Coming to America

Layan Albaz lost her legs in an Israeli air strike in Gaza.
To learn how to walk again, she had to travel more than 6,000 miles from everything she knew.

Coming to America

The Atavist Magazine, No. 153


Rhana Natour is an award-winning journalist and video producer. Her stories have aired on PBS NewsHour, Al Jazeera English, More Perfect Union, and Scripps News. Her writing has appeared in such publications as The Guardian and Vice News. She shared an Emmy nomination for her work on the Nightline special “Crisis in Syria,” and her article “The Shooter’s Wife” received an award from the Arab and Middle Eastern Journalists Association.

Eman Mohammed is a Palestinian photojournalist from Gaza, and her passion for photography is grounded in her heritage. She began her career documenting life under Israeli occupation. Her photographs have been featured in The Guardian, Le Monde, The Washington Post, and other publications. Her work has been acquired by the British Museum in London and the Harn Museum of Art at the University of Florida. She was named a senior TED Fellow in 2019, and her photographic memoir, The Cracks in My Lens, was published in 2022.


Editor: Seyward Darby
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Lila Hassan
Translator: Ammar Owaineh

Published in July 2024.


Dina Assaf sat in her car outside Chicago’s O’Hare International airport watching the terminal’s sliding doors open and close, open and close. She and her husband, Baha, had been scrambling to prepare for this moment and were exhausted, but in the back seat their three daughters were restless with excitement. Sara, Salma, and Sereen had circled this day—March 17, 2024—on their calendars weeks ago and were giddy that it had finally come. They jostled one another for the best view of the doors, hoping to be the first to spot the person they were there to pick up. She was a young girl like them—she had turned 14 just three days before—and from what the sisters had been told, she was very important.

أقرأ هذه القصة باللغة العربية.

The girl’s name was Layan Albaz, and she had a button nose and a soft voice. What the Assafs knew of her life came mostly from videos on the internet. In one clip, Layan described how she had lost two sisters, a niece, and a nephew in an Israeli air strike in Gaza. She used a wheelchair because injuries she sustained during the attack had forced doctors to amputate her legs. In another video, filmed by Agence France-Presse not long after the air strike, Layan’s face was mottled with burns. “I want them to give me real legs,” she whimpered, clutching an oxygen mask in one hand. “I don’t want fake legs.”

But if Layan was ever to walk again, prosthetics were exactly what she would need, and to get them she was coming to the United States. Shriners Children’s Chicago, a hospital specializing in pediatric orthopedics, had offered to provide her with free medical treatment. And despite being perfect strangers, the Assafs were opening their home to Layan for the duration of her stay.

Sara, the eldest Assaf daughter, was 12, which meant that Dina and Baha had firsthand experience with an adolescent girl navigating a swirl of transitions. But Layan was also grappling with a new and permanent disability. Over the months of Israel’s brutal siege on Gaza, she had lost people she loved and seen horrors one would expect only a frontline soldier to witness. Dina was under no illusion that hosting Layan would be easy. “But I expected more of, like, sadness,” she told me.

When Layan was finally rolled through the doors at O’Hare, Baha stowed her wheelchair in the trunk and placed Layan in the back seat of the car with his daughters. Dina, who was sitting in the driver’s seat, was shocked when Layan first spoke.

“What’s that beeping noise?” Layan asked in Arabic—she had come to America without a word of English. Her voice was laced with annoyance.

“Dina just needs to put her seat belt on,” Baha replied.

“Well, what the hell are you doing?” Layan yelled, locking her eyes on Dina. “Put the damn thing on. You’re giving me a headache.”

Sara, Salma, and Sereen’s eager smiles curved into frowns of concern. Dina thought, What did I get myself into? The Assafs were already learning that their guest was too angry to be sad.

Layan checks her reflection on her way to physical therapy at Shriners Children’s Hospital in Chicago. The scarring on her face is the result of the air strike that forced doctors to amputate her legs.

In Arabic, the root of the word for “amputated,” mabtur, can mean “incomplete.” This feels like a nod to the idea that it’s possible to sever something so essential to a person that they can no longer be considered whole. Someone who has lost a limb has experienced a deviation from the blueprint of the body; like a novel with chapters ripped out, something crucial is missing.

In Gaza, all we have to go by are amputated stories, fragments of the whole truth. Even that most fundamental data point of any war—the death toll—is incomplete. As of this writing, Gaza’s health authority has tallied more than 39,000 fatalities, but with the devastation inflicted on the region’s health care infrastructure, and with many bodies buried too deep in the rubble to be counted, officials emphasize how deficient their figures are every time they issue a report. In early July, an article in The Lancet estimated that Israel’s siege could result in 186,000 deaths, or 7.9 percent of Gaza’s population. But it may be years before we know the true toll—if we ever know it at all.

As for the children, here is some of what we know: As of May, approximately 15,000 were dead, 12,000 were injured, and 21,000 were missing. Among the wounded, doctors have described treating children “shredded” by bombs, crushed by collapsing buildings, and suffering from gunshot wounds to the head. Many pediatric patients have lost arms or legs. For now we have only a single statistic when it comes to these young amputees: Between October 7 and November 29, 2023, Unicef reported that more than 1,000 children had lost one or more limbs. A spokesperson told me in June that the agency had been unable to gather more recent figures, “given the challenging circumstances on the ground.”

This isn’t unusual—authoritative, countrywide figures on the number of pediatric amputees in most conflicts are generally rare. What seems clear is that we are witnessing one of the fastest and most intense mass-disabling events of children in our lifetimes. When the dust settles, relative to population size, Gaza may be left with the largest cohort of children who’ve lost limbs in any war in modern history.

Dr. Ghassan Abu-Sittah is certain that this will be the case. A plastic and reconstructive surgeon who specializes in pediatric trauma sustained in conflict, Abu-Sittah spent more than a month in Gaza, working with Doctors Without Borders, in the early days of the war. The experience, which he also described to The New Yorker, left him determined to assess the full scale of the crisis he witnessed. “During those 43 days that I was there, I did more amputations than I’d ever done in my 20 years as a war surgeon,” Abu-Sittah told me, holding his hands to his temples during a video call from his home in London. “I just needed to understand what the bigger picture was.”

He began reaching out to other surgeons—some who had recently returned from stints in Gaza, and some who were still there. Person after person replied with details that mirrored his own experience. Abu-Sittah realized that what he and other doctors were seeing could be record setting. It was the worst kind of reality check. He now estimates the number of pediatric amputees in Gaza at somewhere between 4,000 and 4,500—so far.

To put this in perspective, the Associated Press has reported that, over two and a half years of conflict in Ukraine, some 20,000 people have lost limbs. Based on testimony from medical personnel, researchers at the Center for Pediatric Blast Injury Studies, a joint venture launched in 2023 by Imperial College London and Save the Children, believe that the number of pediatric amputees in Ukraine is around 1,200.

Here is another way of looking at Abu-Sittah’s Gaza estimate: The average U.S. public school has about 550 students. Imagine eight or nine schools in an area roughly the size of Philadelphia where every kid is missing at least one limb. Imagine also that their amputations happened alongside a torrent of other tragedies: the loss of family members, friends, neighbors, schools, houses.

Now imagine that the only hope to reclaim some semblance of physical normalcy required those children to leave home. Gaza’s sole manufacturer of prosthetics and its affiliated rehabilitation center were destroyed in an air strike months ago; as a result, many families of children who have lost limbs are trying to evacuate them so they can receive medical care abroad. Social media is brimming with their desperate pleas, and only a few get what amounts to a lucky ticket for the mortally unlucky: Countries willing to take pediatric amputees from Gaza are doing so in relatively small numbers.

The kids who do find a way out board planes for distant places. In Layan’s case, that place was more than 6,000 miles away from everything and everyone she knew.

Layan sits in her wheelchair at a physical therapy session. Her host mother, Dina Assaf, holds one of the test prosthetics Layan will use until her permanent ones are ready.

Layan grew up in Al-Qarara, a suburb of the city of Khan Younis. She was the tenth of eleven children. Most of her siblings were much older and had kids of their own; the “little devils,” as she called her nieces and nephews, once set fire to the curtains for fun while her mom was babysitting them. Her father worked construction in Israel, a relatively well-paying job for a Palestinian in Gaza if they can obtain a permit. He stayed in Israel during the week and came home on weekends. Layan and her little brother, Waseem, battled for his attention by telling him about each other’s transgressions while he was away.

Layan began to wear a headscarf in the fifth grade at the insistence of her strict uncles—men who, in her words, “fancied themselves sheikhs.” She didn’t like being told what to do, which is one reason she clicked with her best friend, Samaa. Both girls were daring and mischievous. Samaa didn’t wear a headscarf. She liked to dress in T-shirts and tight pants, and she wasn’t afraid to return the sneers of people she passed on the street who expressed disapproval.

Sometimes Layan and Samaa went to restaurants in Gaza City where no one knew them and pretended to be young adults, just to see who would believe the ruse. They had poetry duels to determine who could write a better stanza. They once stole a teacher’s workbook and distributed test answers to classmates. To formalize their status as best friends, Samaa gave Layan a necklace with a sun pendant; Samaa wore one with a corresponding moon.

On the morning of October 7, 2023, Layan was on her way to school when a barrage of rockets pierced the sky overhead. She grabbed the hem of her dress and ran for home. When she arrived, she called Samaa.

“Are you going to school?” Layan asked.

“No, I’m too scared,” Samaa replied.

Layan’s house was close to the border with Israel, and she was used to staying with her sister, who lived deeper inside Gaza, whenever hostilities erupted between Hamas and Israel. That’s what she did on October 7, but this time there would be no going back. After several days of violence, Layan’s parents got word that their house had been destroyed. Soon, along with thousands of other Palestinians, they crammed into an overflowing neighborhood shelter.

Samaa visited Layan at the shelter. One day in mid-October, Samaa got into an altercation with a girl who’d made a snide remark about what she was wearing. Layan begged her friend to let it go, but Samaa refused. “Samaa was annoyed, and at the same time she was depressed,” Layan said. “She wanted to take all that heat out on someone.” Samaa grabbed the girl by the shoulder and pushed her into a wall, then the girl’s mother intervened and slapped Samaa across the face. Members of Layan’s family had to hold Samaa back from retaliating. Other people crowded around to watch.

Recalling the incident, Layan smiled. The Samaa she knew refused to back down.

Four days after the fight, Samaa was killed, along with most of her family, when a bomb leveled their house. After one of Layan’s sisters told her that there were martyrs at a nearby hospital with Samaa’s last name, Layan called her friend’s cell phone again and again but got no answer. She made her way to the hospital, where she saw Samaa’s mother, still alive, in the hallway. “I said to myself, Samaa is gone,” Layan recalled.

Layan heard the doctors tell Samaa’s mother that she could see her daughter one last time, but they warned her against it. Samaa’s body was in pieces, and it would be a gruesome sight. Her mother shook her head.

But Layan wanted to see her friend. “I didn’t care,” Layan said of the doctors’ warnings. “Samaa was my whole life.”

What Layan saw wasn’t a body. “It was a torso, hands,” she said. But she took some comfort from the fact that Samaa wasn’t alive nine days later—that’s when Layan lost her legs. “If she saw me like this, Samaa would have died of grief,” Layan said.

The air strike came at 4 a.m. on October 27. Layan was with several family members at the home of her sister Ikhlas, who had just given birth to a boy she named Odeh, which means “to return” in Arabic. Layan was awake at the time because she was about to help Khitam, another of her sisters, administer medicine to her five-year-old niece, Jenna. “I was getting up to go toward her, and the missile hit and I fell on the floor,” Layan said. Then a huge cement block dropped into the room—it was so big it seemed to fill the whole space. “Khitam and Jenna died right in front of me, instantly,” Layan said. “To this day it’s in my mind. Just right in front of me.”

Then another missile crashed into the building, and Layan felt herself fly through the air. She would later remember falling, falling, falling; her body dropped six floors before it hit the ground. The force of that impact is likely what mangled her legs beyond repair. All around her, shrapnel and debris fell like rain.

Eventually, an ambulance transported Layan to Nasser Hospital, where just 48 hours earlier she had witnessed Odeh’s birth. “To the refrigerators,” Layan remembered a doctor saying as she was rushed in, referring to the morgue. “No, no, she still has a pulse,” a paramedic replied. “But it’s weak.”

Layan was taken to an operating room, where her legs were amputated without anesthesia. She didn’t know what was happening; she only felt searing pain. “Do you have no mercy?” she screamed. Her cries were met with silence.

It was sometime later, while she was lying on a stretcher in an elevator, that Layan saw the stump of her right leg and understood. “My legs are cut off!” she yelled.

The next thing she remembered was waking up in a hospital room—her parents were there, along with other family and friends. “The first question I asked was about the necklace,” she said. “It was the only thing I had from Samaa.” Her friend Khoolood ran up to her bed. “I have it, Layan,” she said with a reassuring smile. “I will give it to you as soon as you get better.” Layan later learned that this wasn’t true; perhaps Khoolood was trying to comfort her with a lie. The necklace was lost amid Gaza’s rubble, along with Layan’s cell phone, which contained cherished photos and videos of Samaa, of her family, of her life before the war.

Layan asked her father what had happened to everyone in the house when the missiles hit. She didn’t trust her own memory. “May they rest in peace,” her father said. Khitam and Jenna weren’t the only ones who had died—Ikhlas was gone, and baby Odeh, too.

That night, Layan’s mother tried to wash Layan’s hair, which was matted with blood, dirt, and debris. She soon gave up. “Her daughters were killed, her grandchildren were dead. Who could expect her to sit there and clean my hair?” Layan said. Instead, her mother grabbed a pair of scissors and cut it all off.

Layan laughs while holding a long receipt at a grocery store. Since her evacuation, the World Food Program has found that 96 percent of people in Gaza face acute food insecurity, and that the region is at high risk of famine.

Over the next few months, Layan endured a total of five surgeries, only one of them with anesthesia. She battled fevers, infections, and kidney issues. But her family were most concerned about her deteriorating mental health. When she left Nasser because her bed was needed amid a new wave of casualties, her parents took her back to the shelter where they’d been staying. But it was clear that Layan was in no state to be around gawking strangers. She was taken to her grandparents’ home, a multistory building full of displaced relatives, friends, and neighbors.

Things got worse. Just the sight of people walking could send Layan into a rage. Watching children run while playing was too much for her to bear. Her uncle Ahmed tried to take command of the situation. “No one talks to Layan,” he ordered the other young girls in the building. “Leave her alone.” Whenever Layan wanted to get some air on the roof, he’d clear the hallway and the elevator so she could get there unobstructed.

When a child loses a limb, time is of the essence. The sooner they get specialized care and rehabilitation, the better their chances of physically adjusting in the long term. Layan’s sister Areej, who lives in Europe, messaged people who she hoped might be able to help. A distant relative of Layan’s, a journalist in Gaza named Mohammad Alshaer, posted about her on Instagram, where he has more than 100,000 followers.

Soon Layan came to the attention of Steve Sosebee, an American in his forties with striking blue eyes. Sturdily built, Sosebee looks more like a former football player than a longtime aid worker. Originally from Ohio, he worked as a freelance journalist in Gaza in the 1990s, which inspired him to create a charity called Palestine Children’s Relief Fund (PCRF), to transport sick and injured children to the U.S. for free medical care. Sosebee has witnessed conflict in Gaza before, but he sees what’s occurring now as altogether different. “It’s a genocide,” he said. “In my thirty-plus years working there, I haven’t seen anything close to what’s happening today.”

Given the visual record of atrocities available online 24/7, many humanitarian advocates have said that the world is witnessing a live-streamed genocide. A growing number of legal experts agree. In January, the International Court of Justice ordered Israel to “take all measures within its power to prevent” genocidal acts, and “to prevent and punish the direct and public incitement to commit genocide.” The court issued another ruling in July, finding that Israeli settlement policies in Palestinian territory are illegal. The International Criminal Court has applied for arrest warrants for Israeli prime minister Benjamin Netanyahu and defense minister Yoav Gallant for war crimes and crimes against humanity, including “starvation of civilians as a method of warfare,” “intentionally directing attacks against a civilian population,” “persecution,” and “extermination.” The ICC has also applied for arrest warrants for three Hamas leaders.

In early 2024, as the bombardment in Gaza worsened, Sosebee launched a new NGO called HEAL Palestine. (HEAL stands for Health, Education, Aid, and Leadership.) Together, PCRF and HEAL are evacuating kids injured in the conflict to foreign countries, including the U.S. This work takes an enormous amount of effort, money, and organizational infrastructure. HEAL has evacuated nine child amputees since last fall. Layan was approved for treatment at Shriners Children’s in early 2024 and traveled to Egypt with an aunt to obtain a U.S. visa. Since then, Israel has seized control of the Rafah crossing into Egypt, stymieing medical evacuations. As CBS News reported in July, “Aid workers say that’s made rescuing children almost impossible.” Still, HEAL is currently working to transport a dozen new pediatric amputees out of Gaza.

Most of HEAL’s beneficiaries travel with a chaperone—a parent or older sibling, for example—and they stay either in hospital housing or with volunteer families who live close to where they’ll be treated. But HEAL said it would be easier to arrange accommodations for Layan if she came to the U.S. alone. Her sister in Europe, who was HEAL’s main point of contact, given communication outages in Gaza, agreed that Layan should make the trip by herself if it meant she didn’t have to wait any longer for the care she needed. Layan was livid about traveling alone. “Everyone came with someone,” she said. “Everyone except me.”

Layan arrived in Chicago determined to show the strangers she would be living with exactly what she was made of.

Layan descends a set of stairs with the assistance of a physical therapist. Her orthopedic surgeon has warned that if she returns to Gaza, her prosthetics will break down easily in the rubble.

The Assafs are Jordanian. Dina came to the United States when she was five, Baha at 18, and they met in a community college English class. Baha, who is now 40, works as the head of finance at a car dealership, while Dina, 38, is a homemaker. They have followed the news out of Gaza closely and oppose the war. Baha has attended local protests calling for a ceasefire. He learned of Layan’s situation through a friend with a connection to HEAL. In a family vote, Dina, Baha, and the girls agreed unanimously to welcome Layan into their home.

Dina and Baha were determined to make Layan feel like she was part of their family, no different from their own daughters. They had a spare bedroom on the ground floor of their house, which would have been easier for her to access, but they opted to put her in a room upstairs, where everyone else slept, because they didn’t want her to feel isolated. They also made sure that Layan’s room had the same bed frame, vanity, and wide-eyed stuffed animals as their daughters’ rooms across the hall.

On the drive from O’Hare, Layan announced that she wanted nothing to do with the Assafs and that she planned to stay in her room all day. When she saw where the family lived, a large brick house in a Chicago suburb, she scoffed that Dina and Baha must be drug dealers to be able to afford it. “We just work hard,” Dina responded. Layan cackled so loudly that it startled Dina.

Layan refused to let Baha carry her up the stairs to her room. Instead, she pushed herself out of her wheelchair and climbed up on her own, using her arms to swing her hips from one step to the next with the dexterity of a gymnast on a balance beam. When Layan saw the room Dina and Baha had prepared for her, her eyes widened. “It’s big,” she said. In spite of herself, a faint smile appeared on her face.

The Assafs soon understood that Layan was dreading the medical treatment she had traveled so far to receive. She had already spent weeks inside a hospital and didn’t want to repeat the experience. But Shriners Children’s is used to treating kids who require lengthy hospitalizations, and it makes its facilities as welcoming as possible. The complex is decorated with bright murals and has a Ping-Pong table. It hosts a “superhero day,” when volunteers dress up and hand out capes to patients.

On her first visit to the hospital, Layan met the specialists who’d be treating her, including Dr. Jeffery Ackman, a pediatric orthopedic surgeon; certified prosthetist and orthotist Shawn Malik; and Angela Guerino, a physical therapist with strawberry blond hair and a cheery disposition. The team would work together closely to help Layan rehabilitate, monitoring every part of her body—muscles, bones, nerves, skin—to ensure that she adapted to life on artificial legs.

There is a common conviction among pediatric orthopedists who work with amputees: Sit in a chair and you’ll start to look like a chair. Doctors want kids who’ve lost limbs to begin using prosthetics as quickly as possible, and Layan had already lost valuable time. In the six months since her amputations, she’d had no physical therapy, and her hips were becoming misaligned because of her tendency to lean to one side in her wheelchair. Without intervention, she could develop a hip contracture, a tightening of joint tissue that would essentially lock her body in an unnatural position for good. During rehab, Layan would need to wear a hip and back brace to correct her alignment, along with compression socks to reduce inflammation in what remained of her legs. Frequent stretching would be necessary to straighten out her lower torso.

Meanwhile, each of Layan’s legs presented unique challenges for her recovery. Her left leg had been amputated above the knee, so the prosthetic on that side would be equipped with a mechanical knee joint she’d need to learn to use. She still had her right knee, but the surrounding skin, replete with scars and possibly with embedded shrapnel, would make fitting a prosthetic to it difficult. Ultimately, for Layan, learning to walk again would be like mastering two musical instruments and playing them at the same time.

Layan was impatient. In her first therapy session, the team put her in check-socket prosthetics—robotic-looking legs used for training purposes—and she tried to bolt over to a treadmill in the corner. “Literally day one,” Guerino said. “I’d known her for five minutes.”

But Layan was also a quick learner. Initially, her team wanted her to stay at Shriners Children’s for two weeks of intensive treatment, after which she would go back to the Assafs’ for a few months and come in to the hospital for regular appointments. But she did so well the first week, and was so upset about having to sleep at the hospital, that her team decided she could return to the Assafs’ early—on one condition. They made Dina promise to hide the test legs from Layan, because she risked serious injury if she tried to use them without supervision.

When Layan arrived at the Assafs’ after her week at Shriners Children’s, Sara, Salma, and Sereen were hiding behind the front door. They jumped out and threw fistfuls of confetti as Dina rolled Layan in. That night, Dina took the prosthetics to bed with her and slept with them between her and Baha.

Baha Assaf, Layan, and Sara Assaf (from left) laugh as they play Skip-Bo on family game night.

As the weeks went by, the anger that Layan directed at her host family softened. Dina responded to her outbursts matter-of-factly, and Layan came to respect the boundaries set for her—even as the only English word she’d seemed to master was “no.” Layan, Salma, and Sara bonded over a love of makeup and skin care. Sereen, who at five was the youngest Assaf, was fascinated by her family’s special houseguest and had a strawberry-patterned backpack where she kept small items Layan gave her, including a whale toy and a jar of pink slime.

Gaza was never far from Layan’s mind. She once shared with Dina a video clip she watched when she missed her sisters. It showed Layan’s father standing over their bodies, which had just been pulled from rubble and hastily wrapped in white burial shrouds. Without her cell phone and its trove of family photos, this was the only way Layan could see Khitam and Ikhlas.

On a Tuesday afternoon in early April, Layan got a phone call that plunged her back into the horrors of war. Dina was cleaning in preparation for hosting a Ramadan iftar, a dinner marking the end of the day’s fasting, when Sereen appeared before her. The little girl was wide-eyed. “Mom, I think something is wrong with Layan,” she said. Dina could hear screaming upstairs.

Dina rushed to Layan’s room and found her in her wheelchair. “Why is this happening?” Layan cried. “I’ve already lost too many people.”

Layan’s cousin had called to tell her that her father and elder brother Karam had been killed when an Israeli aircraft descended over the location where they were living in a tent and opened fire. Dina told Layan to calm down, to breathe. But Layan screamed: “Who’s going to take care of my family? Who’s going to feed them?” Her father and Karam were the breadwinners, and they had been looking after the children of relatives killed in previous air strikes. Layan cried out to God, begging to know why this had happened.

Dina ran to call Baha at work. She told him he needed to let everyone invited to dinner know that it was canceled. When Dina returned to the bedroom, Layan was hitting herself.

“Look at me,” Layan said. “I wish I would have died, not them.”

“Don’t say that,” Dina said. “Why would you say something like that?”

“Look at me,” Layan snapped, her voice dripping with contempt. “I don’t have legs.” She also had a serpentine scar running from her hairline to the bridge of her nose. “Do you see my face?” she asked.

Caught in a whirlwind of grief and self-loathing, Layan kept going. “I will never be normal again,” she told Dina. “Who’s going to want to marry somebody like me? At night when I go to sleep, I’m going to have my husband help me take off my legs when I get into bed? Who’s going to do that? Who’s going to accept that? If anyone should have died, it should have been me.”

Dina managed to get Layan to tell her who it was she’d spoken to on the phone. When Dina realized that it wasn’t an immediate family member, she called a representative of HEAL. She asked them to find someone on the ground in Gaza who could track down Layan’s family and find out what had happened.

Soon Dina learned that Karam was alive, although he’d been hit with a bullet in his shoulder. Layan’s father was in critical condition. It was another of Layan’s brothers, 17-year-old Najee, who had been killed.

Dina delivered the news to Layan. Najee had called Layan three times the day before, but she hadn’t picked up. “I should have answered. Why didn’t I answer?” Layan cried.

For a week after learning about Najee’s death, Layan was afraid to sleep after the sun set. “I hate the nighttime,” she told Dina. “I wish nighttime never came.” When it was late and quiet, Layan couldn’t stop her mind from racing.

She asked Dina and Baha to stay up with her until dawn. They did their best, playing endless hands of Skip-Bo and watching episodes of a Turkish soap opera late into the night. Baha eventually went to bed because he had work in the morning, so Dina finished out the shifts alone. Sometimes she would nod off and Layan would start to cry, jolting Dina awake again.

Only when the sun rose and the rest of the household came to life did Layan finally sleep.

Layan helps Salma Assaf apply makeup. Layan, who traveled to the U.S. alone for medical treatment, soon bonded with the Assaf sisters.

When I first contacted the Assafs about interviewing Layan, Baha described her as a sweet girl. “You couldn’t tell she’s been through what she’s been through,” he told me. Layan and I spoke on the phone, and she was open to meeting with me and Eman Mohammed, a U.S.-based photographer who is originally from Gaza. It was only a few days before we flew to Chicago that the warnings began. Dunia Saad, then the patient coordinator for HEAL, told me that Layan “could be moody” and was prone to changing her mind on a whim. Dina explained that I should “not take anything she says too personally.”

In mid-April, when Eman and I arrived at the Assafs’ door, Dina greeted us wearing a pressed pink silk shirt. Her hair had blond highlights and was ironed straight. She spoke English with a hint of an accent.

Sara appeared, smiling widely as she pushed Layan forward in her wheelchair. Layan wasn’t smiling. She looked at us with a level gaze. “OK, let’s just get this over with,” she said, rolling her eyes. She whipped herself around in her chair and wheeled into the living room.

There we sat with Dina on a gray sectional while Layan dictated how the day would proceed. “I don’t want you to take photos of me that include my injury,” she declared. We had spoken about photographs on the phone, and Layan had agreed to let Eman take them, but I realized that the Layan of a few weeks ago wasn’t the Layan of right now. We had to respect—and contend with—the person in front of us.

Layan didn’t like strangers looking at her amputated legs. She didn’t want their pity. And she certainly wasn’t interested in having to glimpse their happy lives, untouched by war and loss.

It was clear Layan cared about her appearance. At 14, her self-consciousness about it would likely have been intense no matter what; because of her amputations, it was in overdrive. She was wearing a Calvin Klein tracksuit, and her eyes had been carefully rimmed with white eyeliner. Her round, pretty face reminded me of Selena Gomez. A translator at the hospital once told her that she resembled the Lebanese pop star Maritta, which seemed to make Layan happy.

Layan told us that she didn’t want to be seen as a charity case. “I have a future,” she yelled, slamming her water bottle to the ground. “I will not tolerate that when I grow up, I will google my name and all that comes up on every page is pictures of me injured.” She was demanding that she retain at least some control of her circumstances, as she had when she first met the Assafs. She was also insisting that she not be defined by her disability.

We agreed to follow Layan’s lead when it came to photos, then spoke to her about her life, October 7, and the air strike that shattered her family. At one point the conversation turned philosophical, and we discussed whether human beings are inherently good. Layan was firmly against this. As evidence, she mentioned how her legs had been amputated without anesthesia—she presumed that this had been the doctors’ choice. “I screamed so loud, I fainted from the sound of my own screams,” she told us, clicking her tongue at the memory. “And you want to say there’s good in the world?”

When we noted that the devastation in Gaza had left many hospitals without basic supplies, she clicked her tongue again. “I got injured at the start of the war. How were they out that fast?” she asked. “No, they only gave it to people with connections.”

Her words felt like an effort to make sense of the senseless, to grapple with the cruel fact that the adults in her life had been powerless to protect her from catastrophe. If she believed that the doctors chose to hurt her, at least she had somewhere to channel her rage.

A physical therapist adjusts Layan’s test prosthetics in preparation for her to practice walking.

We made a plan for the next day to accompany Layan to physical therapy. But when we arrived at the Assafs’ house in the morning, a crisis was unfolding. In an effort to plan ahead, Steve Sosebee had asked if a HEAL volunteer rather than Dina could take Layan to a medical appointment scheduled for a few days later. Layan was furious, and she refused to come downstairs. “Am I a product to be rented out to these people?” Layan screamed as Dina, remaining calm, stood in the kitchen filling a pink Stanley cup with water. “It’s my therapy. I don’t want strangers there.”

The conflict highlighted an uncomfortable reality that often comes with being a charity recipient. NGOs like HEAL rely on networks of volunteers and donors, people so eager to help a child who got out of Gaza that they’ll sometimes greet them at the airport with posters and balloons; they invite them to dinner, family events, theme parks. This in turn requires the kids to play a role: to smile, pose for photos, show gratitude.

Layan didn’t like strangers looking at her amputated legs. She didn’t want their pity. And she certainly wasn’t interested in having to glimpse their happy lives, untouched by war and loss.

When Dina learned that the HEAL volunteer’s own schedule would prevent them from taking Layan to the appointment, she breathed a sigh of relief. By now, though, it was nearly 11:30, and we were late leaving the house for the hourlong drive to the hospital. “Come on, Layan,” Dina called out, looking up the stairs. “This isn’t your wedding day. Hurry up.”

When Layan finally emerged, she was wearing a teal jacket and matching capri pants. Dina put two large pills in her palm, nerve suppressants to help ease phantom-limb pain; sometimes Layan felt electric shocks coursing through the stumps of her legs, as if her body were calling out to its parts that were no longer there.

At the hospital, Layan seemed pleased to see her physical therapist. She gave her a big hug and said her name, stretching it out affectionately: “Annnngeeeelllaahhh.” Then, with Dina translating from Arabic, Layan pointed out that Guerino was wearing mascara that day. She always noticed when Guerino made changes to her appearance.

“It’s my husband’s birthday,” Guerino explained.

“Ooh la la!” Layan replied with a wink.

The main goal of her therapy was to get Layan walking in prosthetics with less and less support over time. Guerino had helped her progress from a walker to two forearm crutches to just one. Now Layan was tethered by a rope to a ceiling track, allowing her to walk by herself. Guerino held the other end of the rope and pulled on it when Layan stumbled, catching her before she hit the ground. 

Shawn Malik, the prosthetist, watched Layan carefully as she moved. Sometimes he adjusted her test prosthetics; he kept track of her body’s specifications so he could design custom legs for her. These would be ready for her in a few weeks.

At one point, Malik wheeled a full-length mirror into Layan’s path. “She loves looking in the mirror,” he told me. Layan perked up at the sight of her reflection. She swayed her hips with each step and mumbled a song to herself in Arabic that I couldn’t quite hear. 

Layan allowed Eman to take photos of her when she was strapped to her prosthetics, but she shooed the camera away when Guerino was stretching her body without them. I remembered the wrenching video in which she said she wanted real legs, not prosthetics. It now seemed that what Layan wanted was for the world to see her standing on two legs, even if they were fake. She wanted to appear upright, undaunted, ready for whatever came next.

Layan stands in the backyard of the Assafs’ home.

HEAL and organizations that do similar work are able to get U.S. visas for kids like Layan on certain conditions. Medical evacuees can’t apply for asylum, and they must leave the country once their treatment is concluded. From the U.S. government’s perspective, such stipulations prevent programs like HEAL from becoming immigration work-arounds. 

For years, Sosebee was satisfied enough with this arrangement. Kids who received specialized treatment in the U.S. were for the most part able to get the follow-up care they needed back home—Gaza’s medical system had been robust enough for that. But Israel’s siege has changed that calculus. According to data from May, there have been around 450 attacks on health facilities, and 31 of Gaza’s 36 hospitals are now damaged or destroyed. Those that are still functioning must focus on immediate and lifesaving care, when they have the resources to do so. “Our medical supplies are critically low due to the limited flow of aid that is being allowed into Gaza by Israeli authorities. If we don’t manage to get medical supplies into Gaza very soon, we may have to stop our medical activities,” Guillemette Thomas, the medical coordinator for Doctors Without Borders in Palestine, said in a statement in June. “We have patients with severe burns and open fractures, and we don’t even have enough painkillers to alleviate their suffering.”

The situation in Gaza presented a horrible question: What if Layan came all the way to the U.S. and learned to walk again, only to return home and find that the long-term care she needed was unavailable? Emily Mayhew, a military medical historian who works with the Center for Pediatric Blast Injury Studies, told me that “life beyond survival as an amputee is immensely complicated.” She described a colleague, a double amputee like Layan, who checked the weather forecast every morning; if the temperature would be above 77 degrees, he knew to stay home the following day, because the heat would make it too uncomfortable to use his prosthetics two days in a row. Mayhew also told me about a Paralympic athlete who developed an ingrown hair on the bottom of his amputation that became so badly infected, he couldn’t train for a year. 

Those people were adults. Younger amputees face unique difficulties; they often require additional medical procedures and new prosthetics as their bodies grow and change. Meeting the needs of thousands of pediatric amputees in Gaza will be an overwhelming task. Dr. Abu-Sittah, the surgeon in London, said that prosthetists around the globe need to be training now, rather than waiting until the war is over, to care for these children. A steady rotation of specialists from abroad will need to visit Gaza to provide treatment, because it will be all but impossible to bring the kids to them. “These children will need to be treated by the Palestinian health system, whatever it looks like,” he said.

Additionally, Abu-Sittah noted that Gaza itself will have to be reimagined to accommodate a generation of young amputees. “It needs to be a different place in terms of access, in terms of disability. The schools that need to be rebuilt need to be completely different looking. Everything needs to be informed by this,” he said. “Every little thing.”

For now the bombs are still falling, with no end in sight. The idea that Gaza will be rebuilt anytime soon, let alone with the needs of someone like Layan in mind, is a pipe dream. Dina knows this, and at an appointment with Layan’s orthopedic surgeon, Dr. Ackman, she expressed concern about how Layan would use her prosthetics in a place where more than 70 percent of civilian infrastructure has been destroyed. 

“She can use them on flat surfaces,” Ackman said. 

“But what if there are no roads anymore? What about rubble?” Dina asked. 

“They will break down a lot faster,” Ackman said. Once that happened, he continued, “they basically won’t work.”  

Sometimes when she thought about returning to Gaza, Layan’s mind went to the darkest of places. “I’ve heard her crying and saying things like, ‘If they didn’t kill me the first time, they’re going to kill me the second time,’” Dina said. 

When Eman and I visited Chicago a second time, in June, Layan greeted us with a slight smile while walking down the stairs of the Assafs’ home on her new prosthetics. These were the legs Malik had designed, and Layan would use them for the next year or two at least, until her growing body required new ones. They had been customized to match her skin tone, with a material meant to resemble the texture of human flesh. 

When her medical team gave them to her two weeks before our visit, Layan wasn’t thrilled. “Their appearance was acceptable,” she told us with a shrug, but she didn’t like walking in them. They required adjustment and effort, and unlike the test prosthetics, she was supposed to use them all the time, which was exhausting. When she came home from the hospital she put the legs in her room, where they stayed, unused, for the next several days. To encourage her to practice walking with them, Dina hid Layan’s wheelchair. If Layan wanted to get around the house, she’d have to use her new legs. 

During her sessions with Guerino, Layan worked her way from one side of the room to the other. “It’s really the left leg that bothers me,” she explained. That was the one with the mechanical knee; to unlock the motion of the joint, she had to put pressure on the prosthetic’s toes. The problem for Layan was the repetition—doing this with every single step, especially when the other prosthetic didn’t require it.

For the time being, she had settled on dragging her left leg without bending the knee. She had also decided that she was ready to don footwear other than orthopedic sneakers. A pair of silver flats were on the way in the mail, arriving just in time for Eid celebrations.

Layan’s final medical appointment in Chicago was scheduled for July 3, and as the date approached, there was a swell of anxiety in the Assaf household. Sometimes when she thought about returning to Gaza, Layan’s mind went to the darkest of places. “I’ve heard her crying and saying things like, ‘If they didn’t kill me the first time, they’re going to kill me the second time,’ ” Dina said. 

In my conversations with him, Sosebee insisted more than once that HEAL would not return evacuees to Gaza amid continuing hostilities. But the Assafs and Layan weren’t convinced. What if the U.S. government gave Sosebee no choice?

There are scenarios in which Layan could wind up in a third country—perhaps Egypt, where the aunt who traveled with her to get a visa remains; or in Europe, where her sister Areej lives. Layan said that she misses Gaza, her family, and her friends. She wants to go back, but not if it means risking her life. She never wants to feel trapped again. 

The Assaf girls, Layan, and Baha make s’mores in the family’s backyard.

Since the rocky meeting at O’Hare, Layan had become a fixture in the Assafs’ lives. She’d attended family gatherings and gotten to know Baha’s many sisters, their husbands, and their kids by name. She went on vacation with the Assafs to Miami. She could still be defiant, but her biting comments had given way to witty ones. That she had come to trust her hosts enough to be vulnerable in front of them was something Dina especially took to heart. “She has all her faith in us,” Dina said. “She believes in us.”

Dina was insistent that she would do everything in her power to keep Layan from going back to a place that is scarcely a shadow of the home she once knew. “That’s not an option,” Dina said. “We will put up lawyers. We will pay as much money as we have to.”

On our last night in Chicago, Baha and Dina lit up the backyard firepit, and the girls made s’mores before their attention flitted away. Sereen zipped around on a hoverboard with LED-illuminated wheels as Sara attempted to wrangle her sisters and Layan into doing a TikTok dance tutorial together. At one point, Layan dropped the crutches she used to steady herself on her prosthetics and bounded toward the firepit. She then propped one of her new legs on Sereen’s hoverboard and glanced over at Dina and Baha with a smirk. 

“Get away from that right now Layan!” Dina yelled across the yard. 

Layan laughed and galloped back to the other girls, joining them as they swiveled and shook their hips in front of a phone screen. In that moment she was just a kid, dancing. 


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The Extra Mile

The Extra Mile

After a horrific accident, doctors told Todd Barcelona that he’d likely never run again. So he and his wife decided to run farther than they ever had before.
By Maggie Gigandet

The Atavist Magazine, No. 152


Maggie Gigandet is a writer who previously worked as a trial attorney. She writes about the outdoors, people with interesting passions, and anything unusual. She has written for Folklife, Atlas Obscura, Mental Floss, and other publications. She lives in Nashville, Tennessee.

Editor: Seyward Darby
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Kyla Jones
Photographer: Stacy Kranitz

Published in June 2024.


One hundred and twenty runners stood in a clearing overlooking the Mississippi River, listening as a man with a curly gray beard needled them. He checked his watch; an unlit cigarette dangled from his fingers. “Thirty seconds,” he announced to the crowd. “You’re running out of time to change your mind.”

Over the next ten days, these ultramarathoners hoped to cover 314 miles on foot. From the clearing in southeastern Missouri, they’d board a ferry to cross the river, disembark in Kentucky, traverse a narrow corner of the state, then cross Tennessee to finish at the Rock, a cliff on a ranch in northern Georgia. “Remember, the earliest quit was at the Tennessee state line,” the man with the beard said. Someone in the crowd yelled out, “I can beat that.” Everyone laughed. Tennessee’s border with Kentucky was less than ten miles away.

Other than the ferry ride, the participants would have to run or walk every inch of the course. Most wore a hat to protect their face from the July sun and carried a small backpack with water and other essentials. Some stood with a crew, people who would supply them with necessities along the course. Runners without crews were called “screwed” runners. Among them were the Barcelonas.

Todd and Allison Barcelona, 57 and 55, respectively, had completed 20 ultramarathons together. Allison stood with her hands clasped in front of her polka-dot running skirt. Todd’s nerves had kept him awake for most of the previous night, and he felt a little sick to his stomach. But evidence of his grit and the battles he’d already waged in his life was etched into his skin: a jagged-edged divot in his lower left shin.

“Five seconds,” the bearded man warned. A dark wall of clouds encroached on the pale peach sunrise behind him.

At 7:30 a.m. exactly, the man transferred his cigarette to his mouth and lit it, cupping his left hand around the flame to shield it from the wind. He tilted his head back and exhaled a puff of smoke.

“You’re off!” he announced.

Whooping, the throng surged forward. The 2023 Last Annual Volunteer State Road Race was under way.

Scenes from the beginning of the 2023 Last Annual Volunteer State Road Race.

The beginning of Todd and Allison’s story is the stuff of a sweet country song. They attended the same elementary and high schools in Memphis, where Allison was a year behind Todd. When their friendship turned romantic, Todd asked Allison if she would go with him. Allison asked him where he wanted to go. He still teases her about that.

When they were dating, they mainly stayed home, preferring to save money for their future. Allison’s parents joked that they were “16 going on 30.” Allison finished school a year early to be with Todd; they graduated together in 1984. Three years later they were married—Allison was 19 and Todd was 21.

The Barcelonas welcomed a daughter in 1988, another about a year later, and a son in 1991. After they moved to Atoka, a small community about 40 miles north of Memphis, Allison gave birth to their youngest child, Ashleigh. Allison worked full-time as a paralegal, and Todd as a line mechanic at a Cadillac dealership.

In his mid-forties, Todd was diagnosed with high cholesterol. To avoid medication, he changed his lifestyle. He bought a treadmill and began running. He didn’t enjoy it at first, but it grew on him, and after a while he began jogging outdoors.

Eventually, Todd graduated to races. He enjoyed the camaraderie he felt with other runners. Each finisher medal he received was a point of pride. On August 31, 2014, Todd ran a marathon in Tupelo, Mississippi. His goal was to finish in under five hours; he did that with about ten minutes to spare. Allison ran a half-marathon at the same time.

Whether racing or training, the Barcelonas usually ran separately. Allison liked to run with friends, while Todd kept to himself. It might have stayed that way if not for what happened on September 29, 2014.

During their workdays, Todd and Allison stayed in touch. That afternoon, Allison called Todd to let him know that Ashleigh, the only Barcelona child still living at home, wasn’t going to her guitar lesson as planned. When Todd didn’t pick up, Allison assumed that he was still working. But when she looked at the clock a little while later and saw that it was almost 6:30, she got worried. Todd always called her by six.

With Ashleigh standing next to her at the kitchen table, Allison called her husband again. A male voice she didn’t recognize answered. She still recalls how it felt hearing a stranger on her husband’s phone: “I wouldn’t wish it on anyone else.”

The man asked her who she was, but she didn’t respond and repeated the question to him. The man said that he was with the Tennessee Highway Patrol and that Todd had been in an accident. He was at a hospital in downtown Memphis. Allison felt sick.

Allison hung up the phone and turned to Ashleigh. “Dad’s been in an accident,” she said. “We have to go.” Ashleigh said nothing, and mother and daughter got in the car and left.

As Allison drove, she and Ashleigh were both crying. They began pleading with God aloud. “Lord, please, please keep him here,” Allison prayed. “Please don’t let this be his time.” Later she recalled, “I told Him I couldn’t do life by myself.… We still needed Todd.”

En route to the hospital, Allison tried to take the Austin Peay Highway into Memphis, but it was closed. She didn’t know that it was because of what had happened to Todd.

A spreadsheet tracks their progress, and among the names in the document, one always stands out: Oprah. That is the moniker given to the minimum pace—15.7 miles every 12 hours—runners must maintain to stay in the race.

After getting off the ferry, the Barcelonas climbed a ramp to a two-lane road and strolled past a blue “Welcome to Kentucky” sign. Rounding a curve, they passed a cornfield, ears heavy on the stalks. Vol State, or LAVS, as this ultramarathon is sometimes called, winds through urban and rural communities. The course’s terrain is also varied—sometimes flat, sometimes steep.

The Barcelonas, like most of the other race participants, walked to start with, because speed isn’t the most important factor for a successful finish in Vol State. With such a sizable distance to cover, most racers gain little by bolting ahead and tiring themselves out. The key to Vol State is the ability to put one foot in front of the other, hour after hour, day after day. “Many will fail,” a website advertising the race explains. “But, for those who find the steely will and muster the sheer dogged tenacity to overcome the impossible obstacles … [it] can be a transcendental experience.”

Nonetheless, participants would need to manage their pace, because per the race’s rules, Vol State must be finished within ten days. At 7:30 a.m. and 7:30 p.m. every day, runners are required to check in via their phones to report mileage. A spreadsheet tracks their progress, and among the names in the document, one always stands out: Oprah. That is the moniker given to the minimum pace—15.7 miles every 12 hours—runners must maintain to stay in the race. Every morning and evening, Oprah advances up the spreadsheet, and any participant whose name falls below hers risks disqualification if they don’t hustle.

Quirks like Oprah are one of many attributable to Vol State’s founder, the man with the beard at the starting line. Even the full name of the ultra—the Last Annual Volunteer State Road Race—is an inside joke. Amused by race directors who, confident about the long-term prospects, declare an inaugural event the “first annual,” Vol State’s founder decided to dub his the last. (It’s now been run for more than forty years.) The founder once explained his choice to call the minimum pace Oprah: “She is real life. A world of celebrities and politics and ‘luxury.’ ” In other words, she represents the world the runners had left behind when they entered Vol State.

Even the founder’s name has a peculiar backstory. Born Gary Cantrell, he began using Lazarus Lake online years ago for privacy reasons. Now he’s equally well-known by his self-anointed nickname, or Laz for short. In the ultra world he’s a legend: a showman whose long, grueling races, designed with signature flair, have attracted a devoted following.

As the Barcelonas and other runners headed toward Hickman, Kentucky, the first town on the Vol State route, a boxy van approached. This was the meat wagon—another race fixture, driven by a woman named Jan. When runners fell too far behind Oprah, or if their willpower was simply crushed, they’d call Jan and wait for her to deliver them from the course. For now she drove alongside the crowd, a harbinger of what would be the runners’ greatest obstacle: the temptation to quit. Then she honked and drove on.

Chatting with two other runners, the Barcelonas entered Hickman. Todd stopped to take a photo of a black-and-white mural of Mark Twain. The author had once described Hickman as “a pretty town perched on a handsome hill.” Touches of Twain’s pretty town were still visible in the decorative brickwork and keyhole doorways of buildings along Hickman’s main drag, but few places seemed to be occupied. One structure, a popular hotel of yore, stood out with its horseshoe-shaped entryway and windows running the length of its facade. “LaClede,” the name of the shuttered hotel, was painted above the door.

Time and creativity were invested in building Hickman. Now it was a shell of its former self.

Allison and Todd Barcelona on the ferry carrying runners across the Mississippi River.

On the afternoon that changed his life, Todd was driving home from work in his sky blue 1994 GMC Sierra truck. He had purchased it used and lowered the suspension so it sat closer to the ground. It did not have airbags.

Todd approached the intersection of Austin Peay Highway and Old Brownsville Road heading north. A Shell gas station, fields of crops, and stands of trees filled his view. The light ahead turned yellow, and he continued through the intersection. A gray Honda Accord driving south made a left at the light at the same time, failing to yield the right of way. It smashed into Todd’s truck almost head-on.

Michael and Amy Matthews were in a car stopped at the intersection—they heard the screeching tires and saw the collision. Profanities slipped from their mouths. Amy grabbed her phone and called 911 as Michael drove toward Todd’s mangled truck. Before she exited the car, Amy told her 11-year-old son to stay inside. “Don’t even look over here,” she warned.

