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"So you
overheard our conversation, and when, exactly, were you going to bring this to
our attention?"
She looked up at the
doctor with innocent eyes. "Sometimes,
Doctor, your judgment on what a patient should or should not know may not be
correct." She batted her
eyelids. "From one
professional to another."
"I will always
remember you this way, Faye," I cooed. She returned a sweet smile to me.
"Stop encouraging
her." He glared at me for a
moment, and then turned back to Faye.
"I won't go into the fact that a dog won't understand what you're
saying if you tell him, 'Well, looks like you have heartworm, and we'll need to
get that treated right away.' As
one professional, to another, Doctor Whelan, does HIPAA ring any
bells?"
"Silver
bells?" I swear I heard Doctor
Lenard growl. "One, my
overhearing things does not make me responsible, and I have not repeated the
specific details to anyone, including my own dear Fluffy here." She squeezed my arm. "Two, if you want to go there, I'll
ask if neglect to ensure confidentiality of information being disseminated
rings any bells. And it's my
heart. I know what's happening to
my body. I know what I could have
done for someone if not for that... thing." She jabbed her finger at the
television. "I can be
upset. More so considering the
details I do know. And other lives
that were... just beginning."
"First off, I
apologize for the questions they asked you as you were coming in. I heard there were some sore
feelings." The ER doctor
looked directly at me, though Faye's parents were standing nearby. I had been the only one with her when
they took her in. "It's,
well... standard but--"
"Faye was the
angry one," I interrupted.
"I understand. If I had
to be suspected for a minute, it doesn't bother me; they were concerned, and
the concerns were put to rest. The
next case like this that comes through and they're afraid to ask, that will be
the creep who beat the woman carrying his child." I waved my hands, looking up at my
in-laws. "Unless you want to
say a few words, we put that aside?"
Faye's father shook
his head. "Just to say,
Doctor, if I suspected it, you'd be treating him as well."
The doctor's smile
was tight. "We ruled out some
factors," he said.
"Hypertension, age, short umbilical cord, obviously not addictions,
no infections; the ones we're left with are traumatic."
"Or what you
found when you went in for the caesarean," I added, not wanting to say the
name.
"Well..."
he frowned in thought for a moment.
"Uterine fibroids -- benign cysts -- are a possible cause,
yes. But a cyst on the ovary, not
the uterus, I would have to look back in records. The cause is the least of our worries
now; I'm just laying this out to give you a little more understanding than a
bunch of terms you heard tossed around in the hurry to get the baby out and
into treatment. Now, your wife is
almost set to come around, and I want you there with her when she is. We need to explain what else we
found."
My jaw tensed. Out of the corner of my eye, I saw my
parents hurry into the lobby.
"Can you give me a little information on that, Doctor, so I'm
prepared? Better I not react for
her to feed off of."
"Right. Good thinking. Two things happening at once like this
and things start to slip." He
looked down at the clipboard. He
flipped through a few sheets of paper before bringing out two ultrasound
images. "This is from your
visit to the regular obstetrician two weeks ago. Nothing seems wrong in this." He handed me the first image. "This one is from the one we took
just today, when she came in. We
were mainly focused on this area," he said, moving beside me and waving
his pen over a spot on the second image.
"It was basically taken to confirm the presence of the placental
abruption. But move up here, and
you will see."
He waved his pen over
an odd splotch on the ultrasound.
"This isn't the abruption, and it's not the baby. Our focus was on verifying how severe
this was, and going from there.
It's in retrospect, when we got in to do the c-section and found the
growth that we went back and looked.
Now, you may have made a point in the fact that it has grown down to the
uterus itself that it could have caused it like any fibroid stands the chance
of doing. But -- and take this as
actually very good news -- the concern with this growth is it was completely
absent two weeks ago. It may have
been developing on the ovary, just out of the shot, but it has grown. Fast."
My parents were by my
side by then, my mother squeezing my shoulder. "It's malignant," she said.
"A biopsy will
have to say for sure, but it's got all the marks of a germ-cell cancer,"
he said. "I can tell you're
holding your breath, Mr. Whelan, but stay like that with your wife and it will
be good for her. To the good news,
now: the tortoise and the hare."
