Later, I would learn that when you want to take someone off a ventilator, you use the acronym MOVE to gauge readiness: mental status, oxygenation, ventilation, and expectoration. You want the blood vessels in the brain to be receiving and perfusing oxygen, so that the patient can
process information and respond. You want the oxygen level to top 90 percent, and you want the patient to be able to overbreathe the ventilator. You have to make sure she can cough, so that she will not choke on her own spit when the tube is removed.
To determine this, a spontaneous breathing trial is done. First the patient is switched to pressure support mode, to see how much of a breath she is
capable of taking. Then comes a spontaneous awakening trial, to see if the patient can wake up when the amount of sedatives being pumped into her veins is lessened. Finally, the pressure support is turned off to do a
spontaneous breathing trial. If the patient can maintain low carbon dioxide levels, then she is ready for extubation.
This process is called a sedation vacation.
It is, according to my nurse, Syreta, the only vacation Iโve been on.
I am alone most of the time, but it seems there is always someone hovering outside my door, peering in. The next time Syreta comes in, I ask why, and she tells me that Iโm a success storyโand the staff has had
precious few of them.
Syreta tells me that itโs normal to feel wrung out. I canโt sit up on my own. I am not allowed to eat or drinkโI have a feeding tube down my nose, and will until I pass something called a swallow test. I am wearing a diaper. Yet none of this is as upsetting as the fact that everyone keeps telling meย this is real:ย the moon-suited medical team, the wonkiness of my body,
the television reports that schools and businesses are all closed and that thousands of people are dead.
Yesterday, I was on Isabela Island and I almost drowned.
But Iโm the only person who believes that.
Syreta doesnโt even blink when I tell her about the Galรกpagos. โI had another patient who was convinced there were two stuffed animals on her windowsill, and every time I left the room, they waved at her.โ She raises a brow. โThere werenโt any stuffed animals on her windowsill. She didnโt even have aย window.โ
โYou donโt understand โฆ Iย livedย there. I met people and made friends and I โฆ I climbed into a volcano โฆ I went swimmingโOh!โ I try to reach my phone, on the table in front of me, but it is so heavy that it slips out of my hand and Syreta has to fish in the blankets to hand it to me. โI have pictures. Sea lions and blue-footed boobies I wanted to show Finnโโ
I use my thumb to scrub across the screen, but the last picture on my phone is of Kitomi Itoโs painting, from weeks ago.
Thatโs when I notice the date on the screen.
โToday canโt be March twenty-fourth,โ I say, the thought rolling like fog through my mind. โIโve been away for two months. I celebrated my birthday there.โ
โGuess you get to celebrate again.โ
โIt wasnโt a hallucination,โ I protest. โIt felt more real than any of this does.โ
โHonestly,โ Syreta mulls. โThatโs a blessing.โ
The Covid ICU is like a plague ward. The only people allowed to enter my room are my doctor, Syreta, and the night nurse, Betty; even the residents who do rounds talk to me from outside the plate-glass wall. There are too many patients and not enough medical staff. Ninety-nine percent of the time, I am alone, trapped in a body that will not do what I need it to do.
I keep watching through the window, but I am the bug trapped in a jarโ peered at occasionally by people who are mostly just grateful I am no longer sharing their space.
I am so fucking thirsty and no one will give me water. It feels like I have been in a wind tunnel for days, unable to close my mouth. My lips are chapped and my throat is a desert.
I still have oxygen being piped into my nose. I have no recollection of getting sick.
What I do remember, vividly and viscerally, is the sparkle of the rock
walls of the trillizos, and how the dock in Puerto Villamil smells of fish and
salt, the taste of papaya warm from the sun, and the soft curves of Abuelaโs voice rounding out Spanish words.
I remember Beatriz, sitting on the beach with wet sand dripping from her fist.
I remember Gabriel treading water in the ocean, grinning as he splashed me.
Whenever I think of them, I start to cry. I am grieving people who, according to everyone here, never existed.
The only explanation is that in addition to catching this virus, I have gone insane.
I realize, when I try to breathe in and canโt, when I feel the heaviness of my broken body, that I should believe everyone who tells me how sick Iโve been. But it doesnโt feel like I was sick. It feels like my reality just โฆ changed.
Iโve read stories about people who wake up from medical sedation fluent in Mandarin despite having no Chinese background or connection to China; or about a man who emerged from a coma, asked for a violin, and went on to perform sold-out concerts as a virtuoso. I always took these stories with a grain of saltโthey just sound too wild to be real. I might not have a sudden new talent, but Iโm certain that the memories I have from the past two months arenโt just delirium. Iย knowย I was there.
Whereverย thereย was.
When my anxiety peaks, causing my pulse rate to spike, Betty enters the room. Itโs telling that Iโm so grateful to see another person in the room with me that I even wonder if appearing sicker might mean Iโd be alone less.
โWhat happens when you donโt get enough oxygen?โ I ask.
She glances at my pulse ox levels, which are stable. โYouโre fine,โ Betty says.
โFor now,โ I clarify. โBut I was bad enough to need a ventilator, right? What if it permanently messed up my brain?โ
Bettyโs expression softens. โCovid fog is a real thing,โ she reassures me. โIf youโre having trouble putting thoughts together or forgetting what you were saying, thatโs not brain damage. Itโs justโฆ an aftereffect.โ
โItโs not that Iย canโtย remember,โ I say. โItโs that Iย doย remember. Everyoneโs telling me Iโve been in the hospital with Covid, but I donโt remember that. All my memories are of being in a different country, with people you all say arenโt real.โ My voice breaks; I donโt want to see Bettyโs pity, or be viewed as someone whoโs lost touch with reality. I want someone to believe me.
โListen,โ Betty says gently, โhow about I page the on-call doctor? Thatโs what intensivists are here for. Coming out of something like this, PTSD is common; we can get you some medication to help take the edge offโโ
โNo,โ I interrupt. โNo more drugs.โ I donโt want to lose these memories because of some medication that makes me feel numb. I donโt want my mind wiped out.
It sort of feels like it already has been.
When I refuse Bettyโs offer to call the doctor, she suggests trying to reach Finn. She uses my phone to FaceTime him, but he doesnโt answer. Ten minutes later, though, heโs knocking on the glass outside my room. Just seeing himโsomeone who cares about meโfills me with relief. I wave, signaling for him to come in, but he shakes his head. He mimes holding a phone to his ear, then gestures to Betty in the hallway. She comes in to hold my phone for me, as my arms are too weak
โHey,โ Finn says softly. โI hear the patient is rowdy.โ
โNot rowdy,โ I correct. โJust โฆ frustrated. And really, really lonely.โ โIf itโs any consolation, isolation must be doing wonders, because you
look better already.โ
โYou liar,โ I murmur, and through the glass, he winks.
This is real,ย I tell myself.ย Finn is real.
But I feel the concavity of that statement, too: Gabriel is not.
โFinn?โ I say. โWhat if I canโt tell the difference anymore between what was a dream and what wasnโt?โ
Heโs silent for a moment. โHave you had โฆ any more โฆ episodes?โ He doesnโt want to say the wordย hallucination,ย I can tell. โNo,โ I reply.
What I donโt say is that every time Iโve closed my eyes today I have expected to return to where I was yesterday.
I want a do-over, even as my conscience reminds me thisย isย one.
โYour nurse said you were getting a little worked up,โ Finn says. Tears spring to my eyes. โNo one will tell me anything.โ
โI will,โ he vows. โIโll tell you anything you want to know, Diana.โ โI donโt remember getting sick,โ I begin.
โYou woke up in the middle of the night with a headache,โ Finn says. โBy the next morning, you had a fever of a hundred and three. Your breaths were so shallow, you were panting. I called an ambulance to bring you
here.โ
โWhat about the Galรกpagos?โ I ask.
โWhat about it?โ he says. โWe decided not to go.โ
Those five words wipe clean all the noise in my mind. Did we?
โYour pulse ox was seventy-six, and you tested positive,โ Finn continues. โThey took you to a Covid ward. I couldnโt believe it. You were young and healthy and you werenโt supposed to be the kind of person who could get
this virus. But the biggest thing we know about Covid is that we donโt know anything about it. I was reading everything I could, trying to get you into
trials for drugs, trying to figure out how even six liters of air pushed through a cannula to you couldnโt raise your pulse ox. And meanwhile, all around me, I had patients on vents who werenโt ever coming off them.โ He swallows, and I realize that heโs crying. โWe couldnโt keep you lucid,โ Finn says. โThey called me to tell me they needed to intubate youย now. So I gave them the go-ahead.โ
My heart hurts, thinking of how hard that must have been.
โIโd sneak in whenever I could, sit by the bed, and talk to youโabout my patients, and about how fucking scary this virus is, and how I feel like
weโre all just shooting in the dark and hoping to hit a target.โ
Those sporadic emails from him, then, werenโt really emails.
โI bullied your medical team into proning youโputting you on your belly, even on the vent. I read where a doctor on the West Coast had success with Covid patients by doing that. They thought I was crazy but now some of the pulmonologists are doing it, because what the hell, it worked for
you.โ
I think about all the time I spent at Concha de Perla, floating facedown with a mask and snorkel, peeking into a world undersea.
โIโd be workingโrounding on my own patients, whateverโand Iโd hear the call for codes, and every time, everyย goddamnย time, I would freeze and think,ย Please God,ย notย her room.โ
โI โฆ Iโve been here ten days?โ I ask.
โIt felt like a year to me. We tried to bring you out of sedation a few times, but you werenโt having it.โ
Suddenly I remember the vivid dream I had when I was in the Galรกpagos:
Finn, not costumed as I had assumed, but wearing an N95 mask like
everyone else here. Telling me to stay awake, so he could save me. The woman I pictured beside him, I realize now, was Syreta.
There is one overlapping part of both realities, I realize. โI almost died,โ I whisper.
Finn stares at me for a long moment, his throat working. โIt was your second day on the vent. Your pulmonologist told me that he didnโt think youโd last the night. The vent was maxing out and your O-two levels were shit. Your blood pressure bottomed out, and they couldnโt stabilize you.โ He draws a shuddering breath. โHe told me I should say goodbye.โ
I watch him rub a hand over his face, reliving something I do not even recall.
โSo I sat with you โฆ held your hand,โ Finn says softly. โTold you I love you.โ
One tear streaks down my cheek, catching in the shell of my ear.
โBut you fought,โ he says. โYou stabilized. And you turned the corner.