Michael checked on the Accord. Its airbags had deployed, and the driver and passenger, both teenagers, appeared to have minor injuries. He then walked over to Amy, who was standing near Todd’s truck. The impact of the crash had crumpled the front left corner as if it were a sheet of blue aluminum foil. The hood had been wrenched open and the cab’s frame above the driver’s seat rammed skyward, like the tallest peak in a newly formed mountain range.

The gore on Todd’s face made it hard for Amy to determine his age. To her it looked as if “his nose was almost off”—in fact, it had been flattened to one side. Blood spilled from his head and a gash on his arm, mixing with vehicle fluids that collected on the road beneath the battered Sierra.

The Matthewses tried to reassure Todd that he’d be OK, but he was drifting in and out of consciousness, his guttural moans replaced by silence when he went limp. “I just didn’t want him to die with me, you know, right there,” Amy recalled.

A nurse who had just finished her shift at a nearby hospital stopped to help. She reached in through the shattered driver’s-side window and placed two fingers against Todd’s neck, checking his pulse. In case he had a spinal injury, she put her hands on either side of his head to keep it stationary.

When first responders arrived, they had to pry open Todd’s door, revealing a pool of blood on the floorboard. Every time they tried to ease him from the truck, Todd came to, groaning in pain. Only when they realized why he was trapped—the emergency brake had impaled his left leg—could they remove him safely and rush him to the hospital.

When Allison found Todd in the emergency room, she saw that his face was mutilated with gashes and bruises. “It was gone,” she recalled. Todd asked her three questions.

“Where am I?”

“What time is it?”

“Am I OK?”

Allison answered, but Todd kept repeating the questions.

“Where am I?”

“What time is it?”

“Am I OK?”

Allison told her husband that whatever his injuries were, they would get through this together. They’d move on with their lives. She was just thankful that he wasn’t dead.

“I was thinking that it was going to be the bones, you know? The broken legs and things like that,” Allison said later. “I had no idea it would be the head trauma that would really take him out.”

From left: Lazarus Lake at the Rock, Vol State’s finish line; medals given to participants who complete the race.

After leaving Hickman, the Barcelonas soon crossed into western Tennessee. As screwed runners, they had no one to reliably supply them with food and water. They ate at gas stations and restaurants, and looked for motels with vacancies. Racers unable to find a bed slept on whatever flat surfaces were available: picnic tables, church pews, driveways, even the side of the road.

But rest only ever lasted a few hours. Oprah never slept, and because Vol Staters had to travel nearly 16 miles every 12 hours to stay ahead of her, few had the luxury of a full night’s sleep. Strong runners could cover enough miles to give themselves a buffer, but everyone needed to keep moving. “The lack of sleep was murder,” one runner later admitted.

At least traveling at night was cooler than suffering through the heat of the day. Less than 48 hours into the race, a woman’s glasses were ruined when high temperatures warped the frames. Another runner posted online, “I melted today. I’m just liquid skinbag goo walking down this white line with a giant backpack.” The Barcelonas used umbrellas to shield themselves from the unrelenting sun.

During desolate stretches, runners depended on the generosity of so-called road angels to sustain them. Because the Vol State course is the same every year, there is a strong tradition of people who live along the race’s path aiding runners; these volunteers aren’t race staff, but they’re crucial to participants’ success. Road angels might do something as simple as leave a pack of water bottles on the side of the road. Some set up tents in their yards, along with inflatable mattresses, food, and other supplies. Some road-angel stations have become so well-known that they’re race landmarks. “The people you meet along the way just take your breath away,” Allison said.

On the road, Vol Staters are concerned only with the pursuit of miles, calories, fluids, and shelter. But this winnowing of life soon becomes monotonous. As the world narrows to a seemingly endless stretch of pavement, there’s nothing to distract from the pain of sore joints, aching muscles, and fresh blisters. Each excruciating step chips away at a participant’s resolve, until for some the desire to be rescued from the course swallows the last of their stamina.

On the third day of the race, the Barcelonas were closing in on the 100-mile mark when heat and exhaustion overwhelmed Todd. He erupted with anger, blaming Allison for his misery and pain. They were only there, he said, because she wanted the race jacket awarded to finishers.

Allison did her best to calm him. She’d done it before. “She had to reel me back in,” Todd said. A race like Vol State, he continued, “is very, very, very mental.”

A TBI is a hidden injury. It’s not visible to the eye, like an oozing cut would be, but the effects can alter a person’s life forever.

At about 1:30 a.m. the day after his accident, Todd underwent his first surgeries. An orthopedics team worked on his lower left leg where the brake pedal had impaled him, fracturing his fibula in two places and exposing the bone. At the same time, surgeons worked to repair a lacerated artery in his left wrist. Later that day, Todd had a third surgery to repair the damage to his face. Doctors inserted a metal plate to help reposition his nose. They put a splint in each nostril and fitted another over the bridge.

Some damage couldn’t be repaired surgically. His neck was fractured in two places. The bone in his right heel had splintered. The doctors decided to let his body heal those injuries.

Todd spent eight days in the hospital. Allison never left his side. At one point, after being awake for almost 48 hours, she confessed to a nurse that she needed to rest. The staff set up a cot in Todd’s room so Allison could lie down next to her husband.

Todd was immobilized. He wore a neck brace, a boot on his left foot, and a splint on his right. Pain medications—Dilaudid, morphine, oxycodone—kept him in a stupor. Early in his stay he became disoriented, scratching himself and trying to get out of bed, so hospital staff restrained him and put mittens on his hands. Once, while his restraints were off, he tore away one of his nose splints. It wasn’t like him to be so unruly.  

When finally he was allowed to get up, Todd couldn’t put weight on his right foot. He was told to use a walker but didn’t have much strength in his arms. All he could do was inch himself forward.

Allison tried to feed her husband, but he had no appetite and was soon losing weight. He couldn’t understand what had happened to him. The last thing he recalled from the day of the accident was running an errand at lunch. He never regained his memory of the crash.

Tests revealed that Todd had suffered a traumatic brain injury, or TBI. The accident caused hemorrhaging in both sides of his frontal lobe, the large section of the brain behind the forehead, which governs emotions and personality traits. It was impossible to say exactly how that happened. Maybe Todd’s head had slammed into the steering wheel, or maybe the force of the crash jerked his brain violently enough against the interior of his skull that it caused tissue damage.

A TBI is a hidden injury. It’s not visible to the eye, like an oozing cut would be, but the effects can alter a person’s life forever. Depending on the nature and severity of the injury, people may have trouble focusing and controlling their emotions and impulses, among other symptoms. Behavioral changes can affect careers and relationships. TBI sufferers may also be at increased risk of epilepsy, dementia, anxiety, and depression.

Allison didn’t yet grasp the impact that Todd’s brain injury might have on their lives. In the days immediately after the crash, she was focused on his physical recovery. Todd’s medical team wanted him to go to an inpatient rehabilitation center, but he refused when he learned that Allison wouldn’t be allowed to stay there with him. The prospect of caring for Todd at home scared Allison—she knew that he was too heavy for her to lift alone, for instance—but she agreed to it.

Satisfied with his progress with the walker, the hospital discharged Todd on October 7, 2014. Allison drove them home. They didn’t say much on the way, each lost in their own thoughts and worries. As they approached the intersection where Todd’s accident had occurred, they saw the stains on the pavement. Todd began to sob.

The Barcelonas at a road-angel station about halfway through the race.

On the evening of the fifth day of Vol State, around mile 165, the Barcelonas walked single file down a country highway, listening to birdsong and the chirping of crickets. They were cooled by bursts of air as vehicles zipped past, the sound of motors concentrating into a vibrating crescendo before fading to an echo. They turned down a long driveway leading to a house. An orange sign advertised a road-angel station in the backyard. “Congratulations on surviving the hills so far!” it read.

The Barcelonas seated themselves in a pair of tan patio chairs next to the garage and took off their shoes. Todd pulled his left ankle onto his right knee and adjusted a doughnut-shaped piece of foam on the ball of his foot. A white patch of Desitin stained his shorts; he used the diaper cream to combat foot moisture. When he started the race, his feet weren’t in perfect condition. He already had a blister and a stone bruise, which feels like a pebble in your shoe. For the time being, his feet were holding up.

Allison knew that Todd’s feet would be a factor in this race and any they ran in the future. Lazarus Lake’s newest creation, called the Last Annual Third Circle of Hell, began two weeks after Vol State ended. The course covered 370 miles of mountainous terrain across Tennessee. Lake had likened finishing Vol State to getting a bachelor’s degree in his races and completing the Third Circle to earning a doctorate. Runners had to finish the former, along with another one of Lake’s ultras, to qualify for the latter. Even if she and Todd completed Vol State, Allison wanted to see how his feet fared before committing to the Third Circle.

The Barcelonas put on fresh socks, pinning the ones they removed to their packs to dry. Allison walked gingerly over to a cooler and returned with a bottle of water and an energy bar. After resting a few minutes, she signed a guestbook that had been placed on a fold-out table and the couple returned to the road. A floral smell wafted on the evening breeze.

Not far down the road, the Barcelonas stopped at another rest station at a horse farm. Because they hadn’t found a restaurant or a convenience store to get dinner, they hoped to stock up on calories. Allison rummaged through the cooler and pulled out an apple. She peeled off the sticker and handed the fruit to Todd. While he chugged a Sun Drop, Allison asked if he wanted her to pack another apple for later—she carried their snacks in a small drawstring bag. Allison said that she had to feed Todd to keep him going. Todd worried that she’d weigh herself down.

Todd tends to his feet with diaper cream.

After the Barcelonas returned from the hospital, their two-story brick house, set in a peaceful neighborhood of spacious lots and pristine yards, became Todd’s prison. For months he couldn’t leave on his own. “It was like shutting somebody down and putting them in a suitcase,” he said.For Todd, the loss of independence was the loss of his humanity. Describing that time, he compared himself to inanimate objects: a mannequin, a dummy, “just a big lump.”

Because of his injured nose, he struggled to breathe. Sitting upright helped, so he spent most of his time in an overstuffed recliner. He couldn’t sleep comfortably, and sometimes he got so frustrated at his neck brace that he tore it off and threw it across the room. When Allison heard the telltale rip of the brace’s Velcro, she’d retrieve it from the floor and make Todd put it back on.

Eventually, his body began to mend. After a few weeks, the stitches from his left wrist and the splints in his nose were removed. After a couple of months, he didn’t need the neck brace. The splint on his right foot was replaced with a boot, which allowed him to put pressure on both feet for the first time since the crash.

But even as his lacerations and broken bones healed, his behavior worsened. Todd was like an obstinate child again, throwing tantrums when he didn’t get his way. Sometimes he hurled things at Allison: water bottles, magazines. “It wasn’t the man I married,” Allison said. In abandoning “he” for “it,” she emphasized the distance between the person she knew as her husband and the attitude that had accompanied him home from the hospital.

Allison couldn’t recall Todd laughing even once in the first year after the accident. “There was no joy in him whatsoever,” she said. While she was at work each day, Todd was alone wrestling with his anguish. To keep busy he tried memorizing Bible verses, but he quickly lost focus. He spent a lot of time on WebMD, his morbid quicksand. Desperate to know if he’d ever return to his old self, Todd searched for information about his injuries. When she got home, Allison would explain to her anxious husband that the doctors had done everything they could for him in the hospital.

Before the crash, Allison and Todd had been training for the St. Jude Children’s Research Hospital marathon in Memphis. Allison decided to keep going, treasuring her workouts as time for herself. Todd became jealous. When his orthopedic surgeon told him that running again would be too painful—the doctor suggested biking instead—Todd got even more upset. When he saw Allison lacing up her running shoes, his anger would explode into snide comments. “The bitterness would jab [at me],” Allison recalled of those moments, again separating her husband from his demeanor.

On Tuesday evenings, Allison and Ashleigh went to a Bible study group at a friend’s home. One night, the subject of the Barcelonas’ home life came up. When the group heard about Todd’s behavior, they told Allison that they would pray for her. A running friend offered her a place to stay if she needed to leave home. Allison declined. “I’ve got twenty-something years invested in him. I’m not giving up yet,” she said. When Ashleigh told her mother that she wanted to move out, Allison replied, “But if we leave him, he won’t survive.”

Three months after the crash, when Allison ran the St. Jude half-marathon, Todd and Ashleigh watched her cross the finish line, passing an Elvis impersonator in a cape and bell-bottom jumpsuit shaking a red scarf. From his seat in the stands, Todd saw his wife accomplish what he couldn’t. He was proud of her, but he felt his envy grow.

The Bench of Despair.

Around mile 184 on the Vol State course, a red bench sits in front of a cream-colored building in a small community near Columbia, Tennessee. The words “The Bench of Despair” are painted in black on the backrest. Scrawled signatures surround the ominous phrase, some more faded than others.

In the early 2000s, it had become clear that the bench marked a turning point in the competition. During one Vol State, Lazarus Lake found the race leader perched on it, wrestling with his desire to quit before giving in and abandoning the course. The following year, Lake again found the lead runner at the bench. Holding his head in his hands, this participant was also despondent, but he announced, “I won’t get there by sitting here.” He stood up and kept going.

Lake attributed the bench’s make-or-break quality to its location in the race. When runners reach it, they’ve already battled long and hard against fatigue, the elements, and the temptation to give up, yet they’ve only just passed the halfway mark. There’s so much ground left to cover, and burdened with the weight of experience, they’re are acutely aware of the suffering left to be endured. Without the energy or the hope they started off with, it’s easy to drown in the hardship. Lake summarized the stakes. “You either get in your car and go home and regret it for the rest of your life,” he said, “or get up and go on and regret it for the rest of the race.”

When the Vol State community first began calling the spot the Bench of Despair, the building behind it was home to a country store and grill. The owners heard about the bench’s importance in the race and embraced it. They painted it red and set out a permanent marker for runners to commemorate their progress as they passed.

When the Barcelonas arrived at the spot, they posed for a picture. Grinning into the camera, Allison sat on one side of the bench and Todd on the other, bookending the famed insignia. Allison added their names at the bottom right corner of the backrest, along with the year. Underneath she wrote “Team Barcelona,” affirming their commitment to each other: They’d either finish the race together or not at all.

Before he started running again, Allison described Todd as “a man that was out of control.” Running gave him a chance to regain control.

In early 2015, Todd was able to return to work. He struggled with anxiety during the commute. When he saw an accident on the side of the road, he’d get so upset he had to pull over. His doctor prescribed medication to help him cope.

That spring a letter arrived from the hospital where Todd was taken after the crash. Addressed to Allison, it advertised a seminar for the families of people who’d sustained a brain injury. Allison, a self-described introvert, attended the event but kept to herself.

Listening to the speaker, she felt like she was finally getting the tools she needed to help Todd. She grabbed all the pamphlets on offer. At home afterward, she dived into research, hunting for anything that might improve her husband’s well-being. She burned frankincense to help Todd’s brain heal and lemongrass to improve his mood. She also changed their diets.

Allison learned that Todd needed something enjoyable to focus on instead of obsessing about his injuries and anxiety. Todd had an idea: He wanted to run. Registration for a number of annual races was approaching, and he didn’t want to sit them out again.

One day, Allison and Todd made their way from their house to a nearby street. Todd, finally rid of his boots and braces, had wrapped runner’s tape around his legs and ankles for support. The couple began a slow jog together. Pain raged from Todd’s heels up into his legs. “I was boiling in tears,” he recalled. “It was hurting so bad.”

Seeing her husband in agony, Allison asked him if he wanted to stop. He said no. It broke Allison’s heart to see him suffer, and she worried that the experiment would set Todd back mentally and physically. He covered maybe a few hundred feet before he had to stop.

Still, the brief jog was a victory. Todd felt great. To his mind, he’d struck a blow against the misery that had plagued him for months. When he recalled the experience more than eight years later, the emotion of that day flooded back. He choked back sobs as he described it, slipping at times into the present tense as if he were still standing on that stretch of pavement. “I finally got out on the street,” he said. “This is going to be the start of something that I can do. Regardless of how hard it was and how painful it was, it gave me some hope.”

That summer and fall, Allison and Todd ran together, adding distance as his stamina improved. This was the unglamorous phase of distance running, the repetitive slog of returning to the road again and again to train, and Todd’s constant pain made it even more challenging. That October they ran a half-marathon, the Greenline at Shelby Farms Park in Memphis. Propelled by willpower, Todd finished the race in tears—happy ones.

Before he started running again, Allison described Todd as “a man that was out of control.” Running gave him a chance to regain control. If he wanted to return to the sport, he had to manage his pain, both physical and mental. As he worked toward that goal, Allison saw his attitude improve; he even seemed happy. Over time, flashes of the old Todd returned. “You could see a little bit of him come back, piece by piece,” Allison said.

Running did more for Todd than give him purpose. Exercise helps injured brains in numerous ways. It stimulates production of important chemicals in the body, including brain-derived neurotrophic factor, a protein that promotes cell growth and helps the brain heal itself. Exercise reduces cerebral inflammation and supports essential processes—sleep, for instance, which is necessary to remove toxins that build up in the brain, and hormone regulation, which can ease depression. It isn’t a miracle cure for a brain injury, however. Many factors affect a person’s ability to heal; genetics, personality, diet, even education can affect outcomes.

Sometimes, Todd’s determination almost outweighed his capabilities. In January 2016, the Barcelonas ran the Herb Parsons Trail half-marathon. Todd typically ran on flat surfaces, but this was a trail race. Because he still struggled with mobility in his ankles, it was difficult to maneuver his feet over rocks and roots. Again and again, he tumbled to the ground—so often that it scared him. But he picked himself back up, and after three hours he and Allison finished together.

In April 2016, the Barcelonas ran the Tanglefoot Trail marathon in Mississippi, Todd’s first full marathon since the crash. He finished in about five hours—remarkably, that wasn’t too far off the time it took him to complete the last marathon he ran before the crash. But the Barcelonas were a little bored by the course. They decided that they needed a bigger goal.

Their new plan was to run an ultra.

Extreme weather was a feature of the 2023 Vol State race.

Lazarus Lake founded Vol State on the notion that people “are built to overcome challenges.” He wanted to run across Tennessee, and in 1980 he decided to try. Lake, who had been interested in running since his high school cross-country days, ran 65 miles in his first 12 hours on the road, then stopped in Murfreesboro, where he caught a football game in a bar and drank free beers provided by patrons who got wind of what he was doing. When he hit the road again, he was caught in the rain. He stuffed his jacket with newspaper to keep warm, but it turned to mush. He finally called someone to pick him up after running 93 miles in about 20 hours. Lake tried the run again and again; others joined, and Vol State was born.

Lake declared Vol State 2023 “the year of the thunderstorm,” predicting that it would “be remembered for the most mercurial weather in the history of the race.” The Barcelonas equipped themselves with ponchos and umbrellas, but they were continually soaked from either rain or sweat. Almost a week into the race, the National Weather Service issued a flood watch for the area. During one storm, runners and road angels huddled under a purple supply tent as hail pelted the ground. Other tents were crushed.

The Barcelonas avoided one deluge by sheltering in a Dollar General. When they felt the first drops of rain, they headed for the store, which was about a quarter-mile off the course, sacrificing hard-earned mileage for a dry haven. Next to the household cleaning supplies, the Barcelonas sat on flattened cardboard boxes and took off their shoes. They made sandwiches with ham, cheese, and a loaf of bread they bought on-site.

For a few hours, the couple shared their food and chatted with other runners who’d found their way to the Dollar General. It was a fun break from the race, but Todd knew that time spent inside was time they weren’t making progress. When the rain stopped, they had to recoup the lost mileage by walking or running late into the night.

As the race wore on, runners vented via online check-in comments about blisters and hip and knee pain. “All my body parts are screaming at each other. Can’t we just learn to get along? Just for 94 more miles?” one person wrote. Another complained, “Pain. My body is in pain. A lot of pain. Agonizing pain. Wow.”

Days of suffering frayed runners’ nerves. One confessed, “2 miles of tears for zero reason today. Yes, we are having fun.” Even Allison, usually the more stoic of the Barcelonas, had a deprivation-induced meltdown. She had to sit on a guardrail until she collected herself enough to continue.

The race conditions also shook runners’ sanity. At one check-in a participant joked, “Want to experience killer hallucinations, but need to pass a urinalysis? Run LAVS.” Another runner reported having a conversation with Theodore Roosevelt. Allison once thought she saw a horse standing in the middle of the road. Todd had to tell her that it wasn’t there.

The Barcelonas never leave each other’s side during a race; one would never finish without the other.

Ultramarathons all have one thing in common: Runners must cover a distance greater than a marathon’s standard 26.2 miles. Beyond that, the races can vary significantly. Some are defined by a set distance, anywhere from about 30 to hundreds of miles; others are classified by duration, with participants covering as much ground as they can in a set period. Some ultras can be finished in less than a day; some require several days. Participants might run on paved roads or trails; they might start at one point and finish at another or circle a looped course. Some courses have aid stations that provide food and fluids; others, like Vol State, lack official support. Ultras occur all over the world in all types of terrain and weather, from the frozen Arctic Circle to the extreme heat of Death Valley. No matter what race an ultramarathoner finishes, there’s always something harder out there.

After deciding to enter the ultra world, the Barcelonas hired Kevin Leathers, a running coach. At first Leathers was skeptical that Todd could finish a race that long. He’d never worked with anyone required to manage as much daily agony as Todd did. Leathers soon realized, however, that “Todd had a different definition of pain and discomfort” than most people—an asset when it came to ultras. “No sane person who has lived a stress or trauma-free life typically indulges in the voluntary trials, difficulty, and mental and physical dark places that the sport requires,” Leathers wrote to me in an email.

The Barcelonas ran several times per week and dedicated some of those runs to tackling longer and longer distances. They grew stronger by running hills and by exercising their upper bodies and core muscles. They optimized their diets and experimented with gear and fueling strategies. They persevered through blisters and sore muscles; Allison broke a toe. Eventually, Todd’s legs were strong enough that he no longer felt pain while running, although the ankle that was crushed in the accident still got tired and tight. Leathers never heard Todd complain.

Leathers also trains clients to deal with the mental side of ultras. “It’s like you’re in a nice room-temperature pot of water, and then gradually, all day, they turn it up—just tick, tick, tick, all day. It’s a very slow burn,” he said. “All of a sudden, it’s just awful.”

Todd and Allison competed in their first ultra, Run Under the Stars, in Paducah, Kentucky, in the summer of 2016. Overnight they circled a half-mile track, covering as much distance as they could in ten hours. Their goal was 38 miles. After nine and a half hours, they stopped at 36.5, pleased with the accomplishment. They’d found their niche: Endurance, it turned out, was a Barcelona specialty.

On June 26, 2017, almost three years after the crash, Todd was rear-ended by another driver. It happened while he was on his way home from work, this time driving a gray 2003 Dodge Durango, Allison’s old car. Allison was at work when her phone rang. She answered and heard Todd crying and shrieking. At first she couldn’t understand what he was saying. When finally he was able to communicate where he was, she left work and drove to the scene. She calmed Todd as much as she could. After speaking with the police, Todd was able to drive his vehicle away; the car that hit him had to be towed.

Todd’s fender-bender was a reminder that trauma still haunted him. Still, no matter what else was happening in their lives, the Barcelonas kept running. They met with Leathers regularly at a coffee shop to get new training plans. “As a couple and individually,” Leathers said, “I found out there was a lot more under the hood than meets the eye.”

Leathers once advised the Barcelonas about what to do if one of them was unable to continue in a race. He said they each needed to be clear that it was OK for the other to keep going. In time, however, he learned that his advice was moot. Allison and Todd never left each other’s side during a race, no matter what—one would never abandon the other to finish. It was Leathers who first referred to the couple as Team Barcelona.

Running had become part of Todd’s identity and key to his survival. “It’s something for me to hold on to,” he said. “And if it’s not there…” He tried to find words to explain. “I don’t know, I can’t go there,” he said.

Allison’s relationship with running had changed, too. During their meetings with Leathers, she asked pointed questions and listed their goals. Leathers had worked with many women like Allison. They’d had a career, raised a family, and come to running later in life. “They discover this inner beast, competitive, tough as nails,” Leathers said. “She’s got something there that she unleashed.”

One day, Todd and Allison came to Leathers with a new idea: They wanted to run 100-mile ultras. When a client mentions this goal to him, Leathers’s first job is to push back. “Are you sure?” he’ll ask. “Do you have any idea how hard that is?” He details the physical and time commitments that pushing the human body to cover such a long distance requires. But he couldn’t dissuade the Barcelonas.

In November 2017, Todd and Allison ran their first 100-mile race in Vienna, Illinois. Eventually, they advanced to multi-day races. And in June 2021, they ran their first ultra designed by Lake—the Last Annual Heart of the South Road Race.

HOTS is unique even by Lake’s standards. Runners board a bus at the Rock—the finish line of Vol State—and only learn where the race starts when the bus stops somewhere about 350 miles away. Every year it’s a different location. Lake designs the course to pass through as many towns and by as many interesting sights as possible, and despite the challenges of the race, the Barcelonas enjoyed taking in the scenery. They did the race the next year, intrigued by the idea of a new course. “Laz is such a detail man,” Allison said.

When Lake learned the Barcelonas’ story, he wasn’t surprised that they’d turned to ultras. “When you run ultras, you’re always rebuilding yourself,” he said. The Barcelonas were doing that as a unit. “They’re struggling together,” Lake said, “and they’re struggling to do something new.”

A cheeky sign posted along the final stretch of the course.

At about 6:15 p.m. on Friday, the eighth day of Vol State, the Barcelonas arrived at the Mountain Mart, a race landmark that sits high above the Sequatchie Valley, about 23 miles from the finish line. The store’s name was spelled out in individual letters cut from wood, painted red, and cracked by exposure to wind, sun, and rain. Inside, Allison ordered two of the store’s famous giant burgers from a woman in a black hairnet behind the counter. Then the Barcelonas found a table where they could wait for their food. They sat in chairs bolted to the tile floor, sandwiched between shelves of paper towels and toilet paper on one side and display cases of rifles and handguns on the other.

A middle-aged woman with short blond hair and an oversize black purse walked up to a cooler near the couple. Noticing the Barcelonas’ packs, she asked them why she’d seen so many people walking on the highway. Allison and Todd explained.

“What an adventure,” the woman said. “It’s like you’re really living life.” They exchanged pleasantries, and the woman turned to pull a case of hard seltzer from the cooler. Then she blurted out, “Yeah, get all the life you can, because tomorrow I’m burying my husband.”

Allison couldn’t speak. Todd managed, “Oh no.” And then: “How old?”

“Sixty-four,” the woman said. “Yeah, love of my life. So ya’ll walk on.”

Then she stepped away, turned past some shelves, and was gone.

Allison was trying to hold back a flood of tears. Todd took a napkin from the dispenser between them and gave it to her. She clenched it in her fist as she hunched over, with her head bowed toward her knees. Todd leaned on his elbow, turning his face away.

“If people ask me now whether I’d want Todd to go through it again,” Allison said, referring to the crash, “and I automatically say yes, they don’t understand.”

One night back in 1986, Todd and Allison sat down to eat dinner. Todd had snuck a ring under Allison’s hamburger. When she picked up her food to take a bite, Todd proposed. Allison can’t remember the exact words he used. “Whatever he said, the answer would always have been yes,” she said. “I mean, we were just paired together for so long.”

Todd sees their bond in a similar light. “We’re just part of each other, I guess,” he said. “You can’t have one without the other.”

But given enough time, even soulmates can start to take each other for granted. The crash and its aftermath made Allison realize that, in her words, they’d been “going through the motions” as a couple. The accident became a catalyst for a different kind of relationship, one nourished by running long races together. “Now everything we go through, we go through as a team,” Allison said. What to many people might sound like the premise for a survival film is therapy for the Barcelonas: Pushing themselves to the limit with only each other to rely on has brought them closer.

“If people ask me now whether I’d want Todd to go through it again,” Allison said, referring to the crash, “and I automatically say yes, they don’t understand.” But they don’t have to.

Lake and Todd at the finish line.

The Barcelonas made it to Kimball, Tennessee, the last town they’d pass through before the Vol State finish line, a little after 11 p.m. on Friday night—a few hours after stopping at the Mountain Mart. They had a decision to make: Would they get some rest or push through to the end? They walked into the white, freshly remodeled lobby of a roadside hotel to discuss their options. A soft bed and air-conditioning awaited mere feet away. Still, they decided to continue.

Back outside, where the neon lights of gas stations and fast-food restaurants glowed in the dark, the Barcelonas headed for the Shelby Rhinehart Bridge spanning the Tennessee River. Called the Blue Bridge by runners because of the shade of its elegant metal arches, the structure marked 11 miles from the end of the race. They kept going, eventually crossing into Georgia’s northwestern corner. With six miles to go, they began their ascent of Sand Mountain and walked what’s known as the Cheesegrater, a road riddled with potholes. For many exhausted Vol Staters, taking a few extra steps to avoid the craters wasn’t worth it—runners remained fixated on the shortest, straightest course to the finish. “Had rocks in my shoes,” one participant said. “My brain kept telling me to stop and get them out, and I was like—no, we don’t care anymore. Just go.”

Finally, the Barcelonas made it to the private ranch where the Rock is located. They walked through a stone entrance and down a tree-lined driveway before turning left onto the race’s final stretch. A sign placed by Lake greeted them: “Finish—one mile! No kidding.” A red arrow pointed the way.

The couple followed a pair of tire tracks worn into a grassy path between cornfields. Runners who’d already finished the race had reported seeing a mountain lion in the area. One report could be dismissed as a hallucination; two were cause for concern. When the ranch owner confirmed that a wilderness camera had caught a large cat on the property, Lake posted a warning on Facebook. But the Barcelonas were too exhausted to worry about wild animals in the cornstalks.

The recent storms had made sections of the path almost impassable. The Barcelonas’ shoes squished when they slipped in the muck. At one point the ground sucked a sneaker right off Allison’s foot, but she managed to step back into it. More of Lake’s signs appeared, taunting her and Todd.

“Finish—Last Mile! (really) (trust me!)”

“Finish—only 1 more mile! We really mean it this time!”

“Finish—one mile! We would never lie to you!”

At about 4:45 a.m., after 24 hours of traveling nonstop over the final 38 miles of the course, the Barcelonas emerged from a wooded area into a clearing—Allison first, Todd a bit behind her. Their gasps for air joined an early-morning chorus of crickets and frogs. Lake appeared, too—he’d been sleeping in his car—and led them to the Rock to take in the view of victory. Just a hint of light had turned the sky from black to dark blue.

Allison walked out onto the moss-covered stone that forms the cliff’s edge and stood at a metal guardrail with a red stop sign. Lake announced her finishing time: She’d covered 314 miles in 8 days, 21 hours, 21 minutes, and 10 seconds. Todd then took Allison’s place at the guardrail. His time, Lake said, was 8 days, 21 hours, 21 minutes, and 53 seconds.

The Barcelonas hobbled to a nearby tent. Todd’s feet were throbbing, and he was scared to take off his shoes—because of what his feet might look like, because he might not get them back on, or both. Lake joked with them, inventing a story that Todd had battled the mountain lion with his bare hands while Allison sprinted to the finish. Slowly, the Barcelonas’ haggard faces became more visible as the sun rose.

Another runner finished. “Y’all been together the whole time?” she asked the couple. Todd told her they had. “That’s a crazy way to do it,” she replied. “I don’t think I like anybody enough to spend eight days suffering with them.”

The Barcelonas laughed.


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Anatomy of a Murder

 Anatomy 
 of a 
 Murder 
 

The Atavist Magazine, No. 151


John Rosengren is a journalist in Minneapolis and has written for more than 100 publications, including The Atlantic, Sports Illustrated, and The Washington Post Magazine. He is the author of nine books, including Hank Greenberg: The Hero of Heroes. His previous Atavist story, “The Pretender,” was published as Issue No. 107.

Editor: Jonah Ogles
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Kyla Jones
Illustrator: Marco Lawrence

Published in May 2024.


Grand Marais is a quiet outpost on Lake Superior’s North Shore, set among boreal forest in the easternmost corner of Minnesota. The town of roughly 1,300 is home to a mix of artists and outdoor enthusiasts, working-class people and professionals, liberals and diehard Trump supporters. In the summer, Grand Marais’s art galleries, shops, and restaurants swell with tourists drawn to what the website Budget Travel once dubbed “America’s Coolest Small Town.” The wait for a table at the Angry Trout Café, which serves locally sourced cuisine in an old fishing shanty, can run to more than an hour. When summer is over, the town retreats into itself again, which suits full-time residents just fine. “Even though we’re a tourism economy, most of us live a life where we just don’t want to be bothered,” said Steve Fernlund, who published the Cook County News Herald in the 1990s and now writes a weekly column for The North Shore Journal. “I’m at the end of a road, and I’ve got 12 acres of land. My closest neighbors are probably about 600 feet away through the woods. So, you know, we appreciate being hermits.”

Content warning: This story contains graphic descriptions of the sexual abuse of children.

Yet privacy only extends so far here. Gossip travels fast while having breakfast at the South of the Border café, or in chance encounters along Wisconsin Street. Everybody knows everybody else’s business—or thinks they do. “Even though there are differences of opinion—we have an eclectic collection of opinions—this is a close-knit community,” said Dennis Waldrop, who manages the Cook County Historical Museum. “Anything that happens here is discussed extensively.”

The residents of Grand Marais have had a lot to discuss in recent years. A suspicious fire that destroyed the historic Lutsen Lodge. The suicide of their neighbor Mark Pavelich, a star on the 1980 U.S. Olympic hockey team that defeated the Soviet Union. Plans for the 40 acres near town owned by convicted sex offender Warren Jeff’s fundamentalist clan. All those events stirred plenty of talk.

But nothing has captivated local conversation quite like what happened between Larry Scully and Levi Axtell in March 2023. A shocking act of violence attracted international attention and split the town over questions of truth and justice. Grand Marais is still trying to piece itself back together.


Every small town has its cast of offbeat characters. Larry Scully was one of Grand Marais’s. Larry, who was 77 in 2023, dwelled on the fringe of town, where Fifth Street meets Highway 61, and on the fringe of reality. His two-bedroom house, which used to belong to his parents, was crowded with items he’d hoarded over the years. The mess spilled into his front yard, which was cluttered with satellite dishes, a statue of the Virgin Mary, and a wood-frame sign advertising “antler bone art.” The sign was decorated with several of Larry’s scrimshaw carvings, which he hawked at art fairs. In addition to carving, he’d tried his hand at an array of other pursuits: refurbishing broken electronics, selling solar-powered generators that could run home appliances in the event of an emergency, and even fashioning leather lingerie that he peddled to women. Larry had had no stable career to speak of since he arrived in town in the early 1980s.

Larry was a conspiracy theorist. On his Facebook page, he posted videos and articles declaring that the federal government controlled the weather, that Sandy Hook was a hoax, that Timothy McVeigh was a “CIA patsy,” that the totalitarian New World Order was real. Around Grand Marais, Larry was also known to be exceedingly religious. He attended Mass on Saturday evenings at St. John’s Catholic Church, always sitting in the front row, and he believed that the statues there cried actual tears—sometimes of blood. He carried a lock of hair that he said once belonged to Father Mark Hollenhorst, a priest at St. John’s who died in 1993, in a leather pouch around his neck; he claimed that it could effect miraculous cures.

Larry referred to himself as a prophet and would often appear around town dressed in a cloak and sandals and carrying a wooden staff. He once showed up on the courthouse steps for the National Day of Prayer clad all in black, his head covered by a medieval-type chainmail hood, and fell to his knees screaming. Another time he berated a group of gay people who’d gathered in downtown Grand Marais, shouting through a bullhorn that God didn’t approve of them.

Many locals found Larry’s zeal exhausting. “When I’d see him, I’d know I was going to be there for a long time, because he’d go on and on,” said Laura Laky, a Grand Marais resident. “He’d talk about the end-times, the Book of Revelation, Christ coming again.”

Other people were scared of Larry. Rumors that he abused children circulated around Grand Marais for years. People whispered about him watching kids from his parked car. There were claims that he’d videotaped girls’ volleyball games and children at Sven and Ole’s, the local pizzeria. A member of the nearby Chippewa tribe told me that Larry had been banned from the Grand Portage powwow after parents complained about him passing out candy to their children.

Larry once approached a man named Gary Nesgoda at a gas station and asked if he had kids. When Nesgoda said that he did, Larry showed him pictures of a fairy garden he’d built behind his house. There were miniature staircases and doors, and little figurines set amid tree roots. Larry insisted that Nesgoda, who had recently moved to Grand Marais, should bring his kids over to see it. “Everything he was telling me sounded pretty neat,” Nesgoda told me. Then, in the gas station parking lot, someone who’d overheard the conversation stopped Nesgoda. “Do not bring your children over there,” they warned.

This was a common theme. “Larry was the boogeyman,” said Brian Larsen, editor and publisher of the Cook County News Herald, who is a father of four children. “You’d tell your kids to stay the heck away from him.”

In 2014, Larry decided to run for mayor of Grand Marais. In a candidate forum broadcast on WTIP, a community radio station, he ranted about Christianity. “We can’t sit by and let our government stop us from having the Bible in the military, taking out the crucifixes, taking out the Ten Commandments in our federal buildings and establishments,” he said. Then, just before election day, the Cook County News Herald ran a front-page article that seemed to confirm the longstanding speculation about Larry. The piece detailed his criminal conviction for the sexual assault of a six-year-old girl.

“Take whatever treatment is available to you,” the judge said, “because this type of conduct, of course, is just wholly unacceptable.”

Before he became an object of fear and fascination in Grand Marais, Larry was married—twice. For a time he lived with his second wife, Sheila, in Ramsey, about 25 miles outside Minneapolis. On Ash Wednesday in 1979, Sheila went to evening Mass and then to bowl in her weekly league, leaving Larry home alone with their five children: three young boys from his first marriage and six-year-old twins, a boy and a girl, from hers. While the other children slept, according to police and court records, Larry invited his stepdaughter into his bedroom.

The little girl later told a police investigator that he showed her “pictures of naked people,” touched her “potty area” with a vibrator, then stuck his tongue and finger into her vagina. She said it wasn’t the only time he’d touched her, and that he’d warned her not to tell anyone, but she went to her mother anyway. Sheila reported the incident to child welfare services, who notified law enforcement. She told the police investigator that her husband had also recently become violent and suicidal.

The police arrested Larry. In a recorded statement with investigators, he admitted that he’d had sexual contact with his stepdaughter on two Wednesday evenings while his wife was bowling. A psychiatrist determined that he was competent to stand trial, finding no evidence of “any kind of psychiatric disorder.” Rather than face a jury, Larry confessed to second-degree criminal sexual conduct, and the prosecution recommended a sentence of five years. Two court psychologists submitted reports indicating that Larry wasn’t open to receiving treatment. At an October 1979 hearing, the judge urged Larry to reconsider. “Take whatever treatment is available to you,” the judge said, “because this type of conduct, of course, is just wholly unacceptable.”

Larry was incarcerated in Minnesota’s Stillwater prison, and in records from his time there, there’s no mention of him receiving counseling or treatment, though he did join a Bible study. Soon, changes to the state’s sentencing guidelines allowed Larry to seek early release. Since the state did not provide evidence that doing so would “present a danger to the public,” the court approved Larry’s request. He left prison on January 19, 1982, after serving a little more than two years for his crime.

In those days, there was no sex offender registry in Minnesota, or in most states. Larry was at liberty to go where he liked. Sheila had divorced him by then, and his three sons were living with their mother. Larry, who was 36 at the time, hitchhiked to Grand Marais to move in with his parents.

Three decades later, Larry lost the town’s mayoral election, 345 votes to 42. Many locals were surprised that he’d gotten any votes at all, especially after the story broke about his criminal record. “Forty-something people voted for him,” said Amber Waldrop, who lived down the street from Larry. “They knew about this guy. For anybody to even think that someone like that should become mayor of this town is sickening.”

Some of those votes came from Larry’s friends, many of whom shared his belief in conspiracy theories. Perhaps it’s no surprise that they also believed what Larry told them: that the accusations against him were made up, that his ex-wife had encouraged her daughter to lie to the police, that he only took the plea deal to avoid a long prison sentence.

Larry’s friends knew that he tended to hijack conversations and go on at length about topics ranging from the Rapture to homeopathic cures, and that he engaged strangers in ways many people found uncomfortable. But being an oddball, they said, isn’t a crime. Some of his friends thought Larry was on the autism spectrum, which made it hard for him to read social cues and show empathy. “This man has been persecuted all of his life,” said Bob Stangler, a Vietnam veteran who knew Larry for years. “The citizens of the area have labeled him a pervert, and he’s not a pervert at all. He’s a genius with Asperger’s who’s overcaring of people.”

A woman I’ll call Carol, who asked that her real name not be used, said she was so close with Larry that she spoke to him almost daily for 12 years. She knew him to visit sick people, distribute food to the needy, and take care of his ailing mother, who died in 2013. At her memorial service, Larry displayed his mother’s ashes in a cookie jar resembling the Star Wars character R2-D2, saying that it was what she wanted. (His father passed away in 1997.) “As long as I’ve known him, he never hurt anybody,” Carol told me.

She knows that hers is a minority opinion, that for many people in town Larry was foremost a convicted sex offender. “You can never get rid of that label,” she said.

Once they learned about his 1979 conviction, many parents in Grand Marais were more worried than ever that Larry posed a threat to their children. It’s a common enough fear. On the far right, popular conspiracy theories such as QAnon decry a global cabal of child molesters, but even among the general population, concern about the danger posed by pedophiles is widespread. In a Lynn University poll, 75 percent of roughly 200 Florida adults said they believed that sex offenders would reoffend. Yet according to a meta-study conducted by researchers at Public Safety Canada in 2004, one of the most comprehensive available, only 23 percent of people convicted of child sexual abuse were charged or convicted of a similar crime within the next 15 years. (The study’s authors concede that many victims never come forward.) In interviews for this story, researchers noted that recidivism rates have declined even more in recent years.

No one came forward to accuse Larry of more recent abuse after his 1979 conviction. Still, perception alone was enough to put many Grand Marais parents on edge. For one young man, that concern became an obsession.


If you were passing through Grand Marais a few years back and stopped for gas at the Holiday station on the corner of Broadway and Highway 61, you might have met a stocky cashier with a round, friendly face. While making change, he might have told you one of his homespun puns or signature dad jokes: Why does Paul Bunyan trip in the woods? Because he’s always felling.

That cashier was Levi Axtell. He was raised by his parents, Denise and Treg, in Hovland, a small community located 18 miles from Grand Marais. The Axtells were devout Christians and widely respected in Grand Marais, where they both worked. Denise was a nurse, Treg a physical therapist. The couple had three children: daughters Karlee and Katrina, and Levi, the youngest.

Levi grew up in a picturesque log cabin in a clearing among birch and pine trees. The woods were his playground. He spent hours there as a child, often with his friend and neighbor Cedar Adams. They roasted marshmallows over campfires, tried to catch fish barehanded, and played make-believe, running through the trees as if an attacker were pursuing them.

But Levi couldn’t outrun his demons. There was a history of addiction on Denise’s side of the family, and Levi seemed to have inherited a predisposition to substance abuse. At Cook County High School, he played football, ran track, and drank. Brad Wilson, a carpenter in Grand Marais who was a few years behind him in school, recalled Levi getting caught with liquor bottles in his locker and running from the cops.

Levi’s parents sent him to finish school in Duluth, but he was cited twice within two months for underage drinking. The first time was at Duluth East High School. On the morning of May 29, 2014, when a resource officer tried to restrain him, an inebriated Levi pulled away. The officer wrestled Levi to the ground, but he pushed himself up and army-crawled—with the officer on top of him—down the hallway, until he wore himself out. Levi spent two days in jail and was charged with disorderly conduct and obstructing the legal process with force. “I didn’t know it made the charges worse if you resisted arrest,” he later told Cedar Adams.

Not long after, a law enforcement officer stopped Levi as he walked along the shoulder of Interstate 35. The officer smelled booze on his breath, and Levi admitted that he’d been drinking. The officer cited him and let him go after Levi dumped out a container of alcohol he was carrying.

Three days later, Levi was given a year of probation for his disorderly conduct at Duluth East. (The obstruction charge was dropped.) A judge also ordered him to obtain a chemical-dependency assessment and follow any recommendations. Levi satisfied the terms of his probation, including a stint in treatment.

By 2015, Levi had started dating Anna Ross, who was from Duluth. Their daughter was born on June 17, 2016. Anna had just turned 19; Levi was 20. At first they didn’t live together—Anna stayed in Duluth, while Levi lived with his parents in Hovland. He adored his daughter and beamed when she was in his arms.

Despite the new light in his life, Levi remained burdened at times by darkness. About a year after his daughter’s birth, on the Sunday evening of Memorial Day weekend, Levi got drunk, taped a vacuum hose to the exhaust pipe of his car, ran the other end through the back window, and started the engine. When he texted Anna about what he’d done, she called the sheriff’s department. While she was on the phone with them, Levi called her, and she talked him into turning off the car. Deputies arrived at his home and transported Levi to the hospital. It appears that he received some psychiatric treatment after the incident; a year later he indicated in a court document that he’d been a patient in a mental hospital and had seen a psychiatrist.

Despite his troubles, Levi was by all accounts goofy and lovable. Christina Conroy, a friend who worked with Levi briefly at the Holiday station, described him as “a beautiful soul.” Cedar Adams said, “He’s the best person you’ll ever meet. He’s joyful.” Michael Farnum, another friend, told me, “Levi is very kind and caring. He’d give you the shirt off his back.” His mother, Denise, described Levi as “a sweet, thoughtful boy.” (Levi’s family otherwise declined to talk to me.)

People who knew him casually from encounters at Holiday or Grand Marais’s Whole Foods Co-op, where he also briefly worked, described Levi as personable and a hard worker. Pat Eliasen, the Cook County sheriff and a former assistant coach for the varsity football team at the local high school, coached Levi, who played nose tackle and offensive guard. “You’d tell Levi to do a technique or something and he would just go do it,” Eliasen told me. “You couldn’t find a better football player than that.”

A photo posted on Facebook in 2023 shows Levi with his daughter climbing on his shoulders. According to friends, she was his everything. He was often her primary caregiver while Anna completed a social work degree and later held down two jobs. In the winter, Levi built his daughter snow forts that were so solid he could light a campfire inside. He and his daughter cooked together, drew pictures, and took walks. “She’s his life,” Adams told me.

Levi could not bear the thought of anything bad happening to his little girl. Like any parent, he was on the lookout for any threat to his child. At some point, his attention came to rest squarely on Larry Scully.

Levi and Anna got married in late 2018, but they filed for divorce less than two years later, signing legal paperwork that said “the marriage cannot be saved” due to “an irretrievable breakdown of our marriage relationship.” Levi’s mental health no doubt played at least some role in this.

The following winter, Levi staged a one-man protest urging a boycott of the Whole Foods Co-op, where he’d recently been employed. He’d earned $14 an hour stocking produce and ringing up groceries, but he didn’t think it was enough to provide for his daughter. Her day care alone cost $760 a month. After wrangling with the store’s management over a personal tip jar he propped up at the register, Levi lost his job. Soon after that, he set up a table and chair outside the store’s entrance along with a sign demanding that the co-op pay living wages.

Levi sat alone in the bitter cold for days—some locals remember it as weeks. He collected a few donations that he split with other co-op employees, but on the whole his campaign garnered scant sympathy. For a lot of people, it was a sign that something might not be quite right with Levi. “That was an indicator to me that perhaps he was struggling with his mental health,” his friend Christina Conroy told me.

After that, to make ends meet, Levi did odd jobs: clearing snow from roofs, picking weeds, cutting down trees, cleaning apartments, building shelves. By the end of 2022, he and Anna had reconciled enough that they agreed to live together for their daughter’s sake. They shared a split-level home on the edge of Grand Marais, and their property backed up against the woods behind Larry’s house. That meant Levi was now neighbors with the man who, over the previous five years, he’d come to consider his worst nightmare.

According to friends, Levi generally kept his fears about Larry to himself following the outburst at Trinity Lutheran. He didn’t bring up Larry in casual conversation, though it seemed that Larry was on his mind. He once posted a meme on Facebook depicting a person holding a gun, with a caption that read, “Only cure for pedophiles. A bullet.” In a comment below the image, Levi wrote, “People always ask me why I hate pedophiles. They assume I’ve been abused. But really I think being protective is just an Axtell trait.”

