Heart Of The Matter - Heart of the Matter Part 6
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Heart of the Matter Part 6

A beat later, Rosemary arrives unexpectedly, along with a bag of dollar-store gadgets for Charlie and a plastic container of her famous chicken tetrazzini. Valerie knows how hard her mother is trying, how much she wants to be there for them both. Yet she finds herself wishing she had not come, at least not at this moment, and marvels at how her mother manages to suck the peaceful feeling out of the room by her mere presence.

"Oh! Why, hello," Rosemary says, staring at Dr. Russo. They have not yet met, but she has heard much about him, mostly from Charlie.

Dr. Russo abruptly turns and stands with a polite, expectant smile, as Valerie makes an introduction that feels both awkward and somehow revealing. Since their arrival at the hospital, Valerie and Charlie have made a few friends, but she has remained a vigilant gatekeeper of all personal information. Only occasionally has a detail slipped out, sometimes unwittingly, sometimes by necessity. Dr. Russo knows, for example, that there was only one parent signing consent forms-and anyone can easily observe that there are no male visitors other than Jason.

"Very nice to meet you, Mrs. Anderson," Dr. Russo says, as he extends his hand toward Rosemary.

"It's wonderful to meet you, too," she says, shaking his hand with a flustered look of awe, the same expression she wears after church when talking to the priests, especially the young, handsome ones. "I just can't thank you enough, Dr. Russo, for everything you've done tor my grandson."

It is an appropriate thing to say, and yet Valerie still feels annoyed, even embarrassed by the slight tremor in her mother's voice. More important, she is conscious of Charlie, listening intently, and resents her mother's melodramatic reminder of why they all are here. Dr. Russo seems to be aware of this dynamic, too, because he quickly murmurs, "You're welcome." Then he turns back to Charlie and says, "Well, buddy, I'll let you visit with your grandma . . ."

Charlie's face scrunches into a frown. "Aww, Dr. Nick, can't you stay a little longer? Please?"

Valerie watches Dr. Russo hesitate, and then rushes in to save him. "Charlie, honey, Dr. Russo needs to go now. He has a lot of other patients to see."

"Actually, buddy, I need to talk to your mom for a few minutes. If that's okay with her?" Dr. Russo says, shifting his gaze to Valerie. "Do you have a minute?"

She nods, thinking of how much her life has slowed since they came here. Always before, she was rushing everywhere; now she finds herself with nothing but time.

Dr. Russo squeezes Charlie's foot and says, "I'll see you tomorrow.

Okay, buddy?"

"Okay," Charlie says reluctantly.

Valerie can tell Rosemary's feelings are hurt by her secondfiddle status and she overcompensates with forced exuberance. "Look! I brought a seek-and-find book!" she shrills. "Wouldn't that be fun?"

Valerie has always maintained that searching for words in a grid of letters is among life's most boring games, and she can tell from her son's lackluster reaction that he agrees. His grandmother might as well have just asked him to count the dimples on a golf ball. "I guess so," he says, shrugging.

Dr. Russo gives Rosemary a nod good-bye before exiting the room. Valerie follows him, remembering the night they met, and their first conversation out in a sterile hall just like this one. She thinks of how far she and Charlie have come, how much her fear and horror have subsided, replaced by a large measure of stoic resignation and a dash of hope.

Now alone, they stand face-to-face for a few beats of silence before Dr. Russo says, "Would you like to get a cup of coffee? In the cafeteria?"

"Yes," she says, feeling her pulse quicken in a way that both surprises and unsettles her. She feels nervous, but doesn't know why, and hopes that he can't sense her uneasiness.

"Great," he says, as they turn and walk toward the elevators. They do not speak along the way, other than an occasional hello to nurses. Valerie carefully studies their faces, their reactions to him, as she has for several weeks now. She has long since determined that Dr. Russo is admired, almost revered, revered, in marked contrast to many of the other surgeons she's heard grumblings about, accusations of their being condescending or arrogant or downright rude. He is not overly friendly or chatty, but has a warm, respectful manner that, coupled with his rock-star reputation, makes him the most popular doctor at the hospital. in marked contrast to many of the other surgeons she's heard grumblings about, accusations of their being condescending or arrogant or downright rude. He is not overly friendly or chatty, but has a warm, respectful manner that, coupled with his rock-star reputation, makes him the most popular doctor at the hospital. He is the best in the country, He is the best in the country, she's heard again and again. she's heard again and again. But still so nice. And quite the looker, too, But still so nice. And quite the looker, too, All of this makes the invitation even more flattering to Valerie. She is certain he merely wants to discuss Charlie's upcoming skin graft or his overall progress, but has the sense that he rarely does so over coffee, particularly on a Friday evening.

A few seconds later, they arrive at the elevator, and when the doors open, Dr. Russo motions for her to go first. Once inside, they both stare ahead, silently, until he clears his throat and says, "He's a great kid."

"Thank you," Valerie says, believing him. It is the only time she is good at accepting compliments.