Honestly, itโs a miracle, Diana.โ
I feel my throat get thick. โMy mother โฆโ
โIโm taking care of everything. Your only job is to rest. To get better.โ He swallows. โTo come home.โ
Suddenly there is a code blue over the loudspeaker and Finn frowns. โI
have to go,โ he says. โI love you.โ He runs down the hall, presumably to the room where one of his patients is tanking. Someone who is not as lucky as me.
Betty takes the phone away from where sheโs been holding it to my ear with her gloved hand. She puts it on the nightstand and a moment later
presses a tissue gently to the corner of each of my eyes, wiping away the tears that wonโt stop coming. โHoney, youโre through the worst of it,โ she says. โYou have a second chance.โ
She thinks Iโm crying because I nearly lost my life.
You donโt understand,ย I want to tell her. Iย did.
Everyone keeps telling me I have to focus on getting my body back in shape, when all I want to do is untangle the thicket of my mind. I want to talk about Gabriel and Beatriz and the Galรกpagos but (first) there is no one to listen to meโthe nurses spend quick, efficient moments in my room changing me and giving meds before they step out and have to sanitize and strip off their gearโand (second) no one believes me.
I remember how isolated I felt when I thought I was stuck on Isabela, and wonder if that was some strange distillation of my drugged brain filtering what it is like to be a quarantined Covid patient. I was alone a lot in the Galรกpagos, but I wasnโt lonely, like I am here.
I havenโt seen Finn for a whole day.
I canโt read, because words start to dance on the page and even a magazine is too heavy for me to hold. Same with a phone. I canโt call
friends because my voice is still raspy and raw. I watch television, but every channel seems to carry the president saying that this virus is no worse than
the flu, that social distancing should be lifted by Easter.
For endless hours I stare at the door and wish for someone to come in.
Sometimes, itโs so long between visits from nurses that when Syreta or Betty arrive, I find myself talking about anything I can seize upon, in the hope that it will keep them with me a few minutes longer.
When I tell Syreta that I want to try to use the bathroom, she raises a brow. โEasy, cowgirl,โ she says. โOne step at a time.โ
So instead I beg for water, and Iโm given a damp, spongy swab thatโs moved around my mouth. I suck at it greedily, but Syreta takes it away and leaves me thirsty.
If Iโm good, she promises, I can have a swallow test tomorrow and my feeding tube might come out.
If Iโm good, physical therapy will come in today to assess me. I resolve to be good.
In the meantime, I just lie on my side and listen to the beep and whir of machines that prove Iโm alive.
Even though Iโm alone, when I soil my adult diaper, my cheeks burn in humiliation. I scrabble for the call button. The last time I needed to be changed (myย God,ย even thinking that embarrasses me) it took forty minutes for Syreta to come. I didnโt ask why she was delayed; it was written all over her face: disappointment, exhaustion, resignation. Sitting in my own mess just doesnโt compare to another patient whoโs crashing.
To my relief, this time the door opens almost immediately. But instead of my day nurse, the most beautiful man Iโve ever seen walks into my room.
He is youngโearly twentiesโwith raven-black hair and eyes so blue they are like looking into the sky. Beneath his mask, his jaw is square; his
shoulders are wide, and his biceps strain the sleeves of his scrubs. โNeed something?โ he says.
I feel like Iโm going to swallow my tongue. โI โฆ um. Youโre not Syreta.โ โI definitely am not,โ he agrees. I can tell he is smiling from the way his
eyes crinkle, but I bet beneath that mask and shield he has perfect teeth. โIโm Chris; Iโm a certified nursing assistant.โ
โWhy?โ The word springs from my mouth before I can stop it. This man could be a movie star, a model. Why would he choose to be in a Covid ward taking care of contagious people who canโt wipe their own bottoms?
He laughs. โI actually like the work. Or I did, before it became a potential death sentence.โ His cheeks darken above his mask with a fierce blush. โIโm sorry,โ he says quickly. โI didnโt mean to say that out loud.โ
I imagine how, in another time or place, patients might have requested him when they wanted to be moved from the bed, or lifted into a wheelchair.
Those arms.
Suddenly I am blushing as much as he is, because I remember why I pushed the call button.
โSo, what can I do for you?โ Chris asks.
My voice dries up. I weigh the thought of sitting in this disgusting diaper against the mortification of telling him why I needed help.
Apparently, he is also psychic, or accustomed to women making idiots of themselves around him. Because he just nods briskly, as if weโve had an
entire conversation, and efficiently moves to the supply cabinet to extract a fresh diaper. He gently pulls down the bedding, rips the elasticized side
panels of the diaper, and swiftly cleans me before getting me sterile and swaddled again. The whole time, I keep my eyes closed, as if I could will away this entire experience.
I hear the swish of debris in a trash can and water being run and the snap of new elastic gloves. โAll set,โ Chris says lightly. โAnything else?โ
Before I can answer, another person comes into the room. I havenโt seen two human beings in the same space with me since I was extubated, and
Finn was there. This is a tiny woman who is swathed in PPE, like everyone else. โStop hogging the patient,โ she says. โItโs my turn.โ
Chris winks at me. โSee you later,โ he says.
The woman watches him leave. โHot CNA,โ she muses, โis s*x on legs.โ โHis name is Chris,โ I reply.
She raises a brow. โOh, I know.โ She walks toward the bed. โIโm Prisha.
Iโm a physical therapist.โ
โNice to meet you,โ I say.
โWeโve met, kind of. When you were sedated, I moved your limbs around so your joints and muscles would stay healthy.โ She shrugs. โYouโre welcome.โ
โI want to go to the bathroom,โ I tell her. โI mean, not now. But when I have to.โ
She nods. โThatโs a great goal. But youโve been on a vent for five days, so we have to see how youโre moving, and how youโll respond to being upright, first.โ Prisha draws one of my arms over my head, encouraging me to take a breath. Then she does this with the other arm. I can feel my rib
cage expanding. She gives me a few breathing exercises to try, and I do, until I cough. โWe can try to get out of bed, but to do that, weโre going to need a second set of hands and a blood pressure cuff,โ Prisha says.
โPlease,โ I beg. โThe bathroom?โ
She narrows her eyes, as if assessing me. Then she calls in Chris, the CNA, again. Prisha helps me roll and lowers my legs off the bed. With Chrisโs help, she gets me to a sitting position. Prisha slides an arm around me, and at the embrace, I almost gasp. Everyone elseโeven Finn, that first nightโis tentative about coming close to me, as if my skin itself is contaminated. To have someone touch me, so willingly and without fear, nearly brings me to tears.
Everything hurts as I move it, but I am driven. I do not want Chris wiping my ass again.
โWhy,โ I grind out, โis this so hard?โ
โYouโre lucky,โ Chris says, from my other side. โThe other postvent Covid patientsโand there arenโt manyโhave a lot of complications. Renal failure, heart failure, encephalopathy, pressure ulcers โฆโ
Prisha interrupts him just as Iโm starting to get panicked hearing about complications I havenโt even anticipated. โOkay,โ she says. โLetโs try sitting up on your own for a few seconds.โ
Sitting?ย Iโm not an invalid; itโs only been a few days. โI just need help standing. I havenโt been in the hospital that longโโ
โHumor me,โ Prisha says, and she removes her arm so that I have to support myself upright.
For about fifteen seconds, I do.
Then everything swims. Around me, inside me. Being vertical feels like hurtling through space. I see stars, start to tip forward, and Chrisโs strong arms catch me and gently lower me back onto the bed.
Prisha looks down at me. โYouโve been effectively paralyzed for nearly a week. When you sit up, all the blood rushes down from your head because the muscles around the blood vessels have been on hiatus and need to remember how gravity works. Baby steps, Diana. You almost died. Cut your body a break.โ
I feel exhausted, like I have run a mile. I think about how, on Isabela, I would swim or run or snorkel for hours without getting tired.
But then again, that was fake.
Prisha tugs the blanket up around me. โIโve got patients who canโt even manage five seconds,โ she says, patting my shoulder. โFifteen seconds today. Tomorrowโs going to be better.โ
When Prisha and Chris leave, I watch them through the plate-glass
window, stripping off their PPE and stuffing it into special bins for Covid- exposed gear.
The sound of my own failure pounds like a headache. I reach for the smooth plastic tail of the TV remote, fishing it closer. It slips out of my hand twice before I manage to drag it onto my belly and turn the TV on.
The channel is CNN. โAt least 215 million Americans are under shelter- in-place orders,โ the anchor says. โAt this point, the United States has surpassed China and Italy for most known cases worldwide, with over 85,000 cases and 1,300 deaths.โ
My mother being one of them.
โOne of the hardest hit locations is the New York City area. A hospital official in Queens said that they have only three remaining ventilators, and that if this continues into April, patient care may have to be rationed.
Bodies are being stored in freezer trucksโโ
I smack at the remote until I hit the button that turns the TV, blessedly, off.
Twice, I see a ghost.
She comes into my room so quietly that at first I am not sure what wakes me. She moves in the shadows and is gone soundlessly before I can even blink her into focus.
So the third time I am waiting. She is a dark blur of activity at the edges of the room, and I turn toward the disturbance and narrow my eyes. An older woman with dark hair and darker skin, who is holding her own
shadow in one fist.
โHello,โ I whisper, and she turns. She looks startled. โAre you real?โ I ask.
Like everyone else, she is masked and gloved and gowned. She points to the trash can. I realize, then, that what she holds is just a black plastic bag. That she is an essential worker whoโs come to clean the room.
โWhatโs your name?โ I ask.
She says, haltingly, โNo English.โ
I tap my chest. โDiana,โ I say, then point to her. โCosima,โ she replies, and she bobs her head.
It strikes me that nobody willingly connects with either of us. Cosima, because she is beneath the notice of the medical staff; me, because Iโm a walking potential death sentence.
โI donโt know whatโs real anymore, and whatโs not,โ I confess to Cosima, as she wipes down the faucets and the sink basin.
โIโve lost time,โ I tell her. โAnd people. And maybe my mind.โ
She pulls the bag out of my garbage can and knots its neck. She nods and takes away my trash.
There arenโt clocks in hospital rooms, and your sleep keeps getting disturbed, and the lights never really go out fully, so itโs hard to get a sense of time passing. Sometimes I am not sure if hours have gone by, or days.
