He picked up the black ballpoint pen sitting on the table and removed the cap with a small plastic click.

“Her next dose is at eight o’clock exactly,” I said.

“You fill the syringe, slide it into the side of her mouth against her cheek, and push the plunger slowly so she does not cough or gag.

Then you write the exact time, the dosage, and your initials in this column.”

Ethan placed the tip of the pen against the top white square of the logbook.

“Eight o’clock.”