His friend Amber Waldrop knew that trait well. She’d met Levi in an outpatient treatment program for addiction, and she found that despite his personal struggles—or maybe because of them—he looked out for other people. Once, they were walking on the lakeshore together and stumbled upon a hornets’ nest. Waldrop thought that she’d been stung and panicked because she was allergic and didn’t have an EpiPen with her. Levi rushed her home in his car. In another instance, when Waldrop was in a dark place, Levi talked her through it. “He has a really big heart,” Waldrop told me.

Many people in Grand Marais knew that Levi had issues and that he could be aggressive when he was drunk. But those close to him didn’t imagine that he would commit brutal violence against another person. On March 8, 2023, Brad Wilson, the carpenter who lived next to Larry Scully, learned that they were wrong.

As the light drained from the sky that afternoon, Wilson was in his garage putting away some tools when he heard a loud crash, like the sound of a car accident. It came from Larry’s driveway. Wilson raced over and saw that Levi had slammed his white Dodge Caravan into Larry’s car. Levi had then jumped out of the van, grabbed a garden shovel from the deck, and barged inside the house. Wilson arrived on the scene in time to hear Larry’s screams.

Wilson stopped short of going inside. He heard the thud of the shovel hitting something, then hitting it again. “Help! Help!” Larry cried out.

Wilson, who had mowed Larry’s lawn the previous summer without pay and generally felt sorry for the man, wanted to intervene, but he feared for his own safety. From his vantage at the front door, he could tell that Levi was in a drunken rage. And Wilson knew from watching Levi play football when they were in high school that although he was only five foot eight and 185 pounds, he was strong. Wilson also feared that Levi might have a gun.

Wilson went around the back of the house to look through an open window. He saw that Levi had trapped Larry in a corner of the kitchen. Hemmed in by stacks of hoarded junk, 77-year-old Larry had nowhere to go. Wilson saw Levi swing the shovel at Larry, who raised his arms as a frail shield against the blows.

Wilson ducked beneath the window and called the sheriff’s department. He then heard a different kind of smash and what was “almost like gurgling.” Wilson said, “It sounded like he was choking on his own blood.” The screaming stopped; Wilson knew that Larry was dead.

Levi bolted out of the house, got into his van, and peeled away. But he wasn’t fleeing. Instead, spattered with his victim’s blood, he drove four blocks to the sheriff’s department, walked inside, and announced that he had just killed Larry Scully. He confessed that he had hit Larry between 15 and 20 times with a shovel, then “finished him off” with a large moose antler.

According to a report from the court-appointed psychologist who evaluated him, Levi considered himself a hero for killing Larry: “[He] believes that others are likely ‘relieved this was taken care of.’”

At Levi’s arraignment, Cook County attorney Molly Hicken successfully argued that bail should be set at $1 million. She told Judge Cuzzo, who was again presiding, “This was a brutal attack without provocation on an elderly man.” People close to Larry thought the attack was provoked—by his brothers Patrick and Jon. “They basically got the whole town against him,” his son Paul told me. “They created the environment where my father could be lynched.”

It was a sentiment that Larry himself had voiced at the hearing three years prior, when Patrick sought a restraining order. “He’s talked to other people and had Levi Axtell say I was trying to groom his daughter,” Larry said. “This shows the vindictiveness of my brother Patrick. He’s trying to establish that I’m a predator.”

According to a report from Mischelle Vietanen, the court-appointed psychologist who evaluated him, Levi considered himself a hero for killing Larry. “[He] believes that others are likely ‘relieved this was taken care of,’ ” Vietanen wrote. She determined that Levi was “impacted by hallucinations, delusions, and paranoia,” and that he was “unable or unwilling to take responsibility for making decisions to interrupt a repeat of impulsive, harmful behaviors.”

Based on Vietanen’s recommendation, Cuzzo found Levi incompetent to stand trial and suspended the criminal charges against him. Should he regain competency, prosecutors could proceed with trying him for second-degree murder.

In a separate and parallel proceeding before a different judge, the Cook County Public Health and Human Services Department pursued a civil commitment of Levi on the grounds—supported by Vietanen’s report—that he was mentally ill and dangerous as well as chemically dependent. At a hearing held via Zoom on June 23, 2023, Levi sat at a table inside the Lake County jail in Two Harbors, 80 miles down Highway 61 from Grand Marais. He wore a black-and-white-striped uniform. He picked at his hands while answering a series of questions, agreeing that he met the criteria for civil commitment. He appeared docile, almost childlike. The judge, David M. Johnson, ordered that Levi be committed, “for an initial period not to exceed 90 days,” to a secure treatment facility.

Levi would remain in the Two Harbors jail for nearly a year, waiting for a bed to open up at a psychiatric facility. When I spoke to him briefly on the phone in late September 2023, he couldn’t discuss the particulars of his case, but he told me a story about a time when he was working at the Holiday gas station and a customer—a man who drove a snowplow for the city—reached across the counter and slapped him in the face. Levi said that he reported the incident to the sheriff’s department, but “they were saying since he didn’t slap me very hard, I shouldn’t have called about it. I was feeling like the cops didn’t care about anything that happened.”

Levi told me that he didn’t know Larry was arrested for trespassing at the gas station, or that the arrest had led to his civil commitment. It seemed as though Levi mostly felt that law enforcement had failed to find a permanent solution—meaning a way to keep Larry away from his daughter and other kids forever.

While he awaited transfer, Levi was able to see visitors, including his daughter. He passed the time drawing pictures that he intended for his daughter and others to color. He sent them to his sister Katrina, dozens every week, and she posted the pictures on Facebook with the invitation, “Please consider mailing him your colored version of his artwork, a letter, photos, and/or a piece of art of your own creation.”

Levi also sent drawings to his friends. One of them went to Amber Waldrop. It depicted a bird’s wings spread wide. “To my dear friend Amber,” Levi wrote. “Remember to … celebrate every victory. To not give up … To leave the past behind … And on your darkest days I hope you learn to dance in the rain.”

When Waldrop showed the drawing to me, she said, “It’s almost like he’s giving himself advice.”

It didn’t take long for a substantial cohort of people in Grand Marais to elevate Levi to the status of folk hero. In their view, what he did was in service of the greater good. Brandy Aldrighetti, a sexual-abuse survivor who lived near Larry, told the Star Tribune, “To me, Levi is like St. George who slayed the dragon—he killed a monster.” Kelsey Valento, a Grand Marais resident and mother, posted an article about the murder on her Facebook page with a comment addressing Levi directly: “I stand by you for removing a horrible nasty pedophile from this community.”

Within days of the crime, his sister Katrina had started a crowdfunding campaign, “to ease the financial burden of the family.” As of this writing, it had raised more than $7,000. When Katrina saw that Amber Lovaasen, Larry’s niece, had posted on Facebook that she and her family had nothing against Levi, she reached out. Soon Lovaasen had designed T-shirts featuring the words, “Our Connection Is Our Strength. Two Families. One Goal. Stop Childhood Sexual Abuse.” She told me that “my family and Levi’s family are coming together pretty much as one family now.”

She does not speak for Larry’s three sons. “I feel sorry for this poor Levi guy,” Paul told me. “He’s obviously got mental issues. I just hope my father gets some justice, that his name is cleared, and he can be seen as the kind, gentle, loving person he was.” Paul and his brothers also hoped to inherit Larry’s house, but a district court judge ruled in March 2024 that a photocopy of their grandmother’s will appointing Larry the sole inheritor of the property was not valid. That placed the home in the possession of Larry’s seven siblings.

His siblings had mixed reactions to Larry’s death. His sister Beth told me that she was worried when she heard the news. “I wanted to make sure that none of my siblings had done anything,” she said. “When I realized that everybody I loved was OK and they all had alibis and it was not them, then I felt relief, kind of lighter and bouncier.” His sister Jane said, “Nobody has the right take anybody else’s life, but when Larry was beating me up and doing things to me as a kid, I wish I would have had access to something to kill him.” Patrick told me that he feels Larry’s death was preventable, if the court system had only listened to him and his siblings. “The sad thing is we tried to warn authorities something like this was going to happen,” he said. “We were afraid some kid’s dad would go over and kill him when they found out about him.”

Within a week of the murder, someone created an online petition asking people to sign “if you agree that Levi Axtell should not be charged with any crimes and immediately be released from jail.” As of mid-May 2024, it had drawn nearly 900 signatures. The petition asks people to “stand by this father, who tried to seek relief via the justice system which failed him.” People who signed the petition noted various reasons for doing so: “I would’ve done exactly what he did if the court system failed me” (Dmitri Birmingham); “Anyone with children understands how this man felt and why he acted” (Joan Folmer); “The world is better off without a child molester!” (Grace Koopman).

Paisley Howard-Larsen, a local mother, told me that she believes Levi did the community a service by killing Larry. “I think this should have been done a long time ago, and I feel bad that it had to be Levi doing it,” she said. “I don’t even see Larry as a human. I think he’s just a monster. It makes me really sad that Levi is going to do any sort of time, whether it’s in a prison or a mental institution. I don’t think that’s right. I think he should have got off free.”

“Even though he actually murdered somebody?” I asked.

“Yeah. I think he did the right thing.”

Others in town, while not condoning murder, nevertheless welcomed the news of Larry’s death. One mother of four young children said, “What Levi did wasn’t justified, but that’s not to say I’m not thankful for it.” Others felt that Levi had been treated unfairly by the state. “Levi tried to go the legal route, he tried to do what he was supposed to do,” his longtime friend Cedar Adams said, citing Levi’s effort to get a protective order against Larry. “They say, ‘Don’t corner a wild animal, because if you do it will attack.’ I feel he felt he was backed into a corner and had no other choice. I feel he’s a victim more than anything.”

Adams’s boyfriend, Nick Swenson, who works at Buck’s Hardware, never met Larry but had heard rumors about him. “You can’t go around killing people,” Swenson told me, “but Levi couldn’t have picked a better person.”


There’s another side to public opinion, and its defining feature is dismay. The Cook County News Herald published a letter from Jim Boyd, a Grand Marais resident and retired newspaper editor, that argued against vigilante justice. “Scully had not been arrested, charged, jailed, tried, or convicted of any recent crime,” Boyd wrote, referring to the fact that no one had come forward to accuse Larry of abuse since 1979. “You can’t go around killing people just because they are horrible. (The dead would be stacked up like cord wood.)” Similarly, on Facebook threads about the case that mostly lionize Levi and disparage pedophiles, an occasional voice of dissent pops up. For example: “You can’t just murder people because you ‘think’ they might do something” (Penelope Orl). And: “Child molestation is horrible and wrong. Murdering someone by butchery is also wrong” (Don Croker).

For Larry’s friends and sons, much of the discourse about his death is chilling. “He did not deserve to die the way he did,” Carol told me. “I hate the way Levi’s family and Pat and Jon are going after Larry as a monster, and Levi’s a hero.” She conveyed that the main reason she didn’t want her real name used in this story was that she feared repercussions from Larry’s brothers.

She wasn’t the only person to request anonymity. People on both sides of the Levi–Larry divide told me that they were concerned about their reputations. Two sources said the situation is so polarizing that having their names attached to their opinions might hurt their businesses.

On March 7, 2024, Levi was finally moved to the Forensic Mental Health Program, a locked facility in St. Peter, Minnesota. Where his life goes from here, and how the dust of his crime will settle in Grand Marais, is an open question. During my visit to Grand Marais last August, I spent the better part of an hour talking to Amber Waldrop and her father, Dennis, a thoughtful man with a thick gray beard. We met in a building downtown overlooking Lake Superior’s seemingly infinite horizon. When it came to this story, the Waldrops saw no happy ending in sight.

“It’s just a series of people being hurt: Larry’s family, Levi’s ex-wife and daughter, Levi’s parents,” Dennis told me. “There are a lot of victims here. And being in a small town, there’s a conflict going on with what happened and what should’ve happened. It’s a tough line to walk. This is sensational news to the rest of the world, but we’re living it.”


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The Last Shall Be First

The Devil Went Down to Georgia

The Devil
Went Down
to Georgia

For years, a mysterious figure preyed on gay men in Atlanta. People on the streets called him the Handcuff Man—but the police knew his real name.

By Hallie Lieberman

The Atavist Magazine, No. 149


Hallie Lieberman is a sex historian and journalist. She is the author of Buzz: A Stimulating History of the Sex Toy, and currently at work on a book about gigolos. Her writing has appeared in BuzzFeed News, The New York Times, The Washington Post, Vice, and other publications. Her first story for The Atavist Magazine, “The Trigger Effect” (issue no. 82), was a finalist for the 2019 Dart Award for Excellence in Coverage of Trauma.

Editor: Seyward Darby
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Kyla Jones

Published in March 2024.


 “Stay away from him.”

In May 1991, Michael Jordan visited Atlanta, Georgia, to revel in the city’s social scene. Jordan, who was 21 and lived in Florida, came on vacation and ended up in a neighborhood called Midtown. If the Deep South had a gay mecca, Midtown was it. The bars there were legendary; among the busiest were the Phoenix, a brick-walled dive, and the Gallus, a sprawling three-floor property transformed from a private home into a piano bar, restaurant, and hustler haunt. Piedmont Park, situated in Midtown’s northeast, was a popular cruising spot, thanks to the privacy offered by its dense vegetation. Cars lined up in droves there, bearing license plates from as far away as California and Michigan. Local residents complained about the traffic, and arborists put up fences to “protect” the trees. A cop once told a reporter that the park was “so busy” with gay men, “you’d think they were having a drive-in movie.”

Note: This story contains graphic descriptions of sexual violence.

But Midtown’s freedoms and pleasures had limits. Sodomy was illegal in Georgia, and cops routinely detained gay men, sometimes by going undercover and posing as hustlers. “One of the television stations would scroll the names of all the people who had been arrested for soliciting sodomy,” recalled Cliff Bostock, a longtime journalist in Atlanta. The HIV/AIDS crisis was approaching its zenith, and testing positive was a near certain death sentence that some Americans, especially in the South, believed gay men deserved. Prominent Atlanta preacher Charles Stanley had made national headlines in 1986 when he declared that the epidemic was a way of “God indicating his displeasure” with homosexuality.

On the evening of May 12, his first day in the city, Jordan was milling around Midtown when he was approached by a man in a white Lincoln Town Car who asked if he wanted to make some money. “What do I have to do?” Jordan replied. The man said he was conducting a study and would pay Jordan $50 to drink vodka. “I’m going to watch as you become more and more inebriated, and I’ll take notes,” the man said. Jordan jumped at the chance to earn some easy cash and agreed to meet the man at the corner of Fifth and Juniper Streets.

Jordan was already there when the man arrived. The man motioned for Jordan to get into his car, handed him a fifth of vodka, and told him to drink it fast. Jordan downed about half the bottle, at which point the man left the car for a few minutes to get something to mix the alcohol with. When he came back, the man asked Jordan to get hard because he wanted to see him masturbate. Jordan said he was too drunk to get hard quickly. Then he drank more and blacked out.

Early the next morning, a man named David Atkins found someone curled up in the fetal position on the ground of the parking lot behind the Ponce de Leon Hotel, where Atkins worked as a clerk. “At first I thought he was 30 to 35 and very dirty. I nudged him with my foot, told him to wake up,” Atkins told Southern Voice, a gay newspaper in Atlanta. “Then I realized it was blisters all over his body and he was just a kid.”

The person on the ground was Jordan. He was naked, and his genitals had been wrapped in a rubber band and set on fire. Burns extended to his buttocks and legs, and his nose and mouth were filled with blood.

Atkins called 911, and Jordan was rushed in an ambulance to the hospital, where he would remain for a month. When the police were slow to respond to the scene, Atkins reached out to Cathy Woolard, a gay-rights advocate working with Georgia’s chapter of the ACLU. Woolard sprang into action and contacted the police investigator assigned to the case. In her words, she got “nothing but runaround.” Because of the victim’s profile, the police had designated the attack a bias crime. For the same reason, Woolard sensed, they weren’t taking the incident seriously.  

Woolard urged law enforcement to talk to a potential witness: Bill Adamson, a bartender at the Phoenix. Adamson said that Jordan had come into the bar before going to Fifth and Juniper and had described his conversation with the stranger in the Town Car. Adamson issued a warning: “Stay away from him. He’s dangerous.”

Adamson didn’t know the driver’s name, only that people around Midtown called him the Handcuff Man. He was a serial predator who approached gay men, offered to pay them to drink liquor, then beat or burned them and left them for dead. Sometimes he handcuffed his victims to poles—hence his sinister nickname.

There were men who said they’d narrowly escaped the Handcuff Man, and rumors that some of his victims hadn’t survived. But there were also people who thought that he was nothing more than an urban legend. Jordan’s assault would bring the truth to light: Not only did the Handcuff Man exist, but there were people in Atlanta who knew his name, including members of the police force. He hadn’t been caught because, it seemed, no one was trying in earnest to catch him.

That was about to change.

 “I’m going to sue you.”

No one could be certain when the Handcuff Man had staged his first attack. Adamson claimed that he’d been terrorizing Midtown since the late 1960s, that he drove a white Lincoln, was about five foot ten, and had black hair and glasses. A sex worker said that the Handcuff Man had picked him up in Piedmont Park in 1977, asked him to take shots of liquor, then assaulted him. The victim managed to flee with a stab wound to the shoulder, and later saw the man again at the park eyeing other male hustlers. He didn’t report the crime because he was afraid of being outed to loved ones.

In 1984, Susan Faludi, then a twentysomething reporter a few years out from becoming a Pulitzer Prize–winning author, wrote a front-page story about gay hustlers for the Atlanta Journal-Constitution. She asked her sources about the dangers of their lifestyle and learned that “the greatest fear on the street right now is invoked by the specter of ‘The Handcuff Man,’ a man who reportedly picks up hustlers, offers them a pint of vodka spiked with sleeping pills and then handcuffs and beats them.”

The following year, in April 1985, a thin man rolled down his car window on Ponce de Leon Avenue and asked Max Shrader if he wanted to make some money. Shrader, 21, had been hustling since he was 13, turning tricks for out and closeted men alike, including a married Baptist preacher. He knew that what he did was dangerous; someone had pulled a gun on him, and a female sex worker who was his friend had been killed. “They found her head in one dumpster, her arms in another,” Shrader said. “She was a nice person.” Shrader knew about the Handcuff Man, who had attacked another of his friends. But the man in the car on Ponce, as the thoroughfare is commonly known, didn’t come off like a predator. He wore glasses and a pressed shirt; he seemed normal.

The man asked Shrader to drink some alcohol with him, and Shrader obliged. But after a little while he started to feel funny. Had the man slipped him something? Shrader collapsed to the ground. “Don’t hurt me!” he begged, as the man pulled him into his car.

The man drove to a wooded area, parked, and dragged an intoxicated Shrader into a patch of kudzu. He then poured a liquid onto Shrader’s groin and lit a match, illuminating his face in a ghoulish way Shrader would never forget. When the man dropped the match, Shrader caught fire.

Shrader lay in the woods for hours, drifting in and out of consciousness. He cried out for help when he had the energy. Around 9:30 p.m., a man who happened to be a nurse was driving home with his girlfriend when he spotted a naked figure on the side of the road. The nurse stopped, saw Shrader’s condition, and rushed home to call the police and to get some blankets to wrap Shrader in. “I guess God sent him,” Shrader said.

Shrader was taken to Grady Memorial Hospital, the same place Michael Jordan would go six years later. He stayed there six weeks, during which the police came to see him once. They left a business card and said to call if he wanted to talk. He misplaced the card and never heard from the cops again.

Shrader wasn’t surprised. Atlanta cops seemed more interested in harassing and arresting gay men than in protecting them. Sometimes they wrote down the numbers on license plates in Piedmont Park and blackmailed drivers terrified of having their sexual orientation exposed—it could cost them their families, their jobs, possibly their lives. Incidents of gay bashing often went unsolved, if they were investigated at all. Etcetera, a gay and lesbian magazine in Atlanta, reported that between 1984 and 1986, at least 18 gay men died at the hands of unidentified perpetrators. The publication noted with frustration that police had “little understanding” of homophobic crimes. The Atlanta Gay Center began offering sensitivity training for cops, but feedback was mixed. “I think what you told us will be helpful in the longrun and should be expressed more often in police work,” one participant wrote in an evaluation of the training, “but I still think gays are disgusting and a disgrace to our country.” George Napper, Atlanta’s public safety commissioner, refused to make a statement condemning crimes against the gay community because it might be construed as favoritism.

After healing for two years, Shrader went back to hustling, scars and all. He’d grown up poor, and selling sex was one of the only ways he’d ever made money. At least now he knew what the Handcuff Man looked like and could steer clear of him.

J.D. Kirkland suspected that he’d seen the Handcuff Man’s face, too. Kirkland, an Atlanta cop, worked security a few nights a week at the Gallus. According to Don Hunnewell, one of the owners of the Gallus, Kirkland was a combination of Dirty Harry and the sheriff from Gunsmoke—a “kick-ass, cowboy type of tough cop.” In his free time, he trained horses on a large piece of property outside the city and worked on a novel about a time-traveling cop. Kirkland was married with kids; he wasn’t gay, but he was compassionate toward the Gallus’s clientele. “He really cared,” Hunnewell said. “I don’t think he was judgmental at all on what they were doing.” (Kirkland died in 1996.)

Patrons had told Kirkland about the Handcuff Man, including what he looked like, and on November 4, 1983, a man came into the Gallus who matched the description. Kirkland wrote a trespass notice, then snapped a polaroid of the man. The Gallus had a “barred book” filled with photos of people who weren’t allowed on the premises; bartenders were supposed to check it at the start of their shifts so they could eject any banned patrons. Kirkland put the man’s photo in the book.

Before kicking him out for good, Kirkland asked for his name. The man said he was Robert Lee Bennett Jr. “I’m an attorney,” he added, “and I’m going to sue you.”

 “What have you done?”

Robert Lee Bennett Jr. was indeed an attorney, like his father before him. He had been adopted as a baby by Annabelle Maxwell Bennett and Robert Lee Bennett Sr., of Towanda, Pennsylvania, a small town perched on the Susquehanna River. Annabelle was a socialite and the daughter of a wealthy judge; in addition to practicing law, Robert Sr. was the president of a bank.

Robert Sr. was originally from the South but moved to Towanda for his bride. They lived with their son, their only child, in a Victorian mansion nicknamed Nirvana. It had five bedrooms, a white marble fireplace, and a pool house; a Steinway grand piano, Tiffany sterling silver, and plush oriental rugs. The local paper chronicled the family’s every move: vacations to Africa, charity dinners. They were the Kennedys of Towanda.

Ellie Harden Smith, who knew Bennett in high school, said that he was charming, fashionable, and quirky. Most of his friends were girls, and he liked to cross-stitch and garden. He was devoted to his mother. As far as Smith knew, he was never bullied or mocked for his feminine tendencies. Bennett sang in the glee club in high school, was active in the Boy Scouts, and worked at the student newspaper.

After graduating high school in 1965, he moved to Colorado to attend the University of Denver. Smith visited him there, and he took her out to gay bars. “I guess I sort of knew, but that was the first I realized that he was really into that stuff,” she said.

Bennett’s first run-in with the law appears to have happened in 1971, when he was arrested in Virginia for indecent exposure during a homosexual act. At the time, he was pursuing a master’s degree in political science. According to legal documents, he was arrested two years later, this time in Atlanta, for assault with an automobile. A year on, soon after graduating from law school at Emory University, he was arrested again. It happened in Midtown, when he was cruising near the Gallus. Bennett tried to pull a man into his car—a man who happened to be an undercover cop. Bennett was charged with kidnapping a police officer, but he ended up pleading no contest to simple battery and paying a $75 fine.

Once he’d finished his law degree, Bennett moved back to Towanda, where he lived a double life. By day he worked at a law firm and claimed to be looking for a wife; in his free time, he paid poor local boys to take their clothes off and drink or have sex with him. Eventually, he quit the firm and bought a plant and flower business called the Tree Stump.

On April 16, 1976, Bennett met a young man at Leonard’s, a beer garden in Towanda, and suggested that they go to a lake cottage his parents had bought him as a gift. The men had sex in Bennett’s car, then drove to the cottage. According to Francis Panuccio, a police captain quoted in a local newspaper, “something occurred that frightened” the young man, who fled the cottage in Bennett’s car and drove it into an embankment. When police arrived at the scene, they arrested the young man, but Bennett deflected scrutiny thanks to Robert Sr. “Nobody wanted to press charges against him because of the influence of his father,” a retired state police investigator later told the press. “His father was gold.”

Still, Robert Sr. feared that his son would keep getting into more trouble if he remained in Towanda. Two months after the incident at the lake, Bennett moved back to Atlanta. He was 29.

Bennett was hired by a law firm, which is where he met Sandra Powell, 34, a secretary and bookkeeper. She was small and demure, a junior-college graduate who wore her dark hair in bangs. They started dating, and Bennett told Powell that he was impotent. She said it didn’t bother her; they talked about adopting a child. In 1978, on a trip to the lake cottage in Towanda, Bennett proposed and Powell said yes. They were married at Rock Springs Presbyterian Church in Atlanta. Powell wore an ivory gown decorated with pearls and lace, and carried a bouquet of burgundy roses. Bennett wore a tuxedo with a white bow tie. They honeymooned in South America.

His hometown friends were surprised that Bennett got married. Irma Henson, who had known him since his early twenties, said that he likely did it for his parents, especially his mother, with whom he was still close. “He probably gathered from his mother that who he was wasn’t fitting her picture of who he should be,” Henson said.

Shortly after the wedding, Bennett quit the law firm. He worked for a while behind the jewelry counter at Davison’s department store, but mostly he lived off dividends from stocks his father had gifted him. “He would just hang around the house all day, and he would be in his robe when I got home,” Powell later said in court. She was unhappy, but “kept it inside.”

Then one day in the fall of 1982, Powell was getting off the bus she rode home from work when she saw police placing her husband in handcuffs. “What is it?” she asked. “What have you done?”

Over Labor Day weekend, James Lee Johnson, 24, had been found shot to death with a .25-caliber pistol in the middle of the street close to his apartment. His wallet was missing. Police learned that Johnson may have been a sex worker, and that he’d last been seen with a man who looked like Bennett. According to friends, Johnson was in a relationship with a man named Robert whom he’d met at the jewelry store where Bennett once worked. A few weeks before his death, Johnson had expressed fear of this man, telling friends, “Robert’s gonna get me.” When investigators examined the contents of Johnson’s stomach during his autopsy, they found roast beef and potatoes. They searched Bennett’s home and, discovering those items in his refrigerator, arrested him for murder.

Bennett was released on a $25,000 bond and was never tried, because the prosecution’s case was entirely circumstantial. His arrest marked the end of his marriage—Powell soon filed for divorce—but not of his comfortable lifestyle. When he wasn’t in Atlanta, Bennett spent time in Clearwater, Florida, where his mother, widowed in the mid-1980s, kept a home. He vacationed in Nassau, Mexico, and China. He hosted lavish parties, and when he and his mother attended an annual lobster boil at a club in Towanda, an otherwise casual affair, he made sure their table was set with linens, porcelain plates, and a silver candelabra.

Meanwhile, in Midtown, the Handcuff Man’s reputation was mounting. Max Shrader was attacked in the spring of 1985. That August, a man named Charles Gallows was assaulted and robbed. The following June, Anthony Charles Poppilia got in the car of a man who offered to pay him $50 to drink vodka, then pushed Poppilia from the moving vehicle. The stories continued until May 1991, when Michael Jordan turned up maimed behind the Ponce de Leon Hotel. Midtown denizens would later report that, in the hours leading up to Jordan’s assault, the Handcuff Man had approached at least one other man in the area.

“A sadistic Woody Allen lookalike.”

When word of Jordan’s assault reached Richard Greer, he immediately thought of the Handcuff Man. Greer, 32, worked the 5 p.m. to 1 a.m. cop beat at the Journal-Constitution. A few months prior, he’d overheard a Midtown patrol officer casually mention the Handcuff Man to some colleagues. Greer asked around and gleaned that a lot of cops thought the attacker might be “folklore.” Jordan’s assault seemed to be confirmation that he was not.

Greer went to gay bars in Midtown to speak with employees and customers. He heard a rumor that the Handcuff Man had either removed the door handles inside his car or covered them with duct tape to trap his victims. People were upset that authorities seemed to be doing nothing to stop the violence. “The victims were people that most people either wanted to ignore or didn’t know existed,” Greer said.

Greer left his business card with patrons of the Gallus and told them to get in touch if they ever saw the person they believed to be the Handcuff Man. “I started getting calls at one in the morning saying ‘He just drove by’ or ‘He’s on the corner of X street and X street,’ ” Greer said. If he thought the information was reliable, Greer would jump in his car and drive to Midtown, but by the time he arrived, the suspect was always long gone.

Then Greer was given a name: Robert Bennett Jr. But the tip didn’t come from a hustler or a bartender—it came from a cop. Greer was surprised. In his experience, it was unusual for a cop to be so candid. More importantly, if people on the force believed that they knew who the Handcuff Man was, why hadn’t Bennett been investigated and arrested?

Greer spoke with Kirkland, the cop who moonlighted at the Gallus, and Kirkland said that he was never able to do anything about Bennett except ban him from the bar back in 1983, because it was difficult to persuade survivors and witnesses of the Handcuff Man’s attacks to come forward. But if that were true, law enforcement bore at least some responsibility for people’s reluctance: Victims of homophobic crimes in Atlanta feared that if they spoke to the police, they might be blackmailed or arrested, or simply not believed. “The police say if you don’t report the crime, we can’t do anything about it,” Bill Gripp, an activist with the Atlanta Gay Center, told Greer. “We say if we don’t have confidence in them, we won’t report it.”

On May 28, two weeks after Jordan was assaulted, Greer published a front-page story about the Handcuff Man. “Gay prostitutes in fear of sadist,” the headline read. Greer wrote that the Handcuff Man may have attacked up to 100 men during his “reign of terror,” and that gay Atlantans were “angered” that the police were “indifferent” to his crimes. Greer quoted Kirkland, who said that it was possible the Handcuff Man was responsible for several unsolved murders.

Greer characterized the Handcuff Man as “a sadistic Woody Allen lookalike … scrawny and peering with eyeglasses through his car window.” He wrote that Kirkland believed the predator was a “DeKalb County professional.” But Greer didn’t name Bennett. He couldn’t. Doing so would have risked a defamation suit against the newspaper; Bennett hadn’t been arrested or charged with a crime, and he was a wealthy lawyer with his own wealthy lawyer on call. To finger Bennett, Greer needed to keep digging.

Greer began combing through public records and police files. He read documents pertaining to Bennett’s prior arrests. He learned that Bennett had briefly been a suspect in one of Atlanta’s most high-profile crime sprees: From 1979 to 1981, a serial killer murdered 30 people in the city, most of whom were young boys. As pressure mounted to find the perpetrator, the FBI arrived to help. Based on various records, law enforcement came up with a list of 65 suspects. Bennet was among them, perhaps because of his previous arrests. He was also a known fixture in Midtown, and the FBI thought that the killer might be gay. Agents were assigned to surveil “homosexual bars and areas frequented by male prostitutes,” and to pursue the “development of informants with knowledge of child prostitution,” according to a February 1981 memo. Bennett was eliminated as a suspect after three months. (In late 1981, a man named Wayne Williams was arrested in connection with the slayings. He was convicted of two of the murders and is presumed to have committed the others.)

Greer also found the transcripts from Bennett’s contentious divorce proceedings in 1984. Astoundingly, the Handcuff Man was mentioned. Powell’s counsel called three male sex workers to the stand, all of whom testified that they believed Bennett to be the Handcuff Man. Frank Sheridan, a local gay-rights advocate who liaised with the police, testified that he had been “working with the street prostitute community … to build up information on this gentleman regarding his sexual habits and picking up of young men from the street.” Powell herself claimed that her estranged husband was “violent” and a homosexual.

Bennett denied being gay, then admitted that he was. However, he was adamant that he wasn’t the Handcuff Man. Attorney Guy Notte, who represented Bennett, chastised the authorities for not identifying the real threat. “The Handcuff Man is still down there somewhere,” Notte said. “Could you please tell me why this man hasn’t been caught?” The court ended up ordering Bennett to pay Powell a divorce settlement of $40,000.

On May 29 and 30, 1991, Greer published two additional articles about the Handcuff Man. There were still concerns about naming Bennett, so Greer didn’t. By then Jordan had picked a photo of Bennett out of a lineup. Greer reported that Jordan had identified his attacker, but that police hadn’t issued a warrant for the suspect’s arrest. “I’m sure we will call him,” the chief of the sex-crimes unit told Greer.

Greer grew increasingly worried that Bennett might attack another man soon; naming him seemed like a matter of public safety. There was a heated debate in the newsroom about what to do. One editor told Greer that he hoped never to be an uncharged suspect in Atlanta, lest his name show up in the paper. Another editor, Pam Fine, was on Greer’s side. “Heinous crimes were involved,” Fine later said, “and we recognized that police had waited two decades to actively pursue the case.”

On May 31, Greer published an article naming Bennett as the man Jordan identified as the last person he saw before losing consciousness during his attack. The piece indicated that the police still hadn’t spoken to Bennett, much less detained him. “I would certainly love to interview him,” Bobby Ford, a sex-crimes detective, told Greer. The article went on to state: “For 20 years, police officials and members of the gay community say, a man fitting Mr. Bennett’s description has been involved in cases of brutality against young white male prostitutes. The perpetrator of these crimes has come to be known as the Handcuff Man.”

After the article was published, Greer reached Bennett on the phone at his lake cottage in Towanda, and Bennett denied being the Handcuff Man. “No attorney in his right mind is going to make a comment one way or the other on something the police are investigating,” Bennett continued. “You know as well as I do that that is not an indication of guilt or innocence.” In a separate interview, attorney Guy Notte, who was still representing Bennett, said that his client would be flying down to Atlanta the following week “to defend every allegation.”

 “I literally went nuts.”

Atlanta police didn’t immediately issue a warrant for Bennett’s arrest. “There’s just more work that needs to be done to make this thing stick,” Detective Ford told Greer. But the department did send out a dispatch to law enforcement agencies around the country describing the Handcuff Man’s crimes. When the message arrived in Tampa, Bob Holland, a local police detective, recognized similarities with a case his department had been investigating for a few months.

On February 22, 1991, 35-year-old Gary Clapp was standing outside a Salvation Army shelter, waiting for it to open. Clapp, who hung drywall for a living, was broke and struggling to feed his family; he also had a severe alcohol problem. When a white Town Car pulled up and the driver said that he was conducting a survey on how alcohol affected people’s moods, Clapp hopped into the vehicle. In between chugs of vodka from a plastic cup, Clapp asked the man his name, but he wouldn’t answer. Eventually, Clapp passed out.

Around 10:30 p.m. that night, police officer Jimmy Caplinger was driving on the frontage road along the mangrove-lined Courtney Campbell Causeway, which connects Tampa and Clearwater, when he noticed what he thought was a bonfire. He parked, got out, and saw a person engulfed in flames. It was Clapp. Caplinger grabbed an extinguisher from his car and put out the fire, then called for emergency services. When Clapp arrived at the hospital, his blood-alcohol level was “so high they could not get a reading,” according to a police report. He had fourth-degree burns on nearly half his body and was suffering from smoke inhalation.

Holland went to the hospital to conduct an interview. He wrote in his report that Clapp “was able to answer certain questions by either shaking his head or nodding his head.” Holland discerned that someone had deliberately set Clapp on fire.

Clapp’s injuries were so severe that doctors had to amputate his legs. When he regained consciousness after surgery, he began thrashing around. “I kept pulling out all my IVs,” Clapp told the Tampa Tribune. “I literally went nuts and they had to tie me down in the hospital bed.”

Holland spoke to Clapp’s ex-girlfriend, who said that she’d broken up with him because of his alcoholism. She also said that Clapp had previously been in a “homosexual relationship,” but that it “was an isolated incident.” There were only a few possible clues at the scene of the crime, including a Riva vodka bottle and a container of lighter fluid. Nearby were bags containing decapitated chickens and a headless goat. A dead body had recently turned up just 500 feet from where Clapp was found, which made police wonder if the two crimes were connected.

In early March, Holland interviewed Clapp more extensively. Clapp said that the man who’d attacked him drove a Lincoln Town Car made sometime between 1977 and 1984, with a brown leather interior. He worked with a sketch artist to produce a picture of the suspect, who Clapp said was between 40 and 45 years old, stood a little under six feet tall, and weighed 160 to 170 pounds. Clapp also described the man as having dark hair, a mustache, and glasses. The sketch was published in the Tampa Bay Times on April 9.

Two months later, when Holland saw the dispatch about the Handcuff Man, he quickly picked up the phone and called the Atlanta police. They sent him a photo of Bennett, which Holland then showed to Clapp in a lineup. Clapp, who had only recently been released from a hospital burn unit, identified Bennett as his attacker. Holland pointed out that in his photo Bennett was clean-shaven, and that Clapp had said his attacker had a mustache. Clapp said he was certain that the man in the photo was the one who’d set him on fire. “It’s hard to forget someone that’s done you wrong like that,” he told a reporter.

Authorities in Tampa connected more dots. Bennett’s mother’s home in Clearwater, a seventh-floor condo, wasn’t far from the area where Clapp was found. Bennett had been visiting her in February; in fact, a few days after Clapp’s assault, Bennett and his mother embarked on a Caribbean cruise together. Bennett also owned a Town Car, which he’d recently driven up to Towanda.

It was enough to bring him in. On June 5, Tampa police issued a warrant for Bennett’s arrest. They alerted their counterparts in Atlanta, who were expecting Bennett that very afternoon for questioning about the Handcuff Man attacks in Midtown. Just after 3 p.m., he was taken into custody based on the Tampa warrant.

Speaking to reporters, a shaking Bennett proclaimed his innocence. “I am here to tell the Atlanta police and the city of Atlanta I am not the Handcuff Man,” he said. He later complained that he wasn’t served breakfast in jail, and that he had to wait five hours to get a blanket, pillow, and cigarettes.

 “It struck a bell.”

In Midtown, people were relieved that the Handcuff Man may have been caught, but they were also frustrated that Bennett had only been charged with the attack on Clapp, not the crimes in Atlanta. District Attorney Lewis Slaton assured the public that his office was developing a case against Bennett, but also noted that it would be deferring to Tampa authorities. “Since Florida has asked for him, we’re going to let them have him,” Slaton said. “That case is obviously worse.” But worse by what measure, and for whom? “My life will never be the same,” Jordan told Greer at the Journal-Constitution. Jordan was upset at the way police had handled his ordeal. “It wasn’t until it was in the news that they seemed to care,” he said.

Bennett was extradited to Florida on June 11. He pleaded not guilty and was freed on a $200,000 bond. His mother helped him get the money together by putting up her condo as collateral.

By then, other men had started coming forward to accuse Bennett of attacking them. One of the men was Max Shrader. He’d been sitting at home one day in May when his dad called and told him to turn on the news. “There’s another guy who just got burnt the same way,” his dad said. Shrader saw the report about Jordan and called the police to say that he’d suffered a similar attack six years earlier. They asked him to come to the station, where he was shown a lineup of men’s photos. “That’s him,” Shrader said, pointing at Bennett’s face.

On June 21, an Atlanta grand jury indicted Bennett on two counts of aggravated assault and two counts of aggravated battery for the attacks on Jordan and Shrader. Investigators noted that Bennett was suspected of committing similar crimes going back two decades. Bennett again pleaded not guilty and was released on bond—an additional $100,000.

For Dale Sisco and Chip Purcell, who were prosecuting Bennett in Florida, the Atlanta indictment was good news. Their case against Bennett was proving delicate. Clapp had identified his attacker, but because he’d been drunk when he was set on fire, the defense would almost certainly argue that he was an unreliable witness. The defense would also likely argue that evidence found at the scene—the lighter fluid and vodka bottle—wasn’t necessarily connected to the case. Locals called the area where Clapp was found “the redneck Riviera,” because people liked to grill, drink, and party in the mangroves. “There was no videotape of him doing the act,” Sisco said of Bennett. “We had no photographs of him. There were still many circumstantial aspects of the proof that were going to be challenging.” The prosecutors didn’t even have fingerprints connecting Bennett to Clapp’s attack.

So Sisco and Purcell decided to rely on the Williams Rule, a legal precedent in Florida that allows prosecutors to present evidence from other cases or incidents that indicate a pattern of criminal behavior. They identified a handful of recent instances in which men had endured injuries similar to Clapp’s, hoping to find other witnesses willing to testify against Bennett. For instance, there was an unsolved case from 1989 in Detective Holland’s jurisdiction involving a man who was found unconscious outside a gay bar with his genitals burned. But survivors were wary of telling their stories in court. “We talked to several guys who were not excited about coming to Tampa and testifying to what their sexual activities were,” Purcell said.

The Atlanta indictments expanded the pool of potential witnesses. If the Florida case went to trial, Jordan could testify under the Williams Rule. So could Shrader. The same went for a hustler named Shane, who asked to be identified by his first name in this story. Shane was the man in Atlanta who claimed that the Handcuff Man had tried to pick him up in the hours just before Jordan was attacked.

At the time, Shane was in his mid-thirties; he had a wife and a kid he supported with sex work. When a man in a white Lincoln pulled up one day and asked him to drink vodka for $50, Shane was suspicious. He told the driver that if he wanted to drink, they could go to a bar, but the man insisted they imbibe in the car. Shane declined and went about his night. When he heard about the attack on Jordan, “it struck a bell,” he said. Shane got in touch with the police and later identified Bennett in a photo lineup as the man who’d tried to give him vodka. The experience shook him up. “It put a kibosh on me for a while from hustling,” he said.

As Sisco and Purcell built their case, a shocking news story seized headlines: In July 1991, Jeffrey Dahmer was arrested in Milwaukee and confessed to murdering more than a dozen gay men over the course of 13 years. Some journalists made the connection to the Handcuff Man’s crimes. “As in the case of Jeffrey Dahmer,” Mary T. Schmich wrote in the Chicago Tribune on August 3, “Bennett’s arrest has raised questions about the speed and sensitivity with which police handle crimes involving homosexual activity.” Schmich quoted Cathy Woolard, the activist who months before had asked the Atlanta police to take the threat of the Handcuff Man seriously. “A lot of people don’t care that much if gay people get killed,” Woolard said. “It doesn’t seem to matter that much that someone is savagely burning male hustlers, because they’re not the cream of the crop.”

The article ended with an update on Bennett’s whereabouts. “Bennett, who was released on bond, is spending the summer with his 85-year-old mother in Towanda,” Schmich wrote, “where he reportedly indulges a passion for gardening.”

 “You don’t count.”

To work alongside Guy Notte in the Tampa case, Bennett hired a defense attorney based in Florida. Rochelle Reback had spent the previous decade representing all sorts of clients, but none quite like Bennett. “Usually people involved in crimes of violence don’t have a lot of money,” Reback said in an interview for this story. Bennett was different. “We had an investigator. We had a jury-selection expert. We had a lot of resources that a lot of clients can’t afford,” Reback said.

When Reback visited Bennett’s mother in Clearwater, there were photos of Bennett everywhere. Many of them were from his childhood, when his mother had dressed him to the nines. “One was like Little Lord Fauntleroy looking, with his long, curly hair,” Reback said. Between how his mother viewed him and his wealth, it was clear to Reback that Bennett had led a cosseted life. And now he seemed sure that his privilege would protect him. “He really just felt like this was just one more case that was going to go by the wayside and he would suffer no ongoing consequences,” Reback said.

Bennett’s arrogance grated on her. “He was the most unpleasant client I ever had,” Reback said. When they clashed about strategy, Notte stepped in to smooth things over. He had a long history of appeasing Bennett. “Notte wanted to keep Bob happy because Bob was a wealthy client,” Reback said. Together, Notte and Reback tried to find character witnesses willing to testify on Bennett’s behalf, but according to Reback they found none. (Notte did not respond to a request for comment.)

In October 1991, Clapp was interviewed for a front-page story in the St. Petersburg Times. The picture accompanying the article showed him in his government-funded concrete-block apartment, seated in a wheelchair and cradling a black kitten. “There’s times I forget I don’t have legs and I want to get up and go take a walk, you know?” Clapp said. He told the reporter that he couldn’t stop thinking about Bennett. “Truthfully, I’d like to see the same thing happen to him that happened to me,” Clapp said.

When they spoke to the press, Bennett’s legal team tried to use what Reback called the SODDI defense (“some other dude did it”). Notte told a reporter that Clapp’s assault “smacks of the cult [of] Santeria,” because decapitated animals were found near the crime scene. As for the accusations against Bennett in Atlanta, Notte called them “stupid lies.”

Behind the scenes, however, it was becoming clear that Bennett was likely to lose in court. Sisco and Purcell had obtained a five-minute video, shot by the Tampa fire department, that showed Clapp burning in the mangroves; his cries of pain were audible. The prosecution upgraded the attempted murder charge to include use of a deadly weapon, which meant that, if convicted, Bennett could get a life sentence. This wasn’t an outside possibility: The judge assigned to the case was known for tough rulings.

Bennett’s lawyers persuaded him to take a deal. On February 13, 1992, he appeared in court in Florida to plead guilty; he planned to do the same in Atlanta several days later. At least three of his victims—Clapp, Jordan, and Shrader—were in the courtroom. Shrader wanted to lunge at Bennett as soon as he laid eyes on him. “But I knew if I hit him right there,” Shrader said, “I’d get hell.”

Bennett, who stood with his arms crossed, was sentenced to 17 years in prison followed by 13 years of probation. Under Florida law, he would be eligible for parole in five years. Clapp considered the sentence too light. “I don’t think he’ll ever feel sorry for anything he’s done,” he told the court. “He’s a sick puppy.”

Bennett’s attorneys requested that he be allowed some time to make arrangements for his aging mother’s care. He was told to turn himself in on March 9. “I trust you as a man and as a lawyer,” the judge told Bennett. The prosecution was stunned by the three-week reprieve. “This is clearly one of the most heinous crimes I’ve ever prosecuted,” Purcell told the St. Petersburg Times.

Frustration mounted further when it was announced that Bennett might get a deal that would allow him to serve his sentences in the Florida and Georgia cases concurrently rather than back-to-back. The Journal-Constitution argued in an editorial that this would effectively mean “no prison time” for the crimes he’d committed in Atlanta. “The full force of the legal system should be used to show that such acts will not be tolerated and to prevent them from happening again,” the editorial said. Had Bennett’s victims “been women or straight men … it is hard to believe the Florida sentence and the Fulton plea bargain would even be discussed.” (Atlanta is the seat of Fulton County.)

Gay-rights advocates agreed with the paper. Larry Pellegrini of the ACLU called the deal “horrendous.” Jeff Graham of Atlanta’s chapter of ACT UP told a reporter, “I think that clearly you’ve got a prejudiced judicial system in Atlanta.”

On February 24, Bennett appeared in an Atlanta courtroom for sentencing. It was packed, with cameras everywhere. Shrader was nervous, and when he got nervous he smiled; a lawyer told him to stop smiling.

The plaintiffs’ counsel argued against the plea deal. Jordan’s attorney said that her client “wants this man to serve life.” Shrader’s lawyer said that “this child of affluence has developed into a sadistic sociopath” for whom “the concurrent sentence is not adequate.”

When the judge asked if Bennett wished to say anything, he said no.

“Did you, in fact, pick up those two fellows?” the judge then inquired, referring to Jordan and Shrader.

“I’m pleading guilty to the charge, your honor, on the advice of my counsel,” Bennett said.

“I asked you, did you pick up those two fellows?”

Notte interjected. “Your honor, he would rather not answer that question.”

“I want to hear from him. You don’t want to say so, say you don’t want to say so,” the judge said.

“Yes,” Bennett responded.

Ultimately, the judge ruled in favor of the plea deal. In addition to the concurrent prison sentences, Bennett was banned from Fulton County for life, instructed to see a psychiatrist, and ordered to pay restitution of more than $100,000 to his victims. When asked where the money would come from, Notte said that Bennett would use his mother’s trust fund.

