A personal and medical odyssey beyond anything most women would believe possible
At age forty-four, Alice Eve Cohen was happy for the first time in years. After a difficult divorce, she was engaged to an inspiring man, joyfully raising her adopted daughter, and her career was blossoming. Alice tells her fiancé that she’s never been happier. And then the stomach pains begin.
In her unflinchingly honest and ruefully witty voice, Alice nimbly carries us through her metamorphosis from a woman who has come to terms with infertility to one who struggles to love a heartbeat found in her womb – six months into a high-risk pregnancy.
What I Thought I Knew is a page-turner filled with vivid characters, humor, and many surprises and twists of fate. With the suspense of a thriller and the intimacy of a diary, Cohen describes her unexpected journey through doubt, a broken medical system, and the hotly contested terrain of motherhood and family in today’s society. Timely and compelling, What I Thought I Knew will capture readers of memoirs such as Eat, Pray, Love; The Glass Castle; and A Three Dog Life.
ACT I
Unbridled Good Fortune
Scene 1
Stage Fright
This was going to be a solo show. That's what I do. I write and
perform solo plays. Dramatic tales with multiple characters, for
adults. Comic plays and folktales, for children. I've performed
for half a million people, in tiny theaters and high–tech performance
spaces, in international theater festivals and school cafeterias,
on four continents.
I rarely get stage fright. But the thought of performing this
story in front of an audience was like willingly entering my recurrent
dream—the one where I am standing under a blinding spotlight
on a rickety proscenium stage. I face the audience, open
my mouth to speak, and realize: 1) I can't remember my lines;
2) There is a marching band entering the theater; 3) I'm naked.
Shouting over the brass section, I stammer and blurt out improvisations,
hoping my lines will come back to me before the audience
showers me with rotten vegetables, but the band drowns
me out. As they approach the stage, I see that the musicians are
wild animals in military dress. I wake in a sweat.
On Friday, the eve of the Jewish New Year, September 10, 1999, I was rushed to Lenox Hill Hospital for an emergency
CAT scan. "I'm here with your patient," said the radiologist on
the phone to my doctor. "She appears to be in shock."
I sat down to write this story as a solo show, but I got stage
fright and couldn't write anything for years.
Seven years later, on Friday, the eve of the Jewish New Year,
2006, I started to write. Unexpectedly. Urgently.
I won't be performing this story. In a book I am just as naked,
lit under as unforgiving a spotlight, but I'm willing to divulge
these secrets for one reader at a time. I've been writing as fast
as I can, without telling anybody. For fear that I'll stop. For fear
that the Evil Eye will catch up with me. Again.
Scene 2
Unbridled Good Fortune
This is the happiest I've been in years. As if in a perpetual state
of inebriation, I laugh for no reason. I celebrate the end of the
decade and the millennium.
The first half of the nineties was less celebratory. Infertility.
Divorce from Brad after thirteen years together. A custody battle
for our three–year–old adopted daughter, Julia. The loneliness of
single parenthood. The exhausting discipline of raising Julia on
my minimal, freelance income. The fear of raising a child in my
crime–ridden building. Before taking Julia out for a walk in her
stroller, I had to look through the peephole to make sure my drug dealing
neighbor wasn't starting a gunfight with an unruly client.
In the spring of 1999, I indulge in the pleasurable delusion of
eternal youth. Michael, my fiancé, is ten years younger. I'm forty–four.
He's thirty–four, but he looks like a college kid, with his
wayward curly hair, earnest blue gray eyes, baggy jeans, and
thread–bare T–shirt, cradling his guitar and singing the song he wrote last night instead of sleeping. He's smart, funny, cynical,
affectionate. He'll never grow up, and as long as I'm with him,
neither will I.
We met three years earlier at a children's theater conference,
where we were both performing solo plays. He drove me home,
came back for dinner the next night, and spent the night. Because
of our age difference, we had no expectations that our fling would
develop into anything more. Because we had no expectations, we
shed our armor. When we shed our armor, we fell in love.
