gulag than the runway. A death sentence.
Jenny had picked up on Nickiâs binge-and-purge cycle four years ago and saved her life by whisking her off to a shrink. Carter had never had much tolerance for psychology or its practitionersâheâd always seen it as equal parts voodoo and bullshitâbut God bless him, the doctorâs counseling had turned her around. To Nickiâs horror, sheâd even put on a few pounds.
Then came Jennyâs Cancer. The Big C. Within a month, between the chemo and the radiation, there was barely enough life left in Jenny to power a smile. A few weeks later, she was dead.
Suddenly, with the speed of half a finger-snap, Carter and Nicki were all alone together. Father-stranger, meet daughter-stranger. It was like trying to turn on a light when no one had connected the wires. All they shared between them was the desperate need for Jenny to somehow reenter their lives.
Carter took the bridge at Wilsonâs Creek way too fast. If thereâd been a car coming the other way, thereâd have been no survivors. As it was, he was only a mile from the house and accelerating even faster.
Nickiâs relapse, it turned out, had been inevitable. In Nickiâs mind, the doctor explained, recovery had been all about pleasing her mother. In the tangled non-logic that defined so much of psychology, Jennyâs death had relieved Nickiâs obligations to the get-well contract. âSurely you must have seen the warning signs,â the doctor had observed. âSome kind of abnormal behavior.â
Right. Nickiâs behavior hadnât resembled normalcy since she was twelve. Besides, Carter would have been looking for all the wrong signs.
This time, instead of bingeing and purging, Nicki turned to diet drugs obtained from friends. Carter knew nothing about them, of course, but if he had, he might actually have approved. Theyâd have seemed like a good compromise: Nicki would eat something and keep it down for the whole day, even as the drugs reduced the size of her appetite. The diet drug was two drugs, actually, and taken together, according to the popular mediaâhell, according to the evening newsâthe results were truly amazing. People shed unwanted pounds, seemingly without side effects. Why wouldnât that have been a good thing to try? If it would have improved her consistently sour attitude, heâd have tried anything.
But there were side effects. Deadly ones. Primary pulmonary hypertension, PPH for short, thickened the tiny vessels in the lungs. This thickening, or âhardening,â in turn caused the pressure in those vessels to increase, causing blood to back up in the rest of the body as the cells awaited their turn to pass through the narrowed passages. The biological chain reaction that resulted took a half hour for the doctor to explain, but the time would come when Nickiâs lungs would no longer be able to sustain life.
The average life expectancy from diagnosis to death was eighteen months. The average waiting time for transplants was twenty-four to thirty months. Do the math.
At first, Carter had refused to believe it. Doctors were a dime a dozen, for heavenâs sake. Heâd figured he could keep shopping till he found a physician who told him what he wanted to hear.
But the decision was unanimous: a bilateral heart-lung transplant was her only hope for long-term recovery. In the end, Carter decided on a multipronged approach. Heâd wear the damn pager for the transplants, but heâd also keep pressure on the doctors to try something new.
No matter what the literature said, come hell or high water, he was not going to let Nicki die.
God forbid that Nicki might make it easier. She was so pissed off that her regularly scheduled teen years had been interrupted by illness that sheâd turned downright recalcitrant. She just wanted it all to end, sheâd said. Life wasnât worth living if it