LOGINBy the time I was diagnosed with end-stage heart failure, UNOS had finally matched me with a donor heart. My foster sister Isabella had the same condition, but no donor heart had been found for her. My family had heard somewhere that if I signed a voluntary waiver giving up the transplant, the heart would go straight to her. For three straight months, my parents refused to pay a cent toward my care to pressure me into signing. They told anyone who would listen that their own daughter was selfish enough to take away her sister's only chance to live. My older brother Howard came to my room and tossed the waiver onto my bed. "Isabella just got into a top university. She has her whole future ahead of her. "You already have severe drug allergies. Even with that heart, rejection could kill you at any time." Before he could finish, Isabella ran in sobbing, threw herself into his arms, and demanded to know if I had to step over her dead body just to stay alive. Howard patted her back gently. He had once nearly died carrying me out of a fire. Afterward, he cried and swore he would never let me die before he did. Now all he ever did was look at me with those cold blue eyes. My hand shook when I picked up the pen. "All right, Howard. "I'll sign it."
View MoreAfter the funeral, my father arranged for Isabella to move out of the Adams house.He gave her a house and enough money to live on. He considered that enough to settle things between them after all the years they had raised her.Isabella stood in the doorway, her face paler than it had been the day she left the hospital."Dad, Mom..."My mother's eyes were sunken, as if she hadn't slept in days.She didn't hug Isabella the way she always had. She only said quietly, "Take care of yourself."Isabella looked at Howard with red eyes.Howard didn't look at her. He kept his head down as he placed the medal with its repaired chain in a box. He was going to put it beside my ashes.Isabella finally started to cry."Do you all blame me?"Nobody answered.It was a long time before Howard spoke. "While Anna was alive, we asked her to be understanding about everything. Now that she's dead, let's not make her forgive anyone."Isabella stopped crying.This time, no one went to wipe away her tears.My
The attendant handed my family a bag of my belongings and asked them to sign for it.The bag was light.A few changes of clothes. A dead phone. Half a bottle of over-the-counter painkillers. And the Switzerland brochure, its corners worn white.My father had been signing the paperwork mechanically until he saw the final medication log attached to the bag.Strong pain medication discontinued.Insufficient funds in backup account.Just two lines on a page. No accusation. No tears. But my father's hand shook so hard he could barely hold the pen.He was the one who had moved the money out of my backup account that afternoon.That night, I called and told him it hurt to breathe. He said I was only on maintenance medication and this family couldn't keep burning through money like that.The money is still there.I don't need it now.My mother rummaged through the bag and pulled out an old photograph.The photograph showed me as a small child, sitting up in a hospital bed with my grandmother's
The cake knife fell out of my mother's hand.She stared at Howard with frosting still on her fingers.Howard's lips moved several times before he spoke. "The hospital says nobody has claimed Anna's body."My mother's face went blank. Then she actually laughed."How can that be? Anna was transferred to another hospital. She was much worse than this when she was eighteen, and she pulled through just fine, didn't she?"My father's face had gone gray. "It's a scam call. If something had really happened to her at that hospital, why did they wait fifteen days to tell us?"Howard suddenly remembered something. He bolted for the entryway and dug out the jacket he had worn several times since then.The critical condition notice was still in the pocket, creased and softened from handling.My father saw the red warning on it, and his voice rose. "You were holding a critical condition notice. Why didn't you go see the doctor?"Howard didn't move."I thought..."He swallowed a few times. His face h
During the fifteen days Isabella spent in the hospital, no one made any real effort to find me.My father asked his assistant to find out where I'd gone. The assistant only learned that I'd left the unit, so my father decided I'd transferred to another hospital behind the family's back."She thinks this will make us feel guilty for giving up on her," he said without looking up from Isabella's recovery plan.My mother twisted the hem of her blouse between her fingers, looking uneasy. "Anna was still on oxygen when she left. Could she really have arranged a transfer by herself?"He didn't answer.Howard stood by the window, staring silently at our message thread.The last message was from him, asking me to lend the medal to Isabella.I never replied.Isabella took my mother's hand, her eyes red again. "Is Anna still blaming me? If it weren't for me, she wouldn't have had to leave."My mother pushed aside her own unease and comforted her. "None of this is your fault. She gave up the heart


















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