“Shy?”
“Well, in that category, you did overcompensate prodigiously,” she said. “But I'll bet, where he is now, he's changed, and that, emulating his mentor, he no longer considers himself bound by marital vows.”
“How can you be sure?”
“Because I know what men are like,” she said, and slipped her hand under Howard's shirt.
Howard pushed at her hand. “Come on. I'm driving andâ”
“And what? You'll crash and kill us? Heyâthat way Charlie and I will get to be together even soonerâorâhmmmâperhaps the three of us⦔
“A heavenly
ménage à trois
?”
“Sounds good to me.” She rested her head on Howard's shoulder. “It's only my hands and feet that have been turning
numb latelyânot my brain. And this
is
an historic occasion, you knowâthe trip you and I used to fantasize about, even though you were married back then too.”
“I'm sorry. Iâ”
“Shh,” Deirdre said, cutting him off. “No need.” She laughed. “I remember the first time we had a drink together after workâwe were flirting outrageously, and I asked you about your marriageâforward then, too, I wasâand you said you believed in marriage but that you weren't a fanatic about it.” Deirdre laughed again, then coughed. “Ouch.”
“ â Ouch' for the memory?”
“No. For cramps.”
What Deirdre had written in her letter to Howard was that she had been diagnosed with ovarian cancer, and that after a debulkingâdidn't he love the word?âchemotherapy, and first-, second-, and third-line drugs, her doctors didn't have much left to offer her. So she had contacted the Make-A-Wish Foundation, which enabled children with life-threatening medical conditions to have dream vacations, or to spend time with their favorite athletes, movie stars, or rock groups. The sad news, however, was that they did not yet have a program for adults. Therefore, because Howard was the kindest man she'd ever known, and because she was in dire need of a huge dose of his tenderness, she had decided it was time to collect on the promise he had made to her once upon a time.
Howard saw that, arms extended, palms against the dashboard, Deirdre was now bracing herself, squeezing her eyes shut.
“Heyâare you okay?” he asked.
“I am, but my stomach's not. We'd better stop.”
Howard drove the car onto the shoulder of the highway. Deirdre got out quickly, leaned on the front fender.
“I should have warned you before,” she said, “but I thought the crampingâit's become violentâwould pass.”
Then she was vomiting profuselyâthe stuff shooting out of
her mouth and onto the road, some of it splashing onto her shoes. Howard put his arm around her, rubbed the back of her neck.
“Oh shit,” she said, looking down. “And I mean it literallyâsome of it may already be fecal material I'm vomiting, Howard.
Fuck
â!
“Let's get you to a hospital.”
Deirdre wiped her mouth with the back of her hand. “There's blockage, right, doc?” she said. “An intestinal obstruction would be
my
diagnosis. When the stuff wants to go down and out the back way but can't, it decides to reverse direction and go back up, right?”
Howard took a bottle of water from the car, wet his handkerchief, started to clean Deirdre's face. She snatched the handkerchief from him, wiped off her mouth and chin, blew her nose, then poured water onto her shoes, swiped at them.
“Damn,” she said. “I didn't want you to see me like this.”
Howard helped her back into the car, tapped on her abdomenâshe didn't resistâand heard what he didn't want to hear: a sound like that coming from a hollow drum.
“Distended as hell,” Deirdre said. She sucked air, then sipped water. “Dehydrationâanother promising symptom. It's great to be a physician at a time like this, don't you think? Nice to really
know
something for a changeâto be able to predict the future with a not unreasonable chance of being right.”
Howard drove back onto the highway, pressed on the accelerator until the speedometer showed that the car was moving at a hundred and twenty kilometers an hour.
“Headaches lately too,” Deirdre said. “Thought I'd mention them. Listen to the patient and the patient will give you the diagnosisâisn't that what we were taught? Really
nasty
headaches the last few nights, and damn!âI'm messing up your plans, the time you wanted to spend with your daughter, aren't I?”
“There's a hospital in Aix,” Howard said. “We can stop there. In the meantimeâ”
“Forget Aix,” Deirdre said. “I was this way in the States, and with decent intervals between sieges. Well, it
passed
, right? So, based on
past
experienceâhey, doc, I got off a good oneâI should be okay for the next two to three hours. That means we can get to Saint Rémy, get me to a doctor thereâ”
“To a hospital.”
“Okay. Have it your wayâto a hospitalâbut in Saint Rémy, please, because if I have to stay over in Aix, it'll screw up your reunion with Julia, and if it does, we have to think of the toll that would take on
me.
”
She opened her window, let Howard's handkerchief fly away.
“Hey!” he said. “If a cop's out thereâ”
“Then we'll get an escort,” she said. She touched his hand. “I'll be okay till Saint Rémy. I promise.”
Â
When Deirdre woke, they were driving along an avenue that bypassed the center of Aix-en-Provence. The street was lined on both sides with tall plane trees, their limbs, pruned back severely in early winter, looking, Howard thought, as if they had been amputated.
“Traffic willing, we'll be in Saint Rémy within an hour,” Howard said.
“I like it when we do things
my
way,” Deirdre said. “You weren't always this accommodating, you know. Only when we get there, I don't want some French jerk shooting me up with a lot of drugs, or shoving things up my butt. The French do that more than we do, I hear.”
“The French do like their suppositories,” Howard said, and let his right hand rest on her stomach. “We're really doing okay?”
“
We?
” She put her hand on top of his. “I like it when you use that word. But heyâdon't be scared.
I'm
not. I'm in pain, for sure, but I'm not scared. Pain is okay. It means I'm still here. So why aren't I scared, you may ask?” She sighed. “Because I'm with the man I love. I mean, what some women won't do to get their guy.”
