will. She didnât care, as long as she got paid. My son went to take a walk and never came back. This woman, Anna, she called us late that night. Two days ago. Evan was missing. Where is he, she asks. She said she thought maybe he came home to us. But you know where he was, my son . . . ? You know where Evan was? He had climbed the fucking rock there, thatâs where he was. He was probably already dead.â
Anger flared up inside me. This just didnât wash. Every patient had a medical history. Treatment charts. Diagnoses and evaluations. They donât just dump people at will. In a place where they wonât be watched.
âShe just let him leave?â
âYes. Walk out. I told you, she donât give a shit, Jay. Thatâs the way it is here. But, believe meâshe was scared when she called us. She knew she screwed up. And the next morning, my son, he turns up dead. He was up there on the rock, Jay. The whole stinking night. In the cold. Alone. Without anyone to watch over him.â She started to sob again. âMy boy was on the rock. I want to sue that bitch.â
âYou want to know what really hurts?â Charlie took her face and brought it against his shoulder. âWe were watching the news that morning. Friday, I think. Or Saturday . . . I donât keep track of time so well anymore. They said some kid had jumped off Morro Bay Rock. A John Doe. No ID on him. We go, âThank God thatâs not Evan. Thank God he is in a safe place.â And itâs our own son, Jay! They were talking about Evan. Weâre listening to a report about our own son . . .â
He started to sob, loud choking tremors. Gabriella held his head in her arms. âWe just failed you, Evan . . . We let you die.â
It was horrible. I didnât know what to do or feel, other than my hands balling into tight fists. Rich or poor, it didnât matter. There was a complete breakdown. Not only of treatment, but also of responsibility. And Evan was the victim of it. I knew in my world, this could never happen. Not without some kind of response, accountability.
âWhere is he now?â I asked.
âAt the coronerâs,â Charlie said. âTheyâre doing their autopsy and tests. We canât even see him.â
Gabriella wiped her eyes. âHe called me, you know. The day before. I asked, âAre you all right, Evan? You know I love you, donât you, my son?â And you know what he told me? He said, âIâm gonna make the best of it, Mommy.â Make the best . . . Does that sound like some kid who wanted to kill himself the next day? They say itâs a suicide, but it doesnât sound like that to me. You know what I think? I donât think my son would kill himself. It sounds like murder, Jay. By the state. They took my son and screwed his head up on drugs, then dropped him in a place that wasnât right for him. They murdered him. â
As a doctor, I was always quick to assume that the system handled things correctly. Sure, mistakes were made, but generally it did things right. But as an uncle, I couldnât disagree.
It was like murder.
We sat around in silence for a while. Charlie and Gabriella just hugged each other, helpless and crying. Then Gabriella got up. She cleared the table, put the coffee mugs in the sink, and ran the water over them. Then she turned and faced me, her palms back against the counter. âAt the end, it was very, very bad, Jay. You have no idea. Our son never left the house. He would just sit there, on that couch all day, never even talk, just smile at me. You know that little smile he had, like he had the whole world figured out. Like he knew the truth and no one else did.â
âI know it.â I wasnât sure whether to smile or shake my head in sorrow. I smiled.
âHe said to me, just last week, before he did this . . . He said, âI think maybe Iâd