A Widow’s Story: A Memoir
Joyce Carol Oates
“My husband died, my life collapsed.”On a February morning, Joyce Carol Oates drove her ailing husband, Raymond Smith, to the Princeton Medical Center where he was diagnosed with pneumonia. In less than a week, Ray was dead and Joyce was faced – totally unprepared – with the reality of widowhood.In this beautiful and heart-breaking account, Joyce takes us through what it is to become a widow: the derangement of denial, the anguish of loss, the disorientation of the survivor and the solace of friendship. Acutely perceptive and intensely moving, A Widow’s Story is at once a truly personal account and an extraordinary and universal story of life and death, love and grief.
A Widow’s Story
A MEMOIR
Joyce Carol Oates
In memory of my husband
Raymond Smith
Oh God—you are going to be so unhappy.
—Gail Godwin
I am very sorry to learn that Ray died a couple of weeks ago. When someone I loved died I found it helpful to remind myself that this person was not less real because she wasn’t real now, just as people in New Zealand aren’t less real because they aren’t real here.
—Derek Parfit
When my mother died I adopted the Gestalt technique of saying to myself, whenever there was a surge of grief, “I choose to have a mother who is dead.”
—T. D., a former colleague at the University of Windsor
One breath at a time, Joyce. One breath at a time.
—Gloria Vanderbilt
Contents
Cover (#uc30dc8fe-0400-50da-8097-af3b419e5ce3)
Title Page (#u0f135fe8-4885-52a1-8274-fa4447a5cce0)
Epigraph (#u27710498-54ce-59ef-991e-9864bacf98d3)
Part I: The Vigil
Chapter 1 - The Message
Chapter 2 - Car Wreck
Chapter 3 - The First Wrong Things
Chapter 4 - “Pneumonia”
Chapter 5 - Telemetry
Chapter 6 - E-mail Record
Chapter 7 - E. coli
Chapter 8 - Hospital Vigil(s)
Chapter 9 - Jasmine
Chapter 10 - Vigil
Chapter 11 - E-mail Record
Chapter 12 - Memory Pools
Chapter 13 - “I’m Not Crying for Any Reason”
Chapter 14 - The Call
Part II: Free Fall
Chapter 15 - “The Golden Vanity”
Chapter 16 - Yellow Pages
Chapter 17 - The Arrow
Chapter 18 - E-mail Record
Chapter 19 - Last Words
Chapter 20 - “You’ve Said Good-bye”
Chapter 21 - Double Plot
Chapter 22 - Cat Pee
Chapter 23 - Probate
Chapter 24 - “Sympathy Gift Basket”
Chapter 25 - The Betrayal
Chapter 26 - The Artisans
Chapter 27 - E-mail Record
Part III: The Basilisk
Chapter 28 - “Beady Dead Eyes Like Gems”
Chapter 29 - The Lost Husband
Chapter 30 - “How Are You?”
Chapter 31 - “Bells for John Whiteside’s Daughter”
Chapter 32 - The Nest
Chapter 33 - Ghost Rooms
Chapter 34 - E-mail Record
Chapter 35 - Fury!
Chapter 36 - Oasis
Chapter 37 - Bruised Knees
Chapter 38 - A Dream of Such Happiness!
Chapter 39 - “We Want to See You Soon”
Chapter 40 - Moving Away
Chapter 41 - “Won’t Be Seeing You for a While”
Chapter 42 - “Can’t Find You Where Are You”
Chapter 43 - “I Am Sorry to Inform You”
Part IV: Purgatory, Hell
Chapter 44 - “Neither Joyce Nor I Can Come to the Phone Right Now”
Chapter 45 - The Military Order of the Purple Heart
Chapter 46 - In Motion!
Chapter 47 - In Motion!—“Still Alive”
Chapter 48 - In Motion! —“Mouth of the Rat”
Chapter 49 - In Motion!— “The Wonder Woman of American Literature”
Chapter 50 - In Motion!— “You Can’t Sit There”
Chapter 51 - “Never Forget”
Chapter 52 - The Widow’s Secret
Chapter 53 - Congratulations! I
Chapter 54 - Congratulations! II
Chapter 55 - E-mail Record
Chapter 56 - The Cache
Chapter 57 - Morbidity Studies
Chapter 58 - The Intruder
Part V: “You Looked So Happy”
Chapter 59 - Too Soon!
Chapter 60 - “Leaving Las Vegas”
Chapter 61 - “The Unlived . . .”
Chapter 62 - Cruel Crude Stupid “Well-Intentioned”
Chapter 63 - “If . . .”
Chapter 64 - “Never, Ever That Again”
Chapter 65 - The “Real World”
Chapter 66 - Little Love Story
Chapter 67 - Tulips
Chapter 68 - Please Forgive!
Chapter 69 - “Happy, and Excited”
Chapter 70 - Blood in the Water!
Chapter 71 - Walking Wounded
Chapter 72 - Dead Woman Walking
Chapter 73 - Taboo
Chapter 74 - “Ashamed to Be ‘White’ ”
Chapter 75 - It Made No Difference
Chapter 76 - Sinkholes
Chapter 77 - The Garden
Chapter 78 - The Pilgrimage
Chapter 79 - “You Looked So Happy”
Chapter 80 - Black Mass I
Chapter 81 - Black Mass II
Chapter 82 - “Good Girl!”
Chapter 83 - The Resolution
Chapter 84 - “Did Ray Like Swing?”
Chapter 85 - “Title”
Chapter 86 - “Your Husband Is Still Alive”
Epilogue
Three Small Sightings in August
The Widow’s Handbook
Acknowledgments
By the same author
Copyright
About the Publisher (#ufe99a10c-9fdf-51c9-8fa1-0f5271cf745b)
Part I The Vigil (#ulink_829592ca-b859-5d85-a550-09937f441fef)
“My husband died, my life collapsed.”
Chapter 1 The Message (#ulink_da7bc6e6-a567-509c-92a4-4ff60ede2518)
February 15, 2008. Returning to our car that has been haphazardly parked—by me—on a narrow side street near the Princeton Medical Center—I see, thrust beneath a windshield wiper, what appears to be a sheet of stiff paper. At once my heart clenches in dismay, guilty apprehension—a ticket? A parking ticket? At such a time? Earlier that afternoon I’d parked here on my way—hurried, harried—a jangle of admonitions running through my head like shrieking cicadas—if you’d happened to see me you might have thought pityingly That woman is in a desperate hurry—as if that will do any good—to visit my husband in the Telemetry Unit of the medical center where he’d been admitted several days previously for pneumonia; now I need to return home for a few hours preparatory to returning to the medical center in the early evening—anxious, dry-mouthed and head-aching yet in an aroused state that might be called hopeful—for since his admission into the medical center Ray has been steadily improving, he has looked and felt better, and his oxygen intake, measured by numerals that fluctuate with literally each breath—90, 87, 91, 85, 89, 92—is steadily gaining, arrangements are being made for his discharge into a rehab clinic close by the medical center—(hopeful is our solace in the face of mortality); and now, in the late afternoon of another of these interminable and exhausting hospital-days—can it be that our car has been ticketed?—in my distraction I’d parked illegally?—the time limit for parking on this street is only two hours, I’ve been in the medical center for longer than two hours, and see with embarrassment that our 2007 Honda Accord—eerily glaring-white in February dusk like some strange phosphorescent creature in the depths of the sea—is inexpertly, still more inelegantly parked, at a slant to the curb, left rear tire over the white line in the street by several inches, front bumper nearly touching the SUV in the space ahead. But now—if this is a parking ticket—at once the thought comes to me I won’t tell Ray, I will pay the fine in secret.
