Kitabı oku: «The Pursuit of Alice Thrift»
Elinor Lipman
The Pursuit of Alice Thrift
A NOVEL

Dedication
For Mameve Medwed,
dear and exemplary friend
Contents
Cover
Title Page
Dedication
1: Tell the Truth
2: Later Classified as Our First Date
3: Leo Frawley, RN
4: We Entertain
5: A.k.a. the Transportation
6: Alice Makes Up Her Own Mind
7: Reveille
8: Leo’s House
9: Née Mary Ciccarelli
10: I (Nearly) Kill Someone
11: Now What Do I Do?
12: Clarification
13: Ms. Bravado
14: I’m a Normal Person
15: Advanced Social Outreach
16: Slow-Normal
17: Venues Not Available to Me
18: The Life of the Party
19: The Annals of Surgery
20: Saturday Night
21: Social Work
22: I Move On
23: Here Comes the Bride
24: Hiatus
25: Do It for Dr. Thrift
26: Plan A
27: The Opposing Argument
28: The Wife-Bride
29: We’re Engaged
30: A Free Woman
31: Alice Thrift, A.D.
Keep Reading
P.S. Ideas, Interviews & Features …
About the Author
Meet the Author
Life at a Glance
Top Eleven Favourite Books
About the Book
A Critical Eye
Who’s Sorry Now?
Q & A
Read On
Have You Read?
If You Loved This, You’ll Like …
Find Out More
Acknowledgments
About the Author
Praise
By the Same Author
Copyright
About the Publisher
1 Tell the Truth
YOU MAY HAVE seen us in “Vows” in The New York Times: me, alone, smoking a cigarette and contemplating my crossed ankles, and a larger blurry shot of us, postceremony, ducking and squinting through a hail of birdseed. We didn’t have pretty faces or interesting demographics, but we had met and married in a manner that was right for SundayStyles: Ray Russo came to my department for a consultation. I said what I always said to a man seeking rhinoplasty: Your nose is noble, even majestic. It has character. It gives you character. Have you thought this through?
The Times had its facts right: We met as doctor and patient. I digitally enhanced him, capped his rugged, haunted face with a perfect nose and symmetrical, movie-star nostrils—and he didn’t like what he saw on the screen. “Why did I come?” he wondered aloud, in a manner that suggested depth. “Did I expect this would make me handsome?”
“It’s the way we’ve been socialized,” I said.
“It’s not like I have a deviated septum or anything. It’s not like my insurance is going to pick up the tab.”
Vanitas vanitatum: elective surgery, in other words.
He asked for my professional opinion. I said, “There’s no turning back once we do this, so take some time and think it over. There’s no rush. I don’t like to play God. I’m only an intern doing a rotation here.”
“But you must see a lot of noses in life, on the street, and you must have an artistic opinion,” said Ray.
“If it were I, I wouldn’t,” I said for reasons that had nothing to do with aesthetics and everything to do with the nauseating sound of bones cracking under mallets in the OR.
“Really? You think the one I have is okay?”
“May I ask why you want to do this now, Mr. Russo?” I asked, glancing at the chart that told me he’d turn forty in a month.
“Let’s be honest: Women like handsome men,” he said, voice wistful, eyes downcast.
What could I say except a polite “And you don’t think you’re handsome enough? Do you think women judge you by the dimensions of your nose?”
Next to me he smiled. The camera mounted above the monitor played it back. He had good teeth.
“I haven’t been very lucky in love,” he added. “I’m forty-five and I don’t have a girlfriend.”
“Is your date of birth wrong?” I asked, pointing to the clipboard.
“Oh, that,” he said. “I knock five years off when I’m filling out a job application because of age discrimination, even at forty-five. Bad habit. I forgot you should always tell the truth on medical forms.”
“And what is your field?”
“I’m in business, self-employed.”
I asked what field.
“Concessions. Which puts me before the public. Wouldn’t you think that if everything was okay in the looks department, I’d have met someone by now?”
I hated this part—the psychiatry, the talking. So instead of asserting what is hard to practice and even harder to preach in my chosen field—that beauty’s only skin deep and vastly overrated—I pecked at some keys and moved the mouse. We were back to Ray’s original face, bones jutting, cartilage flaring, nose upstaging, a face that my less scrupulous attending physicians would have loved to pin to their drawing boards. If it sounds as if I saw something there, some goodness, some quality of mercy or masculinity that overrode the physical, I didn’t. I was flattering him to serve my own principles, my own anti – plastic surgery animus. Ray Russo thought my silence meant I wouldn’t change a hair.
“Vows” would reconstruct our consultation, with Ray remembering, “I heard something in her voice. Not that there was a single unprofessional moment between us, but I had an inkling she may have been saying ‘No, don’t fix it’ in order to terminate our doctor-patient relationship and embark on a personal one.”
Reading between the lines, and knowing the outcome, you’d think something was ignited in that consultation, a spark between us, but I wasn’t one of those attractive doctors with a stethoscope draped around her shoulders and a red silk blouse under her lab coat. I was an unhappy intern, plain and no-nonsense at best, and hoping to perform only noble procedures once I’d finished my residency, my fellowship, my board certification—to reconstruct the soft tissue of poor people, to correct their birth defects, their cleft lips and palates, their cranial deformities, their burns, their mastectomies, to stitch up their torn flesh in emergency rooms so that no scar would force them to relive their horrible accidents. I’d hand off to my less idealistic and more affluent associates the nose jobs, the liposuctions, the face-lifts, the eye and tummy tucks, the breast augmentations, and all cosmetic procedures that make the marginally attractive beautiful.
Ray Russo should have consulted someone who would graduate from the program and set up a suite of sleek offices in a big city. I wished him well and sent him home with the four-color brochure that covers the gruesome steps of rhinoplasty.
