Body Keeps Score
pairing — jack abbott x fem!reader
summary — jack used to press his thumb inside of your wrist, just to feel your pulse. he’s been thinking that lately. he’s been thinking about that a lot.
content / trigger warnings — 12.6k words. angst, heavy, heavyyy angst, emotional neglect, reader leaves jack, no explicit breakup scene, hurt/no comfort, medical setting, pulmonary embolism, pulmonary embolism most likely presented inaccurately based on what i could find on wikipedia, reader is unconscious, references to ptsd/ptsd implied, jack’s past military service mentioned, insomnia, crying, lots of themes of loneliness, dissociation compared to being a fugue state, grief, pining, jack not being the very best at this relationship so maybe ooc?
author’s note — yes i have no range all i can write is a yearning man after he massively messes up; i wanna try being more versatile though so send in requests so i can make an attempt at being a Little more creative. i wanted to get this out because i started writing it while season 2 was coming out
The coffee maker had been broken for three days because the carafe wouldn’t click into place anymore, so if you didn’t press down on it while it brewed, the coffee pooled around the base and ran out onto the counter. You’d been meaning to tell Jack. You kept forgetting. Or maybe you kept remembering at the wrong times—when he was asleep, when he was in the shower, when he was already halfway out the door—and so for three days you’d been holding the carafe down while scrolling on your phone with the other. The kitchen did permanently smell of burnt coffee because some of it still got under there and cooked against the warmer. Nobody had complained, though.
You were holding the carafe down now.
It was 6:47 in the morning. The light through the kitchen window was the same shade as weak tea. You’d forgotten your socks again, so your feet were going cold against the tile. You’d pulled the cuffs of your sleep shorts down as far as they’d go. You hadn’t slept. You’d gone to bed at eleven and lain in the dark for a while, just to get up at two and read on the couch. You’d ate a piece of toast at four.
He was meant to be home at six-thirty. It was 6:48 now. You checked the clock on the microwave, the clock on the stove, and the clock on your phone, all of which disagreed by between thirty seconds and two minutes, and none of which mattered because the only clock that mattered was the sound of his key in the lock, and you hadn't heard it yet.
You kept thinking about the fucking carafe.
You kept thinking if you told him, if when he came in that you had to hold the thing down, he’d put his hand over yours and it would become a thing. A small, but real thing. You'd been living on smaller ones lately. The other night he'd touched the back of your neck when he passed you in the hallway and you'd thought about it for two days.
The coffee finished. You let go of the carafe. You poured two mugs—his first, the one with the chip on the rim that he insisted he liked because it made the coffee taste better, which wasn't true but was the kind of thing he said sometimes, the kind of thing that used to make you laugh—and then yours, the one your sister had given you for your twenty-eighth birthday, the one with the hairline crack that had been there so long you'd stopped worrying it would split. You put two sugars in his. You put nothing in yours. You stood at the counter holding both mugs by their handles and you waited.
You’d been putting two sugars in Jack’s coffee for almost three years that you’d started doing it without thinking. You thought, briefly, about not putting sugar in his, about making his coffee wrong. You thought about whether he’d notice. You wanted him to notice. No, you didn’t want him to notice. You put the two sugars in, and stirred them with the small spoon you always used. The wrong coffee would have been a test, you realized, and you weren’t ready to give a test you already knew the answer to.
6:53.
You set the mugs down. You picked them up. You set them down again. You went to the window and looked out at the parking lot like you were sixteen and waiting for a boy to pull up, except you were thirty-one and you lived with him and there was no reason to be standing at the window except that you couldn't sit down. Sitting down would mean admitting you were waiting. Standing was a thing you happened to be doing in the kitchen near the window. It wasn't the same.
You heard the key jangle at 7:04.
Your body reacted the same way it had been reacting for three years now. There was an involuntary lift in your chest, this small gladness, and the fleeting, euphoric thought of oh good, Jack’s here. It happened milliseconds before you could decide whether you were allowed to feel it anymore; it happened in the half-second between the key turning and the door opening. You hated that it still happened. You hated that you were unsure whether you hated it.
He came in. He looked at you. He eyed the mugs on the counter. He looked back at you.
“Hey,” he said.
“Hey,” you said.
He left his jacket on and held onto his bag. He stood in the doorway like a man who’d come into the wrong apartment and was figuring out how to exit without being mean about it. His hair was flat on one side from where he’d been pushing his locks through it. There was something on the cuff of his scrubs, a dried, dark spot. He—like always—smelled like the hospital, and underneath that he smelled like himself, and underneath that, faintly, he smelled like coffee that wasn’t yours.
He’d stopped somewhere on his way home.
You filed that thought away into this ever-growing compartment of Jack your subconscious mind had started months ago, and your conscious mind was just catching on. You were getting good at filing things away. You had a whole drawer of them now, in your head, organized chronologically: the night he hadn't come to bed; the morning he'd left without saying goodbye; the Tuesday he'd told you he was too tired to talk and then you'd heard him on the phone in the bathroom, laughing, low, at something somebody else had said. You didn't open the drawer. You just kept putting things in it. You'd open it later. You'd open it when you were ready.
“I made coffee,” you said, because that was how it was supposed to go. That was how it always went.
“I had some,” he said.
“Okay.”
He was looking past you, at the cabinet behind your head, at nothing, you realized. He’d hadn’t met your eyes since he came in, and you were realizing you had stopped considering it avoiding, because to avoid would mean he was putting in the effort to. When had this become the nature of it all? You couldn’t remember the last time he looked at you. You were going to remember the not remembering later. When had you become a thing his eyes had learned to skip over?
“Long night?” you asked.
“Yeah.”
You waited with bated breath. There used to be a ‘yeah,’ then a story. There used to be a ‘yeah, this guy came in, you won’t believe what he did to his hand.’ He’d sit at the counter and tell you, gesturing with his coffee, and you’d put your chin on your palm and listen with both ears. Sometimes you’d laugh and sometimes you wouldn’t and once you’d cried. He’d reached across the counter and put his thumb under your eye and say, “Hey. Hey. Come here.” And then you’d go around the corner and he’d hold you for a long time without saying anything.
You waited.
“I’m gonna shower,” he said.
“Okay.”
He moved past you without touching you. There was a moment—a half-second, less, the time it took for him to pass behind you in the narrow space between the counter and the table—when you felt the air shift. The possible moment he could have put a hand on your hip, on the small of your back, on the top of your head; when he could have done any of the small unthinking touches he used to do without thinking. But he moved through the space like you were a piece of furniture he was navigating around. You heard the bathroom door close. You heard the shower turn on.
You stood at the counter for a while.
You picked up his mug, the one with the chipped rim, and you held it with both hands. It was still warm. The two sugars hadn't dissolved all the way; you could feel the grit at the bottom when you tilted it. You thought about pouring it out. You thought about drinking it yourself. You thought about a lot of things.
You set it down.
