civica

Chapter 6 - A Sister’s Reckoning

“In the kitchen. Now.”

Naomi’s hand was on my elbow, her grip tight, her French-manicured nails digging through the wool of my gray cardigan.

I didn't shake her off. I stood up, excused myself quietly to Uncle Ford and Aunt Ruth, and let Naomi pull me through the swinging swinging door into our mother’s pristine, all-white kitchen.

The kitchen smelled of roasted rosemary, caramelized sugar, and the bitter tang of burned gravy Diane had forgotten on the back burner. Julian had stayed at the dining table, ostensibly trying to comfort my father, but more likely trying to figure out if being married to the daughter of an executive who hated her family was going to hurt his fellowship prospects.

Naomi let go of my arm, turned around, and leaned her back against the marble island. Her face was flushed, her hair slightly disheveled.

“What are you doing, Ellen?” she whispered furiously. “What was that out there? What did you just do to Mom and Dad?”

“What did I do?” I asked, leaning against the counter by the sink. “I answered Grandma’s question.”

“You humiliated them!”

“Dad humiliated himself when he threw money at me like I was a busker on a street corner, Naomi. I just refused to keep catching it.”

Naomi pressed her hands over her eyes, dragging her palms down her cheeks. “Do you have any idea what this does to me? Do you have any idea how hard I’ve worked to get this appointment?”

I looked at her, truly looked at her, for the first time in months. She was thirty-two years old, three years younger than me, but the lines around her eyes were deep, etched by eighty-hour workweeks, three-thousand-calorie surgical days, and the suffocating pressure of being Diane Hopkins’s golden child.

“This has nothing to do with your appointment, Naomi,” I said. “Your appointment is signed. The board ratified it Tuesday. Your contract starts January first.”

“Then why didn't you tell me?” Her voice broke, cracking on the syllables. “Why did you let me find out in front of Julian? In front of Aunt Ruth? Do you know what kind of idiot I looked like out there? I’m supposed to be the head of a major surgical department, and I didn't even know my own sister is the Chief Operating Officer of the network!”

“When was the last time you asked me what I did, Naomi?”

She opened her mouth, then paused. Her eyes searched the white subway tiles of the backsplash.

“I asked you,” she muttered.

“When?”

“Two years ago! At Easter!”

“Two years ago at Easter, you asked me if I could get you a discount on industrial bleach for your garage floor,” I said calmly. “Before that, you called me to complain that the hospital valet took twenty minutes to bring your BMW around. You didn't ask what my department was. You asked who you had to fire to get better parking.”

Naomi looked away. Her jaw worked, the muscle tight against her skin.

“You don't understand what Mom does to me, Ellen,” she said, her voice dropping to a harsh, raw whisper. “You think you’re the only one she torments? You got to walk away. You got to buy your townhouse and wear your stupid gray sweaters and live your quiet little life. Mom doesn't call you twelve times a day! Mom doesn't check my surgical schedules! She tells everyone I’m going to be the next Surgeon General! If I fail—if I even have a bad clinical review—she looks at me like I’m garbage!”

“So you passed it down,” I said.

Naomi blinked. “What?”

“Mom made you feel like you were only worth something if you were extraordinary,” I said, stepping closer to her. “And instead of telling her to back off, you used me as a buffer. As long as I was the failure, you were safe. As long as I was the girl with the mop, you didn't have to worry about being the family disappointment. You let Dad throw that fifty because it meant he wasn't looking at your credit card bills.”

Naomi’s head snapped up. “What did you say?”

“You think I don't see the credentialing background checks, Naomi?”

Her face went from flushed to chalky white.

“I know about the malpractice settlement in Boston,” I said quietly. “The one Ashcom’s legal team had to review before we cleared your hire. The two-hundred-and-fifty-thousand-dollar payout for the retained surgical sponge that your fellowship hospital settled out of court.”

Naomi grabbed the edge of the island, her knuckles turning white. “That wasn't my fault! The scrub tech miscounted! The circulating nurse signed the count sheet!”

“You were the primary attending of record, Naomi. You closed the cavity without verifying the field.”

“It was an emergency thoracotomy! The patient was coding on the table!”

“I know the facts,” I said. “I read the operative report. That’s why I signed off on your appointment. Because I knew you were moving fast to save the patient’s life, and the error, while serious, was an administrative breakdown in the OR protocol, not surgical incompetence.”

She stared at me, her chest rising and falling rapidly.

“I protected you,” I said. “I sat in front of Marcus Vance and the Ashcom legal counsel and argued that your clinical outcomes over four hundred cases outweighed a single procedural failure during a traumatic arrest. I put my own professional reputation on the line to make sure you got that chair.”

A tear finally broke over Naomi’s lower lid, tracing a dark path through her foundation.

“And you let Dad throw a fifty-dollar bill across the turkey,” I said.

Before Naomi could answer, the swinging kitchen door flew open.

It was Julian. His tie was undone, his expensive hair slightly disordered. He didn't look at Naomi. He looked directly at me, his eyes wide with a strange, frantic energy.

“Ellen,” he gasped. “You need to come out here.”

“Is Dad’s heart acting up again?” Naomi asked, wiping her eye quickly with the back of her wrist.

May you like

“No,” Julian said, looking back over his shoulder toward the dining room. “It’s Grandma. She’s calling Marcus Vance.”

***

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