Why did I take his phone call six months later? Because I didn’t remember him. He dropped the name of my chairman, which made me think he was a friend of that august family—as if he’d sensed I was worried about my standing in the department and my ambivalence toward my then chosen field. Of course, I am summarizing for narrative convenience. Why go into detail about our history, our motivation, our sweet moments, if I’m going to break your heart soon enough? I could add that I have a mother who worries about me, a mother whose motto is “Go for a cup of coffee. It doesn’t mean you have to marry him,” but I’m not blaming her. This is about the weak link in my own character—wishful thinking—and a husband of short duration with a history of bad deeds.
If I sound bitter, I apologize. “Vows” should revisit their brides and grooms a year later, or five or ten. I’d enjoy that on a Sunday morning—scanning the wedding announcements stenciled with updates: NOT SPEAKING. DIVORCED. SEPARATED. ANNULLED. CHEATING ON HIM WITH THE POOL-MAINTENANCE GUY. GAVE BIRTH 5 MONTHS LATER. IN COUNSELING. CAME OUT OF THE CLOSET—any number of interesting developments that reveal the truth about brides and grooms. Ray’s and mine could have multiple stamps, like an expired passport. It could say DIDN’T LAST THE HONEYMOON OR SHOULD HAVE KNOWN BETTER. Or, across his conniving forehead, above that hideous nose, succinctly and aptly, LIAR.
2 Later Classified as Our First Date
RAYMOND RUSSO’S SELF-IMPROVEMENT campaign began with a stroke of Las Vegas luck: He won a free teeth-bleaching, upper and lower arches, in a dentist’s lottery. It explained his too-easy grin and his drinking coffee through a straw during what would later be classified as our first date. We were side by side, on stools at the Friendly’s in the lobby of my hospital. Conversation was stalled on my medical degree, which evoked something close to reverence, expressed in boyish, gee-whiz fashion, as if he’d never encountered such a miraculous career trajectory. Was it not flattering? Was I not psychologically pummeled every day? Insulted by evaluations that described my performance as workmanlike and my people skills as hypothermic? Was I not ready for someone, anyone, to utter words of admiration?
“I can’t be the only woman doctor you’ve ever met,” I said. “You must have gone to college with women who went on to medical school.”
“Believe it or not, I didn’t.”
“There are thousands of us,” I said. “Maybe millions. A third of my medical school class were women.”
“Well, keep it coming,” he said. “I know I was happy when you walked into the examining room. It helped me more than some guy saying, ‘Your nose is fine the way it is.’ I might have thought he wanted to keep me homely—you know—to reduce the competition.”
I hoped he was joking, but humor comprehension was never my strong suit. I asked, “Did I take measurements that day, or a history?”
Still smiling, he said, “You don’t remember me at all, do you?”
I said, “It’s coming back to me. Definitely.” Studying his nose in profile, I added, “I’m not a plastic surgeon. I just happened to be in the wrong place at the wrong time.”
“Just the opposite! Thanks to you, I’m going to live with this nose of mine and see how it goes. I know a couple of guys who had nose jobs—I’m not saying they were done upstairs—but I think they look pretty fake.”
I stated for the record—should anyone more senior be listening—“We have some true artists in the department. You could come up and look at the before-and-after photos. They’re quite reassuring.”
He waved away the whole notion. “I could die on the table, and then what? My obituary would say ‘Died suddenly after no illness whatsoever’? ‘In pursuit of a more handsome face’? How would my old man feel? It’s his nose I inherited.”
“General anesthesia always carries a risk,” I said, “and of course there’s always swelling and ecchymoses, but I doubt whether the hospital has ever lost a rhinoplasty patient.”
He smiled again. He tapped the back of my hand and said, “You’re a serious one, aren’t you?”
I confirmed that I was and always would be: a serious infant, a serious child, a serious teenager, a serious student, a serious adult.
“Not the worst quality in a human being,” Ray allowed.
I said, “It would help me in all the arenas of my life if I were a touch more gregarious.”
“Highly overrated,” said Ray Russo. “Any doofus, any deejay or salesman, or waitress, can be gregarious, but they can’t do what you do.”
It sounded almost logical. He asked if a cup of coffee was enough for dinner. Didn’t I want to move to a booth and have a burger? Or to a place where we could share a carafe of wine?
I didn’t.
“My car’s in the hospital garage,” he continued. “I slipped into a reserved space, figuring most does must’ve left for the day.” He took from his pocket a fat wad of bills, secured with a silver clip in the shape of a dollar sign. After much shuffling, he said he had nothing smaller than a fifty.
“I’ve got it,” I said.
The $2.10 tab must have been viewed as a silent acceptance to dinner, because soon he was helping me on with my parka and leading me up a half-flight of stairs and through the door marked GARAGE. Parked under RESERVED FOR DR. HAMID, Ray’s car was red and low-slung. Its steering wheel was wrapped in black leather.
“Seat belt secure?” he asked. “Enough leg room?” He patted the dash and said, “Just got my snow tires on today and my oil changed.”
I said, “I never learned to drive.”
He laughed as if I’d said something amusing, and turned to the parking attendant, who announced, “Three-fifty.”
The attendant studied the fifty, handed it back, agitated it when Ray didn’t take it. “C’mon,” he snapped. “This isn’t Atlantic City.”
Ray said, “Can I pay you tomorrow? She’s a surgeon here. I pick her up every night.”
Snarling, the man waved us through.
When we’d pulled away, I said, “I don’t like lying. I could have paid.”
“He doesn’t care,” said Ray. “He gets paid by the hour regardless of how much is in the till when he cashes out.”
After a few blocks in silence, he asked, “Do you have a roommate?”
“Why?”
He grinned. “I’m making conversation. A guy has to start somewhere. I could’ve asked about brothers and sisters. Teams you follow. Astrological sign.”
“Do you have a roommate?” I asked.
“Me? I’m forty-five. A guy with a roommate at forty-five probably wouldn’t be out on a date in the first place.”
