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      —John 8:32

       Dr. Truth Jekyll and Mr. Hyde Denial

      WE BOTH BEGAN BLEEDING ON THE SAME DAY.

      I woke to it slowly. Drifting out of a deep sleep, I lay in bed, my eyes closed, inhaling the cool morning air that wafted in through the open window, its breath a welcome respite from the previous night’s August heat. I stretched my body and sighed contentedly. Claude stirred beside me. I heard the footfalls of an early morning jogger pass below, on the street side of the house. A car drove by. I opened my eyes. Our bedroom was gray and still.

      As I rolled onto my side, I felt a sticky warmth between my legs. Instantly, I was awake. I slid one thigh across the other and felt a sucking sensation as they parted. Clamping my legs together, I closed my eyes and willed myself to be dreaming. Everything was quiet, except for the thud of my heart in my chest. I heard another car drive by; then another. I opened my eyes again, this time more slowly. The first light was beginning to sharpen the outlines of objects in the room.

      I ran my hand across my abdomen. Its slightly rounded fullness reassured me. After all, only yesterday the tiny form of the baby inside had appeared on my doctor’s ultrasound screen, filling the room with the pulsing whoosh of its amplified heartbeat. Claude had smiled and squeezed my hand. My whole body had softened with relief. I had miscarried three other pregnancies before this one, all in their eighth week. Yesterday’s ultrasound was the confirmation we had been waiting for; this baby, our third child, would be born in March. Will, our son, was five, while Hannah, our daughter, was nearly three.

      Last night, I had stood in the nursery, running my hand over the rail of the empty crib, imagining the smell of baby powder in the air again. I slept more deeply than I had in weeks.

      Now I lay next to Claude, hyperventilating between wanting to know and not wanting to know. Finally, I slipped out of bed, careful not to brush my thighs against the sheets. When I stood up, I felt a warm trickle run down my leg. I caught the tiny bead on the tip of my finger: blood. I cupped a hand over myself to keep from staining the carpet and tiptoed to the bathroom. Just then, I heard Hannah calling from her bed downstairs.

      “Mommy, I have to go potty!”

      I grabbed a wad of toilet tissue, wiped my thighs, and glanced at my image in the mirror. My eyes looked wild. I splashed cold water on my face and made my way to Hannah’s room. I hardly noticed her sweetness nuzzling the nape of my neck as I carried her to the toilet. I was wondering how I could bear to tell Claude or anyone else about another miscarriage. I felt deeply ashamed; losing this baby meant I had failed again.

      When Hannah was finished, I lifted her off the toilet seat and was catapulted out of my grief. Hannah’s urine was deep pink: blood. Miscarriages I knew; blood in the urine of a two-year-old I didn’t. For an instant, I couldn’t think or move. Then a thickness seemed to envelop me; I felt numb but strangely efficient. Everything was happening, but I felt disconnected from any feeling in it. I heard Claude in the bathroom upstairs, running the shower. I dressed Hannah and myself, woke Will, set the table for breakfast and made three phone calls; one to my doctor, one to the pediatrician, and one to my friend Lili. When Claude came downstairs, I told him about the blood, Hannah’s and mine. I couldn’t even cry. Claude bent over the table, as though he was going to get sick. For thirty seconds, neither of us spoke. Finally he stood up and reached for my hand.

      “Honey, what do you want me to do?” he asked. What he was really asking was if I wanted him to miss another day of work. For months, he and the other members of his engineering team had been pushed to the limit, their project overdue and over budget. Three weeks earlier, Claude’s boss had demanded that we postpone our family vacation. Claude had refused, explaining that his family was more important than his work. Yesterday he had made the same choice by coming to my appointment with the obstetrician.

      “It’s okay,” I said, taking a deep breath and swallowing my fear. “I’ve already arranged for Lili to watch the kids while I go to my appointment, and she’s agreed to stay with Will while I take Hannah to hers. We’ll be okay. I’ll call you as soon as I know anything.”

      “Are you sure?” Claude asked.

      “Definitely,” I said, kissing him lightly on the cheek. “Really, it’s probably nothing. I’m sure it’s going to be fine.”

      Even as I said it, another part of me watched in silence, knowing what I said wasn’t true. It was like being two different characters in the same scene of a movie. In the scene, Hannah and I were bleeding. One part of me felt quiet, accepting of this truth. The other, incapacitated by fear, needed to believe, if only for a while, that everything was going to be okay. I did the only thing I could do: I let both be true.

       Silent Comfort

      AN HOUR AND A HALF LATER, MY OBSTETRICIAN confirmed what I already knew: The baby inside me was dead. There was nothing but silence in the dark room as she glided the ultrasound wand over my belly; the tiny form that yesterday had a heartbeat and a birthday was nothing but a blot on the blue screen now. Tears pooled in my ears and soaked through the paper sheet beneath me.

      “I’m sorry,” the doctor said.

      I barely nodded to her as I dressed and left the office. In the car, I let the sobs pour out of me. I cried all the way to Lili’s house, not only for the life I had lost, but for my fear about what lay ahead.

      My friends Kim, Kate, and Deb were at Lili’s when I arrived. Our “moms’ group” had been meeting every Friday in each other’s home for more than a year. The four of them looked up when I came in. My swollen eyes answered their unspoken question. While Lili made lunch, I called Claude and told him about the baby that wouldn’t be coming in March; neither of us could think of anything to say. Hanging up the phone, I joined my friends at the table and picked at my food, too numb to talk or eat.

      Suddenly, the door to the kitchen opened, and the sounds of children playing spilled into the room. I turned to see Hannah standing on the threshold. She was wearing a sundress, a pink headband, and her new red shoes. She stood there quietly looking at me. Then she crossed the room, crawled into my lap, and began gently stroking my cheeks.

       Perspective

      TWO HOURS LATER, HANNAH DUMPED A BASKETFUL OF hand puppets onto the floor of the pediatrician’s office and sorted through the pile until she found the one she was looking for. Tucking a butterfly under her arm, she climbed into my lap, while I gazed absently at the diplomas and photographs on the wall. Already I felt relieved. Minutes before, Dr. Edman had gently examined her. His face hadn’t registered any concern. He had asked us to wait for him in his office, standard procedure, while he made a phone call. Now he came through the door and sat on the edge of his desk.

      “Is it possible for you to reach Claude at work?” he asked.

      My brain struggled to register what he had just said. This was not standard procedure. What could be so important that I needed to call Claude?

      “Hannah has a mass in her abdomen,” Dr. Edman said gently. “I’ve called the emergency room. They’re expecting you; Claude should meet you there.”

      I dialed the phone and, when Claude answered, repeated Dr. Edman’s words.

      “What does this mean?” Claude asked.

      “I have no idea,” I said.

      Hannah slept in her car seat in the back while I drove. Forty minutes later, as I pulled into the emergency room parking lot and shut off the engine, I realized that I couldn’t remember stopping for one light or stop sign all the way there. Either

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