Except the sheet of paper isn’t a ticket from the Princeton Police Department after all but a piece of ordinary paper—opened and smoothed out by my shaky hand it’s revealed as a private message in aggressively large block-printed letters which with stunned staring eyes I read several times like one faltering on the brink of an abyss—
LEARN TO PARK STUPPID BITCH
In this way as in that parable of Franz Kafka in which the most profound and devastating truth of the individual’s life is revealed to him by a passer-by in the street, as if accidentally, casually, so the Widow-to-Be, like the Widow, is made to realize that her situation however unhappy, despairing or fraught with anxiety, doesn’t give her the right to overstep the boundaries of others, especially strangers who know nothing of her—“Left rear tire over the white line in the street.”
Chapter 2 Car Wreck (#ulink_29f9ea8f-f62b-55f2-952f-b6091fa1baf3)
We were in a car wreck. My husband died but I survived.
This is not (factually) true. But in all other ways, it is true.
January 2007. A little more than a year before my husband was stricken with a severe case of pneumonia, and brought by his anxious wife to the ER of the Princeton Medical Center in blissful ignorance of the fact—the terrible and irrefutable fact—that the reverse journey would never occur bearing him back home—we were in a serious car accident, the first of our married life.
It would seem ironic in retrospect, that this accident in which Ray might easily have been killed, but was not killed, occurred hardly more than a mile from the Princeton Medical Center at the intersection of Elm Road and Rosedale Road; this was an intersection we drove through invariably on our way to Princeton, and on our way home; it is an intersection I must drive through as in a dream of nightmare repetition in which my very grief is rebuked You might have died here! You have no right to grieve, your life is a gift.
The accident occurred on a weeknight as we entered the intersection: out of nowhere—on the driver’s side—there came a hellish glare of headlights, a screeching of brakes and a tremendous crash as the front of our car was demolished, windshields shattered and air bags detonated.
In the immediate aftermath of the crash we were too confused to gauge how extraordinarily lucky we’d been—in the days, weeks, months to follow we would try to fathom this elusive fact—that the other vehicle had struck only the front of our car, the engine, hood, front wheels; a few inches back and Ray would have been killed or seriously injured, crushed in the wreck. It was beyond our capacity to grasp how close we’d come to a horrific accident—if for instance the other vehicle had sped into the intersection even a half-second later . . .
Inside the wreck of our car there was a gritty smoldering odor. Our air bags had exploded with remarkable rigor. If you have never been in a vehicle in which air bags have exploded you will have a difficult time imagining how violent, how forceful, how bellicose air bags are.
Vaguely you might expect something cushiony, even balloon-like—no.
You might expect something that will not injure you in the service of protecting you from injury—no. In the instant of the air bag explosion Ray’s face, shoulders, chest and arms had been battered as if he’d been the hapless sparring partner of a heavyweight boxer; his hands gripping the steering wheel were splattered with acid, leaving coin-sized burn marks that would sting for weeks. Beside him I was too rattled to comprehend how powerfully I’d been hit by the air bag—I’d thought that this was the dashboard buckling in, all but crushing me in the passenger’s seat so that I could barely breathe. (For the next two months my bruised chest, ribs, and arms would be so painful that I could barely move without wincing and dared not laugh heedlessly.) But in our wrecked car in the euphoria of cortical adrenaline we had little awareness of having been so battered and bruised as we managed to force our car doors open and step out onto the pavement. A wave of relief swept over us—We are alive! We are unharmed!
Princeton police officers arrived at the accident scene. An ambulance arrived bearing emergency medical workers. I recalled that one of my Princeton undergraduate students, a young woman, was a volunteer for the Princeton Emergency Medical Unit and I hoped very much that this young woman would not be among the medical workers at the scene. I hoped very much that this episode would not be reported excitedly back and circulated among my students Guess who was in a car crash last night—Prof. Oates!
Strongly it was recommended that “Raymond Smith” and “Joyce Smith” be taken by ambulance to the ER to be examined—especially it was important to be X-rayed—but we declined, saying that we were all right, we were certain we were all right. Yet in the faux-euphoric aftermath of the crash in which there was no pain nor hardly an awareness of the very concept of pain we insisted that we were fine and wanted to go home.
Standing in the cold, shivering and shaky and our car pulverized as if a playful giant had twisted it in his hands and let it drop—there was nothing we wanted so badly as to go home.
We were asked if we were “refusing” medical treatment and we protested we weren’t refusing medical treatment—we just didn’t think that we needed it.
Refused then, the officer noted, filling out his report.
Two police officers drove us home in their cruiser. They were kindly, courteous. Near midnight we entered our darkened house. It seemed that we’d been gone for far longer than just an evening and that we’d been on a long journey. Our nerves were jangled like broken electric wires in the street. I’d begun to shiver, convulsively. I was dry-eyed but exhausted and depleted as if I’d been weeping. I saw that Ray was all right—as he insisted—we were both all right. It was true that we’d come close to catastrophe—but it hadn’t happened. Somehow, that fact was difficult to comprehend, like trying to fit a large and unwieldy thought into a small area of the brain.
I began to feel the first twinges of pain in my chest. When I lifted my arm. When I laughed, or coughed.
Ray discovered reddened splotches on his hands—“I’ve been burnt? How the hell have I been burnt?” He ran cold water onto his hands. He took Bufferin, for pain.
I took Bufferin, for pain. I had no wish to go to bed anticipating a miserable insomniac night, but by 2 A.M. we’d gone to bed and were sleeping, to a degree. Glaring headlights, screeching brakes, that moment of astonishing impact. . . . The sharp chemical smell, the air bags striking like crazed aliens in a science-fiction horror film . . .
“I’ll go to get us a new car. Tomorrow.”
Calmly Ray spoke in the dark. There was comfort in his words that suggested routine, custom.
Comfort in that Ray would supervise the aftermath of the wreck.
Raymond—“wise protector.”
He was eight years older than I was, most of the calendar year. Born on March 12, 1930. I was born on June 16, 1938.