So I’d been right: date. His intentions were personal. I asked what made him call me up after all this time.
“It’s what people do, Doc,” he said. “Guys take a chance, because all of us have pals who met someone on a bus or a bar stool and asked for her phone number. So you think, Have a little courage. What’s the worst she could do?”
“But why now? Why wait until I can’t even remember who you are?”
“There were complications,” he said.
I might have asked what they were, if only I had been curious, interested, or less exhausted.
By this time we were in front of the restaurant. Ray waved away the valet and said he’d take care of it himself—this was a parking lot for the patrons’ use, wasn’t it? Had he misunderstood the sign?
He didn’t like the first table the hostess offered, so we waited until something with the right feeling opened up, the proper footage from the kitchen and the restrooms. It was an Italian fish and chop house with a Tiffany-shaded salad bar and beer served in frosted mugs. Without consulting me, he ordered the appetizer combo plate and a carafe of the house wine. He turned to me. Red or white?
I started to say that the sulfites in red wine gave me—
“Good,” he said. He smiled the way you’d smile for an orthodontist’s Polaroid, clinically, a gum-baring grimace. “Just had a bleach job,” he said. “I’m supposed to avoid red wine, coffee, and tea.”
The waitress pointed to the wine list, under the leather-bound menus, with the end of her pencil.
“I’ll let her pick,” he told the waitress. “She must have good taste. She’s a doctor.”
“What kind?” asked the waitress.
I said the Australian Chardonnay would be fine for me. One glass.
“I meant what kind of doctor.”
“Surgeon,” I said. “Still in training.”
“Not your garden-variety surgeon,” said Ray. “A plastic one.”
The waitress did something then, squeezed her elbows to her waist so that her chest protruded a few degrees more than it had at rest. “I had plastic surgery,” she said, “but I didn’t go crazy. Would you have known if I didn’t tell you?”
I said no.
Ray said, “Isn’t it nice that you can speak about it so openly.”
“She’s a doctor,” said the waitress. “I wouldn’t have asked otherwise.”
“I didn’t know you before, but they look great,” said Ray. “Did you feel that having larger breasts would improve your quality of life?”
“Yeah, I did,” said the waitress.
“And have they?” asked Ray.
“I like ’em,” said the woman. “I guess that’s what counts.”
Ray told the waitress that I had talked him out of a nose job and he’d done a complete one-eighty: He went in wanting one and came out a new man.
“Because she likes it the way it is?” asked the waitress. “Because when she looks at you she doesn’t see the shape of your nose but the content of your character?”
“Nope,” said Ray. “None of the above.”
“I don’t know him at all,” I said.
“It was an office visit,” said Ray. “I came for a consultation. And now I’m buying her dinner because she saved me ten thousand bucks.”
The waitress looked thoughtfully at her pad and said, “I’ll be right back with your drinks and your appetizer.”
I told him, “Everybody has a procedure on their wish list or a scar they want to show me.”
He asked if plastic surgery was more lucrative than the regular kind.
“It can be. Not if you volunteer your time and pay your own expenses to operate on the poor and the disfigured.”
“You do that?”
“I hope to.”
“I’ve seen those doctors who fly planes into jungles. The parents of these deformed kids walk, like, hundreds of miles to bring their Siamese twins to some American doc to separate, right?”
“Hardly that,” I said. “That’s major, major surgery, with teams of—”
“Maybe I’m mixing up my 60 Minutes segments,” he said. “But you know what I mean—the freaks of nature.” Our waitress returned with the wine and said she’d be back with the appetizer combo platter. Ray raised his glass. “Here’s to you, Doc, and to your future good deeds.”
I said, “I don’t understand why you wanted to have coffee with me, let alone a full-course dinner.”
“You don’t? You can’t think of any reason a guy would want to see you outside the hospital?”
I said, “If this is leading up to a compliment, I’d prefer you didn’t. I wouldn’t believe it anyway.”
He reached over and turned a page of the menu so “Pesce” was before me. “Doctors—they watch what they eat and they know about good cholesterol. What about a piece of salmon?”
I said fine, that would be fine.
“And here we go,” said Ray as the waitress made room on the table for our oval platter of deep-fried, lumpen morsels. “I’ll have the usual,” he said, “and the lady will have the salmon.”
“Cooked through,” I said.
Ray winked at me and said, “If she looks at it under the microscope, she doesn’t want to see anything moving.”
“Remind me what your usual is …”
“Vingole,” he said. “Red.”
The waitress asked if she could at some point talk to me in the ladies’ room. It would only take a sec.
“Ask her here,” said Ray.
“Can’t,” said the waitress. “She’s gotta see it.”
I said no, I couldn’t. I was in training. I wasn’t qualified. I’d only rotated through plastic surgery. No, sorry—shaking my head vigorously.
“Are you okay?” Ray asked her. “I mean, is there, like, an infection?”
I was immediately ashamed of my lack of even basic medical curiosity. Here a civilian was saying the right thing, exhibiting a bedside manner that years of schooling had not fine-tuned to any degree of working order in me. So I said, “Is something wrong, or did you just want to show me the results?”
She turned away from Ray and whispered, “One of the nipples. It looks different than before, a little off-kilter.”
“Did you call your doctor?” I asked.
“I’m seeing him in a week. So I’ll wait. It’s probably nothing.”
Ray broke off a piece of bread and dipped it into a saucer of olive oil. “How long could it take, Doc?” he asked.
THE NIPPLE WAS fine—merely stressed by an ill-fitting brassiere—but it gave Ray an early advantage, establishing him as a more compassionate listener than I. He was now drinking a glass of something that looked like a whiskey sour. Mathematically half of the appetizers were awaiting my return. “How is she?” he asked.
“Fine. But I’d like to explain why I resisted. It’s not like the old days. The hospital’s malpractice insurance doesn’t cover diagnoses based on quick glances in the ladies’ room.”
