All Fall Down: A Novel

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Do you generally use alcohol or drugs more than once a week?

I hesitated with my hand over the page. I’d picked up the magazine to read the “How to Dress Right for Your Shape” story advertised on the cover, but it had opened to a quiz that asked “Has Your Drinking or Drug Use Become a Problem?” and something had made me stop. Maybe it was the black-and-white photograph of a woman in profile, bending sadly over her wineglass, or maybe the statistic beside it that said that prescription painkiller overdose was now the leading cause of accidental death of women in America, surpassing even car crashes. I had a pen in my hand—I’d been using it to fill out the stack of forms for Eloise’s five-year-old well-child checkup—and, almost without thinking, I made an X in the box for “Yes.”

I crossed my legs and looked around Dr. McCarthy’s waiting area, suddenly worried that someone had seen what I’d written. Of course, no one was paying any attention to my little corner of the couch. Sleet ticked at the panes of the oversized windows; a radiator clunked in the corner. The lamplit room, on the third floor of an office building at the corner of Ninth and Chestnut, with a volunteer in a striped pinny at a knee-high table reading Amelia Bedelia to kids sitting in miniature chairs, felt cozy, a respite from the miserable winter weather. Three years ago my husband, Dave, my daughter, and I had moved out of Center City and into a house in Haverford that I refused to call a McMansion, even though that’s exactly what it was, but I loved Ellie’s pediatrician so much that I’d never even tried to find a suburban replacement. So here we were, more than half a year late for Ellie’s checkup, in the office where I’d been taking her since she was just a week old.

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