“Not too serious.”
“What is it?”
“A subconjunctival hemorrhage. A burst capillary. That’s real blood. You were bending, lifting something heavy.”
He smiled at the accuracy of her diagnosis. “Do I take anything for it?”
Dr. Katsina shook her head and, washing her hands again, said, “It looks scary, but you’re fine. It should subside in a week. If it doesn’t, come back. Was there anything else?”
Steadman was so relieved he felt excited, grateful, restored to health. He wanted to hug her. He said, “What can I do for you?”
“I’m okay,” she said, finding this funny.
Detecting a trace of unease, for he was staring at her with his bloody eye and looking eager, Steadman said, “How about a drink?”
“That’s against hospital rules — and unprofessional. I’m a doctor. You’re my patient. Anyway, I have a woman in labor. She’s due any minute but I have a feeling it will be two A.M. It always is.”
Dr. Katsina made a gesture of helplessness and departure that was also a signal of dismissal — time’s up.
“How do you deal with someone in labor?”
“I wait until I’m paged.”
“Maybe we could wait together.”
She equivocated with her shoulders. It was like a yes, but she said, “Not today.”
He didn’t insist, because he felt she was cooperating, and now that he knew her name, he was certain he wanted to see her again. Instead of phoning her, he wrote her a note, wondering when she would be free. She did not reply. He told himself that doctors were busy. He tried again, giving her his telephone number.
She called him a few days later, saying, “This is Ava Katsina,” and it took him a moment to recall who she was, for she hadn’t said “Doctor.”
He said, “I want to see you — please.”
“Okay,” she said, “but this means I can’t be your doctor.”
“I’ll agree to anything.”
Her laughter reassured him. She said she was free the following day. He waited by the emergency door of the hospital, gladly at ease, watching through the window, seeing her dress tighten against her body as she bent forward over the counter to sign out.
“I have to leave my pager on,” she said, getting into the car. “I have another woman in labor. I can’t go far.”
He drove to Oak Bluffs, parked at the Dockside Inn, and they climbed to a second-story bar overlooking the inner harbor. He was struck at once by its roughness, the sourness of spilled beer, the loud music. The place was a bit too busy for May, perhaps because there were so few other bars open, the drinkers not vacationers but islanders, an after-work crowd of shouting friends. The porch was chilly, damp, uncomfortable, noisy, and when the sun went down there wasn’t enough light to read a menu. The service was slow, and along with the discomfort and din was the chill in the air, one of those days in clammy procrastinating spring when people called out, “Not summer yet!” and the Vineyard felt more than ever like a remote island, detached and dark, the Cape hidden by low clouds, the north wind thrashing the water, making whitecaps on the ebbing tide and pushing corrugations of froth across the Sound.
Steadman had been so preoccupied with these distractions — he had hoped to find a quiet bar or cafe — he had turned away from Dr. Ava Katsina. He looked at her to apologize, to make a joke about the place being so awful, such a dive, and to smile at her.
She was crying. She saw his sudden concern, something like alarm, and she said, “I’m sorry. I can’t help it.”
He was always torn by tears, anyone’s tears, and a woman’s sobbing undid him. He had no reply, he was helpless. Please stop, he wanted to say.
“It’s just that I don’t believe it.” And she went on softly sniffing and swallowing, dabbing at her eyes with a ragged ball of tissue. “I am so happy.”
He smiled again, hoping to encourage a smile from her.
“You’re the writer,” she said. “ Trespassing.”
Steadman nodded, he clinked his glass against hers, he drank not knowing what to say.
“I was wondering if we’d meet. I knew you lived here.”
“Everyone lives here.”
“In the summer,” she said. Her tears made her look young and inexperienced, as unlike a doctor as it was possible to be. She blew her nose and wiped it, reddening the rims of her nostrils, becoming plainer, innocent, almost boyish. She sniffed. “I’m so sorry.”
Steadman took her hand and felt her gentle fingers; she let him comfort her. He could see she was shaken but happy, her tears like the glow of a rapture. He liked her emotion, the change in her face, the way she looked younger with tears on her cheeks. He was the doctor, she the ailing patient, needing reassurance, emotional, as though sobbing in relief.
“Take it easy.”
“No, I’m happy. Really.”
He could see she was, even with her wet eyes and dripping nose.
He was about to embrace her when her pager sounded — important, a dull repeated note, demanding to be noticed — and immediately she scooped the thing out of her leather bag and studied its message. In a clear efficient voice, scoured of tears, the tone of a timekeeper, she said, “I have to leave here right now to see to that delivery.”
Like that, in a flash; and now it was he who was impressed and helpless.
The waitress appeared — young, fresh-faced, with a beautiful smile and thick tumbling blond hair that she arranged with tosses of her head. She held a pen and a pad and said, “Some more drinks for you guys?”
“Just the check,” Dr. Katsina said.
Steadman watched the waitress leave, shimmying through the crowded bar, and then said, “I can tell you’re a really good doctor.”
“I know what I’m doing most of the time. And I can go on being your doctor — but that’s all,” she said.
“What’s the alternative?”
“Find another doctor. I’ll be your friend. I’m a good friend. You won’t need to make appointments.”
She spoke with an intensity that had to have come from her being so solitary, so hardworking. A sociable person would never have said it that way. He tried to take her hand, but she was already rooting in her bag for her car keys.
He hardly recognized her the next night. They had agreed to meet at a restaurant on the harbor in Edgartown, but when he was led to the table, reserved in his name, he did not see her. In Dr. Katsina’s place was a blonde in a red blouse, applying lipstick. Seeming to see Steadman behind her in the small mirror of her compact, she clapped it shut and looked up at him, fingering the ringlets of her hair, not smiling, looking intruded-upon.
“It is you,” he said, and sat down.
Then she smiled. “I saw you staring at that waitress in the bar last night and I thought, Why not? Anyway, I’m a doctor and we don’t do things like this, which is why I did it. It’s a wig. Want me to take it off?”
Amused and fascinated, he said, “Not now.”
It was another cold evening but a quieter place, and she told him how she had delivered the baby, a normal delivery, a little girl — happy mother, nervous father — just like that, eased a whole child into the world, dripping and squalling, and wiped its wet head. Her lipstick, her blond wig, made the clinical details of the childbirth story wonderful and slightly improbable.
“I can drink tonight,” she said. “My pager’s off.”
She was strong, she was confident, she alluded without apology to old boyfriends. (“This guy I used to date turned me on to your book.”) She told him stories of the operating room, and Steadman was fascinated by her conceit, for while there was something incomprehensible and mystical in it, there was also a mastery of anatomy, the ultimate in physical transformation — a cesarean section, cutting out an appendix, ridding a person of a diseased organ, setting a bone, snatching a sick person from the brink of an abyss. A patient staring horror-struck at death she was able to restore to health. She knew the chemistry of drugs, she had the authority to order them, she knifed open flesh, she sewed it together with stitches, made a healing seam in the skin. All of it a vigorous challenge of his belief that doctors caused illness.