Instead, I begin to count the spaces between the fits of coughing that
leave me spent and exhausted. My lungs may have rallied enough to take me off a ventilator but they arenโt anywhere near being healthy. When I start coughing, I canโt stop; when I canโt stop, I gasp for air; when Iโm gasping, the edges of my vision turn dark and starry.
Itโs exactly what it felt like when I thought I was drowning.
When it happens again, I press the call button, and Chris the Hot Nursing Assistant comes in. He sees me struggling to breathe and adjusts the bed so
I am sitting up. He takes a suction tube, like the kind from the dentist, and slips it into my mouth. What comes out makes me think of hoarfrost, little crystal shards, that Iโve coughed out of my chest. No wonder I canโt breathe, if this is whatโs inside me.
โOkay,โ Chris soothes. โNow, try to even out those breaths.โ I cough again, my ribs seizing and my eyes watering.
โIn โฆ and out. In โฆ out,โ he says. He grasps my hand firmly and looks into my eyes. I donโt blink. I hold on to his gaze like a lifeline.
My gasps level out. Chris squeezes my fingers, an acknowledgment. But I still canโt keep that tickle from my throat, that urge to cough, from taking over. โJust match me,โ he instructs, exaggerating his breathing so that I can follow along.
It takes a few moments, but eventually, I am doing my best to breathe along with him.
A few more moments, and I find my voice again. Now that I am breathing, he will leave. And I donโt want to be alone again. โAre you single?โ
โAre you asking?โ He laughs.
I shake my head. โI have a boyfriend. But one day, youโre going to make someone an incredible partner.โ
He smiles, clasping his other hand over our joined ones. Just then, the door opens, and as if Iโve conjured him, Finn enters in his PPE.
โSince you just lit up like a Christmas tree,โ Chris says, โIโm guessing this is the boyfriend.โ
โDr. Colson,โ Finn corrects, narrowing his eyes.
Chagrined, Chris drops my hand. โOf course,โ he says, and he glances at me. โJust breathe,โ he reminds me, winks, and slips out of my room.
Finn sits down in the chair Chris has vacated. โShould I be jealous?โ he asks me.
I roll my eyes. โYes, because the first thing Iโm thinking about after almost dying is cheating on you.โ
The sentence hasnโt even left my mouth before I feel a furious blush on my cheeks.
With the exception of how Finn and I met, I havenโt really had a chance to see him in his professional mode. Itโs impressive to see him cut a swath through the hospital, but the way he just used his title to bully Chris makes
me cringe a little โฆ even though I should probably be flattered by the fact that he was possessive.
What he said or did, though, pales by comparison to the fact that heโs
here. Heโs in my room; heโs not on the other side of the glass; Iโm not alone. It makes me giddy. โWhere have you been?โ
โEarning our rent,โ he says. โBut I missed you.โ
I reach out my hand to touch him. Just because I can. โI missed you, too.โ
I want him to take off his mask; I want to see his whole face as if everything between us is normal. But I also know that heโs already taking a risk being in this room with me, even trussed up in all that gear.
It strikes me that Covid isnโt the only thing that can take your breath away.
I remember the first time I saw Finn in a suit instead of scrubsโon an official date, waiting for me at a table at an Italian place in the Village.
When I came in, late because of subway delays, he stood up and the room narrowed to the size of just us. I had to actively remember to draw in air.
A week later, in the middle of a heated kiss, his fingers found the strip of skin between my sweater and my jeans. It was like being branded, and all
the breath rushed out of me in a sigh.
Months into our relationship as I reached for him in the dark, I remember thinking how lovely it was to have a body you knew as well as your own.
How he gasped when I touched him the way he liked; howย Iย gasped at the miracle of knowing exactly what that was.
Suddenly I realize how lucky Iโve been to have had Finn with me when I got sick. If he hadnโt realized that I passed out from a lack of oxygen; if he hadnโt gotten me to the hospitalโwell, I might not be sitting here now. โThank you,โ I say, my voice thick. โFor saving me.โ
He shakes his head. โYou did that yourself.โ
โI donโt remember any of it,โ I tell him. โI donโt even remember being in the hospital before going on the vent.โ
โThatโs normal,โ Finn says. โAnd thatโs what Iโm here for.โ The corners of his eyes crinkle, and I think that of all the horrible things about the masks everyone has to wear, this must be the worst: it is so hard to tell when
someone is smiling at us. โIโll be your memory,โ he promises.
A part of me wonders how his recollection could be any less faulty than mine. For one thing, he wasnโt here the whole time. And, in my mind, neither was I.
There are experiences our brains probably forget on purpose, so we donโt have to suffer through them again. But there are experiences our brains remember that serve as some kind of red flag or warning:ย Donโt touch that stove. Donโt eat that rotten food.
Donโt leave your boyfriend in the middle of a pandemic.
โThe last thing I remember is you telling me I should go on vacation without you,โ I say quietly.
He closes his eyes for a moment. โGreat. Thatโs the part I was hoping youย wouldnโt,โ Finn admits. โYou were pretty pissed at me for saying that.โ
โI โฆ was?โ
โUh, yeah. You asked how I could even suggest that, if I really believed things were going to get so bad here.โ
In other words, everything I had felt in the Galรกpagos.
โYou said clearly we had very different interpretations of a relationship. You kept talking aboutย Romeo and Julietย and how if Romeo had just stayed in Verona, all the rest of the bullshit wouldnโt have happened.โ He looks at me, confused. โI had no idea what you were talking about. Iโve never read
it.โ
โYouโveย neverย readย Romeo and Juliet?โ
Finn winces. โYou said that, too.โ He looks at me. โYou accused me of caring more about the money we were going to lose on the vacation and
less about you. You said if I really loved you, I wouldnโt let you out of my sight when all hell was breaking loose. The truth is, I made a mistake. I
spoke without really thinking it through. I was tired, Di. And scared about working here, and taking care of patients who had the virus, andโโ His
voice breaks, and he bows his head. To my shock, I see that heโs crying. โFinn?โ I whisper.
Those beautiful blue eyes, the color of his scrubs, the color of the sea in a country I never flew to, meet mine. โAnd Iโm probably the one who brought it home to you,โ he forces out. โIโm the reason you got sick.โ
โNo,โ I say. โThatโs not trueโโ
โIt is. We donโt know a lot, but itโs pretty clear some people are carriers and they never show symptoms. I work in aย hospital.โ He spits out that last word, and I realize he is nearly bowed over with the guilt heโs been carrying. โI almost killed you,โ Finn whispers.
โYou donโt know that,โ I say, squeezing his hand. โI could have caught this at work or on the subwayโโ
He shakes his head, still steeped in remorse. โI was so tired that night that I didnโt want to fight anymore. I didnโt try to stop you when you went to bed early, and you were already asleep when I turned in for the night. When you woke up in the middle of the night to get some Tylenol I heard you and I pretended to be asleep, because I was afraid to pick up where we left off.
And then the next morning, when I wanted to apologize, I could barely wake you up.โ He turns away, wiping his eyes with the shoulder of his scrubs.
Other things that leave you breathless: love so big that it tumbles you like a wave.
โI almost lost you. If I ever needed a lesson that saying goodbye isnโt something you do casually, I sure as hell got one.โ Finn brings my hand to his cheek, laying my palm along it, leaning into my touch. โI will never ask you to go anywhere without me again,โ he says softly. โIf you swear to me youโll never leave.โ
I close my eyes and see two blue-footed boobies, bobbing and weaving in an ancient dance, then snapping at each otherโs beaks.
Theyโre going to kill each other. Actually, theyโre going to mate.
My eyes fly open, my gaze fixes on Finn. โI promise,โ I say.
The intensivist comes to see me. His name is Dr. Sturgis, and Finn doesnโt know him very well; he only started in the ICU at New YorkโPresbyterian at Christmas. He runs down my list of medications; he says my oxygen
levels are improving. He asks me if I have any questions.
I am careful not to talk to Betty or Syreta about my memories of the Galรกpagos, because the response always involves Xanax or Ativan, and I donโt want any more pharmacological interference in my mind. But contrary to what theyโve said in passing about how the hallucinations
patients have on ventilators fade away, mine have not. If anything, theyโve been honed sharper and more brilliant, because I revisit them when I am
alone in my room for hours on end.
โThe โฆ dreams,โ I say to the intensivist. โThe ones I had while I was on the ventilator. They arenโt like any other dreams Iโve ever had.โ I force myself to continue; this is a physician, he canโt dismiss my concerns as foolish. โIโm having a hard time believing theyโre not real.โ
He nods, as if heโs heard this before. โYouโre worried about your mental state.โ
โYes,โ I admit.
โWell. I can tell you thereโs a physical explanation for anything that doesnโt make sense. When youโre not oxygenating right, your mental status changes. You have trouble interpreting whatโs actually happening to you.
Add to that pain meds and very deep sedationโitโs a recipe for all kinds of delirium. There are even some scientists who think that the pineal gland, under stress, produces DMTโโ
โI donโt know what that is.โ
โItโs the main ingredient in ayahuasca,โ Dr. Sturgis says, โwhich is a
psychedelic drug. But thatโs still just a theory. The truth is, we donโt really know what happens when we medically sedate someone, and how your mind syncs your reality with your unconscious. For example, at some point, you were likely restrainedโmost of the Covid patients on vents try to rip out their IVs otherwise. Your brain, in its drugged state, tried to make sense of the insensible, and maybe you hallucinated a scenario in which you were tied down.โ
What I hallucinated wasnโt confinement, but freedom. Now that Iโm constrained again it chafes. I want to wander to Sierra Negra. I can still smell the sulfur. I can feel Gabrielโs hand on my bare skin.
โNeurons fire and rewire during a near-death experience,โ the doctor says. โBut I can promise you, it was just a dream. A particularly three- dimensional one, but still a dream.โ He looks down at my chart. โNow, your nurse says youโre having trouble sleeping?โ
I wonder why everyoneโs answer involves more medication. This will be Tylenol PM or zolpidem or something that will knock me out. But thatโs not what I want. Itโs not that I canโt sleep; itโs that I donโtย wantย to.
โIs it because youโre worried about having more hallucinations?โ Dr.
Sturgis asks.
After a moment, I nod. I canโt admit the truth: Iโm not afraid of revisiting that other world.
Iโm afraid that if I return there, I wonโt want to come back.
