The white printed receipt I had seen in the ER waiting room was still tucked in the front pocket, carrying the bold letterhead of a suburban house cleaning company along with Sylvia’s dark signature.

The digital clock mounted above the exam room desk read 3:22 AM in bright red numbers.

I slowly turned my head toward Ethan.

He was staring down at the gray linoleum floor, his jaw working silently as his shoulders hunched inward.

“Ethan,” I said, keeping my voice as flat and measured as a patient chart.

“Is your mother telling me the truth?”

He didn’t look up.