He smiled and said, “She could sign a release that said, ‘My patron at table eleven, Dr. Thrift, is held harmless as a result of dispensing medical advice to me in the ladies’ room of II Sambuco.’”
I said, “If I seemed a little cold-hearted—”
“Nah. You’d be doing this every time you left your house.”
I might have expanded then on my life: That when I left the house, it wasn’t with an escort at my elbow, introducing me left and right as Dr. Thrift, surgeon. I didn’t socialize. I worked long hours and went home comatose. The hospital was teeming with people who wanted to talk, idly or professionally—it didn’t matter. My day was filled with hard questions, half-answers, nervous patients, demanding relatives, didactic doctors. Why would I want to make conversation at night?
“Speaking of your house,” he said, “you never answered my question about roommates.”
“I have one,” I said.
“Another doctor?”
“A nurse, actually.”
“Are you friends?”
“We share the rent,” I said. “But that’s the extent of it. Occasionally we’ll eat dinner or breakfast together, but rarely.”
“How’d you pair up if you’re not friends?”
“An index card on a bulletin board. I think it said, ‘Five-minute walk to hospital. Safe neighborhood. No smokers.’”
“How many bedrooms?”
“Two. Small.”
He launched into a discussion of the rental market—about places I could probably afford that had health clubs, swimming pools, Jacuzzis, off-street parking, central vacs, air-conditioning, refrigerators that manufactured ice …
I tried to stifle a yawn. “I’m usually in bed by this hour.”
“Is she a good roommate?” he asked. “Considerate and all that?”
“It’s a guy,” I said. “Leo.”
“Gay?” he asked.
I said, “Not that I pay attention, or not that he’s flagrant in his dating habits, but when he does entertain guests, they’re women.”
This was what I deserved for agreeing to dine with a garrulous expatient. I asked if this was normal social intercourse for him—drilling virtual strangers about their home life and housemates.
“I’m getting to know you,” he said. “You’re welcome to ask me questions, too.”
So I asked, “Do you live in an apartment?”
“A house.” He bit his lip. “Alone. At least now.”
“Now?” I repeated.
He drained his whiskey sour and blotted his mouth with his big maroon napkin. “I was married,” he said. “And then I was widowed.”
The waitress was back with our entrées just in time to hear his declaration. After leaving the plates, she stayed, as if waiting for the next cold blast from my arsenal of bad manners.
“I’m so sorry,” I said to Ray. “How long ago?”
“A year and a day,” he said.
I said to the waitress, “I think we’re all set for now.”
“More bread when you have a chance,” said Ray.
I asked how his wife had died.
“Not from natural causes.”
“Automobile?”
“Yes,” he said. He raised his wineglass. “If you don’t mind, I’d just as soon not go into the details. It’s too upsetting.”
“Of course,” I said.
He scooped a littleneck from its shell and chewed it with something like rapture.
I dug in, too. My salmon was dry, but I’d brought that on myself.
“Good?” asked Ray. “Because I was hoping you’d really like this place.”
“Excellent,” I said.
And this is exactly how a woman agrees to see a man a second time after finding him neither interesting, intelligent, nor compelling: He announces that he is a recent widower, vulnerable, like a man without an epidermis. That you are his first plunge into the treacherous waters of the Sea of Dates. Thus, when he finds the courage to ask if you’d like to do this again sometime—try another place, maybe Chinese or Ethiopian, maybe take in a movie—you say yes or you say no, and you understand that the look on your face and the speed of your answer will harm him, help him, or possibly save his life.
3 Leo Frawley, RN
IF YOU HAD seen my apartment, you would have guessed I was a clerk in a convenience store or a stitcher in a third-world sweatshop. I’m not bragging. I grew up in a three-story house with china and silver, a cleaning lady who came in every Thursday, and parents who sent me to college without financial aid. But four years later, I was sleeping in a bedroom that made me nostalgic for the claustrophobic shoe boxes I occupied in college. When I looked around my room and wondered why I said yes to the first place advertised on the housing board, I reminded myself of the extra twenty-five minutes of sleep I gained because of my proximity to the hospital, that I didn’t need a coat to run the three blocks to work if it was above 40 degrees Fahrenheit, and that Leo Frawley was an exemplary roommate.
Leo would have said the same about me: I barely used any utilities. I didn’t watch television, play CDs, or touch the thermostat; my presence, especially in the refrigerator, the medicine cabinet, and the kitchen cupboards, was negligible. I was never around or underfoot; when present, I slept deeply.
Signing a lease was an act of faith on my part. I knew nothing about Leo except for the superficial impressions I gleaned in our one cafeteria meeting. He was pleasant, well-spoken, and apparently popular. Coworkers greeted him, juggling trays across a single arm to hail him from all corners of the room.
“You have a lot of friends,” I observed.
“You will too when you’ve been here as long as I have.”
I said I would be quiet, considerate, and neat. I wasn’t the liveliest wire he’d find in the city of Boston—quite the contrary, in fact—but I’d never disturb his sleep or monopolize the phone or be late with my rent.
“This could work,” he said.
I asked if he could give me references, and he wrote a half dozen names and phone numbers on a napkin. The only local area code belonged to his mother, who he later told me had been prepped not to sound tightlipped and disapproving if women called about the ad. Mrs. Frawley reported that Leo was the cleanest of her whole brood, and that was saying something because among her thirteen offspring she had one priest, one nun, one actuary, one pharmacist, two librarians, and a lab technician for the U.S. Food and Drug Administration. And while she didn’t know why a girl would want to share an apartment and a toilet with a man, Leo would be the one of all her boys whom she’d recommend for the job. I thanked her and said she should be very proud of him. We were colleagues at the same hospital and he was clearly held in everyone’s high esteem.
“He’s named for a pope,” she told me.