He set the clipboard down on his lap and made eye contact again. "Germ-cell cancer is the hare. It grows so fast, it's screaming at you
to notice it, as early as possible.
The faster you notice cancer, Mr. Whelan..."
"The earlier
treatment starts," I completed.
"Precisely,"
he said. "If you wait here,
I'll check on her, and also on your son.
We want both of you to have an update on him as well, of course."
I nodded and watched
him stand up and take several swift steps to the swinging doors leading into
the ICU. I don't often read people
as well as Faye, so I brushed off the odd change in his voice whenever he mentioned
the status of our son as an illusion of my own fears.
We took the
conversation outside this time, though I wondered if our voices would echo
across the empty parking lot and somehow come back around to the window I had
left ajar so she could hear and maybe talk to the dogs. Doctor Lenard was shaking his head and
rubbing his arms. He looked at me
and scowled. "She calls you
Fluffy because you were always dressed to the neck in layers," he
said. "You're not freezing
your butt off right now?"
I shrugged. "Wind-chill can get to negative one
hundred Fahrenheit on the Iditarod," I said. "I guess you could say I
adjusted." I paused for a
moment, feeling the bite in the air.
"Let's just, you know, make this quick. Adjustment doesn't mean immunity. Doctor, what is the problem? She knows. It's eating her up, but after all the
bad news in our lives, do you think we can't get over this?"
"I'll level with
you," he said. I mused how
that seemed to be his favorite introduction to sentences. "She'll probably take it just like
half of the crap that's been thrown at, well, both of you. She actually jokes around about stuff,
but won't about this. I admire that
about her, what with failing kidneys, a rampant tumor. I can only pray in her place I'd keep
her humor."
"Doctor...
um..." He looked up at me,
arms crossed over his chest.
"You... you just rhymed, Doctor."
He studied my face
for a moment. "I'd be curious
to see you in her place too, you know," he said. "Not wishing it on you, mind you, I
just suspect you'd be the same. I'm
really jealous."
"Guess it's just
a matter of keeping a strong heart."
"Don't make this
worse, Conor," he said. The
look on his face wiped the half-smile off of mine. "It's the girl -- I mean -- screw
it. She's seventeen, Conor. Track meet two years ago, she
drops. Her freshman year of high
school, and they take her in, say it's dilated cardiomyopathy. Basically, the heart gets weakened and
enlarged, and it loses efficiency.
They went so far as to implant a defibrillator because of the
severity. It stopped making a bit
of difference. She came through our
own cardiac unit to get that done -- damn, if I knew..."
"Bridger told
Custer to be nice to the Sioux, no beating around the bush," I said. "You had... what? A Ouija board to tell you this night would
come? 'I will not be ashamed to say
"I know not."' I heard
that somewhere. Man... Doctor,
where did I hear that?"
"Ha-ha," he
said. "Well, I haven't said
any names yet, so I've got flimsy ground to toss the whole 'respect the privacy
of my patients' part back at you.
How do you know the Oath?"
I nodded back inside
the hospital. "Faye has it on
the wall. Yeah, she's a vet, but
she has it on the wall. It's right
under our wedding picture and right next to a picture of her and the team after
their win the third year." I
looked up at the sky; there weren't any stars visible. "And don't forget the fact that
you're supposed to give special attention to warmth and sympathy."
"And
understanding," he added, hopping up and down on his toes. "Speaking of warmth, as a doctor I
know we're reaching the point of hypothermia, so let's just go in." He walked through the sliding doors and
waited for me to follow. "Suffice
it to say, my problem isn't that she knows, it's that I keep getting reminded
of the fact that I've lost all power to make something good come out of this
night, and who do I have to blame?
Mother nature?"
I shook my head. "It's hard, Cory," I said,
dropping formality. At this point,
it was far too personal. "Hard
to feel powerless."
"I wasn't
listening in on the whole discussion," the doctor said. "I thought I heard 'Grade 3,' but I
wasn't going to dump that on you.
Not without confirmation. I
gave you the facts I had and left my suspicions out of it. At this point, well, get mad at me if
you want. I should have known the
severity when you went into shock.
