This Is How It Always Is

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It was one of the enduring ironies of their relationship how well the residency schedule worked for Penn. Even once she was wooed, Penn remained camped out in the waiting room, reading, writing, telling her stories in installments during her breaks between patients. He was happy to sleep when she did and to stay up when she had to. She’d have traded anything toward the ends of those thirty-hour shifts—her place in the program, her career prospects, her eyeballs, say, and even Penn—for eight hours of sleep, and she knew in her heart that had their roles been reversed, she’d have been comfortably in her bed at home while he worked inhumane stretches of days and nights and days on end.

It was good preparation for parenting, though of course that didn’t occur to her until years later. At some point midway through Roo’s sleepless, staccato first month, she thought what an effective screening process a waiting-room residency had been. Here was a husband she knew would get up every two hours with the baby through the dark middles of the nights. Here was a partner who would wake for predawn breakfast with the first and second children, never mind having been up with the third and fourth well past midnight the night before. It wasn’t why she chose him. But it wasn’t a terrible reason either.

Now, all these years later, she found herself in the hospital’s wee hours all alone with no one to tell her stories. It had been years since her residency—the hideous carpet and uncomfortable furniture had turned over and turned over again since then—but she still emerged from the swinging doors into the waiting area expecting for a beat to see Penn’s face. It was one of the strange things about having stayed where she’d trained. The folks who had been there for decades still thought of her as a resident no matter her title or accomplishments. What was the same always outweighed what rotated and rostered and changed. And Penn’s absence from a chair in the corner of the waiting room, never mind his sheer presence in her home, her family, her bed, her life, never failed to stop her for a moment.

Staying had been another thing she was wooed to do. An Arizona girl, she was not remotely prepared for Wisconsin in February. Her car freezing during her second semester had seemed a clear sign that as a human she should probably have stayed inside. She nearly failed endocrinology because she missed so many lectures, not because she wanted to cut class per se but because she could not bring herself to go out of doors. She was a visual learner who closed her eyes in order to picture nerve charts and skeletal layouts and muscle patterns. One morning, on her way from the parking lot to an exam, she kept her eyes closed too long and they froze shut. She vowed to get out of Wisconsin the moment she graduated.

But the program was too good. Her teachers wanting her to stay, wanting to work with her, had been too flattering to say no to. And Penn liked the waiting room. She’d been wooed to stay so she stayed. Just for a fellowship year, she told herself. Just a small stint as an attending. After that, she’d be unwooable. After that, she’d have to go elsewhere anyway for breadth of experience, a different part of the world where she’d develop expertise in more than frostbite and lost toes and idiots frozen to their fishing poles.

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