Michael grew up in New Orleans, and was the only one in
his conservative, devout Lutheran family who'd ever moved
north of the Mason–Dixon Line. After his family recovered from
hearing that he was dating a Jewish New Yorker—a divorced,
single mom, ten years his senior—they teased him about acquiring
an instant family. Michael had always preferred to let his life
happen to him, rather than plan it.
Michael was nearly penniless, by design. Money didn't interest
him. His professional passion was creating theater with kids
in the country's poorest communities—impoverished school
districts in southern Appalachia, children of Mexican migrant
workers in El Paso, Texas—where he slept on the sofas of local
families and barely broke even. He paid the rent with his more
remunerative corporate theater jobs.
From the first day they met, Michael and Julia, then five years
old, hit it off. I left them in the apartment while I picked up dinner
from the Cuban Chinese restaurant down the block. When I
returned with the yellow rice and black beans, they were sitting on
the floor of Julia's room inventing an elaborate story, which they
animated with Julia's stuffed animals and a talking basket. When he moved in with us a year later, he brought everything he owned:
hundreds of books, a crate of handmade masks and puppets, two
guitars, and the futon he'd carried with him to the fourteen places
he'd lived since graduating from the University of Virginia.
In the spring of 1999, Michael and Julia, now eight, are great
friends. He wants to raise Julia with me, but he doesn't want to
have more children. Neither do I.
Brad moved to Los Angeles when Julia was five. Three thousand
miles has done wonders for our relationship. Julia keeps a
photo of Brad by her bed, a formal performance portrait: Tall and
thin, with intensely dark eyes and thick black hair, he is wearing
a tuxedo and conducting the final, wrenching movement of
Mahler's Ninth Symphony. Julia visits him in LA on holidays.
I am in school, finishing up my MFA in writing for children at
The New School University, an easy subway commute from our
Upper West Side apartment to the Greenwich Village campus.
Because classes are at night, I can continue my freelance work
during the day. In exchange for The New School's reasonable
tuition, I'm getting the degree I need to teach college, and the luxury
of two years of creative immersion. When Julia was younger,
I couldn't afford to write anything that didn't pay the bills.
I love being in school, and I'm writing day and night. I still
dress like I did as a Princeton student in the midseventies, half
my life ago: jeans and a T–shirt, my long dark hair (now with a
few renegade grays) worn loose. After class, I drink beer with my
grad school friends at Cedar Tavern, a ragtag Greenwich Village
bar with dark paneling, cheap beer, and an infamous history of
ill–behaved artists—Jack Kerouac was thrown out in the forties
for pissing in an ashtray, Jackson Pollock in the fifties for ripping
the door off the men's room.
One night, my friend Dylan catches my eye when he enters the
classroom. Gay, universally flirtatious, and mercilessly beautiful,
Dylan has a habit of breaking his professors' hearts—dating,
breaking up with, and intellectually disabling otherwise erudite
teachers. Dylan kneels in front of my chair, gazes into my eyes,
and whispers, "You're pregnant, Alice, aren't you?"
"No!"
"Yes you are. You have that erotic glow that only a pregnant
woman has."
"I'm not pregnant."
He examines me more closely and whispers, "Then you had
really hot sex last night."
In fact, Michael and I did have hot sex last night, after he
proposed to me and I said yes. My erotic glow is showing! In this
deliriously happy spring, after my postdivorce winter that lasted
half a decade, I have found the fountain of youth.
My unbridled good fortune gallops on at reckless speed.
My agent books a full season of performances of my solo theater
works, in humble and exalted venues throughout the East
Coast, lucrative and fun work.
The manager of my building evicts the drug dealers and hires
a doorman.
The New School hires me to teach solo theater, starting in the
fall.
My part–time editing job, plus the new part–time teaching gig,
gives me a steady freelance income and a flexible schedule.
We can afford a family vacation—Michael, Julia, and I are
going to Italy in August.
For the first time in years, I have time to write, I don't have
to buy clothes at the thrift store, I'm not worried about making
rent. I can breathe.
I'm in love.
I lie in bed in Michael's arms one night and tell him, "This is
the first time in years that I am truly happy!"
…which is an idiotic and dangerous thing to say!
