body needs to get rid of.â
âThen it gets pumped to the lungs?â I point to those big pipes at the top.
âYou bet. Those are our pulmonary arteries. They carry the blood full of carbon dioxide from the heart to the lungs. There we breathe in oxygen and that gets exchanged for the carbon dioxide. See.â He drags his finger along what looks like more pipes and back through other sack-like things. âThen it comes through this upper area, called the left atrium, down into the left ventricle, and out the aorta to all the rest of the body.â
âThatâs really amazing, Dad.â
âThe amazing thing is that the heart has to work and pump the blood every second of our lives.â
âSo whereâs the hole in Lizzieâs heart?â
Dad points to the area between the two lower sacks. âLizzie has a big hole â about the size of a fifty-cent piece is what they say â in the wall between the two ventricles, these two bottom parts.â He pauses again for me to let it sink in.
âHere?â I point to the line in the diagram running down the middle of the heart, then sit back thinking. âOh, I see. So the blood in one side with mostly carbon dioxide could mix with the blood in the other side that has the oxygen.â
âClever girl.â Dad smiles. I like it when he smiles. His freckles seem to skitter all over his face.
âBut with Lizzie, the blood she sends to the rest of her body has less oxygen in it than it should, so she doesnât have the energy to run or jump or play?â
âExactly.â
âHow will you know when she should have the operation?â
âI told you. Every month they know more. Every month theyâre getting better at operations on the heart. The longer we wait, the better.â
âYeah, but how would you know when she really has to have it. Like, she canât not have it or it will be too late.â My voice cracks.
Dad scratches his head and runs his left hand down the back of his neck. His dark, reddish hair has an occasional streak of grey. âWell, I suppose when she canât go to school any longer. Or canât walk very far without stopping. Iâm only guessing. Iâm not the specialist. I wish I were so I could help her more. But I donât think they would want to leave it until she couldnât walk at all. She might be too weak for the operation itself.â Itâs like heâs talking to himself.
I think back to Lizzieâs letter. Donât you dare tell your dad. But theyâre coming down for tests so the doctors will find out. I canât tell Dad. Iâm sure itâs no big deal. It is, isnât it, Mum? No big deal?
⢠⢠â¢
Penticton
September 26, 1959
Dear Nor,
Why donât you write more often? I asked Vicki if youâd written lately. She said no . Is it that bad? If youâre lonely, isnât it helpful to write? Or are you so busy with all your new friends and all the sports and stuff? I forgot you said there wasnât much in the way of sports for girls at your school. Is there something for girls to do, like a choir?
Mum did find out about me not being able to go up the stairs. Since then Iâve been fine, I told her. But she phoned the doctor anyway. I donât know what that means. I am more tired. Mum has to wake me every morning. And after school, Iâm really slow walking up our long driveway. I have to stop and catch my breath. I let Dougie and Jack run ahead but I donât think Mum knows that.
Iâm looking forward to seeing you. But not looking forward to being in the hospital. My memory of staying there when I was five is pretty vague. They cut me open all around my chest, and even low down on my stomach, to put in a shunt thatâs sort of like a pipe, they said, and fix some valves. Youâve seen the scars. But mostly I remember the loneliness of being left with strangers, even
James - Jack Swyteck ss Grippando