Gay activists who had come to see the sentencing shouted “shame” repeatedly at the judge. In an article for Southern Voice, reporter K.C. Wildmoon wrote that the court sent “a message to the lesbian and gay community, to the hustler community, that these things will happen. It says ‘you don’t count.’ ”

“A danger to society.”

There are lingering questions in the story of the Handcuff Man. Chief among them is how many victims there actually were, and whether any of them died from the attacks. But no further indictments were ever brought against Bennett. “What upsets me the most is how many Max Shraders there are that maybe nobody even knows about,” said Don Hunnewell, the Gallus’s owner. “Maybe nobody even knows they died.” (The Gallus closed in 1993.)

Greer, who now lives in Virginia, wonders what lessons were learned from the whole affair—by the police, the media, and the wider Atlanta community. “The Handcuff Man was the perpetrator, but in a sense we’re all accomplices. I’m certain a dead hustler on the south side today would be all but ignored, while a crime against a wealthy family in Buckhead would get a lot of ink and cameras,” he said, referring to one of Atlanta’s poshest neighborhoods.

Then there’s the question of why Bennett committed his crimes, what motive he had. Was it a combination of rage and self-loathing? Shrader thinks so. “He was gay and he hated that,” Shrader said. “Then he decided that he’d get rid of [who he considered] the lowest of the gays, the slime on the totem pole, which were gay hustlers, and unfortunately I just happened to be in his path.” For her part, Reback said that she gleaned from her conversations with Notte that Bennett was “deeply repressed” and couldn’t “function sexually in any way.” (After his convictions, Bennett filed a court motion claiming that Reback had provided ineffective counsel; it was dismissed.)

An old friend of Bennett’s in Towanda, quoted in the local paper, placed some of the blame for Bennett’s crimes on the people who’d helped him evade the consequences of his actions as a young man. “He should have had some help earlier in his life when he got into some of the minor scraps in Pennsylvania,” the friend said. “If some of that was not covered up, he might have gotten some sort of help.”

The Handcuff Man himself never offered any insight. Two days after the contentious Atlanta hearing, the judge in Florida revoked the bond he’d released Bennett on so that he could sort out his mother’s care. After his sentencing, Bennett had been seen cruising a red convertible through an area of Tampa known to be popular with gay hustlers. The judge called him “a danger to society.”

Once in prison, Bennett was placed in solitary confinement at his own request. Eventually, he was moved to the general population because, as Notte told a reporter, he was “going buggy” in isolation. His mother died in 1993. Bennett would receive a $1.5 million inheritance upon his release from prison.

But that never happened: On April 1, 1998, just one year before he was supposed to get out, Bennett had a stroke and died behind bars. “He got the life sentence that he probably deserved,” Reback said.

The bulk of Bennett’s estate went to Towanda’s historical society and to the Boy Scouts. He left $25,000 to the son of his friend Ellie Harden Smith and $15,000 to the local country club, with the condition “that this bequest be acknowledged and established as a memorial to my grandfather, the Honorable William Maxwell, my mother, Annabelle Maxwell Bennett, and myself, Robert Lee Bennett, Jr.” He also requested the erection of a memorial to himself and his mother as a condition of a gift to the county library. There was no mention of honoring his father.

As for his personal effects, namely his clothing and photographs, he issued an unusual directive: Bennett said he wanted them burned.


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Watch It Burn

Watch It Burn

Damages

Damages

The Atavist Magazine, No. 146


Rae Nudson is the author of All Made Up: The Power and Pitfalls of Beauty Culture, from Cleopatra to Kim Kardashian. She has written for The Cut, Paste, Hazlitt, Esquire, and other outlets.

Editor: Seyward Darby
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Soraya King
Illustrator: Grace J. Kim

Published in December 2023.


1.

Debra* had hoped that her medical nightmares were over. In 2009, she was diagnosed with breast cancer that had spread to her lymph nodes. The disease was estrogen positive, which meant that it was feeding on her reproductive hormones. After six months of chemotherapy and a double mastectomy, the cancer was declared in remission. To keep it that way, doctors put Debra on tamoxifen, a hormonal drug used as a prophylactic against certain types of breast cancer. She expected to be on it for about five years.

*Asterisks denote pseudonyms.

Debra has a wide smile, dimples, and thin, arched eyebrows. She likes high heels and she likes to talk. She used to work as a hairstylist, a job well suited to someone who falls easily into conversation with strangers. She is also a mom to two boys, and always wanted more kids. Patients on tamoxifen are advised against becoming pregnant; Debra, who was in her early forties when she started taking the drug, planned to conceive once she’d completed treatment.

Then, about halfway through her tamoxifen regimen, Debra got a letter in the mail with bad news: The results of her latest pap smear were abnormal. She had undergone the procedure, which involves scraping cells from the cervix, during a routine visit to a Veterans Affairs medical center near her home in Portsmouth, Virginia. (Debra was in the Air Force from 1988 to 1992.) An abnormal pap can indicate the presence of cancerous or precancerous cells; follow-up testing is usually recommended.

Debra knew that even with the tamoxifen, there was a risk that her cancer might come back, possibly in a part of her body other than her breasts; oncologists call this a distant recurrence. So she took the pap results seriously. When the VA referred her to two ob-gyns, Debra reached out to both. One had a monthslong waiting list, but the other had immediate availability. His name was Javaid Perwaiz. 

Dr. Perwaiz’s main practice was in a small redbrick building near a strip mall in the city of Chesapeake. The parking lot had 14 spaces, including one for handicapped drivers, and cars came and went in quick succession. Perwaiz had a reputation for working fast: An established patient could expect to arrive for an appointment and be back in their car in under 15 minutes. The waiting room was small, with a vaulted ceiling, a bank of windows, and walls painted a soothing mauve. Many of Perwaiz’s patients were Black women on Medicaid. Debra fit that profile.

When she met Perwaiz in July 2012, Debra felt confident about him as a doctor. He was in his early sixties and short, with a thick, well-groomed white mustache, bushy eyebrows, and a comb-over. During appointments he wore a white coat. He was matter-of-fact but not cold. He remembered details about his patients’ personal lives and asked about their loved ones.

According to Debra, after performing some tests, Perwaiz told her that she had precancerous cells on her cervix that would likely develop into cancer. He said that there was no drug she could take to stop that from happening. Given her history of breast cancer, he recommended a hysterectomy.

Debra was shocked and scared. She didn’t want to lose her ability to have more children. But she also wanted to live to see her sons grow up. After subsequent appointments with Perwaiz, during which she underwent additional tests, she agreed to have surgery, but said that she didn’t want her abdomen cut open. The doctor who performed the C-section during the birth of her first son had used a “beautiful subcutaneous suture” to close up the incision, resulting in a faint scar. “You couldn’t even tell that I’d ever had a surgery,” Debra told me. She wanted to keep her stomach the way it was. According to Debra, Perwaiz assured her that he could perform the surgery through her vagina; no abdominal incision would be required.

Debra trusted what Perwaiz told her. From their conversations, her understanding was that he would remove only her ovaries, because decreasing the estrogen in her body might diminish the risk of her cancer recurring. In fact, a hysterectomy by medical definition involves the removal of the uterus. But Debra didn’t know this going into surgery, because, she said, Perwaiz never explained it to her.  

On the morning of December 29, Debra arrived at Chesapeake Regional Medical Center and filled out the required paperwork for her procedure. One of the nurses was someone she knew from church, a friendly face. Then Debra was prepped for the operating room and given the sedative propofol. Hospital staff were wheeling her on a gurney down a hallway when she saw Perwaiz.

“What time do I need to tell my friend to come back and pick me up?” Debra asked him.

“That’s not the surgery you signed for,” she remembered Perwaiz replying.

She wasn’t sure what that meant. The propofol was making her sleepy. Then everything went dark.

When Debra woke up in a recovery room, she knew something was wrong. Groggily, she moved her hands to her stomach. She found tape covering an incision. Debra didn’t understand. She began to cry.

She was discharged the next day, and only then did it fully sink in: Perwaiz had performed an invasive surgery, slicing into her abdomen. Within a few days, Debra felt persistent, agonizing pains in her lower belly. The area also became swollen and tender. Debra was alone most of the time—her elder son had already moved out, and the younger one was in school during the day. She had trouble getting out of bed.

Debra called Perwaiz’s office for a prescription to help with the pain. When the medicine didn’t work, she called again. According to Debra, she spoke with Perwaiz directly. “Women all over the world go through this,” he told her. “You are just going to have to get used to the pain.” She was so out of it that she let the comment go. “I didn’t have the wherewithal to chew his head off,” she told me.  

One day a friend called to check on her and was alarmed to hear Debra cursing and not making sense. The friend drove to Debra’s house, and when nobody came to the door, she persuaded the landlord to open it. Inside, Debra was lying down; her skin was turning blue, and her stomach was so distended that she looked nine months pregnant. Her friend called 911, and an ambulance rushed Debra back to Chesapeake Regional.

Debra wondered if she was dying. In her head, she could hear a hymn her grandmother used to sing: 

I know it was the blood,

I know it was the blood,

I know it was the blood for me;

One day when I was lost

He died upon the cross,

I know it was the blood for me.

At the hospital, Debra learned that Perwaiz had removed more than her ovaries: Her uterus, cervix, and fallopian tubes were gone too. A diagnostic scan showed that a large amount of fluid had built up in her abdomen, and labs indicated that she had severe acute renal failure. There was also a perforation in her bladder—one of six, she later learned, made during her surgery. She was in sepsis.

Debra remained in the hospital for several days. She slipped in and out of consciousness. At one point she thought she saw Perwaiz at the foot of her bed. He looked nervous to her; his hands were clasped. “He might have been praying, ‘Please live,’ ” Debra said.

Debra knew about the history of coerced sterilization in America, of doctors persuading women of color to undergo unnecessary hysterectomies or performing the surgeries against their will. She couldn’t help but see her case in that context.

She did live. She had to wear a catheter for several weeks, but she got better. The long recovery gave Debra time to think on what she wanted to do about the man who had hurt her. “I’m gonna get this motherfucker—that’s how I was feeling in my head,” she said. “You don’t want to mess with me. I got teeth. I spit sulfuric acid.”

She requested her medical records and was stunned to find discrepancies with what Perwaiz had said to her during appointments. Most glaringly, she didn’t see any mention of precancerous cells on her cervix; the tests Perwaiz performed on her had come back normal. “If I was normal,” Debra said, “why did I have a surgery?”

There were other inconsistencies. One form from an appointment described Debra complaining of back and pelvic pain, which she told me she never did. Another document dated the day before her surgery stated that she “insisted on having those ovaries removed through the abdominal wall incision and not vaginally,” and that the “consent obtained after entirely counseling the patient [was] for abdominal hysterectomy.” In fact, she had requested the opposite surgical approach, and she recalled no such conversation with Perwaiz; the only time she’d spoken with him in the lead-up to her procedure was in passing in the hospital hallway.

Debra was sure she had a malpractice case. She went to several lawyers, but none of them would take her on as a client. “So many men—man after man saying, ‘You had a decent amount of care, and that’s all you’re afforded,’ ” she said. Frustrated, she came up with a new plan: “I said, ‘Alright, I’m going to learn how to sue this bastard myself.’ ” (Perwaiz declined to comment for this story.)

Debra enrolled in a paralegal program at Tidewater Community College. She learned how to research case law, how to write briefs, and how to file a suit. She didn’t have an Internet connection at home, so she used a law library at a nearby university to access everything she needed. She meticulously highlighted key phrases in her medical records and made notes in graceful cursive. When requesting materials for her case from health care providers, she signed emails “respectfully,” but she was not sorry to bother anyone. She followed up. She was tenacious. To get anything done, she knew that she had to rely on herself. “I was now acutely aware that people can’t be trusted,” she said.

As it is in much of the U.S., the statute of limitations for malpractice in the state of Virginia is two years from the date of occurrence. Debra filed her suit on December 23, 2014, six days shy of the cutoff. She asked for $1.5 million in punitive damages and to be compensated for loss of enjoyment of life, loss of the ability to reproduce, and diminished sexual intimacy, as well as lost wages and medical expenses.

Someone told her to file the suit in state court, but Debra declined. She knew about the history of coerced sterilization in America, of doctors persuading women of color to undergo unnecessary hysterectomies or performing the surgeries against their will. She couldn’t help but see her case in that context. She believed that the suit belonged in federal court because Perwaiz had violated her most fundamental rights.

A judge disagreed. In January 2015, Debra was asked to provide a valid reason why hers should be a federal case, and not one decided by a lower court. She responded with documentation explaining her position, but that May her case was dismissed for lack of jurisdiction. She appealed the decision, until one day she missed a filing deadline. According to Debra, she hadn’t received paperwork she needed to complete until the day before it was due, and there was no way she could get it to the court on time.

Just like that, her legal campaign to hold Perwaiz accountable was finished. But there were more patients like Debra, more women Perwaiz had injured. There were numerous dots waiting to be connected—someone just had to come along and do it.

2.

Javaid Perwaiz was born in a village in Pakistan that had no electricity or running water. He went to college, then medical school, graduating in 1973. He moved to the United States the following year, alone and knowing very little English. He worked as a surgical assistant at a hospital while he applied to be a medical resident. After completing his residency, he took a job at a private practice in the Portsmouth area, sharing an office with two other physicians. He struck out on his own in 1982.

If his online reviews were any indication, over the next thirty-plus years Perwaiz amassed a devoted following of patients. “Dr. Perwaiz is amazing. I had an issue that previous Dr’s kept putting off and he scheduled surgery for it immediately,” one review read. “He listens, he’s very understanding, and I’d never go anywhere else.” Some reviewers stated that Perwaiz had delivered both them and their children. “I love you and my family does as well,” another wrote. Perwaiz, that reviewer continued, will “go down in history as the best.”

All of Perwaiz’s staff were women, and they were fond of him, too. It helped that his practice did very well: He saw a lot of patients, many of whom underwent surgery, and money rolled in. Perwaiz took his staff to nice restaurants. He wrote their names in red ink on their birthdays in his appointment book so he wouldn’t forget to buy them gifts, often expensive flower arrangements. He sometimes paid for employees’ vacations or bought them chic accessories. The staff joked that after insurance clerk Diane Coleman became visibly upset about something that happened in the office, she could expect a new purse from Perwaiz in the next few days.

If Perwaiz had a deputy in the office, it was Margo Stone, who graduated from nursing school in 1985 and started working for Perwaiz a few years later. For a time, Stone and Perwaiz were romantically involved, and Perwaiz became close with Stone’s two sons. The romance didn’t last, but Perwaiz remained an important part of the lives of Stone and her boys. They celebrated holidays and birthdays together. Perwaiz had the license plate for one of his cars customized to bear the boys’ initials. One of the sons recorded the outgoing message on Perwaiz’s phone. “You have reached Henry and John’s papa,” he said.

Perwaiz regularly gave Stone gifts, including several watches worth about $2,000 apiece. The pair also shared an American Express card, and Perwaiz helped pay for Stone’s sons’ education. Over the years that they worked together, the gifts, tuition, and other financial assistance Perwaiz gave Stone added up to several hundred thousand dollars. (Stone declined an interview request.)

In addition to seeing patients in her capacity as a nurse, Stone took on administrative duties at Perwaiz’s practice, including maintaining the payroll and keeping medical supplies stocked. The staff treated her as a go-between, someone they could talk to if they wanted something changed at the office. Perwaiz respected Stone’s opinion; he listened whenever she made suggestions.

It was Stone the staff turned to about Perwaiz’s approach to sanitizing medical devices. One of the procedures he often performed on patients was a hysteroscopy, which involves inserting a long, thin tube with a light at the end through the vagina and cervix to examine the uterus. Hysteroscopies are used to diagnose and, when necessary, remove polyps, fibroids, and other growths that cause gynecological issues, including abdominal pain and vaginal bleeding. Per office protocol, the scopes Perwaiz used in these procedures were supposed to be sterilized between uses, a process that took 12 to 15 minutes. But Perwaiz sometimes didn’t want to wait that long. According to Lisa Strong, a medical assistant, on busy days Perwaiz told her to just rinse the scopes between appointments.

The staff approached Stone about the matter, and she took it to Perwaiz. He agreed to abide by the rules. Above the sink where the scopes were cleaned, an employee placed a yellow sticky note with “soak for 12 minutes” written on it in large bubble letters.

Time was of the essence because Perwaiz performed a lot of hysteroscopies—so many, in fact, that he became the subject of an insurance inquiry. In July 2012, a week prior to Debra’s first appointment with Perwaiz, an employee at Optima Health raised an internal alert: The insurance company had recently received two suspicious requests from Perwaiz’s office for approval of hysteroscopies. In one instance, the patient had undergone the same procedure three weeks prior, yet nothing in Perwaiz’s clinical notes acknowledged it or indicated a change in the patient’s status that would necessitate another so soon. In the second instance, Optima denied the request because the patient’s medical records showed no justification for the procedure: There wasn’t documentation of heavy bleeding, for instance, or of the failure of more conservative treatments to resolve the patient’s issues. The same day Perwaiz received Optima’s reply, he asked the insurer to reconsider, and he provided a note that mirrored its concerns exactly. He said that the patient was bleeding all the time, and that neither oral contraceptives nor anti-inflammatory pain relievers were helping.

Optima, which has since changed its name to Sentara Health Plans, opened an investigation into possible “overutilization,” the insurance industry’s term for medically inappropriate care. Over the next several months, the company compiled some troubling data on Perwaiz’s practice. Nearly 11 percent of Perwaiz’s patients received a diagnostic hysteroscopy (an examination), and 12 percent underwent a surgical hysteroscopy (the removal of tissue), while other ob-gyns in Virginia who took Optima plans performed those procedures on just 1 percent of their patients. While 44 percent of Perwaiz’s patients who had a diagnostic hysteroscopy went on to have a surgical one, among his peers this happened so infrequently that the figure wasn’t statistically significant. Optima also reviewed the medical records of 20 of Perwaiz’s patients, chosen at random, and found that half contained discrepancies between Perwaiz’s notes and observations about procedures, and the pathology reports that came back from outside labs.

According to the National Health Care Anti-Fraud Association, “Performing medically unnecessary services solely for the purpose of generating insurance payments” is one of the most common types of medical scams. Another is “falsifying a patient’s diagnosis and medical record to justify tests, surgeries, or other procedures.” But was Perwaiz committing fraud, or was he just a bad doctor—sloppy perhaps, and overzealous too?

Greg Merti, a medical director with Optima, visited Perwaiz’s practice in May 2013 to speak with him about the investigation’s findings. The pair met in Perwaiz’s private office. Hanging on the wall were photos of Stone’s sons. Perwaiz had a massive wooden desk with a file tray and lamp. Notably absent was a PC—Perwaiz refused to use one, preferring to keep patients’ files in paper form. His staff were tasked with anything that required a computer, including filing insurance claims, updating hospital records, and renewing Perwaiz’s credentials with the state.

The two men spoke for just under an hour. Merti told Perwaiz that he was an outlier in terms of the number of hysteroscopies he performed. Perwaiz defended his decision-making, but he also expressed an interest in improving patient care and being transparent with Optima. When Merti suggested implementation of an “improvement plan,” Perwaiz was receptive. Merti later stated under oath that he took Perwaiz “at his word.” Whether or not the topic was broached, an improvement plan likely would have saved Optima money, since Perwaiz billed the company every time he performed a procedure on a patient covered by one of its plans.

Two years later, in 2015, Optima ran numbers on the costs and performance of its in-network providers. The results showed that Perwaiz was still an outlier: He was in the 97th percentile of doctors doing hysteroscopies, hysterectomies, and transvaginal ultrasounds, meaning that only 3 percent of providers in Optima’s network performed those procedures more often than he did. Merti spoke with Perwaiz again and told him that if he wished to change his approach to patient care, he could reach out for assistance. According to Merti, Perwaiz never did.

In a statement, Dale Gauding, a spokesperson for Sentara Health Plans, said the company “followed best practices” in its communications with Perwaiz. “There are strict criteria for peer review interventions,” Gauding said, “and utilization issues are not reportable to the state Board of Medicine.”

Perwaiz performed hysteroscopies at his private practice, but more complex procedures required using facilities at a hospital or surgery center. On Saturdays, Perwaiz had surgical privileges at Chesapeake Regional, meaning that his background and credentials had been screened and he was approved to operate at the hospital. It was a standard arrangement: Chesapeake Regional made money by billing a patient’s insurer for costs associated with Perwaiz’s use of its facilities.

One of the nurses Perwaiz worked with at Chesapeake Regional was Lisa Atkinson. At first, Atkinson had a good impression of Perwaiz, finding him pleasant and professional. She also saw that he worked much faster than other surgeons. His hysterectomies took between 20 and 30 minutes, while other providers required at least an hour. He packed his schedule too; no ob-gyn came close to performing as many surgeries at Chesapeake Regional. According to data compiled by the hospital, in 2017 Perwaiz performed 220 surgeries there. The next-highest number for an ob-gyn operating at the facility was 150.

By then, Atkinson’s opinion of Perwaiz had shifted. It started with a concerning encounter she had with him in 2014. One of Perwaiz’s patients came in for what was described on the day’s surgery schedule as the removal of her uterus, cervix, fallopian tubes, and ovaries. This conflicted with the patient’s consent form, on which she had agreed to have only her uterus and cervix taken out. “We are not doing the ovaries?” Atkinson asked the woman directly. “Nope,” she replied. Atkinson assumed that there was an error on the surgery schedule, the kind of thing that’s usually cleared up before an operation begins.

After the patient was under anesthesia, Perwaiz completed his pre-op paperwork, then the surgical team assembled for what’s known as a time-out: Before an incision is made, everyone in the operating room discusses the specifics of the procedure, whether the patient has any allergies or known health risks, and other crucial matters. It was during the time-out, when Atkinson was looking at the paperwork Perwaiz had just finalized, that she noticed a change on the patient’s consent form. Since she’d last seen it, the words “bilateral salpingo-oophorectomy”—the medical terminology for the removal of the ovaries and fallopian tubes—had been added in small, swooping letters in the right margin. The handwriting was Perwaiz’s.

When Atkinson asked about the addition, Perwaiz readily admitted to making it. Legally, Atkinson knew she needed either the patient or a designated proxy to sign off on the change to the form before surgery began, so she went to the waiting room to speak with the patient’s husband. According to Atkinson, the husband assumed that ovary removal was part of a hysterectomy. Atkinson explained that it was not. “Well, if it has to be done,” the man replied. He deferred to his wife’s doctor and signed the form.

After the surgery, hoping to gain more clarity about what had happened, Atkinson spoke with two pre-op nurses who had worked with the patient. They told her that the patient had been adamant that she wasn’t having her ovaries removed—not casual about it, like when Atkinson spoke with her, but definitive. The next day, Atkinson sent an email to her supervisor. “I feel as though we performed an assault on the patient if she truly did not want to have her ovaries removed. This just really bothers me,” Atkinson wrote. “I suppose we are covered by having her husband sign the consent, but it should have never come to that.”

Atkinson never learned what if anything the hospital did with the information she provided, or what happened with the patient. All she knew was that Perwaiz kept operating at Chesapeake Regional, which meant that she kept working with him. (The hospital declined to comment for this story.)

Other nurses raised red flags about Perwaiz. On alternating Fridays, he operated at a facility called Bon Secours Surgery Center at Harbour View. Some doctors who use Harbour View have an ownership share in the business, and Perwaiz was among them; his photo was mounted on an interior wall. Nurse Jean Kennedy found Perwaiz’s routine chaotic. He’d regularly perform between ten and fourteen surgeries per day, while other surgeons at Harbour View typically did two or three. Patients tended to arrive at the same time, early in the morning, as if they’d all been scheduled simultaneously, and it was left to the nurses to figure out how to slot the procedures. Perwaiz was known to work in two or three rooms at a time, shuttling from one anesthetized patient to another, and to begin filling out post-op charts before surgery.  

The staff called these operating days “Perwaiz-a-thons.” The pace worried Kennedy. “To me, it was an open[ing] for risk of mistakes, errors,” she later stated under oath. Kennedy and other Harbour View employees spoke to their supervisors about their concerns, and around 2009 there was a staff meeting where nurses reported that they didn’t like how fast they were asked to work when Perwaiz was on the schedule. They also said that some of his patients didn’t seem to know what kind of surgery they were having.

Perwaiz wasn’t at the meeting, but the administrator of Harbour View was. So was his boss, the regional coordinator for United Surgical Partners International, which owned the facility. Afterward, according to hospital staff, the Perwaiz-a-thons continued. Staff were told to fill out incident reports when something happened that seemed like cause for concern.

In a statement, a spokesperson for Harbour View said the facility was “unaware that Perwaiz was performing medically unnecessary procedures on his patients,” and noted that “his medical license, as granted by the state of Virginia and subject to review by the Medical Board of Virginia, was unrestricted and in good standing” for the duration of his time working at the surgery center.

Jen wanted to start seeing a gynecologist, but as anyone who’s ever been to one knows, the initial appointment can be especially stressful. You have to take off your clothes and open your body and your life to a stranger.

Perwaiz wasn’t just performing surgeries on a lot of patients—in some cases, he was performing a lot of surgeries on a single patient. Carol White, a nurse at Harbour View, saw this pattern plainly. Before the surgery center switched to computerized charts, staff added a sticker to a patient’s file when they came in for a procedure. White found it odd that there were long rows of stickers in the records of some of Perwaiz’s younger patients, who were statistically less likely to require multiple gynecological surgeries.

One of the patients who had multiple surgeries with Perwaiz was Jen*, who moved from New York City to Virginia in 2006. She wanted to start seeing a gynecologist, but as anyone who’s ever been to one knows, the initial appointment can be especially stressful. You have to take off your clothes and open your body and your life to a stranger. Topics of discussion are immediately intimate: Do you want to have children? How many sexual partners do you have? Have you ever had a sexually transmitted infection?

Jen felt like she’d be in good hands when a coworker recommended Perwaiz. The coworker had been a patient of his for years; he had delivered her kids. Jen made an appointment.

Jen was glad to see a diverse group of patients when she arrived at the office: old and young, pregnant and not, white and also Black like her. She liked Perwaiz right away. “He was super cool, very easy to like,” she told me. Over time she noticed that he had expensive taste in cars. She’d see his Mercedes in the parking lot, or his Jaguar.

Her first surgical procedure with Perwaiz took place about a year after she became his patient. After doing an exam, he told her she had HPV and recommended removing abnormal tissue he’d identified. He set up an outpatient appointment for her.

A few years later, in 2012, Jen told Perwaiz that she was experiencing abdominal discomfort, and after she had an ultrasound, he told her that she had a fibroid. He put her on birth control, a common treatment for the symptoms of fibroids, which include pain and bleeding. When that didn’t help, Perwaiz suggested that she might have endometriosis, a condition where tissue similar to the kind lining the uterus grows elsewhere in the body. Endometriosis can cause intense pain as well as infertility, and sometimes the only way to diagnose it definitively is via a surgical procedure known as a laparoscopy: A doctor makes a small incision in the abdomen, then inserts a scope to look for evidence of the disease.

According to a recent study in the journal Obstetrics and Gynecology, it can take patients as long as 11 years to finally be diagnosed with endometriosis. In part, researchers found, this is because of the normalization of gynecological pain: Patients and health care providers alike often see this kind of discomfort as a fact to be tolerated, not a condition to treat. Moreover, some doctors lack sufficient knowledge of endometriosis to help patients who suffer from it. Yet here was Perwaiz taking what Jen said seriously and offering to help her. She agreed to have the laparoscopy.

Not long after scheduling the procedure, Jen had an appointment at her general practitioner’s office. She told the medical assistant that she was having a laparoscopy soon. The assistant asked who her doctor was. After Jen gave Perwaiz’s name, the assistant said something she found strange: “Everybody I know who goes to him has to get that same surgery.”

Based on the laparoscopy, Perwaiz diagnosed Jen with endometriosis. From then on, it felt to Jen like every time she saw Perwaiz, he told her she needed another procedure. She got fibroids and cysts removed. She began to feel anxious whenever she had an appointment, to the point that she sometimes had to take a Xanax to calm down. “I was just afraid that he was going to tell me I needed surgery again,” she said.

In 2018, when Perwaiz told her that she had another cyst, Jen said she didn’t want it removed. She was done with surgeries. She asked what would happen if she didn’t have the procedure. Perwaiz told her that he could monitor the cyst to see if it grew. Jen hadn’t realized that this was an option; she couldn’t recall Perwaiz informing her about it during previous appointments.

About a year later, she had an ultrasound at Perwaiz’s office. Afterward he told her that the cyst was gone. Jen was glad, but later she wondered: If a cyst could resolve on its own, had Perwaiz really needed to remove all the others?

In mid-2019, a patient came into the waiting room and began yelling that all Perwaiz wanted to do was cut people open. The woman was put in an empty exam room, and Perwaiz told staff that she just wanted more pain medication, that she was an addict.

The medical technician who performed the ultrasound on Jen was Courtney Ciccone. But Ciccone was more than Perwaiz’s employee: She was also his patient. In fact, Perwaiz treated several of his staff. He also treated some of their family members. Lisa Strong, the medical assistant Perwaiz once instructed to rinse scopes instead of sterilizing them, recommended that her mother start seeing him.

Strong would later testify that she did this in spite of growing unease about her boss. She was often in the room when Perwaiz saw patients, and she noticed that he sometimes put a detail in a chart that didn’t correspond with what had happened in an appointment: He’d write that a patient’s menstrual cycles lasted longer than they reported, for instance, or list a lower blood pressure reading than what Strong had measured. Still, she thought Perwaiz was a good doctor. “I felt that he would take good care of my mother, which he did,” she said under oath. “And with me being there to, I’ll just use the word oversee things, not that I even really had to with her, I felt comfortable.”

In 2016, Strong’s adult son died. She took time off work to grieve, and her mindset about Perwaiz changed. She felt guilty for sensing that things weren’t right at the practice and not acting, and she decided that she had to quit. It was a difficult choice; she needed the job. But she finally gave notice in the summer of 2018.

Before she left, Strong spoke regularly with Diane Coleman regarding her concerns about Perwaiz. Coleman, who handled insurance claims for the practice, had some of her own. From her desk, she sometimes heard patients in the hallway make comments about having to get yet another surgery. She knew that most of the patients who had repeat surgeries were on Medicaid. In mid-2019, a patient came into the waiting room and began yelling that all Perwaiz wanted to do was cut people open. The woman was put in an empty exam room, and Perwaiz told staff that she just wanted more pain medication, that she was an addict.

Coleman later stated under oath that Chesapeake Regional at one point asked Perwaiz to start scheduling and billing abdominal hysterectomies as inpatient procedures, since they usually required an overnight stay post-op. Perwaiz didn’t want to do this, because insurance companies took longer to authorize inpatient procedures; calling them outpatient made for less hassle. According to Coleman, Perwaiz said that if Chesapeake Regional didn’t like his approach, he’d take his surgeries elsewhere.

The sheer number of procedures Perwaiz performed meant that Coleman sometimes worked seven days a week doing data entry and filing insurance paperwork. On weekends, when Perwaiz was done with his surgeries, he’d typically text Coleman to let her know, so she could use her work laptop to enter post-op information into the hospital’s computer system. Doctors usually did this themselves, but Perwaiz had Coleman do it because of his aversion to computers. Among other things, he would tell her when he’d altered a surgical plan in some way, since it affected the bill sent to the patient’s insurance provider. Coleman noticed that Perwaiz’s changes almost always involved adding components or complexity to surgeries. A vaginal hysterectomy became an abdominal one; ovaries were taken out along with a uterus. In general, the more complicated a surgery, the larger the insurance reimbursement.

Coleman took issue with the way Perwaiz worked, and she thought that he didn’t always give her the respect she deserved. She was feeling particularly stressed and underappreciated in September 2019, when an FBI agent knocked on her door. The bureau wanted to talk to her about her boss. Coleman immediately said that Perwaiz was an asshole.

By then federal agents already knew that at least one other person felt the same way: Debra.

3.

The FBI declined to comment for this story, and the bureau has never revealed exactly why it started investigating Perwaiz. All it has said is that, in 2018, an anonymous tip came in from someone at Harbour View—a nurse, perhaps, or another staff member suspicious about the Perwaiz-a-thons at the surgery center.

As the FBI began to dig into Perwaiz’s past, it found a complaint Debra had filed with Virginia’s medical board as part of her quest to hold Perwaiz responsible for performing surgery on her that she didn’t want. In February 2019, Debra got home from work and found a business card on her front door from an FBI agent, along with a note requesting that she get in touch. Debra didn’t know what the feds wanted with her, but she figured it must be serious. She called right away and made an appointment to visit the bureau’s Norfolk office.

When she arrived, Debra found a district attorney and two investigators waiting for her; all three were women. When they told her they wanted to speak with her about Perwaiz, Debra broke down. One of the women handed her a tissue and told her to take her time. “They patted me on the back, they comforted me, and then they gave me hope,” Debra said.

It had been several years since her surgery, years when she’d felt utterly alone and furious that Perwaiz was getting away with malpractice. “I thought nobody was listening to me. I felt like the system had failed me,” Debra said. “But these three women picked up the ball and they ran with it. They made me feel like I was a part of it.” She told them her story and agreed to cooperate going forward.

By the time the FBI got to Diane Coleman’s door several months later, investigators were looking for current patient records. They wanted to prove that Perwaiz was still doing the kind of thing Debra claimed he’d done to her. At first, Coleman was hesitant to cooperate, but at the end of her conversation with the agent who visited her, she walked to her car and grabbed some documents; she was often so busy that she had to bring work home with her.

Coleman shared the documents with the agent. It felt like the right thing to do. Over the next several weeks, she provided investigators with additional materials, including at least one document Perwaiz had planned to destroy.

Perwaiz kept a bin under his desk, and whatever he put in it was supposed to be shredded by an employee once a week. The document Coleman came across was a standard patient-intake form; it had been filled out, but there was an X drawn across it. Coleman checked the patient’s file and found another copy of the form. She later testified that Perwaiz had “rewritten” the form, filling it in with “different” information: The version he wanted shredded indicated that the patient had no gynecological complaints, while the one on file described them reporting pelvic pain and pressure, persistent cramps, and irregular periods. Any of those symptoms might justify gynecological surgery. Coleman shared both versions of the intake form with the FBI.

Coleman also told agents about Layla*, a patient who in the past few months had experienced some serious health issues. Intermittent but severe uterine bleeding had landed Layla in the ICU, where she required transfusions. After her hospital stay she followed up with Perwaiz, who had been her ob-gyn since 2014. Based on a physical exam and an ultrasound in February 2019, Perwaiz told Layla that she had fibroids that needed to be removed, because they were large and might be cancerous. (The vast majority of fibroids are benign.) Perwaiz performed a procedure known as dilation and curettage to scrape the fibroids from Layla’s uterine wall.  

Layla went back to Perwaiz that September. She wasn’t having her period, which meant that she might not be ovulating, and she wanted to have a baby. Layla underwent an ultrasound on September 26, after which Perwaiz told her that she had a small fibroid he wanted to remove before it got any larger. (Fibroids can disrupt a person’s menstrual cycle.) Layla agreed to have the procedure the following month. 

But while reviewing Layla’s file, Coleman noticed that, in fact, her most recent ultrasound didn’t show any fibroids at all. Perwaiz had scheduled Layla for a procedure to remove a growth there was no evidence she even had. In the plainest of terms, he seemed to be lying. Coleman provided the FBI with a copy of the surgical plan for Layla’s procedure, along with the conflicting ultrasound results.

On October 10, investigators visited Layla at her home. They said that they had reason to believe Perwaiz was performing unnecessary procedures on patients, including her. They talked about what was in her medical file, the information that didn’t match up. In addition to the normal ultrasound results, Perwaiz had noted in her file that she was experiencing heavy, painful periods, when in fact she wasn’t menstruating at all.

The investigators asked Layla to call Perwaiz to talk about her upcoming surgery, to see what he said. The FBI would record the conversation. Layla was on hold with a receptionist for a few minutes before Perwaiz picked up the phone. “I have some quick questions for you,” Layla said.

She told him that her boyfriend wanted to know more about the surgery she was scheduled for. Could Perwaiz explain the procedure? Perwaiz told her that it was for fibroid removal. Layla then asked how long she’d need to be off work, since she was starting a new job. He told her one week. She asked why the recovery was longer this time than it had been for her last surgery.

“Because we’re making a bikini incision,” Perwaiz said, referring to a type of surgical cut in the abdomen.

“You didn’t cut me in that area last time, so why are you cutting me in that area this time?” Layla asked.

“Because we are removing the tumor. These are big tumors, you cannot remove them through [a] belly-button incision.”

Perwaiz was describing multiple large fibroids, not a single small one, contradicting what he previously told Layla about why she needed surgery. She had caught him in a lie.

“Are there any other options as far as the surgery?” Layla asked. “That sounds kind of scary.”

“Then don’t do it,” Perwaiz said. “We’ll cancel it and hopefully you get pregnant. How about that?”

Layla agreed, they said their goodbyes, and she hung up the phone.

On Monday, October 28, two special agents from the Department of Health and Human Services and the Virginia Medicaid Fraud Control Unit arrived unannounced at Perwaiz’s practice. The agents, Tamika Williams and Paul Hastings, were shown to Perwaiz’s private office, where they introduced themselves and showed him their credentials. They said that they had a complaint they needed to resolve, which required asking Perwaiz some questions.

They started off with a basic one: How many patients did he see in his practice? “Thousands,” Perwaiz replied. “I’ve been in practice for 39 years. One hundred patients a week, 400 maybe a month, maybe 5,000 a year.” The agents asked some more general questions about Perwaiz’s office and the types of procedures he did there, including hysteroscopies. Perwaiz described the procedure and answered questions about the equipment he used. Then he excused himself to see a patient.

When he got back to the office, Perwaiz abruptly ended the interview. “If there’s any complaint, I absolutely want that addressed,” he said. “But I don’t think I should answer these questions anymore. I have already probably answered too many.”

The next day, the FBI raided his office. Agents took medical devices and the contents of trash cans. They snapped photos. And they seized medical records, loads of them. They took more than 3,400 files from shelves in the front office and from a storage space in the attic. The material filled 80 bankers boxes.

After the raid, authorities assumed that because he was under investigation, Perwaiz would voluntarily stop seeing patients. But he didn’t. One of the women still in his care was Tessa*.

Tessa is an exuberant person—she likes to sing and is quick to laugh. She was once in an abusive marriage but got out with her three children. She went back to school and remarried, and soon she wanted to have a child with her new husband. Tessa was in her forties then, but other women in her family had had kids later in their reproductive years, so she thought she could, too. Then her general practitioner identified what might be a tumor in her uterus and referred her to Perwaiz.

At her first appointment, according to Tessa, Perwaiz looked at an ultrasound from her GP’s office and confirmed that she had a tumor. He told Tessa that if she didn’t have a hysterectomy soon, she would get cancer. She asked if there were other options, since she wanted to have another baby. Perwaiz said no.

Tessa’s mother, grandmother, grandfather, and uncle had all died within two years of each other. Her father had just survived his second bout with cancer. She was overwhelmed by the stress of all the illness and loss around her, and she worried about her kids being left without a family if something happened to her. She agreed to have a hysterectomy but decided to keep her ovaries. Her surgery was scheduled for October 19.

Tessa had complications from the operation almost immediately. She called Perwaiz’s office to let him know that she was going to need more than a three-day prescription for pain medication. She could tolerate a lot—she had delivered three kids, after all—but this was too much. Perwaiz told her to take two Tylenol.

Tessa didn’t get mad, just like she hadn’t when she was still in the hospital and Perwaiz told her, “Good luck having more babies.” However intended, it seemed like a cruel thing to say to someone who’d just had her uterus removed. But Tessa didn’t want to come off as a stereotypical angry Black woman, so she kept her mouth shut.

On October 26, Tessa’s postoperative pain got so severe that she went to the emergency room. When she explained her situation, staff members remarked that she’d seen “the weekend doctor.” Tessa didn’t know what that meant, so someone explained that they were talking about Perwaiz, “because he does so many surgeries over the weekend.”

Tessa went home the next day, but the pain didn’t go away. She also felt faint and short of breath. Her husband took her to the general practitioner who’d referred her to Perwaiz, and the doctor expressed surprise that Tessa had undergone major surgery so soon after Perwaiz first saw her.

The GP did an ultrasound, then sent Tessa back to the ER, where she had a CT scan. After reviewing the imaging, her doctor told Tessa that her ovaries were gone. Perwaiz had removed them, forcing her into early menopause. 

A few days later, in early November, Tessa was at home in bed recovering from the ordeal when Perwaiz’s face appeared on the local news. She screamed. Her husband, who was cooking dinner, ran into the room.

“What’s wrong?” he asked.

“This motherfucker is on TV!” Tessa said.

Perwaiz had been arrested. He was charged with just two counts: health care fraud and making false statements relating to health care matters. The prosecutor’s office expected that there would be more charges, but it decided to proceed with the first two to compel Perwaiz to cease practicing.

4.

One by one, Perwaiz’s patients learned of his arrest. Jen looked at a news site on her work computer and saw his face on her screen. Another patient got a text about Perwaiz from her cousin and thought, That’s weird—that’s my doctor’s name. It took a second for it to click: He was her doctor. Brittni DuPuy-German was one of the last patients Perwaiz ever saw; she had an appointment with him on November 7, the day before his arrest, and he’d scheduled her for surgery. She found out that he was behind bars when a friend texted her a news article.

Debra hadn’t told anyone she was talking to the FBI, but her loved ones knew about her effort to sue Perwaiz. When they heard about his arrest, they celebrated with her. Got him! they said. Debra agreed to be a witness at Perwaiz’s trial: She was ready to do everything she could to make sure he never saw another patient.

Within weeks of Perwaiz’s arrest, the FBI was contacted by hundreds of people he’d treated. Some were sure they’d had surgeries they didn’t need. Others were just now realizing that might be the case. Many didn’t know what to think, but were scared. “This man may have very well taken any ability I had to bear children of my own forever,” one email stated. Another read, “I have recently learned that I’m missing a fallopian tube and an ovary.” The flood of contacts became so great that the government set up a hotline for potential victims.

The following June, the prosecutor’s office filed a new indictment against Perwaiz, expanding its case against him. It listed 26 counts of health care fraud and 32 counts of making false statements relating to health care matters. There were also three counts of aggravated identity theft: Perwaiz was accused of using patients’ names and Medicaid information to try to obtain insurance money.

The details in the indictment were shocking. The government accused Perwaiz of “routinely” lying to patients and falsifying medical records in order to perform unnecessary surgeries. He told numerous patients that they had cancer when they didn’t, scaring them into hysterectomies insurers reimbursed him for. He told other patients, including Layla, that they had fibroids or cysts that would become cancerous if entire organs weren’t removed immediately, when in fact the accepted standard of care for those conditions called for far more conservative treatments, such as monitoring or medication, before surgery. One woman who began seeing Perwaiz after she had an abnormal pap smear in 2012 told investigators that she underwent no fewer than seven procedures, including a diagnostic hysteroscopy and a laparoscopy, in just nine months. Later she had a hysterectomy. Perwaiz told the patient’s insurer that the reason for the hysterectomy was uterine prolapse, a condition the patient was never diagnosed with.

Perwaiz was also accused of inducing labor before 39 weeks so patients would give birth on days he was already scheduled to perform surgeries, thus ensuring that he, and not some other doctor on call at the hospital, received the insurance payments associated with the deliveries. Of the more than 80 births Perwaiz billed Medicaid and Tricare, another insurer, for in 2019, at least 33 involved patients induced before 39 weeks with no medical indication that they needed it. (Early induction is not recommended unless the health of a fetus or the person carrying it is at risk.) According to the indictment, to avoid dealing with questions from insurers, Perwaiz sometimes falsified a patient’s estimated due date so it appeared they were past 39 weeks when he induced them.

Many of the patients listed in the indictment described suffering “serious bodily injury” as a result of what Perwaiz did. But there were also allegations of crimes involving no bodies at all. The indictment stated that, between 2010 and 2019, Perwaiz billed insurers for more than $2.3 million in procedures and surgeries, including “hysteroscopies and colposcopies, that he did not actually perform.” In other words, there were procedures he’d simply made up.

The more money Perwaiz made, the more the hospitals where he performed surgeries benefited. According to trial testimony, from 2010 to 2019 Chesapeake Regional made $18.4 million from Perwaiz’s use of its facilities, while Harbour View made $3.1 million.

Perwaiz’s trial began in October 2020, and lasted four and a half weeks. Former employees, coworkers, and patients took the stand to testify about what they’d seen and experienced at Perwaiz’s practice or while under his care. A nurse described complications suffered by babies Perwaiz delivered via unnecessary early induction. Women described the trauma of realizing that they’d had organs removed without their consent or surgeries based on false diagnoses. One former patient said that she was so scared when Perwaiz told her she would likely get cancer if she didn’t have surgery that she left his office and immediately bought life insurance.

During Debra’s testimony, the prosecution shared documents related to her surgery, including her consent form, where someone had scribbled “possible abdominal hysterectomy.” Debra didn’t remember seeing those words on the form when she signed it. Perwaiz’s progress notes on the procedure also contradicted what he and Debra had talked about in her appointments. “Patient wants to have ovaries removed through abdominal incision,” Perwaiz wrote. “Risks/benefits, including need and risks of hormones, explained at length. All her questions answered.” Meanwhile, the post-op report stated that after Perwaiz closed her up, he was alerted to blood in Debra’s urine, but he decided it wasn’t enough to worry about and sent her to recovery.

“I did not tell you to cut my guts,” Debra said on the stand. “That wasn’t what was agreed upon.”

Some of Perwaiz’s staff who were also his patients described seeing procedures they hadn’t consented to described in their own medical files. Additionally, employees testified that they were instructed to write details of patients’ medical histories and complaints on Post-it notes during appointments, leaving Perwaiz to transcribe them himself into the patients’ files later.

Margo Stone, the longtime nurse in Perwaiz’s office who was also his ex-girlfriend, agreed to testify against him in exchange for immunity; she had never reported the financial support he gave her to the IRS. Many former patients and staff learned at the trial that Perwaiz himself had a history of tax problems. In April 1996, he was convicted of filing false returns after he claimed the value of personal items, including a Ferrari and a Mercedes, as business expenses. He was put on probation and in-home confinement, and his medical license was briefly revoked. Two decades later, he lied on a form required by an insurance provider: When asked if he’d ever been convicted of a felony, Perwaiz indicated that he hadn’t—he characterized what happened in 1996 as merely “tax issues.”

Perwaiz told the same insurance provider that he’d never had his clinical privileges revoked by a medical facility, but investigators discovered that this also wasn’t true. In October 1983, Perwaiz lost his staff membership and surgical privileges at Maryview Hospital in Portsmouth after administrators found that he’d performed unnecessary procedures. That December, the CEO of Maryview, J. Bland Burkhardt, wrote a signed letter to his counterpart at Chesapeake General Hospital, Donald Buckley, alerting him that Maryview had cut ties with Perwaiz and explaining why. Chesapeake General would later be renamed Chesapeake Regional. (Buckley retired from the hospital in 2005 and now teaches at Eastern Virginia Medical School. He declined to be interviewed for this story.)

On June 22, 1984, the Virginia Board of Medicine sent an official notification to Perwaiz that he was being investigated regarding his time at Maryview. The letter detailed 11 instances in 1982 when he had performed a hysterectomy despite there being no medical indication that the patient needed the procedure. The same went for a diagnostic laparoscopy Perwaiz performed on a 17-year-old girl. The letter also noted that he’d had a sexual relationship with one of his patients, which Virginia law defines as unprofessional conduct that might be grounds for discipline.

Members of the medical board met on July 27 to determine Perwaiz’s professional fate. Based on evidence from the investigation, they had four options: They could exonerate him, reprimand or censure him, place him on probation, or recommend a formal hearing, where the question of revoking his medical license would be considered. The board chose to censure Perwaiz for poor record-keeping and for lack of professional judgment. The censures became part of his permanent record, and he continued treating patients and performing surgeries at hospitals where he had privileges.