In Jewish folklore, declaring your good fortune aloud arouses
envy and tempts the Evil Eye. To ward off this malicious spirit,
the very moment after saying something so carelessly self-congratulatory,
you must spit quickly three times through your
middle and index finger—Tuh! Tuh! Tuh!
Evil Eye? I'm neither superstitious nor religious. My assimilated
Jewish parents rejected their own orthodox upbringings
and kosher homes. They raised me and my two sisters without
Hebrew school or bat mitzvahs. We celebrated the major Jewish
holidays, supplementing our repertory with Christmas presents,
Easter egg hunts, and marshmallow peeps.
My mother was a sociology professor with a well–developed
sense of logic. But she retained some vestigial Old Country beliefs—
from her father's Russian side, her mother's rural Oklahoma side,
and her grandparents' Latvian side of the family—which she synthesized
into an eclectic array of rituals and phobias.
When Mom spilled salt, she threw it over her left shoulder
for good luck. When there was an electrical storm, she made us
sit in the middle of the room, out of reach of sinister and highly
motivated lightning bolts. When she taught sociology at City
University, she walked up ten flights rather than take the death defying
elevator ride. When we went to the beach, Mom parked
our beach towels twenty feet above the high tide line, in case a
shark decided to evolve on the spot into a predatory land animal.
But her most powerful protection against the Evil Eye was to
make sure she was never happy for too long, a lesson she repeatedly
demonstrated for me.
I am three years old. I'm sitting on the floor, watching
Mommy dance in her friend's living room, just for fun, for the
pure joy of dancing. Her friend plays gypsy dances on the piano.
Mommy spins and leaps, sweaty, red–cheeked, and laughing. "I
love dancing!" she shouts, mid–leap. Then she crashes her foot
into the piano bench and breaks her big toe. No more dancing.
I'm twenty–two. I have just graduated from college. Mom is
fifty–seven. To prove to her that I'm a grown–up, I treat her to
lunch at a nice, cheap Indian restaurant in the East Village. Mom
has finally recovered from breast cancer and a long depression,
and has found the teaching job of her dreams. Over vegetable
pakoras and mango chutney, Mom tells me, "This is the first time
in years that I am truly happy!"
We both forget about the Evil Eye. Mom speaks freely of
her happiness. She arouses the envy of the gloomy professor at
the next table. She neglects to break a toe. She doesn't park our
beach towels far enough from the sharks. She leaves the spilled
salt on the table by the chutney. She forgets to spit three times.
Two weeks later Mom died suddenly from a cerebral hemorrhage,
caused by a ruptured aneurism.
So I should have known, happy as I was in the spring of 1999,
that I was in grave danger. That the Evil Eye was lurking in the
shadows, waiting for the moment when I dropped my guard and
admitted to Michael aloud, with childlike glee and momentary
suspension of my adult disbelief, "This is the first time in years
that I am truly happy!"
Tuh! Tuh! Tuh!
One day in early April, three weeks after Michael and I
were engaged, three weeks before my New School graduation,
I woke up with an upset stomach. The nausea didn't go away.
New symptoms emerged each day. Insomnia, mood swings, sore
breasts, low energy, an urgent need to urinate. When I missed a
period, I called Robin, my gynecologist.
"We expected that. When I switched you to the lower dose of
estrogen, I told you that your period would end."
"But I've been so tired…"
"Welcome to menopause."
"…and sick to my stomach."
"See a gastroenterologist."
I'm infertile.
When I was thirty and married to Brad, we wanted to have
a baby. My period stopped for a year. One doctor said I lost my
period because I had recently lost weight. Another insisted I was
in menopause at age thirty. A third doctor suspected my fallopian
tubes were blocked and sent me for a procedure called a
hysterosalpingogram, which hurt like hell and which revealed
my deformed uterus—Bicornuate, Latin for two–horned or
two–chambered.
The deformity was caused by exposure to DES, diethylstilbestrol,
the synthetic estrogen my mother took to prevent miscarriage
when she was pregnant with me. I found out about DES
when I was in college and Ms. magazine broke the story with
the terrifying headline, "DES, Cancer Time Bomb!" My mother,
heavy with guilt, brought me to her gynecologist to find out
what injury she may have unintentionally caused me by taking
the drug routinely prescribed as the "pregnancy vitamin." Since
then, I've had an annual colposcopy—a microscopic examination
of my cervix for possible cancer.
