A School Bus Driver in Tacoma Kept Twenty-Three Children Calm During a Medical Emergency
When a seven-year-old on Bus 47 stopped breathing on a Tuesday afternoon, driver Maxine Okafor did three things at once. None of them were panic.

Bus 47 left Whitman Elementary at 3:12 on a Tuesday afternoon under a sky that could not decide between rain and sun.
Maxine Okafor had been driving the route for nine years. She knew the names of every child on board, the cross streets where each one got off, and which of them was likely to be the last to sit down. That afternoon she had twenty-three passengers between kindergarten and fifth grade, and she was making the right turn from South 19th onto Cedar when she heard a sound from the third row that did not belong.
It was not a scream. It was a small, dry, unfinished cough.
In the rearview mirror, she saw a second-grader named Iris Nakamura half standing in her seat. Iris was seven, small for her age, and Maxine had been at the school the morning her mother enrolled her. Iris's lips, in the mirror, were the wrong color.
Maxine pulled the bus to the curb in front of a Methodist church and set the brake. She pressed the radio button on her console and told dispatch, in a voice she has since described as her grocery-list voice, that she had a child in respiratory distress and needed paramedics at her location.
Then she stood up.
She has been asked since, by the school district and by the local news and by her own daughter, how she knew it was anaphylaxis. She says she did not. She says she knew it was bad, and she knew Iris's backpack had an EpiPen in it because Iris's mother had walked her through it on the first day of school in September.
Maxine walked to the third row. She told the children around Iris, calmly, to slide into the aisle and take a seat further back. She told a fifth-grader named Devon Pierce, who she trusted, to come up and sit in the driver's seat and keep an eye on the radio.
Iris's backpack was on the floor. Maxine unzipped the small front pocket. The EpiPen was in a clear plastic case with Iris's name on it in a mother's careful handwriting.
Iris flinched. Maxine took that as a good sign.
She read the instructions on the side of the device out loud, partly because it was protocol and partly because she wanted Iris to hear her voice. She removed the safety cap. She pressed the orange tip against Iris's outer thigh through her leggings and held it for ten seconds, counting aloud.
Iris flinched. Maxine took that as a good sign.
Then Maxine did the third thing she has been praised for, although she does not think of it as separate from the rest. She turned around to face the rest of the bus.
Twenty-two children were watching her. Some were crying. A kindergartener in the back row had her hands over her ears.
"Friends," Maxine said. "Iris is having a hard time breathing, and I just gave her medicine that is going to help her. The ambulance is on the way. I need everyone to stay in their seat and use a quiet voice. Can you do that for me?"
She has said since that she could feel them deciding. Children, she has said, will follow the calmest adult in the room if there is one to follow.
Most of them sat. A few kept crying, quietly. Devon Pierce, in the driver's seat, gave her a thumbs-up.
The ambulance arrived in five minutes. By then Iris's color was already coming back. She was conscious, and frightened, and clinging to Maxine's hand like it was the rail of a moving boat.
The paramedics confirmed anaphylaxis. They took Iris to Mary Bridge Children's Hospital. Her mother, Kimi Nakamura, met them there. Iris was discharged the next morning with a fresh prescription and a follow-up with her allergist.
The trigger turned out to be a granola bar that a well-meaning classmate had shared at lunch. The bar contained traces of cashew, which Iris's school file flagged in red.

Maxine finished her route that afternoon. She had to. There were twenty-two other children who needed to get home, and the substitute drivers were already out covering other buses. She drove the rest of the loop with Devon Pierce riding shotgun, and she walked each child off the bus and into the arms of a parent or grandparent or after-school worker. Several of the parents had already heard. A few of them hugged her.
She got home at quarter to five. She sat at her kitchen table without taking off her jacket and called her own daughter, who lives in Spokane, and told her the whole story start to finish. Her daughter, Adaeze, cried on the phone. Maxine did not.
Maxine cried later that night, when she was alone, washing a coffee cup.
The Tacoma School District honored her at a board meeting two weeks later. Iris was there, in a yellow dress, and she walked up to the microphone and read a thank-you note she had written in pencil. Kimi Nakamura stood behind her with one hand on her shoulder.
Maxine accepted the certificate and said a few words. She said the EpiPen had done the saving. She said the school nurse, Beverly Crane, who had walked her through the training in September, had done the saving. She said Devon Pierce had done some of the saving by holding down the driver's seat.
She did not use the word hero. When a local reporter pressed her on it afterward in the parking lot, she shook her head. She said heroes are people who choose to run into something. She said she had just been doing her route.
Then she said the part that the reporter put at the top of the story.
"Those are my kids," she said. "For forty-five minutes every morning and forty-five minutes every afternoon, those are my kids. You take care of your kids."
Bus 47 still runs the same route. Maxine is still behind the wheel. The EpiPen training, after that Tuesday, became mandatory for every driver in the district.
Iris Nakamura sits in the third row, the same seat as before. She waves to Maxine in the big mirror every morning. Maxine waves back.
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Written by
Priya Mehta
Priya Mehta writes for The Shoreline on stories worth sitting with.
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