Chapter 3 - The Medication Nobody Was Supposed to Find

For four years I had believed my mother died from complications related to advanced ovarian cancer.
There had been no mystery.
No unanswered question.
She had been sick for eighteen months.
She weakened.
She stopped eating.
She entered hospice.
Then one rainy morning, she died in the bedroom where my father had proposed to her forty-two years earlier.
I had accepted that death because there had been nothing to fight.
Until Camila found Harrison’s notebook.
“Medication adjustments,” I repeated.
Harrison’s hands trembled.
“I wasn’t involved.”
“Your handwriting is in the book.”
“I recorded instructions.”
“From whom?”
He looked away.
“Who told you to change my mother’s medication?”
“I didn’t change anything.”
“Then who did?”
Elena stepped closer.
“Douglas, if there was interference with a controlled medication administered to a terminal patient, you are no longer discussing payroll fraud.”
Harrison’s breathing became shallow.
“This could be criminal negligence. Fraud. Possibly homicide depending on what happened.”
He whispered, “I didn’t kill Mrs. Callahan.”
The room froze.
I hadn’t used the word kill.
Neither had Elena.
“You should stop talking,” Elena said quietly.
But I couldn’t.
“What happened to my mother?”
“I don’t know.”
“Harrison!”
Rosa pulled Camila closer.
I lowered my voice.
“Take her upstairs.”
Camila protested.
“I found it.”
“And you did the right thing.”
“Then I want to know what it means.”
“You’re nine.”
“So?”
I looked at Rosa.
She gave me an exhausted smile.
“She gets that from my mother.”
Despite everything, I almost laughed.
“Upstairs. Please.”
After they left, Harrison collapsed into the chair.
“Your mother was in pain.”
“I know.”
“Toward the end she needed stronger medication.”
“I know.”
“Ms. Vivian handled most of the hospice coordination.”
That was true.
Vivian had been there constantly.
More than Preston.
More than me.
I had been flying between Los Angeles, New York, London, and Singapore trying to save Callahan Industries after a brutal recession.
I told myself there would be time.
There wasn’t.
Harrison continued.
“One nurse complained that Mrs. Callahan’s prescription logs didn’t match what was in the medication cabinet.”
My stomach tightened.
“What nurse?”
“Bethany Cole.”
“I don’t know that name.”
“She lasted four days.”
“Why?”
“Your aunt fired her.”
“Find her,” I told Elena.
Elena was already typing.
Harrison looked at me.
“I thought it was family business.”
“You thought wrong.”
“Yes.”
“Why write it down?”
“Insurance.”
The word disgusted me.
“You kept leverage.”
He nodded.
“What else?”
His silence gave me the answer.
A lot.
By noon, Elena located Bethany Cole.
She was living in Oregon.
She refused to speak on the phone.
Until Elena sent her a photograph of Harrison’s notebook.
Bethany called us twelve minutes later.
“Is Adrian Callahan there?”
“I’m here.”
Her voice changed.
“I’m sorry about your mother.”
“Thank you.”
“I’ve wanted to call you for years.”
“Why didn’t you?”
“I was afraid.”
“Of my family?”
A pause.
“Yes.”
Bethany explained that during her brief time as my mother’s hospice nurse, she noticed repeated discrepancies.
Pain medication doses were being logged that she had not administered.
Sedatives appeared in the cabinet, then disappeared.
One medication had been doubled without the attending physician’s order.
“What medication?”
“Lorazepam.”
I closed my eyes.
My mother had become confused near the end.
Sleepy.
Disoriented.
Doctors told us it was normal.
“Could it have killed her?”
Bethany hesitated.
“Not by itself at the doses I saw.”
I exhaled.
“But combined with opioids, in someone already medically fragile, it could have caused severe respiratory suppression.”
My hand tightened around the phone.
“Did you tell anyone?”
“I told Vivian.”
Of course.
“She said I was inexperienced.”
“Then?”
“I reported it to the hospice physician.”
“What happened?”
“The next morning I was terminated.”
“By Vivian?”
“Yes.”
“Did you keep records?”
Another pause.
“Yes.”
Elena looked at me.
“Where?”
“Storage.”
“Can we get them?”
Bethany’s voice shook.
“You need to understand something.”
“What?”
“Your mother knew.”
My heart stopped.
“Knew what?”
“That somebody was changing her medication.”
I stood.
“She told you?”
“On my last night.”
“What did she say?”
Bethany took a breath.
“She said, ‘My sister wants everybody to think I’m confused.’”
I felt the room tilt.
Elena caught my arm.
Bethany continued.
“She asked me to hide a letter.”
“What letter?”
“I don’t know. She gave it to one of the household staff.”
“Who?”
“She called her Rosie.”
Rosa.
I turned toward the ceiling.
Rosa had worked for my mother.
I ended the call and went upstairs.
I found her in the blue guest room folding Camila’s school uniform.
She saw my face.
“What happened?”
“My mother gave you something before she died.”
Her hands stopped.
She did not ask what I meant.
That told me everything.
“Rosa.”
Tears filled her eyes.
“I promised her.”
“Promised her what?”
“To wait.”
“For what?”
“For you to notice.”
The words hurt.
“What does that mean?”
She sat on the bed.
“Your mother loved you very much.”
“I know.”
“She also knew you were always working.”
I looked away.
“She said if she told you something terrible while she was sick, you would believe Vivian over her because everybody thought the medicine was making her confused.”
My chest tightened.
“So she gave you a letter.”
“Yes.”
“Where is it?”
Rosa shook her head.
“I don’t have it.”
Fear moved through me.
“What happened?”
“Mr. Harrison searched staff lockers after she died.”
I stared.
“He found it?”
“No.”
“Then where is it?”
Rosa looked toward Camila.
My eyes followed.
Camila stood near the bathroom doorway.
She reached slowly into her pink backpack.
From the smallest front pocket, she removed an old brass key.
Rosa whispered, “My mother kept your mother’s letter hidden after Mrs. Callahan died.”
“Your mother?”
“She was the laundress before me.”
I remembered Rosa’s mother.
Teresa.
She had worked at the estate when I was a child.
“She gave it to you?”
“Before she passed away.”
“Why haven’t you shown me?”
“Because Mrs. Callahan gave very specific instructions.”
“What instructions?”
Rosa looked directly at me.
“She said to give you the letter only if Vivian ever started stealing from the staff.”
Nobody spoke.
I looked at the key.
“What does it open?”
Camila answered.
“Grandma’s sewing box.”
Thirty minutes later, Rosa returned from her apartment with an old wooden sewing chest.
Inside, beneath thread and yellowed fabric, we found a sealed envelope.
ADRIAN.
My mother’s handwriting.
I opened it with shaking hands.
Son,
If Rosa gives you this, then Vivian has done exactly what I was afraid she would do.
Do not confront her until you understand why she needs control of my trust.
And please forgive me for not telling you sooner.
Your brother is not who you think he is.
I stopped reading.
Preston.
Below that was one final line.
But he is not the person you need to fear most.
That person has been sitting beside our family for thirty years.
I looked at Rosa.
“Who?”
She shook her head.
“I don’t know.”
I returned to the letter.
My mother had written the name on the next page.
When I saw it, the air left my lungs.
Because it wasn’t Vivian.
It wasn’t Preston.
May you like
It was someone I trusted more than either of them.
My father.