Each facility required a separate inventory, each service claim had to be verified, and each patient safety concern assessed without frightening families unnecessarily.

A regional newspaper published a photograph of Kyle being led from his office.

Under it appeared a photograph of our family from Lucas’s sixth birthday party.

I called the editor and asked that our son’s face be removed from future coverage.

The editor agreed.

The original image had already traveled widely, but at least one door could be closed.

That evening, Rachel asked whether I hated her brother.

I thought carefully.