"No, thanks."
"You"re sure?"
"Nah, I"m fine."
"Stomach?"
She touched her abdomen and said, "Just feeling a little woozy. How long can you stay?"
"In and out," he said. "Got a twelve o"clock cla.s.s, then meetings for the rest of the day-probably dumb to drive all the way over, but I missed you guys."
Cindy smiled.
Chip kissed her, then Ca.s.sie.
Cindy said, "Daddy can"t stay, Ca.s.s. b.u.mmer, huh?"
"Dah-dee."
Chip gave Ca.s.sie"s chin a gentle tweak. She continued playing with his beard. "I"ll try to kick by later this evening. Stay as long as you need me."
"Great," said Cindy.
"Dah-dee."
"Dah-dee," said Chip. "Dah-dee love you. You cute." To Cindy: "Not a good idea at all, coming for two minutes. Now I"m really gonna miss you."
"We miss you too, Daddy."
"I was in the neighborhood," he said. "So to speak-this side of the hill, at least."
"The U?"
"Yup. Library duty." He turned to me: "I teach over at West Valley C.C. New campus, not much in terms of reference resources. So when I have some serious research to do, I go over to the university."
"My alma mater," I said.
"That so? I went to school back east." He tickled Ca.s.sie"s belly. "Get any sleep at all, Cin?"
"Plenty."
"Sure?"
"Uh-huh."
"Want some herb tea? I think I"ve got some chamomile in the car."
"No, thanks, hon. Dr. Delaware has some techniques to help Ca.s.sie deal with the p-a-i-n."
Chip looked at me while stroking Ca.s.sie"s arm. "That would be terrific. This has been an incredible ordeal." His eyes were slate-blue with a slight droop, very deep-set.
"I know it has," I said.
Chip and Cindy looked at each other, then at me.
"Well," I said, "I"ll be shoving off now. Come by to see you tomorrow morning."
I bent and whispered goodbye to Ca.s.sie. She batted her lashes and turned away.
Chip laughed. "What a flirt. It"s inborn, isn"t it?"
Cindy said, "Your techniques. When can we talk about that?"
"Soon," I said. "First I need to get a rapport with Ca.s.sie. I think we did pretty well today."
"Oh. Sure. We did great. Didn"t we, pudding?"
"Is ten o"clock a good time for you?"
"Sure," said Cindy. "We"re not going anywhere."
Chip looked at her and said, "Dr. Eves didn"t say anything about discharge?"
"Not yet. She wants to keep observing."
He sighed. "Okay."
I walked to the door.
Chip said, "I"ve got to be running, myself, Doctor. If you can hold on for one sec, I"ll walk out with you."
"Sure."
He took his wife"s hand.
I closed the door, walked to the nursing station, and went behind the desk. Vicki Bottomley was back from the gift shop, sitting in the unit clerk"s chair, reading RN. No one else was around. A box wrapped with Western Peds gift-shop paper sat on the counter, next to a coil of catheter tubing and a stack of insurance forms.
She didn"t look up as I lifted Ca.s.sie"s chart from the rack and began leafing through. I skimmed through the medical history and came upon Stephanie"s psychosocial history. Wondering about the age difference between Chip and Cindy, I looked up his biographical data.
Charles L. Jones III. Age: 38. Educational level: Master"s degree. Occupation: College professor.
Sensing someone looking at me, I lowered the chart and saw Vicki whipping her head back toward her magazine.
"So," I said, "how were things down in the gift shop?"
She lowered the journal. "Is there something specific you need from me?"
"Anything that would help me work with Ca.s.sie"s anxiety."
Her pretty eyes narrowed. "Dr. Eves already asked me that. You were right here."
"Just wondering if something occurred to you in the meantime."
"Nothing occurred," she said. "I don"t know anything-I"m just the nurse."
"The nurse often knows more than anybody."
"Tell it to the salary committee." She lifted the magazine high, concealing her face.
I was considering my response when I heard my name called. Chip Jones strode toward me.
"Thanks for waiting."
The sound of his voice made Vicki stop reading. She straightened her cap and said, "Hi, Dr. Jones." A sweet smile spread across her face, honey on stale bread.
Chip leaned on the counter, grinned, and shook his head. "There you go again, Vicki, trying to promote me." To me: "I"m A.B.D.-that"s "all but dissertation," Vicki-but generous Ms. Bottomley here keeps trying to graduate me before I earn it."