I am moved to a step-down unit that isnโt the ICU, which means I no longer have Syreta or Betty or the Hot CNA taking care of me. Instead, I am now in the ward I was in when I was first brought to the hospital, the one I donโt
remember. The nurses here are flat out, with more patients to attend to. It is impossible for Finn to sneak in to visit me here, because heโs stationed in
the Covid ICU and heโs not allowed elsewhere due to safety protocols.
If anything, I feel even more isolated. There are aย lotย of codes on this floor.
I realize that the vast majority of patients who move from this space to the ICU do not return. That I am the anomaly.
When a speech therapist comes in to see me, I am so grateful to interact with someone that I donโt want to tell her I can already talkโeven if itโs raspy. Sara reads my mind, though, and says, โSpeech therapy isnโt just about talking. Youโre getting a swallow test. Weโll try different
consistencies of food to make sure you donโt aspirate. If you pass, you get to have your NG tube removed.โ
โYou had me atย food,โ I answer.
By now, I can sit up for nearly a half hour without getting dizzy, which is what makes me eligible for this swallow test. I dutifully sit with my legs swung over the side of the bed. Sara scoops some ice chips onto a spoon and places them on my tongue. โAll you have to do,โ she says, โis
swallow.โ
Itโs hard to do on command, but it almost doesnโt matter, because the ice melts in the heat of my mouth and drips blissfully down, quenching my raw throat. As I do it, Sara holds a stethoscope up to my throat and listens. โCan I have more?โ I ask.
โPatience, young grasshopper,โ Sara says, and I give her a blank look.
โYou millennials,โ she sighs, and she holds a cup with a straw to my lips. I suck up a mouthful of water, which is just as satisfying.
By the time we move on to applesauce, I am in heaven. When Sara moves to take the little dish from me I curl around it, hoarding, and hurriedly scoop another spoonful into my mouth.
I graduate to a graham cracker, which requires chewingโmuscles that my jaw has to actively remember how to use. Sara watches my throat work. โGood job,โ she says.
I wait until I am sure no crumbs remain. โItโs so weird,โ I muse. โTo have forgotten how to eat.โ
She resettles the oxygen cannula into my nostrils as I lean back in bed again. โYouโll have plenty more practice. Iโm going to give the green light
for the feeding tube to be removed. Tomorrow, you get to eat a whole meal while I watch.โ
A half hour later, a nurse I havenโt seen before comes in to remove the nasogastric tube. โI cannot tell you,โ he says as he works quickly and efficiently, โhow glad I am to see you again.โ
I try to read the name on the badge clipped onto his lanyard. โZach?โ I ask. โDid you take care of me before?โ
He holds a hand to his heart. โYou donโt remember me. Iโm crushed.โ My eyes fly to his, but theyโre dancing. โIโmย kidding. But clearly, Iโm going to have to up my game.โ
I rub the bridge of my nose, itchy without the tape adhering the feeding tube. โI donโt โฆ I donโt remember being in this ward.โ
โTotally normal,โ Zach assures me. โYour O-two levels were so low you kept passing out. Iโd be surprised if youย didย remember.โ
I watch him briskly wash his hands in the sink and towel-dry before snapping on a new pair of gloves. He seems competent and kind, and he holds a part of my history I may never recover. โZach?โ I ask quietly.
โWould it be a surprise if I remembered things โฆ that didnโt happen?โ
His eyes soften. โHallucinations arenโt uncommon for people who are sick enough to be in an ICU,โ he says. โFrom what Iโve heard, Covid
patients are even more likely to have them, between the lack of oxygen and the deep sedation and the isolation.โ
โWhat youโve heard,โ I repeat. โWhat else have you heard?โ
He hesitates. โIโll be honest, youโre only the second patient Iโve had who has gone to the ICU and survived to talk about it. But the other one was a man who was absolutely convinced that the roof of the hospital opened up like the Superdome, and twice a day light would shoot out of it, and one lucky person would be chosen to be lowered from a crane into that beam of light and get instantly healthy.โ
I probe the corners of my mind for hallucinations that are hospital-based, like this, but cannot find any.
โI was in the Galรกpagos,โ I say softly. โI lived on the beach and made
friends with local residents and swam with sea lions and picked fruit right off the trees.โ
โThat sounds like an awesome dream.โ
โIt was,โ I say. โBut it wasnโt like a dream. Not like anything Iโve ever dreamed when Iโm asleep anyway. This was so detailed and so real that if
you put me on the island, I bet I could find my way around.โ I hesitate. โI can see the people I met like theyโre standing in front of me.โ
I watch something change in his eyes, as he puts on his professional regard. โAre you still seeing them now?โ Zach asks evenly.
โYou donโt believe it was real,โ I say, disappointed.
โI believeย youย believe it was real,โ he says, which isnโt an answer at all.
Although I am still testing Covid-positiveโwhich Finn assures me is
normalโhe lobbies to get me out of the step-down Covid ward as fast as possible, because if youโre in the hospital long enough you wind up getting sick with something elseโa UTI, hospital-acquired pneumonia,ย C. diff.ย I feel ridiculous being in a rehabilitation unit when Iโm not even thirty, but I also realize that thereโs no way Iโm ready to go home yet. I still havenโt managed to do more than sit upright in a chair, and even that took Prisha and a Hoyer lift for the transfer. I canโt get myself to the bathroom.
To qualify for rehab, you have to be able to tolerate three hours of therapy a day. Some of it is physical therapy, some occupational, and for
those who need it, speech therapy. The silver lining is that I will see people again. The therapists are completely covered in PPE to keep them safe, but at least three times a day I will have company.
And the more time I spend with people, the less time I spend replaying my memories of Isabela.
I am moved into a small room with a private bathroom, and I havenโt been there for more than a half hour when the door opens and a tiny
hurricane with red hair and snapping blue eyes blusters in. โIโm Maggie,โ she announces. โIโm your physical therapist.โ
โWhat happened to Prisha?โ I ask.
โShe doesnโt leave the hospital; I donโt leave the rehab unit. Itโs theoretically a single building, but it is like thereโs a special force field between us.โ She grins; there is a sweet gap between her front teeth. โBig Star Wars fan here. You watchย The Mandalorian?โ
โUm, no?โ
โThe guyโs hotter with his helmet on,โ she says. She has approached the bed and already has stripped back the covers; her hands are firm and strong on my feet as she rotates my ankles. โMy kids got me into that show. I have three. One came back home from college because of Covid. I canโt believe it. Heโs a freshman; I thought Iโd just gotten rid of him.โ She says this with
another smile as she moves to my arms, pulling them over my head. โYou got kids?โ
โMe? No.โ
โSignificant other?โ
I nod. โMy boyfriend is a surgeon at the hospital.โ
She raises her eyebrows. โOoh, better be on my best behavior,โ she says, and then she laughs. โIโm just kidding. Iโm gonna put you through the paces like I do everyone else.โ
As she moves my limbs as if Iโm a rag doll (which, to be fair, I might as well be), I learn that she lives on Staten Island with her husband, who is a policeman in Manhattan, plus her displaced college student, as well as a seventh grader who wanted to be a nun last week but has, as of Tuesday, decided to convert to Buddhism, and a ten-year-old boy who will grow up to be either the next Elon Musk or the Unabomber. Maggie says sheโs already had Covid, which sheโs pretty sure she contracted while volunteering to sew costumes for her sonโs elementary school play, which is about aย T. rexย afraid to tell its parents it is vegan, which is what you get when you take your retirement fund and apply it instead to a private school for the gifted and talented. She talks about her apartment building, and the constantly rotating stream of morons who live just below them. One started feeding a skunk on the fire escape. After he was evicted, a woman moved in who slipped a note under their door, asking if theyโd have objections to her putting in a skylight in her ceilingโwhich, of course, was Maggieโs floor.
She keeps me so busy laughing that I do not realize Iโve maxed out my physical capacity until every muscle in my body is screaming.
Finally, she stops stretching my arms and my legs. I collapse against the bed, wondering how I can be so exhausted from someone else doing the motions for me. โOkay, sunshine,โ she says. โTime for you to sit up.โ
I push myself upright, swinging my legs over the side of the bed. It takes a lot of effort and concentration, so at first I donโt notice Maggie sliding a recliner wheelchair closer. She takes off one arm, locks the wheels, and then puts a board as a bridge from the bed to the chair. I look at it, then down at my unfamiliar body. โOh hell no,โ I say.
โIf you do it, Iโll get you a Popsicle. I know where the stash is.โ โNot even for aย Fudgsicle,โ I mutter.
Maggie folds her arms. โIf you canโt transfer to a chair, you canโt get to the bathroom. If you canโt get to the bathroom, you canโt leave rehab.โ
โI canโt get in that chair,โ I tell her.
โYou canโt do itย alone,โ Maggie corrects.
She leans in front of me and uses all of her compact body for me to lean into as she slides my butt onto the edge of the board. Then she shifts my
legs a bit, then leans forward again to help me amass the strength to creep
sideways on the board. We do this a few more times until I am seated in the chair, and then she pops its arm back on.
I am sweating and red-faced, shaking. โOrange,โ I grind out. โOrange what?โ
โPopsicle.โ
She laughs. โDouble or nothing. Can you kick your leg out for me? Yeah, like that. Ten times.โ
But ten times with the left leg leads to ten times with the right. And then come toe tapping and arm lifting. When Maggie asks me to grip the
armrests and try to lift my body weight an inch, I canโt even budge a finger. โCome on, Diana,โ Maggie urges. โYou got this.โ
I canโt even raise my head from the back of the chair. I could sleep for a week. โRehab,โ I say, โis staffed by sadists.โ
โTrue,โ Maggie agrees. โBut when youโre a dominatrix, the pay is shit.โ At that, I start to sob.
Immediately, her demeanor changes. โIโm sorry. I crossed a line. My mouth just doesnโt know when to stopโโ
โI was on a vent for five days,โ I wail. โFiveย fuckingย days. How could I get this bad this fast?โ
Maggie crouches down in front of me. โFirst, itโs not as bad. Not compared to some others Iโve seenโpeople whoโve been on a vent or
ECMO for months; people who have suffered through amputations. It may feel ridiculous to you to sit in a chair and tap your toes, but thatโs how
youโre eventually going to walk out of here. I promise you, these are small things, with exponential benefits.โ She meets my gaze fiercely. โYou can be pissed at your body, or you can celebrate it. Yes, it sucks that you got Covid. Yes, it sucks that you were on a vent. But a lot of people who did the same arenโt going home, and you are. You can look at this situation and feel bitter, or you can choose not to be negative. Most adults donโt have many
firsts left to themโbut you get to experience yours all over again.โ She
takes a deep breath. โGive me two weeks, and your body will belong to you again.โ
I narrow my eyes. I look down at my lap and grit my teeth. Then I grab the sides of the chair, squeeze, and start to push myself up.
