I have gone back over how that happened more carefully than I have gone over anything in my own life, because it is the thing that did all of the damage and because it is so ordinary that I am certain it is happening in about four houses on my street tonight.

It was not neglect.

I want to say that as hard as I can say anything.

Those two people are the most devoted parents I have ever been in a room with and their daughter is the centre of both of their lives.

Here is what happened.

Jillian handles the medical paperwork, because she is a home health aide and understands the vocabulary.

Nathan handles the house, the car, the ramp, the physical world.