This piece was written while I working at Graduate Hospital in Philadelphia, and I was friends with a lot of doctors and nurses – including surgeons and Operating Room staff. I also learned a lot about the fears of families and patients heading for surgery and wrote this little piece………

 

 

Till Death Do Us Part

by

F. Alexander Brejcha

 

    "She's going to die damn it!"  Brad slammed his fist against the padded arm of his swivel chair as he hung up the phone.  The dent in the soft burgundy leather hissed softly as it filled in.

    Peggy stuck her head in through his office door, a curious look on her face.  "What was that, Doctor Davis?"

    "Never mind," he snapped.  "No.  I'm sorry.  Just trouble at home.  And will you please just call me Brad?  Now, who's next?"

    She disappeared and he heard papers rustling for a second before she popped back into sight.  "That's it before lunch.  Doctor Magner cancelled, since you already settled his problem by finally increasing his budget."

    "Well, he was right.  He did need it.  But he just doesn't realize that it's not as easy as he thinks to break loose more money from the board.  They don't give a rat's ass if I'm President of the hospital."  He frowned briefly and then waved Peggy out of his office and leaned back in his chair.      With an unexpected gap in his busy schedule, his problem at home thrust itself into his mind again, and drew his eyebrows together as he reluctantly considered the plan that had been brewing in the back of his mind for the past few weeks.  His problems with Magner over diagnostic equipment had sparked a reluctant idea.  But it was the only solution.  Susan just wouldn't budge; she had made up her mind and wouldn't listen to anything he said.  Reluctantly he pulled out his address-book and looked up the latest number that had been penciled in and underlined.

    It rang four times before a low, sultry voice answered.  "Hello?"

    "Maria, I've got to see you.  What we talked about... it's the only way.  We have to do it."  He felt his voice shaking, the words tumbling out in a rush.  He had been afraid to consider this, it went against his grain, but he was at his wits end.

    "Are you sure?"  The soothing voice at the other end pressed him.

    He nodded, and then realized she couldn't see him and grunted assent.

    "Can you convince your wife to come in?" Maria asked.

    "Yes.  I convinced her she needs a thorough physical anyway and I've made arrangements with someone in Radiology to switch x-ray films so they'll show some nice nasty kidney stones.  She's not symptomatic yet, but I can convince her she's just been lucky and that it's the perfect chance to take care of them now, before there's a problem.  The Lithotripter is a safe enough device so that having the stones blasted won't worry her.  I can show her how we can use sound waves to disintegrate kidney stones and I'll arrange things so that she'll be admitted instead of taken as an outpatient, so we can do some other tests on her.  You'll both be admitted to the same room, and you'll be alone with her... until it's done."  His voice broke for a moment.  Swallowing nervously, he continued, "and I'll have you admitted for the same thing.  It'll give you an excuse to talk."

    "How much time will I have?"

    "I'd really rather not drag it out.  It might make someone suspicious."

    "Won't people think it funny that your wife doesn't get a private room?"  Maria sounded concerned.

    "No problem."  He was relieved to have an easy question to settle.  "She hates being alone in the hospital.  She'd rather be in a semi-private room."

    "I guess that's it then."  Maria sounded reluctant.  "Are you sure you want to do it this way?"

    He was suddenly angry, glad to have a distraction.  "Hey, I'm paying you plenty!  More than the standard rate because of the unusual circumstances.  But this is my plan, and we'll do it my way.  You're a professional, you should be able to handle it!"

    "Relax.  I'm not trying to back out.  It just seems like such a round-about way of doing it."  He could almost imagine Maria holding up a hand defensively as she continued smoothly.  "You just tell me when to show up."

* * *

#

    Two days later, he was set.  The room had been readied and both Maria and his wife were on the way up to the floor, and the Lithotripter had suddenly, mysteriously gone on the fritz.  He wanted to give Maria more time.  His plan had worked like a charm, and Susan had agreed to be admitted.

