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“Go help the poor,” I said. Maeve taught an evening class on how to make a budget through Catholic Charities and on Tuesday nights she stayed up late to grade their notebooks and correct their math. “I need to study.”

“I wish you could be happy about this,” she said. “But the truth is it doesn’t matter. I’m happy enough for both of us.”

Happiness had been suspended for the foreseeable future. I was taking Human Histology, Embryology, and Gross Anatomy. The lessons of chemistry that Dr. Able had drilled into me held fast: I answered every question at the end of every chapter and in the morning I woke up and answered them again. We were put in groups of four, given a cadaver, a saw, and a scalpel, and told to go to work. The only other dead person I’d seen until that point was my father, and I found it far too easy to picture of a group of white coats perched like vultures around his bed, waiting to open him up. Disassemble, reassemble. Our cadaver was older than my father, a smaller, brown-skinned man. His mouth was open in the same horrible way, as if it were the universal last act to try and fail to gasp a final breath. I would have thought that in order to cut a man apart and label him I would have needed at the very least some degree of curiosity, but that wasn’t the case. I did it because it was the assignment. Some of my classmates vomited in the lab that first day, others made it to the hall or even the bathroom, but the carnage of our work didn’t hit me until I was outside again, the sweet-sick smell of formaldehyde still painted in my nose. I threw up on the sidewalk in Washington Heights along with the junkies and the drunks.

I had seen Celeste from time to time during my junior and senior years of college. I had seen other women, too. Dating was an activity that required thoughtfulness and planning and time, and in medical school I had none of those luxuries. Going out with Celeste felt the least like dating. She asked almost nothing of me and she gave the most in return. She was agreeable and cheerful, pretty without being distracting. When I went to Philadelphia on the train she came with me. Maeve and I would drive her to Rydal but Celeste never insisted that I spend time with her family. Maeve and Celeste were still affectionate with each other in those days. Maeve was happy because Columbia Medical was expensive, had top rankings and offered me no financial aid. Celeste was happy because it was farther north than Columbia’s main campus and therefore easier for her to get to from Thomas More, where she was still an undergraduate English major. My tiny apartment was two blocks from the medical school, and Celeste would come down from the Bronx after her last class on Friday afternoon and stay with me until it was time for her to work her shift at the front desk in the dean’s office Monday morning. When I was an undergraduate, we worked around my roommate’s schedule, but in medical school we fell into a kind of three-day-a-week marriage, which, in retrospect, was probably as much marriage as we were capable of. We lived under the rules that had been established when we met on the train: I had to study and she had to let me. But we also lived in the America of 1969: the war was grinding on, protestors filled the streets, students still commandeered administrative offices, and we had as much guilt-free, diaphragm-protected sex as time allowed. I will forever associate the study of human anatomy not with my cadaver but with Celeste’s young body lying naked on my bed. She let me run my hands across every muscle and bone, naming them as I went along. The parts of her I couldn’t see I felt for, and, in doing so, learned how best to bind her to me. The little fun I had in those days I had with Celeste—the splurge of Szechuan noodles in white paper cartons eaten on the roof of the hospital late at night, the time she got free passes to see Midnight Cowboy from her French professor who had meant for her to go with him. Everything went so well for us until she turned her attention to her impending graduation. She wanted to start making plans for the future. That was when she told me we’d have to get married.

“I can’t get married after my first year of medical school,” I said, not mentioning the fact that I didn’t want to get married. “Things are going to get harder, not easier.”

“But my parents won’t let us live together, and they won’t pay for me to get my own place and wait here while you finish school. They can’t afford something like that.”

“So you’ll get a job, right? That’s what people do after college.”

But as soon as I said it I understood that I was supposed to be Celeste’s job. The poetry courses and the senior thesis on Trollope were all well and good but I was what she’d been studying. She meant to keep the tiny apartment clean and make dinner and eventually have a baby. Women had read about their liberation in books but not many of them had seen what it looked like in action. Celeste had no idea what she was supposed to do with a life that was entirely her own.

“You’re breaking up with me,” she said.

“I’m not breaking up with you.” What I wanted was what I had: three nights a week. And to be perfectly honest, I would have been happier with two. I didn’t understand why she had to sleep over on Sundays and then get up so early Monday morning to catch the train back to school.

Celeste sat down on the bed and stared out the window into the dirty air shaft and the brick wall beyond. She was sitting with her spine rounded, her pretty blond curls tangled over her slumped shoulders, and I wanted to tell her sit up straight. Everything would have gone so much better for her had she been able to sit up straight.

“If we aren’t going forward then you’re breaking up with me.”

“I’m not breaking up with you,” I said again, but I didn’t sit down on the bed beside her and I didn’t hold her hand.

Her impossibly round blue eyes were brimming over with tears. “Why won’t you help me?” she asked, her voice so small I could barely hear her.

* * *

“Help her?” Maeve said. “She isn’t talking about you changing a flat. She wants you to marry her.”

I had taken the train home for the weekend. I needed to talk to my sister. I needed to think things through without Celeste in my bed, which, despite her continued insistence that I was breaking up with her, was still where she was sleeping Friday through Sunday. I had come home to sort out my life.

Maeve said she had an emergency pack of cigarettes in the glove box and we decided that this was a good time to relapse. The leaves and flowers of early spring were already crowding out our view of the Dutch House. Wrens patrolled the sidewalk, looking for twigs. “You can’t marry her a year into medical school. That’s insane. She has no business asking you for that. And even when you’re finished with school, once you’re in your residency, things are only going to get worse. You’re not going to have any time until you’ve finished.”

As it stood now, medical school made my undergraduate education look like one long game of badminton. I wasn’t so sure how I was supposed to hold it all together once things got worse. And things would always get worse. “When I’ve finished training I’m not going to have any time,” I said. “I’ll be starting a practice, I’ll be working. Or I won’t be starting a practice because I have no intention of being a doctor, so then I’ll have to go out and find a job and that won’t be the right time. I can say that for the rest of my life, can’t I? This isn’t the right time.” Though Dr. Able had told me it wasn’t like that. He said the first year was the hardest, then the second, then the third. He said it was all about learning a new system of learning, and that the farther along I went, the more fluid I would become. I hadn’t told Dr. Able about Celeste.

Maeve peeled the cellophane off the pack. Once she lit her cigarette I could tell she hadn’t really quit. She looked too natural, too relaxed. “Then the question isn’t about timing,” she said. “You deserve to get married and the timing will always be bad.”