AS SOON AS the child got a little strength in her neck, her mother enlisted the older daughter, Grace, who carried the infant around like a broken third arm in a makeshift sling. She brought her to her mother when she was hungry and would step outside and walk fast, then run to someplace on the farm she could hunker down, hide out, curse or weep as the mood might fit her. Occasionally she would take a little homemade corncob vine-stem pipe she’d fashioned with a paring knife and puff on a bit of tobacco she’d snitched from her father. It was a small rebellion but there was a measure of satisfaction in it.
Later on, when winter had passed and the baby was able to crawl around like a quick little hobbled dog, Grace got her out of the house as often as possible. They wandered as far as the child’s ability and bobbling curiosity would take them, Grace only picking her up when she veered too close to an animal or machine and turning her like a windup toy in another direction. She grew out a full head of fine dark brown hair that Grace pulled up into a tiny little bow on top of her head. Quite cute, her older sister had to admit.
But she never lost her conviction that this motherhood business wasn’t ever going to be for her.
She stepped from the privy into the gray-blue light of a windy March afternoon, gusts buffeting the wooden door she held on to, kicking up dust in the yard, rattling the leafing, bony limbs in the trees, and rippling the surface of the cattle pond down in the pasture. The door to the house opened and her mother’s arm swung out, tossing a wadded diaper over the edge of the porch and into the yard. Grace looked at her duty lying there, steam rising like scant smoke from its folds.
The doctor’s Ford pulled to a clattering stop in front of it, as if it were a traffic sign of the oddest sort. He was in the habit now of stopping by at least once a week. She watched him get out, step around the car on his long, just slightly bowed legs, look down at the steaming bundle, then over at Grace standing in the open door to the privy. He was hatless, hank of carelessly debonair hair on his forehead, hands in pockets as if studying something worthy of thought. She just looked at him. His casual relationship with the world, his bookishly handsome, relative ease, infuriated her. He had the audacity to give her what looked like the faintest smile, as if he were amused. Grace was not.
She followed him inside the house and stood in the doorway to the living room as he examined the baby, pinned her fresh diaper, then followed him as far as the kitchen doorway to listen while he spoke to her mother.
“Four months now,” he was saying as they sat at the table. “If anything serious were going to develop, I believe we would have seen signs of it already.”
She looked at the doctor sitting there, his oddly aristocratic features, no gray in his hair. It struck her he might be younger than she’d thought.
“Grace, mind your manners and put on a pot of coffee,” her mother said.
She slumped over and got the pot, rinsed it at the pump out back, put in new water, and brought it back inside. Loaded some coffee in it and set it on top of the stove. Threw another chunk of wood in the stove furnace. At one point a lull in the conversation caused her to glance at the doctor. She started when she saw he was looking at her, a quizzical if bemused look on his face. She frowned and went back to the doorway and stood just outside it, as if not listening.
He went on to say that Mrs. Chisolm should continue to make sure there was no odd swelling, and that he would continue checking in regularly if she wouldn’t mind.
“I thank you,” her mother said, though her tone held something of suspicion and a trace of resentment as well, no doubt at having to feel beholden.
Grace went back in when the coffee was done and poured the doctor a cup. He smiled up at her.
“Thank you, Miss Grace.”
“Welcome,” she mumbled, furious at herself for blushing.
He said he thought he would take a little stroll into the woods behind their house and then be on his way, if they wouldn’t mind. Her mother gave herself a wry smile and said of course, to make himself at home. The doctor smiled in an odd way back at her, a bit of mischief in his eye, then took up his coffee cup and went out the kitchen door.
“What’s that all about, then?” Grace said.
“He’s one likes to walk in the woods, I guess.”
“Oh, I thought maybe he just needs a little sweetener in his coffee.”
“Don’t be impertinent,” her mother said. “He’s not charging us for any of this, whatever it’s worth.”
“Why not?”
“I don’t ask.”
Leaving, later, when the doctor rounded the corner of their long drive toward the road, she was standing just off it in the shadow of a ragged pine tree, watching him pass. Without looking her way he lifted a finger from the steering wheel in a little acknowledgment or wave, to which she responded by lifting her middle finger toward his car as it raised the dust on its way down the drive.
Ellison Adams, M.D.
Johns Hopkins University School of Medicine
Baltimore, Maryland
Dear Ellis,
A busy winter it was here with ague and the results of physical violence bred and borne by folks cooped up a bit too much with their chosen enemies. I’m sure you would find it all most amusing.
Since there have been no complications (and I have to say I expected there to be some, but it seems you were right so I must have described it well enough), it has been some time since I’ve written to you concerning my young patient with her interesting if apparently manageable urological condition. As you expected, there’s been no apparent danger arising from blockages, fistulas, or other developments in that direction, etc. An interesting case, and a very fine and otherwise normal child in the making as it turns out.
The mother seems to have found her ways to cope. Her older daughter takes on most of the child caring duties whenever she’s not away in school. Curious girl, never says much. I get the feeling she’s like some wildcat tethered to that family and her duties as if to a tree by a pulled-taut chain. Only question is will she give more trouble than she gets.
Speaking of coping, my Lett seems to spend more time in town with her family than here, these days. Not really but it seems so. Feels like I see our housekeeper young Hattie more than I do my own wife. I had not considered how difficult (and unamusing) it might be for a refined city girl to be married to a man who for some reason ends up an old-time country doctor. I suppose she expected me to end up in research, like you, or at least some sophisticated urban practice, coming and going like a banker, instead of mending the cracked limbs and skulls of simple farm folks who often enough show up at the door bloody and smelling of animals and dirt. I believe she is profoundly disheartened by the sight of a man or woman with the dental apparatus of a jack-o’-lantern.
Of course do please keep your more refined and intelligent ears open whenever possible to any research developments that would apply and let me know posthaste should something relevant be in the works. If such a case/condition as I have on my hands here is indeed as rare as you suspect, then I wonder if Young et al. would be interested in some kind of pro bono examination, for the purposes of advancing science, as we say. If you should manage to get anyone’s attention on the matter, please let me know directly. Your colleague Dr. Young will, I believe, continue to make great strides in this field, in time. Please maintain your friendship with this man and do not let the horse’s ass in you come out at some kind of social gathering or whatnot, as we know this Dr. Young is a bit of a prude and campaigned against prostitution when he served in the war, etc. etc., as if contracting a case of the clap could somehow be worse than having one’s entire apparatus blown off or to pieces by a German artillery shell — but, pardon, I stray afield. In other words also be discreet as possible concerning your other habits, if you will, oh Great One. My regards to Mary Kate and the children, by the way.