June 2000

Elizabeth Fitch’s short-lived teenage rebellion began with L’Oréal Pure Black, a pair of scissors and a fake ID. It ended in blood.

For nearly the whole of her sixteen years, eight months and twenty-one days she’d dutifully followed her mother’s directives. Dr. Susan L. Fitch issued directives, not orders. Elizabeth had adhered to the schedules her mother created, ate the meals designed by her mother’s nutritionist and prepared by her mother’s cook, wore the clothes selected by her mother’s personal shopper.

Dr. Susan L. Fitch dressed conservatively, as suited—in her opinion—her position as chief of surgery of Chicago’s Silva Memorial Hospital. She expected, and directed, her daughter to do the same.

Elizabeth studied diligently, accepting and excelling in the academic programs her mother outlined. In the fall, she’d return to Harvard in pursuit of her medical degree. So she could become a doctor, like her mother—a surgeon, like her mother.

Elizabeth—never Liz or Lizzie or Beth—spoke fluent Spanish, French, Italian, passable Russian and rudimentary Japanese. She played both piano and violin. She’d traveled to Europe, to Africa. She could name all the bones, nerves and muscles in the human body and play Chopin’s Piano Concerto—both Nos. 1 and 2, by rote.