How long ago, these births! And how long we’d been married, since January 23, 1961! At the time of the car wreck we would celebrate our forty-seventh wedding anniversary in a few weeks. You would not think, reading this, if you are younger than we were, that to us these dates were unreal, or surreal; we’d felt, through our long marriage, as if we’d only just met a few years before, as if we were “new” to each other, still “becoming acquainted” with each other; often we were “shy” with each other; there were many things we did not wish to tell each other, or to “share” with each other, in the way of individuals who are only just becoming intimately acquainted and don’t want to risk offending, or surprising.
Most of my novels and short stories were never read by my husband. He did read my non-fiction essays and my reviews for such publications as the New York Review of Books and the New Yorker—Ray was an excellent editor, sharp-eyed and informed, as countless writers published in Ontario Review have said—but he did not read most of my fiction and in this sense it might be argued that Ray didn’t know me entirely—or even, to a significant degree, partially.
Why was this?—there are numerous reasons.
I regret it, I think. Maybe I do.
For writing is a solitary occupation, and one of its hazards is loneliness.
But an advantage of loneliness is privacy, autonomy, freedom.
Thinking then, that night of the car wreck, and subsequent nights and days as phantom pains stabbed in my chest and ribs, and I despaired that the ugly yellowish purple bruises would ever fade, that, if Ray died, I would be utterly bereft; far better for me to die with him, than to survive alone. At such times I did not think of myself as a writer primarily, or even as a writer, but as a wife.
A wife who dreaded any thought of becoming a widow.
In the morning our lives would be returned to us but subtly altered, strange to us as others’ lives that bore only a superficial resemblance to our own but were not our own. It would have been a time to say Look—we might have been killed last night! I love you, I’m so grateful that I am married to you . . . but the words didn’t quite come.
So much to say in a marriage, so much unsaid. You reason that there will be other times, other occasions. Years!
That morning Ray called the Honda dealer from whom he’d bought the car and arranged to be picked up and brought to the showroom on State Road, to buy a replacement—a Honda Accord LX, 2007 model (with sunroof) which he drove into our driveway in the late afternoon, gleaming white like its predecessor.
“Do you like our new car?”
“I always love our new car.”
And so I would think He might have died then. Both of us. January 4, 2007. It might have happened so easily. A year and six weeks—what remained to us—was a gift. Be grateful!
Chapter 3 The First Wrong Things (#ulink_a8ed103e-a8e4-50bd-a2d5-fe4067dc4b71)
February 11, 2008. There is an hour, a minute—you will remember it forever—when you know instinctively on the basis of the most inconsequential evidence, that something is wrong.
You don’t know—can’t know—that it is the first of a series of “wrongful” events that will culminate in the utter devastation of your life as you have known it. For after all it may not be the first in a series but only an isolated event and your life not set to be devastated but only just altered, remade.
So you want to think. So you are desperate to think.
The first wrong thing on this ordinary Monday morning in February is—Ray has gotten out of bed in the wintry dark before dawn.
By the time I discover him in a farther corner of the house it’s only just 6:15 A.M. and he has been up, by his account, since 5 A.M.
He has taken a shower, dressed, and fed the cats breakfast at an unnaturally early hour; he has brought in the New York Times in its transparent blue wrapper; he has made himself a spare little breakfast of fruit and cottage cheese and is eating—trying to eat—seated at our long white Parsons table; through our glass-walled gallery I can see him, across the courtyard, a lone figure haloed in light amid the shadowy room behind him. If he were to glance up, as he has not done, he would see me watching him, and he would see our dogwood tree in the courtyard transformed in the night, clumps of wet snow on the branches like blossoms.
In fact this is a white-blossoming dogwood Ray planted himself several years ago.
This little tree Ray takes a special pride in, and feels a special tenderness for, for it hadn’t thrived initially, it had required extra care and so its survival is a significant part of its meaning to us, and its beauty.
If in wifely fashion I want to praise my husband, or to cheer him if he requires cheering, I have only to speak of the dogwood tree—this will evoke a smile. Usually!
For Ray is the gardener of our household, not me. As Ray is an editor of literary writing beloved by writers whose books he has edited and published—so Ray is an editor of living things. He doesn’t create them or cause them to live but he tends them, cares for them and allows them to thrive—to blossom, to yield fruit. Like editing, gardening requires infinite patience; it requires an essential selflessness, and optimism. Though I love gardens—especially, I love Ray’s garden in the summer and early fall—it’s as an observer and not as a connoisseur of growing things that to me send cruelly paradoxical signals: the exquisitely blooming orchid that, brought home, soon loses its petals, and never again regains them; the thriving squash vines that, mysteriously, as if devoured from within, shrivel and die overnight. Ray is of an age to recall “victory gardens” in the early 1940s in Milwaukee, Wisconsin—in his telling, there is an echo of childhood romance about such gardens, which everyone kept as in a communal civilian war-effort. Ray’s garden is a way of evoking these idyllic memories. How happy he has always been, outdoors! Driving to the nursery, to buy plants! And how eager for winter to end, that he might have the garden plowed and dare to set in early things like lettuce, arugula despite the risk of a heavy frost.
The gardener is the quintessential optimist: not only does he believe that the future will bear out the fruits of his efforts, he believes in the future.
You would see that all the growing things Ray has planted on our two-acre property, like the dogwood tree, forsythia bushes, peonies, “bleeding hearts,” tulips, hillsides of crocuses, daffodils and jonquils, are utterly commonplace; yet, to us, these are living talismans suffused with meaning. Thoughtfulness, tenderness. Patience. An imagining of a (shared) future.
A memory comes to me: in our shabby-stylish rented Chelsea duplex, in the belated and chilly spring of our sabbatical year in London 1971–1972, Ray is tending a bedraggled little clump of brightly colored nasturtiums on our small terrace. The potted soil is probably very poor, there are rapacious insects devouring their leaves, but Ray is determined to nurse the nasturtiums along and through a window I observe him, unseen by him; I feel a sudden faintness, a rush of love for him, and also the futility of such love—as my then-young husband was determined to keep the bedraggled nasturtiums alive, so we are determined to keep alive those whom we love, we yearn to protect them, shield them from harm. To be mortal is to know that you can’t do this, yet you must try.
Our sabbatical year in London was a mixed experience, for me. I was homesick, rootless. Unaccustomed to not working—that is, to not teaching—I felt useless, idle; my only solace was my writing, into which I poured enormous concentration—re-creating, with an obsessiveness that swerved between elation and compulsion, the vividly haunting oneiric cityscape of Detroit, in the novel Do With Me What You Will. Ray, however, thoroughly enjoyed the sabbatical year—as Ray thoroughly enjoyed London, our long, long walks in the beautiful damply green parks of London of which our favorite was Regent’s Park, and those parts of the U.K.—Cornwall, Wessex—we saw on driving trips. My husband has a capacity for enjoying life that isn’t possible for me, somehow.
