The phone was in the kitchen, and when she got herself up she would call her husband first, in his office. And then the operator to send an ambulance. And then one of the neighbors to come and watch the children. And then Pauline, who had promised to stay with the children when the time came, although time was supposed to have been still another month away and Pauline would sigh at the inconvenience, the altered plans. And this poor baby, so eager to be born, would emerge from the womb with unhappy Pauline ready to recount, on birthdays, at the birth of other children, at any of the innumerable occasions in her life when she was once again forced to abandon her plans, how she had just powdered her nose and put on her hat when the phone call came.

The fourth contraction seized her and suddenly she was perspiring. She heard herself cry out and then she heard the children’s voices like sparks struck from her own. And then heard a man call “Hello,” the single word across what seemed a great distance. Calmly, because the pain was once again subsiding (she recalled the rhythm of the hurricane), she turned her head toward the vestibule. It was simply what you did: you made conversation in elevators, complimented small children in strollers, looked up from your magazine to greet the stranger who took the seat beside you on a bus. You said, with simple friendliness, That’s a lovely hat, or Isn’t it cold?-because it was another way of saying here we are, all of us, more or less in the same boat. It was the habit of friendliness, a lifetime of it. Mary Keane smiled. Her dress and her son’s jacket and the slipcover on the couch beneath her were soaked and the next contraction was already gathering strength in the small of her back. Mary Keane smiled politely as Mr. Persichetti poked his head around the door to the vestibule and said, “Hello.”

He took her hand and then her pulse. He put his broad palm on her forehead and then took her hand again as her face flushed and she drew her legs up against the pain. He had returned to say the Krafts down the street had an apple tree split in two that he was planning to remove at noon tomorrow (Mr. Kraft was a teacher and since the schools were closed he was there to answer his door and to engage Mr. Persichetti on the spot). He’d come back to say he could easily toss both the willow and the apple tree into his truck, and so charge her only fifteen.

He called the operator from the phone in the kitchen and then left a message for Mr. Keane at his office. As luck would have it, the first kitchen drawer he pulled open was full of dish towels and he grabbed the lot of them. The next held the kitchen scissors and bakery string and even-she might have planned this-a turkey baster, all of which he gathered up, just in case. He wet one of the dishcloths with cool water at the sink, and then returned to her. She was not the housekeeper his own wife was-there were crumbs on the kitchen table and stained teacups in the sink-but there was a sweetness in the way she asked when he leaned over her if she could just take hold of his arm.

Mr. Persichetti called his patients God’s mistakes. He pressed his arms around them when the need arose and sometimes felt their wailing voices in his own flesh, in his chest, against his cheek. What was in their eyes, or, more precisely, what was not, he thought of as some failure on the part of God to fully animate what He had, perhaps too blithely, made. He thought of God then, God the Father anyway (for Jesus, of course, was a different case), as somewhat cavalier in His creations. Not indifferent-Jesus was proof of that, as was Mr. Persichetti himself, who might have worked construction with his powerful arms but had instead used the GI Bill to become a nurse-only swift and bustling and unheeding, like nature itself. Like the storm. When Mrs. Keane whispered, between contractions, that the baby was coming at least six weeks too soon, he shook his head and clucked his tongue, lifting the wet dish towel from her forehead and refolding it and then touching it gently to her cheeks. The dampness, and the perspiration, had darkened her hair and the pain had brought some color to her face. There was all about her a not unpleasant odor of oatmeal or wheat. He knelt beside the couch. When he leaned away, his T-shirt was wet with the amniotic fluid that had soaked her dress and the cushion beneath her. Her knees were already raised, her pale legs bare, and he asked, gently, if she would like him to check what was going on. She nodded and when the contraction had passed, added, “Modesty is always the first thing to go.”

He folded back the hem of her housedress. Peeled the wet underpants from her skin and moved them down over her pale knees and her small feet and then dropped them on the floor. He could hear the voices of the children playing in the tree outside. He gently pushed her thighs apart and saw immediately that the baby had already begun to crown. Her skin was paler than his wife’s was, even in midwinter. He gave her his hand to get her through the next contraction, keeping his arm steady as she squeezed. He spread the fingers of the other over her taut belly. Mr. Persichetti wore a silver Saint Christopher’s medal around his neck and kept a Sacred Heart scapular in his pocket, but when Mary Keane asked him, catching her breath, “Who’s the patron saint of women in labor?” he shrugged. He told her he only knew Saint Dymphna was the patron of the insane.

