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Chapter 6 - The confirmatory test

The result returned the next afternoon.

Not a vague positive.

Confirmed.

The laboratory identified the same sedating antihistamine class detected on the screen.

Dr. Rowe explained carefully.

“We cannot use a blood level to reconstruct an exact dose or exact administration time with perfect precision.”

Good.

No false certainty.

“But the presence is confirmed.”

“Could Ella have gotten it accidentally?”

“Yes.”

That answer surprised me.

“How?”

“If a medication were left where she could access it, transferred through a contaminated measuring device, or administered by mistake, exposure could be accidental.”

Ella was eight months old.

Not opening childproof bottles.

Not walking to medicine cabinets.

Someone had either left something directly within her reach or put it where she could ingest it.

“Could it have come through breast milk?”

I was no longer breastfeeding.

“No.”

“Formula contamination?”

“Possible in theory, but we’d need evidence.”

Luke asked:

“Can that kind of drug affect breathing?”

“In infants, sedating medications can cause unpredictable effects, including dangerous suppression of alertness and respiration.”

Margaret had called it mild.

I swallowed.

“Is Ella going to be okay?”

“All signs currently point toward full recovery.”

I started crying.

Not gracefully.

Luke put a hand on my shoulder.

I moved away.

He dropped it.

Dr. Rowe continued.

“We’re keeping her overnight because of her age and how severe the initial episode was.”

“Could this have happened before?”

He paused.

“What do you mean?”

I told him about the unusually long sleeps.

The wedding.

Another afternoon when Ella had been almost impossible to wake after Margaret babysat.

He listened.

Then:

“It’s possible previous episodes had unrelated explanations. We cannot retroactively diagnose them without testing from those events.”

Accuracy again.

“Could repeated exposure be detected now?”

“Not reliably enough to tell you how many prior occasions occurred from this test alone.”

I wanted a machine that could give me every answer.

May you like

Medicine did not have one.

Investigators would have to build the rest.

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