There are those—a blessed lot—who can experience life without the slightest glimmer of a need to add anything to it—any sort of “creative” effort; and there are those—an accursed lot?—for whom the activities of their own brains and imaginations are paramount. The world for these individuals may be infinitely rich, rewarding and seductive—but it is not paramount. The world may be interpreted as a gift, earned only if one has created something over and above the world.
To this, Ray would respond with a bemused smile. You take yourself so seriously. Why?
Always Ray has been the repository of common sense in our household. The spouse who, with a gentle tug, holds in place the recklessly soaring kite, that would careen into the stratosphere and be lost, shattered to bits.
On this Monday morning in mid-February 2008 the sun hasn’t yet risen. The sky looks steely, opaque. Approaching my husband I feel a tinge of unease, apprehension. Sitting at the table Ray appears hunched over the newspaper, his shoulders slumped as if he’s very tired; when I ask him if something is wrong quickly he says no—no!—except he has been feeling “strange”—he woke before 5 A.M. and was unable to get back to sleep; he was having trouble breathing, lying down; now he’s uncomfortably warm, sweaty, and seems short of breath . . .
These symptoms he tells me in a matter-of-fact voice. So the husband shifts to the wife the puzzle of what to make of such things, if anything; like certain emotions, too raw to be defined, such information can only be transferred to the other, the cautious, caring, and hyper-vigilant spouse.
More often, the wife is the custodian of such things. I think this is so. The wife is the one elected to express alarm, fear, concern; the wife is the one to weep.
Shocking to see, the smooth white countertop which is always kept spotless is strewn now with used tissues. Something in the way in which these wet wadded tissues are scattered, the slovenliness of it, the indifference, is not in Ray’s character and not-right.
Another wrong thing, Ray tells me that he has already called our family doctor in Pennington and left a message saying he’d like to see the doctor that day.
Now this is serious! For Ray is the kind of husband who by nature resists seeing a doctor, stubborn and stoic, even when obviously ill the kind of husband with whom a wife must plead to make an appointment with a doctor.
The kind of person whose pain threshold is so high, often he tells our dentist not to inject his gums with Novocain.
Ray flinches when I touch him, as if my touch is painful. His forehead is both feverish and clammy, damp. His breath is hoarse. Close up I see that his face is sickly pale yet flushed; his eyes are finely bloodshot and don’t seem to be entirely in focus.
In a panic the thought comes to me Has he had a stroke?
A friend of ours had a stroke recently. A friend at least a decade younger than Ray, and in very fit condition. The stroke hadn’t been severe but our friend was shaken, we were all shaken, that so evidently fit a man had had a stroke and was exposed as mortal, as he had not previously seemed, swaggering and luminous in our midst. And Ray, never quite so swaggering or luminous, never so visibly fit, is taking medication for “hypertension”—high blood pressure—which medication is supposed to have helped him considerably; yet now he’s looking flushed, he’s looking somewhat dazed, distressed, he hasn’t finished his breakfast, nor has he read more than the first sprawling section of the New York Times in whose ever more Goyaesque war photos and columns of somber newsprint an ennui of such gravity resides, the sensitive soul may be smothered if unwary.
Post 9/11 America! The war in Iraq! The coolly calibrated manipulation of the credulous American public, by an administration bent upon stoking paranoid patriotism! Avidly reading the New York Times, the New York Review of Books, the New Yorker and Harper’s, like so many of our Princeton friends and colleagues Ray is one of those choked with indignation, alarm; a despiser of the war crimes of the Bush administration as of its cunning, hypocrisy, and cynicism; its skill at manipulating the large percentage of the population that seems immune to logic as to common sense, and history. Ray’s natural optimism—his optimist-gardener soul—has been blunted to a degree by months, years, of this active and largely frustrated dislike of all that George W. Bush represents. I have learned not to stir his indignation, but to soothe it. Or to avoid it. Thinking now Maybe it’s something in the news. Something terrible in the news. Don’t ask!
But Ray is too sick to be upset about the latest suicide bombing in Iraq, or the latest atrocity in Afghanistan, or the Gaza Strip. The newspaper pages are scattered, like wadded tissues. His breathing is forced, labored—an eerie rasping sound like a strip of plastic fibrillating in the wind.
Calmly I tell him I want to take him to the ER. Immediately. He tells me no—“That’s not necessary.”
I tell him yes, it is necessary. “We’ll go now. We can’t wait for—” naming our Pennington physician whose office wouldn’t open for another hour or more, and who probably couldn’t see Ray until the afternoon.
Ray protests he doesn’t want to go to the ER—he isn’t that sick—he has much work to do this morning, on the upcoming issue of Ontario Review, that can’t be put off—the deadline for the May issue is soon. But on his feet he moves unsteadily, as if the floor were tilting beneath him. I slip my arm around his waist and help him walk and the thought comes to me This is not right. This is terribly wrong for a man’s pride will rarely allow him to lean on any woman even a wife of forty-seven years. A man’s pride will rarely allow him to concede that yes, he is seriously ill. And the ER—“emergency room”—the very concession of helplessness, powerlessness—is the place to which he should be taken.
He’s coughing, wincing. His skin exudes an air of sickly heat. Yet the previous night Ray had seemed fine for most of the evening—he’d even prepared a light meal for us, for dinner; I had been away and had returned home at about 8 P.M. (This, our final meal together in our house, the final meal Ray would prepare for us, was Ray’s specialty: fried eggs, whole grain bread, Campbell’s soup—chicken with wild rice. I would call him from the airport—Philadelphia or Newark—when my plane arrived and he would prepare our meal for my arrival home an hour later. If the season was right he would also place on my desk a vase with a single flower from his garden . . . ) At dinner he’d been in good spirits but shortly afterward with disconcerting swiftness at about 10:30 P.M. he began coughing fitfully; he’d become very tired, and went to bed early.
Forever afterward I would think: I was away for two days. I was a “visiting writer” at U-C Riverside at the invitation of the distinguished American studies critic and scholar Emory Elliot, formerly a Princeton colleague. In these two days my husband had gotten sick. Ray would acknowledge, yes, probably he’d been outside without a jacket or a cap and possibly he’d gotten a cold in this way though we are told that this isn’t so—scientific tests have proved—that cold air, even wet, doesn’t cause colds; colds are caused by viruses; bad colds, by virulent viruses; you don’t “catch” a cold by running out to the mailbox without a jacket, or hauling recycling cans to the curb; unless of course you are exhausted, or your immune system has been weakened. In these ways you may “catch” a cold but it is not likely to be a fatal cold, possibly just a “bad cold” which is what my husband seems suddenly to have, that has spiraled out of control.
Yet another wrong thing—I will recall this, later—as I reason with my husband now in the kitchen where our two cats are staring at us wide-tawny-eyed, for how incongruous our behavior, at this twilit hour before dawn when we are usually in another part of the house—suddenly he gives in and says yes, all right—“If you think so. If you want to drive me.”