Not wanting to discuss anything too personal or too statutory with Mrs. Frawley, I asked Leo himself whether he walked around the apartment in states of undress or thought it was important to knock before entering a roommate’s quarters.
“I might duck from the bathroom to my room with a towel wrapped around my middle. Is that what you meant?”
I said that was acceptable, certainly. I had lived in a co-ed dorm for one semester in college until I could be relocated.
“A guy who grew up with eight sisters knows how to knock,” he said. “He also knows that a bathroom isn’t available the minute he wants it.”
I should have dropped it then, but I pressed on. Had any women—specifically former roommates or coworkers—ever complained, formally or informally, about his personal conduct?
Leo said, “Have I done or said anything so far that suggests that?”
I liked the way he answered, with dignity, and I liked the slight offense he’d taken. And in many ways, my initial rudeness has made me a better roommate. I knew as soon as I’d seen the look on his face that I had needlessly challenged a man who, after all, could bathe neonates and give breast-feeding lessons to their postpartum mothers.
Once I had moved in, I asked Leo why he needed to advertise on the community bulletin board, given the hordes of admiring fellow nurses and his geographically desirable apartment.
“I didn’t want to live with another nurse,” he said.
I asked why.
“You know,” he said.
I said I didn’t. I wasn’t great at human-relations nuances. Was it because there would be too much shoptalk? Too much bringing the work home?
“Not so much the work,” he said. “More like the extracurricular stuff. There’s quite the grapevine. Let’s say I had a visitor. And let’s say someone from the NICU observed that guest coming out of my bedroom in the morning. Word would get around.”
I thanked him for what I thought was a tribute to my discretion. I said, “Not only am I uninterested in your social life, but I wouldn’t recognize a grapevine if I were harvesting grapes from it.”
“Excellent,” said Leo.
We followed the ground rules seamlessly: rent and utilities split down the middle; food separate, with both of us having the right to throw away leftovers growing mold spores. A chore wheel was posted on the refrigerator and rotated weekly. Suggested courtesy guidelines: seven minutes for showers; baths up to twenty minutes; no music after ten P.M. No dirty dishes left in the sink. Kitchen trash should be emptied and not allowed to overflow or smell. And after six months, he’d let me know if he thought our arrangement was amenable.
WHEN WE INTERSECTED at the hospital, Leo introduced me cheerfully. It was especially nice if he was with a smart little girl patient—just the three of us on an elevator—and then he’d say, “I’d like you to meet my friend Alice. She’s a doctor. In fact, she’s a surgeon. Isn’t that a great thing to be?”
If only I could have smiled like a good role model and said something inspiring. If only I could have looked approachable enough to prompt one dad in my department to ask me to join him and his sixth-grader for lunch on Take Your Daughter to Work Day.
And did I mention that every female nurse in the hospital knew Leo? He was a friend to all—registered, practical, aide, candy striper—regardless of what floor or service or shift they worked on. If I were dispensing advice to men on how to meet women, how to be popular without having to be a matinee idol or ever leaving your workplace, I’d advise them to follow in Leo’s footsteps: Get a job in a teaching hospital. Allude often to your training in the medical corps of the U.S. Army. Wear scrubs. Smile often and easily. Attach a miniature stuffed koala bear to your stethoscope.
I myself was short of friends when I moved here for my residency. Apparently, if I believed my own reputation, I was not “fun.” Sometimes on Monday mornings in medical school I’d hear references to weekend parties, kegs, harbor cruises, but I didn’t experience them firsthand. When I decided to go into surgery, my lab partners—so-called people persons and future family practitioners—said, “How perfect.”
I graduated second in my class, which I thought was a good prognostic of how I’d perform as a resident, but apparently it was not. I had some trouble bridging the gap between the patient’s surgical site—that disembodied, exposed rectangle of skin awaiting a scalpel—and the patient’s mind, soul, and figurative heart. I thought it was helpful to disassociate the two, to forget I was cutting into a live human being; to pretend it was dead, formaldehyded Violet or Buster, my two cadavers from Gross Anatomy.
How had I gotten so appallingly ineffective with actual people? I thought I had a nice way about me—I was particularly adept at delivering good-news bulletins to relatives in the waiting room, but even that drew criticism. Once in a while, a next of kin complained that the frown on my face as I walked into the lounge scared him or her to death. But wasn’t it mere concentration? It was never enough—my excellent knowledge of anatomy, my openings and my closings, my long hours. What people want, I swear, is a doctor with the disposition of a Montessori teacher.
None of it is easy. Male patients are not thrilled to see you, especially in urology and vascular. Athletes want their bad knees, shoulders, ankles, and elbows fixed by doctors who look like them—Nordic, buff, handsome, confident, certainly not female. Everyone experienced in trauma works around and over you in the ER—faster, surer, nimbler, louder. I began to think that high marks in medical school were an indicator of nothing, and that a few parties along the way might have honed my socialization skills more than long nights at Countway Library.
I was the medical equivalent of the kid picked last for the kickball team: Honor roll doesn’t matter; sex, race, or national origin doesn’t matter. The only thing that mattered was if you could kick a ball over the head of the second baseperson and get someone else home.
AT THE SIX – MONTH juncture, during one of our rare synchronized breakfasts, it was I who asked Leo if he’d like to find a more compatible roommate.
“In what sense?”
“More fun. More charismatic.”
“Hey,” he said. “What’s wrong?”
I said, “I think you’re too polite to tell me that it’s not working out. Everything is fine on the surface, but maybe you could find someone more suitable. You know—maybe we’re like those married couples who never raise their voices, but all the same aren’t happy.”
“I’m happy,” said Leo. “I think this is working out fine.” Then he asked if it was me—was I the discontented one looking for an out?
“Just the opposite,” I said. And then I tried to define my position, that I was proud to be his roommate because of the high esteem if not popularity he enjoyed at the hospital; proud to have my name on his answering machine’s outgoing message.
