Little Mouse

frozen scissors — By Gina Easley www.GinaEasley.com

By Amy E. Robillard

Because they could not get everything they needed to get laparoscopically, they cut into him. They cut through his fatty tissue and his muscle to get into his abdomen where his gangrenous gallbladder was swollen and bloody and actively disintegrating. When Dr. Robinson tried to remove it, he told us, it fell apart in his hands. When he tried to clip off the bile ducts afterward, Steve’s abdomen was so swollen and bloody that the clips would not hold. They fell right off. Dr. Robinson used a sealant called Tisseal, and as he told us this, he swooped his hand down and back to mimic the motion one imagines using to seal off a hole. All I could picture was a driveway.

Steve had been wheeled into the operating room at one-thirty that afternoon. I had been expecting surgery to last about an hour and a half. While Dr. Robinson was pretty sure from the exam that Steve’s gallbladder was infected, he still believed he could remove it laparoscopically. After I kissed Steve goodbye, I went over to the surgery waiting area and introduced myself to the two volunteers who answer the phones. Steve’s name wasn’t on their official list of surgeries for the day, so they wrote his name at the bottom of the page and noted that I was here. “I’m just gonna run out and get something to eat. I’ll be back soon,” I told them.

I had imagined, as late as that very morning, that I’d be able to teach my classes that day, the day of Steve’s surgery. The hospital was so close to the university, and we didn’t know what time Steve’s surgery was going to be, so I’d just run back and forth, keeping my phone on me in case I was needed.

Walking the dogs that morning before we left, it hit me that my husband was having surgery and I was his next of kin and if I wasn’t there waiting for him, nobody would be. What kind of wife was I? Of course I wouldn’t be teaching that day! Later, when I told Steve’s stepmom Janet this, she laughed. “You’ve never had to do this before, have you?” I said I hadn’t. “It’s a steep learning curve, that’s for sure,” she said.

•••

I grew up in an abusive home, and the further I get from that environment, the more clearly I can identify the characteristics of it that have had a lasting effect on the person I have become. Two things stand out. The first is that I have an overabundance of empathy. This comes, I’ve recently figured out, as a result of being told again and again that it was in my best interest to identify with my abuser.

“Stay away from her,” my mother told me.

By telling me this, my mother was also telling me that the perspective on the world that mattered was my sister’s, not mine, that the person responsible for the abuse was me, not my sister, and that the way to remain safe was to take on the perspective of the other. Your perspective—that your sister is hitting you—is not the one that matters. The one that matters is your sister’s. Appease her.

One result of this overabundance of empathy is that, for a long time, I had trouble with friendships. Simply put, I gave too much and didn’t expect much in return. I took on others’ perspectives on the world and negated my own. I gave and gave and gave until, as happens in every life, a point came when I needed love and care and found that the friends to whom I had given so much were unable to reciprocate. This prompted essential self-care work, including reassessments of more than one friendship.

The second effect of growing up in an abusive environment is that I, as all children do, built my understanding of myself based on the narratives I had available to me, and those narratives I had available were that I was nothing, a nobody, destined to amount to nothing because I was no good, not worthy, stupid, fat, and ugly.

Because of this, I developed an early habit of calculating my chances at things as basically zero, not—as popular reasoning might have it—so that others might encourage me, but because it is what I believed deep in my body was true about me. This means that anything good that happened to me—that happens to me—is essentially icing. This has always gotten me out of existential dramas. I was persuaded early that I wasn’t meant to be here, so I don’t necessarily have a need to make some big meaning of my entire life, to feel that I was somehow meant to be here or that I have a purpose, to feel like I’m here to do something good. Anything I do that is good is better than the nothing I was supposed to have done. Some may read this and characterize me as a pessimist, but I think that those who have been abused could perhaps help me articulate why that’s not quite the case. It’s not that I expect the worst. Rather, I expect nothing.

One effect of this is the ingrained habit of imagining and preparing for my death. My oldest friend Hillary and I have been promising each other since we were kids that, should the other one become incapacitated in any way, the other would swoop in and take care of things. Neither of us is afraid to die. We grew up thinking we wouldn’t make it much past twenty-seven.

•••

Muscles provide strength. We get the word muscle from the Latin musculus meaning, literally, “little mouse.” Our strength comes from what we might otherwise perceive as small and insignificant.

•••

When I return to the surgery waiting area at two-thirty, I see that a few people are gone, but there are still probably ten families waiting for news on their loved ones. The electronic board tells me that Steve’s surgery officially started at 1:59. I settle in to a chair, take out my laptop, and begin working on revising the calendar for my rhetoric course. At about three-thirty, one of the volunteers comes to tell me I have a phone call. Steve’s nurse, Brian, tells me that things are going well and they’re hoping to be able to finish the surgery laparoscopically, but they may have to make an incision if they can’t get it all. This will mean three to five days in the hospital. “We should be done in about an hour,” Brian says. I ask if this would be a good time for me to run home and take care of the dogs. He asks how close I live and I tell him I can be back in an hour. He says yes, this would be the time to do that.

I tell the volunteers that I’m running home and I’ll be back in about an hour. They’re both elderly women dressed in baby pink hospital jackets. One tells me that they leave at four, so when I get back, they won’t be here. “You’ll have to answer the phone yourself.”

Sure enough, when I return a little more than an hour later, the surgery waiting area is nearly desolate. A man and I are the only two still waiting. At 4:45 the phone rings. I look around, as though somebody else is going to answer it. “Surgery waiting area,” I say as I pick up the phone. It’s Brian calling to tell me that they’ve had to cut Steve open and they’ll be working on him for about another hour. “Shit,” I say. “But he’s okay?” Yes, he assures me. He’s okay.

I text the friends who are waiting to hear how Steve is doing. The news that they’ve had to cut him open isn’t good, as it suggests things were more serious than even the doctor had anticipated.

This is not the first time I’ve imagined what my life would be like as a widow. Mostly when I imagine this, I think about how others will respond because I know I have the constitution to be okay. I’m self-sufficient. Icing, remember?

The hour passes without a phone call. It must be because they’re finishing up and they want to call me when they’re finished.

Meanwhile, two friends come to visit for a little while and distract me with hilarious stories about their early vacations as a family. I can’t help but envy them their stories. But they have to leave before too long.