In the ensuing years, there were at least four complaints about Perwaiz filed with the Virginia Department of Health Professions. One of them was submitted by Debra and had led the FBI to her door. At Perwaiz’s trial, the prosecution revealed a complaint from 2010 filed by a woman who felt Perwaiz had coerced her into inducing birth. WAVY, an NBC affiliate in Virginia, found another complaint about Perwaiz, this one filed by a woman named Linda Jackson on August 15, 2013, after a series of surgeries and complications. She believed that Perwaiz had harmed her and that Chesapeake Regional was covering for his mistakes. “Please help me!” Jackson wrote in her complaint. “I don’t know what to do!” In all three cases, the Virginia Board of Medicine did not pursue disciplinary proceedings. (The board declined to comment for this story, citing a Virginia law prohibiting it from doing so.)

The other known complaint, also found by WAVY, predated the others by at least two decades. On June 4, 1991, Susan Pullem wrote a letter asking the medical board to investigate Perwaiz. He had operated on her six times between April 1987 and July 1988, then performed a partial hysterectomy in October 1988. The following February, Pullem went to a new gynecologist, who told her that the hysterectomy had probably been unnecessary; had Pullem been his patient, he would have treated her symptoms with medication. The new doctor also told her that the lining of her vagina was “paper thin” because of the numerous procedures she’d had in such a brief span of time.

When bills arrived from Perwaiz’s office, Pullem refused to pay them. “The way I figure it, you owe me!” she wrote in an October 1990 letter to Perwaiz. “I am sure all of my surgeries bought you at least one or two more of the Mercedes that you are so fond of.”

Perwaiz sued Pullem for payment. In a letter submitted to the court, Pullem described what had happened to her and said that she’d spoken with dozens of other women who’d had similar experiences with Perwaiz. One woman told Pullem that Perwaiz had cut her bladder while performing a hysterectomy. “He didn’t even notice it and completed the surgery,” Pullem wrote. “This same woman was recently hospitalized again with complications from that surgery.” The situation sounded remarkably similar to what Debra endured beginning in 2012.  

“I hope that the courts will look at all of the evidence presented and come to the same conclusion that I have. Dr. Perwaiz is a disgrace to his profession and has taken advantage of trusting women for too long,” Pullem’s letter to the court continued. “Between the monies paid him by myself and the insurance companies, I feel he has been paid very well indeed for ruining my life.”

The court sided with Perwaiz. Pullem later filed her complaint with the state medical board. She said she never got a reply.

As Pullem professed, Perwaiz’s patients made him rich, a fact all the more disturbing because so many of them were Medicaid recipients, which by definition meant that they earned very little money. In the years immediately leading up to his arrest, Perwaiz made about $1 million annually. (Per the Bureau of Labor Statistics, the average estimated salary of an ob-gyn in the United States in 2020 was about $239,000.) And the more money Perwaiz made, the more the hospitals where he performed surgeries benefited. According to trial testimony, from 2010 to 2019 Chesapeake Regional made $18.4 million from Perwaiz’s use of its facilities, while Harbour View made $3.1 million.

Throughout the trial, Perwaiz maintained that he was a good doctor who did right by his patients. In testimony, he said that the surgeries he performed were justified, even if his approach to paperwork left something to be desired. He said that he saw the number of patients he did because he didn’t want to turn people away, especially those who might not have reliable access to transportation. “I had a standing policy and instruction to my scheduling people that if a patient calls, new or an established patient, bring her in the day she wants to come in. And if it [was] that day, we made it happen,” he said. “It was never a[n] ‘I’m too busy’ kind of office.” Perwaiz attributed his rate of surgeries to his “patient mix,” as he put it. “Seventy-five or probably more close to 80 percent of my patients are Medicare/Medicaid patients,” he testified. “They’re [at] higher risk when they are pregnant, and they have more gynecological issues because they don’t do preventative things, and so forth.”

But the evidence against Perwaiz was overwhelming. On November 9, 2020, a year and one day after he was arrested, a jury found him guilty on 52 counts. He was sentenced to 59 years in prison and ordered to pay restitution of more than $18.5 million to the insurance companies he defrauded.

His former patients got nothing. Legally speaking they weren’t victims in the case—only the insurance companies were. In the eyes of the court, Perwaiz’s victims were witnesses, testifying about the wrongs done to insurers through the harm done to their bodies.

At the sentencing hearing, Tessa gave a statement addressing this fact. “Women have been fighting all of our lives to matter … just to be smacked in the face, a reality that we aren’t as important,” she said. Tessa described how she and other patients hurt by Perwaiz needed help: medical care, mental health support, financial compensation. But many of them couldn’t file a lawsuit even if they wanted to, because of Virginia’s statute of limitations on medical malpractice suits. “The fact that we have yet to find assistance,” she said, “is a clear statement that we still don’t matter.”

Perwaiz’s most recent patients were able to file suit, and more than a dozen did. Tessa was among them, and she eventually settled with Perwaiz out of court. When Brittni DuPuy-German filed her own suit, she named the Chesapeake Hospital Authority, the governing body of Chesapeake Regional, as a defendant alongside Perwaiz. DuPuy-German alleged that the hospital administration had been negligent in failing to properly evaluate his credentials and in granting him surgical privileges. Attorneys for the hospital argued that it wasn’t liable for Perwaiz’s actions.

In April 2021, a judge sided with DuPuy-German, but in the appeals process the hospital invoked sovereign immunity, a legal concept derived from English common law that prevents public entities from being sued. The Chesapeake Hospital Authority was established by the state legislature, and its members are appointed by the Chesapeake city council. In February 2022, a judge ruled in the authority’s favor and dismissed it from the lawsuit.

There is longstanding precedent in Virginia for the court’s decision. The legal logic is that public bodies must be able to perform their essential functions without fear of lawsuits. But according to critics of sovereign immunity, this can leave victims of institutional wrongdoing without recourse. “At Safeway, if there is a salad bar, and somebody slips and falls because an employee didn’t pick up the salad off the floor, then Safeway is vicariously liable for the actions of the employee—that’s a very typical arrangement,” said Anya Bidwell of the Institute for Justice, a public-interest law firm in Virginia. “But when it comes to government entities, they are somehow special, they are exempt from this…. What ends up happening is a culture of unaccountability.”    

DuPuy-German said that she feels Chesapeake Regional is “hiding behind sovereign immunity.” (She settled separately with Perwaiz.) “They pretty much got away with this,” she told me, “even though in my opinion they were just as negligent as him, because they were notified by multiple different people in their own facility, and they didn’t do anything about it.”

More than a half dozen suits are still working their way through the legal system, including one filed by Layla, who’d let the FBI record her phone call with Perwaiz. (She declined to be interviewed for this story on advice of her attorney.) But most of Perwaiz’s victims, of which there are likely hundreds, have been left without a clear path to restitution. The FBI designated a victim coordinator to connect former patients with mental health services and to communicate information about the investigation and trial to people requesting it. The bureau told potential victims that, as a first step in addressing any harm done to them, they could request their medical files from Perwaiz’s office.

Jen, who underwent multiple surgeries with Perwaiz, drove to his office to get her file. She recognized the female employee who was handing out documents to the former patients coming in the door. Jen also requested her records from Chesapeake Regional. She took everything to a new gynecologist, who didn’t see any evidence to validate the endometriosis diagnosis Perwaiz had given her. It was hard to hear, even harder to sit with. “I realized there really wasn’t going to be much I could do about it,” Jen said. When she sees a doctor now, Jen’s anxiety still spikes, but she also feels like she has a better understanding of what good care looks like.

Others haven’t been so lucky. Former patients who spoke at Perwaiz’s sentencing hearing or were interviewed for this story said they’ve struggled to find doctors to support them. When one woman told a new gynecologist what Perwaiz had done to her—a hysterectomy based on a false cancer diagnosis—the doctor said she should see it as a good thing, because it was a permanent form of birth control. “I let her finish her exam, I cried, and I left,” the woman said. Other former patients, including Tessa, said that they’d encountered health care providers who seemed to be on Perwaiz’s side. Tessa was in the middle of an exam when her new ob-gyn said that they’d heard Perwaiz was an awesome doctor.

“If an insurance company dies, nobody gets hurt,” Debra said. “But if I die, my sons grow up without a mom.”

After Perwaiz’s arrest, Tessa slipped into depression. She had panic attacks; she felt paranoid. She also experienced the effects of the early menopause—mood swings, specifically—brought on by a surgery she hadn’t consented to. “I have been battling through the stages of grief as if I lost someone, because I have. I’ve lost myself,” she said in her witness statement. “I’m not the woman I was before, and it’s a daily challenge trying to find myself again.”

When the trial ended, Tessa sent email messages to local politicians requesting support for Perwaiz’s victims. She asked that hospitals be held responsible when people are hurt in their facilities. She asked that laws be changed to protect women like her.

She never heard back.

Jen has talked to her therapist about Perwaiz, and she sees what he did as an all too common betrayal. “It’s somebody that you trusted. Somebody that you’re taught to trust your entire life. Somebody that you put your life in their hands,” Jen said. “As a woman, and on top of that as a Black woman, it’s always this way, you know? We have to face so many barriers.”

Other former patients I spoke with felt similarly, and some believed that Perwaiz specifically targeted poor Black women. In their comments were the echoes of history: of the Tuskegee experiments, when the U.S. Public Health Service left Black people to suffer and die from syphilis so doctors could study the effects of the disease; of Henrietta Lacks, whose cervical-cancer cells were taken without her permission for biomedical studies; of the enslaved Black women whom J. Marion Sims performed experimental surgeries on—surgeries that would earn him the moniker “the father of gynecology.”

These echoes pushed Debra to fight to be heard, even when it seemed like no one cared to listen. She still mourns the children she can never have because of what Perwaiz did. And while she’s glad she finally got to tell her story in court, she’s angry that the legal system’s priority wasn’t to help Perwaiz’s victims. “If an insurance company dies, nobody gets hurt,” she said. “But if I die, my sons grow up without a mom.”

Debra, who now lives in Mississippi, has more she wants to say and do. She’s channeling some of that momentum into a new career: She recently took a job at the Department of Justice, as a program specialist focused on initiatives to de-escalate police violence. “In my little life,” Debra said, “I want to be in a position where I can bring some kind of equity to people’s lives, to help them.”


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Two Thousand Miles From Home

Two Thousand Miles From Home

As Russia invaded Ukraine, three women from the same family became pregnant at the same time. Then the war tore them apart.

By Lily Hyde

The Atavist Magazine, No. 144


Lily Hyde is a writer and journalist based in Ukraine. She has written for The Guardian, Politico, the Times of London, and Foreign Policy. She is the author of Dream Land, a novel about Crimea.

Editor: Jonah Ogles
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Olena Goncharova
Illustrator: Andriana Chunis

Published in October 2023.


Oy, bida! Oy, bida bida bida
A ya ba, a ya baba moloda

Lydia Kuznichenko is singing a Ukrainian folk song to the baby she’s holding in her arms. The tune is cheerful, although the words translate as something like: Oh, woe is me! And I’m a young woman. Lida, as she is known, is still young. She has grey-green eyes and dark golden hair, a face not meant for grief. She laughs and teases the baby: “Yes, yes, is your grandmother young?”

Sitting with Lida on the bed in her small brick house in the village of Ridkodub, Ukraine, I am wearing a heavy bulletproof vest that is supposed to protect me from the war raging outside. The baby, buttoned into a white onesie and a little blue jacket, has nothing to protect him except his grandmother’s arms. He is very small, not quite three months old.

Outside it’s a cold, pale winter’s day, December 30, 2022. We are in the Kharkiv region, about 20 miles west of the Russia-Ukraine border, and seven miles from the front line of the war between these two countries. A set of shelves in the room is piled with folded baby clothes and blankets—pink, blue, lemon yellow, white. On the veranda outside, tiny clothes and socks are pinned to a line, having been washed by hand in water heated on the old-fashioned stove. The house is a simple Ukrainian village home, warm and quiet except for the crackle of wood burning in the stove. When there’s a long, deafening roar outside that makes the windows tremble, or a series of more distant thumps, I’m the only one who flinches. The baby wriggles, then sleeps.

Both of them do—there’s another baby in the room, on the bed. The infants have a good many adopted uncles in Ridkodub, men who wear camouflage, army boots, and bulletproof vests. They think the babies are twins at first. “No!” Lida corrects them. “They are daughter and grandson. They are nephew and aunty.” Their names are Vitalina and David, and they have seen more woe in their few months on earth than many of us could imagine in a lifetime.

If Lida were to tell these babies a story instead of singing a song, how might she start? Perhaps like this: There were three women—Liuda, Lida, and Lera. They were from two generations of the same family; they lived a few miles from one another, and they all became pregnant just a few weeks apart. But a war came between them and divided them from one another. One of them traveled 2,000 miles to come home; another was lost.

No. That story gets too sad too quickly.

Perhaps she could start like this: There is the story about David and Goliath. Little David went out to fight the giant Goliath, who threatened to destroy David’s whole nation. And everyone thought that Goliath would win in three days, but little David would not be defeated.

Yes, that’s a better way to begin.

1.family

Lida’s family, the Slobodianyks, are a big, close clan. Arkady and Halyna moved from the Vinnytsia region, in central Ukraine, to Ridkodub, in the Kharkiv region, in 1986 with their four children. Lydia and her twin sister, Liudmyla, were still babies when the family relocated to work at the kolkhoz, the Soviet collective farm. Another daughter was born in nearby Dvorichna.

Lida and Liuda, as they were known, did everything together. Liuda was the eldest by five minutes. They studied at the local school and sang in the school choir. When they were 12, they started helping out at the farm, too, milking the cows. The twins performed together at local clubs and concerts, two girls with bright faces, harmonizing as they sang rich, plaintive Ukrainian folk songs. Lida had her first child—a son, Maksym—at 18. Liuda followed three months later with a daughter.

Maksym was a timid, serious baby. Lida bounced and tickled him, and sang nonsense songs to coax out his smile. The baby’s father left the family early on. Maksym grew up close to his mother; he had her green eyes and dark blond hair, but not her lively, outgoing temperament. A brother was born, then a sister as cheerful as Lida; Maksym remained the quiet, stubborn one.

By the mid-1990s, the kolkhozes had become private farms, but otherwise it felt as if not much had changed in their uneventful corner of Kharkiv region. Fields of wheat, maize, and bright sunflowers stretched to meet big skies, like picture postcards of the yellow and blue Ukrainian flag. The Oskil River wound past Dvorichna, between high, chalky banks overgrown with wildflowers and riddled with the burrows of steppe marmots.

As the children grew, the family gathered regularly; the farthest any of the five adult Slobodianyk siblings and their families had gone was to the regional capital, also called Kharkiv, where the oldest brother lived. Everyone else lived within a few dozen miles of one another in the district of Kupiansk. By the end of 2021, Arkady and Halyna had 15 grandchildren and great-grandchildren, and perhaps soon there would be another: Maksym had recently startled Lida by bringing home a girl he’d met at agricultural college. Her name was Valeria Perepelytsia, or Lera for short. A girlfriend! Not Lida’s shy Maksym—who, by the way, was only 17. The young couple had already started talking about having a baby.

2.occupation

Early on February 24, 2022, a sound like the sky tearing in half ripped through Lida’s dream.

It was dark, not even 4 a.m. The house in Ridkodub was quiet, her younger son, Dmytro, and daughter, Uliana, peacefully asleep. It was just a horrible dream, she decided. She dozed off, then woke again to another loud noise. Perhaps someone was setting off fireworks outside.

When she looked out her window, she saw that the sky in the northeast, toward the Russian border, was on fire. It was not a dream or fireworks. It was what the United States had been warning of, the thing no one in Ukraine wanted to believe could happen: Russia had invaded Ukraine.

Russian troops had amassed along the Ukrainian border for months, as Russian president Vladimir Putin declared that the neighboring country needed “denazifying” and “demilitarizing” while insisting that Ukraine was really part of Russia anyway. Despite U.S. and EU warnings, few Ukrainians thought there would be an attack beyond the eastern end of the country, where Russia had fomented a conflict in 2014 and effectively occupied parts of the Donetsk and Luhansk regions. Kharkiv bordered Luhansk and Donetsk—and Russia. But no one was prepared for Russian missiles falling on civilians and destroying infrastructure all over Ukraine. On the morning of February 24, Russian tanks not only crossed the border into Kharkiv region, but advanced on Kherson and Mariupol in the south and toward the capital of Kyiv to the north.

Lida phoned Maksym, who was staying with Lera and her family in Velykyi Vyselok, about 17 miles away, across the Oskil River. The call woke him up. “How can you sleep,” she yelled, “when the war has started?”

Maksym had been watching the news closely and messaging with his older cousin in the Ukrainian army. But his cousin had not prepared him for this. Lera, however, knew exactly what war was. She had experienced it before, eight years ago in Luhansk. She remembered how her mother hid her and her younger sister in the wardrobe during the bombings, and shared with them the only food they had: half a loaf of bread per day.

Now she and her mother scrambled to dress her baby brother, Artem, and gather a few essentials. Lera’s instinct was to run, although she didn’t know where to go. Grad rockets roared right over the house. Lera’s younger sister, Alyona, had been five when the Perepelytsias fled their home in Luhansk region. Now the buried trauma surfaced. She crouched like the little quail—perepilka—of their surname, put her hands over her head, and screamed.

No one went to work that day. People hid in basements and root cellars as planes and helicopters flew overhead and columns of tanks and artillery drove through Ridkodub and Dvorichna. They were unmarked, and Lida’s neighbors weren’t sure which country they belonged to; it was only on the very last column, which came through at about 4 p.m., that they saw a Russian flag. The few Ukrainian defenses near Dvorichna and Velykyi Vyselok were quickly overwhelmed.

On February 27, the mayor of Kupiansk, the administrative center of the district, surrendered. Soon Kherson fell in south Ukraine. The remaining Ukrainian forces near Lida’s home retreated to defend Kharkiv, which for the next three months was bombarded as Russian forces sought to take the city. But in the settlements near the border, after that first day when Russian troops passed through, everything went strangely quiet.

It was their home, it was Ukraine. Why should the Russians force them out?

On February 28, Vitaly Kucher was in his flat in Dvorichna with his wife and four-year-old daughter, wondering if he still had a job, or a country, when he got a call from a colleague: “You have ten pregnant women waiting outside your office. Why are you at home?”

Kucher, 34, had a homely, round face, and had worked as a gynecologist in Dvorichna for ten years. Before that his father was the local pediatrician. Everyone knew the Kuchers: Between them they’d ushered most of the district’s children into the world and through years of inoculations, illnesses, and accidents. As a child, Lida had been enchanted by Kucher senior during doctor visits; in 2014 and 2015, Kucher junior saw her through her pregnancy with her daughter, Uliana.

Now their hometowns were occupied by Russia. Yet people still lived and loved, pregnancies progressed, and babies were born. Kucher went back to work at Dvorichna’s hospital.

In Ridkodub, Dvorichna, and Velykyi Vyselok, people soon got used to the helicopters flying overhead, as regular as coffee in the morning. Russia was much closer than Kyiv, and the area had long had close relations, both official and unofficial, over the border. A Russian occupation authority installed itself in the Dvorichna House of Culture but seemed clueless when it came to running the appropriated territory. Kucher and his colleagues continued their work almost as usual, stamping hospital paperwork with the Ukrainian stamp.

“Do you know why it took us so long to react?” Kucher asked me when we met in a central Ukrainian village in summer 2023. “Because nothing happened! There was no shooting, no violence, no terrible bombing. Everything was quiet, except for us not knowing who we were anymore.”

Kucher had over 40 pregnant patients during the occupation. There were no buses anymore, so they came on foot or by bike. If several lived in the same village, they might join together to pay for gas and a driver.

One of Kucher’s first patients after the invasion was Lida’s twin sister, Liuda, newly pregnant. Kucher knew her well—she had four children already. Liuda and Lida always had babies at about the same time; they did everything together. Kucher wondered whether Lida might soon turn up outside his office.

Instead, in late March a very young woman was among the patients waiting to see him. She was small and slim, with clear pale skin, dark eyes, and dark hair in a topknot. Her partner was waiting outside. They were both 17. Her name was Valeria Perepelytsia, and the partner was Maksym Kuznichenko, Lida’s oldest son.

Kucher usually referred such youthful pregnancies to social services, to discuss whether to keep the child. Such services were no longer available, however; the director had fled to Poland. The girl in front of Kucher now was so young. But she was very certain that she and her partner wanted the baby, even if the timing was terrible. Kucher was impressed by Lera’s mature attitude. He filled out a medical card for her and scheduled monthly checkups.

When Lera realized that she was pregnant, she’d cried hysterically at first. How would two underage parents bring up a child in wartime, when everything was so uncertain? Maksym had tried to calm her down. In Velykyi Vyselok as in Ridkodub, the Russians had merely passed through and left checkpoints between settlements. Practically everyone in both villages remained, working at the commercial farms or on their own small plots, hoping it would all be over soon, that it wouldn’t affect their lives too much.

Lera’s mother, Svitlana, already displaced once from Luhansk, announced that she wasn’t going anywhere. The elder Slobodianyks in Ridkodub also refused to leave. Here they had a roof over their heads, a vegetable garden, geese and pigs and rabbits to look after. And it was their home, it was Ukraine. Why should the Russians force them out? Besides, they had no savings to cover the enormous travel costs, and the trip was dangerous. Kharkiv was being bombed; the Russians were just outside Kyiv. Where would they go?

Pregnant Liuda had an additional reason for staying. Her husband supported the Russian invasion, and he wasn’t the only one in the district. It was the first real disharmony there had ever been between Liuda and Lida.

In the end, only Lida’s younger sister Sveta left, using the last so-called green corridor to government-held territory, at the end of March. The rest of the family stayed put, Lida and the younger children in Ridkodub, Liuda near Kupiansk, and Maksym with Lera and her family in Velykyi Vyselok. Maksym got a job at the farm where Lera’s mother worked, looking after the calves, and complained about the smell of the animals that clung to his clothes.

Lera cycled to her appointments in Dvorichna, but a question remained: Where would she have the baby? Though home births are not permitted in Ukraine, she approached the only medic in Velykyi Vyselok, a nurse named Natasha Dikhman, and asked if she could help in case Lera had an emergency or couldn’t reach a hospital. Natasha worked part-time in a small first aid center, measuring blood pressure, dispensing basic medications, and patching up injuries. She had limited knowledge of midwifery, and told Lera and her mother not to expect qualified help from her.

Kucher usually sent complex cases to Kharkiv, including births to underage mothers. But the road to the city was closed now. Some of Kucher’s patients went to hospitals in the nearby Russian towns of Valuyki or Belgorod, where they met with incomprehension about what was happening across the border. Russian state media barely reported on the invasion. If Russians paid any attention at all, they likely thought that the so-called special military operation—Russia’s euphemism for the war—was a continuation of the military action in occupied Donetsk and Luhansk.

Kucher’s patients described to him their absurd interactions with doctors in Belgorod, who asked, “Why are you coming to us?”

“Well, we’re occupied.”

“Who by?”

“You!”

Lera refused to go to Russia, the country that had already destroyed her home once. She had relatives there, but she hardly spoke to them, since they supported the invasion. Kucher planned for her to go to the hospital in Kupiansk, which had a basement bomb shelter, when it was time to deliver her baby.

The region had become a grim, lawless gray zone where the only accepted narrative was the Russian one.

The veneer of normality in the district of Kupiansk soon wore thin. There was no public transit anymore. No working cash machines or banks. No postal service or deliveries. Shops and gas stations and pharmacies emptied. The only evacuation to free Ukrainian territory was organized by volunteers from Kharkiv, who drove daily to the dam across the river at Pechenihy, the only crossing point on the front line in the region. There they picked up refugees and distributed food and medicines. It was a risky undertaking. As medications at the Dvorichna hospital ran out, the pharmacist decided to cross into Ukrainian-held territory to obtain more. On the dam—now a no-man’s-land between the two sides—he came under fire, and returned concussed and empty-handed.

At the beginning of April, internet connectivity disappeared. Landlines and cell phones stopped working. For three weeks there was no electricity. Soon, obtaining anything at all became a struggle: gas, medicine, bread, news.

Russia started importing food and medication in summer, though they were sold at prices locals couldn’t afford. No one could get money or access salaries or pensions because the banks were all closed. War entrepreneurs cashed money from Ukrainian debit cards, taking a cut of up to 30 percent. In Velykyi Vyselok, people survived thanks to the farm, which paid its workers in produce—meat, milk and eggs, flour, sunflower oil. In many ways, it was a return to the grim 1990s after the USSR collapsed. Or—for the few who remembered—like the Stalinist 1930s or Nazi-occupied 1940s, when no one could say what they really thought for fear of informers and the punishment that might follow.

Those in Dvorichna and Ridkodub were fortunate: There were few instances of torture, murder, or disappearance typical of the Russian occupation even just a few miles away. Anyone who’d served in the Ukrainian army—particularly those fighting in occupied Luhansk and Donetsk since 2014—knew they were targets, and they left if they could or went into hiding. But anyone who stayed loyal to Ukraine risked harassment, arrest, or worse. When they encountered Russian soldiers shopping in the market in Dvorichna or Kupiansk, or buying piglets from the farmer in Ridkodub, they avoided eye contact.

They knew that by staying, adapting, surviving, they could run afoul of Ukraine’s new law criminalizing collaboration with the enemy. No law could encapsulate the experience of living under occupation or pin down the shifting, porous line between survival and collaboration. Distributing Russian humanitarian aid, for example, could violate the new law; for Russia that aid was one way to claim that the invasion had local support and to trap people in systems that would complicate the return of Ukrainian control. Businesses had to register with Russia or face confiscation; state workers were required to sign contracts with occupation authorities or lose their jobs and invite suspicion of their loyalties. Of course, Russian armed forces used local services and amenities, and the locals couldn’t refuse them.

The only widely available TV was Russian, which endlessly repeated that Russia’s special military operation was a liberation from Nazism and NATO’s tyranny. Accessing other news sources was risky and had to be done discreetly. In Velykyi Vyselok, the nurse Natasha Dikhman used a generator to tune in to Ukrainian satellite TV for half an hour after she milked her cows every evening. Between shifts, Maksym climbed a stack of hay bales where he sometimes got service with a Russian SIM card (the only way to get internet) to check Ukrainian news and exchange messages with his relatives in the army.

Everyone had their secrets, including Lida.

In mid-July, the family met in Ridkodub, in the yard of Lida’s house. Liuda had been to Dvorichna for her regular checkup, then came to visit her parents and twin sister, bringing her four children. Lera and Maksym were there, too. It was warm and quiet. At the end of the row of houses, a Russian flag atop the farm’s water tower was the only visible sign that all was not well. The children shouted and played. The adults drank tea at the wooden table under the fruit trees, the site of so many big, cheerful family parties, and discussed the babies that were coming.

Liuda had announced her pregnancy to the family first. When she told her twin, Lida said, “What are you thinking of? At a time like this?” She had asked the same thing of Maksym in April after she spotted a prescription for prenatal vitamins and noticed that he refused to let Lera lift anything.

Soon after, the family found out that their cousin Vladyslav and his wife, who lived outside Kupiansk, were also expecting. Liuda’s baby was due first, in about six weeks. Vladyslav’s was next, a week or so later. Lera and Maksym’s baby was due at the end of October.

“And what about you, Lida?” Liuda teased her twin sister. “There’s just you left for a full conclusion.”

Lida had been quieter than usual, listening to the others. She had split with Uliana’s father, although they were on good terms. That winter, she had started to see a local man called Vitaly. For several years, she’d had irregular periods and health problems. Even when she finally started to suspect something, it took time to find a test to confirm it. “Well, I have some news for you,” she said at last. Maksym saw that she had gone red. “I’m pregnant, too!”

Being pregnant gave them something to talk about, since they couldn’t talk about the occupation or how it had affected their family. Their oldest sister’s first son would soon graduate from a military academy in western Ukraine and go to fight for his country. A cousin was missing in action in Mariupol; another, Oleksandr, who had grown up with them in Ridkodub, was serving on the front line. They couldn’t discuss these things, because the other side of the war was represented in the family: Liuda.

Liuda’s husband, like Lera, was from the occupied part of the neighboring Luhansk region, where the current war had begun in 2014, when Russia fanned, financed, and fought a conflict against Ukraine in Donetsk and Luhansk. The region had become a grim, lawless gray zone where the only accepted narrative was the Russian one—that Ukraine had no right to exist, that it was run by nationalists and Nazis, or natsiky, who had waged war on the Russian speakers of the east. Lera’s uncle was still in occupied Luhansk, hiding from the military police, who rounded up men on the street and packed them off to fight for Russia against Ukraine. Some of the soldiers now in Dvorichna and Kupiansk were from occupied Donetsk and Luhansk.

The Slobodianyks were Ukrainian speakers, and loyal to their country. But Liuda’s husband insisted that the 2022 invasion was Ukraine’s and NATO’s fault, and Russia had come to liberate Ukraine and return it to its rightful place as part of Russia. Liuda had begun to repeat this narrative. Lida was being torn between her twin, who was closer to her than anyone in the world, and her own children. Maksym especially could barely stop himself from arguing with his aunt, or contain his rage at those like her husband who colluded with the Russian occupiers.

So that day in the garden, they talked around the silences, or filled them with babies. It was the last time they would all be together.

Since they lacked cellular connectivity and reliable transportation, Vitaly Kucher in Dvorichna became the three pregnant women’s only regular source of information about one another. They passed messages through the doctor, who tried to schedule Lida’s checkups to coincide with Liuda’s so the twins could meet. People clung to their routines, convincing themselves that everything was normal. Natasha Dikhman remembers a cool, rainy summer of tending the animals and digging in the garden; she herself grew the biggest potato she had ever seen, the size of a baby’s head.

But Maksym knew that things were going to change. At the end of August, perched atop the hay bales, he exchanged messages with his army cousin.

“Wait, we’ll be there soon,” his cousin wrote.

“How soon?”

“All in good time.” 

3.liberation

On September 1, Liuda gave birth to a baby girl in Kupiansk’s maternity hospital. The town was emptier than usual, almost peaceful. There was talk of a Ukrainian counteroffensive in the southern Kherson region, but in Kupiansk Russian soldiers strolled in the local parks eating ice cream. Schools and colleges reopened with a Russian curriculum. Staff who refused to teach it were interrogated or forced to leave. Parents were told they would receive a bonus if they sent their children to Russian school, a fine if they didn’t. Russia was tightening its grip on occupied areas, hammering home its message that the only future was Russian. On September 3, Lida and Liuda’s cousin’s baby was born in the same hospital.

In Ridkodub, Lida and her mother were canning their crop of tomatoes, essential stores to keep them going through winter now that neither were working or could access any money. Seven-year-old Uliana and 13-year-old Dmytro helped; there was no school for them to attend in Ridkodub. At the end of August, Russian military police, or perhaps state security officers from the FSB (the successor to the Soviet KGB), had come for Yuri Tyahilev, Lida’s parents’ neighbor, the village’s head teacher and a staunch Ukraine supporter. They put a bag over his head and held him with other prisoners in a tiny, sweltering, windowless cell for three days of brutal questioning: Who is loyal to Ukraine? Who fought for Ukraine Donetsk and Luhansk?

As soon as he was released, Tyahilev and his wife, who also taught at the school, left Ridkodub and drove to the Russian border, hoping to reach their daughters in Europe. Just hours after they fled, the Russians broke down their door.

Maksym and Lera had hoped to come to Ridkodub on September 7, and to stay until the baby arrived. Maksym was worried about his mother now that she was expecting a child, too. It was easier to travel from there to Dvorichna. Lera and Lida could pass the later months of their pregnancies together. And if his soldier cousin was right about what was coming, he wanted them to be together.

They didn’t go for the most banal of reasons: Maksym couldn’t get the day off work. How different their lives would have been if only they’d gone that day.

Maksym and Lera were on the other side, in Velykyi Vyselok. They were separated from Lida by the front line.

Talk of a southern offensive had been a ruse. On September 6, Ukraine launched a surprise attack on Russian forces in the Kharkiv region. It advanced at lightning speed. By September 7, Lida could hear the roar and thud of incoming and outgoing fire. The war that had somehow passed over them was getting closer by the hour.

Overnight on September 8, a missile hit the House of Culture in Dvorichna, where the Russians had their headquarters. The Russian forces were completely unprepared. “They started running,” Kucher said, “like rats from a sinking ship.”

On September 9, Ukrainian forces entered Kupiansk. In Ridkodub, the sound of battle was continuous. Lida couldn’t reach Liuda or their cousin Vladyslav in Kupiansk, as there was no cell service. Rumor was that the Ukrainians would be in Ridkodub in two or three days. Lida thought: How can we wait? Two or three days seemed like an eternity.

September 11 was a cool, overcast day, with apples falling from the trees. In the early afternoon, three soldiers passed the fence around Lida’s yard—quiet, shadowy figures wearing olive sweatshirts under bulletproof vests and carrying automatic rifles. They were some of the first soldiers Lida had seen in Ridkodub in more than six months of war. She and her neighbors ran toward them. Then Lida stopped. What if they were Russian? It was difficult to distinguish the uniforms; they weren’t close enough to see arm patches or the strips of tape the two armies used to announce themselves.

One neighbor, less cautious, shouted: “Slava Ukraini!” Glory to Ukraine!

Lida waited for gunshots. Instead the answer came: Heroyam slava! Glory to the heroes!

The stress of the past seven months released. Little Uliana screamed with hysterical laughter. They hugged the soldiers and begged for news. Later that day, Lida took a photograph of her children and two of the soldiers holding a Ukrainian flag. As soon as she had cell service, she would make this her profile photo on Viber, a messaging app popular in Eastern Europe. Then her family would know that Ridkodub was safely Ukrainian again. Her oldest son and his pregnant girlfriend just had to hang on a little longer.

The following day Lida went to her mother’s house, since there was sometimes service there. She could hear horrible shelling in the distance, and the sky was red over Dvorichna. But she’d been back in free Ukraine for 24 hours, and this was another good day—there was cell service, and a message from Maksym. He told her that they were OK and she should hold on, that Ukrainian soldiers were on their way.

Then she saw that the message had been sent five days before. She tried to call Maksym, but there was no answer.

After those first delirious days, things began to go wrong. The first Ukrainian soldiers entered Dvorichna on September 10, Kucher recalls, although officially the town was liberated on September 11, like Ridkodub. “We were overjoyed. We thought: We’ve been liberated, everything is great!” he remembered. “And then on the twelfth was the first really heavy shelling, and the first victims.”

On September 12, Lera, his youngest patient, was supposed to come for an ultrasound. She hadn’t shown—it was the first appointment she missed in six months—but Kucher was in no position to think about his patients. That afternoon, the town shaking under Russian fire, he and his wife and daughter ran to the basement of their building. They didn’t emerge for three days. There was no water, no electricity, no phone or internet, and no letup in the bombardment.

Late on September 15, the family ventured back to their flat. The next day, Kucher managed to evacuate his wife and daughter with a group of volunteers. The following day he left, too.

The counteroffensive had come to a halt, just past Dvorichna, over the Oskil River. (Later, Ukrainian forces retreated to the west bank of the river itself.) Maksym and Lera were on the other side, in Velykyi Vyselok. They were separated from Lida by the front line.

In the following weeks and months, the shelling of Dvorichna continued, and it reached Ridkodub as well. The town lost gas, electricity, and water within days of the Ukrainian advance, but cell service was restored, and the Ukrainian army brought a Starlink terminal with them, which they shared with locals for internet access. In late September, Lida found out that Liuda and her children were alive; after three days sheltering in the basement with the newborn, they had fled to Russia with Liuda’s husband. But there was no contact with Maksym and Lera.

On October 4, as Lida was coming home from her parents’ house, cradling her pregnant belly under her coat, her younger sister, Sveta, called from Slovakia, where she had been living as a refugee since April. “Are you alright, Lida? Have they been in touch with you?”

Lida knew that she meant Maksym and Lera. As far as Lida was aware, they were still where they’d always been, less than 19 miles away, across the Oskil River. But that might as well have been an ocean away.

Lida’s younger sister began telling a confusing story about a girl in Kharkiv who’d posted on social media about people in Velykyi Vyselok. As Sveta spoke, she began to cry.

“What is it? What’s the matter?” Lida asked, panicked. “Sveta, tell me, what’s wrong?”

“Lera had her baby,” she heard through the sobs. “She had a boy, on the first of October. And they’re fine.”

Lida was a grandmother. It was this thought that stayed with her as she, her parents, and her two younger children hid in the root cellar with the neighbor’s family—15 people in a 40-square-foot space, squeezed in among the potatoes and the jars of pickled tomatoes and cucumbers. They distracted themselves from the missiles falling outside by trying to guess the baby’s name. Ilya, perhaps—Lera liked the name. Maksym wanted Oleh, after his cousin in the army.

They wrapped themselves in coats and hats against the damp chill of the cellar. The Ukrainian soldiers billeted in the village gave them flashlights, lamps, and bread, and charged their phones for them. One day, as Lida was cooking on the outdoor stove, a cluster bomb landed in the yard, scattering lethal fragments through the marigolds. By some miracle, Lida was only bruised as she scrambled for shelter.

In early October, the school where Yuri Tyahilev taught two generations of the Slobodianyk family was destroyed. Later that month, Lida got a text message from an unknown Russian number. The message said it was from Maksym. She called the number; a female voice answered. “It’s Lera.”

“Our Lera?”

“Your Lera!”

The baby, she said, was called David. The name had come to them out of nowhere, but she and Maksym knew right away that it was right. The baby was fine—they were all fine. They were at home, using a neighbor’s phone. How was Lida’s pregnancy? The younger children? They hoped to be reunited soon. And that was all.

There was no Kucher anymore in Dvorichna to pass reassuring messages between them. The hospital had been destroyed—a direct strike on Kucher’s office on the third floor. The grade school was gone, the kindergarten, the market. Everything. For Lida’s next medical checkup, at 34 weeks, the Ukrainian military organized an ambulance to take her to the hospital in Kharkiv.

Kucher, via phone from a village in central Ukraine, didn’t want Lida to take any risks. The doctors in Kharkiv kept her in the hospital for a week, although she was eager to get back home to her children. And her eldest was always on her mind. Lida had unlimited access to Ukrainian news now, and it was full of horrors and war crimes uncovered in towns liberated from Russian control. Torture sites in Kupiansk. Mass graves in Izium.

Lida remembered the times she’d put her head down and stared at the ground to avoid looking at Russian soldiers on the street in Dvorichna and Kupiansk. Maksym, that timid child she’d teased into smiling, was alone with them now. Was he managing to control his temper, his disappointment and hope? She didn’t know if he could keep his head down.

One day in late October, she was at the hospital when she got another call from an unknown number. It wasn’t Lera this time. The caller asked if Lera and Maksym had arrived yet.

“Arrived where?” Lida said. As far as she knew, they were still in Velykyi Vyselok, under occupation with her grandson.

“In Ridkodub,” the voice said. “They left Vyselok two days ago to come to you. Did they get through?”

“But I’m not in Ridkodub,” Lida said. The woman at the other end of the call explained that Lera, Maksym, and the baby had left by foot on October 25. Lida couldn’t speak. Her parents were at home; they would have called if Maksym and Lera had shown up there. How could they have crossed the front line? It was impossible. “They’re not there!” she managed.

The doctors threatened to tether Lida to her bed with an IV if she didn’t calm down. She roamed the hospital’s corridors, heavy with the baby she carried, a devastated mess of tears. Somewhere between their two villages—amid the familiar fields of sunflowers, the Oskil winding along its chalky banks, the green water and yellow lilies all burning now—her son and his family had vanished. They didn’t answer their phones. She couldn’t find them. One, two, three days. Nothing.

4.TERROR

In mid-September, Maksym found cell service at the haystacks in Velykyi Vyselok. He saw his mother’s Viber photo, his brother and sister in Ridkodub holding a Ukrainian flag with two Ukrainian soldiers. He could feel the smile on his sister’s face spreading across his own.

For months the Russians and their supporters in Kupiansk and Dvorichna, along with the Russian propaganda that was all they watched or listened to, had insisted that his home was and would always be Russian. Now Maksym took a screenshot of the photo as proof that they were wrong. His family were already liberated. Just like his cousin had told him: “We’ll be there soon.” Lera’s baby, due at the end of October, would be born in free Ukraine.

He waited and waited for the Ukrainians to reach Velykyi Vyselok. But they did not come.

Instead, after Kupiansk was liberated on September 10, the village filled with Russian soldiers and matériel retreating from the Ukrainian advance. Dvorichna was completely cut off, and travel and communication were incredibly risky. One afternoon Natasha Dikhman’s husband, Valery, climbed a tree near their house in Velykyi Vyselok where he could get service and talked briefly with their oldest son, who was in Poland and worried sick about them. Seconds later shells whistled past, from Russian soldiers on the highway who probably suspected he was photographing their positions. Valery tumbled out of the tree. He and Natasha were a quiet couple in their forties, devoted to their two sons; before the war, Natasha had called their eldest daily. But now Valery told his wife: “I’m not going anywhere again to make a call.”

On October 1, Natasha was at home making a breakfast of korzh—a flatbread—on the woodstove when Maksym knocked on the door.

“Aunty Natasha, I don’t know what to do,” he said. “I think Lera has gone into labor.”

Lera had been in intense pain since the previous afternoon. By evening it was clear that she was in labor, but her water wouldn’t break. At 2 a.m., and again a few hours later, Maksym ran to the Russian soldiers, begging them to take his girlfriend to a hospital in a nearby occupied town. The soldiers sent him away with a bottle of hand sanitizer. Driving anywhere, they said, especially at night, was too dangerous.

So Maksym had come to Natasha. He was trembling. He was just a boy, the same age as Natasha’s youngest. He didn’t know what to do or whom to turn to. “I understand, but how can I help?” Natasha asked him. “I haven’t got anything on hand, and there’s nowhere to take her.”

Natasha’s small first aid center, undisturbed all summer, had been looted in September by Russian soldiers who were now living in the kindergarten across the street, amid a jumble of cots for small children and boxes of bullets and military rations. Natasha still had some of the medication soldiers had brought to the village and given her to distribute. But it was for blood pressure and upset stomach; nothing that would help with a birth. She ran with Maksym through the village to the home that Lera’s mother, Svitlana, shared with her partner.

The overheated little house smelled of woodsmoke and fish and sweat and desperation. Lera was on the veranda, swaying, pressing her forehead against the cool windowpane and swearing a blue streak. “That’s right,” Natasha told her. She felt like cursing herself, at the whole awful situation. “Curse, swear, breathe. Just keep breathing.”

The house shook from the shelling outside. Lera had clung to the hope that she would give birth in a hospital, not at home. Now she asked whatever higher power was listening to please let it happen here in the house. She didn’t want to deliver her baby while hiding in the cold, dark root cellar.

There was no electricity in the house. Natasha asked if Svitlana had any supplies. “There was absolutely nothing!” Natasha recalled later. “No diapers, no disinfectant, no iodine—nothing.” A neighbor offered to tear up a clean sheet to wrap the baby in. Natasha told her to bring whatever she could find. She brought a bottle of vodka. Even as she recalled the scene to me months later, Natasha’s laugh was tinged with hysteria. “On one hand, it’s funny. On the other hand, it’s terrifying. The grad rockets are flying overhead, the house is just wood and clay, and everything is shaking. And there I am with Lera.”

Her greatest fear wasn’t even the rockets but complications from the birth. What if Lera hemorrhaged? Or the baby was breech? She wasn’t trained for this. She had no experience. She could have the death of a child on her hands, or of a mother who was little more than a child herself.

The hours wore on. Maksym waited in the kitchen or on the bench outside, smoking cigarette after cigarette, ignoring the bone-shaking roar of artillery; all he could hear were his girlfriend’s screams.

Almost 24 hours after Lera’s labor started, the baby was born. It was a boy, and the thick, dark umbilical cord was twisted several times around his neck. Natasha unwound it quickly. She cleared mucus from his mouth and nostrils, and slapped the tiny, crumpled bottom. At last he breathed and cried.

She weighed the child using a spring scale, used for tomatoes and cabbages at the market. She had to guess his height. She wrote in a notebook: “I, Natalia Dikhman, attended the birth of a child born to Valeria Mykolaivna Perepelytsia. Male, 2.300 kg, 37 cm. 3.40 pm, 1.10.22.”

On Natasha’s way home, still shaken, a woman stopped her to ask: “Is the baby born yet?” After Maksym’s desperate attempts to get help, the whole village knew about the drama. Natasha had no great expectations of herself. She had been brought up to think that in a war, the heroes are the soldiers at the front. But now it sank in that without training, without equipment, while the war rained death around them, she had helped to bring a new life into the world. Perhaps, in her own little way, she was a hero herself.

She looked in on the new family twice after that. Baby David was tiny, of course—he was almost a month premature. The second time, Lera thought he was developing jaundice. But Natasha could do nothing for him.

After ten days, Lera weighed the baby. He had put on just 200 grams, less than half a pound. She was feeding him with her own milk—thank goodness it had come through, because they had no baby formula—and she felt weak and tired all the time. But that was surely from stress.

She weighed David again two weeks later. The scales showed exactly the same as last time: 2.5 kilograms, roughly 5.5 pounds. He was such a quiet little thing, rarely crying, his eyes dark and colorless under almost transparent lids. He fed frequently, but for short periods, and he barely filled the cloth diapers she put on him. Lera’s step-aunt told her that she looked very pale; perhaps she had anemia. Eat buckwheat, the aunt advised. But no one in the village had buckwheat.

The couple grew increasingly desperate. It wasn’t just that mother and child were ailing. It wasn’t just the artillery fire; it was possible to get used to the rockets and mortars that could kill them. There was another constant fear now—that Maksym would be detained or called up to fight. On September 26 he had turned 18, old enough to go to war for the wrong side.

Before Ukraine’s counteroffensive, the few enemy soldiers they saw in Velykyi Vyselok had left the villagers alone. Now those soldiers were jumpy and paranoid about partisans and spotters who might call in a strike from Ukrainian forces, which were less than seven miles away. The soldiers moved tanks into the village, so that the residents became human shields. At first these men were Russian contract soldiers, or Ukrainians from occupied Donetsk or Luhansk who’d been mobilized. They could be brutal or sympathetic; they might shoot a civilian out of a tree or weep and tell him they hated the war and wanted to go home. But soon, in a pattern repeated everywhere in occupied territory, these rank-and-file soldiers were supplemented by Russian military police and FSB.

Up to ten FSB officers came to Velykyi Vyselok. They looked entirely different, even from a distance. Their uniforms were smart, and they carried new, high-precision rifles. Their job was to cleanse the population of potential dissenters and troublemakers.

Lera was sure that some people in the village were reporting to the FSB about Maksym. She had learned to guard her words long ago, when Russian-backed fighters had taken over her hometown in Luhansk region. But her boyfriend hadn’t been as cautious. Most of Velykyi Vyselok knew that he had a Ukrainian flag at home and a cousin serving in the army with whom he’d exchanged messages.

As Maksym watched Lera grow paler, their baby more listless by the day, he swallowed his fear and pride and went to the soldiers in the kindergarten, pleading with them to transport his family to Ukrainian-held territory. The front line was the railway that ran roughly parallel to the east bank of the Oskil, near a village called Tavilzhanka. All they had to do was reach the railway.

The soldiers refused. Even if Maksym made it to the other side, they said, the nationalists and natsiky would shoot him as a saboteur; why should they risk their lives for that? They made what might have been jokes or might have been threats: When are you going to volunteer to fight, Max?

In late September, the FSB detained one of Lera’s neighbors. They took him to a bombed-out airfield nearby and shot at him until he confessed to fighting in the Ukrainian army. On October 25, as Maksym was leaving work at midday, a villager named Kolya called him over. The man told him quietly that the FSB were looking for him. “You’ve got one, maybe two days,” Kolya said.

Maksym sat down, head in hands, for about ten minutes. Trying to think. To decide. Then he hurried home and told Lera they were leaving. They would walk to the railway, six miles west. If they left right now, they could reach Ukrainian-held territory before nightfall, and they would be safe.