Instead of looking pleased he said, “But you have to be content inside your own skin.”
I said that wasn’t possible at this juncture. Work was all-consuming, especially while I was so bad at it.
“You’ll get better. Interns, by definition, are here to learn.”
“I may have made a terrible mistake,” I told him.
His expression grew alarmed: One of his neonates? One of his preemies? “When?” he asked.
“I don’t mean a specific terrible mistake. I meant, it was a mistake to think that good grades were transferable to the actual practice of medicine. I don’t have the aptitude in any of the areas they evaluate us in.”
Leo thought for a minute, then said, “You work hard. You haven’t ever taken a sick day, as far as I know. And you haven’t had any major goof-ups, correct?”
“No one would leave me alone long enough in the OR to take out the wrong organ or amputate the wrong limb,” I said.
“Do you want me to talk to someone?” he asked.
“Like who?”
“I know people,” he said. “I could feel them out for how you’re doing and where you stand. Maybe you’re worried about nothing.”
I said I knew how I was doing, and besides, I needed the truth more than I needed the anesthetic tact they would administer out of friendship to him.
Leo said he hadn’t always been this comfortable on the ward. I should have seen him on his first medevac flight. Boy, was that a scary couple of hours. And not much hand-holding for trainees.
I said I recognized that in a million years, or even if I spent a million dollars on therapy, I’d never have his personality, his good humor, his unflappability, or that way he could walk into a patient’s room and say just the right breezy thing to make his or her pain or nausea or approaching syringe recede.
“You notice all that?” he asked.
“I hear about it. It’s common knowledge. I think some of the pediatric residents steal your lines. And your patients, let’s face it, worship you. Babies, toddlers, girls, boys. Not to mention their mothers.”
Have I mentioned that Leo is handsome? Perhaps not when you break it down, feature by feature, and factor in some patches of facial seborrhea. But altogether it’s a successful package, with its curly blond hair, well-defined mouth, and pale blue eyes that look like they’ve just finished having a good laugh. He was probably a gawky teenager, and I do see vestiges of acne scars on his red face, but overall he bears that winning combination of an elfin face on a tall, broad-shouldered man.
He said then that his late father thought he was wasting those very talents I was referring to, the gift of gab, the ability to walk into a room and—pardon the bragging—win friends and influence people. “So you know what that means, right? To a Boston-Irish father?”
I shook my head.
“State senator or state rep with an eye to an eventual run for the governor’s office.”
“Is that what you’d like?”
“Absolutely not,” said Leo. “He didn’t like telling people that his son was a nurse. He used to say ‘orderly’ because he thought it sounded manlier, but I put a stop to that. He changed it to, ‘Leo trained in the army medical corps and works at a Harvard hospital. No, not married, but he dates a different nurse every night.’”
I said, “It’s not so much your gift of gab. It’s bigger than that. It’s a quality of mercy combined with your ability to make a joke.”
Leo smiled and said that was a nice compliment. Very nice. Thanks. Quality of mercy—wow.
“Maybe some of it will rub off on me,” I added.
He said—another tribute to his diplomacy—“You have other strengths, Alice.”
“Name one.”
“Brains, for starters. I mean, let’s say there was an entire hospital staffed by smiling volunteers, happy LPNs, and class clowns like me. It would certainly lose its state certification in a hurry.”
I said that was a ridiculous argument, but thank you.
“What exactly are you worried about?” he asked. “Your private life or your professional life?”
“Professional,” I said. “I don’t know if I’ll be invited back for a second year. And then what? I’ll have to start over again. And what would that be? Who’s going to want a resident that was asked to leave?”
“Does that happen?”
“All the time. It’s a pyramid system. They start with seven, and prune every year.”
He sighed. Even Leo couldn’t put a positive spin on my prospects.
I walked over to the counter and came back with the coffeepot. “Let’s just say my answer to that question had been ‘personal’ instead of ‘professional.’ Would you have some insights? Have you noticed me doing anything egregious during social exchanges?”
Leo upended the sugar dispenser and let several teaspoonfuls pour into his cup.
“Be honest,” I said.
He squirmed in his chair, closed one eye. “If you put a gun to my head, I’d probably say that at times you remind me of my sister-in-law Sheila.”
Leo had twelve siblings, so there was always a family member he could cite as a role model or bad apple. “I hasten to add that Sheila is probably the smartest of any of my brothers’ wives.”
“But?”
“But she’s not the person I’d marry if I had my eye on the governor’s mansion.”
I said, “Massachusetts doesn’t have a governor’s mansion.”
Leo closed his eyes, exhaled as if exasperated.
“Is your brother running for something?” I asked.
Leo shook his head.
I said, “I ran for office once, in high school, but I lost. I would have been perfect for the position of class secretary because I’d taken shorthand one summer and would have been able to take the best notes of anyone else, but apparently that mattered very little.”
“Everything in high school is a popularity contest—which can’t be a startling revelation to you.”
I tried to remember back to the three straight years I ran, and for the three straight years I was trounced by girls who weren’t even members of the National Honor Society.
“Don’t take this wrong,” said Leo, “and don’t answer if you don’t want to, but did you date in high school?”
He didn’t let me answer. He patted my hand and said, “No matter. What a stupid and shallow question, right? As if you’d even remember. My high school social life is certainly a blur.”
He poured himself a second bowl of cereal and filled it to the rim with milk. “The guy who calls here? Is he a friend?”
“I had dinner with him once.”
“And?”
“And he’d like to do it again.”
“Have you called him back?”
I said no.
“No, permanently, or no, not yet?” he asked.
“He’s not my type,” I said.
Leo offered no rebuttal, but I knew what he was thinking: How could Alice Thrift, workaholic wallflower, have collected any data or constructed a model on something as theoretical as her type?