The phone rings. I answer it, “Last one standing.”

“Amy?”

“Yep.”

“It’s Brian. I know your voice by now. We’re still working. We’ll need about another hour.”

Deep sigh. “Okay. Everything okay?”

“Yeah, he’s okay. Things were messy.”

I sit back down in the waiting area. It’s seven. He’s been in surgery for five hours. The lights go out in the waiting area.

I’m sitting alone in the waiting area. In the dark. My husband has been in surgery for five hours. I’m beginning to get scared.

Instead I get angry. I think about all the love and care and empathy I’ve given over the years since I arrived in Illinois. So much love and empathy. And none of it is coming back to me right now as my husband is lying cut open on an operating table and I’m all alone.

Later, with a clearer head, I’ll think back on this moment and say to myself, well, what could you expect? Your friends didn’t know you were sitting there alone in the dark.

And the answer, of course, was nothing. Of course I could expect nothing.

•••

As he recovers, Steve needs to be reminded every so often that Dr. Robinson cut through his abdominal muscles, so things he used to take for granted are going to be hard for a while. The first time he sneezed was particularly painful. He’s sneezed a total of five times since the surgery.

Cutting through muscles is, I imagine, a gruesome task. As they heal, muscles that have been severed settle differently.

As I walked the dogs the morning before Steve’s surgery, it hit me that I could no longer rely on my own habits of thought, on my own muscle memory, to get me through this kind of situation. I couldn’t just maintain my identity as some kind of teacher hero who manages to teach her classes even while her husband is under the knife. I had to accept that, despite the earliest and most profound lessons of my life, I am important to people and that this recognition brings with it responsibilities that I cannot simply brush off with claims that my students need me. Until Steve’s surgery, when I was the one person in the world responsible for the well-being of another human being, I had never had to puncture, let alone cut, that muscle memory.

I don’t really trust myself to be that person for Steve or for anyone, really. I have never wanted to be the one solely responsible for anything, but especially another person’s life.

My muscle memory has been cut, just this once. It may not be enough, but it’s a start. The cut will send the little mouse scurrying just a bit, into cracks and crevices of my constitution that I don’t even know are there, settling perhaps the tiniest bit off-kilter, surprising even me.

Things I’ve taken for granted may be harder for a while.

•••

AMY E. ROBILLARD is a writer and a teacher of writing at Illinois State University. She’s a regular contributor to Full Grown People. She and her husband Steve are the guardians of two very special mutts, one named Wrigley Field, and one named Essay. They all love the Cubs.

Summers of Smoke

By Susan McCulley

Late on a Connecticut summer night, a young man drives home after a date. He smells smoke. But he doesn’t see the fire until he gets to the pond at the bottom of the hill. Across the water a house is burning. Orange flames reflect on the water between the lily pads. He and a neighbor climb through a window, into the blackness, and pull an old man out of the smoking building. It is 1973. The old man is my grandfather.

•••

In early June 2014, my builder husband Frank complains of back pain for several days running. That can happen when he’s busy, and right now has several construction projects going at once. One house is in the last stages so there are thousands of details to track and a string of sub-contractors to direct. As he hobbles across the kitchen, we exchange pained smiles: Frank’s stress shows up in his back. It’s just stress. But the next morning, my beloved Frank crawls to the bathroom.

•••

My father gets a call at two a.m. at our house on Buzzard’s Bay near Cape Cod. His father, probably in a haze of alcohol, has fallen asleep while smoking in his favorite leather chair. The ambulance is taking him to the hospital with terrible burns from the fire that has destroyed his home. Dad immediately starts the two-hour drive back to Connecticut, headed for Middlesex Hospital. An hour later, doctors decide to transfer my grandfather to the burn center at Yale-New Haven. Realizing that Dad is driving in the wrong direction, his closest friend waits for him on the shoulder of I-95. At three-thirty in the morning, he waves Dad down and gets him to Yale-New Haven.

•••

We find a pair of crutches for Frank but they are awkward and uncomfortable. He settles on using the gnarled walking stick that he made from a dried Arizona cactus. Doubled over and shuffling along, he looks like a six-foot Yoda. The Force, however, is not strong with him. It is painful for him to sit, stand, or lie down. He goes to two massage therapists and a chiropractor and walks out of each appointment in more pain than when he walked in. We cancel a dinner with friends and then a visit with my family. At eight o’clock on a mid-June Saturday night, I call a friend who had back surgery not long ago and beg for Percocet. She gives me kindness, compassion, and every painkiller she has.

•••

My grandfather’s neighbors board up the fire-smashed windows of his home the next morning. In the hospital, Poppa is heavily sedated and asks my Dad to “clean up the house a bit” to get ready for a visit from his sister and her husband. My father has a long conversation with Poppa’s doctor about his condition, his prognosis, and his personality. The doctor says they can keep my grandfather alive, but he would need constant care and would be completely immobile. Poppa has no living will, so the doctor asks my father how he thinks Poppa would feel about that. Dad tells the doctor honestly about his father’s stubbornness, his fierce independence, and his recent battles over needing an in-home health care nurse. The next morning, the doctor calls to say he is terribly sorry but Poppa has died.

•••

Frank says he knows that the pain will go away. He’s been researching back pain, and he’s pretty sure it is just a matter of time before he feels himself again. It’s also possible that it’s not just stress. Maybe something else is going on. He goes to his doctor and gets some steroids and his own prescription for Percocet. He wades into the health care system to figure out what is happening in his spine. He has an X-ray that shows no arthritis and no bone damage. The doctor submits the paperwork for an MRI but it will take a week to ten days before it will be approved. The steroids make him sleepless and sweaty as a teenager. His right shoulder now has bursitis from his sleeping in only one position. We are at sea as to what to do and how to drag ourselves through the pain: his physical pain and my emotional pain watching him.

•••

My father’s father, my Poppa, was older—both in years and in spirit—than my tractor-driving, sailboat-captaining maternal grandfather. In my nine-year-old eyes, he was scratchy on the outside with a prickly mustache, wool suits, and a wool hat with bristly feathers. He had a bristly personality, too, and scolded me for eating like a bird. But his tender insides showed when I trick-or-treated at his door or when I sat with him on his deep leather chair to watch the Rose Bowl Parade on his color television. He drank more after my grandmother died and he smoked until his fingers were stained brown. My strongest memory of Poppa is his thorny-mustache kisses that smelled smokily of cigarettes.

