Jodi Picoult - Harvesting the Heart

“Once upon a time,” Astrid said, telling the story over her shoulder, “there was a girl named Cinderella, who hadn’t lived the most charmed life but had the good fortune to meet a man who had. The kind of man, by the way, you’re going to grow up to be.” She leaned down and handed him a rubber triangle he’d inadvertently tossed away. “You’re going to open doors for girls and pay for their dinners and do all the chivalrous things men used to do before they slacked off under the excuse of equal rights.”

Astrid circled a tiny square with her red grease pen. “This one’s good,” she murmured. “Anyway, Max, as I was saying… oh, yes, Cinderella. Well, someone else will probably tell you the story at a later date, so I’m just going to skip ahead a little. You see, a book doesn’t always end at the final page.” She squatted down until she was sitting across from Max, and then she took his hands in her own, kissing the tips of his stubby wet fingers.

“Cinderella had liked the idea of living in a castle, and she was actually rather good at being a princess unthe €†il one day she started to think about what she might be doing if she hadn’t gotten married to the handsome prince. All her old friends were kicking up their heels at banquet halls and entering Pillsbury Bake-Offs and dating Chippendale’s dancers. So she took one of the royal horses and traveled to the far ends of the earth, taking photographs with this camera she’d gotten from a peddler in exchange for her crown.”

The baby hiccuped, and Astrid pulled him to a standing position. “No, really,” she said, “it wasn’t a rip-off. After all, it was a Nikon. Meanwhile, the prince was doing everything he could to get her out of his mind, because he was the laughingstock of the royal community for not being able to keep a leash on his wife. He went hunting three times a day and organized a croquet tournament and even took up taxidermy, but staying busy all the time still couldn’t occupy his thoughts. So-”

Max waddled forward, supported by Astrid’s hands, just as Nicholas appeared at the darkroom’s curtain. “I don’t like when you take him in here,” he said, reaching for Max. “What if you turn your back?”

“I don’t,” Astrid said. “How was your surgery?”

Nicholas hoisted Max onto his shoulder and smelled his bottom. “Jeez,” he said. “When did Grandma change you last?”

Standing, Astrid frowned at her son and plucked Max off his shoulder. “It only takes him a minute,” she said, walking past Nicholas from her darkroom into the muted light of the Blue Room.

“The surgery was fine,” Nicholas said, picking at a tray of olives and cocktail onions that Imelda had set out for Astrid hours before. “I’m just here to check in because I know I’ll be late. I want to be there when Fogerty wakes up.” He stuffed three olives into his mouth and spit the pimentos into a napkin. “And what was that trash you were telling Max?”

“Fairy tales,” Astrid said, unsnapping Max’s outfit and pulling free the tapes of the diaper. “You remember them, I’m sure.” She swabbed Max’s backside and handed Nicholas the dirty bundle to dispose of. “They all have happy endings.”

When Alistair Fogerty awoke from a groggy sleep in surgical ICU, the first words he uttered were, “Get Prescott.”

Nicholas was paged. Since he had been expecting this summons, he was at Fogerty’s bedside in minutes. “You bastard,” Alistair said to him, straining to shift his weight. “What have you done to me?”

Nicholas grinned at him. “A very tidy quadruple bypass,” he said. “Some of my best work.”

“Then how come I feel like I have an eighteen-wheeler on my chest?” Fogerty tossed against the pillows. “God,” he said. “I’ve been listening to patients tell me that for years, and I never really believed them. Maybe we should all go through open heart, like psychiatrists have to be analyzed. A humbling experience.”

His eyes began to close, and Nicholas stood upgn=€†. Joan Fogerty was waiting at the door. He crossed to speak to her, to tell her that all the preliminary signs were very good. She had been crying; Nicholas could tell by the raccoon rings of mascara under her eyes. She sat beside her husband and spoke softly, words Nicholas could not hear.

“Nicholas,” Fogerty whispered, his voice barely audible above the steady blip of the cardiac monitor. “Take care of my patients, and don’t fuck with my desk.”

Nicholas smiled and walked out of the room. He took several steps down the hall before he realized what Alistair had been telling him: that he was now the acting chief of cardiothoracic surgery at Mass General. Without realizing it, he took the elevator to the floor where Fogerty’s office was located, and he turned the unlocked door. Nothing had changed. The files were still piled high, their coded edges bright like confetti. The sun fell across the forbidding swivel chair, and Nicholas was almost certain he could see Alistair’s impression on the soft leather.

He walked to the chair and sat down, placing his hands on the arms as he had seen Fogerty do so many times. He turned to face the window but closed his eyes to the light. He didn’t even hear Elliot Saget, Mass General’s chief of surgery, enter. “And the seat isn’t even cold yet,” Saget said sarcastically.

Nicholas whipped around and stood up, sending the chair flying into the radiator behind. “I’m sorry,” he said. “I was just down checking on Alistair-”

Saget held up a hand. “I’m only here to make it official. Fogerty’s on six months leave. You’re the acting director of cardiothoracic. We’ll let you know what kind of meetings and committees we’ll be cluttering your evenings with, and I’ll get your name on the door.” He turned to leave and then paused at the threshold of the door to smile. “We’ve known about your skills for a long time, Nicholas. You’ve got quite a reputation for spit and fire. If you’re the one who gave Alistair his heart trouble, then God help me,” he said, and he walked out.

Nicholas sank back into Alistair’s leather wing chair- his leather wing chair-and wheeled himself in circles like a little kid. Then he put his feet down and soberly organized the papers on the desk into neat, symmetric piles, not bothering to read the pages, not yet. He picked up the phone and dialed for an outside line, but realized he had no one to call. His mother was taking Max to a petting zoo, his father was still at work, and Paige, well, he didn’t know where she was at all. He leaned back and watched the billowed smoke blowing from Mass General toward Boston. He wondered why, after years of wanting to stand at the very top, he felt so goddamned empty.

My mother said there was no connection, but I knew that Donegal colicked because she had broken her ankle. It hadn’t been his feed or water; those had been consistent. There hadn’t been any severe temperature changes that could have caused it. But then my mother had been tossed from Elmo over a jump, right into the blue wall. She had landed a certain way and was now wearing a cast. I thought Donegal’s colic was a sort of sympathy pain.

My mother, who had been told not to move by the doctor who’d set her ankle, hopped the whole way from the house to the barn on her crutches. “How is he?” she said, falling to her knees in the stall and running her hands over Donegal’s neck.

He was lying down, thrashing back and forth, and he kept looking back at his sides. My mother pulled up his lip and looked at his gums. “He’s a little pale,” she conceded. “Call the vet.”