The Final Diagnosis

Half turned away, she said, “There are so many things to think of.” Her voice was troubled.

“Are there?” The tone of voice was disbelieving.

“There’s a great deal you don’t know about me,” Denise said. “For one thing, I’m terribly possessive. Did you know that?”

He answered, “It doesn’t sound very terrible.”

“If we were married,” she said, “I’d have to have all of you, not just a part. I couldn’t help myself. And I couldn’t share you—not even with a hospital.”

He laughed. “I imagine we could work out a compromise. Other people do.”

She turned back toward him. “When you say it like that I almost believe you.” Denise paused. “Will you come back to New York again—soon?”

“Yes.”

“How soon?”

He answered, “Whenever you call me.”

As if by instinct, she moved toward him and they kissed again, this time with growing passion. Then there was a sound behind them and a shaft of light from a door opening to the living room. Denise pushed herself gently away and a moment later a small figure in pajamas came onto the terrace. A voice said, “I thought I heard someone talking.”

“I imagined you were sleeping,” Denise said. “This is Dr. O’Do

The girl looked at O’Do

O’Do

“Hullo, Philippa,” he said. “I’m sorry if we disturbed you.”

“I couldn’t sleep, so I was reading.” The girl glanced down at a book in her hand. “It’s Herrick. Did you ever read it?”

“I don’t think so,” O’Do

Philippa picked up the book and opened it. “There’s something here for you, Mother.” She read attractively with a feeling for words and balance and with a touch of lightness.

“That age is best, which is the first,

When youth and blood are warmer;

But being spent, the worse, and worst

Time, still succeed the former.

Then be not coy, but use your time;

And while ye may, go marry:

For having lost but once your prime,

You may for ever tarry.”

“I get the point,” Denise said. She turned to O’Do

“We simply think it’s the best thing for you,” Philippa interjected. She put down the book.

“They do it under the guise of practicality,” Denise went on. “Actually they’re both revoltingly sentimental.” She turned to Philippa. “How would you feel if I married Dr. O’Do

“Has he asked you?” Philippa’s interest was prompt. Without waiting for an answer she exclaimed, “You’re going to, of course.”

“It will depend, dear,” Denise said. “There is, of course, the trifling matter of a divorce to be arranged.”

“Oh, that! Daddy was always so unreasonable about you doing it. Besides, why do you have to wait?” She faced O’Do

“There are moments,” Denise said, “when I have grave doubts about the value of progressive education. That, I think, will be all.” She stepped lightly to Philippa. “Good night, dear.”

“Oh, Mother!” the girl said. “Sometimes you’re so antediluvian.”

“Good night, dear.” Denise repeated it firmly.

Philippa turned to O’Do

He said, “It’s been a pleasure, Philippa.”

The girl came to him. She said artlessly, “If you’re going to be my stepfather, I suppose it’s all right to kiss you.”

He answered, “Why don’t we chance it?—whichever way it goes.”

He leaned toward her and she kissed him on the lips, then stood back. There was a slight smile, then she said, “You’re cute.” She warned Denise, “Mother, whatever you do, don’t lose this one.”

“Philippa!” This time the note of discipline was unmistakable.

Philippa laughed and kissed her mother. Waving airily, she picked up her book of poems and went out.

O’Do

Eighteen

The amputation of Vivian’s left leg began at 8:30 a.m. precisely. Punctuality in the operating rooms was something that Dr. O’Do

The procedure was not complicated, and Lucy Grainger anticipated no problems other than routine. She had already pla

She had also pla

That had been after she had broken the news to Vivian, of course—a sad, strained session in which the girl at first had been dry-eyed and composed and then, breaking down, had clung to Lucy, her despairing sobs acknowledging that the last barriers of hope had gone. Lucy, although accustomed by training and habit to be clinical and unemotional at such moments, had found herself unusually moved.

The session with the parents subsequently, and later when young Dr. Seddons had come to see her, had been less personal but still troubling. Lucy supposed she would never insulate entirely her own feelings for patients the way some people did, and sometimes she had had to admit to herself that her surface detachment was only a pose, though a necessary one. There was no pose, though, about detachment here in the operating room; that was one place it became essential, and she found herself now, coolly and without personal feelings, assessing the immediate surgical requirements.

The anesthetist, at the head of the operating table, had already given his clearance to proceed. For some minutes now Lucy’s assistant—today, one of the hospital interns—had been holding up the leg which was to be removed, so as to allow the blood to drain out as far as possible. Now Lucy began to arrange a pneumatic tourniquet high on the thigh, leaving it, for the moment, loosely in position.

Without being asked the scrub nurse handed scissors across the table, and Lucy began to snip off the bandages which had covered the leg since it had been shaved, then prepped with hexachlorophene, the night before. The bandages fell away and the circulating nurse removed them from the floor.

Lucy glanced at the clock. The leg had been held up, close to vertical, for five minutes and the flesh appeared pale. The intern changed hands and she asked him, “Arms getting tired?”

He gri

The anesthetist had moved to the tourniquet and was looking at Lucy inquiringly. She nodded and said, “Yes, please.” The anesthetist began to pump air into the rubber tourniquet, cutting off circulation to the leg, and when he had finished the intern lowered the limb until it rested horizontally on the operating table. Together the intern and scrub nurse draped the patient with a sterile green sheet until only the operative portion of the leg remained exposed. Lucy then began the final prepping, painting the surgical area with alcoholic zephiran.