โAtta girl,โ Maggie says.
It is after a session of occupational therapyโwhich involves me taking off and putting on clothes, and during which I decide that socks are the work of the devilโthat I see the news story: a funeral director in Queens, talking about how backed up they are for cremations; how you can pick up the
ashes of your loved one with contactless delivery.
It makes me think, again, that being sore from all this therapy is not the worst that could happen, but rather the best. The majority of people in the Covid ICU ward will only come out of it in a body bag.
Instead of ringing for help, I cantilever my body upright so that I can reach for my phone, which sits on the table hovering across my bed. After Iโve hauled my body weight around, the phone feels light as a featherโan improvement since yesterday.
I do not want to make this call, but I know I have to.
I dial the main switchboard of The Greens. โHello,โ I say, when I am connected to the business office. โIโm Diana OโToole. My mother, Hannah, was one of your residents. Iโve been sick in the hospital, but I wanted you to know that once Iโm discharged I can pick up her things. If you need to put
someone else in the room, you can storeโโ
โMs. OโToole,โ the director of the facility says. โAre you saying you want to move your mother from our facility?โ
โI โฆ what?โ
โI can assure you sheโs being well taken care of. I know that there have been a lot of care facilities in the news recently because of Covid, but we have had zero cases here and weโre maintaining a level of vigilanceโโ
My heart starts galloping in my chest. โZero cases,โ I repeat. โYes.โ
โMy mother is alive.โ
The director hesitates. โMs. OโToole,โ she says gently, โwhy would you think otherwise?โ
The phone drops out of my hand, and I bury my face in my hands and burst into tears.
What else didnโt actually happen?
If my mother is alive, if I was never in the Galรกpagos, are there other things I believed as fact that arenโt necessarily true?
Like โฆ do I still have a job?
I find myself logging in to my email, something Iโve avoided, because my eyes still have trouble focusing on a tiny screen and the number of unread messages is so high it makes me feel like Iโm about to break out in hives.
But before I can even begin to do a specific search for work emails, a text pings from Finn, with a Zoom link and an emoji heart. Itโs been two long,
endless days that I havenโt seen him or talked to him, because heโs been at work, so I immediately log on. It is the first time Iโve seen him without a mask, and there are bruises along the bridge of his nose. His hair is wet; he is freshly showered. His face lights up when I join the call.
โWhy didnโt you tell me my mother was alive?โ I blurt out. He blinks, confused. โWhyย wouldnโtย she be?โ
โBecause when I was โฆ sedated I thought she died.โ His breath gusts out. โOh my God, Diana.โ
โI saw her on a FaceTime call, fighting to breathe,โ I tell him. โAnd then she โฆโ I canโt say it. I feel like Iโll jinx this unexpected resurrection. โI asked you about her, when I first woke up. You said youโd take care of everything. So I assumed that meant youย knewย what had happened. That youโd been talking to the memory care place and the funeral home and
everything.โ
โWell,โ he says tentatively, โsilver lining, right?โ
โWhen I thought sheโd died, I didnโt feel anything. I thought I was a monster.โ
โMaybe you didnโt feel anything because on some unconscious level you knew it wasnโt realโโ
โIt felt real,โย I snap, and I swipe at my eyes. โI want to visit her.โ โOkay. We will.โ
โI think I need to go by myself,โ I say.
โThen that gives you even more incentive to get better,โ Finn replies, gentling his voice. โHowโs rehab?โ
โTorture,โ I say, still sniffling. โEvery inch of me aches and my bed has plastic under the sheets so Iโm sweating bullets.โ
โYou wonโt be there that long,โ he says confidently. โIt usually takes
three times as long to get back to where you were after youโre intubated. So
that would be fifteen days for you.โ
โMy physical therapist said two weeks.โ
โYouโve always been an A student,โ Finn says.
I peer through the screen at his face. โDid someone punch you?โ I brush my finger along the orbital bones of my own face, mirroring where his is bruised.
โTheyโre from the N95 mask,โ Finn says. โThatโs how tight they have to be fitted to keep us safe. I donโt even notice it anymore. Of course, thatโs probably because Iโm always wearing the damn mask.โ
All of a sudden, I am ashamed. I jumped all over Finn the minute the call connected, all but accusing him of not being more clear that my mother was healthy. Of course he couldnโt have known that Iโd be doubting this. Plus, given the limited exposure Iโve allowed my mother in my life, she would not be anywhere near Finnโs first, fifth, or even fiftieth topic of conversation after I awakened from a medically induced coma. โI havenโt asked about your day,โ I say. โHow was it?โ
Something in Finn changes, like a shade being drawn down, not to keep me out but to protect him from having to see what he doesnโt want to revisit. โItโs over,โ Finn says. โThatโs about the best thing I can say about it.โ He smiles at me, and his eyes light again. โI thought maybe both of us could use a little treat right now.โ
I snuggle down further in bed, curling on my side so that the phone is propped on the pillow beside me. โDoes it involve a bath? Please tell me it involves a bath.โ
He laughs. โI was thinking more like โฆ porn.โ
My jaw drops. โWhat? No! Someone could walk in here any minute โฆโ
Finn starts typing, sharing his screen, and a moment later the Zillow website loads. โI didnโt specify whatย kindย of porn,โ he says.
I cannot help but grin. Finn and I have spent so many lazy Sunday
mornings in bed with coffee and bagels and a laptop balanced between us, surfing through the real estate of our dreams. Most homes were out of our price range, but it was fun to fantasize. Some were just ridiculousโ sprawling mansions in the Hamptons, a functional ranch in Wyoming, an actual treehouse in North Carolina. We would scroll through the pictures, scripting our future: This screened porch is where weโll eat the saved piece of wedding cake on our first anniversary. This is the alcove room weโll paint yellow when we find out weโre having a baby. This is the yard where
we build her swing set when sheโs old enough. The carpet in this room has to go, because our Bernese puppy will pee on it.
Finn loads a modest Victorian with an actual turret. โThatโs cute,โ I say. โWhere is it?โ
โWhite Plains,โ he says. โNot a bad commute.โ
The house is pink, with violet trim. โItโs a little Hansel and Gretel.โ โExactly. Perfect for a fairy-tale ending.โ
He is trying so hard, and I am dragging my feet. So I throw myself into the game of it. When Finn clicks to the interior, I say, โThat Aga stove will take us months to figure out. We may starve.โ
โThatโs okay, because look, thereโs a pantry the size of Rhode Island. We can stock it with ramen.โ He clicks again. โThree bedrooms โฆ one for us, one for our daughter โฆ but what are we going to do with the twins?โ
โIf you want twins,ย youโreย going to have to have them,โ I say. โLook, a claw-foot tub. You always wanted one.โ
I nod, but all I can think about is that I cannot even stand in a shower; how on earth am I going to ever master climbing into a tub like that?
Finn is happily leading me on a virtual tour of the house, through the living room with the woodstove and the study that he can convert into a
home office and the cute little hidden dumbwaiter that can be retrofitted as a liquor cabinet. Then he clicks on the basement, which has a dirt floor and feels uncomfortably ominous. The last room has an iron door and metal
bars across it, like a jail cell. โThis just took a turn,โ I murmur.
Finn scrolls again, and we are inside the room, which is papered in red velvet, with a padded floor and walls sporting whips and iron manacles. โLook, our own s*x dungeon!โ he proclaims, and at the sight of my face, he bursts out laughing. โWait, you know whatโs the best part? This room is listed as the den.โ He pauses. โDen ofย iniquity,ย maybe.โ
I realize that, a few weeks ago, this real estate listing would have had me giggling for a full quarter of an hour. That I would have texted screenshots of it to Finn in the middle of the workday just to make him laugh. But right now, it doesnโt feel funny. All I can think of is that whoever is selling that house had a whole hidden, secret life.
โYou know,โ I say, forcing a smile. โI think physical therapy just caught up with me. I canโt keep my eyes open.โ
Immediately, Finn pulls out of the screen share and looks at me with the assessing eyes of a physician. โOkay,โ he says after a moment, apparently
finding whatever answer he needed to in my face. Then his mouth curls on one side. โAlthough this one might be snapped up off the market if we donโt act soon.โ
I look at his beautiful, familiar face. The shock of blond hair that never stays out of his eyes, the dimple that flirts in only one cheek. โThank you,โ I say quietly. โFor trying to make it all feel normal.โ
โIt will,โ he promises. โI know how hard it must be to have to relearn everything. I know it seems like youโve lost a whole chunk of time. But one day, youโll barely remember any of this.โ
I nod. And think:ย Thatโs what Iโm afraid of.
The next morning, after Maggie bullies me into standing with a walker in spite of my Jell-O legs, I call my best friend. Rodney picks up on the first ring. โMy therapist says I shouldnโt talk to people who ghost me,โ he says.
โIโm in the hospital,โ I tell him. โWell, rehab. Iย wasย in the hospital. With Covid. On a ventilator.โ
Rodney is silent for a beat. โTheย fuck,โ he breathes. โYou are officially forgiven for not answering any of my texts and just ignore the part where I called you a faithless bitch. Jesus, Diana. How did you get it?โ
โI donโt know. I donโt even remember getting sick.โ
I walk him through every detail Finn has given me, but it feels like trying on clothes that donโt quite fit. Then I hesitantly ask, โRodney? Did we really get furloughed?โ
He snorts. โYup. You should have seen that bloodbathโEva and all the other senior staff bargaining to save their salaries. There was never any question that the rest of us were expendable. And let me tell you, an apartment in Dumbo isnโt cheap. Not all of us have s*xy surgeons pitching in to pay the rent.โ
โWhat am I supposed to do without a job?โ I ask.
โThe same thing everyone else in the United States is doing. You sign up for unemployment and bake banana bread and hope Congress gets its shit together to pass a stimulus plan.โ
โBut โฆ what did Sothebyโs say? I mean, do we get our jobs back โฆ eventually? Or do we start looking for new ones?โ
โThey didnโt say shit,โ Rodney answers. โJust a lot ofย circumstances beyond our controlย andย we remain committed to the field of art salesย blah blah blah. Didnโt you see the email?โ
It is somewhere, Iโm sure, buried under the 2,685 others I havenโt read yet. I wonder whyย thisย detail of my sedation dream would be the one that turns out to be true. โIsabela didnโt have internet service,โ I reply automatically.