He’d had the story from an Irish priest assigned to Creedmoor. “A sad case himself,” Mr. Persichetti said, and gently pulled the damp hem of her dress back over her thighs. For a moment he found himself incapable of remembering Mr. Keane’s face, although they’d been neighbors for perhaps ten years. Nor could he remember another conversation he’d had with this woman stretched before him now on her living-room couch, her hair damp and her eyes a kind of gray, or green. He took her hand as if she were his child, or his own wife.

“Apparently,” he said, “this Saint Dymphna was the daughter of an Irish chieftain, a pagan. But she had a beautiful Christian mother.” Gray eyes or green, he thought they were the one thing that might have made her pretty when she was young. “So the mother dies.” He paused only briefly. “When the girl’s about fourteen. And the chieftain goes crazy and tells his servants to go out and find another beautiful woman who resembled his dead wife so he can marry her.”

He paused again to touch her white lips with the wet towel. “They should be here soon,” he said softly, interrupting himself. There was a bit of mad laughter from the children outside. The sun through the lace curtains at the front window had placed a small spotlight on the arm of the sofa, just above her head. He could see by the color in her cheeks that another contraction was on the rise.

“The servants were evil,” he said, recalling the tale the way the whiskey priest they sent to Creedmoor told it, sitting with Mr. Per-sichetti at the nurse’s station late into the night, those watery blue eyes forever bloodshot and sleepless. “They told the crazy chieftain that he should marry his beautiful daughter instead. Which he tried to do.” (“If you get my meaning,” the priest had said.) “But Dymphna ran off to Belgium.” He saw her grimace and purse her lips, her face seemed to swell with color. “Her crazy father followed her,” he said, tightening his own grip on her hand. “I guess he cut off her head.”

Mrs. Keane said, “Oh my,” but the contraction took hold and at the end of it she sobbed, “Mother of God,” which he supposed was the answer he should have given her in the first place.

Jesus and Mary, most of the saints, even the alcoholic priest who could calm an agitated patient with just the laying on of his swollen hands, Mr. Persichetti himself, plagued by pity-indications all that the Creator was not indifferent to the suffering He engendered, in His bustling, in His haste, but also that there would be no end to His mistakes. Mr. Persichetti knew that six weeks before its time and with a good thirty-minute ride to the hospital once the ambulance came (would it ever come?), the baby would most likely not survive, would be born with flesh and plenty of blood but underdeveloped lungs and insufficient breath. He heard the children calling to one another outside, Tony among them once again since his father was taking so long inside the house and (stinging injustice) had been wrong to drag him away in the first place, two hours before dinner. (Although Tony had quickly discovered that the earlier war game could not be recaptured; that in the twenty minutes he’d been gone, it had lost its life, lost its charm.)

Mr. Persichetti knew there were children growing in nearly every house in this neighborhood, in every borough and every town. Thousands more were being born today, being conceived-women with their knees raised all over the world. Mrs. Keane herself already had three. If one of these, if a hundred of them, a thousand, came too soon or failed to thrive or were born incomplete somehow, born blue or ill made or with reason’s taut string already snapped, it was of little matter in the long history of God’s bustling. There was the Mother of God to turn to in prayer. There were the angels and the saints. There were the people like himself, plagued by pity the way other men were driven by ambition or greed, who would wade through the blood and the stool, the torn hair and ravaged flesh, the mad cries, to take the broken, raving thing-God’s mistake-into his arms.

When the next contraction had passed, he gently pushed the dish towels (printed with teapots, printed with kittens) under Mrs. Keane’s white thighs, pulling away Jacob’s soaked jacket. He put one hand on top of her belly. “Isn’t it lucky that you’re here?” she whispered, holding on to his strong arm. And then, a little later, “Isn’t it good the hurricane caused the tree to fall and so you came by?”

And Mr. Persichetti said it was good indeed, although he knew the baby might not survive.

“The storm came,” she said, catching her breath, “and then a fireman came to the door in the middle of the storm, out of nowhere, and told us about the tree falling, and then you came by.” She grimaced and paused, squeezing his hand. “And came back,” she said as the contraction passed. “Because-who was it?” she said.

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