“Of course I want to drive you! Let’s go.”
So long as the ER is the wife’s suggestion, and the wife’s decision, maybe it’s all right. The husband will consent, as a way of humoring her. Is this it? Also, as Ray says, with a shrug to indicate how time-wasting all this is, our Pennington doctor will probably want him to have tests and he will have to go to the Princeton Medical Center anyway.
Without my help—though I’ve offered to help—Ray prepares for the trip to the ER. He doesn’t want me to fuss over him, even to touch him, as if his skin hurts. (This is a flu symptom—isn’t it? Our Pennington physician makes me uneasy at times, so readily does he prescribe antibiotics for Ray when a “bad cold” is interfering with Ray’s work; I worry that an excess of antibiotics will affect Ray’s immune system.)
The cats stare after us as we leave the house. Still so early in the morning, scarcely dawn! Something in our manner has made them wary, suspicious. And then how strange it seems, to be driving our car with my husband beside me. Rarely do I drive our car—we have just the single car, the Honda—with Ray beside me, not driving; unless we are on a trip, then we share the driving; still, Ray does most of it, and always difficult driving in urban areas and on congested roads. I am less anxious now, for we’ve made a good decision, obviously; I am in control, I think. Though our Princeton friends without exception insist that only in Manhattan and (possibly) in Philadelphia can one find competent medical treatment, this ER is the closest by many miles, and the most convenient; there Ray will be given immediate treatment, and he will be all right, I’m sure.
He isn’t taking anything with him to suggest that he expects even to stay overnight.
On the drive into Princeton Ray gives me instructions about work he needs to have me do: calls to make, book orders to process, his typesetter in Michigan to contact. Though he’s ill he is also—he is primarily—concerned with his work. (It has been a matter of concern to Ray in the past year, a cause of both anxiety and hurt, that in our declining American economy, in which libraries have been cutting budgets, fewer small-press books are being bought and subscriptions to Ontario Review are not increasing.) His breathing is hoarse and his throat sounds raw and when he falls silent I wonder—what is he thinking? I reach out to touch his arm—I’m moved to see that he took time to shave. Even in physical distress he hadn’t wanted to appear in the ER unshaven, disheveled.
I am thinking that this is the right thing to do of course. And I am thinking that it’s a minor episode—just a visit to the local ER.
I love him, I will protect him. I will take care of him.
Ray has been to the Princeton ER before. A few years ago his heartbeat had become erratic—“fibrillating”—and he’d stayed overnight for what seemed to be a commonplace non-invasive cardiac procedure. Then, everything had gone well. He’d come home with a fully restored “normal” heartbeat. I knew that Ray was well when I’d entered his hospital room to see him scowling over the New York Times Op-Ed page and his first remark was a sardonic complaint about the hospital food.
This was a good sign! When a husband complains about food, his wife knows that he has nothing serious to complain of.
And so today’s ER visit will turn out well also. I am sure. Driving on Rosedale Road in early-morning traffic—to State Road/Route 206—to Witherspoon Street—with no way of knowing how familiar, how dismayingly familiar, this route would shortly become—I am certain that I am doing the right thing; I am a shrewd and thoughtful wife, if an unexceptional wife—for surely this is the only reasonable thing to do.
Knowing of my dislike of high-rise parking garages—these ascending and descending labyrinths with their threat of humiliating cul-de-sacs and no-way-out—Ray offers to park the car for me. No, no!—I bring the car around to the ER entrance so that Ray can get out here; I will park the car and join him inside a few minutes later. It is just 8 A.M. How long Ray will be in the ER, I estimate a few hours probably. He will be home for dinner—I hope.
What relief to find a parking place on a narrow side street where the limit is two hours. I think, I may have to come outside and move the car, then. At least once.
In this way unwittingly the Widow-to-Be is assuring her husband’s death—his doom. Even as she believes she is behaving intelligently—“shrewdly” and “reasonably”—she is taking him to a teeming petri dish of lethal bacteria where within a week he will succumb to a virulent staph infection—a “hospital” infection acquired in the course of his treatment for pneumonia.
Even as she is fantasizing that he will be home for dinner she is assuring that he will never return home. How unwitting, all Widows-to-Be who imagine that they are doing the right thing, in innocence and ignorance!
Chapter 4 “Pneumonia” (#ulink_60e3a20e-ce6b-5a7c-8b86-e6f8de690e4c)
This is unexpected!
The first response of the afflicted man—“I’ve never had pneumonia before.”
The first response of the wife—“Pneumonia! We should have known.”
Naively thinking This is a relief. Not a stroke, not an embolism, not a cardiac condition—nothing life-threatening.
Quickly Ray is checked into the ER. Quickly assigned a cubicle—Cubicle 1. Now he is partly disrobed, now he is officially a patient. The essence of that word has to be patience. For the experience of the patient, like that of the patient’s wife, is to wait.
How long we must wait, how many hours isn’t clear in my memory. For while Ray is being examined—interviewed—his blood taken—re-examined—re-interviewed—another sample of his blood taken—I am sometimes close by his side and sometimes I am not.
The minutiae of our lives! Telephone calls, errands, appointments. None of these is of the slightest significance to others and but fleetingly to us yet they constitute such a portion of our lives, it might be argued that our lives are a concatenation of minutiae interrupted at unpredictable times by significant events.
If I’d known that my husband had less than a week to live—how would I behave in these circumstances? Is it better not to know? Life can’t be lived at a fever-pitch of intensity. Even anxiety burns out. For now after the urgency of the drive into Princeton it has come to seem in the ER—in the cubicle assigned to “Raymond Smith”—that time has so slowed, it might be running backward. Waiting, and waiting—for test results—for a doctor-specialist—for a real doctor, with authority—until at last the diagnosis is announced—“Pneumonia.”
Pneumonia! The mystery is solved. The solution is a good one. Pneumonia is both commonplace and treatable—isn’t it?
Though we’re both disappointed—Ray won’t be discharged today after all. He’ll be transferred into the general hospital where it’s expected he will stay “at least overnight.”
Of this, I seem to hear just overnight.
If I have occasion to speak with friends I will tell them Ray is in the Medical Center with pneumonia—overnight.
Or, with an air of incredulity, as if this were entirely out of my husband’s character—You’ll never guess where Ray is! In the Medical Center—with pneumonia—overnight.
Why the diagnosis of pneumonia is so surprising to us, I have no idea. In retrospect it doesn’t seem surprising at all. Ray reacts by questioning the medical workers about pneumonia—asking them about themselves—speaking in such a way to suggest that he isn’t fearful, and has infinite trust in them. Like many another hospital patients wishing to be thought a good sport, a nice guy, fun! he jokes with nurses and attendants; through his stay in the Princeton Medical Center he will be well liked, a real gentleman, sweet, fun!—as if this will save him.