4 We Entertain
THIS IS WHAT we imagined: Nurses and surgical residents conversing in civilian garb. RNs impressing MDs with their previously underappreciated level of science and scholarship. Exhausted doctors sipping beer while sympathetic nurses circulated with pinwheel sandwiches. Doctors asking nurses if they could compare schedules and find free Saturday nights in common.
When every nurse accepted our invitation and every resident declined, Leo and I had to scramble to provide something close to even numbers. I volunteered to call my medical school classmates who were interning in Boston—there were two at Children’s, some half dozen at MGH, a couple more at Tufts, at BU …
“Friends?” he asked.
“Classmates,” I repeated.
I know what was on his mind: my unpopularity. That the words party and Alice Thrift were oxymoronic, and now Leo was experiencing it firsthand. I said, “Let’s face it: I have no marquee value. My name on the invitation doesn’t get one single warm body here, especially of the Y-chromosome variety.”
“We’re going to work on that,” said Leo.
“On the other hand, since I’m not known as a party thrower, my invitees will expect a very low level of merriment.”
Leo said, “Cut that out. It’s not your fault. We’re aiming too high. Interns are exhausted. If they have a night off, they want to sleep.”
I said, “That’s not true of the average man, from what I’ve read.”
“And what is that?” Leo asked.
“I’ve heard that men will go forth into groups of women, even strangers, if they think there’s a potential for sexual payoff.”
“What planet are you living on?” Leo asked. “Why do you sound like an anthropologist when we’re just bullshitting about how to balance our guest list?”
We were having this conversation in the cafeteria, Leo seated, me standing, since I usually grabbed a sandwich to go. He didn’t think I ate properly, so after he’d rattled a chair a few times, I sat down on it.
“If I called my single brothers, not counting Peter,” he said, “and they each brought two friends, that would be six more guys.”
“Is Peter the priest?”
“No, Joseph’s the priest. Peter doesn’t like women.”
“Okay. Six is a start.”
I unwrapped my cheese sandwich, and squeezed open the spout on my milk carton. “I know someone,” I finally said.
“Eligible?”
I nodded. So eligible, I thought, that he was pursuing Alice Thrift. “Not young, though. Forty-five. And widowed.”
“Call him. Forty-five’s not bad. Maybe he could bring some friends.”
I said, “Actually, he’s the one leaving those messages.”
“He’s been crooning Sinatra on the latest ones,” said Leo. “What’s that about?”
“Trying to get my attention.” I took a bite of my sandwich.
Leo said, “No lettuce, no ham, no tomato?”
I pointed out that I never knew how long lunch would languish in my pocket before consumption, so this was the safest thing to take away.
Leo paused to consult our list of women. Finally he said, “I see a few of my colleagues who would be very happy with a forty-five-year-old guy. And even more who would pounce on the widower part. How long ago did he lose his wife?”
“A year and a day.” I looked at my watch’s date. “As of now, a year and two weeks.”
“Call him. Tell him you and your roommate are putting together a soiree of hardworking primary-care nurses, who—studies have shown—sometimes go out on the town looking for a sexual payoff just like the males of the species.”
I said, “I wasn’t born yesterday. I know people have sexual relations on a casual basis.”
Leo studied me for a few seconds, as if there was a social/epidemiological question he wanted to ask.
I said, “I’ve had relations, if that’s what your retreat into deep thought is about.”
“I see,” said Leo.
“In college. Actually, the summer between my junior and senior years. I was a camp counselor and the boys’ camp was across the lake.”
“And was he a counselor, too?”
“An astronomy major at MIT, or so I believed. He knew all the constellations.”
“Sounds romantic,” said Leo.
I said, “Actually not. I had wondered what all the fuss was about, so I decided to experience it for myself.”
“And?”
I swallowed a sip of milk and blotted my mouth. “Not worth the discomfort or the embarrassment or the trip into town for the prophylactics. And to make it worse, he expected follow-up.”
“Meaning?”
“That we’d do it again.”
“What a cad,” said Leo.
“I found out later he wasn’t an astronomy major at all, but studying aerospace engineering. And in a fraternity.”
“Did you ever see him again?
I said no, never.
“So that would be … like five years ago?”
I shrugged. After a pause, I wrapped the remains of my sandwich in plastic and put it in my jacket pocket.
“Not that it’s any of my business,” said Leo.
I said I had to run. Would catch him later—I had the night off so I’d do some vacuuming.
“Alice?” he called when I was a few paces from him. I returned to the table.
“I want to say, just for the record, as a fellow clinician, that the fuss you’ve heard about? With respect to relations? The stuff that, according to movies and books, supposedly makes the earth move and the world go round? Well—and I say this as your friend—it does.”
I didn’t have an answer; wasn’t sure whether his statement was confessional or prescriptive.
“What I’m getting at,” he continued, “is that you might want to give it another shot someday.”
RAY BROUGHT HIS cousins George and Jerome, two men in leather jackets over sweaters knit in multicolored zigzags. “Missoni,” said Ray when he saw me studying them. He repeated in his introductions to everyone, “Cousins? Absolutely. But like brothers. No, better than brothers—best friends.” Or—whichever suited the race or ethnicity of the nurse he was addressing: “Paisans.” “Confrères.” “Homies.”
Not to say he was ignoring me. Quite the opposite. He helped in the manner of a boyfriend of the hostess. He stomped on trash, refilled glasses, wiped up spills, chatted with the friendless, who would have been me but for the refuge offered by a kitchen and hors d’oeuvres – related tasks. Ray may have watched too many situation comedies in which suburban husbands steal time from their guests to peck the cheek of their aproned hostess/wife. I had to say repeatedly, “Why are you doing that?” disengaging him in the exact manner that my mother swatted away my father. It hardly discouraged him; if anything he was inspired to discuss what he perceived as my discomfort with/suspicion of intimacy.
I said, “I know men have very strong drives, and I know you’ve been lonely, but I think you’re being overly familiar.”
