brain. The electrical impulses are interrupted andââ
âJamilet is as healthy as a horse, doctor,â Lorena said. âSheâs never been sick, not even a sniffle.â She dropped her head and stretched her fingers out, as if looking at them for the first time and marveling at their ability to move independently. âButâ¦sometimes she stares into space and wonât answer me when I talk to her. I believe sheâs daydreaming.â
âIs that so?â Dr. Martinez turned to face Jamilet. He produced a tiny flashlight from his jacket pocket, and passed the light across her eyes several times. He placed his hands on his hips. âDo you hear your mother at these times when she says youâre daydreaming?â
âI like to make up stories, and sometimes I donât hear anything but my own voice in my head.â
Dr. Martinez furrowed his brow. âHow long have you been making up these stories?â
âSince I was little, even before I learned how to talk.â
âIs it only your voice you hear? Or do you hear other voices as well?â
Jamilet inched herself to the edge of the examining table. âI hear many voices. Itâs like a whole play in my head, like the ones they do in church during Easter, except Iâm the one who makes up all the words, and if the play is really good, I can see it all in my mind too.â
Dr. Martinez smiled at the curiosity of this simple child, speaking with such zealousness about her stories. âI donât think thereâs anything to worry about here.â He gently thumped her forehead with his finger. âThereâs a very good brain inside that lovely head.â He turned back to Lorena. âI should also add that there is some evidence to suggest that hereditary factors may be associated with this condition.â He considered the baffled expression on her face and continued. âIt can be hereditary and passed down from relatives, like eye color and height. I assume you donât have anythingâ¦â
Lorena shook her head, her lips pressed together, preparing for what she knew would come next.
âAnd the father? Do we knowâ¦?â
âMy husband died many years ago, Doctor, and he didnât have the mark, or whatever it is that you called it.â
âHe was killed by bandits,â Jamilet added, as sheâd recently decided that this was the version of his demise she found most worthy of retelling. âThey shot him right between the legs.â
Dr. Martinezâs eyebrows flickered in surprise, and then he politely coughed and reached for a chart on the counter.
Lorenaâs voice was shrill. âAnd what about a cure, doctor?â
âA removal, you mean?â
Lorena nodded anxiously, her eyes teary as she opened her purse in search of a tissue.
Dr. Martinezâs expression, which had been so confident before, grew doubtful. âIâm sorry to disappoint you, but Iâm afraid thereâs little we can do at this stage in the way of removal. Perhaps when Jamilet was younger we could have treated it aggressively, but now it would be impossible to remove without risking severe injury.â
âItâs okay, Mama,â Jamilet said when she saw the tears streaming down her motherâs face.
âBut, Doctor,â Lorena implored, no longer caring if she appeared composed or appropriate. âHow can she go through life with that horrible thing living on her back? Look at her face. Sheâs a beautiful girl, my Jamilet. There must be something we can do, somewhere else we can go.â
âI understand your concern,â Dr. Martinez said, and his eyes crinkled with well-rehearsed compassion. âThere are some new treatments I have little experience with, involving the use of lasers, a kind of very intense light. There have been some promising studies, but I sincerely doubt that in your daughterâs