Dr. Zagami, recently voted Best Fertility Doctor! by New York
magazine, told me, "Your estrogen level is so low, the only way
you could ever become pregnant is by immaculate conception.
I'm putting you on ERT, estrogen replacement therapy, which
I ordinarily prescribe to menopausal women twice your age.
You could get pregnant with fertility drugs, but I strongly advise
against it. As a DES daughter, your cervix is likely to dilate early
in the pregnancy, resulting in premature birth. And with your
small, deformed uterus, there's no way you could carry a baby
past six months, so you should never attempt to get pregnant.
But look at the bright side; you'll never have to use birth control
again."
That night I wept for a long time. Brad sat quietly on the bed
and held me when I was too exhausted to cry anymore. Our grief
satisfied Patricia, our social worker at Spence–Chapin adoption
agency. She had met many infertile couples who treated adoption
as an insurance plan, while secretly hoping to have a real
baby, so that they could be real parents. We passed the cathartic
grief test, and she signed us up.
We waited two years for a birth mother to choose us. Zoe was
nineteen years old and didn't realize she was pregnant till her
sixth month, when it was too late for an abortion. She wanted
to go back to college. It wasn't the right time in her life to be a
mom. We were at Julia's birth, and held her moments after she
was born. Though we knew Zoe didn't want to raise a baby, it
seemed like superhuman generosity for her to give her newborn
baby to us. We were infinitely grateful to her for choosing us.
Julia has heard this story often. It is part of our family
folklore.
At my New School University graduation ceremony in May of
1999, I walked down the aisle of the ornate chapel of Riverside
Church feeling sick, anxious, and old. Michael was in the audience,
briefly in town between performing gigs. He was touring
for most of April. Tomorrow he would leave for two weeks in
El Paso to create an original theater piece with Mexican American
high school students. He had so much energy. I had so little.
What happened to my eternal youth? Ubiquitous happiness?
Was this menopause or was I sick? Was this misery my insurance
policy against the Evil Eye, or did the Evil Eye cause this
misery?
Dr. Kay, the gastroenterologist, sent me for an abdominal
sonogram and a CAT scan. He diagnosed me with anemia and
reflux, and prescribed drugs and a low–acid diet. I asked him if I
had to avoid drinking wine on our August trip to Italy.
"Have plenty of wine, especially the local reds! I'd never forgive
myself if you went to Tuscany and didn't drink wine."
In July's heat, I felt worse. "My hip joints are sore, my breasts
hurt, there's a hard swelling in my abdomen, I'm depressed, I
can't sleep."
Dr. Kay sent me to his wife, Dr. Jan Riley, a general practitioner.
She sent me for a breast sonogram and a hip X–ray, both
negative. "Ask your gynecologist to adjust your estrogen level,"
she suggested.
With my feet in stirrups, I asked Robin about my symptoms,
while she performed an internal exam.
"Why is my abdomen swollen?"
" Middle–aged loss of muscle tone."
"But my stomach has never been so firm in my life."
"You're a middle–aged woman in early menopause, and your
figure is changing."
"Why do I feel like I have to pee all the time?"
Her rubber–gloved fingers pressed on my cervix and the
walls of my vagina. "You have a bladder disorder called cystocele.
Atrophied bladder muscle, a common symptom of aging.
You'll experience some leaking when you sneeze and walk. The
only way to cure it is with surgery, but the risks are worse than
the cure."
She removed her gloves and examined my breasts.
"Why are my breasts so sore?"
"You have hard ridges as a result of wearing underwire bras
for so many years."
"I don't feel ridges."
"I do."
"What about my depression and insomnia?"
"Welcome to menopause!"
"Can you retest my hormone levels?"
"No. I'd have to take you off the hormones for several weeks
to get an accurate test, and your estrogen is too low to do that.
Increase your exercise, start a weight–loss diet, continue the hormones,
and see me in a year."
