Now enlightened, through his attorney he arranged to donate what organs, if any, might be of use to others after his body succumbed to the ravages of cardiomyopathy or, alternately, if he received a transplant but died anyway.
By December, Dr. Gupta had to adjust Ryan’s drugs and add two more medications to his regimen in order to prevent the return of the frightening and debilitating symptoms.
The cardiologist used arcane medical terminology to avoid words like deterioration. But Ryan had no doubt that his condition was deteriorating.
He did not feel much different from the way he had felt in September, except that he tired more easily now, and he slept longer than he had in those days.
When he looked in a mirror, he noticed only small changes. A slight bloat. Sometimes a persistent unhealthy flush in his cheeks, at other times a gray-blue paleness of the skin under his eyes.
He became impatient not only with his progress up the waiting list but also with Samantha. Sometimes she tested his forbearance.
For one thing, he felt that she had too much confidence in the organization that compiled the list and selected the recipients.
If Ryan had managed his business with the kind of unwarranted assumptions and the tolerance for bureaucratic inertia that he saw in this particular medical community, he would not have become a wealthy man. Since lives were at stake here, he argued that these gatekeepers should be more-not less-efficient than he had been while building a social-networking empire on the Internet.
She would listen to little complaining on the subject before reminding him that he had promised to weather this waiting period with a relaxed attitude. He had pledged not to try to handle what in truth he could not control, but to let it unfold as it would.
“Dotcom, you worry me,” she told him now. “This restlessness, these spells of anger. This isn’t good. It doesn’t help you. You’re wound too tight.”
Week by week, Ryan developed more exotic strategies to survive, investigating all manner of alternative-medicine treatments that might supplement what any cardiologist could do for him, everything from rare substances obtained from the spores of rain-forest ferns to psychic healing.
With sympathy, reason, and humor, Samantha provided a reality check to each treatment scheme that he considered adopting. Although he knew she was right, sometimes her acerbic humor seemed to be cold sarcasm, her reason mere pessimism, and her sweet sympathy insincere.
Ryan suspected that his sour moods and his frequent spells of restlessness and agitation were caused by his medications. A review of the side effects listed for each drug confirmed his suspicion.
“I’m sorry, Sam,” he told her more than once. “It’s these damn drugs. I’m not myself. Next thing, I’ll be growing hair on my palms and howling at the moon.”
He knew that he was exhausting her, that her work on the novel had come almost to a halt. He began to give her more time to herself, though she protested that she would be there for him all day, every day, until he was restored to full health, with a new heart.
On December 12, they had dinner in a restaurant where white tablecloths, Limoges china, crystal, and waiters in white jackets set both a mood and a standard.
This wasn’t one of those Newport Beach high-end meat markets that layered on the style but catered to upscale singles who chose their dinner companions from the opportunities at the bar. Here the clientele was older, quieter, with at least a veneer of class, often with that old-money charm and grace that made even true class seem somewhat tacky by comparison.
Between the appetizers and the entrees, Ryan told Samantha about Dr. Dougal Hobb, a prominent cardiologist and cardiovascular surgeon with offices in Beverly Hills.
“I think I might switch to him,” he said.
Surprised, she asked, “What’s wrong with Dr. Gupta?”
“Nothing. He’s fine. He’s all right. But Dr. Hobb is so highly regarded. He’s really at the top of his profession.”
“Will it affect your position on the waiting list?”
“No. Not at all.”
“What does Forry Stafford say?”
“I haven’t discussed it with him.”
“Why not? He recommended Dr. Gupta.”
In any restaurant, he and Samantha usually preferred a table in a corner, to allow them greater privacy, but on this occasion they sat at the center of the establishment. The elegant room sparkled, a treat for the eyes, and it lay all around them.
“I will call Forry,” Ryan said. “I just haven’t yet.”
“Dotcom, is this just change for the sake of change, just more restlessness?”
“No. I’ve given this a lot of thought.”
Assisted by a busboy, their waiter arrived with the entrees and presented each dish with sufficient flourishes to confirm the excellence of the service without descending to showiness.
As they began to eat, Ryan changed the subject. “You’re so lovely tonight. Everyone is taken with you, the center of attention.”
“Well, we are at the center of the room, you’ll notice. And I suspect most of these people know who you are, which makes me very much the supporting act.”
She let him lead her down conversational byways, but in time she returned to Hobb. “Before you leave Dr. Gupta, talk to Forry.”
“I will. But they don’t get better than Dougal Hobb. I even had a complete background done on him.”
“Background?”
“By an extremely dependable security firm. To see if he’s had any malpractice suits filed against him, personal problems of any kind.”
Her blue-green eyes did not darken, but her mood underwent a tidal change. “You had a private detective scope him out?”
“It’s my life on the line, Sam. I want to be sure I’m in the best possible hands.”
“Forry is your friend. He sent you to the best. He wants the best for you.”
“Dr. Hobb has never had a complaint lodged against him, let alone a legal action.”
“Has Dr. Gupta?” she asked.
“I don’t know.”
“I’m sure he hasn’t.”
“I don’t know. But listen, Dr. Hobb’s private life is without a stain, his finances are in perfect order, his marriage is rock-solid, his-”
Putting down her knife and fork, she said, “You’re scaring me.”
He raised his eyebrows. “Why?”
“Can’t you hear yourself? You’re trying to handle this, take charge, but it’s fundamentally not yours to take charge of.”
He answered her concern with a sheepish look. “Be to do. It’s not just the cute name of a company. It’s a life philosophy. Taking control is a hard habit to break.”
“And trusting people is a difficult habit to establish, Ryan, not least of all for people like you and me, considering where we come from.”
“You’re right. All right. I know.”
“We can shape our fates,” she said, “but we can’t control them. You can’t control death. You need a team here. You need to make these decisions only after consultation.”
“I’m consulting with you right now.”
She neither broke eye contact nor replied.
“Okay,” he said. “You’re right. I won’t do anything until I’ve talked to Forry and Dr. Gupta. And to you.”
She drank some of the Cabernet. She put down the wineglass. She surveyed the glittering room, requiring other diners to look away from her.
Her attention on Ryan once more, she said, “Sweetie, trust the people who care for you. Trust me especially because I understand you so well, so very well, so entirely-and I love you.”
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