dramahub

Chapter 4 - The Triage on Route 15

The passenger seat of Ryan’s four-door diesel truck smelled of cedar shavings, blueprint ammonia, and stale black coffee. It was the cleanest, most orderly space I had inhabited in six months.

He had laid two heavy wool moving blankets over the gray upholstery before sliding me in, angling the backrest thirty degrees so my shoulder wasn't forced flat against the headrest. He didn't use the air conditioner; he turned the floor heaters on high, filling the cab with a dry, dusty warmth that began to bake the chlorine chill out of my shins.

"University of Virginia Medical Center," Ryan said as he backed the truck out of the vendor parking lot, the transmission engaging with a heavy, mechanical clunk that shook the frame. He didn't look back at the estate. He cleared the stone gates without checking the rearview mirror once.

"Culpeper is fifteen minutes closer," I whispered, my head lolling against the passenger window. Every time the heavy tires hit an asphalt seam on the two-lane road, my right arm felt as though it were being pulled off by an engine hoist.

"Culpeper doesn't have the orthopedic trauma team on call on Saturdays," Ryan said, his left hand steady on the wheel, his right hand resting on the center console, three inches from my good wrist. He had wrapped his bleeding palm in a blue shop towel he’d grabbed from the door pocket. "UVA has the sports medicine fellows and the high-field MRI running twenty-four hours. If the labrum is completely torn from the bone, they need to anchor it before the hematoma sets in."

"You know too much about joints," I mumbled. The heat from the floor vents was making my eyelids thick, but the pain kept jerking me back to consciousness like a dog on a choke chain.

"I blew my left knee out playing guard for Virginia Tech," he said, his eyes fixed on the gray ribbon of Route 15 as it cut through the oak-covered hills. "Two surgeries. Eighteen months of rehab. I know what happens when someone treats an orthopedic injury like a minor inconvenience. Your sister knew, Marissa. Don't ever let yourself believe she didn't."

I turned my head toward the glass. Outside, the pastures of Orange County were blurring past in shades of late-summer gold and cattle-fenced green.

"She knew," I said. The words tasted like dry iron. "She sat on the edge of my bed three weeks ago when I couldn't reach the top shelf to get my migraine pills. She watched me use a wooden spoon to hook the bottle down. She laughed then, too. She said I looked like a raccoon trying to steal bread."

Ryan’s jaw tightened. A small muscle right at the corner of his jawbone bunched up, hard and square as an acorn.

"Why didn't you tell someone?"

"Tell who?" I looked at his profile—the straight, slightly broken nose, the gray hairs already peppering his dark temples at thirty-one, the steady, unhurried rhythm of his chest beneath his white shirt. "My father? Richard thinks anything that happens inside our family that isn't on a docket is an administrative error that Elaine should manage. Elaine thinks Paige is the only thing our family has produced that’s worth looking at. When I was eleven, Paige dropped my ceramic microscope out the second-story window because she wanted the shelf space for her American Girl dolls. You know what Elaine told me?"

"I can guess," Ryan said.

"She told me I was being selfish for having hobbies that took up so much room in the common areas," I said. A single, cold tear tracked through the dried chlorine on my cheek, stinging the corner of my lip. "She bought Paige a brass canopy bed the next weekend to make her feel better about the 'stress' of the argument."

Ryan reached out. He didn't grab my hand—he knew better than to risk a sudden movement that might pull my collarbone—but he laid his heavy, scarred palm flat on the moving blanket beside my thigh.

"It's over, Marissa," he said.

"You don't know them," I whispered. "Richard will call your firm’s partners by six o'clock tonight. He plays golf with Donald Vance every second Tuesday. He’ll tell them you had a psychotic break on the terrace. He’ll threaten their municipal contracts in Albemarle County."

Ryan let out a short, dry sound that was half-cough, half-laugh.

"Let him call Vance," he said.

"Ryan, Vance owns forty percent of your equity line—"

"Vance sold his interest in Mercer & Associates six months ago, Marissa," Ryan said, shifting down as the truck began the long climb up the ridge toward Gordonsville. "I bought him out with the distribution from the Roanoke water treatment plant project. I own eighty-four percent of the voting shares. The only person who can fire me from my company is sitting in this truck, and she’s currently bleeding onto my moving blankets."

I stared at him. The gray light of the late afternoon was catching the edges of his face, showing the tiny lines of fatigue around his eyes that hadn't been there when he first started coming to Sunday dinners at Elm Street.

"Why didn't you tell her?" I asked. "Paige spent twenty minutes at the rehearsal dinner telling Uncle Dennis that you were going to be made a junior partner by Christmas."

"Because Paige didn't care about the engineering," he said, and his voice dropped into that quiet, terrible space again. "She cared about the title. She wanted to be able to tell the Junior League in Richmond that her husband was a partner at twenty-nine. If I told her I owned the company outright, she would have wanted a half-million-dollar house in the West End instead of the five acres in Midlothian where I can actually keep a garden."

He glanced at me, his gaze lingering on my face for three heartbeats before returning to the double yellow line.

"I was stupid, Marissa," he said simply. "I was thirty years old, I’d spent seven years living in job-site trailers eating canned chili, and a girl who looked like a magazine cover told me I was brilliant every time I bought her dinner at the Commonwealth Club. I thought... I thought we were building something. But we weren't building anything. I was just the contractor she hired to build a stage for her to perform on."

The emergency room entrance of UVA Hospital rose before us twenty minutes later—a massive, utilitarian block of red brick and glass that didn't care about the Virginia social register, didn't care about French lace trains, and smelled of diesel exhaust and antiseptic floor wash.

Ryan pulled the truck straight into the red ambulance bay, ignoring the security guard who started forward with a yellow parking ticket in his hand.

"I need a gurney with a shoulder immobilizer," Ryan told the triage nurse who met us at the automatic doors, his voice cutting through the electronic hum of the intake desk with effortless authority. "Anterior dislocation with suspected Hill-Sachs lesion and rotator cuff tear. Patient is thirty-four. Hypothermic, secondary to pool immersion twenty-five minutes ago."

The nurse—an older Black woman with steel-rimmed glasses and a stethoscope looped three times around her neck—looked at my blue bridesmaid dress, then at the moving blanket, then at Ryan’s charcoal morning coat and bleeding knuckle.

May you like

"Wedding?" she asked, her eyebrow climbing toward her gray hairline.

"Canceled," Ryan said.

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