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SPRINGFIELD, MISSOURI JUNE 14, 1938

Marian Dolarhyde Trevane, tired and in pain, got out of a taxi at City Hospital. Hot wind whipped grit against her ankles as she climbed the steps. The suitcase she lugged was better than her loose wash dress, and so was the mesh evening bag she pressed to her swollen belly. She had two quarters and a dime in her bag. She had Francis Dolarhyde in her belly.

She told the admitting officer her name was Betty Johnson, a lie. She said her husband was a musician, but she did not know his whereabouts, which was true.

They put her in the charity section of the maternity ward. She did not look at the patients on either side of her. She looked across the aisle at the soles of feet.

In four hours she was taken to the delivery room, where Francis Dolarhyde was born. The obstetrician remarked that he looked “more like a leaf-nosed bat than a baby,” another truth. He was born with bilateral fissures in his upper lip and in his hard and soft palates. The center section of his mouth was unanchored and protruded. His nose was flat.

The hospital supervisors decided not to show him to his mother immediately. They waited to see if the infant could survive without oxygen. They put him in a bed at the rear of the infant ward and faced him away from the viewing window. He could breathe, but he could not feed. With his palate cleft, he could not suck.

His crying on the first day was not as continuous as that of a heroin-addicted baby, but it was as piercing.

By the afternoon of the second day a thin keening was all he could produce.

When the shifts changed at three P.M., a wide shadow fell across his bed. Prince Easter Mize, 260 pounds, cleaning woman and aide in the maternity ward, stood looking at him, her arms folded on top of her bosom. In twenty-six years in the nursery she had seen about thirty-nine thousand infants. This one would live if he ate.

Prince Easter had received no instructions from the Lord about letting this infant die. She doubted that the hospital had received any either. She took from her pocket a rubber stopper pierced with a curved glass drinking straw. She pushed the stopper into a bottle of milk. She could hold the baby and support his head in one great hand. She held him to her breast until she knew he felt her heartbeat. Then she flipped him over and popped the tube down his throat. He took about two ounces and went to sleep.

“Um-hum,” she said. She put him down and went about her assigned duties with the diaper pails.

On the fourth day the nurses moved Marian Dolarhyde Trevane to a private room. Hollyhocks left over from a previous occupant were in an enamel pitcher on the washstand. They had held up pretty well.

Marian was a handsome girl and the puffiness was leaving her face. She looked at the doctor when he started talking to her, his hand on her shoulder. She could smell strong soap on his hand and she thought about the crinkles at the corners of his eyes until she realized what he was saying. Then she closed her eyes and did not open them while they brought the baby in.

Finally she looked. They shut the door when she screamed. Then they gave her a shot.

On the fifth day she left the hospital alone. She didn’t know where to go. She could never go home again; her mother had made that clear.

Marian Dolarhyde Trevane counted the steps between the light poles. Each time she passed three poles, she sat on the suitcase to rest. At least she had the suitcase. In every town there was a pawn shop near the bus station. She had learned that traveling with her husband.

Springfield in 1938 was not a center for plastic surgery. In Springfield, you wore your face as it was.

A surgeon at City Hospital did the best he could for Francis Dolarhyde, first retracting the front section of his mouth with an elastic band, then closing the clefts in his lip by a rectangular flap technique that is now outmoded. The cosmetic results were not good.

The surgeon had troubled to read up on the problem and decided, correctly, that repair of the infant’s hard palate should wait until he was five. To operate sooner would distort the growth of his face.

A local dentist volunteered to make an obturator, which plugged the baby’s palate and permitted him to feed without flooding his nose.

The infant went to the Springfield Foundling Home for a year and a half and then to Morgan Lee Memorial Orphanage.

Reverend S. B. “Buddy” Lomax was head of the orphanage. Brother Buddy called the other boys and girls together and told them that Francis was a harelip but they must be careful never to call him a harelip.

Brother Buddy suggested they pray for him.

Francis Dolarhyde’s mother learned to take care of herself in the years following his birth.

Marian Dolarhyde first found a job typing in the office of a ward boss in the St. Louis Democratic machine. With his help she had her marriage to the absent Mr. Trevane annulled.

There was no mention of a child in the annulment proceedings.

She had nothing to do with her mother. (“I didn’t raise you to slut for that Irish trash” were Mrs. Dolarhyde’s parting words to Marian when she left home with Trevane.)

Marian’s ex-husband called her once at the office. Sober and pious, he told her he had been saved and wanted to know if he, Marian, and the child he “never had the joy of knowing” might make a new life together. He sounded broke.

Marian told him the child was born dead and she hung up.