You sat at the table. You hadn't sat down all morning. Your hands were colder than they should've been. You put them between your thighs to warm them up. You looked at the chip on the rim of his mug, the small white triangle of it where the ceramic had broken away two years ago—you'd done it, actually, you'd been washing dishes and you'd knocked it against the faucet and you'd stood there holding it and almost cried because it was his favorite, and he'd come up behind you and looked at it and laughed and said ‘Baby, it's a mug, it's fine, I like it better now,’ and he'd kissed the top of your head and taken it out of your hands and put it back in the cabinet—and a thought came unbidden to you, one of those with clarity that came in the morning after a night of no sleep.
He doesn’t love me anymore.
You hadn’t decided the thought. It arrived, came through the kitchen window like a weak-tea light and the scent of burnt coffee. The thought sat across the table from you with folded arms as it waited for you to say something back.
You sat there for a long time, listening to the shower run, and somewhere far away you could hear a car door slamming and a dog barking and the building above you starting to wake up, all of it the wrong sounds for this hour, all of it the sounds of a day beginning, and you sat at your kitchen table in your sleep shorts with your cold feet on the tile and you thought, okay.
The shower kept running. You got up to hold the carafe down for the second pot.
It was for you because the act of making coffee was the only thing your hands knew how to do at the moment, and your hands needed something to do or you were going to start crying at the kitchen table, and you weren't going to start crying at the kitchen table because if he came out of the shower and found you crying you would have to explain it, and you didn't have an explanation that would fit in the space he was willing to give you.
‘You don’t love me anymore,’ it’s not a sentence you could say out loud to Jack. It was a sentence you could barely say to yourself. You'd thought it once and now it was in the room and you needed to do something with your hands.
You filled the carafe at the sink. The water ran cold over your wrist and you watched the little bones move under your skin and you thought about how he used to take your hand sometimes and turn it over and press his thumb to the inside of your wrist, just there, where the pulse was, and hold it, like he was checking and making sure. You used to ask him what he was doing and he’d always say, ‘Nothing.’ Then, he’d add, ‘I just like knowing.’
You hadn't felt his thumb on your wrist in—you didn't know. You couldn't remember the last time. That was the thing about the things he used to do. They stopped happening and you didn't notice on the day they stopped, you noticed three weeks later when you reached for the memory of the last time and it wasn't where you'd left it.
You poured the water into the machine. You pressed the button. You held the carafe down.
The shower was still running. The shower had been running for twenty-two minutes.
The coffee maker beeped.
You let go of the carafe. You poured. You added milk—too much, your hand slipped, you didn't bother to fix it—and you took the mug to the table and sat down and you didn't drink it, you just put your hands around it and held on.
You thought about your sister.
You thought about your sister, the phone call you’d had with her four months ago in October. You’d been on a walk and she’d asked how Jack was and you’d said he was good.
She’d been quiet on the other line for a second too long, which meant she'd already heard the answer in your voice and was just giving you the chance to say it out loud. You’d told her you were fine, you were fine. You’d meant it. You were fine in October. You'd been worried about him but you'd been fine. And she'd let it go, because she was good like that, because she didn't push, and you'd gotten off the phone and kept walking and not thought about it again.
You were thinking about it now because you realized she knew before you did.
You were thinking about how lonely had been a slow leak. How you couldn't point to a day. How if someone asked you, later, about when it started, you wouldn’t have an answer that would satisfy them, you'd just have a list of small things and the dawning understanding that the small things had been a shape that had been apparent to everyone but you.
The shower stopped.
You looked up.
The silence after the shower was always loud, for the apartment adjusted, the pipes ticked, the bathroom fan still spun. You heard him moving around in there. The squeak of his palm on the foggy mirror. The click of the cabinet. The small domestic sounds of a man getting ready to come out and face his life. You sat at the table with your hands around your mug and you thought, very clearly, very calmly to not ask him.
Don't ask him what's wrong. Don't ask him if he's okay. Don't ask him if he still wants this. Don't ask him anything. If you ask him he will tell you and you cannot un-hear what he tells you and you are not ready, you are not ready, you are not ready.
He came out in sweatpants and a t-shirt, toweling his hair, as he balanced on his crutches. The steam came out with him in a soft cloud, and for one half-second—the half-second before he saw you sitting there—his face was open. Tired. Wrecked. Human. You saw him. You saw the man you'd loved for almost three years, the man who'd stood at this counter in October and pressed his mouth to the top of your head and asked, rhetorically, what he would do without you. The man who you were pretty sure you would have married if he'd asked, the man you'd been so quietly, stupidly, completely sure of that you'd never even let yourself worry he might not be sure of you.
He saw you and his face closed.
It was the smallest thing. It was a thing you'd seen happen maybe a hundred times in the last few months and never quite let yourself name. It was like a door shut behind his eyes. The towel kept moving in his hand but something in his shoulders went still, the way an animal goes still when it sees you coming.
He stood there with the towel around his neck. He was looking at the floor between you. He had a tan line on the back of his neck from his work badge lanyard, you'd noticed it last week, a small pale stripe. You'd thought about pointing it out to him and you hadn't, because you weren't sure anymore which kinds of small noticings were welcome.
You opened your mouth.
You were sitting at the table with your hands around your mug and you'd made yourself a promise eleven seconds ago and you opened your mouth anyway because some part of you was already past being careful, some part of you was already at the bottom of the hill and rolling, some part of you had decided it would rather know than keep not-knowing, and you opened your mouth and you spoke, “Jack.”
His gaze was still fixed to the floor. “What?”
“Are we okay?”
The towel stopped moving. The kitchen got very quiet. You could hear your own heartbeat in your ears in the slow heavy way it did when you were about to be told something that was going to rearrange you, and you sat very still at the table with your hands around your mug and you watched him decide.
He took a long time to decide, enough that you understood what the answer was going to be. He was giving you mercy, you supposed, to prepare your body. You felt your shoulders settle. You felt your jaw loosen. You felt the very small private animal of yourself curl up tight somewhere behind your ribs and go quiet, the way it did before bad news, the way it had done in the doctor's office when you were nineteen, the way it had done at your grandfather's bedside, the way it had done—once, years ago, in a different life—when a different man had told you a different version of the same thing. You knew this feeling. Your body knew this feeling. Your body was already mourning.
He pulled the towel off of his neck and held it beside the crutches.
“I don’t know.”
You waited, eyes fixated on him.
“I don’t—” He started, then stopped. “I’m tired. I’m really tired. Can we not do this right now?”
“Okay,” you said.
“I just got off a fourteen-hour—”
“Okay.”
“Don’t—Please don’t ‘okay’ me that way.”
“What way?”
“Like that. Like you’re—” He lifted his free hand up from the hold on his crutch and gestured vaguely in your direction. “Like you’ve decided what I’m gonna say.”
“Have you?”
“What?”
“Decided.”