Lera ran quickly to her mother’s house to say goodbye. Svitlana wasn’t there. Lera hugged her sister and kissed her brother. She was leaving 13-year-old Alyona in charge, the sister she was so close to that people said they were like two drops of water. She had carried little Artem on her hip and changed his diapers; his first word wasn’t “mommy” but “Lera.” Now she had her own baby to look after. She tore herself away and ran from the house in tears because her mother wasn’t there to say goodbye.

They took only the stroller and a few clothes for David in a little case, along with their passports, the notebook where Natasha had recorded David’s birth, and Lera’s medical card from Kucher. For themselves they had only the clothes, light coats, and trainers they were wearing.

Two teenagers with a baby stroller. Russian soldiers driving past on the exposed, shell-cratered road stopped and offered them a lift. Maksym thought he’d be arrested every time they passed. It was soon clear that they’d never make it before nightfall, so they accepted a ride to the next village. When the soldiers left, Maksym smashed his phone, with its incriminating messages and photos.

Tavilzhanka was a long, sprawling settlement along the road that led to the river and Dvorichna on the other side. It was quiet as they resumed walking, the only sounds those of a rural autumn day: crows cawing, the wind rustling crisp leaves. As they neared the front line, many of the houses were just piles of rubble, blackened roof beams, a sickly smell of damp plaster and burning. The ground had been broken and dug up, either deliberately, to hinder the advancing Ukrainians, or by missile attacks. The train station was in ruins. The Ukrainians were just a few hundred yards away, on the other side of the railway.

There was a burst of gunfire. “Take David in your arms,” Lera told Maksym. “If something happens, get down on the ground with him.” Maksym was bigger and could offer more protection. More gunfire. Then mortars. The Ukrainians were shooting back. A mortar landed so close, there was no warning whistle. They were showered with earth. Deafened. They had only a couple hundred feet to go, but they couldn’t make it through the barrage. They had to turn back.

The soldiers in Tavilzhanka were Ukrainians from occupied Luhansk and Donetsk. Before the Russian army recruited its own prisoners for the same expendable purpose, it usually put these men in the most dangerous forward positions. The soldiers offered to take the family to Russia. They told Maksym that he and Lera wouldn’t make it through the fighting, that they should wait a week or two if they wanted to get to Dvorichna—by then the Russians would have taken it back from the Ukrainians.

That night the family stayed with a colleague of Maksym’s from the farm. Maksym was determined to try again the next day. The morning dawned cold and raining. Drones flew overhead, scouting for a strike, their characteristic whir sending soldiers diving for cover. Then machine gun and mortar fire. Heavy rain turned the blasted ground to thick mud.

David was so fragile; he had no warm clothes or blankets. Maksym’s colleague told them to stop being stupid, to go with the soldiers offering to take them to Russia, where David could get the medical help he needed. By then, Lera was exhausted. Her head ached. Over the past two days, David barely stirred; he was too weak to even cry. The soldiers from Luhansk were at least familiar. In another life, one the war hadn’t wrecked, they were miners and mechanics like her uncle and father. She and Maksym gave in.

A pair of soldiers sped them to another village, where they transferred to an Ural army truck. Countless civilians were crowded in the back, dirty and disheveled. The truck lurched over muddy, bumpy fields, avoiding the roads. Tears ran down Lera’s face; she was too tired to wipe them away. I’ll come back, she silently promised someone or something, maybe the poor battered earth under the heavy wheels. Please wait for me, I’ll come back soon.

The truck crossed at a bombed-out checkpoint staffed with Russian soldiers. As they passed through, Lera realized that she’d lost her phone. They were in Russia, and they were truly alone.

5.ENEMY TERRITORY

After that terrible call on October 27, Lida finally pulled herself together. Back in her hospital bed in Kharkiv, her own eight-month baby wriggling and kicking inside her, she called siblings, neighbors, friends, volunteers, soldiers—anyone who might help find her son and his new family. She forced the image of their dead bodies out of her mind. She told herself: Wherever they are in the world, a mother will find her children.

There was no green corridor to Ukraine-controlled territory from Velykyi Vyselok. The only place they could go was Russia. And Lida knew someone there who might help: Liuda. She and her family, including their baby daughter, Darya, had fled to the Russian city of Belgorod during the battle to liberate Kupiansk. Soon Lida got a call from someone in Tavilzhanka saying that Maksym and Lera had gone to the same city. Though the relationship was more strained than ever, blood was blood. Lida asked Liuda to search the refugee camps and hospitals for her son and grandson.

During the fierce fighting of Ukraine’s Kharkiv counteroffensive, thousands of civilians fled or were transported by Russian forces over the border, forcing the Russians in Belgorod to confront the war next door. But any deviation from the official narrative about the special military operation was ruthlessly stifled. Russian state-controlled media—and there was no longer any other kind—told them that the Ukrainians arriving in their city were Russian-speaking victims of the Nazi government in Kyiv, to be rescued and absorbed into Russian history and culture. Of course, Russian prisons were also full of Ukrainian civilians who had been searched, questioned, and detained at checkpoints or border crossings—a process called filtration—and said to be terrorists or Nazis themselves.

In principle, the Russian government offered help to those it did not detain. It housed them in summer camps, at sports facilities, and in tent encampments. It provided transport to more permanent arrangements in far-flung provinces. Russian volunteers who supported the invasion provided food, clothing, medical supplies—the same items they’d donated to the Russian army.

That assistance was a staple of Russian propaganda TV. It showed grateful Ukrainians on mattresses in sports arenas or hostel rooms, thanking Russia for saving them. Russia also facilitated the adoption of Ukrainian minors into Russian families. Maria Lvova-Belova, the presidential commissioner for children’s rights, adopted a teenager from Mariupol and was a frequent presence on TV, hugging and kissing Ukrainian youth, applauding as they were issued Russian passports. She told the cameras that some of these children insisted on speaking Ukrainian or singing the Ukrainian national anthem, but they soon learned to love Russia.

Liuda was staying with her children in a flat in Belgorod while her husband looked for a permanent place for them to settle. She called one hospital looking for Maksym, Lera, and David. Nothing. She called a second and was told that a month-old baby with a very young mother had been admitted. David had been found.

When she visited the hospital, David was in a dimly lit ward. The staff wouldn’t let her inside. She took a photograph on her phone, through the blinds covering the glass. She sent it to Lida, who was lying in a hospital just over the border. But Lera wasn’t with her child. The staff told Liuda that the mother wanted to abandon the baby.

The worst thing, they soon realized, was that they couldn’t get their child back.

In fact, when Maksym and Lera arrived in Belgorod, just before midnight on October 26, Lera had asked to be taken immediately to a hospital, because she was afraid that David might be dying. She was taken to a facility several miles outside the city. Once they were there, medical staff whisked David away. He was so malnourished that he was transferred to a pediatric hospital back in Belgorod, where they intended to keep him until his weight stabilized. But Lera couldn’t go with him—she was too weak, and COVID-19 protocols prevented parents from accompanying their children anyway.

The doctor wanted to admit Lera too—he said that she had anemia. But her treatment would be administered at the hospital outside town, far from David. Afraid to be so far from her child, Lera refused.

While David was in the hospital, Lera and Maksym stayed in a refugee camp several miles from Belgorod. Neat rows of white-and-blue tents stood on an expanse of tarmac. Inside, 12 or more people had been assigned beds. The place was clean and orderly enough, but the tent walls flapped in the autumn wind, the heaters did little to push back the cold, and there was no privacy, no place to speak freely about what came next, about returning home to Ukraine.

The camp was full of refugees from Kupiansk, Dvorichna, and even Ridkodub. But for Maksym and Lera, there was little comfort in finding themselves among neighbors. Instead, they were confounded that so many Ukrainians seemed to believe that Russia really had saved them, although they weren’t always clear about what from. The refugees repeated rumors Maksym heard in Velykyi Vyselok—that Ukrainian forces had executed all the teachers in the district, or that there were in fact no Ukrainian soldiers to speak of, that they were all foreign mercenaries and NATO forces.

When Maksym challenged these accounts, he was told that he’d been brainwashed, or that he was a natsik himself. In the end, any argument was reduced to a single axiom: Because they’d come to Russia voluntarily, Ukraine would always consider them traitors, so they couldn’t go back. Perhaps the refugees repeated the Russian line to protect themselves from the horror of filtration. But in Maksym’s eyes, they were traitors indeed.

There was constant pressure to speak Russian and to remain in the country. In Russia they would be given an apartment, they would receive benefits, everything would be free. While Maksym and Lera were at the camp, four buses left, taking large groups of Ukrainians to distant Russian cities. Each time, the couple were urged to leave, too. You can’t stay in this camp forever, they were told, and you can’t go back to Ukraine, where there is only shooting and shelling, extremism and fascism. And why would you go to Europe? No one wants you there; no one speaks your language. Stay in Russia.

Yet it was obvious that Russia’s so-called welcome of Ukrainians fell short. The food in the camp was awful, a soup made with random ingredients: macaroni, cabbage, crab sticks, pickled cucumbers. It was hard to obtain a mobile number, book a train ticket or a hotel room, or even buy cigarettes. Everything required an ID, and most people only had Ukrainian documents.

But the worst thing, they soon realized, was that they couldn’t get their child back.

When Lera returned to the doctor, he gave her tea and chocolate. He said he understood that she didn’t want to be separated from Maksym and David, but she was perilously weak. If she didn’t agree to treatment for anemia, the pediatric hospital staff would never let her even hold her baby, because she might faint and drop him. He promised that she could join David once she’d had treatment.

Lera consented to a blood transfusion. Her hemoglobin levels were dangerously low, and the transfusion may have saved her life. It came from the local blood bank. From now on, Lida—if they ever made it home again to merry, irreverent Lida—would be able to tease her: Lera is our little Rashistka.

After two days, despite the doctor’s promise, Lera still wasn’t transferred to the hospital where David was being treated. So she checked herself out and went to retrieve him. First, the doctors said they couldn’t give David to her because he was still recovering. Then they said they couldn’t return him without documents proving that he was her child. It was only when doctors wanted to x-ray David’s eye that they allowed Lera to briefly see her son.

When they’d first arrived in Russia, David was less than a month old, and Maksym and Lera only recently turned 18. Russia’s abduction of Ukrainian children was not yet headline news: The International Criminal Court wouldn’t issue a warrant for Putin and Lvova-Belova for the crime of illegally transferring children from Ukraine to Russia until March 2023.

Maksym and Lera had made a courageous, desperate effort to stay in Ukraine, but they had been forced to go to Russia instead. Now everything around them conspired to keep them there—and away from their child. Lera had the medical card from Kucher at the hospital in Dvorichna, which confirmed that she had been pregnant up to August. The only other document they had connected with David was the notebook page on which Natasha Dikhman had recorded his birth.

Armed with this evidence, they did the only thing they could: They went to the Belgorod registry office and applied for a Russian birth certificate. They left with a greenish slip of paper, emblazoned with the two-headed eagle of the Russian state, declaring that David Maksimovich Kuznechenko had been born on October 1, 2022, in Velykyi Vyselok, Kupiansk district, Kharkiv, Ukraine. The surname was spelled wrong, with an e instead of an i following the first n, but they didn’t care. What mattered was that it said he was born in Ukraine. The registrar had offered to add a stamp confirming that the baby was a Russian citizen. Lera and Maksym declined.

Document in hand, Lera could finally collect David from the hospital. He had grown at last, and was stronger, with a soft feathering of hair. His eyes focused on Lera, although one of them—the one x-rayed by doctors—seemed darker than the other.

They were reunited at last, and now they wanted to go home. While the young couple trekked between hospitals and the tent camp, Maksym’s mother had contacted them with good news: She had found a volunteer who promised to help them return to Ukraine. Lida’s cousin Vladyslav, whose wife had given birth just two days after Liuda in Kupiansk, had also fled to Russia in September. From there the family traveled to Poland. Vladyslav gave Lida contact information for a woman who helped them. He said she was part of an underground network of Russian volunteers who supported Ukraine.

Though Maksym was wary when he first met her outside the tent camp in Belgorod, the volunteer quickly proved her worth. When Lera and Maksym left the hospital with David, she booked them a hotel room; the family paid for it with money Lera’s uncle in Luhansk had wired. Lera sent Lida a picture of the three of them cuddling together for the first time in over three weeks. At last they were together, they had some privacy, and someone was helping them.

The volunteers did all the things the Russian state did not. They bought bus and rail tickets to destinations chosen by the refugees, and shuttled them to stations and borders. They booked hotel rooms, or placed Ukrainians in the houses of sympathetic families. They bought phones and SIM cards, and contacted anxious relatives left behind in Ukraine.

Most of these volunteers opposed the war and saw helping Ukrainian refugees as their moral duty—and the only way to express their opposition. They were constantly concerned about security, both their own and that of their work. Those who would talk to me at all described a huge international relief operation working entirely underground—an army of ants, as it was described. One person would pick up refugees, provide for their immediate needs, and pass them on to the next person, like links in a chain. “I try not to know anything more than is necessary,” a volunteer told me. “After the war, maybe then we’ll get to talk about what we did.”

On November 20, Lera and Maksym began their long trip home, handed from volunteer to volunteer, trusting in strangers’ goodwill with every step. First they went to Voronezh, in southwestern Russia, where they spent two days. There they met other Ukrainians, not just from their corner of Kharkiv region but from all over. They were bewildered and angry, or apathetic and secretive, heading for Europe. Here, finally, not everyone said they’d been saved by Russia.

Next came a 20-hour bus ride to the border with Belarus, Russia’s partner in the war. They waited hours there, while phones and documents were checked and bags searched. Then they were in Minsk, and after that Brest. Another night in a strange bed, sheltered by people whose names they barely knew. At 9 a.m. on November 24 the last transfer came—yet another volunteer, in a car. By now the other refugees had peeled away, bound for Europe. The roads were almost empty. They shared the ride with just one elderly Ukrainian couple.

The car dropped them off at Mokrany-Domanove, the only checkpoint still open between Ukraine and Belarus. The Belarusian border guards didn’t want to let them through. They pointed out that Maksym’s Ukrainian ID had expired, that David had a Russian birth certificate. They asked what they thought about the war and pored over their phones. “What’s this yellow and blue?” they asked Maksym suspiciously. It was a Ukrainian banking app; Maksym told them he had installed it to access his student stipend.

The guards made a final attempt to detain them. To Lera they said, “Don’t you know that if you cross that border, your boyfriend will be handed his army boots right away?” They towered over her slight five-foot frame.

“Then this baby will have a soldier for a father,” she said.

Finally, about midday, after nine months of living under Russian control, they were allowed through. They had several bags, filled with baby clothes and diapers from the volunteers, and winter clothes for themselves. Maksym didn’t even notice their weight. He flew across the no-man’s-land to the Ukrainian checkpoint. It was if an unbearable burden had fallen from his shoulders.

Returning Ukrainian refugees, or those freed from occupation, often speak about the relief of familiar words, foods, road signs. The yellow-and-blue flag, signs of safety and civilization. Coca-Cola they can afford, no rubles required. A change in the air itself: freedom to breathe. But this wasn’t the end of Maksym and Lera’s journey. They still had to cross most of Ukraine, from west to east.

First they needed to speak with Ukrainian security services—Ukraine performs filtration, too. (They advised Lera to use David’s Russian birth certificate for toilet paper.) Assisted by Ukrainian volunteers this time, they boarded a bus for Kovel. Then there was a 20-hour bus ride through Kyiv en route to Kharkiv. David slept for most of the journey, until the last leg, when he started to howl. Soon he would meet Lida for the first time, though not his other grandmother; Svitlana was still in occupied territory. But in the crowded Kyiv bus station, Lera’s father, Mykola, was waiting.

Mykola and Svitlana had split up when the family still lived in Luhansk. Lera and her father often talked, but they hadn’t seen each other in years, since before she escaped the shelling in 2014. Now, at the end of this journey, fleeing that same small fire that had grown into a conflagration, they met again. It was just a brief rest stop at a bus station, just long enough for Mykola to kiss his grandson, shake Maksym’s hand, and slip some money into his daughter’s pocket after hugging her tightly. They both cried. 

There was so much death and grief in Ukraine now. But to balance it, here were two babies, alive, together.

Lida waited for well over an hour at the bus station in Kharkiv. The bus, delayed by snowy roads, finally arrived around 9 p.m. She saw Lera first, wearing a bright red coat and hat. Then Maksym. Then baby David, a well-wrapped bundle in Lera’s arms.

She had rehearsed this moment, worried that she would embarrass herself by collapsing into tears. Instead, trembling with excitement, she found herself shouting, “Slava Ukraini!”

Her voice rang through the cold, poorly lit bus terminal, full of weary or anxious travelers, all with their own war stories. Some people smiled, some laughed. Many replied: “Heroyam slava!”

Lida’s baby was born in Kharkiv on November 28, a rosy, healthy girl with a fluff of fair hair. Lida called her Vitalina, after her father, Vitaly, and because the name means “alive.”

One of Lida’s cousins had been missing in Mariupol for nine months now. Her beloved twin was in Russia, with the niece she’d never seen. Lera’s mother and siblings were still trapped by the occupation. There was so much death and grief in Ukraine now. But to balance it, here were two babies, alive, together.

Four days later, Lida returned to Ridkodub. There was no water, no electricity, no gas. The roads, broken by shelling and tanks, were lethal with black ice. A week after she arrived, a shell landed just down the road, destroying the kindergarten. But Maksym and Lera and David had made it back. They’d traced a loop of nearly 2,000 miles to return to the place they’d started. Together, they were home.

6.HOME

Returning to Ridkodub was not quite the happy ending everyone wanted. It was difficult for Lera to continue her studies with no electricity or transportation; she had to take her midterm exams using the army’s Starlink terminal. And the village was no place for a baby who needed medical care. David’s right eye had a cataract, and he required surgery.

Lera and Maksym left with Yevhen Sanin, a volunteer from Kharkiv who’d taken me to meet the family at the end of 2022. He drove them back to Kharkiv on January 4, along the same route we’d traveled, at top speed to avoid the missiles still battering the ruins of Dvorichna and Kupiansk.

They moved into a hostel for displaced people and waited for the surgery. But without papers David couldn’t be admitted, and they couldn’t register for state support either. So, at the end of January, Lera, Maksym, and David met a lawyer at the Zhovtnevyi district court in Kharkiv. In some ways, this was the last stage of David’s journey. His parents had brought him this far to ensure he would grow up in Ukraine. Now they had to make him Ukrainian by law.

Births in occupied territories can be registered in Ukraine only after a court hearing. Ironically, it had been easier getting a Russian birth certificate than to make David a Ukrainian citizen. Lera still only had Kucher’s medical card and the handwritten notebook page. Their lawyer told them not to mention the Russian birth certificate. Ukraine had broken off all diplomatic relations with its neighbor, and after almost a year of bloody invasion, with at least 7,000 civilians and tens of thousands of soldiers dead, that document could only count against them.

They considered asking Kucher, who had acted as a witness for several other of his patients in similar predicaments. But then they learned that Natasha Dikhman, who had helped Lera during the birth, was now in Kharkiv.

After Maksym and Lera had left at the end of October, life in Velykyi Vyselok became unendurable. The shelling was intense. Russian soldiers went from house to house, looting or demanding alcohol, when they weren’t firing at Ukrainian forces on the west bank of the Oskil. Natasha and Vitaly Dikhman managed to evacuate their youngest son in November. At the end of December they too left, driving over the frozen fields in their battered car, the windows smashed by a shell that had landed on their garage. They exited through Russia and returned to Ukraine though a rarely open checkpoint between the warring countries, arriving in Kharkiv on December 25. There were ruined buildings everywhere, but compared with Velykyi Vyselok it was peaceful.

Natasha had heard that the young family made it back to Ukraine. In January, Lera called asking for help one more time. That’s how humble, unassuming Natasha, who never wanted anything but a quiet life, found herself recounting the whole awful story in a courtroom. She held David while Lera and Maksym spoke to the judge. The baby was still tiny, but his grip on her finger was strong. He looked just like Maksym. The hearing took about an hour. The next day, his parents received a Ukrainian birth certificate for David Maksymovych Kuznichenko.

Home, even a home right on the front line, was familiar, a place of love, somewhere he could be in charge of his own life again.

After the court hearing, the couple stayed in Kharkiv. Maksym got a job at a supermarket. He earned just enough to rent a flat on the top floor of an apartment building; it was discounted because anyone living there would be at greater risk from ongoing, if less frequent, air raids.

Lera’s mother, Svitlana, called occasionally from Velykyi Vyselok, but she said less with each call—just a brief “we’re alright.” In the spring, Mykola, Lera’s father, enlisted in the Ukrainian army.

At the end of January, Lida moved with Vitalina and Uliana away from Ridkodub, to live near her older sister in a village a little farther from the front line. Her parents stayed behind with Dmytro. Liuda remained in Russia with Darya, the third of a trio of wartime babies. The twins spoke only when Liuda’s husband wasn’t around.

Sometimes their older sister told Lida to stop weeping for her twin. “You don’t understand,” Lida would say. “You’re both my family, but Liuda and I are one. We’re two, but we’re one. If she is in pain, I am in pain. If I hurt, she hurts.” The war couldn’t sever that connection. “It’s very hard without her,” Lida told me.

I met Maksym again in Kharkiv in May, at the funeral of Yevhen Sanin. He was killed by shelling in Dvorichna while attempting to evacuate another family to safety. The cemetery, where hundreds of Ukrainian flags fluttered above military graves less than 14 months old, was already familiar to Maksym. In January, he had attended the burial of Oleksandr, Lida’s cousin, killed while fighting near Lyman in Donetsk region.

All this time, Maksym had been mulling over a decision. When I first met him, after he’d returned to Ridkodub in December, I asked why they hadn’t gone to Europe when they had the chance. There, David would be safe. Why go to such extraordinarily difficult lengths to return to Ukraine, with all its uncertainty and danger?

Because, they said simply, it was home. Patriotism is a difficult, discredited word for many Europeans. For Ukrainians it has become a way of life—a deep, fundamental expression of survival, like the words Slava Ukraini. Maksym had spent months in occupied Ukrainian territory, a scared boy, a teenage father at the mercy of Russian soldiers who threatened to make him fight for an invading force. He’d been powerless to protect anyone. Home, even a home right on the front line, was familiar, a place of love, somewhere he could be in charge of his own life again.

Lera graduated from college in July and celebrated her 19th birthday. She had filled out, and there was color in her cheeks and on her newly manicured nails. Max had a tattoo of the Ukrainian state symbol, the tryzub or trident. He had grown, too. He was impatient with his job and with the young people—kids his own age—who came into the supermarket or hung out in cafés and bars to enjoy themselves, forgetting about the war. His male colleagues were worried about being drafted to fight in Ukraine’s slow, bloody second counteroffensive.

On August 9, Ukraine announced obligatory evacuation of all settlements in the Kupiansk district, including Ridkodub. The armed forces didn’t want civilians caught up in the push to take back the remaining territory—that was how Maksym explained the evacuation to me.

In late September, Lida turned 38, and Maksym 19. On October 1, David would be one year old. “After that I’m going to swear my oath,” Maksym told me the last time we met, on a hot, late-summer day in their rented flat overlooking Kharkiv’s botanical gardens and the student hostels that housed hundreds of displaced people from Kupiansk, Ridkodub, and Dvorichna. “I’m going to sign up for the army myself, so that it’s my choice, not someone else’s.” He was going to protect his family, even if that meant he had to leave them.

David was holding on to his father’s knees, gazing up into his face. Maksym tossed him into the air to make him smile, then gave him his phone to hold. “Go on, take it to mommy,” he said. The little naked child clutched the huge phone and toddled unsteadily to Lera. He had just learned to walk.

In memory of Yevhen Sanin, 1976–2023.


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Held Together

Held Together

A filmmaker was producing a documentary series on the Iran hostage crisis. Then her father went missing overseas.

The Atavist Magazine, No. 141


Lucy Sexton is a documentary filmmaker and journalist. She was a producer on Hostages (HBO), Five Rounds to Freedom (Showtime), and Dirty Money (Netflix). Her writing has appeared in The New York Times, Vice, and other publications.


Joe Sexton spent 25 years as a reporter and senior editor at The New York Times, and eight years as a reporter and senior editor at ProPublica, the nonprofit investigative news organization. In May 2023, he published his first book, The Lost Sons of Omaha: Two Young Men in an American Tragedy.

Editor: Seyward Darby
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Alison Van Houten
Illustrator: Matt Rota

Published in July 2023.


LUCY

I am the daughter of a newspaperman.

Throughout my life, I’ve used a version of this sentence to talk about myself: in college application essays and internship cover letters, on first dates, and now in this story. At 32 years of age, my pride in stating what is a core fact of my existence hasn’t diminished.

My dad, Joe Sexton, began his career as a sportswriter at the City Sun in Brooklyn, New York. One of his earliest stories was about the Rikers Island Olympics. He later covered a young Mike Tyson; he sat ringside, and had the blood on his clothes to prove it. When he made it to the sports desk at The New York Times, he spent years terrorizing the Mets and their ownership for crimes of mediocrity and incompetence.

Then, at 34, Joe was suddenly a single father of two daughters. I was just shy of three at the time. If memory can be trusted, I have a few vivid images—random snapshots captured through my toddler’s eyes—of the good and the bad: my tiny cowboy boots against shimmering asphalt; a stash of candies in a porcelain pitcher; being in a dark, frightening hotel room. When it became clear that my mother had demons she would need to wrestle with alone, Joe gained custody of me and my sister.

Here’s another memory: a late-night bottle of milk Joe gave me while friends, presumably fellow reporters, were visiting our house. Joe was simultaneously holding his family together and building a high-profile media career. Work meant that he was on the clock 24/7, and the Times became a second home for our family, a place where we were surrounded by people rooting for the three of us. When Joe jumped from the sports desk to the metro section, the newsroom served as a backup babysitter. When a story demanded that Joe’s feet hit the pavement, two little girls weren’t the worst accessories in pursuit of a quote.

Joe helped the Times garner a fistful of Pulitzer Prizes and covered everything from 9/11 (he dropped me off at school in Brooklyn that morning, and I didn’t see him for days afterward), to the sex-abuse scandal at Penn State, to the ousting of two New York governors. Eight years and more stories and prizes followed at ProPublica, the nonprofit news organization.

Early on, our lives could feel unstable—we moved more times than I can count, and my mom cycled in and out of our orbit—but Joe was always solid, secure. Despite the brutal work hours, he made sure to cover beats that kept him close to home. Weeks after turning 17, I began a decade of doing the opposite: I adventured across the globe, first to Argentina and Ghana, then to Thailand, Cambodia, Vietnam, and South Korea, on to France, and back to East Asia. I volunteered, produced documentaries, did investigative research, worked at Vietnam’s national English daily, fell in love, opened a restaurant, got a master’s in international security, and flirted with intelligence work and law school before settling back into documentary filmmaking.

Why the constant need to uproot myself? I’m sure a therapist could find some link to childhood trauma. I was too busy to question it; I was living as freely and fearlessly as possible. Joe, with his daily news grind in New York, was the only anchor I needed.

In May 2021, Joe upended this comforting metaphor when he told me that he’d be going to Libya to report a story. It sounded like a good one. But heading to a country racked by violence and without a U.S. embassy didn’t seem like something the careful and even anxious dad I knew would do. Joe and my stepmom had twin girls who were not yet in middle school. Beginning foreign correspondent work at the age of 61, on a dangerous story no less, was an interesting life choice.

Still, I put my travel and reporting experience to work helping him prepare. Jailbreak his cell phone so a foreign SIM card would work? I could do that. Secure a rapid PCR COVID test for travel? I could do that, too: For the previous six months, I’d been navigating strict protocols while filming an HBO series about the 1979 Iran hostage crisis, when the U.S. embassy and staff in Tehran were held captive for 444 days.

The one thing I couldn’t help Joe with was taking his health more seriously. Just before his trip, he revealed that doctors had found a macular hole in one of his retinas. Left untreated, it could compromise his vision, which was already so bad he was legally blind without his glasses. He didn’t address the defect before going to Libya, nor did he plan to deal with it upon his return. Joe had always been cavalier about taking care of himself—his diet, sleep, and mental health all suffered. Perhaps this stemmed from his Irish Catholic upbringing, which glorified hard work, sacrifice, and personal neglect. Perhaps it came from his lifelong tendency to see himself as invincible when he was on a mission for work or for his family, which he almost always was.

I had seen Joe that way, too—until now. For the first time in my life, I found myself worrying about a future in which I would have to take care of him.

On a spring day, Joe and I sat on the porch of our house in Brooklyn, ignoring my concerns and discussing our respective reporting projects instead. I googled directions to a shop on Coney Island Avenue that sold burner phones in case my neophyte dad needed them on his journey. A few days later, Joe was on a plane to Libya and I was on my way to Washington, D.C., for the HBO project.

For me, the project was a moment of reckoning. I was nearly 62; there weren’t going to be many more shots at foreign correspondence. Did I have the stones for it?

JOE

Mitiga International Airport in Tripoli looked like something out of a Mad Max movie. The runways were pockmarked, the hangars appeared abandoned, and the ghostly shell of a scorched, half-collapsed airliner sat in one corner of the tarmac. I all but expected Lord Humungus to poke his masked head out of one of the plane’s blasted windows. The scene was no surprise: The airport had witnessed successive sieges during the years of civil war that followed the violent toppling of Libya’s longtime strongman, Muammar Qaddafi. The real shock was how exactly I’d found myself landing there on a hellishly hot afternoon in May 2021.

Some backstory might help. I spent 25 years as a reporter and editor at The New York Times, and ten years into that run, I was asked whether I might like to be a foreign correspondent in Africa. At the time, I’d also wound up a single dad of two young girls. Just seeing that the dishes got done, the socks were properly matched, and the hastily made bologna sandwiches made it into their lunch boxes felt like heroic accomplishments. My life’s ambitions, rather jarringly, had shrunk to this: Get the girls to 18 years old unharmed. So the idea of living in an armed compound in Nairobi while responsible for covering nearly a dozen often troubled East African countries seemed an imprudent reach. I demurred.

Truth be told, I wasn’t sure I had the guts for it anyway. I was not a particularly brave person. Was I also a coward of sorts? This was a chastening worry that would stay with me over the decades after I turned down the chance to go to Nairobi. Then, in 2021, shortly after going freelance, I fell in with Ian Urbina, an old colleague from the Times who’d started the Outlaw Ocean Project, a nonprofit committed to some of the most daring reporting on the planet. Piracy on the high seas; slavery on fishing ships; the secretive, illegal dumping of oil into the ocean—Ian was covering all that and more. He was looking for an extra hand and said that I could start by joining him on a reporting trip to Libya. I agreed to go.

Libya struck me as a place of mystery and menace. Seventh-century Phoenicians had laid claim to the territory, and the Greeks and the Romans followed suit. The Spanish and the Ottomans came after that, and then, in the early 20th century, Italy planted its flag. Following the second World War, Libya won its independence, and for close to 20 years it was a U.S. ally, a country of petroleum riches and strategic geopolitical significance. American oil companies flocked there, and Washington leased a major military base. Then, in 1969, Qaddafi staged a coup. The ardent Arab nationalist installed himself as both chief of the armed forces and leader of Libya’s new governing body, the Revolutionary Command Council. Forty years of calculated cruelty and international misdeeds ensued. Under Qaddafi, Libya was seen by the U.S. government as an agent of terror and an enemy of Israel.

Qaddafi met his end during another revolution, the Arab Spring of 2011, and in the years that followed, Libya became a failed state. We would be going there to report on a darkly astonishing story taking place within the country’s borders: the brutal mistreatment of migrants trying to make their way from poverty and conflict to the safety and promise of Europe. The European Union was increasingly unwilling to accommodate these desperate people and their dreams, but it had effectively outsourced the dirty work of halting the flow. Libya, riven by rival militias and foreign mercenaries, was the EU’s most eager and immoral proxy, ramping up a veritable industry of abuse. Migrants on flimsy rafts were captured on the Mediterranean, transported to grim detention facilities inside Libya, and subjected to what the United Nations has since deemed crimes against humanity, including torture, rape, and murder.

A month before we set out for Libya, a 28-year-old migrant from West Africa was shot dead by guards inside one of the country’s most notorious migrant jails, a cluster of converted warehouses in Tripoli known as Al Mabani (the Buildings). We didn’t have the name of the migrant or know where his body had wound up. Still, we meant to tell his story. It may have been a Libyan gunman who shot the young man, but his blood was arguably on the EU’s hands.

There would be four of us working together, and though we would arrive in Libya with the help and blessing of the Red Crescent, an aid organization, our safety briefings made plain the risks we faced. We were given tracking devices in case we went missing. We were told to make photocopies of our passports and put them in the soles of our shoes. An action plan was created, to be set in motion by people back in the U.S. if we went silent for 24 hours.

For me, the project was a moment of reckoning. I was nearly 62; there weren’t going to be many more shots at foreign correspondence. Did I have the stones for it? My second child, Lucy, had shown herself capable of risky work. She’d even been a whistleblower in Ghana during a semester abroad, reporting fraud at the orphanage where she volunteered.

In the lead-up to the trip, I didn’t have trouble sleeping as I feared I might. I didn’t have panic attacks either, although they’d afflicted me at times throughout my life. If I was fooling myself, it was working. Soon I was on a plane to Amsterdam, then to Istanbul, and on to Tripoli. Out the window upon our descent, Tripoli—in its heyday an outpost of beauty and charm on the Mediterranean—had the look of a washed-up prizefighter: scarred and nicked, teeth knocked out, face sagging from a thousand beatings.

Red Crescent officials met us at the airport. There was an awkward wait as our bags were examined, but we were cleared to enter and soon were in a van with our security: three local men in T-shirts and sunglasses. Arrangements had been made for us to stay at the Corinthia Hotel, said to be Tripoli’s most luxurious accommodations. The place had a violent history. In 2013, the Libyan prime minister was kidnapped from the hotel. Two years later, ten people were shot dead when a militia stormed the place. Just a week before our arrival, the latest set of gunmen had turned up in a show of force, but no one was hurt.

We never made it to the Corinthia. Instead we were taken to the Royal Gardens, a nondescript four-story hotel on a side street near Tripoli’s central square. No explanation for the change was given. The Royal Gardens had the feel of some sort of front, as if the clerks and concierges were playing a role. It was hard not to be a little spooked.

I didn’t wear glasses, but Joe did. I couldn’t remember an occasion when I’d seen him without them, save for an occasional swim in the ocean.

LUCY

As a story producer for the HBO series, I was responsible for historical and political research, and for developing compelling characters and storylines. The origins of the Iran hostage crisis date back to well before 1979 and are anything but settled. The dynamism and nuance of Iran’s history, culture, and people challenge even rigorous academics. And I, no academic, belong to a generation of Americans who have only known Iran as an isolated, theocratic, dictatorial country—a “pariah state” and sworn enemy of democracy.

It wasn’t always so. Cyrus the Great, who built a mighty Persian empire during his reign in the sixth century B.C., was known for his tolerance of religious and cultural diversity. A prominent statesman, Cyrus is credited with fostering ideas about human rights and centralized governance. Thomas Jefferson was an admirer and drew from Cyrus during the drafting of the Declaration of Independence. Fast-forward to the modern era, when Iran and the U.S. began to build a strong if complicated friendship. In the late 19th century, American missionaries founded hospitals and schools in Iran. When the Soviet Union refused to leave occupied lands in Iran’s Azerbaijan region after World War II, President Harry Truman brought international pressure to bear to encourage withdrawal. The countries’ relationship tightened again when Shah Mohamed Reza Pahlavi came to power in Tehran.

In 1953, the CIA helped coordinate a coup that quelled a pro-democracy challenge to the monarchical ambitions of the Shah, who would go on to establish increasingly authoritarian rule while proving an indispensable ally to a series of U.S. presidents. America relied on the Shah for oil, military contracts, and intelligence. In an effusive New Year’s Eve toast, President Jimmy Carter declared Iran an “island of stability” in the Middle East.

Just a year after Carter uttered those words, the Shah fled Iran as supporters of revolution rallied behind the Islamic clerics who’d been his harshest critics. Ten months later, on November 4, 1979, a group of students seized the U.S. embassy, an act meant as a rebuke of America’s friendship with the deposed Shah. According to the students, they intended to take embassy staffers hostage for a short time, but the situation lasted more than a year. In Tehran, the wave of nationalism and anti-American fervor that erupted around the crisis became a veil behind which repressive religious forces stepped into a political vacuum. The theocracy ushered in by cleric Ayatollah Ruhollah Khomeini continues to this day.

The team behind the HBO documentary hoped we could put the people at the center of this complex story back into the frame. Earning and protecting the trust of subjects is a great privilege of the work of a documentary storyteller, and on this project I came to know a rich and varied cast from around the globe: American hostages and their families; academics and analysts who covered the crisis; Iranians who either supported or opposed the revolution; journalists who met Khomeini during his brief time in France, before his triumphant return home, or who captured events in Tehran at great personal risk.

Learning these people’s stories often meant asking them to relive traumatic events. Parvaneh Limbert, wife of hostage John Limbert, described the horrible moment when she learned that her husband had been seized half a world away. During one of my visits to the Limberts’ home, Parvaneh showed me pictures of her life in limbo as she cared for two kids alone; there were photos of Christmas trees, family dinners, bedtime routines, and trips to Washington, D.C., all without John.

The documentary’s archival team amassed a library of footage, photos, and news clippings that brought me closer still to the agony of uncertainty. I watched the hostages’ families give heartbreaking press conferences. Some recounted nightly rituals of scanning the news for a glimpse of their loved ones in footage released from the embassy. Newscasters described how Michael Metrinko’s family went months without knowing if he was alive.

Former hostages told me about the anxieties and fears that came with being cut off from the world. The only certainty was disorientation. Several people recounted the horror of being blindfolded, led outside, and lined up as if before a firing squad. They heard their captors load guns and count down—in place of “zero” came the mocking click of an empty chamber. Despite the decades that had elapsed, the former hostages’ terror remained fresh in the telling.

A catalog of rarely if ever seen footage from inside the embassy also provided glimpses into the hostages’ experience. One clip in particular stuck with me. In it a hostage explains to a Red Cross doctor that his eyeglasses had been taken from him on the first day of the crisis and were never returned. It was painful to imagine what he experienced—the blurred vision, the headaches, the world circumscribed.

I didn’t wear glasses, but Joe did. I couldn’t remember an occasion when I’d seen him without them, save for an occasional swim in the ocean.

JOE

Becoming a single dad ended my sportswriting career; I couldn’t make a West Coast swing during baseball season while responsible for two young girls. So I moved to the Times’ metro desk and became a decent city reporter, doing a mix of hard news and feature stories. Over the years, my girls tagged along on some of my assignments, from the explosion of TWA Flight 800 off Long Island to a Hasidic mother in Brooklyn who was one of the most sought-after nitpickers during a plague of lice in local schools. When the Times asked me to help conduct in-house seminars on street reporting, I made a point of telling younger reporters that success is often determined before you get out the door. If you’re fatalistic about getting what you need, failure awaits. If you force yourself to believe that an improbable reporting coup could happen, often as not it does. Corny maybe, but also true, at least in my experience.

I followed my own advice with Libya, trying before I arrived to imagine what reporting there would be like. I foresaw secretive conversations with friends and relatives of jailed migrants in dusty streets outside detention facilities. Maybe there would be a way to talk to prisoners through barred windows. Notes might be exchanged.

I felt naive, then, when two members of our team returned to the Royal Gardens after venturing out to Al Mabani. Their driver had refused to even slow down while passing by the jail, so fearful was he of being stopped at gunpoint.

Needless to say, the landscape of the city was less than ideal for the kind of street reporting I knew. To merely venture out, by foot or by car, was to risk being confronted by the armed men stationed at a convoluted pattern of checkpoints throughout Tripoli. And then there was the matter of our security team. Though they had been assigned to us with the help of the Red Crescent, a little googling showed that the firm they worked for seemed to be run by a former Libyan military official accused of war crimes. Were they actually government minders monitoring our doings? Militia members themselves? Did it matter?

Libya, I was discovering a little late, was an inscrutable place.

In addition to me and Ian Urbina, our team included Dutch documentary filmmaker Mea Dols de Jong and Pierre Kattar, a video journalist who’d spent years at The Washington Post. Against the odds, we soon got some reporting breaks. A variety of aid organizations had done years of work documenting abuses and offering comfort to the tens of thousands of migrants swept up and detained inside Libya. One of those organizations was able to provide us with the names of the young migrant shot dead at Al Mabani and of a witness to the killing. The dead man was Aliou Candé, a farmer and father of three from Guinea-Bissau, captured by the Libyan Coast Guard as he tried to make his way to a new life in Italy. The witness was a man from Ivory Coast named Mohammad David; he had managed to escape Al Mabani in the tumult that followed Candé’s murder. We had a cell phone number for him.

On our first night in Tripoli, three of us made it to Gargaresh, an area that had become a migrant ghetto. Militias liked to make brutalizing sweeps of Gargaresh’s mix of hideouts and encampments. Along the neighborhood’s main drag, a blur of neon lights, furtive figures, internet cafés, and cheap food joints, we met Mohammad David. He spoke French, and Pierre, whose father once served as a translator for the U.S. embassy in Paris, could make out enough of what he said to extract a rough narrative of Candé’s killing.

There had been a fight inside one of Al Mabani’s crowded, fetid cells. Guards fired their automatic rifles indiscriminately. Candé was struck in the neck, and his blood streaked a wall as he dragged against it before falling down dead. Other detainees didn’t allow his body to be removed from the cell until they were granted their freedom, which was how Mohammad David made it to Gargaresh.

The incident was a stark reminder that Al Mabani, like many other jails in Libya, was run by one of the violent militias that had divided Tripoli into wary, sometimes warring fiefs. These forces extort the families of jailed migrants for ransom payments, steal aid money meant to help feed and clothe their captives, and sell men and women into forced servitude. Candé’s killing, for a rare, brief moment, gave some of his fellow prisoners leverage over their captors.

In the days that followed our conversation with David, other unlikely reporting triumphs piled up. We found a man who served as a kind of informal liaison for migrants from Guinea-Bissau eking out a living in Tripoli. He brought us to Candé’s great-uncle, who showed us police documents pertaining to Candé’s death; a “fight” was listed as the cause of his demise. The liaison said that Candé had been buried in a vast walled-off expanse of dirt that served as the graveyard of Tripoli’s unwanted. We hired a local photographer to launch a drone camera over the acres of burial mounds, most of them unmarked. He managed to locate one into which someone had scratched the name “Candé.”

In subsequent days, our team snuck two other men who’d spent time at Al Mabani into our hotel. One of them, a teenager, told us that he’d taken a bullet in his leg the night Candé was killed. We pushed the limits of prudence in pursuit of these reporting coups. Pierre had brought a drone camera with him, which he flew above Al Mabani. The scene he captured looked a lot like a concentration camp: men huddled under threat of violence after being fed in a courtyard, then marched back to their cells single file, beaten in the head for so much as looking up at the sky.

It soon became clear that our security guys were reporting back to their bosses, whoever they were, at least some of what we were up to. At one point, we got a visit from an American expatriate who said she worked for the security outfit. She warned us that what we were doing was dangerous and demanded we apprise her of any further proposed reporting efforts outside the confines of the hotel.

One morning we notified Red Crescent officials that we wanted to visit the morgue where Candé’s body had been taken. Mea and I got in a van and made our way through Tripoli’s streets. The morgue was part of a complex of squat buildings shielded by an imposing set of walls and fences. Inside was a man at a desk. We asked to see Candé’s records, and he rifled through several filing cabinets.

A freshly wrapped body lay on a gurney in the middle of the main room. In a side room, a worker ran water from a hose over another body. Behind a set of curtains was a wall of refrigerated chambers that could hold perhaps two dozen corpses. It was impossibly hot and completely quiet.

Mea recorded what we were seeing from a small camera set discreetly against her stomach, until someone noticed and reported it to the man at the desk. It was time for us to go.

LUCY

Many of the people we interviewed for the documentary emphasized that we didn’t have to go as far back as 1979 to hear about the experience of being a hostage in Iran. The country still holds U.S. citizens in captivity, using them as pawns in its efforts to have various political and monetary demands met. This fact led me, shortly after Joe’s departure for Libya, to a law office in D.C. near Dupont Circle. I hoped to gain insight into the current situation by talking to Babak Namazi and his family’s attorney, Jared Genser.

The Namazis’ experience is tragic: They have suffered not one but two loved ones being taken hostage in Iran. Babak, the eldest of two sons, was born in Iran not long before the revolution that forced his family and many others into exile. The Namazis became American citizens and built a successful life; they’re especially proud of the decades that Baquer, Babak’s father, spent working at Unicef, fighting for vulnerable children around the world. During a visit to Iran in 2015, Babak’s younger brother, Siamak, was seized by the Islamic Revolutionary Guard Corps. The IRGC, an agency born out of the revolution and tasked with maintaining Iran’s internal security, is known to use surveillance, unlawful detention, and torture against foreigners and Iranian citizens alike. Since 1979, it has used hostage taking to gain political leverage in negotiations with Western countries. Increasingly in the past decade, the IRGC targeted Iranian dual citizens and permanent residents from the United States, the United Kingdom, Canada, France, and other nations.

In 2016, Baquer traveled to Tehran based on a promise that he would be permitted to visit his son in prison. Instead he was taken hostage by the IRGC as soon as he got off the plane. Both he and his son were held on spurious charges of collaborating with a hostile government. Trials to convict IRGC hostages are little more than cynical nods at justice: Often there are no witnesses, no time allowed to build a defense, no opportunity to dispute the charges before a judge.

Babak and I had spoken at length about his family’s ordeal, and now I would be spending some time with him as he made the rounds in the U.S. Capitol. Families of hostages are left to push congressional leaders to act and to ponder cruel questions: What can lawmakers do to help them? What sort of financial, political, or nuclear deal or prisoner swap will be enough to secure their loved ones’ release?

For me, relief from this emotionally weighty work came from the stream of texts I received from Joe in Libya. We always kept each other up to date on our respective projects, from the minutiae of storylines and quotes we loved to the journalistic joys of acquiring crucial evidence or getting a key source to open up. Joe sent me photos from Tripoli that captured the travails of finding good iced coffee, which his New York blood desperately needed. We texted about the excitement and strain of overseas reporting—the translators, the logistics, the agencies that are “dysfunctional even when they’re on your side,” as Joe put it.

But it wasn’t all levity: There was a video of a dead man in a morgue, and photos Joe and his colleagues obtained of poetry scratched into the walls of cells. There were images of paper scraps with poker scores kept by migrant men trying to kill time, and footage from a drone the team had flown over a notorious prison. Joe mentioned dodging undercover intelligence, perhaps even local militias.

I knew this was dangerous material to be exchanging between our personal phones, but I wasn’t particularly keen to tell him to stop, to cut myself off from him and his journey. We’d worked hard to get where we were—a journalistic duo, a bonded pair.

Our father-daughter relationship was not uncomplicated, as evidenced by the fact that, even as kids, my sister and I called our dad Joe. Therapists refer to it as “adulting” when children are forced to mature rapidly and parent themselves or others. Our household was one of silent, industrious survival. Joe was a stoic workaholic. I shared in his anxiety about empty bank accounts, which resulted in my habit of hoarding money along with the Halloween candy in a dresser drawer.

Once, while Christmas shopping, we ran into a reporter Joe knew. In a well-meant aside, the man told me that I should appreciate the career sacrifices Joe made to stay close to his girls. I felt a deep mix of guilt and anger. Yes, he’d made sacrifices, but if we’re being honest, Joe wasn’t home all that much. On school nights, hours after falling asleep, I’d wake to join him as he caught up on the day’s sports scores and ate a midnight dinner. It was the only time I could reliably be close to him.

His work shaped our relationship in other ways large and small. Help with homework wasn’t common, but when I was in the third grade he edited one of my writing assignments and added the word “divine” to a sentence. In a way only the child of a writer ever could, I argued: This wasn’t “my voice.” Did he even know what a third-grader’s writing looked like? I made it a point that Joe Sexton of The New York Times would not be permitted to edit anything else of mine until it came time for me to apply to college.