•••

With a cocktail of painkillers, Frank can sleep but, after a couple of hours, the pain pokes him awake. After weeks of determined optimism, he finally crumples. At midnight, he sobs hot tears of pain, fear, and frustration, “What is wrong with me?” Hands resting on him gently, I am paralyzed with the exquisite anguish of helplessness. I’m in such despair that I can’t even cry, furious that no one can help us. After a time and another Percocet, Frank quiets and lifts his head with irritation, “What is that noise?” A scratching, like a mouse or a bat is coming from the woodstove stovepipe and it is driving my sweet man crazy. I leap into action. I can’t make the pain go away, but I can make the bat go away! Intent on new-found usefulness, I stuff paper into the woodstove and light it—not thinking that it’s late June and hot outside so the chimney won’t draw. In a minute, smoke fills the house and I’m crazily sealing Frank safely in the bedroom, opening windows to the thick, humid air, squashing out the burning paper. In the morning, I’m sure that the whole ridiculous scene was a Lucille Ball nightmare except the smell of smoke lingers in the living room.

•••

When Poppa dies, Auntie Jane, my father’s only sibling, flies in from California. She comes for the funeral, presumably, but my only memory of her visit is of my mother and her at the kitchen table drinking and smoking cigarettes. I have never seen my mother smoke. She sees me staring and mumbles that she shouldn’t be doing it. “You deserve it, honey,” says Auntie Jane loosely holding a glass heavy with ice and amber and leaning against the bright yellow kitchen wall.

•••

Frank’s MRI is finally scheduled but his morning appointment is scuttled. He simply cannot lie flat and still in the tube of the machine. My kind, gentle Frank yells and swears at everyone in earshot. “I feel like a fucking old man!” I don’t argue. In just a few weeks, he’s aged decades. The technician tells him to get as much painkiller as he can from the physician and come back.

Hours later, after a torrential rain, we return to the hospital with Frank double-dosed with Percocet and Valium. We pull up to the main entrance under towering pink-gray clouds like billows of smoke from a nearby fire. Between the drugs and the pain he can barely put two steps together, so an elderly hospital volunteer and I help him into a wheelchair and I roll him to the imaging lab. I do my best to make light of it, slaloming down the hallway, but the sight of my strong fit man withering in a wheelchair breaks my heart. The MRI technician suggests I sit in the waiting area, but I will have none of it. I’m not leaving him. Together, the tech and I slide Frank up to the MRI bed and gingerly he hoists himself up. The tired-looking technician arranges Frank’s legs straighter and he is howling and swearing again. She looks at me. “Do you have any more drugs?” I do: two Percocet and two Valium. Frank takes them down.

•••

The rest of the summer of 1973 is soaked in the smell of wet smoke. Every morning, my parents go to the wreckage of Poppa’s house, pull out whatever they can salvage, and toss the rest. They come home every night reeking of soggy soot. Everything in Poppa’s bedroom is destroyed. The intricate family silver and my grandmother’s cobalt blue glasses are melted and unrecognizable. The leather chair and the color TV blackened and soaked. Mom and Dad find some photographs and the big leather-bound family Bible with the metal clasp. Decades later, it still wafts the unmistakable smell of fire whenever it is opened.

•••

Frank sits in the wheelchair with his head is in his hands. The beleaguered MRI tech ushers us into an empty examining room. “Give the drugs some time to kick in,” she says and closes the door on us. I squat down, roll him up close, and press my forehead to his. “I’m right here with you, sweetheart. I’m right here.”

Frank cracks into sobs and says thinly, “It hurts so much. I just want it to stop.”

After a time, all those drugs make his eyes go smoky soft. I put my head into the tech’s office and tell her that he’s ready. We gently slide him onto the machine, straighten his legs, and look at him cautiously. “Okay?” we both say at once. He nods. She hands us both ear plugs like the ones airline workers wear on the tarmac. “You can stand right there and reach in and touch him. It won’t hurt anything,” she says. I put my hands on his head and stroke his hair while the machine sings and groans and zings oddly for nearly thirty minutes. Only after it’s finally over do I look up and notice a back-lit oversized photograph of purple and yellow crocuses on the ceiling.

•••

In the summer of ’73, long before playdates are a thing, a different family takes care of my sister and me every day. Since we had planned to spend the summer on Buzzard’s Bay, we have no day camp or activities in place—only friends. Every day, when my parents go off to dig through Poppa’s burned house, another family has us over to go to the pool or the beach, play in the sprinkler, go out for ice cream. Once, we spend the afternoon with my grandfather’s next door neighbor, the one who pulled him from the bedroom window. He has kids our age and a great swimming pool so it’s a welcome place to be, but the pull of the fire-wrecked house next door is strong. I can smell it across the yard. The kids dramatically tell me not to look, not to go over there, but with equal drama, I sneak to the edge of the yard and peer through the bushes. The plywood-covered windows are like empty eyes. The gray siding above each window is smeared with long black soot smudges like bristly eyebrows.

•••

After the MRI, I drive Frank home, slide him back onto his perch of pillows on the couch, and go to get him tea and an ice pack. When I come back he’s looking at me with tears in his eyes. “How does anyone ever do this alone?”

Up until then, I had made only shy, tentative requests for help from my sister and my closest friends. Gingerly asking if maybe, possibly, would you mind too much, could you please help us? My dearest ones were right there in an instant. Even so, I was ashamed to ask. I felt like I should be able to handle this, that I shouldn’t feel so overwhelmed. That I shouldn’t need help.

Frank’s MRI shows a herniated disc in his lumbar spine that is pressing on his sciatic nerve. Just as the pain branches out from Frank’s compromised disc, I decide to reach out and ask for help. I send out a group email to friends and family explaining what is happening, what we know, what we don’t. In less than a day, friends start pouring in. Some bring enormous meals with funny, handmade cards and flowers. Some come play cards and Backgammon and watch World Cup matches. One sings him a song about chickens. The love pours in our door like a river.

