We found the doctor’s office all right, but checking her in was another story. They gave me a form to fill out which contained every possible question about Turtle I couldn’t answer. “Have you had measles?” I asked her. “Scabies? Date of most recent polio vaccination?” The one medical thing I did know about her past was not on the form, unless they had a word for it I didn’t know.

Turtle was in my lap but had turned loose of me completely, since she needed both arms to turn through the pages of her magazine in search of vegetables. She wasn’t having much luck. Every other woman in that waiting room was pregnant, and every magazine was full of nursing-bra ads.

I knew how to trample my way through most any situation, but you can’t simply invent a person’s medical history. I went up and tapped on the glass to get the nurse’s attention. I saw that she was actually pregnant too, and I felt an old panic. In high school we used to make jokes about the water fountains outside of certain home rooms.

‘Yes?” she said. Her name tag said Jill. She had white skin and broad pink stripes of rouge in front of her ears.

“I can’t answer these questions,” I said.

“Are you the parent or guardian?”

“I’m the one responsible for her.”

“Then we need the medical history before we can fill out an encounter form.”

“But I don’t know that much about her past,” I said.

“Then you are not the parent or guardian?”

This was getting to be a trip around the fish pond. “Look,” I said. “I’m not her real mother, but I’m taking care of her now. She’s not with her original family anymore.”

“Oh, you’re a foster home.” Jill was calm again, shuffling through a new stack of papers. She blinked slowly in a knowing way that revealed pink and lavender rainbows of makeup on her eyelids. She handed me a new form with far fewer questions on it. “Did you bring in your DES medical and waiver forms?”

“No,” I said.

“Well, remember to bring them next time.”

By the time we got in to see Dr. Pelinowsky I felt as though I’d won this man in one of those magazine contests where you answer fifty different questions about American cheese. He was fiftyish and a little tired-looking. His shoulders slumped, leaving empty space inside the starched shoulders of his white coat. He wore black wing-tip shoes, I noticed, and nylon socks with tiny sea horses above the ankle bones.

Turtle became clingy again when I pulled off her T-shirt. She squeezed wads of my shirttail in both fists while Dr. Pelinowsky thumped on her knees and shined his light into her eyes. “Anybody home?” he asked. The only time she perked up at all was when he looked in her ears and said, “Any potatoes in there?” Her mouth made a little O, but then she spaced out again.

“I didn’t really think she’d turn out to be sick, or anything like that. She’s basically in good shape,” I said.

“I wouldn’t expect to turn up anything clinically. She appears to be a healthy two-year-old.” He looked at his clipboard.

“The reason I brought her in is I’m concerned about some stuff that happened to her awhile ago. She wasn’t taken care of very well.” Dr. Pelinowsky looked at me, clicking his ballpoint pen.

“I’m a foster parent,” I said, and then he raised his eyebrows and nodded. It was a miracle, this new word that satisfied everyone.

“You’re saying that she was subjected to deprivation or abuse in the biological parents’ home,” he said. His main technique seemed to be telling you what you’d just said.

‘Yes. I think she was abused, and that she was,” I didn’t know how to put this. “That she was molested. In a sexual way.”

Dr. Pelinowsky took in this information without appearing to notice. He was scribbling something on the so-called encounter form. I waited until he finished, thinking that I was going to have to say it again, but he said, “I’ll give her a complete exam, but again I wouldn’t expect to turn up anything now. This child has been in your care for five months?”

“More or less,” I said. ‘Yes.”

While he examined her he explained about abrasions and contusions and the healing process. I thought of how I’d handled Jolene Shanks exactly this way, as calm as breakfast toast, while her dead husband lay ten feet away under a sheet. “After this amount of time we might see behavioral evidence,” Dr. P. said, “but there is no residual physical damage.” He finished scribbling on the form and decided it would be a good idea to do a skeletal survey, and that sometime soon we ought to get her immunizations up to date.

I was curious to see the x-ray room, which was down a hall in another part of the office. Everything was large and clean, and they had a machine that turned out the x-rays instantly like a Polaroid camera. I don’t believe Dr. Pelinowsky really understood how lucky he was. I used to spend entire afternoons in a little darkroom developing those things, sopping the stiff plastic sheets through one and another basin of liquid, then hanging them up on a line with tiny green clothespins. I used to tell Mama it was nothing more than glorified laundry.

We had to wait awhile to see him again, while he saw another patient and then read Turtle’s x-rays. I hung around asking the technician questions and showing Turtle where the x-rays came out, though machines weren’t really her line. She had one of her old wrestling holds on my shoulder.

When we were called back to Dr. Pelinowsky’s office again he looked just ever so slightly shaken up. “What is it?” I asked him. All I could think of was brain tumors, I suppose from hanging around Lou Ann, who had learned all she knew about medicine from General Hospital.

He laid some of the x-rays against the window. Dr. Pelinowsky’s office window looked out onto a garden full of round stones and cactus. In the dark negatives I could see Turtle’s thin white bones and her skull, and it gave me the same chill Lou Ann must have felt to see her living mother’s name carved on a gravestone. I shivered inside my skin.

“These are healed fractures, some of them compound,” he said, pointing with his silver pen. He moved carefully through the arm and leg bones and then to the hands, which he said were an excellent index of age. On the basis of height and weight he’d assumed she was around twenty-four months, he said, but the development of cartilage in the carpals and metacarpals indicated that she was closer to three.

“Three years?”

“Yes.” He seemed almost undecided about telling me this. “Sometimes in an environment of physical or emotional deprivation a child will simply stop growing, although certain internal maturation does continue. It’s a condition we call failure to thrive.”

“But she’s thriving now. I ought to know, I buy her clothes.”

“Well, yes, of course. The condition is completely reversible.”

“Of course,” I said.

He put up more of the x-rays in the window, saying things like “spiral fibular fracture here” and “excellent healing” and “some contraindications for psycho-motor development.” I couldn’t really listen. I looked through the bones to the garden on the other side. There was a cactus with bushy arms and a coat of yellow spines as thick as fur. A bird had built her nest in it. In and out she flew among the horrible spiny branches, never once hesitating. You just couldn’t imagine how she’d made a home in there.

Mattie had given me the whole day off, so I had arranged to meet Lou Ann at the zoo after Turtle’s appointment. We took the bus. Mattie and I hadn’t gotten around to fixing the ignition on my car, so starting it up was a production I saved for special occasions.

On the way over I tried to erase the words “failure to thrive” from my mind. I prepared myself, instead, for the experience of being with Lou Ann and the kids in a brand-new set of hazards. There would be stories of elephants going berserk and trampling their keepers; of children’s little hands snapped off and swallowed whole by who knows what seemingly innocent animal. When I walked up to the gate and saw her standing there with tears streaming down her face, I automatically checked Dwayne Ray in his stroller to see if any of his parts were missing.