So much of our behavior—our “personalities”—is so constructed. The survival of the individual, in the service of the species.
Our great American philosopher William James has said—We have as many personalities as there are people who know us.
To which I would add We have no personalities unless there are people who know us. Unless there are people we hope to convince that we deserve to exist.
“I love you! I’ll be back as soon as I can.”
Yet what relief—at mid-afternoon—to leave the ER at last—to escape the indescribable but unmistakable disinfectant smell of the medical center if only to step outside into a cold cheerless February day!
I feel so sorry for Ray, trapped inside. My poor husband stricken with pneumonia—obliged to stay overnight in the hospital.
A multitude of tasks await me—telephone calls, errands—at home I sort Ray’s mail to bring to him that evening—Ray tries to answer Ontario Review mail as soon as he can, he has a dread of mail piling up on his desk—as a Catholic schoolboy in Milwaukee he’d been inculcated with an exaggerated sense of responsibility to what might be defined loosely as the world—repeatedly I call the medical center—again, and again—until early evening—to learn if Ray has been yet transferred to the general hospital and always the answer is No. No! Not yet.
At about 6:30 P.M. as I am about to leave for the medical center, bringing things for Ray—bathrobe, toiletries, books—at his end of our living room coffee table are the books he is currently reading or wants to read—as well as manuscripts submitted to the magazine and the press, a burgeoning stack of these with self-addressed stamped envelopes for return—the phone rings and I hurry to answer it assuming that it’s the medical center, telling me the number of the room Ray has been moved to—at first I can’t comprehend what I am being told Your husband’s heartbeat has accelerated—we haven’t been able to stabilize it—in the event that his heart stops do you want extraordinary measures to be used to keep him alive?—
I am so stunned that I can’t reply, the stranger at the other end of the line repeats his astonishing words—I hear myself stammering Yes! Yes of course!—gripped by disbelief, panic—stammering Yes anything you can do! Save him! I will be right there—for this is the first unmistakable sign of horror, of helplessness—impending doom—blindly I’m fumbling to replace the phone receiver, on our kitchen wall-phone—a sickening sense of vertigo overcomes me—the strength drains out of my legs, my knees buckle and I fall at a slant, through the doorway into the dining room and against the table a few feet away—the sensation is eerie—as if liquid were rushing out of a container—the edge of the table strikes against my legs just above my knees, for in my fall I have knocked the table askew—heavily, gracelessly I have fallen onto the hardwood floor—I can’t believe that this is happening to me, as I can’t believe what is happening to my husband; behind me the lightweight plastic receiver is swinging on its elastic band just beyond my grasp as I lie sprawled on the floor trying to control my panicked breathing, instructing myself You will be all right. You are not going to faint. You will be all right. You have to leave now, to see Ray. He is waiting for you. In another minute—you will be all right!
Yet: my brain is extinguished, like a flame blown out. My legs—my thighs—are throbbing with pain and it’s this pain that wakes me—how much time has passed, I can’t gauge—a few seconds perhaps—I am able to breathe again—I am too weak to move but in another moment, my strength will return—I am sure that this is so—sprawled on the dining room floor stunned as if a horse had kicked me and the realization comes to me
I must have fainted after all. So this is what fainting is!
Six o’clock in the evening of February 11, 2008. The Siege—not yet identified, not yet named, nor even suspected—has begun.
Strangely, the Widow-to-Be will forget this telephone call. Or rather, she will forget its specific contents. She will recall—with embarrassment, chagrin—some small worry—that she “ fainted”—in fact, she “ fell heavily onto the dining room table, and the floor”—“but just for a minute. Less than a minute.” An ugly bruise of the hue of rotted eggplant and of a shape resembling the state of Florida will discolor her upper legs, her thighs and part of her belly—she will wince with pain—sharp pains—from crashing to the hardwood floor without cushioning the fall with her hands—but she will forget this terrible call, or nearly. For soon there will be so much more to recall. Soon there will be so much more to recall, from which mere fainting onto a hardwood floor will be no reprieve.
Chapter 5 Telemetry (#ulink_1e1f3062-4727-55fe-a176-6ebadd30fd1a)
Now into my life—as into my vocabulary—there has come a new, harrowing term: Telemetry.
For Ray hasn’t been moved into the general hospital but into a unit adjacent to Intensive Care.
Telemetry!—my first visit to the fifth floor of the medical center—to this corridor I will come to know intimately over a period of six days—imprinted indelibly in my brain like a silent film continually playing—rewinding, replaying—rewinding, replaying.
These places through which we pass. These places that outlive us.
Vast memory-pools, accumulating—of which we are unaware.
Telemetry means machines—machines processing data—machines monitoring a patient’s condition—and I am shocked to see my husband in a hospital bed, in an oxygen mask—IV fluids dripping into his arm. Both his heartbeat and his breathing are monitored—through a device like a clothespin clipped to his forefinger a machine ingeniously translates his oxygen intake into numerals in perpetual flux—76, 74, 73, 77, 80—on a scale of 100.
(When a day or two later I experiment by placing the device on my own forefinger, the numeral rises to 98—“normal.” )
It’s upsetting to see Ray looking so pale, and so tired. So groggy.
As if already he has been on a long journey. As if already I’ve begun to lose him . . .
Despite the oxygen mask and the machines, Ray is reading, or trying to read. Seeing me he smiles wanly—“Hi honey.” The oxygen mask gives his slender face an inappropriately jaunty air as if he were wearing a costume. I am trying not to cry—I hold his hand, stroke his forehead—which doesn’t seem over-warm though I’ve been told that he still has a dangerously high temperature—101.1° F.
“How are you feeling, honey? Oh honey . . .”
Honey. This is our mutual—interchangeable—name for each other. The only name I call Ray, as it is the only name Ray calls me. When we’d first met in Madison, Wisconsin, in the fall of 1960—as graduate students in English at the University of Wisconsin—(Ray, an “older” man, completing his Ph.D. dissertation on Jonathan Swift; I, newly graduated from Syracuse University, enrolled in the master’s degree program)—we must have called each other by our names—of course—but quickly shifted to Honey.
The logic being: anyone in the world can call us by our proper names but no one except us—except the other—can call us by this intimate name.
(Also—I can’t explain—a kind of shyness set in. I was shy calling my husband “Ray”—as if this man of near-thirty, when I’d first met him, represented for me an adulthood of masculine confidence and ease to which at twenty-two, and a very young, inexperienced twenty-two, I didn’t have access. As in dreams I would sometimes conflate my father Frederic Oates and my husband Raymond Smith—the elder man whom I could not call by his first name but only Daddy, the younger man whom I could not call by his first name but only Honey.)
Is the cardiac crisis past? Ray’s heartbeat is slightly fast and slightly erratic but his condition isn’t life threatening any longer, evidently.
Otherwise, he would be in Intensive Care. Telemetry is not Intensive Care.