•••

Frank’s back begins to heal, but the summer continues to burn. Four close friends’ fathers die. Another friend, younger than we, is diagnosed with colon cancer. Yet another friend has abdominal surgery to remove a painful and suspicious tumor. A neighbor is killed in a biking accident. A therapist of several friends commits suicide. The sadness and loss is staggering, relentless. The summer suddenly feels unpredictable, scary, dangerous. I take Frank to physical therapy and to get an epidural shot. I write sympathy cards, bring a bag of bagels to one family, bowls of cold summer soup to another. I feel disoriented, suffocated, blinded by all the sadness.

•••

I’m delivering a platter of roasted vegetables and a bowl of melon to another friend singed by the summer of 2014 when I suddenly remember the smoky summer of 1973. I remember the play date at Poppa’s neighbor’s house. I remember the smell mostly—the rest is hazy, except for how odd and disorienting it was as a child. I wonder what it was like for my parents.

When I ask my father about the summer of 1973, he says that what he remembers is the kindness and generosity of so many people: of the young man who spotted the flames, of the neighbor who helped him pull Poppa free, of my father’s friend who flagged him down on the highway, of the wise doctor, of people who just did what needed doing. “People are pretty awesome,” he says.

This summer has cracked me open. It’s challenged me to do things and be with things beyond what I thought I could. The edges of my heart are sore and aching from all the sadness and disappointment and loss. The fibers of my compassion and empathy muscles have been stretched and strengthened. I hug longer now, look with softer eyes, am gentler with my words. I’ve let go of any illusion that I have control over a single thing.

Memory is a funny thing. My father looks back on the tragic death of his father and it is the support, care and kindness that he remembers. As traumatic as it must have been, for my dad the summer of 1973 was about love.

It’s been forty years since Poppa died, but it’s only been a couple of months since Frank’s been walking without his Yoda stick. The string of memorial services is still unwinding. The soreness and bruising from the summer of 2014 are tender, and it is a tenderness that I hope never goes away. I have been tempted to call it The Summer of Sadness, but honestly, that’s not how it feels. The feeling of the summer of 2014 is love. The rest disperses like the smoke from a single match.

•••

SUSAN MCCULLEY is a mindful movement educator and a Black Belt Nia Instructor who has been dancing, traveling, and teaching since 2000. Her blog, Focus Pocus: The Magic of Inquiry and Intent (www.focuspocusnow.com), is dedicated to taking body~mind practices from the studio into life. This is her second essay for Full Grown People and others have been published on Elephant Journal. She lives with her (now fully healed) husband in Charlottesville, Virginia.

Five Pounds of Flesh

lingerie form — By The Lingerie Addict/ Flickr

By Zsofi McMullin

The surgeon sat between my legs on a low stool, his left hand gently cradling the curve of my right breast as he drew dotted lines and circles on my skin. I was sitting on a hospital bed, my feet dangling off the side and I wasn’t sure where to look. His touch was measured and medical, but the intimacy of the moment took my breath away.

“This isn’t awkward at all,” I joked, trying to break the silence in the small examining room. The surgeon laughed with me, but never broke his concentration on the measurements—between collarbone and nipple, the space between breasts—mapping out where cuts and sutures and skin will go.

He quietly explained his strategy for the surgery to the resident sitting next to him, but he continued to focus on my breasts. I was in danger of breaking out in giggles and making his precise lines go wiggly, so I tried hard to concentrate on something else … anything. His wispy, graying hair. Sun-kissed, rugged cheeks. Blue eyes. Broad shoulders, sculpted arms, big, secure hands. Concentrating on him clearly didn’t make things easier. His breath smelled like chocolate.

This, I found the most reassuring.

•••

I am not sure when I realized that I have big breasts. And not just big breasts, but really big, bigger than big should be. I’ve always had this body and you get used to seeing yourself every day in a certain way. Sure, it changed with puberty, and the Freshman Fifteen, and the Married Ten, some weight loss here and there, and with pregnancy. But its essence—round belly, curvy hips, soft thighs, and big boobs—never really changed.

I got my first bra when I was twelve. At the time we lived in China because of my dad’s job, and I remember my mom gently suggesting that I should try on a bra. I was a bit surprised that she happened to pack one that fit me. I only started to wonder later whether it was actually one of her bras.

So that’s how it started and the sizes just kept going up and up. After we returned home from our Chinese adventure I got a couple of soft, cotton bras with pink hearts on it. Later my mom steered me to more supportive styles with wide straps and that awful beige-y hue that old ladies wear.

There are a lot of humiliating things about having unnaturally large breasts. The stares, especially when you are too young to handle such attention. The difficulty in finding clothes that fit, a bathing suit, or not being able to walk around without a bra, unless you want to look really, really ridiculous. But the thing that always got to me was shopping for bras: in almost every store—even in ones that seem to cater to larger women—you have to look in the very back and the very bottom of every display rack to find your size. I don’t know how many times I found myself shedding coat and purse and actually kneeling on the store floor to find what I was looking for. If, I could find what I was looking for.

•••

The first time I got naked with my first serious boyfriend, he was very nervous about taking his shirt off. I didn’t really understand until he finally pulled his t-shirt over his head. There were small scars around his nipples and he quietly admitted that as a teenager he’d had breast reduction surgery.

I thought about him as I was getting ready for my own surgery and about how he liked to compare my breasts to fruits: apples, oranges, peaches. “They’re more like melons,” I corrected him once, and I remember the shocked look on his face before we both burst into laughter.

There were men who were afraid of my breasts, hesitating about touching them, maybe intimidated by their heft. There were men who worshipped and treasured them, removing my bra last as if to save the best for last. There were men who didn’t really care or notice or comment.

But as I got older, I found that I cared and noticed more and more. I don’t think my breasts have ever held me back from doing things or made me more timid or shy. But, of course, it’s hard to say now because I can’t relive my younger years with small breasts for comparison. Could I have been more popular? More active and sporty? More outgoing, outspoken, confident? Would I have been more adventurous when it came to trying new things or going after things? I’d like to think that I was never defined by my breasts, but I am sure I was to some extent, at least in my mind. And who knows how others have thought of me? Was I ever “that girl with the rack”?

