Patrick, our consulting pediatrician from St. Mary’s Hospital upstairs, was forever coming down to our birthing center, getting the nurses all excited with his ridiculous gestures. But I didn’t bother being flattered. Yes, he was young and charming—and good-looking in a disheveled, just-rolled-out-of-bed kind of way—but I knew for a fact that he dropped the word “gorgeous” with more regularity than I used the word “contraction.”

“Your wish, my command.” In a heartbeat I was back on two feet. “I’m glad I ran into you, actually,” he said. “I have a joke.”

“Go on.”

“How many midwives does it take to screw in a lightbulb?” Patrick didn’t wait for an answer. “Six. One to screw in the lightbulb and five to stop the ob-gyn from interfering.” He grinned. “Good one, right?”

I couldn’t help a smile. “Not bad.”

I started walking and he fell into step beside me. “Oh … Sean and I are heading to The Hip for a drink tonight,” he said. “You in?”

“Sorry,” I said. “Hot date.”

Patrick stopped walking and stared at me. That’s how unlikely it was that I would have a date.

“I’m kidding, obviously. I’m going to Conanicut Island to have dinner with Gran and Grace.”

“Oh.” His face returned to normal. “I take it you’re not getting along any better with your mom, then?”

“Why do you ‘take’ that?”

“You still call her Grace.”

“It is her name,” I said.

I’d started calling her Grace when I was fourteen—the day I delivered my first baby. It had seemed strange, unprofessional, to call her Mom. Saying Grace felt so natural, I’d stuck with it.

“You sure you can’t come for one drink? You haven’t come for a drink for months.” He adopted a pouty expression. “We’re too boring for you, aren’t we?”

I pushed through the door to the break room. “Something like that.”

“Next time, then?” he called after me. “Promise?”

“Promise,” I called back. “As long as you promise to learn some better jokes.”

I was confident it was a promise he wouldn’t be able to keep.

*   *   *

I arrived in Conanicut Island at ten to eight. Gran’s house, a shingle-style beach cottage, was perched on a grassy hill that rolled down to a rocky beach. She lived on the southern tip of the island, accessible only by one road across a thin strip of land from Jamestown. When I was little, my parents and I used to rent a shack like Gran’s every summer, and spend a few weeks in bare feet—swimming at Mackerel Cove, flying kites, hiking in Beavertail State Park. Gran was the first to go on “permanent vacation” there. Grace and Dad followed a few years ago and now lived within walking distance. Grace had made a big deal about “leaving me” in Providence, but I was fine with it. Apart from the obvious fact that it meant Grace would be a little farther away from me and my business, I also quite liked the idea of having an excuse to visit Conanicut Island. Something happened to me when I drove over the Jamestown Verrazzano Bridge. I became a little floppier. A little more relaxed.

I stepped out of the car and scurried up the grassy path. I let myself in through the back door and was immediately hit by the scent of lemon and garlic.

Grace and Gran sat at the table in the wood-paneled dining room, heads bobbing with polite conversation. They didn’t even look up when I entered, which showed how deaf they were both getting. I wasn’t exactly light on my feet lately.

“I made it.”

They swiveled, then beamed in unison. Grace, in particular, lit up. Or maybe it was her orange lipstick and psychedelic dress that gave the effect. Something green—a bean, maybe?—was lodged between her front teeth, and the wind had done a number on her hair. Her bangs hung low over her eyes, reminding me of a fluffy red sheepdog.

“Sorry I’m late,” I said.

“Babies don’t care if you have dinner plans, Neva,” Gran said. A smile still pressed into her unvarnished face. “No one knows that better than us.”

I kissed them both, then dropped into the end chair. Half a chicken remained, as well as a few potatoes and carrots and a dish of green beans. A pitcher of ice water sat in the center with a little mint floating in it, probably from Gran’s garden. Gran reached for the serving spoons and began loading up my plate. “Lil hiding?”

Lil, Gran’s painfully shy partner of nearly eight years, was always curiously absent for our monthly dinners. When Gran had announced their relationship and, as such, her orientation, Grace was thrilled. She’d yearned her whole life for a family scandal to prove how perfectly tolerant she was. Still, I had a bad feeling her avid displays of broad-mindedness (one time she referred to Gran and Lil as her “two mommies”) were the reason Lil made herself scarce when we were around.

Gran sighed. “You know Lil.”

“Mom’s not the only one who can bring a partner along, Neva,” Grace said. “If you’d like to bring a guy alo—”

“Good idea.” I stabbed some chicken with my fork. “I’ll bring Dad next time.”

Grace scowled, but one of my favorite things about her was that her attention span was short. “Anyway, birthday girl. How does it feel? The last year of your twenties?”

I speared a potato. “I don’t know.” How did I feel? “I guess I’m—”

“I’ll tell you how I feel,” Grace said. “Old. Feels like yesterday I was in labor with you.” Grace’s voice was soft, wistful. “Remember looking down at her for the first time, Mom? All that red hair and porcelain skin. We thought you’d be an actress or a model for sure.”

I swallowed my mouthful with a little difficulty. “You’re not happy I followed you into midwifery, Grace?”

“Happy? Why, I’m only the proudest mom in world! Of course, I still wish you’d come and work with me, doing home births. No doctors hovering about with their forceps, no sick people ready to cough all over the precious new babies—”

“There are no doctors or sick people at the birthing center, Grace.”

“Delivering in the comfort of one’s own home, it’s just…”

Magical.

“Magical,” she said, with a smile. “Oh! I nearly forgot.” She reached for her purse and plucked out a flat, hand-wrapped gift. “This is from your father and me.”

“Wow … You shouldn’t have.”

“Nonsense. It’s your birthday.”

Gran and I exchanged a look. Of course Grace had ignored the no-gifts directive—the one thing I’d wanted for my birthday. I hated gifts: the embarrassment of receiving them, the awkwardness of opening them in public, and, if it was from Grace, the pressure of ensuring my face was adequately arranged to demonstrate sheer delight, a wonder that I’d ever been able to get through life before this particular ornament or treasure.

“Go on.” She pressed her hands together and wriggled her fingers. “Open it.”

An image of my thirteenth birthday flashed into my mind—the first time since elementary school that I had agreed to a party. Maybe the fact that I was in the middle of my second-ever period and was cramping, bleeding, and wearing a surfboard-sized maxi pad in my underwear skewed my judgment. Grace wasn’t happy when I insisted we keep it small (just four girls from school) and she was positively brokenhearted when I refused party games of any sort, but she didn’t push her luck. With hindsight, that should have been my first clue. My friends and I had just gotten settled in the front room when Grace burst in.

“Can I have your attention, please?” she said. “As you know, today is Neva’s thirteenth birthday. We are celebrating her becoming a teenager.”

She looked like a children’s stage performer, smiling so brightly that I thought her face might crack into three clean pieces. I willed her to vanish in a cloud of smoke, taking with her the previous thirty seconds and the crimson crushed-velvet dress she had changed into. But any notion that this might happen faded along with my friends’ smiles.