I dieted and forced myself to jog three miles a day, adding
abdominal crunches and weight lifting to my regime. "Middleaged
loss of muscle tone," I reminded myself, popping the button
on my pants, then popping a Premarin—pre–for pregnant,
mar–for mare, a female horse. My daily dose of pregnant horse
estrogen.
Scene 3
Wedding Plans
Michael and I set a wedding date of June 11, 2000, which gave
us nearly a year to plan. In July, while Julia was in LA, we visited
the short list of wedding sites in our low–budget range, though
I wasn't exactly in the mood. After Robin's diagnosis, I had a
recurrent fantasy of walking down the aisle at my wedding, having
hot flashes and wearing Depends, Michael looking like a college
kid, holding hands with his ancient bride.
The round–faced young woman who gave us the tour of the
Victorian wedding factory in central New Jersey wore a pale
peach polyester bridesmaid dress, which matched the drapes, her
hair ribbons, and her blush. Michael bated her with his charming
smile and intentionally dumb questions. Unaware of Michael's
sarcasm, she rattled off at lightning speed her script of menu
options for the tightly scheduled nuptials, the breakneck pace of
her delivery mirroring the pace of the ceremonies—eight weddings
each weekend, a feat accomplished by herding the guests
at each wedding to a different room every half hour.
The rustic Bear Mountain Inn, nestled in a beautiful mountain valley, was briefly the top contender, but we ruled it out when we
returned with dozens of other betrothed couples for the complimentary
food tasting, a parade of unidentifiable, identical fried
things, variations on a theme of "pigs in a blanket," introduced
ceremoniously as fromage en croute and saucisses feuilletées.
We weighed the merits of a civil service at City Hall, and
reconsidered getting married at all. In late July, we found a place
we both loved—an affordable, big old house in the country,
ninety minutes upstate, with a wonderful in–house caterer. We
paid our deposit and took a break.
Scene 4
Italy
It was our first vacation as a family. Julia, who would celebrate her
ninth birthday in Tuscany, was an adventurous and uncomplaining
traveler—open to trying anything new—especially gelato, but even
the cathedrals and museums at which most kids balk. Michael, also
on his first trip to Europe, had an obsessive drive to see everything,
and set a manic sightseeing pace. We sped around Venice for three
days, riding gondolas and water taxis, taking in Renaissance sculptures
and the Biennale exhibit of contemporary art, viewing the
city itself as a work of art slowly being submerged in water—like
Michael's beloved and vulnerable hometown of New Orleans. At
first I was energized by Michael's and Julia's high velocity tourist
style. But each day I found it harder to keep up with them.
Driving into Tuscany, Michael at the wheel, he took a wrong turn
and we ended up in downtown Florence, stuck in traffic outside the
city hospital. My hand on my hard belly, I had a fleeting fantasy of
checking into the hospital. I would point to my Berlitz phrasebook
at the Italian for "What's wrong with me, Doctor?" He would smile
condescendingly, borrow my book, and point to the phrase "Welcome to menopause!" which he would announce loudly in two languages,
to the amusement of his colleagues. The Florentine traffic
jam ended, Michael found the narrow, unpaved road we were looking
for, and we drove up the mountain to our rented Tuscan cottage.
Signora Francesca Gimaldi, our eighty–five–year–old landlady,
whose leathered face was crosshatched with wrinkles, greeted us
in Italian. She took a grandmotherly shine to Julia and promptly
flagged down the rickety local bus, returning three hours later
with two brown paper bags filled with fresh figs—one for her
and one for Julia.
Michael and Julia drove down the mountain to Florence over
the next few days, to visit the Uffizi Gallery and to explore the
city, but I was too tired to join them, so I stayed at our cottage.
Signora Gimaldi and I rested on the gray slate patio together,
two old ladies quietly gazing at the parched yellow grass, olive
trees, and vineyards, the vines tethered to wooden stakes to support
the ripening bunches of small, green grapes. I followed Dr.
Kay's orders, and drank lots of local red wine.
Rome was beautiful but too hot to breathe. While Michael
and Julia explored ancient ruins, cathedrals, and gardens, I
became the American expert on Italian park benches. A Roman
policeman shook me awake from a nap at the Villa Borghese
Gardens and ordered me to leave.
