never thought of anymore. She had been naive herself, thinking that they could make a marriage work at that particularly difficult point in their training, despite the fact that everyone they knew had told them otherwise. She was certain that love would prevail, and when it didn’t, she had lost not only her marriage but her ingenuous self. Marina and her husband bought their own divorce kit at an office supply store and amicably filled out the paperwork at the kitchen table. He took the bedroom furniture, she took the living room furniture. In a gesture of kindness, she offered up the kitchen table and the chairs that they sat in, and because he knew she meant it kindly he accepted. Her mother flew to Baltimore to help her find a smaller apartment and pack up half of the wedding gifts that she hadn’t wanted in the first place. What Marina had wanted very much was the chance to lie on the sofa in the living room and maybe drink a glass of scotch while crying in the afternoon but there wasn’t time. She had turned thirty the week before. She had six hours left before she had to be back at the hospital. The thing that Marina was feeling the end of so acutely, the thing that made her want to take to the sofa in the middle of the day, was not the end of her marriage but the end of her residency in obstetrics and gynecology. Four years into her five-year program she had switched to clinical pharmacology, enrolled in a Ph.D. program, and doomed herself to another three years of school. Even though her mother had come to Baltimore to help her through her divorce, Marina didn’t tell her what it was she was actually breaking up with. She didn’t tell her that the life she had ruined was not her own nor Josh Su’s but someone else’s, someone she didn’t even know. She did not tell her mother about the accident, nor about the Spanish Inquisition that had followed. She did not tell her about the switch to pharmacology until she was a year into the program and then she mentioned it so casually that it seemed like the most natural thing in the world. She did not tell her mother about Dr. Swenson.
Marina pulled her coat around her shoulders. Beneath the plane was a soft white bank of clouds that shielded passengers from the landscape below. There was no telling where they were now. She let her head tip back and thought that no harm could come from the smallest sip of sleep. She knew how to close her eyes for two minutes. It was a magic trick she had picked up in her residency, falling asleep in the corner of an elevator and then waking up on the right floor. She would give her head a quick shake and then walk straight to the patient’s room, not exactly refreshed but, for the moment, reinforced. She pressed the button on the armrest and let her seat recline. She set her internal alarm for five minutes and gave in to the sleep that had been pulling at her since the nightmares had thrown her out of bed this morning. But this time when the elevator doors opened she was not in Calcutta. She was at Vogel, looking down the hallway at the tile floor and humming lights, and suddenly she changed her mind about everything. She should have told Anders about Dr. Swenson. It was hard to see what bearing her story would have on his trip to the Amazon but still she had chosen not to tell him as a means of protecting herself, not because he shouldn’t have had the information. Anders would have been grateful for any insight, she could see that now, and it seemed possible that this one additional fact could have changed his outcome. He might at least have been wary. The more she thought of it the faster she went down the hall. All of the windows set into the doors of the labs and offices were dark. Everyone had already gone home.
Except Anders.
He was at his desk, his back towards her. She always got to work before him in the morning. He had to drop the boys off at school. She almost never came in and saw him sitting there and the joy that broke over her at the sight of his tall, straight back, his faded hair, made her cry out. “I was afraid I’d missed you!” she said. Her heart was beating so fast, 150, she thought, 160.
The look on his face was half surprised. “You did miss me. I was all the way out to the parking lot and I realized I’d left my watch.” He slipped the band over his left hand, fastened down the catch. Anders always took his watch off in the morning, they all did, too much hand washing, too many times in and out of latex gloves. “What’s wrong with you? You look like you’ve been running.” He reached over and put his hand on her shoulder and then he started to shake her, gently at first and then forcefully. “Miss,” he said, as if they had never met before. “Miss?”
Marina opened her eyes. The man in the suit was shaking her shoulder and the flight attendant was peering into Marina’s face, entirely too close. When Marina opened her eyes she was looking directly into the woman’s mouth, her lipstick a thick brownish pink, obscene. “Miss?”
“I’m sorry,” Marina said.
“I think you were having a dream.” The flight attendant pulled back, giving Marina a bigger picture. How early must she have gotten up this morning in order to put on that much mascara? “Would you like a glass of water?”
Marina nodded. The trick of Lariam was to figure out which part was the dream and which part was her waking life: Vogel she knew, Anders and the lab. It was the plane that smacked of nightmares.
“I don’t like to fly myself,” the suited man told her and held up his Bloody Mary. “I medicate.”
“I don’t mind flying,” Marina said. There was something she had meant to tell Anders.
“It certainly seemed like you mind it,” the man said. Maybe he was concerned, or bored, or inappropriately friendly, or midwestern friendly. Nothing was clear. She took the glass of water that was handed to her and drank it down.
“I have bad dreams,” Marina said, and then she added, “on planes. I won’t fall asleep again.”
The man looked at her skeptically. After all, they were in this together now, seatmates. “Well, if you do, should I wake you up or just let you go?”
Marina thought about it. Either way it was a loss. She didn’t want to scream in front of him and she didn’t want him shaking her arm either. The intimacy of sleeping next to strangers, much less twitching and making noises, was unbearable. “Let me go,” she said, and turned her shoulders away from him.
She had been going to tell Anders about Dr. Swenson. It was a funny business, the subconscious mind, thinking that it could rewrite history. It would never have occurred to her to tell him what had happened when he was alive, and now that he was dead she was certain she should have. The great, lumbering guilt that slept inside of her at every moment of her life had shifted, stretched. Wasn’t it logical that guilt should awaken guilt? Marina Singh had had an accident a long time ago, and after that she had removed herself from the obstetrics and gynecology program. She had never told her mother, who thought that her daughter had had an illogical change of heart late in her training, or Mr. Fox, who never knew her to be anything other than a pharmacologist. The people who did know the details of what had happened, Josh Su, the friends she had at the time, one by one she found a way not to know them anymore. She no longer knew Dr. Swenson. With a great deal of concentrated effort she had found the means to stop repeating the story to herself. She no longer traced the events through the map of her memory, studying the various places where she had been free to make different choices.
Marina Singh had been the chief resident and Dr. Swenson was the attending. On this particular night, or as the review board had called it, the night in question, she was working at the County Receiving Hospital in Baltimore. It was a busy night but not the worst. Sometime after midnight a woman came in who said she’d been in labor for three hours. She had already had two children and she said she hadn’t been in any hurry to come to the hospital.
“How are you feeling now?” the flight attendant asked.
“I’m fine,” Marina said. Her eyes were dry and she concentrated on keeping them open.
“Well, don’t feel embarrassed. This nice man here woke you up
in time.”
The nice man smiled again at Marina. Something in that smile implied that he was sheltering a small flame of hope that there would be a reward for his good deed.
“Some people’s seatmates aren’t so thoughtful,” the flight attendant said. She was lingering. There wasn’t much to do in first class, not enough people to take care of. “They let them snore and scream and carry on until you can hear them in the rear lavatory.”
“I’m fine now,” Marina said again, and she turned her face to the window, wondering if there was an empty seat at the back of the plane.
She tried to separate what had happened that night from her deposition. She tried to place herself back at the actual event instead of the endless and exhaustive retelling of that event. The patient was twenty-eight, African-American. Her hair was straightened and pulled back. She was tall, broad shouldered, enormously pregnant. Marina was surprised to remember how much she liked the woman. If the patient had been afraid she never showed it. She talked about her other children in between her contractions and sometimes through them: two girls, and now they were having their boy. Marina paged Dr. Swenson and told her the patient’s contractions were four
