The hospital tray arrived at 6:12 Tuesday morning. It was a precise, clinical sound, the rattle of plastic on metal that had become the soundtrack of my life over the last twenty-four hours. My head felt heavy, like it was filled with wet sand, but the smell of the sterile room was starting to sharpen my senses. Beside my oatmeal, tucked under the edge of a plastic bowl, sat a folded scrap of yellow paper. My fingers were shaky as I picked it up.