The woman described the sensation as a delicate flicker, like a moth trapped in a small gauze bag. She ran her slender fingers repeatedly over the spot in her slightly distended abdomen and said, “Doctor, right here.” Sometimes, she told me, the flicker gave way to a more forceful kick that rippled beneath her hand and then spread like a warm tide over her body. She felt contented and soothed as she imagined the baby growing inside. I was tempted to smile, but I kept still. An actual pregnancy would have been international news: the woman was 83 years old, recovering from a hip fracture and pneumonia. But her delusion was not unique. Indeed, our nursing home was having something of a bab

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