Nineteen Minutes
twins?”
    The father went ashen. “There’s two in there?”
    Lacy grinned. Twins, she could handle. Twins-well, that was a bonus, not some horrible medical disaster. “Well. Only one now.”
    The man crouched down beside his wife and kissed her forehead, delighted. “Did you hear that, Terri? Twins.”
    His wife did not take her eyes off her tiny newborn daughter. “That’s nice,” she said calmly. “But I’m not pushing a second one out.”
    Lacy laughed. “Oh, I think I might be able to get you to change your mind.”
    Forty minutes later, Lacy left the happy family-with their twin daughters-and headed down the hallway to the staff restroom, where she splashed water on her face and changed into a fresh pair of scrubs. She took the stairs up to the midwifery office and glanced at the collection of women, sitting with their arms balanced on bellies of all sizes, like moons in different stages. One rose, red-eyed and unsteady, as if she’d been pulled upright magnetically by Lacy’s arrival. “Alex,” she said, remembering only in that instant that she had another patient waiting. “Why don’t you come with me.”
    She led Alex into an empty examination room and sat down across from her in a chair. At that moment Lacy noticed that Alex’s sweater was on backward. It was a pale blue crewneck-you could barely even tell, except that the tag had flapped out along the curve of her neck. And it was certainly something that might happen to anyone in a rush, anyone upset…but probably not Alex Cormier.
    “There’s been bleeding,” Alex said, her voice even. “Not a lot, but. Um. Some.”
    Taking a cue from Alex herself, Lacy kept her own response calm. “Why don’t we check anyway?”
    Lacy led Alex down the hallway to fetal ultrasound. She charmed a tech into letting them cut the patient line, and once she had Alex lying down on the table, she turned on the machine. She moved the transducer across Alex’s abdomen. At sixteen weeks, the fetus looked like a baby-tiny, skeletal, but startlingly perfect. “Do you see that?” Lacy asked, pointing to a blinking cursor, a tiny black-and-white drumbeat. “That’s the baby’s heart.”
    Alex turned her face away, but not before Lacy saw a tear streak down her cheek. “The baby’s fine,” she said. “And it’s perfectly normal to have some staining or spotting. It’s not anything you did that caused it; there’s nothing you can do to make it stop.”
    “I thought I was having a miscarriage.”
    “Once you see a normal baby, like we just did, the chance of miscarrying is less than one percent. Let me put that another way-your chance of carrying a normal baby to term is ninety-nine percent.”
    Alex nodded, wiping at her eyes with her sleeve. “Good.”
    Lacy hesitated. “It’s not my place to say this, really. But for someone who doesn’t want this baby, Alex, you seem awfully relieved to know she’s all right.”
    “I don’t-I can’t-”
    Lacy glanced at the ultrasound screen, where Alex’s baby was frozen in a moment of time. “Just think about it,” she said.
    I already have a family, Logan Rourke said later that day when Alex told him she planned to keep the baby. I don’t need another one.
    That night, Alex had an exorcism of sorts. She filled up her Weber grill with charcoal and lit a fire, then roasted every assignment she’d turned in to Logan Rourke. She had no photos of the two of them, no sweet notes-in retrospect, she realized how careful he’d been, how easily he could be erased from her life.
    This baby, she decided, would be hers alone. She sat, watching the flames, and thought of the space it would take up inside her. She imagined her organs moving aside, skin stretching. She pictured her heart shrinking, tiny as a beach stone, to make room. She did not consider whether she was having this baby to prove that she hadn’t imagined her relationship with Logan Rourke, or to upset him as much as he had upset her. As any skilled

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