I was famished, but after a few bites I couldn't eat. My cheeks
were sunken, my stomach was bloated. On the last night of
our trip, unable to sleep, I ran my hand over my abdomen. The
swelling was bigger than at the beginning of our vacation. I put
Michael's hand on my belly.
"What do you think it is?" he whispered, half–awake.
"Either I'm pregnant or this is a tumor."
"You'll be okay," he said uncertainly, his hand tracing the
hard curve.
Back in New York City on Labor Day, I bought an over–the–counter
pregnancy test kit. "Negative," I told Michael.
"How does that make you feel?" he asked.
"Relieved. Disappointed. Scared."
"Me too." He hugged me, picked up his suitcase, and left for
the airport. He would be performing in Chicago all week, and
would return late on Friday night.
What I Know
I have a large, hard lump in my lower abdomen.
I'm not pregnant.
I am forty–four and in early menopause.
I have been infertile since the age of thirty.
I have a bladder disorder.
I have sore breasts, a result of wearing underwire
bras.
I've felt sick since April.
I'm anemic.
I'm depressed.
I have been on hormone replacement therapy for
fourteen years, which increases my risk of cancer.
I'm a DES daughter, which increases my risk of
cancer.
My mother had breast cancer.
I'm sure the lump is cancer.
Scene 5
Rosh Hashanah
The Jewish calendar is a combined lunar/solar calendar. The
months correspond to the moon's cycle, the year to the Earth's
rotation around the sun. Because twelve lunar months is eleven
days short of a solar year, a thirty–day Leap Month is added every
few years to keep in sync with the seasons. Jewish holidays begin
at sundown, and the first evening is called "Erev" or "eve of." In
1999 the Jewish New Year, Rosh Hashanah, begins at sundown on
Friday, September 10, four days after Labor Day.
That afternoon I had a 1:30 appointment with Dr. Jan Riley.
In the waiting room I thought about anything to get my mind
off the frightening bulge in my abdomen. My first faculty meeting
at The New School at 4:00 today. Rosh Hashanah dinner tonight at
Sue and Larry's. Julia has a play date with their daughter, Adria, after
school. I'll pick up a bottle of wine after my faculty meeting. Tomorrow
I take Julia to Rosh Hashanah children's service. Her choice. Funny
how I grew up with minimal Jewish education, I only go to synagogue
on Rosh Hashanah and Yom Kippur, but Julia has been the driving
force for her own Jewish education; she asked for Hebrew lessons from
the age of six and is committed to having a bat mitzvah. So foreign
to me, but I take her to Hebrew school every Monday with her friend
Sophie. I adore Sophie's mother—we're on the cusp of a genuine friendship.
Damn it, I've been waiting for Dr. Riley for two hours. I can't be
late for my meeting.
"How long have you had this?" asked Dr. Riley, pressing her
hand on my swollen belly.
"I noticed it a month ago. My gynecologist said it was loss of
muscle tone."
"Did she do an internal exam?"
"Yes."
"I'm sending you to Lenox Hill Hospital for an emergency CAT
scan."
"I have a meeting for a new job in twenty minutes. Can I do
this tomorrow?"
"No. I think you have a large uterine or ovarian tumor. I can't
let you go the weekend without having this seen. It's Friday.
Radiology closes at four. I'll call them and tell them to stay open
for you."
It surprised me that I was so terrified to hear I had a tumor.
It's what I expected. Michael wouldn't be back from Chicago till
midnight, and was unreachable by phone. I called Sue from the
hospital and told her I'd be late to dinner.
"Can I to come to the hospital to be with you?" Sue offered. "I can get Larry to take care of the kids."
"No, I don't want to worry Julia. Thanks for offering. I'm
okay."
* * *
"This will make your organs glow," said the nurse in the crowded
Radiology waiting room, handing me a quart of a gluey, white, vile-tasting
liquid. "When you finish drinking it, take a walk, and come
back in an hour."
In the middle of Central Park, in the center of this frenetic city, Turtle
Pond is an oasis. On this insanely beautiful day, the sun was just
slipping behind the treetops. A redwing blackbird perched on a cattail.