โWhoโs Isabela?โ
โRodney,โ I say quietly, โI want to tell you something. But itโs going to be hard for you to believe.โ
โLike, how hard? On a scale from bike shorts and blazers during Fashion Week to Lady Gagaโs Meat Dress?โ
โJust listen,โ I say, and I sketch my other life: my arrival on Isabela and the closed hotel and Beatriz self-harming and her broody father. My motherโs death. The fierce and foolish night Gabriel and I spent together. The waves closing over my head.
When I finish, Rodney is silent. โWell?โ โI donโt know what to say, Di.โ
I roll my eyes. โRodney, Iโve seen you pass judgment on a five-year-oldโs unicorn backpack. You have thoughts. You always have thoughts.โ
โMmm. It reminds me of something โฆ oh, I know. Remember the guy who sleeps outside the Sephora on East Eighty-sixth? The one in the
rainbow onesie who preaches End of Days?โ
My face flames. โYouโre an asshole. I didnโt make this up, Rodney.โ โI know that,โ he says. โBecause as it turns out, Isabela Island in the
Galรกpagos did indeed close for two weeks, starting on March fifteenth.โ โWhat?โ I gasp. โHow do you know that?โ
โGooooogle,โ Rodney says slowly.
โThatโs the day I got there, on the ferry. Or dreamed I got there.
Whatever.โ
โWell, if you were running a high fever in the hospital that day, you probably werenโt doing Web searches.โ
โMaybe it was in the background, on the television โฆโ โOr maybe,โ Rodney says, โit wasnโt.โ
When I hear those words, my eyes fill with tears. I donโt think I realized how much I needed someone to believe me.
โLook, baby doll, I got too many relatives who dabble in the occult to not give you the benefit of the doubt. Whoโs to say you didnโt tumble into some fourth-dimension shit?โ
โOkay, that sounds even more insane,โ I mutter.
โMore insane than having an affair with a figment of your imagination?โ โShutย up!โ I hiss, although no one but me has heard him.
โSo the million-dollar question is: have you told Finn about your, um, extracurricular excursions?โ
โHe thinks itโs a symptom from Covid, from the sedation on the ventilator.โ
Rodney pauses. โIf it was real โฆ even just toย you,โ he says, โyouโre going to have to tell him.โ
I rub the heel of my hand between my eyebrows, where a dull ache has started up. โI canโt even see him. Heโs working around the clock, and Iโm not allowed to have visitors here. I feel like a leper. I can barely stand on my own feet, I havenโt had a shower in so long I canโt remember the date, and based on my experience trying to dress myself, bras may be a thing of my past. When Iโm too tired to do therapy, my mind starts going in circles and I canโt remember whatโs real and whatโs not and then I start panicking even more.โ I let out a shuddering breath. โI need a distraction.โ
โGirl, I have two words for you,โ Rodney says.ย โTiger King.โ
Other things that happen on my second day in rehab:
- I put on my own shoes and socks.
- CNN reports that eighty percent of people on ventilators have died.
I am actively fighting against my own body. My mind is laser-focused, screaming things likeย lift, hoist, balance.ย My muscles do not speak the language. Like any other kind of dissonance, itโs exhausting. The only good thing about working so hard during the day is that at night, I am so exhausted, I donโt resist sleep. It fells me with blunt force, and I am too tired to dream.
I wonder, too, if the reason that I can fall asleep here the way I did not in the step-down ward is that I know every morning, Maggie will appear with a new torture device. I may not trust her with my physical progress yet, but I do trust her to bring me back to the real world.
On my third day, my occupational therapist, Vee, comes into the room and watches me struggle to squeeze toothpaste onto a toothbrush. Itโs something that I used to do without thought but now requires Zen focus. I
finish brushing my teeth just as Maggie enters. She is pushing a weird, squat box, which she sets at the side of the room. โTime to stand,โ she says.
She glances around, her gaze landing on the walker she brought in for yesterdayโs dose of therapy. She sets it on the side of the bed. โLetโs get up close and personal with Paul,โ she says.
โAlice.โ (Weโve been arguing about the best name for a walker, which is already a misnomer because Iโm using it to stand, not move.) But I swing my legs over the side of the bed, and this time, I barely have to think to
make it happen. Maggie wraps a belt around me, waits till she is sure Iโm not dizzy, and helps me scoot to the edge of the bed. When I stand for thirty seconds, my legs donโt quiver beneath me.
I look up at her, a smile spreading over my face. โBring it on,โ I challenge.
โWhat did you tell me you wanted to do when you got here?โ โLeave,โ I say.
โAnd what did I tell you you needed to be able to do first?โ
Vee, I realize, has not left the room but has instead shoved the weird little box that Maggie dragged in so that it is kitty-corner to Alice the Walker.
She flips the top up, and I realize itโs a commode. โTa-da,โ Maggie says.
Day four of rehab:
- I transfer to a wheelchair by myself.
- I wheel it into the bathroom and brush my teeth.
- I get so tired, halfway through, that I put my head on the counter and fall asleep.
- That is how a nurse finds me to tell me that, finally, Iโve tested negative for Covid.
Now that Iโm no longer Covid-positive, Maggie tells me that for physical therapy I will go to the gym. She wheels me into the large space, where
multiple patients are working with multiple physical therapists. It is almost shocking to see so many people in one place, after so much time in isolation. I wonder how many of these people had Covid.
She gets me settled on a mat and begins moving my arms and legs, assessing joint tightness and strength in my deltoids and biceps. The whole time, she is grilling me about my apartment.ย Do you live with someone
whoโs there full-time? Is there an elevator? How many steps from the elevator to your apartment? Are there carpets or throw rugs? Stairs?
By the time she leads me to the parallel bars, I am grateful to concentrate on something other than rapid-fire questions. My mind still is foggy; I will start a sentence only to forget where it was going.
Maggie stands in front of me, belly to belly, with a wheelchair behind me. โLift your left leg,โ she says.
I feel sweat bead on my forehead. โIf I go down,โ I tell her, โyouโre going with me.โ
โTry me,โ Maggie challenges.
I am dizzy and terrified of losing my balance, but I lift my leg an inch off the floor.
โNow your right one,โ Maggie says.
I grit my teeth and try and my knee buckles. I collapse into the wheelchair, scooting back a few inches.
โThatโs okay,โ Maggie tells me. โRome wasnโt built in a day.โ I look up at her. โAgain,โ I demand.
She narrows her eyes and then nods. โOkay,โ she says, and she hauls me back up to my feet. โLetโs start with a knee bend.โ
I do it, the worldโs ugliest pliรฉ.
โNow shift your weight to your left foot,โ she says, and I do. โNow. Lift your right leg.โ
My knee wobbles, and I have to clutch the bars in a death grip, but I do
it.
โGood,โ Maggie says. โNow โฆ march.โ Left leg. Right. Left. Right.
I force myself to move in place. I am bathed in sweat now, and
grimacing, and depending on the support of the parallel bars like they are an extension of my own skeleton. Iโm so busy concentrating, in fact, that I do not realize I have advanced a foot.
Maggie whistles. โLook whoโs walking.โ
Vee tells me that if I can wash my own hair, she has a surprise for me. I cannot imagine anything better than the shower itself. Sitting on the little plastic stool, with water pounding against my skin, I begin to feel human again.
I feel like an Olympian when I bend down to get the shampoo bottle,
squeeze some into my palm, and scrub my scalp. I donโt fall off the chair. I hold my face up to the weak stream of water and think that this is better than any spa in a four-star hotel could ever be.
As I watch the suds spool down the drain, I think of all the things that I am washing away. This weakness. This fucking virus. The ten lost days I canโt remember.
I felt like a failure in the hospital, dependent on tubes and medications and IVs and nurses to do every little thing Iโve done independently since I was a child. But here, Iโm getting stronger. Here, Iโm a survivor. Survivors adapt.
I am seized by a mental image of Gabriel gesturing toward a marine iguana. I find myself folding forward into the spray, closing my eyes against it.
I rap my knuckles on the side of the shower. โIโm done,โ I say thickly, wondering how long before Iโm no longer ambushed by these memories. I hear the click of the door, and Vee comes in with a towel. She yanks open the plastic curtain and turns the faucet off. Not even being stark naked in front of her can rob me of the joy of finally being clean.
Vee watches me drag on my sweatpants and sweatshirt and then hands me a brush for my hair. I try, but the snarls and mats after all this time are impossible for me to deal with. She sits behind me on the bed and starts to pick through the knots, combing the hair back from my face.
โI think Iโm in heaven,โ I tell her.
She laughs. โNo, weโre happy youย didnโtย wind up there.โ Her fingers fly over my scalp in an intricate pattern. โI do French braids for my girls all the time.โ
โI never learned how.โ
โNo?โ Vee asks. โYour mama never taught you?โ
I feel her weave and pull and twist. โShe wasnโt around much,โ I reply.
And now that she isnโt far-flung and hightailing it all over the world, I havenโt been around her much, either.
That could change.
I have always believed we are the architects of our own fatesโitโs why I so carefully planned my career steps and why Finn and I dreamed in tandem about our future. It is also why I could blame my mother for choosing her career over meโbecause it was just that: a decision sheย made. I have never
really subscribed to the mantra that things happen for a reason. Until, maybe, now.
If I was so sick that it nearly cost me my life โฆ if I was one of only a handful to survive ventilation โฆ if I returned to this world, instead of the one embedded in my mind โฆ I would like to believe that there is an explanation. That it isnโt random or the luck of the draw. That this was a lesson for me, or a wake-up call.
Maybe it is about my mother.
Vee ties the braid off with a rubber band. โThere,โ she says. โYouโre like a whole new person.โ
Not yet.
But Iย couldย be.
She pulls over a wheelchair and sets the brakes and then positions Alice nearby so that I can do the stand-pivot-transfer move to seat myself. โI
believe I promised you a surprise,โ Vee says.
Itโs probably a trip down to the multipurpose gym to do more physical therapy. โDo we have to?โ I ask.
โTrust me,โ Vee says, and she opens the door to my room.
