By William Bradley

My Hodgkin’s Disease had returned—my doctor was fairly certain. It turns out he was wrong, that the strange glows on the scan were … well, something other than cancer. But Emily and I didn’t know that at the time.

This was in 2006, six years after my last radiation treatment. This time, it was in my thigh rather than in my neck and chest area, but nonetheless, the doctor seemed sure that it was back. I would need to have a biopsy performed, of course, but that felt like just a formality. A hunk of lymph nodes would be cut out, and then we’d begin treatments—likely radiation therapy, but a bone marrow transplant remained a possibility as well. Time was off the essence. I was likely going to die. My wife and I had serious thinking to do.

What we did know was that, when I’d had my bone marrow transplant in 1998, my doctor had said that I had a forty percent chance of living for more than five years. We also knew that I had radiation therapy to treat a recurrence two years after the transplant. Emily and I didn’t meet until after I had completed these treatments, but we had discussed my medical history, and what it meant for our relationship, once we were “seriously” dating—we met in grad school while working on our Ph.D.s in English, and had tried to keep things relatively casual so that we wouldn’t be tied down to another person. Neither of us wanted to compromise on our professional ambitions by becoming too attached to someone similarly ambitious, so we self-consciously tried to limit our relationship to one of hanging out and hooking up—a bit more intimate than friends-with-benefits, but nothing too emotionally consequential.

But at some point while hiking through the Missouri wilderness, or discussing the latest academic scandal reported in The Chronicle of Higher Education over coffee, or drinking cheap wine in her small basement apartment, we fell in love with each other, and we decided the best thing to do would be to get married. I couldn’t quite tell you when I realized that Emily mattered more to me than keeping all of my options open for the sake of my career, but I know that it happened.

Our life together was filled with reading, writing, sending out academic articles and creative work, supporting each other when the eventual rejections came, applying for academic jobs, worrying about money. We also played Scrabble, sought out strange landmarks like the world’s largest statue of a goose (“Maxie” in Sumner, Missouri), watched livestock shows at state fairs, and—in the words of the girl in Hemingway’s “Hills Like White Elephants”—we would “look at new things and try new drinks.”

We had both been involved with other people before we met each other, of course. Both of us had been in college relationships that had continued for far too long, with protracted break-ups and broken hearts. After my bone marrow transplant, my college girlfriend and I were breaking up for the final time. I reflected on what I wanted in a romantic relationship. Someone adventurous, willing to travel and have new experiences. Someone who loved literature as much as I did, but who could also enjoy the same type of lowbrow culture I enjoyed—I wanted to be able to talk about books and art with someone who could also appreciate the sublime genius of Don Knotts’s performance in The Ghost and Mr. Chicken. Someone who had a sense of humor, who would laugh if I called her “scumbag” and would be willing to high-five me after sex. In short, I wanted to be in a relationship that was fun—I’d had enough of passive-aggression and adolescent angst.

As it happens, Emily had recently reached similar conclusions about her own love life. It wasn’t love at first sight, but we immediately knew that we made each other laugh and had fun together—she was not only down with the high-fiving but was willing to call me “dude.” Things grew from there.

As Emily and I contemplated what a malignancy would mean for our relationship, I realized I couldn’t really say that life was unfair. I had been fortunate to be disease-free for as long as I had been, I figured, and I had experienced a powerful love and friendship the likes of which I don’t think too many people get to experience. The only disappointment was that we couldn’t make it last forever, and it looked like our time together was coming to an end.

In the week between the tentative diagnosis and the biopsy that would ultimately be reassuring, we spent our days crying, our evenings drinking wine and trying to reassure each other that this would be okay, nothing we couldn’t handle. I’d done all this before, with only my parents for companionship and support, listening to depressing music like Warren Zevon’s Life’ll Kill Ya or Lou Reed’s Magic and Loss alone in the den that my parents had hastily converted into a bedroom when I’d been diagnosed. With Emily beside me, it wouldn’t be nearly as lonely or depressing. She knew how bad things had been before, how dark those days had been.

“I’m going to take care of you,” she said, looking at me from across the table on our screened-in porch while we drank our Pinot Grigio. “It’s not going to be like last time.”

I nodded and tried to agree. We said such things to each other, but hanging between us—unspoken, but mutually understood—was the understanding that a recurrence at this point could very well mean I would die.

The morning of the biopsy, Emily drove me to the hospital. After the nurse called me from the waiting room to the pre-op area, I handed Emily my wedding ring, which she put on her thumb. I kissed her goodbye.

What followed seemed to take forever—the shaving, the pre-surgery talk with the doctor, then watching the anesthesia drip through my IV.

I shut my eyes, then opened them to find myself sitting up, in recovery. It happened that fast. Emily and a nurse were laughing. I had a Diet Coke and a glass of water in front of me—my usual beverage order, if I’m not drinking wine or beer.

“Where did this Diet Coke and water come from?” I asked.

Emily smiled. “You asked the nurse for them when you woke up after your surgery.”

“Oh,” I replied. “I must have thought I was at a restaurant.”

At this, both Emily and the nurse exploded in laughter again.

“That’s the fourth time you’ve asked that question,” Emily said, “and then followed with ‘I must have thought I was at a restaurant.’”

I laughed too—although I should tell you that, later, when we told the story to friends, they were horrified. “I would have been afraid that it was permanent,” one friend replied. That obviously hadn’t occurred to Emily—or else, she is so used to the way I am normally that she didn’t worry that any lasting brain damage would be noticeable or change her life in any fundamental way.

At one point—still foggy and a bit confused—I glanced down at my left hand. My wedding ring was back where it belonged.

“When did you give this back to me?” I asked, holding up my hand.

This time, Emily did not laugh as she ran her hand up and down on my arm, telling me that it was the first thing I’d asked for—before the beverages, even—when I saw her after coming out of surgery.

“You said that you missed it,” she told me.

Emily and I have been together for eleven years, and as happy as that time has been, I have to tell you that we argue as much as any couple. Maybe even more—we can both be strong-willed and opinionated, especially when it comes to matters of teaching and writing, which are important parts of our careers. Sometimes, we argue over a work of literature. Sometimes, it’s pop culture. We rarely argue about politics, but it happens, sometimes.

More rarely—but more seriously—we fight about the important things in our marriage. Whether one of us takes the other for granted. Occasions of self-centeredness. Concerns that one of us prioritizes work over our relationship with each other. These are the serious fights. The ones that result in tears for her, or me stomping out of the house to “go for a walk, to clear my head.” These are the times when we get overwhelmed with thought—fears, suspicions, and pressures that probably come from outside the marriage itself, but are nonetheless real when we contemplate them.

But what I like about the story of my recovery from surgery is that it testifies to the fact that loving her isn’t something I have to think about—that even when my mind is wrapped up in a confused fog, when I’m basically just a being incapable of reflection, operating on instinct, unconscious habit, and biological imperative, I still love her. More than I love my job, more than I love literature, more than I love anything in the world. And I love her first, even before I get my Diet Coke and glass of water.

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WILLIAM BRADLEY has been married to the poet and Renaissance scholar Emily Isaacson for almost nine years now. She was the one who encouraged him to try to publish the creative nonfiction he wrote, and since then, he has had work appear in Fourth Genre, Brevity, The Normal School, Utne Reader, The Missouri Review, and other magazines. They spend most of their time in Canton, New York, where he teaches at St. Lawrence University.