They exit the elevator and round the corner to the cafeteria. As Valerie's eyes adjust to the fluorescent lights, Dr. Russo asks, "When did he start getting so interested in classical music?"

"Over the past year or so," Valerie says. "Jason plays the piano and guitar and has taught him a lot about music."

Dr. Russo nods, as if digesting this information, and then asks whether Charlie plays any instruments.

"He takes piano lessons," she says, following the familiar route past the grill and fountain drinks to the coffee station.

Valerie can tell he's thinking about Charlie's hand as she continues, "He's pretty good. He can hear a song and just. . . figure out the notes, by ear." She tentatively continues, wondering if she is bragging too much. "Runs in the family. Jason apparently has perfect pitch. He once identified our doorbell as an A above middle C."

"Wow," Dr. Russo says, looking legitimately impressed. "That's rare, isn't it?"

Valerie nods as she takes a cup from the upside-down stack and scans the coffee options. "I guess it's one in ten thousand or somerhing."

Dr. Russo whistles and then says, "Can Charlie do that?"

"No-no," Valerie says. "He's just a bit precocious. That's all."

Dr. Russo nods as he pumps a paper cup full of the regular blend. Meanwhile, Valerie chooses the hazelnut and stirs in a packet of raw sugar.

"You hungry?" he asks, as they pass a row of pastries and other snacks.

She shakes her head, having long since forgotten the feeling of hunger. In two weeks, she has lost at least five pounds, going from thin to very thin, her hip bones two sharp angles.

They make their way to the cash register, but when Valerie pulls out her wallet, Dr. Russo says, "I got this one."

She does not protest, not wanting to make a big deal of an eighty-cent cup of coffee. Instead she nonchalantly thanks him as he takes his change and leads her to a small booth in the back corner of the cafeteria, a place where she has sat many times before, but always alone.

"So," he says, sliding into his seat and taking a sip of his coffee. "How are you holding up?"

She positions herself directly across from him as she tells him she's fine, for the moment believing it.

"I know it's not easy," he says. "But I have to tell you . . . I really think Charlie is doing so well. And in large part, I think it's because of you."

She feels herself blush as she thanks him and says, "The hospital has been wonderful. Everyone Everyone here is wonderful." here is wonderful."

It is the closest she has come to thanking him, something she can't quite bring herself to do directly, for fear that she will break down. He nods, now his turn to look modest. "You're welcome," he says emphatically, in a much different tone than the one he used to return Rosemary's words of thanks.

Valerie smiles at her son's doctor; he smiles back at her. Then they sip their coffee in unison, all the while maintaining eye contact. Valerie decides that, by any measure, they have just shared a moment, and the joint acknowledgment of this moment renders them both silent for an even longer stretch.

Valerie's mind races, as she wonders what to say next. She resists peppering him with medical queries, as she feels she asks too many questions already. And yet, she doesn't feel quite comfortable broaching outside-world topics, as everything seems either too trivial or too personal.

"Well," he finally says, breaking their silence. "I wanted to talk to you about Monday. Charlie's graft."

"Okay," she says, straightening her posture and wishing she had her spiral notebook and pen with her, so she could take notes, release nervous energy.

"I wanted to make sure you understand the procedure-and answer any questions you may have," he says.

"I appreciate that," Valerie says as she conjures the specifics from prior conversations with him, as well as bits and pieces from Charlie's nurses, and all that she has read on the Internet.

He clears his throat and says, "Okay. First thing Monday morning, an anesthesiologist will come in and put Charlie to sleep."

She feels herself tense as he continues. "Then I'll shave his hair and remove the burned skin from his face."

She swallows and nods.

"Then I'll take a special surgical instrument called a power dermatome and shave a layer of skin off his scalp to produce a split-thickness graft."

"Split thickness?" she asks, worried.

He nods reassuringly. "A split-thickness graft contains the epidermis and a portion of the dermis."

"And that will grow back? On his scalp?"

"Yes. The remaining skin still contains hair follicles and sebaceous glands which gradually proliferate out to form a new layer of epidermis. We'll dress the area with a moist antibiotic-covered gauze to guard against infection . . ."

"Okay," Valerie says, swallowing, nodding. "And then? How do you put the skin on?"

"So. We'll take the skin and just drape it right over his cheek, and use a scalpel to punch little holes to allow blood and fluid to drain. We then secure the graft with fine sutures and a little biological glue and cover it with a moist, nonadherent dressing."

"Does it always . . . take?" she says.

"Typically, yes. It should attach and revascularize . . . and his scalp will be a fine match for his cheek."

She nods, feeling queasy but reassured, as he goes on to explain that after the surgery Charlie will wear a custom-fitted face mask in order to control facial scarring. "Basically, we want to keep the scars on the face flat, smooth, and pliable."

"A mask?" she says, trying to picture it, worrying, once again, about the social stigma her son will have to endure.

"Yes," he says. "An occupational therapist will be coming by later this afternoon to take a scan of Charlie's face. This data will be transmitted to a company that makes custom-fitted, transparent silicone masks. The mask will cover Charlie's entire face-except for holes for the eyes, nose, and mouth-and attach with straps."

