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been the only women in the top five percent of their graduating class at Emory University Medical School. At the time, it was an unwritten rule that there were two options for female doctors: gynecology or pediatrics. Delia had chosen the first, Sara the latter. They would both turn forty next year. Delia seemed to have everything. Sara felt like she had nothing.
    Most doctors — Sara included — were arrogant to one degree or another, but Delia had always been an avid self-promoter. While they drank their coffees in the doctors’ lounge, Delia quickly offered the highlights of her life: a thriving practice with two offices, a stockbroker husband and three overachieving kids. She’d shown Sara pictures of them all, this perfect family of hers who looked as if they had walked out of a Ralph Lauren advertisement.
    Sara hadn’t told Delia about her own life after medical school, that she had gone back to Grant County, her home, to tend to children in rural areas. She didn’t tell Delia about Jeffrey or why she moved back to Atlanta or why she was working at Grady when she could open her own practice and have some semblance of a normal life. Sara had just shrugged, saying, “I ended up back here,” and Delia had looked at her with both disappointment and vindication, both emotions conjured by the fact that Sara had been ahead of Delia their entire time at Emory.
    Sara tucked her hands into her pockets, pulling her thin coat closed to fight the chill. She felt the letter against the back of her hand as she walked past the loading dock. She had volunteered to cover an extra shift that morning, working straight through for nearly sixteen hours so that she could have all of tomorrow off. Exhaustion hit her just as the night air did, and she stood with her hands fisted in her pockets, relishing the relatively clean air in her lungs. She caught the scent of rain under the smell of car exhaust and whatever was coming off the Dumpster. Maybe she would sleep tonight. She always slept better when it rained.
    She looked down at the cars on the interstate. Rush hour was at its tail end — men and women going home to their families, their lives. Sara was standing at what was called the Grady Curve, an arc in the highway that traffic reporters used as a landmark when reporting trouble on the downtown connector. All the taillights were bright red tonight as a tow truck pulled a stalled SUV from the left-hand shoulder. Police cruisers blocked the scene, blue lights spinning, casting their eerie light into the darkness. They reminded her of the night Jeffrey had died — the police swarming, the state taking over, the scene combed through by dozens of men in their white suits and booties.
    “Sara?”
    She turned around. Mary stood with the door open, waving her back into the building. “Hurry!”
    Sara jogged toward the door, Mary calling out stats as she got closer. “Single car MVA with pedestrian on foot. Krakauer took the driver and passenger, possible MI on the driver. You’ve got the woman who was hit by the car. Open frac on right arm and leg, L-O-C at the scene. Possible sexual assault and torture. Bystander happened to be an EMT. He did what he could, but it’s bad.”
    Sara was sure she’d misunderstood. “She was raped and hit by a car?”
    Mary didn’t explain. Her hand was like a vise on Sara’s arm as they jogged down the hallway. The door was open to the emergency triage room. Sara saw the gurney, three medics surrounding the patient. Everyone in the room was a man, including Will Trent, who was leaning over the woman, trying to question her.
    “Can you tell me your name?” he asked.
    Sara stopped short at the foot of the bed, Mary’s hand still on her arm. The patient was lying curled on her side in a fetal position. Surgical tape held her tightly to the frame of the stretcher, pneumatic splints binding her right arm and leg. She was awake, her teeth chattering, murmuring unintelligibly. A folded jacket was