When they arrived at their destination in Saint Rémy, the Villa Glanum, a hotel named for a nearby Roman ruin, Howard brought his suitcase into the reception area. He gave the man at the front desk his name, told him he was a physician, that he had a friend who was ill and that he had to get her to a local hospital as quickly as possible. The man replied that there was no hospital in Saint Rémyâthat the nearest hospitals were in either Arles or Avignon, each of which was about a half-hour away.
Howard recognized the name of one of the hospitals in AvignonâHôpital Henri Duffautâand asked the man to write down directions and, also, to telephone his daughterâhe wrote down her numberâand to tell her he would call as soon as he could.
Â
In the center of Avignon, outside the fortress-like walls that contained the Palace of the Popes, traffic was barely moving.
“More blockage?” Deirdre asked, and began to sing: “
Sur le pont d'Avignon. La la la laâla, la la laâlaâ¦
”
Howard saw that, eyes shut, Deirdre was biting down hard on her lower lip. As soon as they made their way to an intersection, he took a left turn and drove south for several blocks, then west until he reached a street he thought would lead to the hospital, and when, a few minutes later, he saw signs for the university, he was relieved: the hospital, he recalled, had adjoined the university. Less than a minute later, he spotted the building he was hoping to seeâa large red brick structure with green slate mansard roofing.
He pulled up in front and looked for signs directing them to the emergency ward, but found instead a bronze plaque stating that the building, designated as a national monument, housed administrative offices for the University of Avignon.
“Shit!” he exclaimed.
“That's
my
word,” Deirdre said.
He rolled down his window, called to several young people,
and asked where the hospital was. They told him there was no hospital here, but that there was one on the other side of the Palace of the Popes, by the river.
“My problem, I decidedâone of them, anyway,” Deirdre said, “is that I became attached to you at an early and vulnerable age. But consider, too, our friend Charlie, poor guy, who had a thing for Irish women like some other Jewish physicians I've known.”
Behind them, cars were honking. Howard pictured Charlie, in a makeshift phone booth, lifting a receiver, smiling in anticipation of talking with his wife and children, of telling them he'd be home in less than a week. Howard looked for a phone booth, saw one about twenty yards away, opened the car door. Had he brought a phone card with him?
He ran toward the booth, heard people shouting at him, then heard the staccato blasts of a whistle. Deirdre was calling to him, pointing to a policeman on a motorbike who was signaling to Howard with a white-gloved hand to return to the car. The policeman, dark-skinned and unsmilingâAlgerian? Moroccan? âordered him to get back into the car and to leave at once.
Howard explained that he was an American physician, that he was looking for Hôpital Henri Duffaut, that the woman with himâalso a physicianâwas ill and needed to be taken to a hospital immediately. The policeman, his visor raised, leaned forward, stared at Deirdre for a moment, nodded, took out his mobile phone, spoke into it and, after informing Howard that Hôpital Henri Duffaut had been relocated to another part of the city more than a dozen years before, gestured to Howard to follow him.
Howard followed the policeman until, at the third intersection, they came to a wide cross street where two police cars were waiting, their flashers swirling. The policeman on the motorbike pointed to the cars and, as sirens began blasting on and off, he waved goodby. Howard followed the police cars.
“I like listening to you speak French,” Deirdre said. “I meant to tell you that. Laterâthere will be a later, right?âwill you talk to me in French? And I liked his gloves. For my first communion, I had a beautiful pair of white leather gloves my Aunt Bridget gave me.” Deirdre doubled over, tried, without success, to keep from moaning. “God but it hurts, Howard. If this is what labor's like, I'm grateful I never⦔
She choked, coughed, shook her head back and forth violently, as if by doing so she could shake the pain from it.
“We're almost there,” Howard said, and, hoping to distract her, asked if she had been in love with Charlie.
“Wasn't everybody?”
“He was very handsomeâand exceptionally fit, I remember,” Howard said. “And when you took up with him, he was just coming out of his marriage. The two of you must have had some good times.”
“ âGood times' you sayâcould you clarify your terms, doctor?”
“You know what I mean.”
“Did you mean, for exampleââWas it good for me too?' ”
“Well, you never lacked for passion, and I just⦔
“You're jealous,” Deirdre said. “My, my. I actually think you're jealous and that's a new oneâa guy being jealous of a dead friend. Remarkable, really.” She closed her eyes, leaned back, let a rasping, guttural sound rumble from her throat. “Men,” she said softly.
Â
When they arrived at the hospital, its façade a flat surface of Mondrian-like squares in yellows, blues, and reds, and turned into the driveway that led to Emergency Services, two men in green hospital garb were waiting on a ramp, a gurney next to them. Howard went to Deirdre's side of the car, where hospital aides were already helping her onto the gurney. Deirdre reached for Howard's hand, asked him not to leave her. He kissed her on the forehead, inhaled the foul residue of her vomiting.
“Come onâyou can do better than that,” she said.
He leaned down, kissed her on the mouth. Her lips were cold. At the doors that led into the hospital a security guard stopped him. Howard took out his wallet, showed the guard a card that identified him as a medical doctor. A policeman was beside Howard, telling him that he would park Howard's car and bring the keys to the nurse's station in the emergency room. Howard entered the hospital, saw that the staff was already checking Deirdre's vital signs, moving her along. They disappeared behind swinging doors. Howard pushed through, watched two men lift Deirdre and place her on an examining table. They began cutting away her clothes, listening to her chest, attaching wires. They moved quickly, efficiently.