"But it will be clear? See-through?"

"Yes," he says. "Clear so that we can observe blanching of the scar and see where pressure is being applied . . . Over time, the therapist will adjust the fit of the mask by making changes to the mold and reheating the plastic." He studies her face, as if searching for something. "Sound good?"

She nods, feeling slightly reassured.

"Any other questions?"

"No. Not right now," she says quietly.

Dr. Russo nods and says, "Well. Just call me if they come up. Anytime. You have my cell."

"Thank you, Dr. Russo," she says.

"Nick," he says. It is at least the fourth time he's corrected her.

"Nick," she repeats as their eyes lock again. Another stretch of silence ensues, much like the last one, but this time, Valerie feels more comfortable, nearly enjoying the quiet camaraderie.

Nick seems to feel the same, because he smiles and easily switches to a new topic. "So Charlie mentioned you're a lawyer?" he says.

Valerie nods, wondering when, and in what context, Charlie discussed her profession.

"What kind of lawyer?" he asks.

"I practice corporate litigation," she says, thinking of how far away and unimportant her firm and all its politics feel to her. Other than a few phone calls with the head of her department, in which he assured her that her cases and clients were covered and she should not worry about a thing, she had not given work a single thought since Charlie's accident and couldn't fathom why she ever let it stress her out.

"Did you go to law school around here?" he asks.

She nods and says, "Yeah. I went to Harvard," instead of the usual way she avoids that word, not out of a sense of feigned modesty the way so many of her classmates say, "I went to school in Cambridge," but because she still doesn't feel quite worthy of the name.

But with Nick, it is different, perhaps because she knows he went there, too-that he is as accomplished as they come. Sure enough, he nods, unfazed, and says, "Did you always know you wanted to practice law?"

She considers this-considers the truth-that she had no real passion for the law, but simply wanted to achieve for the sake of achievement. Especially after Charlie was born, when she desperately wanted to earn a good living and be able to provide for her son. Do something that Charlie could be proud of so that she might somehow compensate for his not having a father.

But, of course, she does not divulge any of this, and instead says, "No, not really. I was a paralegal for a couple of years, and realized that I was as smart as the lawyers at my firm . . ." Then she smiles and goes out on a limb with a joke, her first in ages. "Probably what the nurses around here are saying about you."

"Probably so," Dr. Russo says, smiling modestly back at her. "Oh, come on," she says. "You don't believe that. You even told told me how good you are." me how good you are."

"I did?" he says, surprised. "When?"

"When we first met," she says, her smile fading as she remembers that night.

He stares at the air above his head, as if he, too, is reliving the night of Charlie's accident. "Yeah, I guess I did, didn't I?"

Valerie nods, then says, "And so far ... I'd have to agree."

She gives him a look as he leans across the table and says, "Just you wait. Give me a few months and a couple more surgeries. . ."

To this, Valerie says nothing, but she can feel her heart racing with gratitude and something else she can't quite name, as she silently grants him all the time in the world.

9.

Tessa.

It is Friday night, and I am sitting in the family room with my mother, brother, and sister-of-law, all in from Manhattan for a weekend visit. We are dressed for our eight o'clock dinner reservations, enjoying a bottle of wine in the family room while the four cousins, freshly bathed and fed, play upstairs under the supervision of a babysitter. The only thing missing from the picture is Nick, who is now twenty minutes late and counting, a fact that is not lost on my mother. is Friday night, and I am sitting in the family room with my mother, brother, and sister-of-law, all in from Manhattan for a weekend visit. We are dressed for our eight o'clock dinner reservations, enjoying a bottle of wine in the family room while the four cousins, freshly bathed and fed, play upstairs under the supervision of a babysitter. The only thing missing from the picture is Nick, who is now twenty minutes late and counting, a fact that is not lost on my mother.

"Does Nick always work this late on the weekends?" she asks, crossing her legs as she glances purposefully at the Timex watch she now wears in lieu of the Cartier my father gave her for their last anniversary.

"Not usually," I say, feeling defensive. I know her question likely has more to do with her frenetic personality, and her inability to sit still for any length of time, but I can't help taking it as a covert affront, a question along the lines of, Are you still beating your wife? Are you still beating your wife? Or, in this Or, in this case, Are you still letting your husband beat you? case, Are you still letting your husband beat you?

"He just needed to check on a patient-a little boy," I say, feeling the need to remind her of just how noble Nick's profession is. "He's having his first skin graft on Monday morning."

"Damn," my brother says, cringing and shaking his head. "I don't know how he does it."

"I know," my sister-in-law agrees with an admiring look.

My mother is not as impressed. She makes a skeptical face, then folds her cocktail napkin in quarters. "What time is our reservation?" she asks. "Maybe we should just meet him at the restaurant?"

"Not until eight. We still have thirty minutes. And the restaurant's very nearby," I say tersely. "We're fine, Mom. Just relax."

"Yeah. Chill out, Mom," my brother says teasingly.