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What I Thought I Knew

A Memoir
Alice Eve Cohen - Author
$24.95
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Book: Hardcover | 5.51 x 8.26in | 208 pages | ISBN 9780670020959 | 09 Jul 2009 | Viking Adult | 18 - AND UP
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What I Thought I Knew
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

  1. I have a large, hard lump in my lower abdomen.
  2. I'm not pregnant.
  3. I am forty–four and in early menopause.
  4. I have been infertile since the age of thirty.
  5. I have a bladder disorder.
  6. I have sore breasts, a result of wearing underwire bras.
  7. I've felt sick since April.
  8. I'm anemic.
  9. I'm depressed.
  10. I have been on hormone replacement therapy for fourteen years, which increases my risk of cancer.
  11. I'm a DES daughter, which increases my risk of cancer.
  12. My mother had breast cancer.
  13. 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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