He looked at you for the first time since he’d come home. His eyes were on your face as opposed to something past it, and you almost flinched, because you'd forgotten what it felt like to be seen by him and the remembering hurt worse than the forgetting had. His eyes were red. He looked like he hadn't slept in days, even though he'd slept yesterday, you'd watched him sleep yesterday, you'd brought the blackout curtain closed all the way like you always did and you'd put a glass of water on his nightstand like you always did and he'd slept for six hours and woken up and gone to work and now he was standing in your kitchen looking like he hadn't slept in a year.
“Don’t,” he said, voice quiet. “Don’t push this on me right now. Not right this second.”
“When, then? Tomorrow? Next week? March?” Your voice was very even, you were almost impressed by it. “Just tell me when, Jack. I’ll write it down. I’ll wait.”
“Jesus Christ.”
“What?”
“Nothing.” He shook his head as he turned away. He was going to walk out. He was going to walk into the bedroom and close the door and you were going to sit at this table for another hour and then go to work and come home and find him gone again and the whole thing would go on, the whole thing would keep going, the slow leak, the quiet drawer, the small white triangle on the rim of the mug.
“I just—” he started, stopping at the threshold of the bedroom. He had his back to you. “I just don’t know how to do this anymore.”
You did not move an inch. You did not move and you did not move and you did not move. You sat at the table with your hands around your mug, watching the back of his head, for he had said it without facing you. He’d hadn’t been brave enough to say it to your face, even though that was the truest sentence he’d said in a month, he’d said it to a doorframe.
You set your mug down on the table.
The sound it made was very small. A soft tock. You'd set it down a thousand times before. You'd set it down this morning. The mug didn't know anything had changed. The mug was a mug. You looked at it. You looked at the small ring of moisture it had left on the wood. You looked at your hands on either side of it, palms-up, empty.
“Okay,” you said.
You went to work that day. You weren’t sure what happened, what you wore, who you talked to, whether you ate lunch, and you won’t be able to. The day will be a white space in your head. A fugue state boiled down to its lowest, least harmful level. Your body had gone to work and answered emails and sat in a meeting and microwaved something for lunch and your mind had been at the kitchen table in your apartment, hands around a mug, listening to Jack’s words like a bruise that keeps being a bruise even after you stop pressing it.
You'd sat in the parking lot of your building for eleven minutes before you'd made yourself get out of the car. You'd looked up at your window—third floor, second from the left, the one with the plant on the sill that you'd bought him for his birthday last year, a stupid little succulent he'd named Gerald for reasons he'd never adequately explained—and you'd seen that the blackout curtain was still closed, which meant he was still asleep. You had maybe forty minutes before he got up for his shift, and you'd thought about driving away. You'd actually thought about it. You'd thought about driving to your sister's, two hours north, and walking into her kitchen and sitting down at her table and letting her ask you what was wrong. You'd thought about it long enough that your hands had moved to the gear shift. And then you hadn't done it, because some part of you was still hoping, standing at the kitchen counter at six-forty-seven in the morning holding two mugs of coffee. Some part of you was going to keep standing there until he told you, in plain words, to stop.
His mug from the morning was still on the counter. The coffee in it had a film on top now, a dull skin you could break with the tip of your finger.
You sat on the couch in the living room and he got up at six-fifteen. You heard the alarm first—the soft one he'd set when you started staying over because the regular one had made you flinch—and then the rustle of the sheets and the soft thud of his feet on the floor and the particular small sound he made every morning when he stood up, a half-grunt, the huh of a man whose body had been disagreeing with him for years and who'd made peace with it. You'd loved that sound. You'd loved being the only person who knew it.
He came out.
He was dressed for work — black t-shirt, scrubs slung over his shoulder, hair still wet from the shower he must have just taken, the second one in twelve hours — and he stopped when he saw you on the couch.
“Hey,” he said.
“Hey.”
“You’re home.”
“Yeah.”
He stood there for a second like he was going to say something. You watched him consider it, as though there were random english words bouncing in his mind he was trying to piece together to get what he wanted. You didn’t know what. Or you did know what. You weren’t sure.
“You want me to turn on the light?” he asked.
“It’s okay.”
“Okay.”
He went into the kitchen. You heard him open the fridge. You heard him close it without taking anything out. You heard him fill a glass of water at the sink and drink it and set the glass down on the counter—on the counter, where you'd find it later and wash it and put it away—and then he came back into the living room and he stood in the doorway and he looked at you.
“I’m sorry about this morning,” he said.
You looked at him, trying to force your lips to not turn downwards from the corner. “Are you?”
Your question came out sharper than you wanted it to. The edge had been put on it by the part of you that had been awake for more than a day and had realized, in its wake, that Jack had unlearned how to meet your eyes.
A muscle moved in his jaw. “Yeah,” he said. “I’m sorry—yeah.”
“What are you sorry for, Jack?” Your voice still had that even thing in it, that surprising calm thing, like someone else was operating you from inside. “What part are you sorry for?”
“I don’t—” he said, “I don’t know what you want me to say.”
You shrugged stiffly. “What you’re sorry for.”
“I’m sorry I was short with you. I was tired. I shouldn’t have—”
“You told me you didn’t know how to do this anymore.”
He closed his eyes, and you could see the way his face twisted at the action. “That’s not what I meant. I can’t think straight when I haven’t slept and you’re—”
You cleared your throat. “Did you mean it?”
He didn't answer for long enough that you understood he was going to lie about it, and he understood that you understood, and you both sat in that mutual understanding for a second, in the gray light, in the quiet apartment, and you watched him choose.
“I meant I was tired.”
It was the worst possible answer. It was the answer of a man who knew that yes would end the conversation and no would be a lie he couldn't make himself tell, and so he'd found a third door and walked through it, and you stood on the other side of the door and you looked at it and you thought, oh.
Oh. He’s a coward.
This was not a thought you had ever had about him. You had thought he was a lot of things. You had thought he was guarded and tired and weighed down and difficult; you had thought he was kind, in a private way, in a way most people didn't get to see; you had thought he was the smartest person in most rooms and you had thought he knew it and didn't care; you had thought, sometimes, when he was sleeping with his hand on your stomach, that he was the love of your life. You had never thought he was a coward. You had never thought he was the kind of man who would refuse to answer a yes-or-no question from a woman who had loved him because answering would cost him something he wasn't willing to pay.
You were thinking it and you were watching your face not show it and you were watching him relax, fractionally, because he thought he'd gotten away with it, because you hadn't pushed and he thought the conversation was ending in the same manner the conversations had been ending for months now, with both of you agreeing not to look directly at the thing in the middle of the room. And some terrible new part of you—a part that had been born this morning at the kitchen table, a part you didn't recognize and weren't sure you liked—wanted to let him think it. You wanted to let him walk out the door thinking he'd managed it. You wanted to give him this one last small dishonest peace before you took everything else away.
“Okay.”
He looked mildly surprised, but he hardly showed it. “Are you okay? Are we good?”
“Yeah, Jack.”