As it happened, it wasn’t until that rite of passage occurred nearly a decade later that Joe and I started to build a deeper relationship. Once I was in college, I sent a rather frank email to my mother, with Joe cc’d, making it plain how little anyone had ever told me about what happened with our family. Joe’s reply included a lengthy PDF attachment titled “The History of Us.” I later got those words inked on my shoulder.

In time Joe became dad, then friend, and later, when I got into journalism, collaborator. The gift of our admiring, candid relationship felt precious. It also made me susceptible to tears when it came to stories about fathers. Rewatching The Lion King? I was a mess. Working on the Iran project, I found myself especially sensitive when hearing about hostages with children, be it John Limbert in 1979 or Baquer Namazi in 2016. Babak hadn’t seen his dad in five years; I had just sat next to Joe on the porch a week prior. The idea that my dad might never come home was impossible to fathom.

JOE

The takedown was efficiently executed: Several cars moving in tandem. Men with automatic weapons. Commands hollered in Arabic for us to keep our heads down. It was close to 8 p.m. on May 23, a Sunday evening, about a day and a half from our scheduled departure from Tripoli.

Hours earlier, after visiting the morgue, our reporting trip had taken another surprising turn: We were informed that the Libyan Coast Guard might allow us aboard one of its patrol boats. That would mean actually getting out on the Mediterranean, perhaps even witnessing a roundup of migrants trying to reach Europe. In recent years, the Coast Guard had been accused of firing on or capsizing migrant rafts. People pulled aboard Libyan vessels reported being beaten and terrorized.

We were excited that our efforts might end on a fruitful note and proposed to our security team that we go to a restaurant for a celebratory dinner. There was a good Turkish place across town. Ian stayed behind at the Royal Gardens; his teenage son needed help with his homework over Zoom.

On almost every trip through the city, our security team had been wary of men in white cars. The significance of the color was hard to decipher—maybe it indicated undercover police—but their worry was intense and constant. When looking for a spot to launch the drone over Al Mabani, for instance, they’d abandoned several options after white cars were seen nearby.

Now, about halfway to the restaurant, there were suddenly white cars all around us. Our driver wheeled into the thick of Sunday evening traffic to turn around, then floored it, intending to dash back to the hotel. We didn’t get far. In a roundabout below an overpass, there was a crash to the right side of the van. We came to a stop.

“They’ve got guns,” Mea said.

The front doors of the van were thrown open. Our driver was pistol-whipped and yanked from the vehicle. The security guy in the passenger seat was heaved out, too; taking his place was a young man of perhaps 21, his face electric with excitement and an AK-47 in his hands. Our van had been tricked out with goofy interior lights and an array of cup holders—it always struck us as a cut-rate prom-night vehicle. Now it was a scene of shouts and silent prayers. I put my head down as directed and pulled my windbreaker over it.

The van sped off. This had taken perhaps 30 seconds.

Rocketing through Tripoli I was strikingly calm, but I wasn’t feeling courage so much as an altered sense of reality. It seemed as though we were in a movie, not a potentially deadly abduction. If I was deluded, at least that felt better than panic.

We listened for any sense of where we were headed. There was a sharp turn and a sudden stop, then the scraping and clanging of what sounded like a gate rolling open.

Ordered from the van, we were marched along, heads pushed down. I thought of the detainees in the courtyard of Al Mabani unable to look up at the sky. Inside wherever we’d been taken, we were blindfolded. I’d worn glasses since the third grade at Saint Saviour grammar school in Brooklyn, and probably hadn’t been awake without them on for more than five minutes in the five decades since. Now my glasses were gone, and what sight I had was blocked by cloth.

Standing, then forced to sit, it was hard to cope with the expectation of being hit. Instinctively I braced myself, my head turned sideways to soften a blow. Our captors shouted at us in Arabic, turning a gorgeous language hideous. There were bits of broken, angry English, too.

“Libyans are not stupid,” one of the men hollered.

“Who is Mohammad David?”

It became clear that these men had been to our hotel. My guess was they’d found David’s name and number in our phones. The thought occurred: Maybe our captors were members of the militia that ran Al Mabani.

I heard Ian’s voice. He’d been taken, too, hooded and stomped on by men who stormed his hotel room. He’d been on a call with his wife, who heard the men and her husband’s cries as two of his ribs were broken and he was dragged from the room barefoot. Whoever they were, they had all of us, along with all our stuff: notebooks, cameras, drone, recorded interviews, computers and hard drives, passports, money, tracking devices.

“Who killed George Floyd?” somebody screamed derisively. I had to assume that they’d found our concern about Candé’s death inside Al Mabani ironic, given Floyd’s murder by police in America a year earlier.

Our captors soon zeroed in on Pierre. Born in Lebanon, Pierre was invaluable to our reporting, with his gift for languages: English, French, Italian, some Arabic. Now the men who’d taken us hit him in the head, and the words they yelled implied that they regarded him as a traitor.

Libya’s record on the treatment of people in its jails and prisons is miserable. I’d researched it before the trip and copied a passage from a UN report into my notebook:

Torture continues today in Libya. It is most frequent immediately upon arrest and during the first days of interrogation as a means to extract confessions or other information. Detainees are usually held without access to lawyers and occasional access to families, if any…. From late 2011, the United Nations Support Mission in Libya has recorded 27 cases of deaths in custody where there is significant information to suggest that torture was the cause, and is aware of allegations about additional cases which it has not been able to fully investigate.

Were we being held by the government? A militia? Even knowing that there might not be much of a distinction, the latter still felt more frightening. If militias were involved, I feared that people back home learning of our abduction might be a more remote possibility, and that our status as Americans might matter less to our captors.

While I was blindfolded, my sense of the passage of time faded. Every once in a while I’d be moved; from where or to where, it was impossible to say. There were shifts in temperature—one spot felt air-conditioned, the next torrid. There was no talking. Our captors seemed to get a kick out of stepping on my feet every once in a while, grinding my toes. But was this just for their amusement? Perhaps it was a detention technique, or a way to kill time before shooting us.

On my checkered journey toward a college degree, I once went off to work in Wyoming, fixing track and building snow fences for the Union Pacific Railroad. The wages allowed me to save up enough for a year of school abroad, in Dublin, where one subject I was good at was the study of beer. An Irish poet and writer named Seamus Deane taught one of my classes, and he just so happened to be childhood friends with a rather more prominent poet, Seamus Heaney. Heaney came to read for our class one evening, and we had more than a few pints afterward. Thus began my most sustained love affair with a writer’s work, and among Heaney’s poetry I most cherish is a series of gorgeous sonnets he wrote upon the death of his mother. In one verse, he likens his mother’s absence to the loss of a beloved chestnut tree on his family’s farm in Northern Ireland—he calls what’s left behind “a bright nowhere.”

Contemplating being shot, this phrase came back to me. When I opened my eyes underneath the blindfold, the material appeared gauzy, whitish yellow in color. A bright nowhere. Maybe I’d already been shot.

After hours of silence there was a commotion, and once again we were on the move. Yanked to our feet, we heard guns being fiddled with and slung about. We were pushed outside. It was a hard, enraging thing to walk blindfolded. I held a hand out to steady myself against a possible fall and was shoved in the back of the head. It was hardly grave in comparison with what might happen, but it made me furious. Crazy as it sounds, I thought, Go ahead, shoot me, beat me, whatever, but do not fucking push me when I cannot see.

I could smell the Mediterranean, salty and thick. In our reporting, we’d heard multiple accounts of migrants being shot and dumped in the sea. Maybe it was time to take hurried stock of my life.

It had been rich in blessings. I found a second chance at love, a wife full of beauty and forgiveness. I got my two older girls to adulthood safe and healthy, and then, at 51, had two more girls—twins. I shared in a bounty of consequential reporting. Throughout that charmed life, I made a million mistakes at home and on the job, but they all proved survivable, for the people and institutions I sinned against and for myself.

In the Libyan darkness, I contemplated what I’d most like to say to the people I loved and served. “I tried my best” is what I landed on. I was instantly embarrassed at the self-serving ring to it. But it’s what I had.

Once more came the sounds of gates or doors scraping open, of car and motorcycle engines being revved. Then I felt the cold blade of a knife against my groin. I could hear my track pants tearing.

No God, please.

It turned out that the captors were just cutting the elastic string from my waistband. Hanging myself—not an idea I would have had—was evidently not going to be an option.

I was pushed to the ground and wound up on my ass. There was a mash of bellowing and then, once again, silence. I could tell through the blindfold that wherever we were, the lights had just been turned out. To my right I sensed another person. I could hear breathing. I guessed it was Pierre.

“You there?” I whispered.

“Yes,” Pierre said.

My rational brain told me that the only thing to do was get back to work. It’s what Joe would have done.

LUCY

It was around noon on May 24. I was at the head of a conference table, prepping for the following days’ work on the documentary. I don’t know why I chose that moment to check my personal email. When I’m in the field it can be hard to remember to eat. Perhaps it was a sixth sense that made me look.

Sitting at the top of my inbox was an email from my stepmother to everyone in our family, sent just a few minutes before. Joe and his three colleagues in Libya had been taken the night before and hadn’t been heard from since. It was suspected that Libyan intelligence was responsible. The Outlaw Ocean team was raising alarm bells with whomever they could. My stepmother had asked The New York Times’ director of global security for advice; she is a photo editor at the paper, and both Joe and Ian Urbina are beloved alumni.

I was taken aback. Was this real? I spent some time just trying to grasp the basic facts. What happened, when, and why? Few things were answerable.

My first struggle was practical and professional: how to explain this. I needed to let someone know what I was going through, worrying about my dad’s kidnapping overseas while running around Washington, producing a documentary about hostage taking. The coincidence was darkly poetic. In my head I started rehearsing versions of “I know this might sound crazy, but…”

I sought the best way to summarize my situation to my boss, the right words to use. Was my father captured? A prisoner? A hostage? All of the above? I called the series’ producer, who took the news and its ambiguities in stride, offering help and gracious concern. I then shot off a succinct reply to the family email chain: I was on call to help, I wrote, and felt “confident they will be out in no time.”

For the time being, I told no one else what had happened. In times of emergency, my consciousness switches to a kind of third-person observer, similar to how many of us experience dreams. I can step outside myself to see the larger narrative. Maybe this tendency lets me remain calm rather than deteriorating into tears. In this case, given my work on the series and everything I was learning about hostage taking, it also allowed me to keep perspective, to remind myself of the spectrum of precedent for this sort of incident. 

Then my rational brain told me that the only thing to do was get back to work. It’s what Joe would have done.

Late that night, when I returned to my hotel room, I looked through the last messages I’d exchanged with Joe. There were photos, videos, and details about evading men who appeared to be undercover officers. Our communication now felt careless, incriminating. How naive we’d been in dismissing the risks he was taking. Knowing Joe’s unsophisticated relationship with technology and passwords, Libyan intelligence operatives were probably scrolling through everything I was seeing on my phone. Our exchanges might be used against Joe and the rest of his team.

Sometime after 2 a.m. I spoke to my stepmother. “Who else should I tell about the texts I received from Joe?” I asked. Then, thinking on it further, I realized that there might be something else I could do—someone I could talk to. I was anxious to get to work, both for Joe and for the documentary. Sunrise was just a few hours away.

JOE

I assumed it was morning when I heard a door or gate bang open. I could sense light through my blindfold. Then, with no warning or explanation, the wrap was taken off. The men who removed it were gone before I really saw them. Pierre’s blindfold was off too. We were left—me barefoot, him in socks—in our tiny cell.

Without my glasses, it was hard to take in the details of our cramped quarters, but I did my best. We had been sitting on a thin and ratty foam pad. There was a high, narrow window that sunlight streamed through at an angle. Ants were everywhere. A blue metal door held a slat that slid open from the outside. There was a toilet, and two heavy wool blankets were heaped in a corner.

I was glad Pierre was there, but for a while we didn’t speak much, each of us making our own private assessments: Did surviving the night bode well? Mean nothing? Might we be released in an hour, or never? Back at the hotel, thinking ahead to our proposed embed with the Libyan Coast Guard, I’d checked the weather forecast. The temperature in Tripoli was supposed to climb above 100 degrees. Pierre and I could already feel the heat of the day start to cook us in the airless cell.

There is a grisly track record of American journalists abducted and harmed or killed overseas. The executions of Daniel Pearl of The Wall Street Journal in Pakistan and freelancer James Foley in Syria are perhaps the most well known. I’d had friends and colleagues abducted as well. David Rohde was held for seven months by the Taliban in Afghanistan and Pakistan before he managed to escape. My wife had friends and colleagues who were taken by a Libyan militia in 2011 while they were on assignment for the paper. They were physically assaulted before being freed days later. “We were each begging for our lives because they were deciding whether to execute us, and they had guns to our heads,” one of the photographers, Lynsey Addario, said in an interview after the ordeal. “And I remember thinking, ‘What am I doing here?’ Like, ‘How much do I really care about Libya?’ And then I thought, ‘Will I ever get my cameras back?’ I mean, which is the most ridiculous thought, of course, when you’re about to die.”

That’s how my mind worked as the silent hours slipped by. I imagined having fingers cut off under interrogation, then minutes later wondered whether the captors would bring me my glasses and what they’d feed us for lunch. The idea that we might spend years in custody led me to daydream about the prospect of learning Arabic. Perhaps that would prove a valuable asset for a former sportswriter looking for work in his seventies. Assuming I lived or was ever returned to the U.S.

Pierre and I had met for the first time barely a week earlier, and now we shared our backstories. He lived in Rome and had a 20-year-old son. He worked as a freelance video journalist and filmmaker, traveling the world for major news organizations. I talked about my wife and four girls. Lucy shared his talent for languages and international adventure—Pierre would have gotten a kick out of her.

Shame soon became the dominant sensation, a lacerating inclination to blame myself for what was happening. Had coming to Libya been in any way sensible? Was launching drones above Tripoli or filming inside a morgue anything but provocative and reckless? The shame went beyond my own lack of care and formidable arrogance. Locked up, unable to see very well, startled by the simplest sounds, I assigned legitimacy to our captors: They were right to have taken us. We deserved it. I suspect those practiced in the art of detention know that captives often feel this way and exploit it.

It was hard to get comfortable in the cell. There wasn’t enough room for Pierre and me to stretch out. We could come close to spooning and at least get our legs extended, but this was awkward, and the hard floor ground into our hips and shoulders. Seated upright, we could prop our bent legs against the wall that held the toilet. Traffic was audible through the cell’s high window, but we could only guess where we were or what time it was.

At one point the slat in the door slid open. Two small bottles of water were passed through, then two small bags comically marked “SandOwich.” I had no appetite. I’d taken antidepressants for a decade, mostly to treat anxiety. What little I knew about the medication was that you did not want to come off it cold after long-term use. The side effects could be pronounced: nausea, vivid dreams, dizziness, headaches. I wouldn’t be getting my meds, that was for sure. And the food hadn’t come with coffee, another longtime drug of mine. Oh boy.

Pierre and I were eventually summoned out of the cell, one at a time, for a brief encounter with a man behind a desk. At last we could get some sense of the facility we were in. There appeared to be three cells on either side of a narrow corridor; the place had the feel of a particularly grim drunk tank. Was it a government building of some kind? A holding cell adjacent to a courthouse would be a stroke of luck, rendering the possibility that we’d be shot less likely.

Seated before my inquisitor, I fancied that I might at least get my glasses. I think he only showed me my passport, then sent me back to the cell. Night crept in; the lights went out. Human voices rose up now and again, but it was hard to say if these were people inside the facility or beyond its walls, and whether they were groaning or praying.

Morning brought more water and nothing else. In the weeks before our trip, I’d hired an agent and cooked up a book proposal. An email arrived when we were at the hotel in Tripoli; a publisher wanted to set up a Zoom call to talk about the idea. The meeting was scheduled for 10 a.m. the morning after we were taken. I got a perverse laugh out of thinking what that call must have been like: an agent and a prominent publisher left waiting for a prospective first-time author who never showed, and never bothered to reach out and explain why.

Pierre proved to be a charming and fastidious cellmate. He revealed that at one point he’d been a busker on the streets of Paris, playing guitar, singing, and evidently doing well with the ladies. Dylan songs were in his repertoire; “To Ramona” was a favorite. Amid our acute boredom and generalized despair, he sang it for me:

I can see that your head
Has been twisted and fed
With worthless foam from the mouth
I can tell you are torn
Between stayin’ and returnin’
Back to the South
You’ve been fooled into thinking
That the finishin’ end is at hand
Yet there’s no one to beat you
No one t’ defeat you
’Cept the thoughts of yourself feeling bad

It made me smile.

For the family of a missing or detained person, the worst fears come from a lack of information. Knowing nothing definitive, you can only imagine the conditions your loved one is in.

LUCY

May 25. Joe was still missing. We had gotten no news. The name we had for the U.S. deputy chief of mission for Tripoli was out-of-date. Joe’s friends and colleagues were trying to get the attention of government officials, but we still had no clear point of contact at the State Department.

Compartmentalizing gets a bad rap; it can be a useful tool, especially when your job, and possibly your sanity, is on the line. I spent the day listening to Babak Namazi tell the harrowing story of his brother’s seizure by Iranian intelligence, the family’s lack of knowledge about Siamak’s condition, the Iranian government’s offer of a visit with Siamak that had lured his 80-year-old father, in poor health, back to Tehran. Bearing witness to the emotional strain that accumulates over years of constant anxiety about absent loved ones was tough. I tried to focus on the details of the Namazis’ story and on taking notes, but at times my ability to box things up wavered.

When the intersection of my work and personal life felt particularly cruel, I reminded myself how relatively lucky I was. While my father and I were only on day two of our shared ordeal—or was it day three for Joe, given the time difference?—the Namazis had surpassed day 2,000 of theirs. My father was a foreigner pursuing a sensitive story that, while honorable as a journalistic matter, required traveling to a country he probably wasn’t equipped to be in. Siamak and his father were being held in the country of their birth, speaking their native tongue with their captors. Iran was a place they had every right to be.

As the hours with Babak passed, I discovered that, for the family of a missing or detained person, the worst fears come from a lack of information. Knowing nothing definitive, you can only imagine the conditions your loved one is in, and you worry about their emotional state and the motives of their captors. Not being able to do anything, and having to rely on governments to make the difficult calculus of how to maximize the odds of bringing a person home unharmed, was as maddening as it was terrifying.

Negotiating with hostage takers is fraught with both moral and mortal hazard. Capitulating to extortion encourages abduction, but frequently the only way to free a hostage is by meeting captors’ demands. Trying to muscle or shoot one’s way through an impasse can be extremely unwise. The tragedy of Desert One, during President Carter’s failed mission to free the hostages in Tehran by force, is vivid evidence of that.

The serendipity of spending time with Babak was that I’d learned of one person in Washington who was intimately aware of the unique difficulties of securing the release of hostages. Roger Carstens, the special presidential envoy for hostage affairs, had handled some of the most intractable cases around the world, including the Namazis’. As it happened, Babak and his lawyer were scheduled to meet with Carstens the following day, and I was eager to come along—for the documentary and for Joe.

I got a call from Carstens’s director of communications, Joan Sinclair, to discuss the visit. With journalistic business squared away, I took advantage of the unhappy coincidence.

“So Joan, now I have a personal situation I need to talk about,” I said. “I hope you can help.”

JOE

On our second night in captivity, I was taken from the cell down a corridor, outdoors briefly, and then back inside to an office. Two men appeared to be in charge; both would tell me that they had once worked for Qaddafi’s secret intelligence service. One of them enjoyed making fun of my circumstances in the form of long, evidently hilarious riffs in Arabic. The other was a tall, doughy guy in sandals who carried a briefcase everywhere. He spoke English and mentioned that he’d received some training in the U.S., perhaps with the Department of Homeland Security. My goatee and full head of graying hair reminded them of Colonel Sanders. This cracked them up, and they took to calling me “Kentucky.” I laughed with them, both humiliated and grateful for the distraction.

Eventually, I was taken to a courtyard, and a phone was held under my chin. A State Department official was at the other end of the line. My captors told me to say that I had committed crimes but was being treated well. I think I managed to say that we’d been given water. I copped to no crimes. Back in the cell, Pierre told me that he’d been through the same routine.

I recalled that President Biden had recently named a special envoy to Libya. The envoy had his work cut out—he faced competing authorities, shifting alliances, and an overall sense of impunity for those interested in committing violence against migrants, neighbors, rivals, journalists. Still, I told myself that executing Americans was an unlikely outcome, given the international repercussions it might invite. Then again, by this point the only thing I felt confident about was that I didn’t really know anything at all.

The prospect of long-term imprisonment began to sink in. Given the dysfunction in Libya, we could become trophy captives, stuck here for months or even years. Pierre and I discussed what that sort of future might hold. Then we heard a faint tapping on the other side of the wall. We tapped back. We took the crude exchange to be evidence that Ian, Mea, or both were being held close by. Our spirits lifted slightly.

After James Foley’s brutal killing by the Islamic State in 2014, his mother created an advocacy group to track Americans held abroad illegally and to press the case for their release. There were an average of 34 U.S. hostages overseas every year between 2012 and 2022. Terrorist groups aren’t the only bad actors—foreign governments are, too, and in recent years the number of governments holding Americans hostage has grown from a handful to nearly twenty. The taken include businesspeople, aid workers, journalists. U.S. officials work hard to bring Americans home, but success is spotty at best.

I hated that my wife and kids were suffering with this knowledge, and with so much unsaid and undone between us. This was the slice of shame that cut deepest. I’d mythologized myself as a parent. Maybe all parents do this. It had sustained me to think that I raised my older girls well despite tough circumstances, and I entertained the notion that I was a more present dad to the twins. But cracks in this account appeared over the years. For me love was a demonstrative act: I did things for my wife and kids. I went to every soccer game, dance recital, school play. I sent the girls to summer camp, and we traveled to Ireland and Argentina, France and Mexico. Our home was always open to their friends. Holidays were rich with ritual. And I worked—too often, for too long, with obsession and insecurity. I gave too much of myself to the Times especially, but the paper was more than an employer. It provided me with purpose, and it allowed my girls to feel pride and community and safety.

But love as actual communication—an intimate connection of shared wonders and wisdom and worries—I wasn’t so good at. It was a painful pity. My elder girls, Jane and Lucy, weren’t hardships to bear, and they were more than good soldiers in our durable little platoon. They were among my life’s greatest gifts, a source of joy and comfort, women of grit and accomplishment. Parenting them was a labor, but of the best sort, powered by love and full of satisfactions. I wish I had told them that more often.

Again I put myself through the mental exercise of imagining a long detention. Would we be in a prison full of the destitute and ill, left to rot? Or perhaps a sun-bleached quarantine in the desert or on a Mediterranean shore, where the day-to-day depredations wouldn’t be awful, profound isolation and boredom the main punishments? Maybe in a place like that they’d let us read books.

I did the math—what would it mean to be gone a year, three years, ten? I’d had the thrill of officiating at the wedding of my eldest daughter, Jane, but Lucy was still single. The twins were barely in middle school. Maybe I’d make it back for another marriage and two college graduations. I could endure the wait. Or so I told myself.

LUCY

Every 17 years, dormant cicadas come to life, emerging from underground in a vast brood. As if the convergence of my work life and personal life hadn’t felt symbolic enough already, Washington was covered in a plague of the bugs as I awaited news about Joe. Standing in the grassy park in front of the State Department, I felt cicadas crawl up my legs.

A few minutes before, I was present when Babak met with Roger Carstens. The men had been in correspondence for years, and rather than stiffly shaking hands, they embraced. Then the men left me outside while they went to discuss sensitive matters.

When Carstens’s communications director called my cell phone a short while later, I expected it to be about interviewing her boss for the series. Instead she told me that Carstens would be coming back outside. He wanted to talk to me.

Carstens and I walked together across the grass by the Albert Einstein Memorial. Despite an earlier career as a lieutenant colonel in the Army Special Forces, he’s the kind of guy you immediately feel comfortable calling by his first name. Roger’s affable smile, youthful energy, and casual demeanor can put anyone at ease. These qualities make him well suited to his difficult role.

The job of the president’s special envoy for hostage affairs was created in 2015, around the time the Obama administration was making headway in talks with Iran. Those talks led to a nuclear deal and the release of six Americans. Under the Trump administration the nuclear deal was undone, but the position of hostage envoy remained. Its effectiveness was limited by turnover until 2020, when Roger took the job. Finally, hostages and their families had an advocate with staying power. Roger built meaningful relationships with the people he tried to help; his direct line was available whenever they needed it.

He kindly gave me what assurances he could. A team at the State Department, including people in Tunisia, were on the case, and they were going to do everything possible to bring Joe and his colleagues home. Getting the attention of the country’s most senior hostage negotiator made me feel like I had at least done something to help my father. Now if any news about Joe came across his desk, he would at least have a face—mine—to connect it to.

Soon after speaking with Roger, I got another call. An Associated Press reporter had learned what was going on in Libya and wanted to know if I’d be willing to talk. This was somehow the most disorienting aspect of the week so far. I had always been the one reaching out to people for their stories. Now I’d experience, even if just a little bit, the invasive nature of media attention. The idea that Joe’s abduction might be newsworthy hadn’t even occurred to me. I imagined the headline: “Four Journalists Seized in Libya; Still Missing, Day…” Wait, how long had it been? I did the math. It was now May 26—three days.

For the first time, I felt myself freaking out. But then my rational brain kicked in again. Make a call, send an email, make sure lunch was ordered, do something. Leaving the buzzing white noise of the cicadas outside, I hopped in a van with some colleagues and headed to the Capitol for more meetings.

En route, my phone rang again; Leslie Ordeman, the deputy chief of mission in Tunisia, was calling. He was involved with the case of Joe and his colleagues, and he was able to offer some concrete facts. The U.S. government had determined that they were in the hands of some arm of Libyan intelligence. No one had seen them in person, but they’d spoken briefly on the phone after days of being incommunicado. They seemed at least physically OK.

My stepmother had mentioned at one point that Joe would be without access to his medication. I thought about the hostages from 1979, the fear that formed in the silence of their personal silos, the embassy staffer who lived without his glasses for 444 days. My voice wobbled as I fought back tears.

Ordeman was concerned, knowledgeable, and anxious to move quickly. He said that the president and the attorney general of Libya were working with U.S. authorities. I pushed for information about the political climate in Libya, who the actors were, and what they might want by seizing journalists. I felt compelled to explain why I was unusually well informed about state-sanctioned hostage taking.

The call meant that my personal emergency was no longer a secret to my colleagues. At least now I had some concrete information to share. I asked the team to keep my situation quiet. I didn’t want to be a distraction, much less a retraumatizing presence, for the people we’d be interviewing for the documentary.

All four of us, together for the first time since the abduction, were brought into an office, where a table was set with coffee, ice cream, and pastries. We were told to sit around it and look happy.

JOE

The third day of our captivity was a rapid-fire mindfuck of hope and dread. It began with word that we’d be filmed in order to show American officials that we were alive. It was also suggested that this might be a prelude to our release.

The scene was preposterous. All four of us, together for the first time since the abduction, were brought into an office, where a table was set with coffee, ice cream, and pastries. We were told to sit around it and look happy. We spoke in whispers about trying somehow to signal in the proof-of-life video that all was not well. We decided to make a point of thanking the U.S. officials for their efforts and asked them not to stop, but we couldn’t know if this would be edited out before Washington saw it.

We did our best to comfort one another. Ian, who’d been identified as our team leader, worried that he might be kept even if the rest of us were let go. He pleaded with us not to forget him.

Back in our cell, Pierre and I now knew that Ian was housed next to us. He’d been the one tapping on the wall. Mea was in her own cell down the corridor. If we strained to listen, we could just barely hear one another speak. We talked about what to do and whom to contact if one of us was released before the others. If we were compelled to sign confessions, we decided, we’d add a coded message to the documents to later serve as evidence that they had been coerced.

But no one would go free anytime soon. Instead came hours of withering interrogation. Ian went first. He was accused of being a spy; our visa documents, the Libyans said, falsely portrayed us as doctors working with the Red Crescent; the Outlaw Ocean Project was accused of being a CIA front. The penalty for espionage, Ian was told, was death.

Pierre and I were taken to another room. Behind a desk was the same young gunman who’d helped commandeer our van by jumping into the passenger seat. Pierre and I were seated in chairs facing him. For two hours, not a word was spoken. The gunman doodled with pencil and paper. Then, with a sense of ceremony, he prepared to pray. He knelt on a rug; he spoke solemnly and at length. Was it merely a time of day when prayer was required? Or was this some sort of ritual they were doing before harming us?

Then the gunman took Pierre away, leaving me alone with a burly, silent older man. He put his pistol on the desk in front of me, the barrel pointed at my chest. He stared at me; I stared at my feet.

When it was my turn to be interrogated, I was moved to another room. The process began with more screams of George Floyd’s name. Two men were seated at computers. A man to my right took notes. On my left was a man I’d already met, the one who spoke English and boasted of being trained in America. Another man in a suit and tie served as interpreter.

Our captors evidently had researched us, taking advantage of our online presence and the reporting material they found in our possession. They’d also listened in on our conversations between cells. The guy who spoke English paced the room menacingly, asking questions and making accusations, alternately sarcastic and aggressive. What was the Outlaw Ocean Project? Whose money was behind it? Why did we think we could interview migrants and their informal ambassadors in Tripoli? We’d lied about our profession on our visa documents. We’d been caught videotaping inside the morgue. We’d broken laws. Why did we have copies of our passports in our shoes? What was the purpose of our tracking devices?

I am not a practiced liar. I’ve had a pretty close affinity with honesty throughout my life. Fibs, minor deceptions, self-promotional embellishments—I’m guilty of those, for sure. But a strategic deception? Not me. What was the right play here? Answer honestly and risk incriminating us all? Shade the truth and minimize my role? Mislead and risk reinforcing the idea that we were agents of some nefarious conspiracy? I had no time to weigh these options, yet I felt that whatever I said could determine my future.

I decided to answer honestly. I told the men that we were there to report on mistreatment of migrants. I placed the blame for that mistreatment on the EU. Libya, I suggested with emphasis but not sincerity, was a victim of Europe’s immigration policies. I had no idea why our travel documents showed that we were doctors.

At one point, the interpreter told me that the interrogation wasn’t going well. The men didn’t believe me or my colleagues. Our claims had been disproved. This prompted my first moment of sustained panic. For three days, I’d been surprised by my composure. I’d gutted out our gunpoint kidnapping, being blind for days, and coming off the meds that helped hold me together. I’d contemplated a bright nowhere and perhaps made some kind of peace with it. Now everything was crumbling. I thought of a line from an old Billy Bragg song: “A virtue never tested is no virtue at all.”

For the first and only time, I pleaded for my freedom. I have a wife and four daughters, I told the interpreter. Make them understand that. I’m not a spy. I need to go home. But the notetaker didn’t appear to be writing any of it down.

Then, almost as quickly as it had darkened, the mood in the room lightened. The men barraging me with questions were suddenly more interested in debating than in intimidating me. We talked about Middle East politics and life in New York. I’ve always been a wiseass, and it has sometimes served me well in tough situations, so I went for it. I joked, poked fun at myself, shit-talked America. Whether or not the men understood everything I was saying, they seemed amused. I was not above playing the clown to get out of this.

At one point, the English-speaking man put his hand on my forearm. He told me that everything would be all right. He didn’t say how or why. I realized that this could be a sadistic trick. Yet I trusted him.

They moved me to another room, where I sat with the young gunman who’d prayed a few hours before. He held a smartphone and was wearing earbuds. He gestured if I wanted to listen, and then gave me the earbuds. I heard a recording of someone reciting the Koran. For the first time in days, Arabic sounded beautiful again.

I smiled, gave the gunman a thumbs up, and returned the earbuds. He got up and returned with a tiny cup of Turkish coffee. I drank it slowly. I could have kissed him.

LUCY

After the call from Tunis, things moved rapidly, if unevenly. Within a few hours, I received word that Joe and his colleagues would be moved to a hotel, where they would receive a visit from local representatives on behalf of the U.S. The next update I got seemed to walk that news back—things had been either delayed or aborted. An hour later, the plan was back on track.

Despite the seesaw, the momentum felt positive, and by the end of the night the verdict felt clear to me: Your dad is alive and will be coming home. There would be red tape to negotiate, but now it seemed a matter of days until Joe and his colleagues were safe.

Slowly, the fear that their abduction could turn into months of negotiations—or worse—drained out of me. I shifted from wondering whether I’d get my dad back to worrying about the state he’d arrive in. From numerous interviews with hostages and their families, who were held emotionally hostage at home, I knew that trauma can last decades and manifest in unexpected ways. I wondered about the invisible wounds Joe would have to grapple with once he was back. Despite my relative calm at the moment, I wondered too what I might feel later.    

We tend to romanticize father-daughter relationships, feminine sweetness supposedly capable of softening the steeliest men into expressing protective, effusive love. I’ve never been particularly sweet—brash and sassy are better descriptors. Meanwhile, Joe never worried over bloodied knees. When my sister or I broke an arm as kids, he wound our casts in bubble wrap so we could keep playing soccer. “It builds character,” was his favorite refrain. Later, as adults, Joe and I learned to talk about our feelings—to express hurt, excitement, concern. Maybe this would change once he was back. Maybe all I could do for him was sit by while he watched sports or ate his meals in silence.

My childhood, at least, had prepared me for that.

JOE

It was late at night when we were brought out of our cells, gathered together in a room, and, one by one, presented with what amounted to a confession. The documents were in Arabic; we didn’t know what they said. Still, with release tantalizingly close, including a coded message in the documents didn’t feel so urgent. We signed hastily and without complaint.

We were hustled into two cars. I could smell the sea again, this time with less dread. I heard the scraping and clanging as a gate opened—the sounds that had welcomed us to our detention were now sending us off. The cars wound through deserted streets, then turned into a parking lot and stopped next to a loading dock. We were told not to say a word or otherwise call attention to ourselves as we were marched through the back door of a hotel. We were each given a room and barred from communicating.

A shower sounded exquisite, but I didn’t have the energy. I wanted to do as little as possible. I wanted to stay quiet, not push my luck, be prepared if we were moved again. I sat on a padded bench in the hotel room and listened to a blaring public broadcast outside my window—the morning call to prayer.

There were armed guards outside our rooms. The occasional knock was almost as jarring as anything I endured in captivity, each one jolting me into the prospect that we were being played, that the confessions we signed meant that we were headed for a long stint in prison.

One knock, though, brought a little comfort: the chance to tell my wife that I was alive. A phone was held in front of me. It wasn’t meant to be a conversation. I was to answer no questions and make no promises. I delivered my lines, and it was lovely to hear her cautious assent.

There was a television in the room. I had gotten my glasses back, and I briefly turned to a soccer match but wound up entranced instead by a video feed from Mecca, with hajjis walking counterclockwise around the Kaaba. I watched for hours and thought unceasingly of what days before had felt beyond hope—that I’d see my family again. Jane, my beautiful, stoic eldest. My youngest, the twins, masters of memorizing the globe’s nations. Libya, to them, was an answer on a geography pop quiz: What is the North African nation bordered by Egypt, Tunisia, Algeria, Niger, Chad, and Sudan?

And then there was Lucy. She was ten times smarter than me. If I’d bequeathed anything to her, it was stubbornness, tenacity, an ample supply of self-certainty. We relied on each other. And we argued like hell. I worried that she was frightened for me. I also worried that she’d scold me for my folly upon my return.

Finally, after two more days, in the draining heat of a Friday evening, Ian, Pierre, and I were taken to the airport. (Mea, a Dutch citizen, had been flown out earlier; she would meet representatives from her country in Istanbul.) We were told that we were being deported and would never be allowed in Libya again. That was fine with us. We didn’t ask why we were being let go, because we didn’t care. Laughably, we had to take a COVID test before we could get on our flight. Having our captors run a swab up each of our noses was one of the stranger indignities among the many we withstood.

The young gunman who appeared to warm to me had an AK-47 in his hands as we made our way to the terminal. The airport, it turned out, was under the control of people not affiliated with our captors. There was a brief, tense dispute about us and our fate, but eventually we made it to the tarmac.

Our captors couldn’t have been cheerier. The crisis, if it was that, was over. The mean stunt, if it was instead that, now had its final scene: The armed men extended their hands to shake. We then boarded a plane bound for Tunis. It taxied along the fractured runway, past the carcass of the incinerated airliner, and lifted off. The three of us held hands as Tripoli vanished beneath us.

In Tunis, we met with U.S. embassy officials. I realized that one of them was the woman I’d spoken to on the phone in the courtyard of the detention facility. She probably had the cell numbers of one or more of our captors in her phone. I made a note of it, figuring we might like to track down the fuckers one day.

The embassy arranged for Pierre to fly to Rome, and for Ian and me to fly to Paris, where we spent the night on the floor of the airport. When the time came, we hugged and made our way to our separate gates—he was heading home to Washington, D.C., I to New York. When the announcement came to board my flight, I trembled a bit. I had all my documents in order, including proof of my negative COVID test, but I was stopped by the ticket agent.

There had been a change. My boarding pass was no good. I almost threw up. Then the agent said I’d been upgraded to first class. Ian had done it secretly out of his own pocket. Tears snuck down my face.

There would be more. During the flight, I watched a Ben Affleck movie. He’s a washed-up onetime high school basketball star, divorced and angry and a drunk. He’s hired to coach his old school’s team. The film is banal, cliché. I loved it, and wept uncontrollably.

My return home, I realized, would be a rocky one.

LUCY

I first got to see Joe a couple of weeks after he got back from Libya. He’d asked for time by himself when he first arrived. Maybe he was processing, or avoiding, or just learning to breathe slowly and steadily again. The few details he shared about his ordeal made it sound worse than I had imagined.

Joe promised he would see a therapist and expressed how thankful he was to be home. Beyond that and sending long Seamus Heaney poems in the occasional text, he was soon back to comporting himself the way he always did. He still refused eye surgery. He didn’t tell his family about the cold sweats and racing heartbeat he woke up to every morning—that revelation would come nearly two years later, when he underwent multiple bypass surgery. (The doctors, stumped by the absence of any health issues or worrying cholesterol numbers, confirmed that stress really can weaken your heart.)

In characteristic fashion, Joe needed little time to get back to work. On November 28, 2021, the reporting he and his colleagues had done before their capture resulted in an article in The New Yorker, a damning account of Libya’s mistreatment of migrants with the support of a willfully blind, even encouraging, European Union. Ian and Pierre worked to get a handful of the migrants who’d spoken to them for the story safely out of Libya. The article and Ian and Pierre’s noble efforts garnered multiple awards, including the James Foley Medill Medal for Courage in Journalism.

Meanwhile, over several months, Joe and I tried together to find some answers about what had happened to his team. We learned a bit more about who was behind their capture: An arm of Libyan intelligence, which it seemed was affiliated with a militia known as the Al Nawasi Brigade, controlled the black site where Joe and his colleagues were held. The Libyan government had recently named a new intelligence chief, and the taking of four foreign journalists might have been the old guard flexing its muscles, announcing that it still held sway in Tripoli. We learned that the proof-of-life video had alarmed Washington. Both the Libyan president and attorney general were enlisted to intervene, but the exact mechanics of the team’s release would remain a mystery to us.

I suspect it’s easier on Joe’s conscience not to know what, if anything, might have been extracted in exchange for his coming home. I hope that when he reads this, he will take what I say to heart, release any feelings of guilt and spend that energy on more worthy pursuits—on joy, on beauty, and, yes, on the work.

A profound lesson I learned from participating in the documentary about Iran is how powerful and cathartic it can be to tell your own story in your own time. The Namazis’ story has at least one happy chapter: In the fall of 2022, Baquer Namazi was given his American passport and allowed to leave Iran. I couldn’t help but cry with relief, joy, and sorrow when I heard the news. Siamak remains imprisoned, but after more than six long years, Babak was able to hug his dad. By then, I knew that specific kind of relief intimately.

JOE

When I made it back to New York, I was unsure how to conduct myself. I tried to stay busy, calling my agent to apologize for my no-show at the meeting with the publisher; buying a new phone; seeing how much material I could recover from the old one seized in Libya. But I was also paralyzed in some ways. The prospect of seeing my family felt overwhelming. I feared that I might come apart in a fashion that would unsettle more than reassure them. I needed space to regather my wits.

I called an old friend, one of the most accomplished war correspondents of his generation, and visited him at his home on the Rhode Island shore. We got in his boat at dawn one morning and went to dig for quahogs. It’s slow, laborious work, and we did it in restorative silence. Out on the water, shoulder to shoulder with a man intimately familiar with all forms of trauma, I recalled a quote from John Updike. His protagonists, Updike said, “oscillate in their moods between an enjoyment of the comforts of domesticity and the familial life, and a sense that their essential identity is a solitary one—to be found in flight and loneliness and even adversity. This seems to be my feeling of what being a male human being involves.”

I’d always found this both true and damning.

Soon enough I rejoined my family. There were tears and beers, and I learned how much had been done on my behalf—by them and by people at the State Department enlisted to help find and free me. I connected with a good trauma therapist, started to write my first book, juggled feelings of acute embarrassment and wonder at my good fortune. But of all the emotions—fear, shame, pride, regret—the most powerful by far was gratitude. I promised myself that I’d try to feel it more profoundly and express it more directly and often.

A little over a year after my return, I got an invitation from Lucy to attend a private screening of the Iran hostage series she helped produce while I was in Libya. The event was held in a sparkling new skyscraper on Manhattan’s West Side. There were filmmakers and former hostages, and I watched Lucy move among them—hugging, laughing, thanking. It was clear she’d done valued work, that she was cherished both by the families she’d gotten to know and by the veteran documentarians she’d ably assisted.

It was a moment of pride, and of recognition. She was indeed a newspaperman’s daughter. My daughter.

LUCY

It was nearly 6 p.m. on September 17, 2022, and I was running late. I was headed to the preview of the HBO series, Hostages, held at one of the enormous towers in Manhattan’s Hudson Yards.

I knew Joe was likely already there, still the anxious dad who arrived early to everything. He’d flown in from Vermont, where he now lived, to be my plus-one. I imagined him standing awkwardly alone and felt a sudden bolt of worry. Inviting him to watch the series might be triggering for him—how had that failed to cross my mind until now? I’d been caught up in my own nerves about viewing the project with an audience, including the documentary’s subjects, for the first time. Maybe I was also following his lead.

When I arrived at the crowded theater, it didn’t take long for me to spot Joe. He wasn’t standing awkwardly alone; he was pitching a story to a film director. In the aftermath of Libya, there was and would be much for him to fight for and against, but Joe was still Joe: curious, jovial, alive.

We took our seats and the lights went down. My worries about the audience died away. My dad—my best friend, my work partner, my anchor—was next to me. His was the opinion that had always mattered most. But regardless of his verdict, and in a signal of just how far we’d come since third-grade homework, I knew we could agree that just being here, together, was divine.

Correction: This article has been updated to more accurately reflect how long Lucy Sexton has known her stepmother.


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The Quality of Mercy

The Quality of Mercy

Gary Settle has helped dozens of federal prisoners get compassionate release. Will it ever be his turn to go home?

By Anna Altman

The Atavist Magazine, No. 139


Anna Altman is a writer and social worker in Washington, D.C. Her writing has appeared in The New Yorker, The New York Times, The Washington Post Magazine, The New Republic, and other publications. Her previous Atavist story, “Masterpiece Theater,” was published as Issue No. 94.

Editor: Seyward Darby
Art Director: Ed Johnson
Copy Editor: Sean Cooper
Fact Checker: Darya Marchenkova
Illustrator: James Lee Chiahan

Published in May 2023.

The quality of mercy is not strained.
It droppeth as the gentle rain from heaven
Upon the place beneath. It is twice blessed:
It blesseth him that gives and him that takes.


—William Shakespeare, The Merchant of Venice

It was February 2019, and Mary Price had rarely seen her office so busy. A wiry woman in her sixties with shoulder-length straight hair, Price is general counsel at FAMM, a nonprofit organization in Washington, D.C. FAMM is an acronym for Families Against Mandatory Minimums, and in addition to opposing severe sentencing, the group broadly advocates for the fair treatment of people in prisons across the United States. FAMM had recently sent out an edition of its newsletter, which supporters knew as the “FAMM Gram.” The response from readers began as a trickle, then became overwhelming, and for good reason: The newsletter outlined historic changes to the U.S. government’s compassionate release process.

Since the mid-1980s, federal prisoners have been able to seek compassionate release for what the law deems “extraordinary and compelling reasons”—including old age, terminal illness, and severe disability—by requesting that the Bureau of Prisons file a motion on their behalf in court. The BOP, however, rejects almost every request it receives. In January 2018, the Department of Justice reported that the BOP had approved less than 10 percent of the compassionate release applications it received over the previous four years, allowing just 306 people to go home. (Within the same time frame, 81 prisoners died waiting for the BOP to respond at all.) The DOJ’s Office of the Inspector General called the process “poorly managed,” with “inconsistent and ad hoc implementation [that] has likely resulted in potentially eligible inmates not being considered for release.”

For a long time, when the BOP denied a request, a prisoner had no recourse; the bureau’s decision was the final word. That changed in December 2018, following years of advocacy by FAMM and other groups, when Congress passed the First Step Act. Among other criminal-justice reforms, the law allowed a prisoner to file a motion for compassionate release directly with a federal judge if the BOP denied their request or didn’t respond to it within 30 days of receipt. FAMM was eager to share the news and connect eligible individuals with lawyers who could help them. Price knew the organization had to move quickly. “We were very concerned that people who were nearing the end of their lives or very sick would be going before judges without any help,” she said. “We couldn’t just leave these people on their own.”

FAMM’s newsletter was delivered to 40,000 incarcerated individuals via CorrLinks, the federal prison system’s email service. Price felt a thrill of anticipation—“a sense of stepping off into something that was unknown,” as she put it. She knew that sometimes a recipient would print a copy of the newsletter and pass it around the cellblock. Over days, then weeks, Price and her colleagues were inundated with hundreds of phone calls and emails from people seeking compassionate release or inquiring about the process for loved ones behind bars.

Amid the deluge, one inquiry stood out: It was written by a prisoner on behalf of someone else. The sender did not disclose his name. “I am writing this from the ‘Cancer’ floor of FMC Butner,” he wrote, referring to the Federal Medical Center in Butner, North Carolina. The five-story facility provides health care to some of America’s sickest male prisoners; it includes a psychiatric unit, a unit devoted to orthopedic surgery, and a cancer ward. “This is directed at the situation of another patient,” the sender wrote. “He is terminal and is unable to contact you directly.”

The sick man, R. Smith, had lung cancer. As Price later wrote in an article for the American Bar Association, he was in persistent pain and dependent on a feeding tube. With a prognosis of less than 12 months to live, and a sentence lasting much longer for distributing drugs, Smith applied to the BOP for compassionate release. But instead of going home, he was bound for FMC Butner’s hospice ward.

The anonymous person who contacted FAMM said that he had heard Smith crying to his family during a call on the ward pay phone. A longtime recipient of FAMM’s newsletter, the man knew that Smith might now have another way to seek compassionate release. With Smith’s permission, he was using Smith’s CorrLinks account. BOP policy forbade prisoners from using one another’s accounts, and the sender knew he risked punishment for doing so, which is why he left the message unsigned. He asked: Would FAMM consider helping Smith?

Smith’s case was exactly the kind Price had in mind when she drafted FAMM’s newsletter. FAMM connected Smith with an attorney, who began to prepare a legal motion. Meanwhile, according to Price, Smith got sicker. One of his lungs collapsed, and the man communicating with FAMM from inside Butner reported that Smith had been moved to an outside hospital better equipped to treat him. Smith’s lawyer couldn’t get updated information about his condition, but this wasn’t unusual: The BOP can be especially evasive about medical details near the end of a person’s life. “There’s no more cruel part of the BOP than this,” said a former federal defense attorney who spoke on condition of anonymity.

Smith’s lawyer filed an emergency motion in federal court for his release. The court then ordered the BOP to provide an account of Smith’s medical condition by that afternoon. The BOP didn’t meet the deadline, so the judge contacted Smith’s doctor directly. Upon learning how poorly Smith was doing, the judge ordered his release within ten days, as soon as appropriate transport could be arranged. No one could reach Smith in the hospital to deliver the news, so Price sent a message to the person at Butner working on his behalf. She hoped that he would find a way to tell Smith that he didn’t have to die behind bars.