A white heron gracefully fished along the far shore. Five turtles,
lined up on a log, stretched their necks toward the afternoon's last
rays of sun, toward the impossibly blue sky. The pond was framed
by weeping willows, the willows framed by the Manhattan skyline.
This might be the last time I would see Central Park in late summer.
This might be my last Rosh Hashanah. Would I live long enough to
marry Michael? To help Julia grow up?
I walked back to Lenox Hill. I was the only one in the now
shadowy waiting room, except for Jim, the young, black–haired
radiologist, and his white–haired assistant, Jane, who were staying
late just for me. The incandescent lamps had been turned off,
leaving a bluish glow over the reception desk. They ushered me
into a fluorescent–lit room and hooked me up to an IV, which
made my mouth taste like aluminum, and dyed my glowing
uterus and ovaries—and whatever hard and unwelcome mass
was growing in them—purple.
Directed by Jane over a loudspeaker, I lay down on a metal
tube, which transported me inside the human–sized white cylinder,
a sterile and profoundly lonely place. I wished I'd asked Sue
to come to the hospital with me. Between repeated immersions in the cylinder, I glimpsed Jim and Jane through the glass window.
Their faces, which I tried to read for clues, looked troubled and
confused. Jane apologized over the monitor. "The X–rays aren't
clear. We'll have to run it again."
When they were done, I sat in the chilly waiting area and fell
asleep.
"Mrs. Cohen. Mrs. Cohen." Jim was gently shaking my shoulder.
"We did find something in you, Mrs. Cohen."
"You did?"
"We found a baby."
"What?"
"We found a baby."
"What?"
"We found a baby in you. Congratulations, Mrs. Cohen!"
Obviously, this is a dream. I argue with him in my dream.
"That's impossible."
"Well, yes, we're very surprised. Your medical records say
you're in menopause, and we didn't expect to find a baby. It's not
customary to diagnose a pregnancy with a CAT scan. Not recommended.
Nevertheless, as I say, there is a baby in you."
"I don't believe you."
"We found a baby."
Maybe this is a semantic misunderstanding—a slapstick
"Who's on first?" dialogue, with "baby" a proper name standing
in for something else. I try to figure out the joke.
"What do you mean by 'baby'?"
"I think you'd better come to the ultrasound room and see
for yourself."
I can tell it's a dream by the script. It has that hard–boiled,
noir dialogue of movies and dreams: "We found a baby in you, Mrs.
Cohen!" "I don't believe you!" "You'd better come to the ultrasound
room and see for yourself!"
Since my identity is predicated on my infertility, the statement,
"Mrs. Cohen, we found a baby in you," made no more
sense than if he'd said, "Mrs. Cohen, we discovered that you're
a man." Or, "Mrs. Cohen, we found out that you're black." Or,
"Mrs. Cohen, the CAT scan revealed that you're a billionaire,
or a dog, or a registered Republican, or a right–to–life lobbyist."
However, I'm beginning to believe the radiologist, in that way
you believe what a dream character tells you, no matter how
lunatic it might be. In fact I'm beginning to warm up to this idea
of being A Little Pregnant instead of having A Big Tumor. Given
a choice between a few life–affirming embryonic cells and a lethal
mass of cancer cells, I'll take the embryo!
I can tell it's a dream because, as so often happens in my
dreams, I'm both inside and outside myself. It's another recurrent
dream of mine. I wrote a solo play about this dream of me,
on the ceiling, looking at me on the examining table, looking
at me on the video screen. It always starts out this way, in my
dreams and in my plays, but I never know what's going to show
up on the video screen.
The radiologist slathers my belly with warm gel and moves
the ultrasound device—kind of like a computer mouse—over the
gooey surface, matched by a slurpy, gloop, gloo–oo–oop sound. The
video screen is filled with shifting patterns of gray dots.
Maybe, in this dream, the video screen is a Rorschach test, an opportunity for self–analysis. In a dream a baby represents the
self—I took a course on Freudian and Jungian dream analysis at
Princeton—I'm going to give birth to my self.
He stops moving the sonogram camera over my gloopy belly.
