No! Please no! Ella mouthed.

“Then tell me what it is you’re so afraid of. Is it using the toilet? Does the toilet scare you?” Ella shook her head, still trying desperately to pull away. “Is it the flushing noise?” Ella shook her head again, closing her eyes tight as Rose opened the bathroom door. Rose sighed as Ella became dead weight. She looked in the small unit bathroom for some possible sign or clue as to what would cause her such fear. There were no shadows lurking in the corner, not a single sign of bugs. Just a sink, toilet, and bath surrounded by white linoleum tile on the floor with a cream color wallpaper.

Are you going to try to bite me again if I pick you up?” Rose asked. “Do I need to put your mouth-guard in?” Ella didn’t respond. “Honey, open your eyes. It’s okay.” Still no reply. “Will you walk to the toilet at least?” Rose sighed in defeat. This was as much progress as they had made in the last week. At least she wasn’t clawing and biting anymore.

Rose bent down and picked her up with minor difficulty. At a mere 55 pounds, Ella was severely underweight and malnourished. The cancer treatment had delayed her growth, but as for her behavior, Rose was at a loss. Did she somehow correlate bathrooms to being sick? Was her mind reliving the memories of chemo nausea when she stepped inside? No, that wasn’t it. She was fine using the portable commode, or what she referred to as the chair, but she had spent many nights with her face inside its pink bucket regurgitating her stomach’s contents.

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