Avery had her back toward him, and she did not respond to his comments.
She was being honest when she said that her head hurt so much that she could die. It was also true that she missed Elliot so much that she felt like taking her own life.
Since she was a child, she had always prepared herself and lifted herself up whenever she encountered difficulties, but this time, she was exhausted. Even when there were three children she needed to look after, she could not help the grief she felt.
Afte