He looked at you for a long second and you held his gaze, and his face flickered—a part of him that knew that your yes was one with a stone in it—and he chose, once again, to not ask. He chose, again, to be tired.
“Okay,” he said. “I gotta go. I’m gonna be late.” Then, he added, “I’ll see you in the morning.”
You nodded.
He started coming towards the couch. You hadn’t expected that. You'd been bracing for him to just leave, to grab his bag and go, and instead he came over to the couch and he stood in front of you and he leaned down and he kissed the top of your head—like he was your father, like he was your friend, like he was anyone but the man who used to kiss you on the mouth at any opportunity he received—nd his hand brushed the back of your neck, briefly, and he smelled like soap and like him and like the faint trace of the antiseptic that never really came off him.
He said into your hair, quietly, “Get some rest, baby.”
He hadn’t called you that in seven weeks. You had not meant to keep count. You had become aware, somewhere around the fifth week, that you were keeping count in the back of your head, the small ruthless math of being unloved by someone who used to love you. You were certain he was saying goodbye.
He didn't know he was saying it. He thought he was being kind. He thought he was patching it. He thought he was leaving for his shift and he'd come home in the morning and the two of you would keep doing what you'd been doing, the slow leak and the quiet drawer.
He had no idea, but your body knew. Your body had known since the kitchen this morning. Your body had been ahead of you all day. Your body was, even now, in the small private dark of itself, already at the door, already in the car, already three exits down the freeway with one suitcase and the mug from your sister already gone, already gone, already gone.
“You too, Jack.”
He pulled back and looked at you. You saw the whole man, you saw the version of him that loved you and the version of him that didn't know how to and the version of him that was about to lose you and didn't know it yet, all of him stacked up in one face for one stupid second in the gray February light of your living room, and you almost said it.
Don’t go. I’m going to leave you. I’m going to leave you tonight, while you’re at work. I’m going to be gone when you come home. This is our last chance. Look at me. Tell me to stay.
You let him go.
He picked up his bag from the chair by the door. He picked up his keys from the bowl. He paused, very briefly, with his hand on the doorknob—you knew you would lie awake and replay that pause and try to decide if it had meant anything, if he had almost turned around, if he had felt the thing you were feeling and chosen against it the way he chose against everything now— and then he opened the door and he went out and he closed it behind him.
It came up through your stomach. It came up through your chest. It came out of your eyes without your permission and without any of the sounds you'd been expecting, like a quiet steady leaking, the way a faucet leaked, the way a roof leaked, a small humiliating involuntary grief of a body that had been holding still for fourteen hours and couldn't hold still anymore. You sat on the couch and you cried and you didn't wipe your face, because there was no one to see, because the apartment was empty
Because the man who used to put his thumb under your eye and say ‘Hey. Hey. Come here’ was on the freeway going to the hospital and he was never going to do that again.
When you stood up. Your legs were stiff. You went to the bathroom and you washed your face with cold water and you looked at yourself in the mirror —your eyes were red, your mouth was doing a thing—and you decided to go to the closet.
You grabbed the suitcase and set it on the bed. It still had the tag from the August trip on the handle. Some hotel in Vermont. You'd gone for a long weekend. He'd held your hand on the walk to dinner the first night and you'd thought this was it, the thing you wanted for the rest of your life.
The tag had your handwriting on it, with his name and the hotel address as the contact—you'd filled it out for him at the airport because he'd been on the phone with the hospital—and you stood looking at the tag with your own handwriting saying JACK ABBOTT in your slightly-too-loopy capitals.
You took the tag off the handle. You set it on the dresser. You did not throw it away. You weren't ready to throw things away yet. You were ready to take things out of the closet and put them in a suitcase. You'd worry about throwing things away later.
The kid wouldn’t stop crying. Jack didn’t blame the kid. The kid was four and he had a piece of LEGO lodged so far up his left nostril that it was going to need a procedure room, and the mother was crying when she came in, and he knew she’d have to explain to everyone later it was only ninety seconds on the phone. Jack put his hand on her shoulder to stop her from crying, and she didn’t. So, for about thirty minutes, the kid and his mother were like a background noise that nobody had asked for.
He was washing his hands now. He'd gotten the LEGO out—it had been a small red one, a 1x2, and he’d held it up in the forceps so the kid could see, and joked that he’d grown a LEGO, and the kid had laughed once through the snot and then started crying again, and Jack had handed the LEGO to the mother in a specimen cup and told her she could keep it as a souvenir, which had been a joke, which she had taken seriously, and she had thanked him three times on the way out. He was thinking about whether he could get away with eating the second half of his sandwich before the next chart hit.
It was 10:47. The board was light for a Tuesday, which meant the q-word wasn't allowed out loud, which meant he was thinking it in his head, which counted, which meant somewhere in the city right now someone was about to do something dumb with a ladder. He'd been doing this long enough to know better. He kept thinking about it anyway. The board was light. He was going to eat his sandwich.
“You owe me twenty bucks.”
Dana, who’d decided this was her twice-in-a-blue-moon night shift, behind him.
“For what?”
“LEGO. I had a LEGO.”
“You bet on a LEGO? In a four-year-old’s nose?”
“Mateo had a marble. Shen took penny. Ellis took battery.”
He dried his hands. He turned around.
“Eat the sandwich,” Dana said.
“Mhm.”
“Yeah?”
“I’m gonna eat it, Dana.”
He went to the break room. The sandwich was where he'd left it on top of his locker—turkey on rye, the rye going a little stale at the edges, made by him—and he took it back out to the desk and ate it standing up.
He got two bites in before Ellis called from the desk, “Abbott.”
“Hm?”
“Pittsburgh General called. They’ve got a transfer they want to send us.”
“Why?”
“They’re full.”
“Liars.”
“They say they’re full.”
“Tell ‘em to go cry about it.”
“I told them you said that.”
“Really,” Jack drawled.
“I told them we had capacity. Female, early-thirties, came in two hours ago with shortness of breath, chest pain, hemoptysis. Clots in her lungs. Both sides. PE. She passed out in triage. They had to put a tube in to help her breathe and they started her on blood thinners but she's getting worse, not better. They want her transferred.”
Jack chewed. “How bad?”
“They’re scared her heart can’t keep up. They don't know if they need to push the clot-busters or just keep her supported and pray. They want a second set of eyes before they pull the trigger, and we’ve got the beds.”
He swallowed. “Fine. ETA?”
“Twenty minutes. They’re loading her now.”
“Bay?”
“Two.”
“Tell Mateo to set up. I want the ultrasound at the bedside before she rolls in, not after.”
“Already did.”
“You’re showing off.”
“I’m always showing off, Doctor.”
He took another bite of his sandwich. He set the sandwich down. He knew the sandwich would go unfinished. He knew it moment Ellis had opened her mouth, which was a thing he should have learned by now and somehow kept not learning. He looked at it for a second. He picked it up. He took one more bite for the road. He chewed it on the way to bay 2.