After I gave birth to my son I thought, finally, my boobs can do something good. But their size didn’t ensure that they would also produce enough milk, and it was actually harder to maneuver my nipples into the tiny, waiting mouth without smothering him. So not only was it impossible to find a pretty bra, or wear tank tops, or run, or just feel like I am not all boob, but now they couldn’t even feed my baby?

As the pain in my back and shoulders intensified each year, I finally made the decision: It was time for them to go.

•••

I found out my true bra size in a very posh lingerie shop in London a couple of years ago. Our kind B&B owner told me that I must go there because they are sure to carry my size. At the time, I thought that was a bit forward, and frankly I was just so sick of the humiliation of it all. But I was also curious. So I dragged my husband along and he walked around the neighborhood while I browsed. A woman who was about my age and was also fairly well endowed, pulled me into a dressing room. Even before I took my shirt off she said, “You are a 40H. I’ll be right back.” The number sounded impossibly foreign, especially because I realized that the bras I was squeezing myself into were two or three sizes too small.

She came back with a black lacy bra with no wires, and she quickly pulled off my old bra, which poked and bulged in all the wrong places. She put the black piece on me, adjusting me without any hesitation or permission and boom: there were the ladies, all tight and firm, lifted, separated, in place, and happy. The bra cost two hundred dollars. I bought it without hesitation. I wore and treasured that bra for years and years, washing it by hand, air-drying it, until it slowly, slowly fell apart.

•••

The pain was excruciating when I woke up from the surgery. My nipples were burning and my chest felt heavy and somehow hollow at the same time, as if my chest cavity were scooped clean.

As a new dose of pain medication took effect and the anesthesia wore off, I took a quick peek under my hospital gown. I couldn’t really see much—just bandages and an ugly surgical bra that was way too tight. The nurses and the surgeon were obviously very excited about the results. “They removed five pounds,” one nurse informed me. It was clear that it was a big deal.

The next day at my follow-up appointment to remove drains, the surgeon made a special point to stop by and help the nurse working on me. He thumbed my nipples to see if I had any sensation—yes, I did, thank you very much—and marveled at his own handiwork. It took me a while to work up the courage to look at them without the bra and without the bandages.

If they had removed five pounds of flesh from my stomach or from my thighs, I don’t think the experience would have been that emotional. But I couldn’t quite speak or put feelings into words when I saw my breasts—small, white, firm, and even with the bruising and the swelling and the specks of blood and blue ink left over from the surgery so, so very beautiful.

“We are so excited for you,” the nurse said. “This is going to make a huge difference in your life.” The surgeon put clean gauze around my incisions and held gauze pads to my breasts as the nurse eased a clean surgical bra over my shoulder and around my chest. He squeezed my hands as he left, clearly touched by what he had done for me; I wasn’t really sure what to do with his enthusiasm. I wanted to say something witty about how excited I was, or how certain I was that my life would change, or how I really, really understood the significance of what I have done.

But I really didn’t—not then and maybe not even now. And maybe there isn’t a greater meaning to any of those five pounds of fat and tissue. The body that was mine for all these years is no longer, but I carry its history and experiences inside. Now that there is no more pain, the swelling is gone and my skin has smoothed out again, everything else about me remains the same – the belly, the hips, the hair, the nose, the stubbornness, the introversion, the indecision, the writing, the chocolate, the four-year-old.

I am still me.

Still, when I look in the mirror every morning, I feel giddy.

•••

The lingerie shop that opened near my office is one of those places where I never would have thought about shopping just a few months ago. It is not a store that carries special sizes. There are three mannequins in the window wearing lacy, gauzy bras and panties, silky robes. Behind their headless bodies is a large room with neat racks on the walls—no digging around on the floor here.

A very young, tall, and skinny salesgirl shows me to a dressing room. I try not to be too obvious about checking her out when she mentions that she sleeps in a bra because she has large breasts. I can’t see what she is talking about.

She measures me and announces my new size. “You are between a 38 F and a 40 DD,” she says and quickly leaves the dressing room to pick out some bras for me. I am a bit bummed. Those numbers still sound incredibly big to me, but when I look at myself in the half-light of the dressing room what I see is teeny-tiny compared to my old self. I try hard not to concentrate on those numbers and letters. Just like weight, height, or age, they are just numbers after all.

The first bra I put on is light purple with black lining and lace. The straps are ruched and skinny, with just two hooks in the back and a small, rhinestone heart and a black silk bow in the front. “It fits like a glove,” the salesgirl says as she adjusts the straps, and I am too busy checking myself out to respond. I try on three more and I really can’t believe that all of this delicate and tiny silk and lace can be mine.

Whatever this surgery will come to mean in my life, whatever change it will bring—or not—almost doesn’t matter. This is a pleasure in life: to feel normal, to feel pretty, to have soft, luxurious fabric against my skin, to look at myself and not turn away. The salesgirl asks if I want my husband to come in and take a look. I tell her no. He will get his turn, but this moment is all mine.

I don’t check the price tags. I buy them all. The ladies and I waited a very long time for this.

•••

ZSOFI MCMULLIN was born in Budapest and lived there until she turned eighteen. She became a “full-grown-person” over the past nineteen years spent in the U.S. She lives on the coast of Maine with her husband and her four-year-old son. Her day job is in publishing, but she spends all of her free time between four and five a.m. every morning imagining that she is a writer.

First Thing

snowy couple — By Gina Kelly www.ginakelly.com

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.

•••

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.

Eye of the Beholder

By Kim Kankiewicz

I wait in a lobby with purple carpet and rounded walls and a magazine rack stuffed with picture books. A fifty-gallon aquarium nests in a cubby four feet above the ground. Orange and green nursery school furniture occupies the central space, surrounded by clusters of adult-sized chairs. I am thirty-five years old and the only patient here without a parent.

My life story could be set in eye doctors’ offices. I’ve been pinned by technicians to a reclining chair in Phoenix as my first ophthalmologist dropped atropine into my pupils. I’ve written fawning essays about an eye doctor in South Dakota who nicknamed me Trouper. I’ve leaned into tonometry machines in Iowa and Kansas, with medical students lined up to scrutinize me. I’ve mourned for an eye doctor in Minnesota who died of cancer. I’ve formed an uneasy friendship with the wife of an eye doctor in Nebraska who had an affair with his nurse. I learned I was pregnant from an ophthalmologist in Boulder reviewing pre-operative blood work.

