“She well may be,” replied the doctor, and then he stood before her and said, “Any more such capers, young woman, and there’ll be no need to send for me.”

“I know, doctor,” she replied timidly, “but,” and she hesitated as though it took all her courage to say it, “what can I do to prevent it?”

The doctor was a kindly man, and he had worked hard to save her, but such incidents had become so familiar to him that he had long since lost whatever delicacy he might once have had. He laughed good-naturedly. “You want to have your cake and eat it too, do you? Well, it can’t be done.”

Then picking up his hat and bag to depart he said, “Tell Jake to sleep on the roof.”

I glanced quickly at Mrs. Sachs. Even through my sudden tears I could see stamped on her face an expression of absolute despair. We simply looked at each other, saying no word until the door had closed behind the doctor. Then she lifted her thin, blue-veined hands and clasped them beseechingly. “He can’t understand. He’s only a man. But you do, don’t you? Please tell me the secret, and I’ll never breathe it to a soul. Please!

What was I to do? I could not speak the conventionally comforting phrases which would be of no comfort. Instead, I made her as physically easy as I could and promised to come back in a few days to talk with her again. A little later, when she slept, I tiptoed away.

Night after night the wistful image of Mrs. Sachs appeared before me. I made all sorts of excuses to myself for not going back. I was busy on other cases; I really did not know what to say to her or how to convince her of my own ignorance; I was helpless to avert such monstrous atrocities. Time rolled by and I did nothing.

The telephone rang one evening three months later, and Jake Sachs’ agitated voice begged me to come at once; his wife was sick again and from the same cause. For a wild moment I thought of sending someone else, but actually, of course, I hurried into my uniform, caught up my bag, and started out. All the way I longed for a subway wreck, an explosion, anything to keep me from having to enter that home again. But nothing happened, even to delay me. I turned into the dingy doorway and climbed the familiar stairs once more. The children were there, young little things.

Mrs. Sachs was in a coma and died within ten minutes. I folded her still hands across her breast, remembering how they had pleaded with me, begging so humbly for the knowledge which was her right. I drew a sheet over her pallid face. Jake was sobbing, running his hands through his hair and pulling it out like an insane person. Over and over again he wailed, “My God! My God! My God!”

I left him pacing desperately back and forth, and for hours I myself walked and walked and walked through the hushed streets. When I finally arrived home and let myself quietly in, all the household was sleeping. I looked out my window and down upon the dimly lighted city. Its pains and griefs crowded in upon me, a moving picture rolled before my eyes with photographic clearness: women writhing in travail to bring forth little babies; the babies themselves naked and hungry, wrapped in newspapers to keep them from the cold; six-year-old children with pinched, pale, wrinkled faces, old in concentrated wretchedness, pushed into gray and fetid cellars, crouching on stone floors, their small scrawny hands scuttling through rags, making lamp shades, artificial flowers; white coffins, black coffins, coffins, coffins interminably passing in never-ending succession. The scenes piled one upon another on another. I could bear it no longer.