Chapter 1
Mark lit a cigarette, fumbling with it as he tried to bring it to his lips. The IV attached to his arm made it difficult to maneuver and continued to drip poison languidly into his veins as he took a long drag from the cigarette. There is perhaps no greater irony, he thought, than that of the lung cancer patient smoking a cigarette outside of a cancer treatment facility. He blew the smoke out of the corner of his lips entertaining the idea that, for one childish moment, he was a steamboat pulling into port, its boiler belching its greeting high into the sky.
“Can I get a light?”
He heard an IV drip being wheeled closer, the wheels squeaking in anticipation. Obligingly, he held the lighter to the cigarette that was already in her quivering mouth. She ran her hands through her wispy cotton hair, though by then, it was more weathered scalp than actual hair.
“Lovely weather we’re having, huh?” she croaked.
Mark nodded silently, and wrapped his bathrobe even tighter as the wind blew colder and harsher. He could feel her smirk, her thin aged lips curled wryly, cigarette still firmly in place. He was adjusting to the marrow-numbing winter, and his body still fought violently. He took another puff, relishing the taste of tobacco on his lips, and the warm moist comfort of nicotine coursing through his body. For a little while, he felt the chemotherapy-induced haze rise, like fog above the ocean, floating precariously as his eyes open wider, now more aware.
As he stood there, he remembered how he used to be one of the others. The people who would mill about here and there, walking past the center, while on their way to their destinations. Some would be smoking, some would be staring at the patients as they smoked, and a select few would do both. Mark was often in the latter category, though he had little time to stare in those days, and would often be running past the center, on the way to some engagement a few minutes too late. There was more time to stare now, but now he was the spectacle staring out at them. He was just fine with that though.
The woman next to him shifted this way and that, her top-heavy form waddling from side to side on toothpick legs in a feeble attempt to stay warm. She continued to smoke like clockwork, flicking the dying end of one, and swapping it for a fresh one. “You know,” she said through a smoky haze of her own creation, “we have shared the same five feet of space for three months.”
“And?”
“You’ve never asked me my name.”
Mark smiled. “Well, ma’am?”
She held out one frail hand, “Gina.”
He took her hand and kissed it gently, saying nothing more. When the last cigarette was finished, he slowly wheeled his IV back to infusion.
The nurse, Madeline, was waiting by his empty infusion chair with a mixture of condescension and worry on her large, ruddy face. “I suppose I’d be wasting my breath if I even bothered to ask you again to stop.”
Madeline was a formidable woman at six feet, most of it teased brown hair. She could have been a wrestler in any other life, with her barrel chest and tree trunk arms. She used her size and demeanor to her advantage, keeping her patients in line.
Mark shrugged, and rubbed his hands to restore some of the blood flow that had ebbed away from his fingers. He had been somewhat scared of Madeline at the start of treatment, when she marched into the room without warning and quickly jabbed a needle into his arm that dripped contents from a bag that did not hold his chemotherapy drug. “You will thank me later,” she murmured. When she changed the bag to the drug, he realized why. An hour later, he was gripping on to the toilet for dear life as the contents of his stomach, and what he thought was the whole stomach itself came roaring out. Shaking, he tottered out of the bathroom into the exam room, where Madeline was waiting. “Trust me Mark,” she said, as she added her final thoughts to his chart for the day’s visit in sweeping script, “It would probably have been much worse.”
This is how she showed her affection, in gruff bursts, and without any filters. She was not there to coddle, to cajole, to pat your back and tell you everything was going to be all right. Her concern was the well-being of her patients, whether they realized it or not, or were willing to accept it. It was perhaps for this reason that, after the last patient was walked or wheeled out of infusion, she would make her way out of the center in her oversized tweed coat without a single goodbye, and retire for the night in an apartment that reeked of missed opportunities, long since smothered by her lack of emotional depth.
He sat down, allowing Madeline to disconnect his IV, and tape a piece of gauze over the site. She rolled herself over to the nearby desk where his chart lay open. Mark had never actually seen the contents of his chart, and wondered if it was anything like a permanent record. He could imagine Madeline’s angry script trumpeting his various offenses.
“Patient went out for a smoking break during infusion, despite being advised against this.”
“Patient refused smoking cessation materials, insisting he keep this ‘one last pleasure.’”
“Patient desperately needs a shave.”
“Patient is a disaster area.”
Mark slowly got up and grabbed his coat off the nearby coat rack. “Well,” he said to Madeline’s back, “good night.”
Grunt
Mark lived in the same two bedroom apartment on 23rd St. that he had lived in for decades. When he was still working at the hospital, he would time his walk to and from his apartment, so that he could fit in exactly 2 cigarettes (one each way), a stop at the bagel cart in the morning for an everything bagel and schmear, and a stop at the Starbucks at 5th Ave. in the evening for a tall Pike. He used to walk each way in an expertly-pressed suit and silk tie in a double Windsor knot, his leather shoes squeaking with each confident step.
Now he had learned to time the trek from the treatment center to his apartment, having to account for his jelly legs and half-functioning lungs, so that just as he staggered through the door, he was able to rush to the bathroom to make his daily oblations. As he lay on the cold tiles, staring at the mildewing ceiling, he would think of Jeanne.
Today, as he made his way down 23rd, his legs suddenly melted into puddles as he crossed in front of the Flatiron Building, earning the ire and fist-shaking of a cabbie who, in the absence of traffic laws, would have run him over without so much as batting an eye. Trying to make up for lost time, Mark jogged awkwardly the rest of the way, his legs pitching and jerking as he ambled past the avenues. He could see old Ed waiting outside the apartment, holding the door for a guest. Before he could say a word, Mark fell to his knees and heaved just outside the entrance. Old Ed, whose shoes were caught in the crossfire, quickly helped Mark to his feet. “Let’s get you back upstairs,” he said kindly.
Inch by painful inch, the two walked in tandem, Mark’s arm slung over Old Ed’s shoulder for support though Mark was a good half a foot taller than him. He fished in Mark’s coat for his key, opening the door slowly.
“Ugh,” Mark mumbled, “I’m sorry.”
Old Ed half-dragged him to the couch, and lay him down. “Don’t worry about it kid.”
Mark heard Old Ed’s soft shuffling towards the door, but before he could say another word, he heard the door close. He should have been home sooner. The hours that lay ahead of him felt hazy and uncertain. Drained, he decided to call it a night, making his way slowly to the bedroom.
Taking care to not irritate the still raw sites in his arm through which he had received chemotherapy, he changed slowly into his pajamas and slithered under the covers. Jeanne’s diary lay open on the nightstand, drawing Mark back in as it did every night. With a shaky hand, he picked it up and began to read.
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So what do you think should happen next? Remember, this is a partly reader-driven novel! All ideas are welcome!