In all those encounters, I’ve never been the right age for my eye clinic. As a child with glaucoma, I grew accustomed to being an anachronism. Among the crepe skin and hunched backs, I was pink cheeks and muscled legs. It was one of the ways my visual impairment made me uncomfortably visible.

I laugh when, two decades after my diagnosis, I find myself the lone adult patient in a room full of children sporting eye patches and doll-sized spectacles. The mother next to me, a nervous twenty-something, glances my way, and I pretend to be amused by the book I’m holding. I hadn’t considered what should have been obvious when I scheduled this appointment: a specialist in strabismus, colloquially known as “lazy eye,” is primarily a pediatric ophthalmologist.

This is confirmed when the doctor enters the exam room twenty minutes later. He is wearing a Mickey Mouse tie. He skims the pages in my fat file and wheels his chair over. We sit knee to knee as he shines a penlight into my blind eye, then studies it through a scope.

“Working around your other surgeries, I can get you to eighty percent alignment,” he says.

“Would this be covered by insurance?” I can see nothing from my right eye, which is why it’s wandered further off kilter every year since the surgery in my teens that marred my appearance without saving my sight.

“It’s medically justifiable,” the doctor says. There’s some practical benefit: face-to-face communication would be less distracting for my conversation partners. And my blind eye takes in just enough light to claim a functional benefit.

Realistically, though, strabismus surgery won’t improve my vision and isn’t necessary. I knew this when I made the appointment. What I am contemplating is, for all intents and purposes, cosmetic surgery.

•••

I once vowed, horrified when a classmate had breast implants before she was old enough to vote, that I would never opt for surgery that wasn’t medically necessary. My smug self-assurance came from an unusually informed perspective. By my twenties, I’d lost count of the eye surgeries I’d endured. Enough to have preferences regarding anesthesia. (Fentanyl is nice.) I knew that surgery is always nightmarish, recovery always excruciating.

The collective experience of surgery made me feel like a cadaver, indifferently carved open and sewn back together. When the doctor in Boulder joked that mine was his first pregnancy announcement after screening for six thousand cataract operations, I wasn’t impressed. I was just glad to be distinguishable from the other 5,999 patients.

Only on the operating table did I want my handicap to stand out. Everywhere else, I wanted to appear intact. I tried to achieve this by excelling in school, performing onstage, and ultimately starving and exercising my body until it collapsed and I left college for bulimia treatment. Eating disorders are complicated, their genesis complex, but I know mine originated between an exam chair where I squinted against the light and a school hallway where I wore sunglasses indoors, between a hospital bed where I wanted to be conspicuous and a waiting room where I did not.

Healing from an eating disorder is simultaneously complicated and simple. Recovery is a lifetime process, but it often comes down to treating oneself with both gentleness and brutal honesty. I’ve acknowledged my self-absorption, my complicity with a system that values women’s adherence to narrow standards of beauty above all else. Most of the time, I resist preoccupation with my appearance by throwing balled-up socks at the television when a woman is blatantly objectified and asking myself who would possibly benefit if I were more attractive.

Who will benefit if my wonky right eye is aligned with the left one? I don’t believe anyone has ever been too distracted by my lopsided gaze to maintain a coherent conversation with me. I suspect some acquaintances have not even noticed what feels to me like a huge deformity. Despite the growth I think I’ve experienced, I have to consider that in the end this surgery is nothing more than vanity.

•••

The operation takes place at a children’s hospital. The intake nurse, who rarely needs to differentiate between patient and child, talks to me in a high-pitched voice. Even when she catches herself, she seems unable to adjust her register. To add to her discomfiture, I am accompanied by my mother because my husband was called away on out-of-state business. My mother has experienced nearly as many eye surgeries as I have and is worried primarily about finding her way back to my house if I’m not lucid enough to navigate. She comforts me, unexpectedly, in a way my husband could not.

“It’s a simple repair,” she says. “Nothing to feel conflicted about.”

Mothers don’t cause eating disorders, but if you made a list of the ways they might contribute to them, very few of those factors would apply to my mom. She has an incomprehensibly easy relationship with food. She makes healthy choices as a way of life. I don’t recall her uttering a single deprecating remark about her body or mine. The closest she came to criticizing my appearance was asking semi-regularly, “Is that what you’re wearing today?” as if I’d donned a costume to amuse her before dressing in my actual clothes. (Retrospective photographic evidence explains her bewilderment.)

I didn’t understand my own feelings about my eye disease, and I hid them from my mother. She hid from me the likelihood that I’d be blind before adolescence, the plan to relocate to a city with a blind school, the fears that she was inadequate to help me survive. What I saw was my parents’ unwavering presence. Intuiting that my vision was at risk, I was unworried. My parents would take care of me. Little did I know my mother felt as insufficient as I did.

The surgery is not as simple as my mother predicts. Through the haze of anesthesia, the operating team’s conversation sounds graver than usual. The operation, I later learn, lasts an hour longer than scheduled. When I awake, my surgeon explains that he discovered additional real estate left from previous operations. He’d altered his game plan to avoid damaging a shunt. In practical terms, this means more pain and less certainty of success.

It will be days before my eye turns from blood-red to white, weeks before I can peruse the lasting impact of surgery. Will it noticeably change my appearance? Will it change anything else?

“I’m glad you could be here,” I tell my mom, when she has driven us home without a wrong turn.

“Me too,” she says.

•••

My children are solicitous when they return from a friend’s house after my operation. This is their first brush with eye surgery, and their concern charms me. I explain the procedure as my mom defined it for me, as a repair. They don’t know the surgery is an attempt to improve my appearance; I won’t let on that I wish to be beautiful. It’s an intermittent desire, one that no longer defines me, yet I’ve gone under the knife to satisfy it.

I want to spare my little girl from measuring her value in a mirror, but Signe is learning, inevitably, that beauty matters. She has confided that she hopes she is pretty enough to have friends in kindergarten. I stumbled through what I hoped was an appropriate response, enumerating the qualities that make her a good friend. She looked unconvinced.

