Seeing the shape of her ulna revealed against the white hospital sheet feels strangely pornographic, like seeing part of someoneâs brain pulsing and exposed. Itâs a reminder of my daughterâs vulnerability, and it feels unbearable, because there is nothing I can do to protect her from the thing that is eating away at her. And how ironicâsheâs being eaten alive, literally, by the fear of eating.
There is no privacy in the ICU; a glass wall separates us from the rest of the unit. I see the nurses filling out charts at the station, doctors hurrying back and forth. I see other parents with bloodshot eyes and ravaged faces. As night falls I sit, and I watch, and I wait for whatever will come next.
{ chapter two }
Home Again, Home Again
Hunger is experienced not just in abdominal ache but as a heaviness in the limbs, a yearning in the mouth.
âD REW L EDER , The Absent Body
Five days later, Kitty is discharged from the hospital. Iâm anxious about bringing her home, because as awful as the hospital has been, at least we werenât alone with the anorexia there. It wasnât just Jamie and me at the kitchen table, locked in mortal combat with our starving daughter. Kittyâs eating about a thousand calories a day nowânot much, nowhere near enough, but probably twice as much as she was eating before the hospital. What will happen now that weâre going home again?
On our way home we stop for groceries, the first of the nearlydaily shopping runs weâll make over the next year. Kitty rests in the car with Jamie while I blow through the store at top speed. Just last week I wished I could shop without Kittyâs intrusive presence. Be careful what you wish for.
As I steer the cart through the produce section, Iâm reminded in a curious way of what it feels like to begin a diet: the special preparatory shopping trip, the sense of hopefulness undercut with past experiences of failure. The sense of wiping the slate clean. The feeling that this time, things will be different.
Will they, though? I want to believe Kittyâs hospitalization will change things, though I donât, yet, understand how. I canât see my way from where weâve been to where we need to go. And Iâm a person who needs to be able to see the path ahead, to see what Iâm up against and what I have to do, no matter how tough. Right now, not only is there no clear path, thereâs no suggestion of oneâjust a seemingly infinite slog through the darkness that has swallowed up our daughter.
If she was ill with something elseâif she had diabetes, or pneumonia, or strepâher doctors would prescribe medicine, bed rest, fluids, and we would give her all those things. But thisâthis is like battling a many-headed monster in the dark. Itâs like fighting darkness itself, a darkness that is inside my daughter, thatâs somehow part of her. To fight it feels like fighting her .
Dr. Beth has explained to us that we need to increase Kittyâs calories by about three hundred every couple of days. And thatâs why Iâm here, to prepare for the battles that are coming. I rip up my shopping list and any concept of a budget and speed-walk down the aisles, piling the cart with cookies, Muenster cheese, alfredo sauce, ranch dressing, buttery crackers, ice cream, potato chips, candy barsâall the foods Kitty used to love. Before anorexia, I didnât buymuch processed, packaged food. I was a conscientious and health-conscious mother in twenty-first-century America, where we all understand the words healthy food to mean low-fat, low-calorie food, and not too much of it . Standing in front of the Pepperidge Farm display now, I have the sense that the world as I know it is tipping, elongating, growing as strange as an image in a funhouse mirror. I grab an armful of Milanos and keep going.
At the far end of the store I stop at the shelves of high-protein and high-calorie
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