    Brad was secretly amazed at how easy it was to arrange things without leaving any traces.  From his position he could arrange almost anything, unofficially, as if policies and procedures didn't exist.

    His wife didn't stand a chance.

    He had left specific instructions that the regular nursing staff was not to deal with his wife.  He had hired private duty nurses with strict orders not to enter the room unless the call light was on, and no one else was allowed in without calling on the phone first to see if it was all right.  He intended to give Maria every opportunity.  It was vital no one find that she had been involved.  She was in the hospital under an assumed name with phony insurance numbers.  He had handled the admission of both of them personally, as a gesture of magnanimity since Maria was to be his wife's roommate; even as he had made it very evident that he had absolutely no idea who Maria was.

    Now he sat in his office and waited.

    He had hired Maria because she was the best.  She had never failed, as far he had been able to discover.  She had a way of winning trust and getting close that was unrivaled, and that made her job so much easier.

    But as he sat there, toying with a freshly sharpened pencil and turning it over and over in his hands, he suddenly felt a flash of overwhelming guilt at what he was doing.  It was a violation of everything he believed in and had fought for all his life.  If there was one thing he had known about his marriage, it was that his wife had trusted him.

    Suddenly the phone rang and his hands jerked, snapping his pencil in two.  He reached spastically for the phone and answered, to hear Maria's husky voice on the other end.

    "It's done.  You can come to the room now and take care of things.  I'm getting dressed and leaving.  You know where to send the money."

* * *

#

    As he cracked the door and slipped into the half-light of the room, he had to stop and let his eyes adjust since the curtains were drawn and dimming the little light that came in from the overcast and rainy day outside.  But he soon saw his wife's still body and his heart twisted.  The door swung slowly shut behind him as he approached the bed and sat down on it next to Susan.  His hand reached out of its own accord to brush back a wave of chestnut hair that had spilled down over her face.

    Her eyes opened.

    "Hello."  She raised her head and reached over to turn on the light.  Her face was carefully controlled as she fixed him with an intent look.  Her mouth twitched with repressed emotion.  "Maria explained everything," she began.  She looked around somberly.  "Where is she?  I wanted to thank her."

    His voice was shaky and cracked as he explained that Maria had left, and asked her just what Maria had said, a hollow feeling in his chest.

    Susan reached for the bed-control and raised the top of the bed into a sitting position, her jaw set tightly as she studied his face.  "She explained that you faked my physical and had me admitted here with her just to get the two of us together so she could do her thing."  He swallowed nervously as she took a breath, a twinge of pain crossing her face.  "You lied to me, went behind my back..."  Suddenly she was crying and she reached for him.

    Confused he moved towards her and took her in his arms, tears running down his cheeks as she buried her face on his shoulder and gripped him convulsively.

    "And you did it all because you loved me," her muffled words came out between sobs, "and wanted to save my life when all I wanted was to be stubborn and risk loosing you."

    "I had to darling!  You were so scared about what had happened to your parents that you were frightened by the idea of heart surgery."

    "I lost--"

    "I know, you lost both of them because of problems during their operations.  But that was over fifteen years ago!  Open-heart surgery is routine now.  You'll be in and out in no time.  The fact that you're young makes your chances so much better.  We'll--"

    "We?"  She lifted her face and he looked down to see her moist face crinkling in an impish grin.

    "Well, the doctors," he conceeded, "will be able to repair the damage and your arterial graft will be as good as the original.  In your case," he amended, "better than the original and--"

    "I know," Susan cut him off gently.  "Maria made me realize all that.  You went to all the trouble to bring her out East from San Francisco and set all this up, just so that I'd already be here in the hospital--"

    "And ready to go before you can change your mind," he finished, a tentative smile flickering on his face.  "I've got an operating room standing by, with the finest heart surgeon in the city, just waiting for you.  And," he laughed, "he knows his ass is mine if he even leaves you too much of a scar!"

    "Okay."  She reached up and kissed him gently.  "I surrender.  Call your surgeon and tell him I'll come quietly."

 

- end -