Dear John (22 page)

Remembering her mother, I nodded. “How about your dad?”

“The same, but in a different way. He avoids the topic. He doesn’t want to talk about it at all. When we’re together, he talks about the ranch or my job—anything but Tim. It’s like he’s trying to make up for Mom’s incessant worrying, but he never asks what’s been going on or how I’m holding up.” She shook her head. “And then there’s Alan. Tim’s so good with him, and I like to think I’m getting better with him, but still . . . there are times when he starts hurting himself or breaking things, and I just end up crying because I don’t know what to do. Don’t get me wrong—I try, but I’m not Tim, and we both know it.”

Her eyes held mine for a moment before I looked away. I took a sip of tea, trying to imagine what her life was like now.

“Did Tim tell you what’s going on? With his melanoma?”

“A little,” I said. “Not enough to know the whole story. He told me he found a mole and that it was bleeding. He put it off for a while, then finally went to see a doctor.”

She nodded. “It’s one of those crazy things, isn’t it? I mean, if Tim spent a lot of time in the sun, maybe I could have understood it. But it was on the back of his leg. You know him—can you imagine him in Bermuda shorts? He’s hardly ever worn shorts, even at the beach, and he’s always the one who nagged us about wearing sunscreen. He doesn’t drink, he doesn’t smoke, he’s careful about what he eats. But for whatever reason, he got melanoma. They cut out the area around the mole, and because of its size, they took out eighteen of his lymph nodes. Out of the eighteen, one was positive for melanoma. He started interferon—that’s the standard treatment, and it lasts a full year—and we tried to stay optimistic. But then things started going wrong. First with the interferon, and then a few weeks after surgery, he got cellulitis near the groin incision.”

When I frowned, she caught herself.

“Sorry. I’m just so used to talking to doctors these days. Cellulitis is a skin infection, and Tim’s was pretty serious. He spent ten days in the intensive care unit for that. I thought I was going to lose him, but he’s a fighter, you know? He got through it and continued with his treatment, but last month we found cancerous lesions near the site of his original melanoma. That, of course, meant another round of surgery, but even worse, it meant that the interferon probably wasn’t working as well as it could. So he got a PET scan and an MRI, and sure enough, they found some cancerous cells in his lung.”

She stared into her coffee cup. I felt speechless and drained, and for a long time, we were quiet.

“I’m sorry,” I finally whispered.

My words brought her back. “I’m not going to give up,” she said, her voice beginning to crack. “He’s such a good man. He’s sweet and he’s patient, and I love him so much. It’s just not fair. We haven’t even been married for two years.”

She looked at me and took a few deep breaths, trying to regain her composure.

“He needs to get out of here. Out of this hospital. All they can do here is interferon, and like I said, it’s not working as well as it should. He needs to go someplace like MD Anderson or the Mayo Clinic or Johns Hopkins. There’s cutting-edge research going on in those places. If interferon isn’t doing the job like it should, there might be another drug they can add—they’re always trying different combinations, even if they’re experimental. They’re doing biochemotherapy and clinical trials at other places. MD Anderson is even supposed to start testing a vaccine in November—not for prevention like most vaccines, but for treatment—and the preliminary data has shown good results. I want him to be part of that trial.”

“So go,” I urged.

She gave a short laugh. “It’s not that easy.”

“Why? It sounds pretty clear to me. Once he’s out of here, you hop in the car and go.”

“Our insurance won’t pay for it,” she said. “Not now, anyway. He’s getting the appropriate standard of care—and believe it or not, the insurance company has been pretty responsive so far. They’ve paid for all the hospitalizations, all the interferon, and all the extras without hassle. They’ve even assigned me a personal caseworker, and believe me, she’s sympathetic to our plight. But there’s nothing she can do, since our doctor thinks it’s best that we give the interferon a little more time. No insurance company in the world will pay for experimental treatments. And no insurer will agree to pay for treatments outside the standard of care, especially if they’re in other states and are attempting new things on the off chance that they
might
work.”

“Sue them if you have to.”