Unfortunately room 541 is at the farther end of the Telemetry corridor and to get to it one must pass by rooms with part-opened doors into which it’s not a good idea to glance—mostly elderly patients seem to be here, diminutive in their beds, connected to humming machines. A kind of visceral terror overcomes me—This can’t be happening. This is too soon!
I want to protest, Ray is nothing like these patients. Though seventy-seven he is not old.
He’s lean—hard-muscled—works out three times a week at a fitness center in Hopewell. He hasn’t smoked in thirty years and he eats carefully, and drinks sparingly—until two or three years ago he’d risen at 7 A.M. each morning, in all vicissitudes of weather, to run—jog—along country roads near our house for forty minutes to an hour. (While I lay in bed too exhausted in the aftermath of turbulent dreams—or, it may have been, simply too lazy—to get up and accompany him.)
How nice the nurses are, in Telemetry! At least, those we’ve met.
An older nurse named Shannon explains carefully to me, as she has explained to Ray: it’s very important that he breathe through the oxygen mask—through his nose—and not through his mouth, in order to inhale pure oxygen. When Ray does this the numerals in the monitoring gauge rise immediately.
There is the possibility—the promise—that the patient holds his own fate in his hands. In his lungs.
Once we’re alone Ray tells me that he feels “much better.” He’s sure he will be discharged from the hospital in a few days. He asks me to bring work for him in the morning—he doesn’t want to “fall behind.”
An anxiety about falling behind. An anxiety about losing control, losing one’s place, losing one’s life. Always at the periphery of our vision these icy-blue flames shimmer, beaten back by our resolute American sunniness. Yes I am in control, yes I will take care of it. Yes I am equal to it—whatever it is.
Ray clasps my hand tight. Ray’s fingers are surprisingly cool for a man said to be running a fever. How like my protective husband, at such a crucial time to wish to comfort me.
A young Indian doctor comes into the room, introduces himself with a brisk handshake—he’s an ID man—“infectious disease”—he tells us that a culture has been taken from my husband’s right lung—it’s being tested to determine the exact strain of bacteria that has infected the lung—as soon as they identify the bacteria they will be able to fight the infection more effectively.
In a warm rapid liquidy voice Dr. I_ speaks to us. Formally he addresses us as Mr. Smith, Mrs. Smith. Some of what he says I comprehend, and some of it I don’t comprehend. I am so grateful for Dr. I_’s very existence, I could kiss his hand. I think Here is a man who knows! Here is an expert.
But is the Widow-to-Be misguided? Is her faith in this stranger in a white coat who walks into her husband’s hospital room misplaced? Would there have been another, happier ending to this story, if she had transferred her husband from the provincial New Jersey medical center to a hospital in Manhattan, or Philadelphia? If she’d been less credulous? More skeptical?
As if she too has been invaded—infected—by a swarm of lethal bacteria riotously breeding not in her lungs but in that part of her brain in which rational thought is said to reside.
Chapter 6 E-mail Record (#ulink_99b9e861-a140-5750-9f14-2affe61063a5)
February 12, 2008.
To Richard Ford
At this moment, Ray is recovering from a nasty cold that morphed into pneumonia without our somehow noticing . . .
Much love to both,
Joyce
To Leigh Bienen
Ray is recovering—slowly—from a severe pneumonia that began as a bad cold . . .
Much love to both,
Joyce
February 14, 2008.
To Gloria Vanderbilt
Ray’s condition improves—worsens—improves—worsens—I have almost given up having responses to it. But the doctors say that over all he is definitely improving—it’s just that the pneumonia is so virulent, through most of one lung.
(I know little of infectious diseases, but am learning rapidly.)
Love
Joyce
Chapter 7 E. coli (#ulink_5017cb82-8ac8-5b17-bc61-b7b727251d28)
February 13, 2008. The bacterial infection in Ray’s right lung has been identified: E. coli.
“E. coli! But isn’t that associated with . . .”
“Gastro-intestinal infections? Not always.”
So we learn from Dr. I_ . Again we’re astonished, naively—there is something naive about astonishment in such circumstances—for like most people we’d thought that the dread E. coli bacteria is associated exclusively with gastro-intestinal infections: sewage leaking into water supplies—fecal matter in food—insufficiently cooked food—hamburger raw at the core—contaminated lettuce, spinach—the stern admonition above sinks in restaurant restrooms Restaurant employees must wash their hands before returning to work.
But no, we were mistaken. Even as, invisibly, a colony of rapacious E. coli bacteria is struggling to prevail in Ray’s right lung with the intention of swarming into his left lung and from there into his bloodstream to claim him, their warm-breathing host, totally—as totally as a predator-beast like a lion, an alligator, would wish to devour him—so we are learning, we are being forced to learn, that many—most?—of our assumptions about medical issues are inadequate, like the notions of children.
It’s liquidy-voiced Dr. I_—or another of Dr. I_’s white-coated colleagues—(for in his scant six days in the Telemetry Unit of the Princeton Medical Center Ray will be examined or at least looked at by a considerable number of specialists as itemized by the hospital bill his widow will receive weeks later)—who explain to us that E. coli infections, far from being limited to the stomach, can also occur in the urinary tract and in the lungs. Escherichia coli are found everywhere, the doctor tells us—in the environment, in water—“In the interior of your mouth.”
Most of the time—we’re assured—our immune systems fight these invasions. But sometimes . . .
Patients with E. coli pneumonia usually present with fever, shortness of breath, increased respiratory rate, increased respiratory secretions, and “crackles” upon auscultation.
(Why do medical people say “present” in this context? Do you find it as annoying as I do? As if one “presents” symptoms in some sort of garish exhibition—Patient Ray Smith presents fever, shortness of breath, increased respiratory rate . . .)
Now the exact strain of bacteria has been identified, a more precise antibiotic is being used, mixed with IV fluids dripping into Ray’s arm. This is a relief! This is good news. Impossible not to think of the antibiotic treatment as a kind of war—warfare—as in a medieval allegory of Good and Evil: our side is “good” and the other side is “evil.” Impossible not to think of the current war—wars—our country is waging in Iraq and Afghanistan in these crude theological terms.
As Spinoza observed All creatures yearn to persist in their being.
In nature there is no “good”—no “evil.” Only just life warring against life. Life consuming life. But human life, we want to believe, is more valuable than other forms of life—certainly, such primitive life-forms as bacteria.
Exhausted from my vigil—this vigil that has hardly begun!—I slip into a kind of waking sleep at Ray’s bedside as he dozes fitfully inside the oxygen mask and in my dream there are no recognizable figures only just primitive bacterial forms, a feverish swilling and rushing, a sensation of menace, unease—those hallucinatory patterns of wriggling light obscuring vision that are said to be symptomatic of migraine, though I’ve never had migraine headaches. My mouth has gone dry, sour. My mouth feels like the interior of a stranger’s mouth and is loathsome to me. The jeering thought comes to me You must have been infected too. But you have been spared this time.
