As soon as we pulled into the ambulance bay, the EMTs whisked April into the emergency room and left me to grapple with her paperwork, a frustrating bureaucratic battle, since I had no idea what kind of insurance her parents had. The school had a little policy on the athletes, but only for injuries sustained while playing; if this was a preexisting condition, the policy wouldn’t cover it.

When the ER staff saw I didn’t know enough to fill out the forms, they sent me off to a tiny cubicle to wrestle with an admissions official. After forty minutes, I felt like a boxer who’d been punched for thirteen rounds but couldn’t quite fall over. Because April had come in as a pediatric emergency, they were treating her, but they needed parental consent, and they needed to be paid-not, I need hardly add, in that order.

I couldn’t guarantee the payment, and I wasn’t legally able to give consent, so I tried to track down April’s mom at work, which was in itself a bureaucratic nightmare; it took me nine minutes to find someone with the authority to deliver a message to an employee working the floor, but that someone said Mrs. Czernin’s shift had ended at four and she wasn’t in the store any longer. She wasn’t at home, either, but the Czernins did have an answering machine, with a message delivered in the hesitant voice of someone uncomfortable with technology.

I tried Morrell again. He hadn’t been able to track down Marcena. Only because I’d run out of other ideas, I called Mary Ann McFarlane.

My old coach was alarmed when she heard what had happened-she didn’t know about any health problems April had, certainly she had never collapsed before. Several times last year, she’d suddenly run out of steam during drills, but Mary Ann had put that down to lack of conditioning. The coach knew nothing about health insurance, either: she assumed most of the girls on the team had green cards, entitling them to Medicaid, but she’d never needed to check. And, of course, both April’s parents worked, so the Czernins probably didn’t qualify for public assistance.

When I hung up, the admissions official told me if I couldn’t get April’s care sorted out they’d have to move her to County. We argued over it for a few minutes, and I was demanding to see a supervisor, when a woman burst in on us.

“Tori Warshawski, I might have known. What did you do to my girl? Where’s my April?”

Her use of Boom-Boom’s old name didn’t register with me at first. “Did you get the message I left on your machine? I’m sorry I had to notify you that way, Mrs. Czernin. April collapsed during practice. We were able to revive her, but no one knows what’s wrong. And they need her insurance information here, I’m afraid.”

“Don’t ‘Mrs. Czernin’ me, Tori Warshawski. If you hurt my girl, you are going to pay for it with the last drop of blood in your body.”

I stared at her blankly. She was a thin woman, not thin like Aunt Jacqui or Marcena, with the carefully tended slimness of the wealthy; she had tendons in her neck like steel cables, and deep grooves around her mouth, from smoking or worry or both. Her hair was bleached and scraped back from her head in waves as hard as coiled wire. She looked old enough to be April’s grandmother, not her mother, and I racked my tired brain for where we might have met.

“You don’t know me?” she spat. “I used to be Sandra Zoltak.”

Against my will, a wave of crimson flooded my cheeks. Sandy Zoltak. When I last knew her, she’d had soft blond ringlets, a plump soft body, like a Persian cat, but a sly smile, and a way of turning up when you didn’t expect or even want her. She’d been in Boom-Boom’s class in high school, a year ahead of me, but I’d known her. Oh yes indeed, I’d known her.

“I’m sorry, Sandy, sorry I didn’t recognize you. Sorry, too, about April. She collapsed suddenly in practice. Does she have anything wrong with her heart?” My voice came out more roughly than I’d meant, but Sandra didn’t seem to notice that.

“Not unless you did something to her. When Bron told me you was filling in for McFarlane, I told April she had to be careful, you could be mean, but I never expected-”

“ Sandy, she was going in for a basket and her heart stopped beating.”

I talked slowly and loudly, forcing her to pay attention. Sandy had been riding with demons all the way to the hospital, worrying about her child; she needed someone to take it out on, and I wasn’t just convenient, I was an old enemy, from a neighborhood that stored grudges as carefully as if they were food in a bomb shelter.

I tried telling her what we’d done to help April, and what the impasse was here at the hospital, but she poured furious accusations over me: my negligence, my bullying, my desire to get back at her through her daughter.

“Sandy, no, Sandy, please, that’s all dead and gone. April’s a great kid, she’s about the best athlete on the team, I want her to be healthy and happy. I need to know, the hospital needs to know, does she have some kind of heart problem?”

“Ladies,” the woman at the admissions cubicle interrupted us in magisterial tones, “save your fight for the home, please. All I want to hear right now is billing information for this child.”

“Naturally,” I snapped. “Money comes way ahead of health care in American hospitals. Why don’t you tell Mrs. Czernin what’s happening with her daughter? I don’t think she can answer any billing questions until she knows how April’s doing.”

The administrator pursed her lips, but turned to her phone and made a call. Sandy stopped shouting and strained to listen, but the woman was speaking so quietly we couldn’t make out what she was saying. Still, within a few minutes a nurse from the emergency room appeared. April was stable; she seemed to have good reflexes, good recall of events: although she couldn’t name the mayor or the governor, she probably hadn’t known those facts this morning. She could name her teammates and recite her parents’ phone number, but the hospital wanted to keep her overnight, and maybe for a few days, for tests, and to make sure she was stable.

“I need to see her. I need to be with her.” Sandra’s voice was a harsh caw.

“I’ll take you back as soon as you finish with the paperwork here,” the nurse promised. “We told her you’d arrived, and she’s eager to see you.”

When I was fifteen, I would have wanted my mother, too, but it was hard to picture Sandy Zoltak thinking about another person with the passion and care my mother had felt for me. I found myself blinking back tears-of frustration, fatigue, longing for my mother-I didn’t know what.

I abruptly left the area, prowling around the hall until I saw Sandra return from the emergency room to the admissions desk. When I went over, she was fishing an insurance card out of her wallet. By-Smart was written on it in big letters; I was relieved but surprised-from what I’d read, the company didn’t provide insurance to their cashiers. Of course, Romeo drove for them; maybe he had real benefits. When Sandra had finished filling out forms, I asked if she wanted me to wait for her.

Her mouth twisted. “You? I don’t need your help for anything, Victoria Iffy-genius Warshawski. You couldn’t get a husband, you couldn’t have a kid, now you’re trying to muscle into my family? Just go the hell away.”

I’d forgotten that tired old insult the kids used to use. My middle name, Iphigenia, the bane of my life-who had let it out on the playground to begin with? And then my mother’s ambitions for me to go to college, the support of teachers like Mary Ann McFarlane, my own drive, some of the kids thought I was a snot, an egghead, an iffy genius. Being Boom-Boom’s cousin, and his sidekick, had been a help in high school, but all those taunts, maybe that’s why I’d done some of the things I’d done, trying to prove to the rest of the school that I wasn’t just a brain, that I could be as big an idiot as any other adolescent.