Bay 2 was ready. Mateo had the ultrasound at the head of the bed and a tray of intubation supplies on the side table and a runner had hung two bags of saline on the IV pole and the monitor was on, blank and waiting, and the overhead was at the low setting, which Jack liked, which he had asked for once two years ago and which had become a thing that just happened now when he was running the bay, the kind of small institutional accommodation a department made for an attending it had decided to keep.
“You good?” he said to Mateo.
“Always.”
Jack pulled a gown off the rack and shrugged it on over his scrubs. He pulled gloves out of the box on the wall and he stood at the head of the bed and he waited.
He liked the waiting.
This was something he had figured out about himself a long time ago, in a different uniform, in a different country. He liked the minute before. The minute when you knew something was coming and didn't yet know what it was going to ask of you. Other people hated that minute. Other people filled it with chatter or with checking their phones or with the small fidgeting of a body that didn't know what to do with itself. He liked it. He stood very still and he let his hands hang at his sides and he ran the algorithm in his head—bilateral PEs, borderline pressures, tachy to the one-thirties, possible RV strain—and he felt the small clean focus of his brain narrowing down to the work, and underneath the focus, almost imperceptible, the thing he wasn't going to look at directly, the small persistent low-grade hum that lived in his chest now and that he had stopped trying to name.
“Two minutes out,” Ellis called from the desk.
“Copy.”
He pulled his mask up over his nose. He flexed his fingers in the gloves. He looked at the empty gurney space at the foot of the bed and he waited.
The doors banged open at 11:04.
EMS came through first, two of them. The gurney they were pushing had a person on it and the person had a tube coming out of her mouth and her chest was rising in the small mechanical way of a chest being ventilated by someone else, and Jack stepped forward to the head of the bed and he said, ‘gimme the report,’ and the medic at the head said, “Thirty-three-year-old female, history per General is unremarkable, presented to them at twenty-one hundred with two hours of progressive shortness of breath, syncopal episode in triage—”
Jack was examining her chart. He usually took the chart in one hand and he scanned the top line for the name, DOB, the allergies, and that was his muscle memory. His hands started it before his eyes did. His eyes did it before his brain did. His eyes landed on the name on the top of the chart and his brain—
His brain stopped.
His brain stopped like a needle lifted off mid-song. The whole bay went very quiet, which it wasn’t, for it was full of sound—monitors pinging, the medics still talking, Mateo on the other side of the bed saying something—but inside Jack’s head, it was very, very quiet. It was a sort of quiet he hadn’t heard in a long time; it came before bad things, as a result of the absence of his own thoughts.
He looked at the name on the chart. He looked at it for what he would later think was a long time and was actually about a second and a half.
He looked up, and he looked at the face. The ace had a tube taped to the corner of your mouth. Your hair was—someone had pulled it back at General and tied it off with those rubber things they kept in the jar at every ER—
Your face. Your face was your face.
Your face was the face he had—your face was the face that had—your face.
Your face was older.
That was the first thing his brain managed to think after it had finished stopping. Your face was older by two and a half years. There were small things that were different. There was a barely-there line between your eyebrows that had not been there. There was a small softness around your mouth he was trying to name, but failing. Your hair was a slightly different color by a few shades. Maybe you’d stopped getting the highlights you used to. Maybe you’d started getting something different. Jack was clueless what you’d started to do differently, but he knew that you had.
Two and a half years had happened to your face without him, and his brain started taking a clinical inventory of the years he had not been allowed to see. His brain—for the first time in much too long—understood that time had been real. He’d understood time had happened, and you’d been alive for it. That you’d aged, and he’d not been there.
His eyes went down to your throat. He’d made an involuntary decision to look. There was a thin gold chain resting there he didn’t recognize. It was small and the kind of chain you’d buy for yourself or have given it to you from someone else. This chain, Jack realized, had been on your neck for an unknown amount of time, in some unknown place, during unknown evenings he couldn’t be a part of.
His eyes went down further. To your hand on the sheet. To your right thumb. The cuticle was bitten. The cuticle was bitten down to the bed of the nail, the way you used to bite it when you were anxious about something, the way you bit it the night before a big work meeting or the morning of a doctor's appointment or the time you were waiting to hear back from the bone scan on your aunt. The cuticle had been bitten recently. You had been anxious recently. He did not know what about. He did not get to know what about.
“Dr. Abbott?” Mateo called from across the bed, and it sounded like his voice came through a long tunnel. “Dr. Abbot, everything good?”
His hands were on the chart. His hands were still on the chart, and his eyes were on your face, and his mouth was not doing anything. His mouth was a part of his body he had forgotten about. He could feel his pulse in his neck. He could feel his pulse in his hands. He could feel the small mean drop of his stomach that he hadn't felt in two and a half years and that he recognized immediately, the way you recognized a smell from a place you used to live.
“Get me Dana,” he said to Mateo. His voice was the voice he used in the ER. His voice was a small miracle. He didn't know how his voice was doing that.
“Doctor—”
“Now. Please.”
Mateo scrambled off. Jack looked back down at you.
You were—the color was bad. He could see that without looking at the monitor. Your face was the wrong color, it was the exact one of someone whose heart was not pushing blood the way it was supposed to, and your chest was rising in the wrong way, because it was one that was being made to breathe. There was a small patch of dried blood at the corner of your mouth where the tube must have nicked you on its way in, and your eyelashes—Jesus fucking Christ.
Your eyelashes. He had not—there had not been a single day in the last two and a half years when he had not thought about your eyelashes, not specifically, not the small fact of their existence, the fact that they sat on your cheeks when your eyelids were closed, the small fringe of them, the small fringe of them that he had—that he used to—
He stepped back from the gurney, his prosthetic causing him to stumble back slightly. He didn’t mean to, his body had done it. His body had taken one step away from you and his body was, right now, his body was making a series of very small decisions about him without consulting him, his body was the only thing in the room with any sense, his body was controlling him because his brain was haywire.
“Jack,” Dana said firmly at his elbow.
He couldn’t look at her.
“Jack. Look at me.”
He looked at Dana.
Dana had her hand on his elbow. Dana was looking at his face. And Dana. Dana was a woman who had known him for a long time and who was looking at his face and Dana's own face did a thing, did a small terrible quick thing, and then it didn't do the thing anymore, and her hand was on his elbow and her voice was very low and very even and she was saying, “Step out.”
“No.”
“Jack.”
“No, Dana.”
“You can’t—”
“I know. I know what I can’t. Get Ellis. Ellis runs it. I want eyes on. I am not leaving.”
“Jack.”
“I am not leaving, Dana.”
She looked at him for a second that felt like a year, the small assessing look of a woman who had run more codes than most cardiologists and who was, right now, doing math, fast math, the kind of math that took into account him and her and the patient on the gurney and the resident across the bed and the medical board of Pennsylvania and whatever the fuck else lived in Dana’s marvelous head, and then she nodded.
“Stand at the head. Do not touch her. Tell Ellis everything you know.”
