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Chapter 3 - The Care He Never Received

The doctor arrived before the snow stopped falling.

Dr. Elena Marin was a neurologist who had examined Giovanni during his rehabilitation years earlier. She came with a registered nurse and a portable medical kit, her expression becoming increasingly troubled as she listened to Lorenzo explain what he'd found.

I waited near the door while she examined Giovanni in the warmed sitting room downstairs. The new room had broad windows, a working fireplace, and space for the wheelchair. The olive-green blanket was still across his knees.

"Can he understand us?" Lorenzo asked.

Dr. Marin hesitated. "His stroke affected speech and movement. It did not establish that he couldn't understand language. That distinction matters."

"Then why was I told he recognized nobody?"

"I don't know who told you that. I haven't examined him here for many months."

Mrs. Gable shifted in her chair. "We followed all the instructions given by his caregivers."

"Which caregivers?" the doctor asked.

Nobody answered immediately.

Dr. Marin sat directly in front of Giovanni.

"Mr. Moretti, I'm going to ask you simple questions. Blink once for yes, twice for no, if you can manage it. We will stop whenever you need a rest."

She asked his name, then whether he was comfortable. His responses were slow, but when she repeated the questions in a different order, he answered consistently.

Lorenzo stood beside the fireplace with his hands at his sides.

"Dad, do you know who I am?"

One blink.

Lorenzo swallowed. "Did you know I was coming today?"

Two blinks.

His son looked down.

The doctor held up her hand. "This isn't enough to make medical or legal conclusions. But it is more than enough reason to give him a proper communication assessment. He must have a way to express choices."

I thought about all the evenings I'd talked about Lily while believing my words might simply vanish into the quiet.

Giovanni turned his eyes toward me.

One blink.

A nurse took me aside to ask about food, skin care, and the times I'd found him alone. I told her about the cold oatmeal, the lack of warmth, and the meals I'd substituted. She wrote it down without interrupting. For once, somebody treated my account as information rather than insolence.

Then she noticed my wrists.

"You need a medical appointment too," she said.

"I have one next week."

"After carrying those loads while pregnant? Please don't wait for that appointment."

My first impulse was to explain that I couldn't afford to lose a shift. When she told Lorenzo, he arranged transport to the clinic and said the cost would not come out of my wages.

I bristled before I could stop myself.

"I don't want charity, Mr. Moretti."

"It isn't charity to check whether someone was injured at work."

He didn't try to touch me or make a promise he couldn't keep. He simply stepped back and let the nurse finish her questions.

Later, a gray-haired estate accountant brought several folders into the study. Lorenzo asked me to describe Giovanni's usual routine while the doctor gathered his records.

The statements listed an overnight nurse, a daytime nurse, regular physiotherapy, special meal preparation, laundry service, and replacement medical equipment.

I stared at the figures.

"I've never met an overnight nurse," I said.

"Perhaps she worked before your shift," Mrs. Gable replied.

"I cleaned his room at different hours. Sometimes after midnight."

The accountant turned a page. "According to these invoices, the estate has been paying for round-the-clock private care for almost four years."

Lorenzo ran a finger down the list.

"Who approves payments?"

"The care services budget passes through the estate office. Victor Hale oversees the vendor approvals."

Victor Hale was the estate manager. I knew his name from delivery instructions, though I rarely saw him. He handled contracts, staffing budgets, and the invoices that arrived from suppliers.

"Get him here," Lorenzo said.

"He's in the city. The roads may be closed," the accountant answered.

"Then ask him to send the original agreements and all staffing records."

Mrs. Gable clasped her hands. "Mr. Hale has always handled those details. Your father needed privacy."

Lorenzo looked at her. "Privacy isn't the same thing as being left alone in the cold."

After the meeting, I was permitted to sit with Giovanni. He was tired, and Dr. Marin had asked that questions be kept short. I pulled a chair beside his wheelchair and made sure the heated blanket was comfortably arranged.

"They know you're listening now," I whispered.

His eyelids fluttered once.

"I should have said something sooner."

He watched me for a long moment. I couldn't tell what he wanted to say, but his hand moved against the armrest. I placed mine beside it, and he rested two fingers lightly against my skin.

That small movement made my eyes sting.

The nurse came to help him rest. As I rose, she called my attention to a form on the care schedule.

"Look at this. Does this name mean anything to you?"

It was a roster from an agency called Northbridge Home Care. The staff listed for daily visits included three nurses and a therapist.

"I've never seen any of them," I said.

"Neither have I," she replied. "And none is listed in the doctor's actual treatment notes."

She took the roster to Lorenzo.

An hour later, the accountant returned with an even stranger finding. Northbridge had charged the Moretti estate for a replacement wheelchair delivered two months before I began caring for Giovanni.

I could still see the rust along the old wheelchair's wheels.

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Lorenzo placed the invoice on the desk.

"If they delivered a new chair," he asked, "where did it go?"

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