She gives me a surgical mask and pushes me down the hallway, past
patients who are carefully moving behind their own walkers or with four- footed canes. A couple of the nurses smile at me and comment on my appearance, which makes me wonder how terrible I looked before. Instead of heading into the elevator, though, Vee turns right at the end of the hallway and hits an automatic door button with her elbow, so that a glass panel slides open. She rolls me into a tiny courtyard that is walled in by four sides of the hospital building. Itโs unseasonably warm, and the sun falls in an amber slant. โFresh air?โ I gasp, tilting my face, and thatโs when I see him.
Finn stands at the far end of the narrow courtyard, holding a little bouquet of tulips.
โI think you can take it from here, Doc,โ Vee says, and she winks at me and slips back inside.
Finn stares at me, and then unloops his mask so that it dangles from one wrist. The bridge of his nose is still dark and bruised, but my God. To see that smile.
I cry out, frustrated by my inability to get to him, and as if Iโve willed it, Finn is at my side a second later. He kneels, his arms coming around me.
โLook who tested negative,โ he says.
I unhook my mask and set it in my lap. โYou read my labs?โ He grins. โProfessional perks.โ
Finn rests his forehead against mine. He closes his eyes. I know that this moment is too big for him, too. To hold him, to be held. It is as if Iโve been trapped underneath ice, and suddenly, Iโm back in a place where there is sound and warmth and sun.
โHi,โ Finn whispers against my lips. โHi.โ
He closes the distance between us, feathering his mouth against mine,
before pulling away with a stripe of pink on his cheeks, as if he knows Iโm still recovering but couldnโt help himself.
I wait for it, that last click of the lock, that satisfying final puzzle piece, that familiar sigh of reaching home.
This is where you belong,ย I tell myself.
โYou were so lucky,โ Finn says thickly, as if heโs struggling to push away the shadows of what could have happened.
โIย amย so lucky,โ I correct. I grab both sides of his face and press my lips to his. I show him that this is what I want, what Iโve always wanted. I
consume him, to convince myself. I steal his breath for safekeeping.
Since we arenโt supposed to have visitors and Finn has bribed his way in with donuts for the staff, I get to spend only an hour with him in the courtyard. By then, itโs getting colder, and Iโm getting tired. He helps me hook my mask over my ears again, wheels me back to my room, and tucks me into bed. โI wish I could stay with you,โ he murmurs.
โI wish I couldย goย with you,โ I tell him.
He kisses my forehead. โSoon,โ he promises.
He leaves me with a reusable grocery bag full of booksโbooks that I asked him to bring to the front desk for me, before I knew he would be able to deliver them in person. They are the guidebooks on Ecuador and the
Galรกpagos that I had used to plan our trip.
Obviously, they are not in a missing suitcase somewhere. Theyโve been on the kitchen counter all along, with our passports and our e-ticket confirmations, ready to pack.
I take a deep breath and open one.
Isabela is the largest island in the Galรกpagos and much of it is
unreachable, due to lava flows and thorny brush and rocky, inhospitable shores.
Puerto Villamil remains relatively untouched by visitors; itโs a tiny hamlet of sandy roads and homes bordered by cacti on one side and a gorgeous beach on the other.
Iโve highlighted some of the sights that I wanted to make sure Finn and I saw:
The path to Concha de Perla leads to a protected bay with good snorkeling.
After passing several small lagoons with flamingos, the turnoff to the Tortoise Breeding Center is marked.
A two-hour walk from Playa de Amor will take you to El Muro de las Lรกgrimasโthe Wall of Tears.
Around the half-submerged lava tunnels at Los Tรบneles, the water is sparkling and clear and home to a variety of marine species.
One after another, I read about the places I visited while I was
unconscious and watch them blossom into fully dimensional memories full of sound and color and scent.
I put the book on the nightstand and pull Finn front and center in my mind. I think about how his hair felt, sifting through my fingers. How he smelled of pine and carbolic soap, like he always does. How his kiss wasnโt a discovery, but the reassurance that I had been on this journey before and knew where to go, what to do, what felt right.
That night, I donโt let myself fall asleep.
Rodney is angry at me because we are supposed to be watching reruns of
Survivorย together on our phones and live-texting our predictions about who will be voted off the island, but I keep drifting off, trying to catch up on the rest Iโm not getting.
Hello?ย he texts.ย Are you dead?
โฆ
Too soon?
The last ding wakes me up, and I read his messages.ย Very funny,ย I type.
Imma find a new bff in NOLA.
Rodney is moving to his sisterโs house in Louisiana, because he canโt afford his rent in the city. That sobers me. We are in lockdown, I know, and
Iโm likely the last person anyone wants to be in close contact with, but the thought of not seeing Rodney again before he moves makes something shift in my chest.
Sorry. I wonโt fall asleep again. I swear.
On my tiny phone screen I watch a contestant who is a preschool teacher climb into a barrel to be maneuvered through an obstacle course to win
some peanut butter.
#claustrophobia,ย Rodney types.ย Remember when you got locked in that vault at work and lost it?
I take this to mean Iโve been forgiven for napping.
I didnโt lose it, I just freaked out a little,ย I lie.ย Plus Iโve crawled down a tunnel that was as wide as my hips.
Like hell you did. Proof?
I hesitate.ย On Isabela,ย I write.
For a moment I watch those three dots appear and disappear while Rodney figures out what to say.
Suddenly theย Survivorย screen freezes and a FaceTime call pops up. I answer it and Rodneyโs face swims into view. โI donโt know if it counts as conquering your fears when you do it unconscious,โ he says.
โDefinitely a blurry line.โ
He regards me for a long moment. โYou wanna talk about it?โ
โItโs a place called the trillizos. Theyโre like these gopher holes into the middle of the earth. I guess tourists rappel down them.โ
He shudders. โGive me a beach and a frozen marg.โ
โBeatriz brought me there the first time, and the second time, she ran away and I crawled down to try to save her.โ
โHow come she needed saving?โ
โShe kind of found me in bed with her father and it didnโt go well.โ
Rodney hoots with laughter. โDiana, only you could hallucinate yourself into an ethical mess.โ
At that wordโhallucinateโsomething in me shutters. Rodney notices, and his eyes soften. โLook, I shouldnโt have said that. Trauma is trauma. Just because someone else hasnโt experienced it themselves doesnโt make it any less real to you.โ
Maggie has talked to me about other patients who have come off ECMO or the vent who suffer from PTSD. I have some of the same symptomsโ that fear of falling asleep, the panic attacks when I start to cough, the
obsessive checking of my pulse ox numbers. But I can still feel what it was like to have water fill my lungs as I drowned, too. In the middle of the night, my heart pounds in my throat and Iโm right back in the tunnel I shimmied down looking for Beatriz. I am having flashbacks of experiences everyone here tells me I never had, and nowโmore than a week after being weaned off any sedation drugsโthey still havenโt gone away.
โMaybe I shouldnโt talk about it,โ I mull out loud. โMaybe thatโs only going to make it harder in the long run. Itโs just โฆโ I shake my head. โRemember that guy who came into Sothebyโs convinced that he had a Picasso and it wasnโt even a fake or a forgeryโit was a flyer for a shitty band, and he was completely delusional?โ
Rodney nods.
โI get it now. To him, that was a goddamn Picasso.โ I pinch the bridge of my nose. โI donโt know why it hasnโt just โฆ gone away. Or why I canโt wrap my head around it being a detailed, incredibly weird dream.โ
โMaybe because you donโt want it to be?โ
โIf the reality is that I nearly died, then sure. But itโs more than that.
These people wereย so real.โ
Rodney shrugs. โFor a smart girl, youโre a dumbass, Di. Youโre holding a phone in your hand, arenโt you? Tell me youโve Googled them.โ
I blink at him. โOh my God.โ โYes, my child?โ
โWhy didnโt I think of that?โ
โBecause you still canโt do the word scramble puzzles that OT gives you, and your brain isnโt firing right.โ
I pull up the search engine, Rodney shrinking to a little green dot in the background. I typeย Beatriz Fernandez.
There are results, but none of them are her.
The same happens when I type in Gabrielโs name. โWell?โ Rodney asks.
โNothing.โ But thatโs not surprising, given the fact that the internet there was so bad that social media profiles would be useless.
Unless the internetย isnโtย bad there, and I just created that obstacle in my dream.
My head starts to hurt.
โLet me try something,โ I murmur.
I type inย Casa del Cielo Isabela Galรกpagos.
Immediately, a picture loads of the hotel I had bookedโit looks nothing like the one I visited in my imagination. But โฆ itย exists.
My thumbs fly over my phone again.ย G2 TOURS.ย Tours/Outfitter,ย I read. And in red:ย CLOSED.
I suck in my breath. โHeโs real, Rodney. Or at least his company is.โ โAnd you donโt remember ever coming in contact with them before you
went, like when you were planning the trip?โ I donโt. But maybe my brain did.
โHang on, Rod.โ I put my phone down, hoist myself up on Alice, and use the walker to make my way to the nightstand. There, I sit on the edge of the bed and pick up the guidebook I was reading the night before. Thumbing through the pages, I find the ones about Isabela Island.
I skim the categories:ย Arrival and Getting Around. Accommodation.
Eating and drinking. Tour operators.
The third one down:ย G2 TOURS. Open MโSun 10โ4. Private land/water excursions, SCUBA certified.
I did not highlight it. But I must have skimmed over it. My imagination clearly was working overtime to create a whole backstory and family around one tiny line item in a guidebook.
I shuffle back to the chair and pick up my phone again. โGabrielโs tour company is listed in the guidebook I read.โ
โHeโs mentioned by name?โ
โWell โฆ no,โ I say. โBut why else would I have invented a place called G2 unless Iโd seen something about it?โ
โTrue,โ Rodney points out. โThatโs pretty basic. Youโd probably have called it something like Happy Holidays or Galรกpagoing.โ
โDo you think thatโs all it was?โ I ask him. โDo you think I unconsciously memorized all this while I was planning our vacation and somehow imagined it when I was on the vent?โ
โI think thereโs a lot of stuff we donโt know about the way the brain works,โ Rodney says carefully. โBut I also think thereโs a lot of stuff we donโt know about how the world works.โ He raises his brows. โOh,โ he adds. โAnd get yourself a shrink.โ
Since the days in rehab bleed into each other, I mark time by progress. I stop using a death grip on the bars and instead graze my palm over them while I take steps. I graduate to using Alice the Walker, keeping my own
balance and pushing it forward. Maggie helps by giving me verbal progress reports: โYesterday I had to help you and you lost your balance three times, but today youโre doing it all by yourself. Yesterday I was right next to you, today Iโm within shouting distance.โ Vee brings me puzzles, word searches, and a deck of cards. I start by sorting cards by suit and color and number, and then move on to playing solitaire. She has me tie my own sneakers and braid my own hair. She makes me pull beads out of putty to finesse my fine motor skills, and by the next afternoon, when I text on my phone my fingers are flying the way they used to. She brings me to a fake kitchen, where I
use my walker to move from dishwasher to cabinet, putting away plastic glasses and dishes.