He's fighting, that's all I can say now."
"I'm only mad
that you'd think I'd kill the messenger," Faye replied, her voice soft
either from the drugs or holding back tears. Or both.
"The messenger
didn't give the right message," he replied.
"You gave what
you knew for certain at the time," I said. "I never heard you blatantly say,
right out, 'Your son is going to be just fine.'" I looked towards the incubator. "He's fighting, that's the good
news we're going to have to go with."
We had been taken
into the room where our son was being treated; they wheeled Faye in on a gurney
since she was not going to be walking or even in a wheelchair any time
soon. Doctors still hovered nearby,
checking instruments and looking poised to take advantage of any improvement in
the vital signs, but the feeling of the room was dark and heavy. I didn't want to voice it, and it looked
like no one else did, but the truth hung out in the air: we wouldn't have to
wait too long to know if he was losing.
It didn't.
Faye had her hand on
the incubator, peering through the clear encasement at the tiny figure
within. She had just murmured that
he had my eyes when I saw a doctor straighten up and walk swiftly over to
us. Faye didn't lift her eyes to
meet his gaze, but he didn't bother looking at her. His eyes were directly on mine. I was numb, not able to feel anything
inside or out, just able to perceive that he whispered in my ear, "Do you
want to hold him?"
Numb as I was, my
brain was sharp enough to understand that no miracle had suddenly made this
little boy so much better that they could remove him. Minutes were left for us to hold him, to
look into his eyes, before he was gone.
I nodded, trying to cry, feeling horrible that I couldn't. I looked over to Faye, whose eyes were
still locked onto our son. Her lips
moved, and though I've never learned to read lips, I saw them form one word.
"Goodbye."
We would cry
later. Later, I would cry enough to
make up for all the times, past and future, that I would hold tears back. This was one of those times. I was back in her room, peering out the
window. I hated watching the lights
reflect off the clouds, knowing the silent blanket above us was taunting her,
and taunting Doctor Lenard with the knowledge that the one glimmer of light
this night could bring was being smothered with every passing minute. I looked down at the dogs instead. Baldur was the only one looking up at
that moment. It looked like a few
of them had dozed off. I just kept
looking down, looking into his eyes as Kelly and Faye talked just behind me.
"The last test's
results came in," Kelly said, her voice even. Bad sign.
"I'll come right
out and ask: hours?" There
wasn't even a hint of unsteadiness in Faye's voice.
"Well,"
Kelly struggled, shuffling the papers.
"There's a point, Faye, when the best thing Cory or I can do is
wave a plumb-line over the results."
I noticed increased
movement out of the corner of my eye and turned. Faye was trying to put one of her
pillows on Kelly's head. "No,
stay still. Put it on your head,
and then hold the report up to your temple. Conor, get ready to say, 'Hey-o!'"
"My prediction
is, even if it's a hundred years the world will still lose something irreplaceable,"
Kelly replied, gently replacing the pillow. "From your condition right now, one
would think you're on the mend."
"This is
nothing." She settled
back. "Usually I can keep it
going a lot longer."
My talk with Doctor Lenard
had brought back memories of David, our son. Otherwise there wouldn't be a trace of
sadness in my smile when I turned back to the window. Baldur still sat there, gazing up at me,
his large brown eyes connecting the instant I looked back down. I felt he knew, that he was telling me
to be there for her. I lifted my
eyes to the clouds again, regretting it the instant my gaze lifted above the
treetops. I felt myself missing the
northern lights. I blinked, the
nostalgia jolting something awake in the back of my mind. Barely aware of my surroundings, I
ambled away from the window, gazed at a reporter standing amongst banks of snow
in New York City, and sat down. My
head swiveled mechanically to Faye.
My eyes started to
focus again, and she must have notice me acting odd. She furrowed her brow as my thoughts
began to coalesce. We'd been
together for over ten years, but it only took a few days for us to be able to
tell things about each other. She
studied my face for a minute, her eyes boring into mine, as the pieces started
falling into place. My eyes darted
to the window, and she saw the motion for what it meant. Realization swept onto her face, and
warning swept into her voice.
"Conor, do I have to make Alfred Noyes write a poem about
you?"
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