He was on the couch again.

He was having thoughts again.

Thoughts about killing Grandma.

Sheila inked on her Moleskine:

Primary caregiver’s primary caregiver.

They sat in silence for fifty-nine minutes.

Then he admitted: she’s old, I’m young–

I won’t succumb to her arthritic thumb.

Nodding like a pendulum, Sheila

Penned a careful addendum:

Remind Karl re: Boohoo order.