Smith’s case was a turning point for FAMM’s work on compassionate release because it offered a blueprint for helping qualifying individuals. FAMM worked with the Washington Lawyers’ Committee for Civil Rights and Urban Affairs and the National Association of Criminal Defense Lawyers to expand the capacity of the Compassionate Release Clearinghouse, a newly created entity that recruited, trained, and supported lawyers representing sick or elderly prisoners requesting early release. In its first year, the Clearinghouse screened some 500 inquiries and placed more than 125 cases with lawyers.

Smith’s case also marked the start of a unique relationship. “Mr. Smith and his family are very lucky to have you in his corner,” Price wrote to the man who’d helped Smith. “We should all have friends like you.”

By then, Price knew the man’s name: Gary Settle. He was slow to tell her much about himself, but he continued to send CorrLinks messages to FAMM as he recruited more people at Butner for the Clearinghouse. In emails he sometimes used the moniker “P/H,” for “patient/helper,” in part to protect himself from BOP censure, and in part because he didn’t want to draw attention to himself. He felt that his personal story—including why he was serving 177 years in prison, along with his own cancer diagnosis—was beside the point.

Gary Settle as a child

Settle was born in 1966 in Hawthorne, California, a small city adjacent to South Central Los Angeles. His childhood had what he considered “storybook” elements: loving parents, a brother to horse around with, Little League games, family camping trips. In the summer his mother, Kay, took time off her waitressing job to drive the boys to the beach. Settle was bright—“so smart I could smack him,” Kay said. At age ten, he asked his mom for copies of Shakespeare’s plays, then named his cat Ophelia. “We weren’t rich in money, but we were happy, we had friends, there were always people over,” Settle wrote in a document he calls his “life story,” which he shared with me.

In time, Settle developed a rebellious streak. If Kay told him to stay within a few blocks of the house on his skateboard, he’d ride to busy areas downtown instead. When Settle was 13, his parents bought a farm in Ohio; his father thought the fresh air and country life would be good for the family. “We all had to learn on the fly all the farming tasks—feeding the cows, milking them and shoveling the other substances they produced by the wheelbarrow load,” Settle wrote. “If Green Acres hadn’t already been made, we would have had a great pilot.” It was a major transition for Settle: the unrelenting responsibility of farm work, the unfamiliarity of the local culture. His puka-shell necklace and faded Levi’s didn’t vibe with the rural Ohio style of bib overalls and John Deere hats.

Even so, he quickly made friends. He got into the habit of enlisting his buddies to help with household tasks. “Once, I told him he couldn’t go to a baseball game because he had to help with the chores,” Kay recalled, “and all of a sudden the whole team was weeding.” The town closest to his family’s farm had a single traffic light, two police officers, a barber shop, and “at least ten bars,” according to Settle. There was little to do, so he and his friends drank. Settle recalled being a happy drunk, outgoing and enthusiastic; he boasted that his charm was infectious.

Settle also liked to showboat—driving recklessly, hood surfing, doing motorcycle stunts. “I was not breaking any laws other than traffic ones,” he wrote. “Those I was shattering.” In fact, a juvenile court found him guilty of an offense when he was 17; the case records are sealed, but Settle said that the conviction stemmed from a fistfight he had with a man in his twenties. Looking back, he wondered whether spending his teenage years in a small town with few opportunities contributed to the course his life took.

In 1985, Settle got his high school sweetheart pregnant, and soon they married. At age 20, Settle had expenses and responsibilities, and he grew restless. When he heard about a gig with a construction company in Florida, he decided to move there with $400, two buddies, and no plan—he left his family behind for the time being. He and his friends arrived in time for spring break and blew all their money at Daytona. When Settle got a job, he had to sleep on a picnic table behind a church for a week, until he got his first paycheck.

Despite an inauspicious beginning in his new home, Settle worked hard, and he advanced from laborer to finisher and then to foreman. The construction company had contracts all over the Southeast, so Settle traveled, staying in motels. When the workday was over, he and his crew headed to strip clubs or hung out in bars.

Settle found a house big enough for his family; his wife gave birth to their son, Nathan, back in Ohio, then moved down to join him. In time Settle’s parents decided to relocate to Florida, too. Settle started his own construction company in Orange City, just north of Orlando. But for all that was changing, Settle still liked to spend his free time drinking with friends.

One day, after a few beers, he went to the drive-through window at a bank to deposit a check. He recognized the teller—she was a woman he knew from the local bar scene. “What do you want?” she asked with a smile. He replied, as a joke, “Give me all your money.” The woman bent out of sight and then reappeared holding a plastic container full of neatly stacked bills. “You mean this?” she asked, laughing.

A few weeks later, Settle ran into the woman at a bar, and she brought up their exchange at the bank, saying there had been $35,000 in the box. After their conversation, Settle couldn’t get the number out of his head. All that money, and so close he could have grabbed it.

At 27 years old, Settle was facing life in prison. It was all so uncanny—sitting there in a suit, knowing he would never be free again—that he almost felt compelled to laugh.

In October 1991, the Daytona Beach News-Journal reported that a tall white man with long brown hair and a mustache had walked into a bank during a Tuesday morning rainstorm. He was wearing the waistband of a woman’s stocking over his face and carrying a white bag. He vaulted the counter and pulled out a semiautomatic handgun, then took a stack of cash before fleeing on foot into a wooded area. Heavy rainfall prevented the sheriff’s helicopter from tracking him, and the dogs and deputies chasing him lost his trail.

It wasn’t Settle’s first robbery; he’d begun holding up banks and stealing cash the year prior. Most of the time, he didn’t run away—he stole a car from a bank clerk or customer. One time he approached a car with an elderly woman sitting behind the wheel. According to Settle, when she informed him that she needed her walker if she was going to get out, he pulled it from the trunk, got her to her feet, and then sped away. He could hear sirens in the distance.

By April 1992, the FBI was pursuing what it described to the West Volusia Sun-News as a “serial bank robber on the loose.” They believed that he was responsible for as many as seven bank robberies and one attempted robbery over an 18-month period. The criminal, the FBI said, was “armed, dangerous, and ready to strike again.”

That account didn’t square with how Settle saw himself. “It is embarrassing to admit this, and shameful to acknowledge,” he wrote later, “but in a way, I thought of the whole thing as a sort of prank or practical joke, with a big cash payoff.” According to Settle, he didn’t encounter any law enforcement, and he had no problem persuading tellers to cooperate. He was never in a bank for more than a minute or two, and he never hurt anyone physically. He saw his plunder as “free and easy money.” (A woman present during one of the robberies would later testify that her encounter with Settle scared her so much that she quit her job, and that she would “never be able to work again or be able to be alone again in the future.”)

Settle had accomplices—sometimes he had one drive a getaway car—and in September 1992, two of them decided to rob a bank on their own. They were caught before they succeeded, and during their interrogation they fingered Settle as the mastermind of the operation. Shortly after, Settle, who was on a trip to Boston at the time, was arrested for running a stop sign and driving under the influence. When police in Massachusetts ran his name through their databases, they—and Settle—learned that he was wanted in Florida on federal bank robbery charges.

Settle was indicted on March 18, 1993, on nine counts of bank robbery, one count of attempted bank robbery, one count of conspiracy, and ten counts of carrying a firearm while committing a violent crime. The government alleged that, in total, Settle had stolen around $190,000. “If I would have done something worthwhile with the money, I don’t think I would feel any better about things, but I might not feel so foolish,” he wrote. “The only people who really benefitted from the robberies would be various bartenders, waitresses, and strippers.” By the time he was indicted, Settle had separated from his wife. He later described himself as being at his “reckless, selfish worst.”

Settle pleaded not guilty, and he later claimed that he rejected a plea bargain that would have come with a relatively scant 12-year sentence had he testified against his accomplices. (The prosecutor denied making such an offer.) During pretrial detention, Settle twice attempted to escape from county jail. When his case finally went to trial in Orlando, he did what he could to appear serious, wearing a suit and taking notes. On May 11, 1993, the jury found him guilty of almost all the charges against him.

With his conviction on the books, Settle was subject to the Sentencing Reform Act of 1984, a result of congressional hand-wringing about rising crime rates that was later called “the most dramatic change in sentencing law and practice in our nation’s history” by the United States Sentencing Commission. The act sought to address what elected officials considered “undue leniency” in the criminal-justice system, as well as inconsistencies in sentencing around the country. Among other things, it abolished federal parole and created a system of mandatory penalties for certain crimes, giving judges less discretion over sentencing.

By the time Settle was tried, the mandatory minimum for a violent offense committed with a firearm was five years. If a person previously convicted of such a crime carried a gun during a second violent offense, the mandatory minimum was 20 years. How, though, should a court sentence someone found guilty of armed robbery for the first time, but on multiple counts in a single legal proceeding? As it happened, that exact question had been addressed just prior to Settle’s trial, in the 1993 Supreme Court case Deal v. United States. In a 6–3 decision, the court ruled that the harsher mandatory minimum should apply even in a single indictment.

When Settle was sentenced on August 30, 1993, the case law was so new that Judge Patricia Fawsett had to review it over a lunch recess. When she retook the bench, Fawsett sentenced Settle to a mandatory 2,127 months in prison, or just over 177 years: 12 for the robbery and conspiracy charges, and 165 for carrying a gun into a bank nine separate times. She ordered that he serve them consecutively.

Fawsett wasn’t inclined to be lenient, telling the defense that Settle showed “utter disregard for the law,” “a complete lack of remorse,” and “lack of concern for the terror he caused.” Still, she seemed troubled by the length of the sentence. “I do not think this is an appropriate result,” she said, “but I feel bound by the law as I understand and explained to you.”

Settle felt that Fawsett approached his sentence as if it were just a problem to solve; she even asked the attorneys present to check her math. At 27 years old, Settle was facing life in prison. It was all so uncanny—sitting there in a suit, knowing he would never be free again—that he almost felt compelled to laugh.

Adeel Bashir, a federal public defender currently working in the Middle District of Florida, where Settle was tried, told me that he has “only ever seen one other person get 2,000-plus months.” It’s the kind of sentence that would make a criminal-justice professional wonder whether the defendant had killed a child or was a serial pedophile. “To date, people ask me if Gary’s sentence is a typo,” Bashir said.

When Settle was transferred to a new facility, he almost always ran into someone he knew. Butner was no different, except that many of the people he recognized were dying.

Early during his time behind bars, at a prison in Atlanta, Settle tried to escape along with two other men—one of whom was the actor Woody Harrelson’s father—by scaling a wall using a makeshift rope. They surrendered when a guard fired a warning shot from a tower.

Settle spent the next two decades on a tour of federal prisons. He was housed for a few years at the infamous supermax facility in Florence, Colorado, where prisoners are kept in solitary confinement for more than 20 hours a day. That’s where Settle was when his father died in 1996. He had already used the one 15-minute phone call he was allowed that month when he heard the news, so he had to wait until the following month to call his mom to grieve with her.

By 2016, he had landed at U.S. Penitentiary Beaumont, which sits in the southeastern corner of Texas, half an hour from the Louisiana border, in a place known as the Golden Triangle because of its rich oil reserves. It’s also sometimes called Texas’s cancer belt because of its high cancer mortality rate. At Beaumont, routine bloodwork showed that Settle had an elevated level of prostate-specific antigen, or PSA, which is often used as the first indication of a prostate cancer diagnosis. According to Settle, he was not informed right away. “It takes a while in those places for the mill to grind,” he said.

At his next stop, USP Hazelton in West Virginia, Settle “started to feel weird.” He had been diagnosed with Graves’ disease, a thyroid disorder, and needed a double knee replacement. In 2018, doctors told him that his PSA was 50.5 nanograms per milliliter. Many physicians consider 4 ng/mL to be the point at which they recommend further testing to screen for cancer. Settle’s level, in other words, was astronomical.

He had a biopsy, which showed a very high likelihood of cancer. When doctors proposed removing his prostate, Settle declined; the surgery can have unpleasant side effects, including incontinence and erectile dysfunction. He asked for hormone therapy instead, and requested a transfer to a medical facility. After an extended back and forth, which Settle described as “a lot of gnashing of teeth and wailing of banshees,” the BOP sent him to FMC Butner for treatment.

After nearly three decades in federal prison, whenever Settle was transferred to a new facility, he almost always ran into someone he knew. Butner was no different, except that many of the people he recognized were dying. “I was shocked at the appearance and bearing of the prisoners I have known and the ones I did not,” he later wrote. “I was around people who looked like concentration camp inmates.”

Butner is one of seven federal facilities that serve very sick prisoners, some of whom wind up there because they didn’t get the treatment they needed to stave off serious illness. The law guarantees prisoners a constitutional right to health care—a right, ironically, afforded to no other group in the country—but in reality health care resources are limited behind bars, and potentially life-saving procedures are not always granted, even when they’re clinically indicated. A former federal public defender who spoke anonymously said that, in reviewing clients’ medical records, it’s not unusual to find someone who was told years prior by a prison doctor that they needed an immediate kidney transplant but never got one, or who had a heart condition requiring a visit to a specialist that the BOP never facilitated.

“Because most correctional health services are designed to cut costs and reduce perceived litigation risks, transparency and quality of care are not top priorities,” Homer Venters, a former chief medical officer for New York City’s jails, writes in his book Life and Death in Rikers Island. Prejudice also erodes standards of care. According to a DOJ report, “The belief that those convicted of serious crimes have somehow earned their suffering, as if the pain of illness and old age in prison were a part of the inmate’s just deserts … [is] widespread and intense among some custody personnel and … prevalent also among health care providers.”

Holding the prison system accountable for this bias is difficult. In a landmark 1976 case, the Supreme Court ruled that substandard medical care in prisons violates the Eighth Amendment’s prohibition against cruel and unusual punishment only if it rises to the level of “deliberate indifference” and not just “mere negligence.” The difference between these two concepts is the subject of an ongoing debate that prisoners have little power to influence. (In a statement, the BOP said, “We make every effort to ensure the physical, medical, and mental safety of inmates confined to our facilities through a controlled environment that is secure, humane, and in line with community standards of care.”)

At Butner, Settle learned that there was a saying for someone whose health showed a marked or rapid decline: He’s falling down. Paradoxically, this meant going up—to the fifth floor, where the hospice ward is located. A BOP PowerPoint presentation about Butner describes the hospice cells as private, with small nods at comfort such as flower-patterned quilts, pillows that match the blue cinder block walls, or a cushioned chair next to a bed. When Settle arrived, Butner held a monthly memorial service for the recently deceased. He said that a single service often honored as many as 30 people.

After beginning hormone therapy and radiation, Settle was able to maintain his strength and physical independence, so he considered himself lucky. In turn, he did what he could to help others. He noticed that one cancer patient, wheelchair-bound and too weak to push himself, would lock his chair to that of his cellmate, who would shuffle his feet to get them both around the halls. Settle offered to wheel them to meals and chemotherapy appointments, and gave the same assistance to others who couldn’t walk. “You’re not even really supposed to do that,” said Richard Hodge, who was incarcerated at Butner at the time. “Gary could have been wrote up for breaking the rules.”

Settle also assisted with hygiene, changing diapers on grown men. “I’m just putting myself in their perspective,” he said. “It’s got to be very humbling.” Settle reflected that he hadn’t cared for his son much when he was a baby; perhaps this was a way of atoning for that. (Settle was long divorced and hadn’t been in direct contact with his son in many years.)

When he read the FAMM newsletter about the Compassionate Release Clearinghouse, Settle saw another way he could help people. What was more important, he reasoned, than someone living out their last days in freedom, ideally surrounded by their loved ones? He made R. Smith his first project.

Compassionate release is grounded in the idea that changes to a person’s health may weaken the justification for their incarceration. What reason is there for imprisoning someone with Alzheimer’s when he no longer understands that he is being punished? When someone with late-stage liver disease can’t get out of bed and is no longer a threat to society? When “rehabilitation” is no longer feasible because a person has advanced cancer? “We’re not doing any social good, if we were in the first place, in keeping them locked up,” Price said. “And we can do a great deal of good in terms of helping people repair relationships and comfort each other and say goodbye.”

There is also a financial calculus that works in the BOP’s favor, one noted prominently in a 2013 DOJ report on compassionate release: It’s almost always cheaper to release sick people than to keep them locked up until they die. One study found that the annual cost of caring for just 21 seriously ill prisoners in California was almost $2 million per person, while the median per capita cost of nursing home care in the state was $73,000 per year.

After a judge allowed Smith to go home, Settle noticed a shift at Butner. He later wrote an email to FAMM, trying to put into words what he was witnessing. “In this place of death and dying, among incarcerated men who are holding on to life with nothing but more cells, more keys, more misery in their future, your efforts are having real, tangible results. Your efforts are giving hope,” he wrote. “You are giving life back to people, and you are giving them the most precious gift of all, time. Time to heal old wounds, to take a last breath of freedom and to leave this world with peace and dignity.”

FAMM worked closely with Settle through the summer and fall of 2019 to help people at Butner. “We didn’t appoint him,” Price said. “He appointed himself.” Settle made copies of FAMM’s newsletter and distributed them to his neighbors. He kept an eye out for people whose health was worsening and approached those he thought might qualify for compassionate release. He told them what he knew about the First Step Act, which he had studied, and about the Compassionate Release Clearinghouse. He spent six to eight hours a day requesting medical records, addressing envelopes, and updating his contacts on the outside about various cases. Settle read medical records, cross-referencing terms with a diagnostic manual and a medical encyclopedia he’d ordered, so he could send the most pertinent information about sick prisoners to their lawyers. Before long his cell was covered with piles of paper.

Settle also relayed information from incarcerated individuals to their family members. He helped people who were too sick to make it to a computer, those who had been transferred off-site for care, and others who had never learned to read or write. Sometimes he wrote compassionate release requests himself, parroting the language he had seen in other applications. The ones that went to the BOP were all but certain to be rejected or ignored, but that was part of the process: For a prisoner to file a motion directly with a judge, they first had to “exhaust administrative remedies,” in legal parlance.  

Word got around Butner about what Settle was doing. He would leave his cell after a nap to find four or five guys gathered outside, some of them in wheelchairs with paperwork in their laps. He was willing to assist just about anyone—he said he only refused people convicted of sex crimes. “Gary is able to form relationships with all kinds of people,” said Juliana Andonian, an attorney who used to work at FAMM. “He didn’t want to make himself the center of the story. That was really notable, the lack of ego.”

It isn’t uncommon for people in prison to help one another with legal matters. Jailhouse lawyers—some with legal training, some without—review statutes in a prison’s law library, file paperwork, and perform other tasks for fellow prisoners, often for a fee or some other form of compensation. “Someone less sincere could make a lot of money or do a lot of harm,” Andonian said. Settle refused payment, even to cover the cost of emails he sent and phone calls he made. The mother of a man Settle helped go home remembered sending him a thank-you note. “That’s about all he let me send him,” she said.

One day a thought dawned on Price. “He is doing this job that the Bureau of Prisons should be doing,” she said. “They should be moving heaven and earth to be sure that people are connected to family and loved ones when they’re near the end of their lives.”

Among the people Settle helped was a man in his thirties named Victor Webster, who was originally from Montana. Webster was in treatment for Ewing’s sarcoma, a rare cancer that occurs in or around the bones. He’d had the whole left side of his rib cage removed, followed by extensive chemo, but then a tumor developed on his chest plate. “His mental state was poor,” Settle said. “He assumed he was going to die in prison.” When Webster didn’t want to continue treatment, Settle pushed him in a wheelchair to his chemo appointments. He also got to work helping Webster obtain compassionate release.

Settle sent increasingly urgent emails to FAMM on Webster’s behalf, asking the group to move quickly. He visited Webster several times a day, until finally he was able to deliver the news that a judge had granted him immediate release. “I wish I had the ability to describe how the natural stoic look on his face collapsed or the strength of the hug I received from a guy I had been helping dress and stand up for weeks,” Settle said.

Webster went home in early July 2019. According to Settle, before he left he gave Settle a chain necklace with a cross, which he’d worn every day he was at Butner. Soon after he got home, Webster spoke with Settle and said he’d spent a wonderful Fourth of July with his family, including his nieces and nephews. They bought fireworks and set them off for him. Webster died that September. “It was sad it was just so short,” his mother, Debra Claassen, said of her son’s time at home.

The names and stories piled up. Von Skyler Cox, who had stage IV lung cancer and a prognosis of less than ten months, wrote to FAMM on behalf of “myself and my family and the ‘Patient/Helper’ ” after he was granted compassionate release in August 2019. “Your efforts have reminded me and many others that there are Great People in the world who have not forgotten us,” Cox wrote. Andonian printed out the email and put it on the office fridge. 

Settle noticed certain patterns—for instance, that a lot of the men granted release had been charged with crimes in blue states, where judges were perhaps more inclined toward compassion or less concerned about the political ramifications of releasing people from prison. (Recent research indicates that federal judges appointed by Democratic presidents are more likely to grant compassionate release than those put on the bench by Republicans.) According to Settle, some of the men who went home had been convicted of violent offenses, but he ruefully noted that they often had shorter sentences than he did.

He became swept up in the momentum. “Once I got going with it, I had to do it,” Settle said. “What type of person would I be if I did not assist people and their families at this most crucial time when I could?” He went on: “There is nothing I can do about the past, but I get to decide how I live the rest of my life.”

“Simply put, we are grateful for Gary, and awed by the care and compassion he shows for those in distress,” the FAMM letter said. “We have learned from him how to do our jobs better.”

In August 2019, about five months after they began corresponding, Price decided to meet Settle in person. “I want to make sure that he is safe doing this,” Andonian recalled Price telling her. According to Settle, the Butner staff were increasingly aware of his efforts to help people secure compassionate release, and their reactions were mixed. He had never gotten in trouble for using other people’s CorrLinks accounts, but some corrections officers told him he was “making them look bad.” He found that Butner employees with medical backgrounds tended to be more receptive, even expediting his requests for medical records and quietly referring patients to him. Still, to Settle they seemed jaded, like “how you would be if you worked in a dog pound and you get to see sick animals that they put down.”

Price’s job doesn’t put her into a lot of direct, consistent contact with people in prison. Rather, her role is usually to assess a person’s needs and connect them with resources. On her way to North Carolina, Price’s overriding feeling was curiosity—who was this person who had committed himself to advocating on behalf of others? She and Settle spent an afternoon together in Butner’s visiting room. As the hours wore on, Price asked Settle if he wanted anything from the vending machine; steadfast in his policy of not accepting any gifts, he politely refused. Water was free, “so we drank a lot of water,” Price said.

After the visit, Settle gradually began corresponding with Price as a friend. She told him about what she was growing in her garden and described a recent whale-watching vacation. He talked about his mother, Kay, whom he worried about all the time, and what he was reading. Price sent him books she thought he might like, including a trilogy by Ivan Doig and two books of poetry; one, by Ada Limón, Settle saved until Christmas to read as a treat. When Price was sick, Settle asked his mother to send her flowers.

That December, Andonian, Price, and another FAMM employee, Debi Campbell, asked Settle if they could write a letter to Kay. “I knew him well enough to know his mom was his treasure,” Andonian said. The FAMM team wanted to tell Kay how much Settle had come to mean to them. Settle consented.

“Gary, who calls himself the ‘patient/helper,’ impressed us immediately,” the letter to Kay read. “He follows up conscientiously on each and every person he works with. Beyond winning or losing, he cares about their spirits.” The FAMM staff said that, by their count, Settle had helped 19 people obtain release, allowing them to spend their last days with their families. “Simply put, we are grateful for Gary, and awed by the care and compassion he shows for those in distress,” the letter continued. “We have learned from him how to do our jobs better.”

Soon Settle’s assistance would become more urgent than ever.

Overcrowding, unsanitary facilities, poor medical care—those were just some of the reasons COVID was able to tear through U.S. prisons at astonishing speed. Within weeks of the virus being declared a national emergency, rates of infection in prisons far outpaced those in the population at large. By the end of April 2020, eight of the country’s ten largest COVID outbreaks were in prisons or jails. Still, the BOP was slow to implement masking, social-distancing, and testing policies. Some incarcerated individuals were scared to report symptoms because it meant being sent to solitary confinement.

Butner was hit particularly hard. With its medically vulnerable population, including many cancer patients, the facility was practically a showcase for the comorbidities that can make people who contract COVID especially susceptible to severe illness or death. By late July 2020, a remote inspection by the DOJ’s Office of the Inspector General found that 1,020 people imprisoned at Butner had COVID, and that 25 of them, along with at least one staff member, had died. Later, in the fall 2021, the ACLU would report that Butner had more than twice the number of COVID fatalities as any other federal prison. (The ACLU and Washington Lawyers’ Committee for Civil Rights and Urban Affairs filed a lawsuit against the BOP over its handling of COVID at Butner, but a judge dismissed the case over procedural questions.)

The BOP has policies about notifying family members if a prisoner becomes seriously ill, but these are not always strictly followed. At the height of the pandemic, loved ones often struggled to obtain updated information. One former federal defender who spoke on condition of anonymity described receiving calls from people who were desperate to know about their loved ones. I haven’t heard from my son in a month, they said; or I don’t know if my brother is in a hospital unconscious or just in quarantine. “It created so much panic for family members,” the former federal defender told me.

The Coronavirus Aid, Relief, and Economic Security Act, passed in March 2020, expanded the BOP’s authority to place prisoners in home confinement for a portion of their sentence. Prisoners don’t have to apply for this sort of transfer, so Attorney General William Barr directed the BOP to identify “suitable candidates”—those with COVID comorbidities, convictions for nonviolent crimes, and low risk of recidivism. According to data from the Marshall Project, the BOP placed nearly 5 percent of its incarcerated population in home confinement by October 2020. But at Butner, among other places, the bureau dragged its feet. The DOJ would later estimate that although 1,070 people at Butner may have been eligible for home confinement as early as April 2020, the BOP had released only 68 by July.

Meanwhile, according to the Marshall Project, the BOP didn’t budge from its usual stance on compassionate release, approving less than 1 percent of the more than 31,000 requests it received in the first year of the pandemic. A 2022 NPR analysis later found that at least one in four federal prisoners who died of COVID had sought compassionate release. (In a statement, the BOP said that it “carefully followed updates from the CDC, and guidance was provided to our facilities” about protective measures. With regard to compassionate release, the bureau gave a brief summary of the request process and noted that “the decision on whether to grant such a motion … lies with the sentencing court.”)

Hoping that it could help people get home before it was too late, FAMM ramped up the work of the Clearinghouse, recruiting an army of attorneys and paralegals to get release requests before the courts. It decided to support appeals from prisoners with vulnerabilities to severe COVID infection, which under the unprecedented circumstances might legally qualify as “extraordinary and compelling reasons” for early release. Prior to the pandemic, the Clearinghouse had screened about 500 requests for assistance and helped some 60 people go home. From the start of the pandemic to the end of 2021, nearly 5,500 requests came in. People wrote about having asthma, compromised immune systems, cancer. They were terrified of contracting COVID and dying. From the flood of communication, Clearinghouse attorneys were able to file 1,069 motions for compassionate release in the first year of COVID, 205 of which were granted.

At Butner, Settle threw himself into helping people, including Richard Hodge, who was serving 98 months for conspiracy to distribute drugs. Hodge had received two organ transplants before he arrived at Butner, and when he contracted COVID, the virus hit him hard. As his body struggled to clear the infection, he could barely stand up to use the bathroom. He didn’t eat for ten days, and he lost about 30 pounds. He later claimed that, despite having a compromised immune system, he was given “no treatment whatsoever.” Hodge said that the Butner staff was indifferent, at most checking his temperature and blood pressure. “You either survive or you don’t, that was their mentality,” he told me. (In a statement, the BOP said, “We do not comment on anecdotal allegations or, for privacy and security reasons, discuss the conditions of confinement for any inmate or group of inmates.”)

Settle implored Hodge to seek compassionate release, lest there be a worse outcome if he got COVID a second time. “He kept after me,” Hodge said. “I didn’t think I had anything coming, but Gary kept insisting.” Settle helped Hodge file his compassionate release application with the BOP to exhaust his administrative remedies and connected him with FAMM and an attorney. “Gary had all the information,” Hodge said.

In March 2021, a judge granted Hodge’s request; he was a free man. He went home to Laurel County, Kentucky, where he could receive specialized care at a transplant clinic and spend time with his kids and grandkids. “It was all because of you my friend,” Hodge later wrote to Settle in an email. “I owe you so much, and I wish there was some way I could bring you out of there bub.”

“I have a very small family, but I dream of an opportunity to be part of their lives,” Settle wrote. “I am humbly asking that you please consider giving me that opportunity and you have my word, you will never have cause to regret it.”

In July 2020, Andonian encouraged Settle to seek compassionate release. Thanks to hormone therapy, Settle’s prostate cancer was in remission, but he had other medical conditions that could increase his risk of severe COVID. Initially, Settle was not in favor. “I felt I did not qualify,” he said. “I thought that the finite amount of resources FAMM had at their disposal would be better used to assist some of the very sick prisoners I knew.” Andonian urged him to reconsider. She told him how deserving he was.

After they spoke, Settle went back to his cell and broke down in tears. “I’m not sure if my familiarity with the process made it more powerful,” he said, “but it was an overwhelming sense of gratitude, happiness, and other emotions.”

With Andonian’s help, two attorneys filed a motion on Settle’s behalf on January 27, 2021. It highlighted the threat COVID posed to him, his work helping people seek compassionate release, and his unusually onerous sentence. The First Step Act, which had made compassionate release more accessible, also gave judges expanded discretion to reduce sentences, especially mandatory minimums. “During his almost three decades of incarceration, Mr. Settle has grown from a reckless young man into a thoughtful middle-aged man known for the meaningful relationships he builds with others,” the motion read. “Mr. Settle’s extraordinary acts of service while in prison demonstrate his sincere rehabilitation and underscore that the period of incarceration imposed by the Court has served its intended purpose and should be amended to time served.”

The motion contained letters from people Settle had helped and from Victor Webster’s mother. They praised Settle for being “above prison politics” and for helping people exercise their rights. “In a place full of hate this guy oozed with love,” one stated. “[I] would love to see him in regular clothes, see how fast or how slow he drives.” A cancer survivor reflected on Settle’s compassion: “When I was mentally down Mr. Settle would come into my cell and sit for hours at a time listening to me.” Webster’s mother said she would be “forever grateful” that Settle helped ensure that her son could die at home in Montana.

Settle also made a direct appeal to the judge reviewing his request. He wrote that while he couldn’t explain the decisions he made as a young man, he had tried to be a better person since. What weighed on him most was being away from his family, especially his mother. “My own medical situation over the last few years has exposed me to the fragile nature of life and the importance and lasting value of family connections,” he wrote. He hoped to reconnect with his son, meet his grandchildren, and care for his mother as she aged. “I have a very small family, but I dream of an opportunity to be part of their lives,” he wrote. “I am humbly asking that you please consider giving me that opportunity and you have my word, you will never have cause to regret it.”

On March 5, 2021, Judge Carlos Mendoza of the Middle District of Florida denied Settle’s motion. He ruled that Settle’s health issues didn’t meet the criteria for compassionate release—he wasn’t terminal, and he could care for himself. “Covid-19 alone is not an extraordinary and compelling reason to grant release,” Mendoza said. In his view, reducing Settle’s sentence would minimize the seriousness of his offense, and “protecting the public remains a paramount consideration.” In other words, Mendoza considered Settle to be a threat to society.

The ruling was a gut punch to Settle and his supporters. “I was disappointed—I still am—by the shortsightedness of the judicial inquiry,” Andonian later said.

Eleven days after Settle’s request was denied, his physician contacted him with more bad news: The cancer was back. Mendoza had ruled on outdated information.

Settle knew of people who were granted compassionate release but, because they had no family to help them, died in prison as free men.

I began communicating with Settle in July 2021. I had read Price’s American Bar Association article about the work FAMM was doing on compassionate release, which referred to Settle’s crucial role without mentioning him by name. I asked the FAMM staff if the anonymous helper was amenable to having his story told. Andonian said that he was.

Settle and I had just one exchange on CorrLinks and a single phone call before his communication privileges were taken away. According to an incident report he later shared with me, he was written up for speaking to a member of the media without following “special mail procedures”—he had not obtained the prison’s permission before speaking with a journalist. Settle said that he was also placed in solitary confinement for two weeks. He eventually had his privileges restored, and for the next few months he called me several times a week. In chunks of no more than 15 minutes, due to the prison’s time limit on outgoing calls, he told me about his life and the people he’d helped send home.

That November, Settle wrote to say that his cancer had spread. A PET scan showed that it was in his lymph nodes, making it stage IV. He was starting treatment: hormone therapy again, along with eight rounds of chemo and perhaps radiation. He wrote that he saw cancer “as a challenge, as a fight I will be in till it’s over.”

He reported, too, that a social worker had told him he met the criteria for compassionate release—a coded way, Settle knew from his work with FAMM, of saying that he had less than 18 months to live. There was no guarantee he would get out, but given his new prognosis, he could ask the courts to consider his case a second time. Doing that would mean breaking his mother’s heart in a new way: Settle had avoided telling Kay about his cancer diagnosis—she thought that he’d filed his first compassionate release motion because his Graves’ disease heightened his COVID risk. He lied because Kay was a cancer survivor and because his father had died of the disease. He didn’t want to cause his mother anguish. Now, though, he had to tell her: If he requested compassionate release, the BOP would contact Kay to vet her as a suitable end-of-life caregiver. (Settle knew of people who were granted compassionate release but, because they had no family to help them, died in prison as free men.)

Settle said that telling his mom about his cancer was “the hardest thing I have ever done.” Kay told me she didn’t “scrape, rant, or rave” when she heard the news. She just asked “what number” the cancer was. “We’re going to beat this,” she told her son. Settle wept.

Settle found himself comparing his own situation with those of the people he was helping. He observed what happened to his neighbors as their bodies broke down and to the compassionate release motions of people with advanced metastatic cancer. He saw people with long histories of incarceration and multiple convictions, including for violent offenses, be sent home.

There were signs that his case might go the same way. Prison wardens are apt to deny compassionate release requests, stymieing them before they can even get to the BOP’s Central Office for final review, but Butner’s warden agreed that Settle met the criteria and recommended him for release. The response came as a surprise; for Settle it also confirmed just how poor his prognosis was.

While Settle waited to hear from the BOP, his legal team prepared to take his request to court if it was denied. Juliann Welch and Adeel Bashir, federal defense attorneys in the Florida district where Settle was originally tried, agreed to helm the effort, while Price and others at FAMM would offer guidance and support. Settle referred to them as Team Gary. The existence of a support squad strategizing about his case astonished him. “Up until a few years ago, I was Team Gary,” he said.

The omicron variant was racing through Butner when the BOP’s Central Office overrode the warden and denied Settle’s request, noting that his release “would minimize the severity of his offense and pose a danger to the community.” Settle and his lawyers now had to prepare to once again go before Judge Mendoza, who was still on the bench with jurisdiction over the case. Given Mendoza’s previous ruling, Team Gary hoped to get the U.S. attorney assigned to the case to support Settle’s release. It would be harder, they reasoned, for Mendoza to say no to both the defense and the state.

Welch and Bashir sent a package of materials to the U.S. attorney’s office, including character references and notes from medical experts who had evaluated Settle’s health records. A doctor concluded that although Settle would recover from the side effects of cancer treatment, he would require increasing amounts of assistance and ultimately need around-the-clock care, “either in a palliative or hospice setting.” A nurse at Butner who had cared for Settle wrote that she thought there was essentially zero chance he would reoffend. Research supported her intuition: The DOJ found in 2013 that only 3.5 percent of people granted compassionate release reoffended, compared with 41 percent of all individuals discharged from federal prison.

Still, Welch and Bashir offered concessions—a period of home confinement, for example, or an ankle monitor—that they hoped would guard against the judge’s concerns that Settle might still be dangerous. “The hurdle we have to get over is convincing the court that he’s also deserving,” Welch said, “because all of this is very firmly discretionary.”

Settle waited to learn about his fate. As weeks and then months ticked by, our email exchanges and phone conversations became less focused, more desultory. I had fewer pointed questions for Settle to answer before the phone line cut off. He told me about what he was reading: The Economist, The Wall Street Journal, Neal Stephenson books. He bemoaned that his 82-year-old mother still insisted on climbing a ladder to clean her gutters. He told stories, including one about visiting his grandparents when he was a child. Settle recalled clambering up a cherry tree even though he’d been told it was too weak to hold him. When he fell, he was stunned more than hurt, but still he began to cry. His grandfather gruffly told him to get up, adding, “If you’re going to be stupid, you’re going to have to be tough.”

Settle told me he still tried to live by that way of thinking. “I brought this on myself,” he said, not for the first time, about his incarceration. There was no point in complaining. “Except about the sentence,” he added dryly. “I’ll complain about that.”

Sometimes Settle slipped into dark moods. He was serving a life sentence with a life-limiting illness, and he was surrounded by people in a similar position. It was a lot to bear. “Anxious and impatient could be my middle names,” he said.

He tried to stay busy, even while undergoing cancer treatment. He worked on compassionate release motions for his neighbors and spent time on his own case, hoping to help Team Gary. He sent Welch a copy of his medical records—even though she already had them—highlighting what he considered the most important parts. He kept track of side effects from his treatment, including mouth sores, debilitating fatigue, and a numb left leg, so that no one could claim he was tolerating it well. He counted how many pills he took: 39 on most days, 51 when he had chemo. He had never slept comfortably in prison, and the steroids he was now taking didn’t help. He made sure to exercise and drink plenty of water, but eating healthy could be challenging: According to Price, the prison gave Settle only one piece of fruit—a banana—per week, and the “salad” on offer was just lettuce.

Settle allowed himself to consider what life outside prison would be like. He wanted to speak to at-risk youth, to cook the food he liked to eat, to submerge himself in water for the first time in almost 30 years—“preferably swimming but I will settle for a good soak in a tub,” he said. Kay, too, fantasized about the contented time she might have with her son. She had a room ready for him in her home, and she looked forward to going to the beach and sitting on her patio together, enjoying the view. “It’s going to be a whole new world,” she said.

Settle also hoped that if he was released he might get better treatment, buy more time. Kay felt the same way—in our conversations, she kept mentioning the urgency of getting her son to a “good doctor.” Sometimes it felt as though Settle and his mother had allowed themselves to believe that the terminal diagnosis only applied within prison walls. I wondered, if Settle were released, how it would feel to face the knowledge that he would still die of a painful disease.

When Settle saw his oncologist, he peppered the doctor with questions: Why was he having pain in his back? Could it be an indication that the cancer had spread to his bones? Bone metastases were notoriously painful and hard to treat; developing them was one of his biggest fears. According to Settle, the oncologist told him, “You look too good to be that sick!”

Settle said that he didn’t keep in touch with many people when he was feeling low, but he spoke to me because it made him feel “muse-like.” He mentioned the author John Irving, who has said that he liked to start a new novel by writing the last line first. “With that idea in mind,” Gary wrote to me, “how does some variation of this ending sound: ‘And Gary walked out the prison door….’?”

After he heard the news, Settle called me and barked a mock headline for my story: “Not Terminal Enough!”

Early in the spring of 2022, the assistant U.S. attorney who had reviewed the materials sent by Welch and Bashir announced that she would not support Settle’s motion for compassionate release. She believed that, even in his diminished state, he posed too great a risk to society. A social worker who advocates for people to be released from prison due to serious illness told me that she often sees prosecutors take this approach: “They want them to be on death’s door.”

After he heard the news, Settle called me and barked a mock headline for my story: “Not Terminal Enough!”

Once again it felt as if a decision was being made based on out-of-date information. In April, a scan indicated that Settle’s cancer may have spread to his spinal column. His wrists had become so weak, likely from arthritis, that he was wearing splints that reached to his elbows. By May, he couldn’t hold a toothbrush and barely managed to secure the large buttons on his prison uniform. Due to weakness in one of his legs, likely caused by metastases pressing on his sciatic nerve, he was issued a walker. It went without saying that even if he wanted to rob a bank, he couldn’t easily enter one, much less hold a gun or get away quickly.

His deteriorating condition led to accidents: Settle burned his arm when he spilled hot liquid on it, and he had a couple of falls. He could no longer push his wheelchair-bound friends to meals. “This is a really hard time for him, a really hard transformation from being the person who gives and supports to being the person who has to be supported,” Price said after visiting Settle that spring.

There is no limit to the number of times a person can apply for compassionate release, but Settle’s attorneys believed that he probably had one more shot. For Team Gary, the question became whether to file the motion with Mendoza, despite the assistant U.S. attorney’s lack of support, or wait until Settle was even sicker. Settle was resolute: He wanted to file and be done with the uncertainty.

On May 27, 2022, he tested positive for COVID. The symptoms started with nausea and vomiting; eventually, he developed fever, chills, and trouble breathing. He was placed in isolation. He later told me that he survived for three days on cough drops and water.

Settle’s lawyers filed his motion for compassionate release on May 31, with a request that it be expedited because of his COVID infection. They laid out Settle’s “changed medical circumstances” and the Butner warden’s determination that Gary met the criteria for a reduced sentence, even though his superiors disagreed. They emphasized that with his “imminent, continued, and significant physical decline consequent to his incurable condition,” along with his utter lack of inclination to reoffend and his demonstrated remorse and rehabilitation, he didn’t pose a danger to the public. Releasing Gary “does not undermine respect for the law,” the motion read. In an interview, Welch put it more bluntly: “His case is what the government had in mind when they wrote the compassionate release statute.”

In response to the motion, Mendoza called an in-person hearing—an unusual move. Settle and his lawyers hoped that meant the judge was seriously considering granting his release. The hearing took place on a hot summer day in Orlando, and it lasted about 45 minutes. Mendoza asked questions about Settle’s health and disciplinary record, and he raised several concerns: Why had Settle never sent apology letters to the people he had terrorized during his robberies? Why had he waited so long to express remorse? Welch read a statement Settle had written, and Mendoza seemed receptive. “It appears as if he’s accepting responsibility for what he did,” the judge said. Welch then requested that, should Mendoza not yet deem Settle ready for release, he consider abeyance—hitting the pause button on the motion—so that when Settle’s condition worsened, as it inevitably would, the motion could be considered again.

Mendoza said that he needed time to think. “This is a very difficult decision I’m being asked to make,” he said before adjourning the hearing.

A month later, Mendoza scheduled another hearing, this one by telephone. Within moments of starting the call, he dashed Team Gary’s hopes. The judge told Bashir, who attended the hearing on Settle’s behalf, that he saw no examples of Settle’s rehabilitation and remained concerned about his disciplinary record. Moreover, Mendoza said he found Settle’s statement of remorse disingenuous, given that he’d waited until he was seeking release to express it, and had never directly asked his victims for forgiveness. For those reasons, Mendoza concluded, the motion for compassionate release was denied. He did not allow for comment before ending the hearing.

Afterward, Price at FAMM got a call from Settle. He hadn’t been able to reach Bashir and figured Price might know how Mendoza had ruled. Price had heard the news. “I was deeply saddened by the denial and outraged by the form it took,” she wrote to me in an email. When she saw that Settle was calling, she didn’t answer—she thought it was better that he speak to his attorneys. But when he called a second time, she answered.

“So what happened?” Settle asked. Price, who had begun to weep, didn’t know what to say, so she hesitated. “OK,” Settle said in response to her silence. “I know.”

Settle then called Kay to tell her that he wouldn’t be coming home. “I am not going to say any more, as we are both going to cry,” he told his mom, though in truth he was already crying. Then he hung up the phone.

“It’s a process I trust and believe in that failed me,” Settle said. “I’m so glad the law exists even if it doesn’t help me. It’s my bad luck.”

I first requested a visit with Settle in April 2022, when Butner was still operating under tight restrictions because of COVID. In late summer, as case numbers went down and social distancing eased, I filed another request. Despite persistent prodding, months went by without a response. Price wrote to the BOP, reiterating that Settle had a right to speak to the press. “Mr. Settle is dying. Delay may be a denial,” she noted. Finally, in December, I was informed that I could have a one-hour visit with Settle. I would not be allowed to bring recording equipment.

On a bright, unseasonably warm January morning, I arrived in North Carolina’s Research Triangle. The sky was a limpid blue as I made my way to Butner, along pine-forest-lined roads with entrances to the corporate facilities of Novo Nordisk and Merck. When I turned onto Federal Center for Correctional Research Road, I was trailing an ambulance. The complex was eerily quiet. No one was in the yard, and no guards were visible.

Passing through security, I noticed wood cutouts of motivational phrases—Respect, Correctional Excellence, Integrity, Courage—hanging on the white cinder block walls. A TV screen in one corner flashed the phrase “Kindness is giving hope to those who think they are all alone in the world.” I was escorted to the visiting area by an officer wearing a bulletproof vest. Gray chairs were tipped against tables and stacked against the wall. There was no one else there. I asked the officer if I could shake Settle’s hand or hug him when he arrived and was granted permission.

Settle rolled into the room in his wheelchair wearing Timberland-style work boots and a jumpsuit with his name and prisoner ID number on the left breast. He stood up to embrace me, then moved to a regular chair. We had spoken on the phone scores of times, totaling a dozen hours or more, and I felt like I knew him well. But being in someone’s presence always brings new knowledge of them. Settle’s eyes were a bright golden brown, and his silver hair had been cut the day before, making it bristly.

The officer left us alone for the hour, and I decided to treat our meeting not as an interview but as a chance to be together. We talked about how angry Settle was when he first got to prison (“I just wanted to punch someone—I had no patience for anything”) and about forgiveness, namely his difficulty granting it to himself. He showed me photographs of his grandchildren and teared up when he talked about his mom, as he often did. He reflected on Mendoza’s denial and on the fact that he had allowed himself to hope for a better outcome.

Since the visit we have remained in touch, and almost every time we speak, Settle talks about a new compassionate release case he’s working on or another Butner prisoner who finally made it home. He told me that his story is “fairly well known” around Butner, and that people give him “pitying looks.” His friends, both inside and out, are frustrated on his behalf. “It really saddens me to know that with all he’s done for other people, and his medical condition now, that he isn’t at home with his family,” Richard Hodge wrote in an email. For her part, Price said, “He deserves better.”

Settle described compassionate release as “a process I trust and believe in that failed me.” With his own path foreclosed, Settle will likely die in prison. His only chance for a different end to his story is clemency, about which he is understandably pessimistic: Clemency petitions move through the Department of Justice at a glacial pace—it can be years before an answer comes—and a vanishingly small number are approved. The Trump administration approved only about 2 percent of the clemency requests it received, and the Biden administration is on track for roughly the same number. Still, Settle has decided to submit a request, with the support of Price and others.

Lately, Settle has been wrestling with whether he should continue cancer treatment. He has outlived his 18-month prognosis, and while his pain is constant and his mobility compromised, a recent CT scan showed that his tumors have stopped growing. His PSA has doubled, however, and doctors have recommended further hormone therapy. He isn’t sure he should bother. “I haven’t come to a full decision yet on whether to fight,” he said.

Before our visit at Butner, Settle sent me an essay he wrote—the title, a nod to Viktor Frankl, was “A man’s search for a reason to live.” In it, Settle reflected on his road to Butner and the toll of his cancer treatment, writing that it had “devastated” him physically and spiritually. “Maybe the latter was because I could not rationalize why I was undergoing such debilitating treatment when the effects of it were intended to extend my ‘life,’ ” he surmised. “This is not to say that I felt like dying during that time, or now. But my thoughts were simply, why? What do I have to look forward to?”

In trying to answer this question, he found himself reflecting on the work he’d done with FAMM. By his count, he had helped 42 people secure compassionate release. He wrote that he was glad to be part of an effort that brought hope to people in a hopeless place, and was honored to have met Price, Andonian, and others. “With my life experience it is not surprising that I was unused to communicating and interacting with people of this caliber,” Settle wrote. “That many of them have become dear and true friends is even more than surprising, it is humbling.”

“If I hang around for a little while, who knows what impact I can have?” he concluded. “In testament to the love and respect I have for my friends and to honor their work is reason enough for anyone to continue to live, even in here.”


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