“I don’t—don’t anymore—”
“You know her, Jack. That’s what you know. Tell Ellis what you know about her medically. Allergies. Meds. History. Anything you have. Then you stand at the head and you keep your hands behind your back.”
He nodded, because words were foreign to him right now. So, he nodded.
Dana squeezed his elbow once and let go and turned for Ellis, and Ellis came at a jog from the desk. Jack moved up to the head of the bed and he stood there and he put his hands behind his back like Dana had said and he looked down at her face and he thought about the kitchen.
He thought about the kitchen for one second, the kitchen at six-fifty-three in the morning, the cold coffee on the counter and the key beside it and the small tag on the suitcase handle in the closet that he hadn't found until two days later when he was looking for something else, the small tag with her handwriting on it and his name on it.
He thought don’t. Not now. Don’t.
He looked at your face.
He cleared his throat quickly and said, “No allergies. NKDA. She—sulfa makes her stomach hurt but it’s not a real allergy; she’ll say it is because it’s easier. But write down sulfa. She—she was on a dose of OCP a couple years ago, but I don’t know if she still is. I don’t know what she’s on now. I don’t—”
His voice cracked, a little glitch it had not done in a long time. He cleared his throat again.
“She gets migraines, maybe twice a year, with aura. She used to take excedrin for them. I don’t know what she takes now. I don’t know what she takes. No surgeries. Tonsils when she was eleven. That’s it. Non-smoker, was. Is. Drinks socially.”
Ellis nodded. “Got it.”
“She’s—there’s family history. Her mom had a—fuck, she had a—a clotting thing. After her second pregnancy. She was on heparin for a while. Her sister got tested; she got tested. They were both negative. But it’s in the chart somewhere. It should be in the chart.”
“Okay.”
“It is in the chart, Parker. I’m telling you.”
“I believe you, Jack. We’ll look.”
“There’s—she’s got a thing. She said she doesn’t like the idea of being intubated in front of strangers. She’s scared of it. She told me she didn’t want it. If she can hear us, if there’s any way, I know she can’t, but if she can, somebody should tell her she’s safe.”
Ellis looked at him for a moment. “I’ll tell her.”
He nodded and made himself stop. He could feel the next thing he was going to say lining up behind his teeth and he made himself not say it.
‘She sleeps on her left side. She can’t sleep on her back, it gives her bad dreams. If you have to put her flat for any reason, she’s going to wake up panicking. Just—be ready for it.’ He could feel the small careful instruction-manual of you that he had been keeping in his head for two and a half years, the small useful nothings. ‘She likes the room cold when she sleeps and she gets cold hands when she’s scared. She wants water but never says yes to it, so just put it next to her. She always wants water.’
He understood, standing at the head of your bed with his hands behind his back, that none of this was medical. None of that was his to give. None of it belonged in Ellis’s notes about you. Ellis was looking at him for something useful, and the only thing he could think of was that you like the room cold. He could not say it, though what he would not give to be able to spill his guts about you, talk about you to anyone who listened until the sun came up and his throat was raw.
“She’s healthy,” he said. “She—from last time I—she’s healthy.”
“Thanks, Jack,” Ellis nodded again gently and looked at him.
She looked at him with a face he was going to think about later, as she understood in real time, and Ellis, to her enormous credit, the credit of a doctor he was going to think about with gratitude for the rest of his life, did not say anything about it. Ellis took the report from the medic and started moving.
“Okay, let’s get a repeat set of vitals,” she said, turning back to your bed. “Bedside echo, second large-bore IV if she doesn't have one, and someone get me the chart from General, the actual chart, not the summary. Mateo, walk me through the heparin dose.”
Jack stood at the head of the bed with his hands behind his back and he looked down at your face and he did not touch you and he watched your chest rise on the ventilator and he watched the small dried patch of blood at the corner of her mouth and he watched your eyelashes on her cheek and he thought, please.
He stood at the head of your bed with his hands behind his back like a man at a funeral and he thought please, baby and he watched the ventilator breathe for you, and somewhere out at the desk a phone was ringing, and somewhere down the hall a kid with no LEGO in his nose was being discharged with a sticker, and the clock on the wall said 11:07, and Jack Abbott did not move and did not move and did not move.
He thought about how Ellis was good. He’d always known it. He had a file in his head about her, and it was filled it words like competent, fast, doesn’t panic, asks the right questions, and that file was being updated in real time tonight now. Because Ellis, right now, in this bay, with this patient, being the doctor Jack would have wanted in this room for someone he loved if he had been able to choose, which he had not been and could not be, and the choice was Ellis. And Ellis was good, and Jack stood at the head of the bed with his hands behind his back and he watched Collins work and he tried not to be grateful in a way that would make his face do anything.
Mateo gave the probe to Ellis. She took it. She gelled it. She tucked the sheet down off your chest in the small careful way she would for any patient and Jack looked at the ceiling for a half-second because he could not look at your chest under fluorescent light with a stranger's hand moving across it, even Ellis’s hand, even the hand of a doctor he trusted. He looked at the ceiling. The ceiling tile above bay 2 had a small water stain in the shape of nothing, really. The shape of a stain. He had stood under this water stain before. He had stood under it last month and the month before and probably a hundred times. He had never seen it before in his life.
He had the algorithm in his head. He could feel it running. He could feel the part of him that was a doctor doing the thing it did, the small clean calculation of everything to do medically. And underneath, he could feel the other part of him. He could feel the man who had once watched you sleep next to him for six-hundred-and-forty-three nights, and that part was making a sound he could not hear out loud, a small high frantic sound, the sound of a thing being held under water.
“What do you want to do?” Ellis asked.
He realized she knew what to do. Ellis knew exactly what to do. She was asking him because he was the senior attending and because asking him kept him in the room, kept his hands attached to a function, kept him from being a man standing at the head of a gurney watching the love of his life turn the wrong color under fluorescent light. She was throwing him a rope. She was throwing it casually, the way you would throw a rope to someone who didn't yet know they were drowning, and Jack looked at Collins and Collins looked back at him and Collins did not blink and Jack thought, Parker Ellis. Parker Ellis, you good and decent woman. I am going to remember this.
“Half-dose.”
“You sure?”
“She’s young. Full dose risks the bleed. We watch.”
“Agree.”
“Get the Radiology in case.”
“Already paged.”
“You’re showing off again, Ellis.”
“You’re slow tonight, Doctor Abott.”
They looked at each other, and the exchange was the closest thing to mercy he was going to get for a while, and they both understood it, and they both let it pass without naming it, and Ellis turned back to your bed and started working and Jack stayed where he was, at the head, with his hands behind his back, and he watched.
This was a thing he had observed about himself in difficult moments before, mostly in a different uniform in a different country; his perception narrowed in stages. First, the room got smaller; the room got quieter; the room developed a kind of underwater quality, where sound came to him on a small delay, where people's mouths moved a half-second before the words got to him. His own pulse was the loudest thing he could hear. He was at the underwater stage now. He had not been at the underwater stage in a long time. He had forgotten how it was almost peaceful, almost, the small mean peace of a brain that had decided it could not handle the regular speed of things and had slowed everything down.