Waking I’m not sure at first where I am. The sensation of unease has followed me. And there in the hospital bed—my husband?—some sort of disfiguring helmet, or mask, obscuring his face that has always seemed to me so handsome, so youthful, so good . . .
Something of the derangement of Widowhood is beginning here. For in dreams our future selves are being prepared. In denial that her husband is seriously ill the Widow-to-Be will not, when she returns home that evening, research E. coli on the Internet. Not for nearly eighteen months after her husband’s death will she look up this common bacterial strain to discover the blunt statement she’d instinctively feared at the time and could not have risked discovering: pneumonia due to Escherichia coli has a reported mortality rate of up to 70 percent.
Chapter 8 Hospital Vigil(s) (#ulink_4424990a-7901-5603-88ce-42178012d6b3)
There are two categories of hospital vigils.
The vigil with the happy ending, and the other.
Embarked upon the hospital vigil as in a small canoe on a churning white-water river you can have no clear idea which vigil you are embarked upon—the vigil with the happy ending, or the other—until it has come to an end.
Until the patient has been discharged from the hospital and brought safely home. Or not discharged, and never brought home.
Chapter 9 Jasmine (#ulink_7fda8a68-0655-5fe5-a7e6-ec2780e7c1b4)
February 14, 2008. Today in room 541 there is Jasmine—dark-skinned, Haitian, lives with relatives in Trenton and hates the “nasty” New Jersey winter—a nurse’s aide assigned to Raymond Smith who will bathe the patient behind a screen, change bedclothes and adjust his bed, assist him walking into the bathroom, chattering all the while at him, now at me—Mz. Smith h’lo? Mz. Smith howya doing?—voice high-pitched as the cry of a tropical bird. Initially Jasmine is a cheery presence in the room—like the flowers several friends have sent, in vases on Ray’s bedside table—she’s warm, friendly, eager to please—eager to be liked—eager to be very well liked—a squat sturdy young woman with cornrowed hair, fleshy cheeks and shiny dark eyes behind thick-lensed red plastic glasses—but as the minutes pass and Jasmine continues to chatter at us, and to bustle about the room, sighing, laughing, muttering to herself—her presence becomes a distraction, an irritant.
Propped up in bed, breathing now through a nasal inhaler, Ray is gamely trying to sort through some of the mail he’s asked me to bring him—here are financial statements, letters from Ontario Review writers, poetry and short story submissions—at his bedside I am trying to prepare my next-day’s fiction workshop at Princeton University—still Jasmine chatters, and chatters—our lack of response doesn’t seem to discourage her, or perhaps she hasn’t noticed—until abruptly she makes a hissing sound through her teeth as if in disgust—like a petulant child she takes up the TV remote control and switches on the TV—loud—we ask her please turn it off, we are trying to work—Jasmine stares at us as if she has never heard such a request—she tells us that she always watches TV in these rooms—with exaggerated politeness verging upon hostility she asks if she can keep the TV on—Turned low?—in her white nylon uniform that strains at her fleshy hips and thighs sitting now in a chair beneath the TV gazing upward at the screen rapt in concentration at antic darting images as if these images were of paramount importance to her provoking her to suck at her lips, murmur and laugh to herself, draw in her breath sharply—Ohhhh man! Uhhhh!—until after some time—twenty minutes, twenty-five—as if the magical screen suddenly loses its attraction Jasmine turns back to us with renewed enthusiasm—as the TV crackles and drones she resumes the bright-chattering bird-shriek that makes me want to press my hands over my ears even as I am smiling—smiling so hard my face aches—not wanting Jasmine to be insulted by some lapse in my attention or some failure to respect her personality which in some quarters has surely been praised, encouraged—as Ray shuts his eyes in misery—trapped in the hospital bed by the IV tube in a vein in the crook of his bruised right arm, nasal inhaler clamped to his head—forced as in an anteroom of Hell to listen as Jasmine begins to repeat her monologue of a former patient who’d been really nice to her—really really nice to her—and his wife as well—they’d given her real special presents—sent her a postcard Dear Jasmine! from the Southwest—really really nice generous people—an older couple—really nice—as I listen to these boastful yet accusatory words a wave of dismay washes over me—a stab of fear—is this nurse’s aide employed by the Princeton Medical Center retarded? Is she mentally unstable? Disturbed? Deranged?
None of the other, older nurses resemble Jasmine in any way—Jasmine seems to have wandered in from another dimension, a Comedy Central TV program perhaps, except Jasmine isn’t funny—Jasmine is deadly serious—I try to explain that my husband is tired and would like to rest—trying to smile—trying to speak politely—in dread of upsetting the excitable young woman—finally saying in a forceful voice Excuse me—Jasmine—my husband is tired, he would like to sleep—provoking Jasmine to stare at us in astonishment—for a beat unable to speak, she’s so stunned—insulted—a look of exaggerated shock contorting her face as in a children’s cartoon—Ma’am!—You are telling me to be quiet? To stop talking? Is that what you are telling me Ma’am—to stop talking? Jasmine’s shiny eyes bulge behind the thick lenses of her glasses. The whites of her eyes glare. I tell Jasmine that my husband tires easily, he has pneumonia she must know—he doesn’t sleep well at night and should try to rest during the day and if he isn’t able to sleep at least he could close his eyes and rest—as Jasmine continues to glare at me and when my voice trails off she retorts by repeating her account of the really nice older couple for whom she’d worked recently—really nice, generous—Liked me real well sayin Jasmine you a breath of fresh air always smiling—sent me a postcard sayin Jasmine howya doin—until at last I cry Please! Please just stop!
Now Jasmine’s jaw drops, she is so insulted.
Jasmine sits heavily in her chair beneath the TV. Jasmine sighs loudly, muttering to herself. Her fleshy face darkens with blood, her eyes glare whitely. She is sulky, sullen as a furious child. There is no subtlety in her hatred of us who have insulted her by failing to adore her. The thought comes to me I have made an enemy. She could kill my husband in the night.
My heart begins to beat quickly, in panic. I have brought my husband to this terrible place, now I can’t protect him. How can I protect him?
Whatever happens, I am to blame. I am the one who has arranged this.
Outside the room’s single window, it’s night. I think that very likely it has been night for a long time for night falls early in this perpetual winter dusk. I tell Jasmine that she can leave now for her supper break, if she wants to—a little early—this is a good time since I’ll be here for another hour or more.
Jasmine has been rummaging through a large cloth bag on her knees, panting with exasperation. At first she doesn’t seem to hear me—in the friendliest tone I can manage I repeat what I’ve said—Jasmine frowns, glances up—Jasmine pouts and glares—then Jasmine smiles.
Jasmine shuts the large cloth bag with a snap and smiles.
Ma’am thank you! Ma’am that is real nice.
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