Vicki managed to work up another dirt-eating smile. "Degree or not, what"s the difference?"
"Well," said Chip, "it might make quite a difference to someone like Dr. Delaware here, who genuinely earned his."
"I"m sure it does."
He heard the acid in her voice and gave her a quizzical look. She got fl.u.s.tered and looked away.
He noticed the gift box. "Vicki. Again?"
"It"s just a little something."
"That"s very sweet of you, Vicki, but totally unnecessary."
"I wanted to, Dr. Jones. She"s such an angel."
"That she is, Vicki." He smiled. "Another bunny?"
"Well, she likes them, Dr. Jones."
"Mister, Vicki-if you insist on using a t.i.tle, how about Herr Professor? It has a nice cla.s.sical ring to it, wouldn"t you agree, Dr. Delaware?"
"Absolutely."
He said, "I"m prattling-this place addles me. Thank you again, Vicki. You"re very sweet."
Bottomley went scarlet.
Chip turned to me. "Ready if you are, Doctor."
We walked through the teak doors into the hustle of Five East. A child being wheeled somewhere was crying, a little boy hooked to an I.V. and turbaned with bandages. Chip took it in, frowning but not talking.
As we approached the elevators he shook his head and said, "Good old Vicki. What a shameless brownnoser. But she got kind of uppity with you back there, didn"t she?"
"I"m not her favorite person."
"Why?"
"I don"t know."
"Ever have any ha.s.sles with her before?"
"Nope. Never met her before."
He shook his head. "Well, I"m sorry for you, but she seems to be taking really good care of Ca.s.sie. And Cindy likes her. I think she reminds Cindy of her aunt-she had an aunt who raised her. Also a nurse, real tough egg."
After we pa.s.sed a gaggle of dazed-looking medical students, he said, "It"s probably territorial-Vicki"s reaction to you. Some kind of turf battle, wouldn"t you say?"
"Could be."
"I notice a lot of that kind of thing around here. Possessiveness over patients. As if they"re commodities."
"Have you experienced that personally?"
"Oh, sure. Plus, our situation heightens the tension. People think that we"re worth kissing up to, because we"ve got some sort of direct line to the power structure. I a.s.sume you know who my dad is."
I nodded.
He said, "It rubs me the wrong way, being treated differently. I worry about it leading to substandard care for Ca.s.sie."
"In what way?"
"I don"t know, nothing specific-I guess I"m just not comfortable with being an exception. I don"t want anyone missing something important because they hung back or broke routine out of fear of offending our family. Not that Dr. Eves isn"t great-I have nothing but respect for her. It"s more the whole system-a feeling I get when I"m here."
He slowed his pace. "Maybe I"m just talking through my hat. The frustration. Ca.s.sie"s been sick with one thing or another for virtually her whole life and no one"s figured out what"s wrong yet, and we also . . . What I"m saying is that this hospital"s a highly formalized structure and whenever the rules change in a formalized structure, you run the risk of structural cracks. That"s my field of interest: Formal Org-Formal Organizations. And let me tell you, this is some organization."
We reached the elevators. He punched the b.u.t.ton and said, "I hope you can help Ca.s.sie with the shots-she"s gone through an absolute nightmare. Cindy, too. She"s a fantastic mother, but with this kind of thing, self-doubts are inevitable."
"Is she blaming herself?" I said.
"Sometimes. Even though it"s totally unjustified. I try to tell her, but . . ."
He shook his head and put his hands together. The knuckles were white. Reaching up, he rotated his earring.
"The strain on her"s been incredible."
"Must be rough on you, too," I said.
"It hasn"t been fun, that"s for sure. But the worst of it falls on Cindy. To be honest, we"ve got your basic, traditional, s.e.x role-stereotyped marriage-I work; she takes care of things at home. It"s by mutual choice-what Cindy really wanted. I"m involved at home to some extent-probably not as much as I should be-but child rearing"s really Cindy"s domain. G.o.d knows she"s a h.e.l.l of a lot better at it than I am. So when something goes wrong in that sphere, she takes all the responsibility on her shoulders."
He stroked his beard and shook his head. "Now, that was an impressive bit of defensive pedantry, wasn"t it? Yes, sure, it"s been d.a.m.ned rough on me. Seeing someone you love . . . I a.s.sume you know about Chad-our first baby?"