Out of the gray haze, there is now a baby on the screen. It
has a baby's profile, rather pretty, with a button nose, parted lips,
and an enormous forehead. A rhythmic flickering of light is its
tiny heart, quick as a little bird's heartbeat—ta–tinn–ta–tinn–ta–tinnta–
tinn… A thick, coiled umbilical cord floats from its baby
belly, a teeny penis peeks between his legs. The baby has two
feet, five toes apiece, two hands, each with five fingers.
He is waving his right hand. There's a distant, high–pitched
voice from inside my head, a fairy's voice. "Hello, Mommy. I'm
here. I slipped under the radar. I hid from you, but now I'm here,
and I'm waving at you. See me? See me, Mommy? See me waving
my little hand? See my heart? My little heart beating so fast,
ta–tinn, ta–tinn, ta–tinn, ta–tinn, ta–tinn? Now you see me? Ha! Ha!
Ha!"
"I'm here with Alice Cohen…"
Jim is on the phone with Dr. Riley, while Jane silently pats my
hand and smiles her worried, lips–together smile. "No malignancy.
No. She's pregnant… Yes, that's what she told me… She's in
her third trimester. Twenty–six weeks… Yes, the fetus is moving,
heart rate is good… Your patient appears to be in shock… You
need to talk to her."
I wrench my brain out of believing I'm in a dream so that I can
give all my attention to believing I'm in shock. That's as much as
I'm ready to believe. The radiologist hands me the receiver.
"Congratulations, Alice, this is great news!"
"Dr. Riley… I don't want to have a baby. I can't have a baby.
Can I get an abortion?"
"No, it's too late for that. An abortion is not legal after twenty–four
weeks. This is really very good news, Alice, but you're in
shock right now. I thought you had a tumor, I was afraid you had
cancer, I really did, or I never would have sent you for a CAT
scan. But you don't have a tumor. You're healthy. The fetus is
healthy. Call me Monday and I'll refer you to a high–risk obstetrician.
Go home now. Take it easy this weekend. Drink lots of
water. Oh, and stop taking the estrogen! Start taking prenatal
vitamins."
"Do you want to know the sex of your baby?" the radiologist
asks.
"Yes. No. Please don't tell me."
I know already, but I don't want him to tell me. Knowing it's
a boy makes it worse, somehow. If I don't hear it from the doctor,
maybe I will have been mistaken and it will be a girl, or this will
still be a dream.
But I know it's a boy. And I've rejected my son on the first day
I met him. "I don't want to have a baby. Can I get an abortion?" I
said out loud in front of three doctors. And worse, before rejecting
my son, I neglected him for six months. I starved him, and
probably injured him, subjected him to drugs and CAT scans,
purple dye, Italian red wine and caffeine and X-rays. And now I
don't want him. What kind of a mother am I? A monster.
"Take the sonogram image home with you. Your first baby
picture."
It was night when I left the hospital. With a picture of my unborn
son hidden in my pocket, I cabbed to Sue's and assured her I was
okay but that I had to talk to Michael before I could tell her the
results of the CAT scan. Julia and Adria sat to my left, Julia eating
Sue's elegant meal of veal stew and wild rice in her characteristically
messy style, Adria with precociously grown–up manners.
Julia, happy to be out late with her friend, didn't notice that I
was too distracted to carry on a coherent conversation, that I
couldn't eat a bite of dinner, that I kept grabbing her hand under
the table, like a child afraid of the dark.
Michael got home at 1:00 a.m. "I'm exhausted. Can't this
wait till morning?"
"No."
He put his suitcase down and sat on the sofa with me.
"I'm six months pregnant."
He looked at me funny, checking to see if I was making a
joke. I handed him the sonogram picture. He studied the grainy
image, taking a moment before identifying the profile, the nose,
the parted lips, the feet and hands. He burst into tears. He was
crying from happiness. I started crying. With Michael home,
holding each other and crying, I think I was happy. That's what it
was that night. Happiness.
Friday, terrifying and surreal, is over. I don't have cancer.
Michael is with me. We're getting married. We're going to have
a baby. Julia will have a little brother. We're a family. My son
waved at me, his heart is beating, he has ten fingers and ten toes.
To life! L'chaim! A sweet New Year!
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