When Signe stared at my face a few months before surgery, I thought of an essay by Alice Walker. Walker dreaded the day her daughter would notice her mother’s disfigured eye, just as my daughter was noticing mine. The pivotal moment in Walker’s essay is when her daughter remarks, “Mommy, there’s a world in your eye.” I shouldn’t set much store by this atypically affectionate account of Walker’s relationship with her now estranged daughter. Even so, I was crushed when my little girl said, “Your eye looks scary.”

She recognized my hurt before I masked it and apologized for days afterward. I reassured her she’d done nothing wrong, talked about how differences make us beautiful, told her my blind eye reminded me to be grateful for the eye that can see. But she had observed that deep down, I too hope I’m pretty enough to belong.

You won’t find integral as a synonym for beautiful in any thesaurus. In my vocabulary, they share meaning. Integral means both whole and essential to the whole. If you are integral, you are complete, and the world would not be complete without you. What I have learned over years of reflection is that when I long to be beautiful, I long to be integral.

•••

Three weeks after surgery, my irises are horizontally aligned so closely you might think they were allies. The overall effect, however, is unremarkable. My right iris remains a paler shade of green than the left. My right pupil is still the black-marker dot of a child’s drawing, never dilating because it never beholds light. My right eyelids, stretched and sliced over decades of treatment, still gape like snarled lips.

As a child, I heard a doctor say my disease could “burn out” by adolescence. I imagined a celebration, like a sweet sixteen party with balloons and cake, attended by my friends, my doctors, the aunts and uncles who inquired about my eyes during holiday dinners, the teachers who had visited me at the hospital. Now, as an adult who should have outgrown such naive fantasies, I had let myself believe again that a single moment in my ocular history could unbreak what came before.

Most days I am reconciled with the badge of my brokenness. Most days understanding my desire for beauty as a desire for wholeness is enough to make peace with it. Most days I believe I am integral to—and through—my mother and daughter and every woman who wants to be integral, too. But some days I close my eyes, unseeing and unseen, and dream of revision.

•••

KIM KANKIEWICZ has written for Brain, Child, Denver’s Westword, the Saint Paul Almanac, and public radio. She is a recent transplant to the Seattle area, where she hasn’t yet found an eye doctor.

Under the Knife

mannequin — By Gina Kelly www.ginakelly.com

By Kate Haas

Until recently, I’d entered a hospital exactly three times in my life: for my own birth (technically my mom walked through the swinging doors on that occasion) and for the routine births of my two sons. That was it. At forty-five, I’d never so much as had my tonsils out. And I liked it that way. Oh, I knew all about the OR and the ER, the NICU, and the PICU. But that familiarity derived from TV hospital dramas and heartrending medical memoirs, long my guilty, voyeuristic pleasures.

This contented detachment from all things hospital ended abruptly when I learned that I needed surgery to remove a benign ovarian cyst. The news sunk in with horrid clarity. Scenes from those shows and books flashed into my mind: the tense OR, doctors barking medical jargon, machines hissing—and myself in the center of it all, off the sidelines, pitched into the drama. Even allowing for my propensity toward the melodramatic, it was an alarming scenario.

At the same time, I also felt ridiculous: here I was in midlife, scared of a situation most of my friends had dealt with before the age of ten. Of course, none of my third grade pals had read Atul Gawande’s Complications: A Surgeon’s Notes on an Imperfect Science before going in for those once-routine tonsillectomies.

It wasn’t the surgery itself that unnerved me the most. It was the idea of being put to sleep. What if I didn’t wake up? My best friend in college had knee surgery our freshman year. She woke up. My sister opened her eyes after a c-section. I wasn’t thinking about them, or the scads of people who awaken in recovery rooms every day. Instead, I fixated on a minor character in one of one of Ann Hood’s memoirs, a young woman who dies from a rare reaction to anesthesia while getting wisdom teeth removed. I told myself it was crazy, but I couldn’t shake the vision of looking blurrily up at a masked face, and then…the final darkness.

I looked forward to the first appointment with my surgeon. My book group had recommended Dr. M., whose name inevitably popped up in any online discussion of local OB/GYNs, trailing adjectives like awesome, caring, respectful, and empathetic. Maybe Dr. Awesome would calm my fears.

When we met, Dr. M. turned out to be unsmiling and matter-of-fact. “I can schedule you for Tuesday, “ she said briskly. This was Thursday. I blanched.

Dr. M. gave me an appraising look, then switched smoothly to empathetic. “Some women need more time to adjust to the idea of surgery. I’m, ah, guessing you’re one of those.” We settled on a date six weeks away. Then I asked about the anesthesia.

“There’s always a risk of complications,” she acknowledged. “But it’s very small. And they’ll give you something to help you relax before the surgery.”

I nodded. In all the books and doctor shows, patients are well tranquillized by the time they roll into the OR. With enough pharmaceutical assistance, maybe I wouldn’t be freaking out, after all.

To allay my fears during the final weeks before my surgery, I asked everyone I knew for reassurance about going under. “It was HEAVEN,” responded a woman on a parenting message board—clearly the mother of an infant. “A medically induced nap.”

At my pre-op appointment, Dr. M. concluded by prescribing post-surgery drugs. “Would you like Percocet or Vicodin?” she asked, pen poised over her pad like a waiter inquiring whether I preferred the merlot or the pinot.

I looked at her blankly. Was evaluating the relative merits of prescription painkillers one of those modern-age skills I had failed to acquire, like texting? I searched my brain. “Um, Dr. House is addicted to Vicodin, I know that,” I offered.

“Let’s go with the Percocet,” Dr. M. said quickly.

•••

A week later at the hospital, nurses set me up in a curtained cubicle under what looked like a white blow-up swim raft. A continuous flow of warm air into the raft made it settle into position just above me. I wondered why they didn’t just give me a blanket.

My husband and I waited in the cubicle, where I grew increasingly twitchy. He read Coraline out loud to pass the time. “Is this too creepy for you?” he asked, after the chapter where Coraline is locked in the closet with the ghost children.

I contemplated the warming raft, hovering over me like a monstrous cocoon, and the imminent prospect of being rendered unconscious, possibly forever, via a needle in my vein. “Not really,” I said.