Your hand was on the gurney with the palm turned up. Someone — the medic, probably, at General, hours ago — had put a pulse ox on your index finger and the small red light of it was glowing through the pad of your finger, and your hand was slack and pale on the white sheet and your fingers were curled in the soft way of a hand whose owner was not currently making decisions about it, and Jack looked at your hand and he thought to make himself stop thinking.
He could feel his thoughts coming behind him like waves, and he tried to brace and he tried to think don't hard enough that the memory would go around him instead of through him, and it didn't work, it never worked, he had been trying not to think about specific memories of you for two and a half years and he had not once succeeded in not thinking about a memory once it had decided to arrive, and the memory arrived like a crash.
It was a Sunday morning a long time ago, in his apartment, in the bed that had been his apartment's bed before it had been your apartment's bed before it had been his apartment's bed again, and you had been asleep on your side facing him and he had been lying on his side facing you, awake, watching you, in the way he sometimes did and never told you about, and your hand had been on the pillow between your faces with the palm turned up, the way it was turned up now, the small slack curl of your fingers, and he had reached out very slowly so he didn't wake you and he had pressed his thumb to the inside of your wrist, just there, where the pulse was, and he had felt it, the small steady beat of you, and he had thought ‘thank you.’
He had thought it as a sentence with no addressee. He had thought it the way men in foxholes thought it. He had thought thank you, and you had not woken up, and he had taken his thumb off your wrist after a while and you had slept on, and he had lain there for another hour watching you sleep, and that had been a Sunday in — he didn't know. He didn't know what Sunday it had been. He had a lot of Sundays like that one filed away and he had stopped, at some point, trying to keep them in order.
He was at the head of your bed and he wasn’t allowed to touch you.
Your hand was on the sheet with the palm turned up and the small red light of the pulse ox was glowing through the pad of your index finger and your pulse was being read by a machine instead of by him and Jack stood at the head of the bed and he did not move and he did not move and he did not move.
When the tPA went in, Jack knew it went in and it went around and it found the clot and it started to break it up, and you started to get better the way ice melted, slowly, in increments you couldn't see while you were watching, only in the aggregate, only when you looked away and looked back.
So the next twenty minutes were a vigil. The next twenty minutes were Jack and Ellis and Mateo and other people standing around your bed and watching the monitor and watching your chest and watching your color, and the monitor pinged in its small mechanical way and your blood pressure stayed at eighty-six and your heart rate stayed at one-forty and Jack stood at the head of the bed and breathed through his nose and counted, in his head, very quietly, because he had nothing else to do with his hands and his mouth and his eyes.
He counted to a hundred.
He counted to a hundred again.
He was on four hundred when his blood pressure went up by four points.
“Pressure’s coming up,” Mateo said. “Ninety over fifty-six. Heart rate one-thirty-five.”
When Jack didn’t move, Mateo called his name.
“I see it, Mateo.”
“Sorry. Sorry, sir.”
“Don’t call me sir.”
“Sorry.”
Jack looked at the monitor; he watched your blood pressure. He watched your blood pressure sit at ninety for a few seconds and then go to ninety-two. He watched your heart rate come down from one-thirty-five to one-thirty-two. He watched the numbers and he did not let himself feel anything about the numbers and he stood at the head of the bed and the small slow tide of the room came back up around his ankles and, even though he didn’t, felt like he had one, healthy breath he could take instead of the shallow ones he’d been taking.
He thought, okay. He thought it the way you’d said it that morning. He thought it in your voice, he heard it in your voice, and he stood at the head of the bed and kept repeating the word and he watched the numbers and they kept on being good.
Ellis exhaled. Jack hadn’t even realized Ellis had been holding her breath, and the only reason he noticed it was because she let it out. Ellis shook her head once, very small, and said, “Okay. We’re getting somewhere.” Then, she looked at Jack and said, “Abbott, sit down.”
“I’m fine,” Jack said, not missing a beat.
“You’re gray, Abbott.”
Jack stayed silent because, frankly, he had no idea what color his face was. He had no information about his face—he didn’t care about his face—because it was somewhere far above him being operated by remote. But Ellis was looking at him with a look he’d never seen on her, at least directed on him, and Jack thought he really must’ve looked bad.
“Five minutes,” Ellis said. “Go sit down. Drink some water. I won’t leave her. I’ll call you if anything moves.”
“Please—”
“Five minutes.”
Jack looked at Ellis, then he looked at you. He was not going to win this one and that the smartest thing he could do was to take the five minutes she was offering and come back functional.
He walked through the bay doors and past the desk and past Dana, who did not look up from the phone, who knew not to look up, who was a woman of great and terrible mercies, and he walked down the hall to the supply closet on the left, and he opened the supply closet and he went in and he closed the door behind him and he stood in the dark for a second and then he turned the light on and he leaned against the metal shelving with the gauze and the saline and the small disposable speculums on it and he put his hands over his face.
Jack hadn’t cried in a long, long time. He wasn’t sure if he still could. The mechanism was there, somewhere, but he had not, since the morning he had come back home and seen your key on the counter and the cold, day-old coffee mug beside it, made it work. He’d come close. He had come close a number of times. He’d stood at his own kitchen counter for too long, his weight foot had gotten sore because of how much pressure he was putting on it, and the tears had not come. The only thing that accompanied him was this tug at his chest that started dull, then grew into this feeling of thousands of tiny knives stabbing into his ribcage.
He stood with his hands over his face and his back against the shelving and he breathed for a count of four in and a count of six out, which was a thing he had been taught a long time ago by a therapist with a kind face whose name he could not currently remember. He breathed and breathed, but all his brain could conjure up was the trip the two of you never made it on.
The cabin, the one you were supposed to be going to in June, only months after you left. You’d booked it in October, and you’d been excited about it. Jack had been so, so excited about it. You had a running list of things you wanted to do—a hike, a swim in a strange place, a restaurant with things neither of you had heard of—and you’d emailed him the list with the subject line, “june???” and he’d emailed back, “yes ma’am,” and that was that.
He’d gone to the cabin alone four months after you’d left. He’d taken the time off he’d already booked, gotten in his car, and drove four hours to the cabin. He’d checked in under his own name and the receptionist asked if there had been a change to the reservation, because there were two names on it. He knew it was downright silly to have expected you there; he hadn’t run into you in Pittsburgh, so there was no possibility you would have shown up here. He said no, the other person couldn’t make it. The woman at the front desk had nodded politely and given him the keys.
He’d done none of the things on your list. He had sat on the dock and looked at the lake and thought about you. He’d thought about whether you knew the dates of the trip you’d planned. Were you also thinking about the dates? He had thought about whether you were thinking about him thinking about you. He had eaten badly. He had slept badly.
