The medical examiner’s report came back in the ninth week.

Margaret has never released the details of it and will not, and this account respects that.

What it found was consistent with what she had seen with her own eyes above a lace collar, and it identified in Emily’s system a substance for which she had no prescription, at a level the examiner described as significant, and which did not appear in any pharmacy record in her name going back six years.

Cause of death was certified as homicide.

The manner of death on the original certificate — natural — was amended.

Dr.