otto would disobey me and come into the attic when I said not to. But also relief that Otto is drawing again, the first step, perhaps, in a return to normalcy.

Maybe Will is right. Maybe if we give it time, we can find happiness here.

I make my way to the sheets of paper. They’re on the floor. The window is open an inch, crisp December air coming in, making the paper move. I bend at the knees to retrieve it, expecting to see the big anime eyes of Asa and Ken staring back at me. The characters from Otto’s graphic novel, his work-in-progress. The barbed lines of hair, the sad, disproportionate eyes.

The pencil, sitting inches from the paper, is cracked in half. The end of it is worn down and blunt, which isn’t like Otto. He’s always taken such great care of these pencils. I reach for that, too, and stand upright, before looking at the image before me. When I do, I gasp, a hand going involuntarily to my mouth.

It’s not Asa and Ken I see.

Instead angry, incomplete lines that stop and go. Something dismembered on the page, a body, I assume. A round object at the end of the sheet that I take for a head; the long, limb-like shapes for arms and legs. At the top of the drawing are stars, a crescent-shaped moon. Night. There’s another figure on the page, a woman, by the looks of it, from the long scraggly hair, the lines that jut out of her circular head. In her hand, she holds something with a keen edge that drips with something else, blood, I can only assume, though the drawing is in black and white. No telling red. The eyes of this figure are mad, while the decapitated head nearby cries, big shaded blobs of tears that tear a hole in the page.