“John, our insurer hasn’t batted an eyelash at all the costs for intensive care and extra hospitalizations, and the reality is that Tim
is
getting the appropriate treatment. The thing is, I can’t prove that Tim would get better in another place, receiving alternate treatments. I
think
it might help him, I
hope
it will help him, but no one knows for sure that it would.” She shook her head. “Anyway, even if I did sue and the insurance company ended up paying for everything I demanded, that would take time . . . and that’s what we don’t have.” She sighed. “My point is, it’s not just a money problem, it’s a time problem.”

“How much are you talking about?”

“A lot. And if Tim ends up in the hospital with an infection and in the intensive care unit—like he has before—I can’t even begin to guess. More than I could ever hope to pay, that’s for sure.”

“What are you going to do?”

“Get the money,” she said. “I don’t have a choice. And the community’s been supportive. As soon as word about Tim got out, there was a segment on the local news and the newspaper did a story, and people all over town have promised to start collecting money. They set up a special bank account and everything. My parents helped. The place we worked helped. Parents of some of the kids we worked with helped. I’ve heard that they’ve even got jars out in a lot of the businesses.”

My mind flashed to the sight of the jar at the end of the bar in the pool hall, the day I arrived in Lenoir. I’d thrown in a couple of dollars, but suddenly it felt completely inadequate.

“Are you close?”

“I don’t know.” She shook her head, as if unwilling to think about it. “All this just started happening a little while ago, and since Tim had his treatment, I’ve been here and at the ranch. But we’re talking about a lot of money.” She pushed aside her cup of tea and offered a sad smile. “I don’t even know why I’m telling you this. I mean, I can’t guarantee that any of those other places can even help him. All I can tell you is that if we stay, I know he’s not going to make it. He might not make it anyplace else, either, but at least there’s a chance . . . and right now, that’s all I have.”

She stopped, unable to continue, staring sightlessly at the stained tabletop.

“You want to know what’s crazy?” she asked finally. “You’re the only one I’ve told this to. Somehow, I know that you’re the only one who can possibly understand what I’m going through, without having to feel like I have to be careful about what I say.” She lifted her cup, then set it down again. “I know it’s unfair considering your dad. . . .”

“It’s okay,” I reassured her.

“Maybe,” she said. “But it’s selfish, too. You’re trying to work through your own emotions about losing your dad, and here I am, saddling you with mine about something that might or might not happen.” She turned to look out the cafeteria’s window, but I knew she wasn’t seeing the sloping lawn beyond.

“Hey,” I said, reaching for her hand. “I meant it. I’m glad you told me, if only so you could get it off your chest.”

In time, Savannah shrugged. “So that’s us, huh? Two wounded warriors looking for support.”

“That sounds about right.”

Her eyes rose to meet mine. “Lucky us,” she whispered.

Despite everything, I felt my heart skip a beat.

“Yeah,” I echoed. “Lucky us.”

We spent most of the afternoon in Tim’s room. He was asleep when we got there, woke for a few minutes, then slept again. Alan kept vigil at the foot of his bed, ignoring my presence while he focused on his brother. Savannah alternately stayed beside Tim on the bed or sat in the chair next to mine. When she was close, we spoke of Tim’s condition, of skin cancer in general, the specifics of possible alternative treatments. She’d spent weeks researching on the Internet and knew the details of every clinical trial in progress. Her voice never rose above a whisper; she didn’t want Alan to overhear. By the time she was finished, I knew more about melanoma than I imagined possible.

It was a little after the dinner hour when Savannah finally rose. Tim had slept for most of the afternoon, and by the tender way she kissed him good-bye, I knew she believed he’d sleep most of the night as well. She kissed him a second time, then squeezed his hand and motioned toward the door. We crept out quietly.

“Let’s head to the car,” she said once we were out in the hallway.

“Are you coming back?”

“Tomorrow. If he does wake, I don’t want to give him a reason to feel like he has to stay awake. He needs his rest.”

“What about Alan?”

“He rode his bike,” she said. “He rides here every morning and comes back late at night. He won’t come with me, even if I ask. But he’ll be okay. He’s been doing the same thing for months now.”

