of juice and unwrapped the muffin. Stone-cold. Joanne
knew
he liked his muffin toasted, damn it. Was that so hard to remember? He was just about to call her back when his eyes settled on the framed photograph of Rachel that had pride of place on his desk.
It was his favorite photo, taken on the beach some years before sheâd gotten sick. Her corkscrew blond curls were partially contained by a red bandanna, and her eyes, the clear, light blue of a swimming pool, looked straight at him.
Give it a rest, Andy-boy,
she seemed to be saying.
Joanneâs a good egg and you know it. So she forgot about the muffin today. Is that such a big deal?
Rachel had this way of talking him down from himself. He was a better man in her presence and now that she was gone, he missed the person heâd been when he was with her almost as much as he missed her.
Biting into the cold muffin, Andy looked down at the file, though he wasnât really seeing it anymore. He was thinking of his Rachel, and the unbelievable irony that sheâd died of ovarian cancer, when he was in fact a gynecologist, trained to diagnose such diseases. Of course he hadnât been her gyn; that was a breach of protocol. But still, he felt haunted by the idea that somehow he should have
known
.
There was a knock on the door. âDr. Stern, your first appointment is here,â said Joanne. âAnd oh, I realized I forgot to have them toast your muffin; sorry about that. Iâll make sure itâs done tomorrow.â
âThanks, Joanne,â he said, glancing at the photograph.
See,
Rachel seemed to say.
You can have your muffin toasted without being an
ogre.
âSend them in.â
Beth and her husband, Bob, entered his office. She was thirtyish, with pretty features clouded by an anxious look; the husband held her arm like he thought it might break. Andy took in Bethâs expensive-looking slacks and top. On her arm she carried a quilted Chanel bagâhe recognized it because many of his patients carried those bagsâthat cost more than four grand. But all the women he saw had money; he charged a
lot
and took no insurance. Only the very wealthiest women could afford him.
Even though he now made plenty of money, Andy never quite shook off the feeling of inferiority when he met people like the Kleins. Heâd been a scrappy kid from the Bronx, dying to claw his way out of the neighborhood where the three of them were crammed into a tiny apartment above a butcher shop; life there had been permeated by the smell of blood. His parents were always fighting and Andyâs memories included slammed doors, dishes hurled, and plenty of shouting. It was a relief when his father finally left. He and his mother moved in with her best friend while Ida looked for work. Sheâd found it too, and she was able to see him through City College, where heâd been in the top one percent of his class. She even helped with his medical school bills, though heâd taken out plenty of loans to pay those. As for his father, there had been sporadic attempts to stay in touch, but eventually those petered out. Andy had moved from grief to anger to apathy; he never thought about his father anymore. The man had been dead for twenty years now.
âPlease sit down,â he told the Kleins. âIâve read through your history,â he began. âThat last pregnancy must have been excruciating.â
âIt was,â she murmured, looking down.
âI know. Which is why I am going to make sure that nothing like that happens the next time.â
âNext time?â This was from Bob. âWill there be a next time?â
âAbsolutely,â said Andy. âWe know that Beth can
get
pregnant. Now we just have to make sure she
stays
pregnant.â
âDo you really mean it?â Bob said. His wife was weeping softly and he took her hand.
âYes, I do.â Andy handed Beth a tissue. âNow, let me tell you exactly what