“Sir,” Dr. Allen said, “I need you to think carefully before you answer. Has anyone been giving her medication regularly? Sleep aids, allergy medicine, cold medicine, anything at all?”

I swallowed. My mouth felt full of iron.

“No,” I said. “Not that I know of.”

He let that sit between us a moment.

“Then someone has been giving it to her without your knowledge.”

Without your knowledge.

Not just my knowledge.

Her father’s.

The school’s.

Anybody decent.

I looked again at Ruby’s sleeping face, and all at once I heard her voice from earlier that afternoon, whisper-soft, close enough for only me to hear.

Grandpa, can you ask Mommy to stop putting things in my juice? It makes me feel sleepy and I don’t like it.

My throat closed.

Outside, somebody laughed at the nurses’ desk.

Inside, something in me turned to stone.

Two hours earlier, I had still believed the worst thing I had done that week was miss my granddaughter’s birthday.