Happily, guests were interrupting us. Leo poked his head in every so often to remind me that there was a party going on in the other rooms and that I should leave the dishes for the morning.
“Let’s go see how our guests are faring,” Ray said cheerfully.
Leo had indeed dipped into his supply of brothers for the occasion, which was of great genetic interest to all observers. One had black hair and the fairest, pinkest skin you’d ever see on a male old enough to have facial hair; another had Leo’s build and Leo’s ruddy complexion, but an angular face and brown eyes that seemed to come from another gene pool. The Frawleys were mixing warily with the Ray Russo contingent. One red-haired brother asked a cousin, “So, how do you know Leo?”
“My cousin’s going out with his roommate,” he answered. I corrected the misapprehension. Ray and I were acquaintances, I said.
The cousin grinned. “If you say so.”
I explained to the brother that Ray had lost his wife a year ago and only now was getting out socially.
Cousin George said, “He was really faithful to her memory. He didn’t do a thing until she was legally pronounced dead.”
I told him what Ray had told me: the accident, the head trauma, the coma, the life support, the horrible decision. I asked if any of her organs were donated and George said, “Um. You’d have to ask Ray.”
I asked if she’d been wearing a seat belt.
George said, “I doubt it.”
Leo was now doing what he had threatened to do during our planning phase if things didn’t coalesce on their own—dance. He was taking turns with a flock of nursing students, all undergraduates from the same baccalaureate nursing program, and all friends. They looked alike, too: Their hairdos were the ballerina knots, streaked with blond, that were popular with pretty teenagers. I didn’t think we should invite anyone under twenty-one because we were serving beer and wine, but Leo had prevailed. Now they were taking turns being twirled, and each one’s raised hand revealed a few inches of bare midriff and a pierced navel.
“Wanna dance, Doc?” Ray asked.
I shook my head resolutely.
“Would it make a difference if it was a slow dance? You must have learned a few steps of ballroom dancing for those teas at that fancy college.”
I didn’t remember telling him where I’d gone to college, but I must have mentioned it over dinner. I said, “Okay, a slow dance.”
“I’ll talk to the deejay,” said Ray. He turned to his cousin. “Georgie—put something on that the doc might enjoy dancing to.”
“Will do,” said George.
A little human warmth generated from a clean-shaven jaw can go a long way. I may have exaggerated my ineptitude on the dance floor; any able-bodied person can follow another’s lead when his technique constitutes nothing more than swaying in place. It helped that he didn’t talk or sing, and that his cologne had a citric and astringent quality that I found pleasing.
If Ray said anything at all, it was an occasional entreaty to relax. “You’re not so bad, Doc,” he said when the first song ended. “In fact I think you might like another whirl.”
He hadn’t let go of my hand. I looked around the room to see if we had an audience. Leo was consolidating trays of hors d’oeuvres, but watching. He arched his eyebrows, which I interpreted to mean, Need to be rescued?
I shrugged.
A nurse with closely cropped hair dyed at least two primary colors took Leo’s hand and led him out to the patch of hardwood that was serving as the dance floor. “Having a good time?” Leo asked me.
“You better believe it,” Ray answered, flashing a thumbs-up with my hand in his.
A PHONE CALL woke me. Was I in my own bed or in the on-call cot? It took a few seconds to orient myself in the dark before remembering: I had the weekend off. Good. This would be the hospital calling the wrong resident.
But it wasn’t. It was my mother, her voice choked.
“Is it Daddy?” I whispered.
“It’s Nana,” she managed, discharging the two syllables between sobs.
“What about Nana?”
“Gone! One minute she was alive and the next minute, gone! Pneumonia! As if that wasn’t curable!”
My grandmother was ninety-four and had been in congestive heart failure for three months and on dialysis for nine. I said, “The elderly don’t do well with pneumonia.”
I looked at my bedside clock: 3:52 A.M.
“My heart stopped when the phone rang because I knew without even answering,” my mother continued. “Here it was, the phone call I’ve been dreading my whole life.”
“Is Daddy there?” I asked.
My father came on and said, “I told her not to wake you. What were you going to do at four in the morning except lose a night’s sleep?”
“Ninety-four years old,” I said quietly. “Maybe in the morning she’ll realize that it’s a blessing.”
“I tried that,” he said. “Believe me.”
“Tried what?” my mother asked.
“To point out to you, Joyce, that your mother lived to a ripe old age, was healthy for the first ninety-three of them, and any daughter who has a mother by her side at her sixtieth birthday party is a pretty lucky woman.”
“It’s not the time to count my blessings,” I heard. “I’m crying because she’s gone, okay? Do I have to defend myself?”
“Be nice to her,” I said.
“I am,” he said. Then to my mother, “I know, honey. I know. No one’s mother can live long enough to suit her children. It’s always too early.”
My mother raised her voice so I could hear distinctly, “Some daughters hate their mothers. Some mothers hear from their daughters once a week if they’re lucky. I talked to mine every day. Twice a day. She was my best friend.”
“When’s the funeral?” I asked.
“We haven’t gotten that far yet,” said my father. “She still has to call her sisters.”
“I called you first!” I heard from the far side of their bed.
“Sorry to wake you,” my father said. “I couldn’t stop her. You’re on her auto dial.”
“I have to get up in two hours anyway,” I said.
I BRING UP this relatively untraumatic and foreseen death because Ray counted my grandmother’s funeral as our third date. He was a genius at being there for me when I didn’t want or need him. He called the Monday after the party and got Leo. “Her grandmother died, so I don’t know when she’ll get back to you,” he said.
Ray paged me at the hospital, and without announcing himself said, “I’m driving you wherever you need to go.”
I said that was unnecessary. I had relatives in Boston who were going to the funeral, and my father had worked out the arrangements.
“Absolutely not. What are the chances that they’ll want to leave when you can leave and return when you have to return? Zero.”
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