A few minutes later, we left the hospital parking lot and turned into the flow of evening traffic. The sky was turning a thickening gray, and heavy clouds were on the horizon, portending the same kinds of thunderstorms common to the coast. Savannah was lost in thought and said little. In her face, I saw reflected the same exhaustion that I felt. I couldn’t imagine having to come back tomorrow, and the next day, and the day after that, all the while knowing there was a possibility he could get better somewhere else.

When we pulled in the drive, I looked over at Savannah and noticed a tear trickling slowly down her cheek. The sight of it nearly broke my heart, but when she saw me staring at her, she swiped at the tear, looking surprised at its appearance. I pulled the car to a stop beneath the willow tree, next to the battered truck. By then, the first few drops of rain were beginning to hit the windshield.

As the car idled in place, I wondered again whether this was good-bye. Before I could think of something to say, Savannah turned toward me. “Are you hungry?” she asked. “There’s a ton of food in the fridge.”

Something in her gaze warned me that I should decline, but I found myself nodding. “I would love something to eat,” I said.

“I’m glad,” she said, her voice soft. “I don’t really want to be alone tonight.”

We got out of the car as the rain began to fall harder. We made a dash for the front door, but by the time we reached the porch, I could feel the wetness soaking through the fabric of my clothes. Molly heard us, and as Savannah pushed open the door, the dog surged past me through the kitchen to what I assumed was the living room. As I watched the dog, I thought about my arrival the day before and how much had changed in the time we’d been apart. It was too much to process. Much the way I had while on patrol in Iraq, I steeled myself to focus only on the present yet remain alert to what might come next.

“We’ve got a bit of everything,” she called out on her way to the kitchen. “That’s how my mom’s been handling all of this. Cooking. We have stew, chili, chicken pot pie, barbecued pork, lasagna . . .” She poked her head out of the refrigerator as I entered the kitchen. “Does anything sound appetizing?”

“It doesn’t matter,” I said. “Whatever you want.”

At my answer, I saw a flash of disappointment on her face and knew instantly that she was tired of having to make decisions. I cleared my throat.

“Lasagna sounds good.”

“Okay,” she said. “I’ll get some going right now. Are you super hungry or just hungry?”

I thought about it. “Hungry, I guess.”

“Salad? I’ve got some black olives and tomatoes I could add. It’s great with ranch dressing and croutons.”

“That sounds terrific.”

“Good,” she said. “It won’t take long.”

I watched as Savannah pulled out a head of lettuce and tomato from the bottom drawer of the fridge. She rinsed them under the faucet, diced the tomatoes and the lettuce, and added both to a wooden bowl. Then she topped off the salad with olives and set it on the table. She scooped out generous portions of lasagna onto two plates and popped the first into the microwave. There was a steady quality to her movements, as if she found the simple task at hand reassuring.

“I don’t know about you, but I could use a glass of wine.” She pointed to a small rack on the countertop near the sink. “I’ve got a nice Pinot Noir.”

“I’ll try a glass,” I said. “Do you need me to open it?”

“No, I’ve got it. My corkscrew is kind of temperamental.”

She opened the wine and poured two glasses. Soon she was sitting across from me, our plates before us. The lasagna was steaming, and the aroma reminded me of how hungry I actually was. After taking a bite, I motioned toward it with my fork.

“Wow,” I commented. “This is really good.”

“It is, isn’t it?” she agreed. Instead of taking a bite, however, she took a sip of wine. “It’s Tim’s favorite, too. After we got married, he was always pleading with my mom to make him a batch. She loves to cook, and it makes her happy to see people enjoying her food.”

Across the table, I watched as she ran her finger around the rim of her glass. The red wine trapped the light like the facet of a ruby.

“If you want more, I’ve got plenty,” she added. “Believe me, you’d be doing me a favor. Most of the time, the food just goes to waste. I know I should tell her to bring less, but she wouldn’t take that well.”

“It’s hard for her,” I said. “She knows you’re hurting.”

“I know.” She took another drink of wine.

“You are going to eat, aren’t you?” I gestured at her untouched plate.

“I’m not hungry,” she said. “It’s always like this when Tim’s in the hospital . . . I heat something up, I look forward to eating, but as soon as it’s in front of me, my stomach shuts down.” She stared at her plate as if willing herself to try, then shook her head.