Now and then nurses came around with apologies about the delay. Dr. M. was delivering an early baby, it seemed. “Oh, that’s fine!” I assured them, doing my best to impersonate the plucky patient everyone loves. “It’s actually the anesthesia that really bothers me.” I didn’t mention my anxiety about waking up afterwards, figuring this might attract the evil eye, make me look paranoid, or both.

“Don’t you worry,” one nurse told me. “They’ll give you something to help you relax.” I was relieved to learn that relaxation was still on the agenda. I needed some of that, and soon. The nurse checked my chart. “Ah, you’ve got Dr. A.,” she said. “He’s the best anesthesiologist in the hospital. Really skillful, just great. He’s the one I’d want for my own family.” She winked. “And he’s the best looking, too.”

What did it mean, I wondered aloud after she left, that the nurse thought my anesthesiologist was hot? Why did she tell me this? Was I meant to conclude that good looks correlated with skill?

“I think you’re over-analyzing this,” said my husband.

It took three nurses and five tries to get the IV into my apparently miniscule vein. By the end, I was thoroughly demoralized. In that motherly way of theirs, the nurses kept repeating that I was “being a trooper, honey.”

The anesthesiologist arrived at my cubicle to introduce himself. He was tall and dark, but no McDreamy. Here comes the relaxation, I thought gratefully. Instead, Dr. A. inquired about my breakfast—a ruse designed to reveal whether I’d eaten anything since midnight—and asked a few routine medical questions. “I’ll see you soon,” he said cheerfully before departing. I interpreted this to mean that he’d return momentarily to administer my medicinal stress relief.

Eventually, some bustle began in the vicinity of my cubicle. A gurney arrived, along with a new nurse. She was short and solid and looked very capable. “Ready to go?” she asked.

My husband was holding my hand. “Can I go along?”

“Absolutely,” said Nurse Capable.

I watched the florescent lights pass overhead as we rolled through the long, white corridors and into an elevator lined with burnished metal, like a high-end refrigerator. I tried to breathe calmly and listen to Nurse Capable’s soothing flow of chit-chat. It was mostly about Dr. A and what a great guy he was. “He’ll set you right up,” she said. “Like drinking a bottle of your favorite wine, that’s how relaxed you’ll be.” I appreciated her reassurance. But wasn’t I supposed to be relaxed already?

At the swinging doors to the OR, my husband kissed me goodbye—this part, at any rate, was just like the doctor shows—and I rolled in. The room was very cold and full of people. Bright lights pointed in all directions. Over to the side, on a blue-draped cart, lay a glittering row of sharp metal instruments. I stared at them in dismay. I wasn’t meant to be seeing this. I was supposed to be doped up, so I wouldn’t notice all those scalpels, or wouldn’t care if I did. Instead, I felt horribly lucid.

Nurse Capable maneuvered my gurney to the center of the room. “Ok, hop up on the table,” she instructed.

I’m not proud of my fascination with medical dramas. I admit, there’s an element of morbid rubbernecking involved. And I’ve known all along that they can’t be very realistic, not all of them. But never, not on St. Elsewhere (my gateway drug to the genre), or on any I’ve seen since, has anyone told the patient to hop up on the table. The patients are too relaxed—like I was supposed to be!—to hop anywhere.

Lacking other options, however, I hopped up. Dr. M.’s masked face loomed over me. “This is Dr. S., who’ll be assisting today,” she said, pointing to one of the gowned figures hovering nearby. “Our anesthesiologist will be along soon.” Then she nodded to toward another masked face. “And this is Alex.”

“Hey, how ya doin’?” said a youthful voice.

Who the heck was Alex? Was this Take Your Kid Brother to Work day? And couldn’t he guess how I was doing? “Frankly, I’m terrified,” I said. “Isn’t everyone?”

“Huh. You mean you’ve never had surgery?” Alex asked.

I couldn’t keep the edge from my voice. “No, I have never had surgery. Have most people?”

“Oh yeah, once you get to be, like, forty, it’s a lot more common.” In the mind of Alex —whoever he was—it was clear that forty lay on a remote horizon indeed. I hoped he wouldn’t be allowed too near any of those scalpels.

Dr. M. spoke up. “Ah, here’s Dr. A.,” she said soothingly. “I know you’re nervous about all this. He’s giving you something to help you relax right now.”

I looked up at the lights. I looked around at the instruments and the machinery. A couple of minutes seemed to pass. My final minutes, possibly. “I don’t feel relaxed,” I said.

Seemingly two seconds later, I opened my eyes to a bright yellow light. My mouth felt coated in sawdust, and I was barely conscious, but I knew instantly, gratefully, that I had woken up, after all. “I’m thirsty,” I croaked, hoping someone was listening. “I’m really thirsty. Is everything okay?”

“What did she say?” said a voice.

“I couldn’t make it out,” said another.

“I’m thirsty,” I repeated. “Can I have some water?” The words seemed to float languidly above me into the brightness, like the viscous bubbles drifting upward in a lava lamp. I heard each syllable go by and slowly realized why no one understood: I was speaking Arabic. For it’s own inscrutable reasons, my consciousness had emerged from its chemical sleep set to a language I hadn’t spoken on a daily basis since leaving the Peace Corps, nearly two decades earlier.

I’d navigated a good deal of foreign territory during the course of that long, strange day. The doctor shows had prepared me for the high tech equipment and medical jargon. The memoirs had given me other people’s stories to latch onto. Still, so much had been unfamiliar. (I never did discover the identity of Alex). And yet, I realized afterward, nothing had been quite so alien, so mysterious, as that moment of awakening. It was what I’d fixated on for so many weeks, and it had gone exactly the way it was supposed to. Yet the return to consciousness, and the surfacing of those long dormant words, had brought with it a different, unlooked for awareness: the strangest thing I’d encountered in the hospital wasn’t frightening at all, and it turned out to be inside my own head.

•••

KATE HAAS is a creative nonfiction editor at Literary Mama and the publisher of Miranda, a long-running print zine about motherhood. Her writing has appeared in Salon, Brain, Child, Babble, and The Toronto Star. She lives in Portland, Oregon, with her family. Read more of her writing at www.katehaas.com.