On the twelfth day of rehab, I maneuver Alice into the bathroom, assess my balance, tug down my sweatpants, and pee on an actual toilet. I get to my feet, straighten my clothing, wash my hands.
When I step out into my room, Maggie and Vee are cheering.
There is a checklist of things I must be able to accomplish before I can
leave rehab. Can I brush my hair? Can I walk with a device? Can I dial my phone? Can I go to the bathroom? Can I shower? Can I balance? Can I do light meal prep? Can I walk up and down steps?
On the day Iโm discharged, Finn comes to take me home. โHow did you get the day off?โ I ask.
He shrugs. โWhat were they gonna do? Fire me?โ
Itโs true, they need him too much right now to risk him leaving for good.
Which reminds me I will be alone in the apartment when he goes back. Which makes me terrified.
Even though Iโve been able to walk for a few daysโeven trading up from Alice for a quad caneโthe protocol for rehab is that I be wheeled out. Iโve packed my limited stash of clothing and toiletries and the travel guides in a small duffel. โYour chariot,โ Finn says, with a flourish, and I gently lower myself into the sling seat. I put on the blue surgical mask Iโve been given, and Finn sets the duffel on my lap.
Maggie comes rushing into the room. โIโd hug you if I could do it from six feet away,โ she says.
โYouโve been up in my face for weeks,โ I point out.
โBut that was when you were aย patient,โ she says. โI brought you a gift.โ She pulls out what sheโs hidden behind her backโa shiny new quad cane for me to take home. โCandis,โ she says, and I burst out laughing. Candis Cayne.
โPerfect.โ
โSo much cooler thanย Citizen.โ
โFor sure,โ I tell Maggie. โIโm going to miss you.โ
โAh, fuck it,โ she says, and she gives me a quick, fierce hug. โIโm gonna miss you more.โ
She opens the door to my room and Finn pushes me into the hall. It is lined with people.
They are all masked and gowned, with their hair restrained in surgical caps. And they are all staring at me.
Someone starts clapping. Someone else joins in.
There is a rolling wave of applause as Finn wheels me past. I see tears in some of the eyes of the staff and I think:ย Theyโre not doing this for me. They are doing it for themselves, because they need hope.
I feel my cheeks heat underneath my mask, with embarrassment, with unease. I am reentering a society that has moved one month ahead without me, a place where every emotion is now hiddenโa casualty of safety.
I keep my eyes straight ahead. I am the worldโs loneliest soldier, limping back from war.
Getting home is an adventure. After I settle into the Uber, Finn squirts hand sanitizer into my palms and his, too. We lower the windows for ventilation even though itโs only fifty degrees out, because heโs read studies about aerosol transmission and viral droplets. Driving is eerie; the city is a ghost town. Stores are shuttered and the streets are so empty that we make record time. New York City is usually teeming with peopleโbusinessmen, tourists, dreamers. I wonder if theyโre locked in the high-rises or if, like Rodney, theyโve just given up and left town. I think about the Empire State Building and Central Park and Radio City, the iconic locations that stand
resolute and lonely. I used to get so frustrated when the subways were packed solid or when Times Square was swarming with sightseers. I didnโt
realize how much I actually loved the congestion of Manhattan until I saw the alternative.
When we reach our apartment building, Finn hovers at my side until I shout at him because heโs making me nervous. We have to wait for two elevator cycles before we get a car to ourselves, which Finn insists on,
because not everyone is taking precautions as seriously as he is.
There was a time when I thought having an apartment at the end of the hall, away from the ding of the elevator, was a bonus, but now it feels Herculean to make it all the way there. Finn unlocks the door and helps me take off my coat and then immediately goes to wash his hands. He washes them like a surgeon, long minutes elapsing, scrubbing under his nails and up past his wrists. I follow his lead.
I see the pile of household bills that Finnโs been too busy to pay and take a deep breath. All of this I can deal with tomorrow. The only thing I have to do now is remember how to live a normal life.
Finn carries my duffel into the bedroom and unpacks my things. โAre you hungry?โ he asks.
โCan we get Thai?โ I ask, and then I frown. โIs there still delivery?โ โIf there wasnโt Iโd be dead by now,โ Finn says. โThe usual?โ
Spring rolls, satay, and massaman curry. I love that I donโt have to tell him. I nod and glance toward the bathroom. โIโm going to take a shower,โ I announce, more to myself than to him, because thereโs a tub I have to lift my leg over. But Iโm going to have to do it sooner or later, and it might as well be while Finn is home to help me if I wind up sprawled on the floor.
As it turns out, I do fine. I am so proudโand so grateful to smell like my own soap and shampoo, instead of hospital versions. I brush and braid my hair, thinking of Vee, and put on clean leggings and my softest sweatshirt.
When I come into the living room, Finn grins. โYou clean up nicely.โ โI really have nowhere to go but up.โ
I sit down on the couch and turn on the television, skipping quickly away from MSNBC to a rerun ofย Friends. โHave you watchedย Tiger King?โ I call out.
โTigerย what?โ Finn asks.
โNever mind.โ I remind myself that the whole time Iโve been fighting for my life, Finn has been fighting for other peopleโs.
Suddenly heโs standing in front of me, holding out a steaming mug. โWhatโs this?โ
โHot milk.โ
โI donโt like hot milk,โ I say.
Finn frowns. โYou drank it the last time you were sick.โ
Because heโd made it for me without asking if I wanted it. Because his mom used to make it for him, when he was feeling under the weather.
Because I didnโt want him to think I wasnโt grateful. โIโm not sick,โ I tell him.
He looks at me skeptically.
โYouโre a doctor. You should know,โ I say. With a sigh I pat the couch next to me and set the mug on the side table. Finn sits down. โI know something really bad almost happened,โ I say quietly. โBut it didnโt. And Iโm here. And Iโm better.โ
I slide closer to him and feel him go still. Immediately, I pull back to look at Finnโs face. โAre you worried youโll catch it from me?โ
A shadow of pain crosses his face. โMore like the other way around.โ โIf I just beat this motherfucker,โ I say, โmy veins must be full of
antibodies.โ I flex my arm. โIโm basically a superhero.โ That, finally, makes him smile. โOkay, Wonder Woman.โ
I lean a little closer. โI wonder if antibodies are contagious.โ โI can categorically tell you theyโre not,โ Finn says.
โI mean, just in case,โ I murmur against his neck. โMaybe we should try to get some into you.โ I loop my arms around his neck and press my mouth against his. Finn hesitates, then kisses me back. I slide my hands under his sweater, feeling his heart beat against my palm.
โDiana,โ he breathes, a little desperate. โYou just got out of rehab.โ โExactly,โ I say.
I donโt know how to explain to him that when you find out you nearly died, there is a crucial needโa compulsion, reallyโto make sure youโre alive. I need to feel healthy and vital and desired. I need to burn with something that is not fever.
โLet me show you what Iโve learned,โ I say to Finn, and I pull my sweatshirt over my head. I shimmy my leggings down to my ankles and kick them off. โAnd watch this.โ I get to my feet, turn to face him, and sit down on his lap with my knees on either side of him. โStand, pivot, transfer,โ I whisper.
Finnโs arms come around me as I grind against him. It is a matter of
moments before his clothes are off, before the feel of his skin against mine
sets me on fire. Teeth and lips and fingertips, my nails on his scalp, his
palms bracketing my hips. I sink onto Finn and he flips us so that I am lying on the couch, dissolving around him. I succumb to the here and the now, focusing on the symphony of our breath, the percussion of our bodies, the crescendo.
When the buzzer rings, we are both so surprised we roll onto the floor. โShit,โ Finn says. โDinner.โ
He scrambles to his feet and I am jealous of his easy, unthinking movement. In his hurry, he pulls on my sweatshirt instead of his own, and it stretches too tight across his chest. As Finn hops into his boxers, I watch. โDonโt forget the โฆ tip,โ I say.
A laugh bursts out of him. โIย cannotย believe you said that.โ
He is back a few minutes later, holding a brown paper bag full of Thai food. He looks at me, almost shyly. โHungry?โ
โStarving,โ I say.
I watch him put the food on the counter, take out some disinfectant spray and paper towels, and start wiping everything down. โWhat โฆ what are you doing that for?โ
He blinks at me. โOh, right. You donโt know. Itโs for safety. You should use gloves, too, when you go to the mailbox, and let the mail sit for two days, just to make sureโโ
โTo make sure of what?โ โThat thereโs no virus on it.โ
He washes his hands again vigorously as I stand up and walk toward him. โYou know what has no virus on it?โ I ask, and I pull his head back down to mine.
The food cools on the counter as we tangle ourselves on the couch. When I finally unspool in Finnโs arms, I open my eyes to find him watching me.
He brushes my hair off my face. โSomethingโs different about you,โ he murmurs.
โI like being back here,โ I whisper.
What he likely thinks I mean:ย not in the hospital.
What I actually mean:ย not wandering in my clouded, confused thoughts.
In his embrace and wholly, blissfully present.
Finn is, and always has been, my anchor.
We eat in our underwear, and make love again, knocking over the sanitized cartons of food. At some point, we stumble to the bedroom and
crawl under the covers. Finnโs arm comes around me, holding my back tight against his front. Itโs not the way we usually sleepโwe have a king bed and we tend to retreat to our corners; I get cold too easily and Finn throws the
covers off. But, oddly, I donโt mind. If he is holding me tight, I canโt disappear.
I wait until he falls asleep, until I feel his breath falling in even puffs on the back of my shoulder. โI have to tell you something,โ I whisper. โEverything I dreamed in the hospital? I think it was โฆ real.โ
There is no response.
โI was in the Galรกpagos,โ I say, testing the words out loud. โThere was a man there.โ
Almost imperceptibly, Finnโs arm tightens around me. I hold my breath. โAs long as you know who youโre really having s*x with,โ he murmurs. He does not let go of me. And I do not sleep.