On the third day, he had walked into the woods behind the cabin and he had sat down on a fallen log and he had stayed on it for an hour as his chest felt like it was caving in. The light had changed while he was on the log. The light had gone from the late afternoon kind to the early evening kind, and at some point he had registered that the light had changed, and he had gotten up off the log and walked back to the cabin, and he had checked out the next day a day early. He had driven home. He had not told anyone he had gone.
He took his hands off his face.
He looked at the ceiling of the supply closet. He turned the light off. He opened the door. He walked back down the hall. He walked past the desk. Dana, again, did not look up. He went back into bay 2.
Ellis looked at him and nodded, which he returned.
Your blood pressure was ninety-six over sixty. Your heart rate was one-twenty-eight. Your color, under the fluorescents, was — your color was a fraction less wrong than it had been five minutes ago. The ventilator was breathing for you in the same small mechanical way. Ellis started charting at the foot of the bed. The new nurse was checking the IV.
Jack went back to the head of the bed and put his hands behind his back.
He didn't know how long he stood there because he had stopped looking at the clock — there was a clock above the door of bay 2 and he had stopped letting his eyes go to it, because every time he looked at it less time had passed than he thought, every time he looked at it the small mean math of the clock told him that the universe was running slow tonight on purpose, and he had decided at some point that he was not going to look at the clock anymore.
“Jack?” Dana’s voice called.
“Mm?”
“Her sister’s here.”
He stood at the head of the bed and he looked at you and he held very still and he thought about something. He thought about the suitcase tag. He thought about your hand on the pillow on a Sunday morning a long time ago.
He thought about the small dried patch of blood at the corner of your mouth where the tube must have nicked you on the way in and which someone, at some point, was going to have to wipe off, and he thought, very clearly, with the small clean clarity of a man in a supply closet, that he wanted to be the one who wiped it off.
He wasn’t allowed.
“You don’t have to, Jack,” Dana said when he didn’t respond.
“I’m going, it’s okay.”
Dana looked at him for a long second with the look she had, the look he had earned over years, the look that said that while she is, in fact, his nurse, she could be his friend or his mother or his nurse, if he needed her to be any of those for the next ten minutes. He looked back at her and he didn't say anything. She nodded, once, and she stepped aside.
He walked out of bay 2.
He could see your sister, standing at the desk, in a coat that was too thin for the weather, with her purse on her shoulder and her phone in her hand and her hair pulled back from her face, which he had only ever seen her do twice, the first time when your father had been in the hospital four years ago and the second time when she had come to yours and Jack’s apartment for Thanksgiving and burned the rolls and cried about it in the kitchen and let him hand her a glass of wine.
She had a wedding band on, which she had not the last time he’d seen her. The ring was a thin gold band. She had a small gold charm on a chain around her neck.
He knew her face. He knew the way she held her phone.
He knew, even from down the hall, that she had been crying in the car on the way over and had stopped before she came in, because that was the kind of thing your sister did, that was a specific habit she had, and he had liked her very much, once, and she had liked him very much, once. It was a kind of likeness that came from knowing the other person loved their mutual person right.
The last thing she had ever said to him out loud had been “She's okay. I just wanted you to know she's okay,” on a phone call four months after you’d left, and she had hung up before he could say anything back. She was the closest he could get to you without getting to you, because the one time he’d tried calling you, it rang five times before he, in the most honest words he could put it, chickened out.
When she turned and saw him, there was the flash of recognition. Then, he could practically hear her think ‘of course it’s you, of course it had to be you.’ Then her face did the thing he had been bracing for, the polite hard face of a woman who had not forgiven him and was not going to and was, right now, going to have to talk to him anyway because her sister was on a ventilator. She stood at the desk with her phone in her hand and she watched him walk toward her.
He put them in the pockets of his scrubs. He took them out. He put them behind his back. He took them out again. He let them hang at his sides.
“Hi,” he said.
She looked at him and seemed like she wanted to frown. “Hi, Jack.”
Jack had been bracing for cruelty. It was then he realized she was choosing to be kind to him. Why, he wasn’t sure. But the only conclusion he could come to was that she wouldn’t punish him for what he’d done, and instead let the world do it. The world was doing a fine job.
“She’s stable.” He cleared his throat because it sounded too heavy again. “She’s gonna—she’s gonna be okay. We're moving her to ICU in a little while. She's gonna be okay.”
She looked at him and Jack watched her eyes fill up. Your sister was, like you, a person who did not cry in front of people if she could help it. He stood there and watched her not cry, and he understood, with the clarity of a man who loved you and could not stop doing so, that she didn’t cry in front of people because you didn’t cry in front of people. Because the two of you had learned it from the same kitchen, the same mother, the same childhood with the same set of rules about what was and was not allowed to be done in a room with witnesses.
She let her eyes fill up and she looked at the ceiling for a second and she breathed through her nose and she looked back at him and she said, very quietly, “Okay. Okay. Thank you.”
“I didn’t—Doctor Ellis ran most—”
“Thank you, Jack.”
He gave her one jerky nod. Then, he looked at the floor and nodded again and he stood there.
“Can I—” he started, then stopped himself because he wasn’t sure what he was asking.
Your sister hummed, slightly urging him to continue.
“Can I see her? Once she’s in the ICU. Can I—I don’t have to go in. I just, I would really like to. Once, if that’s okay.”
This woman had stood in your kitchen one Sunday afternoon a long time ago and watched him put his hand on the back of your neck while you laughed at something the neighbor’s dog had done and who had thought, in that moment, that, yes, Jack is the one for her sister. This woman had also, four months later, sat with you on the phone while you cried in a parking lot in a different city. The look she gave him contained both of those things. It was a look that contained more than Jack could parse, and he stood in the hallway of his ER and he looked at your sister and he waited.
“I don’t know, Jack,” she said.
He nodded, and it was more unstable than before.
“I don’t know if she’d want that.”
“I know,” Jack said, and this time, there was no denying the shakiness accompanying his voice. “I know. I’m sorry. I shouldn’t have asked.”
“I’ll think about it, okay?” Jack was nodding along to whatever she said now, because this, this, he’d have to make peace with. “I’ll see how she feels, and maybe I can bring it up—?”
He nodded and he could not say anything and he stepped back from the desk. Before he could turn around, another question slipped from his mouth, “Was—is she okay? In the last while, was she taking care of herself? Happy? Sleeping?”
He was making a mess of it. He could feel his face doing the thing it did when he was making a mess of it.
“She’s been okay, Jack.”
He nodded and nodded and nodded.
Your sister picked up her purse from where it had slid down her arm and she adjusted her coat and she looked at him one more time and she said, “It’s nice to see you, Jack.”
She said it like a small kindness she was giving him because she had decided, in these past few minutes, that she was going to give him this one thing. Like giving a stranger directions to a place you knew they probably weren't going to find. She said it and she meant it and she also did not mean it, and Jack stood as he watched your sister walk past him toward bay 2, where Dana was waiting to take her in, and he stood there until she was gone, and then he stood there a little longer.
