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Chapter 14 - Day Zero

The transplant team called the day of stem cell infusion Day Zero.

Emily thought the name sounded like the beginning of a science fiction movie.

“Do I get a spaceship?” she asked.

The nurse smiled.

“Not today.”

“A laser?”

“No.”

“Then this hospital is seriously overpriced.”

Everyone laughed.

Even Dr. Morgan smiled.

But beneath the humor, I could see how frightened Emily was.

The days leading up to the transplant had been physically exhausting.

Her treatment had prepared her body to receive the donor cells.

She was weak.

Nauseated.

Emotionally drained.

There were moments when she could barely manage a conversation.

Yet that morning, she insisted on sitting upright.

I watched as the nurse checked the infusion equipment.

A small bag of cells hung beside her bed.

It looked surprisingly ordinary.

Nothing about it seemed large enough to represent so much hope.

Emily looked at me.

“That's it?”

I nodded.

“That's it.”

She stared at the bag.

“Some stranger did this for me.”

I swallowed.

“Yeah.”

She wiped her eyes.

“I wish I could thank him.”

“Maybe someday you can, if the rules allow it and you both want to.”

She nodded.

The infusion began.

There were no dramatic machines.

No countdown.

No sudden transformation.

Just nurses watching carefully and Emily breathing through another difficult day.

Linda held one hand.

I held the other.

Rachel stood near the window.

At one point, Emily whispered, “I feel like everyone's staring at me.”

David, who had been allowed a brief visit earlier, had left a note beneath Harold's wing.

I opened it.

Dear Emily,

Please stop making everything about yourself.

Some of us are trying to eat lunch.

Emily laughed so hard that the nurse looked concerned.

For a little while, the room felt lighter.

But the weeks afterward were nothing like a movie.

There was no immediate recovery.

Emily's blood counts remained extremely low.

She needed transfusions.

Medication.

Close monitoring.

Some days she slept almost constantly.

Other days she was too uncomfortable to sleep.

She developed painful mouth sores that made eating difficult.

Sometimes she could tolerate conversation.

Sometimes even the sound of my voice exhausted her.

I learned to sit quietly.

To read beside her without expecting her to listen.

To leave when the nurses needed space.

To accept that she could love me and still not want to be touched.

Around Day Eight, Emily developed a fever.

The medical team responded quickly.

Cultures were collected.

Antibiotics were adjusted.

Her condition was monitored closely.

For two days, she seemed stable enough that I allowed myself to breathe.

Then her breathing became more difficult.

Her oxygen needs increased.

The doctors ordered further tests.

By evening, she was being evaluated for a serious infection.

Linda stood beside me outside the room.

She gripped her purse with both hands.

“She's been through so much.”

I nodded.

“Yeah.”

Linda looked at me.

“Michael?”

I turned.

“I was angry with you.”

“I know.”

“For a long time.”

“I know.”

She stared through the glass.

“I watched her try to pretend she was okay after the divorce.”

My throat tightened.

“I didn't know how to help her.”

Linda nodded slowly.

“Neither did I.”

We stood in silence.

Then she said, “I don't think any of us knew how to help each other.”

Later that night, Emily was transferred to a higher level of care for closer monitoring.

Her condition had become serious.

I was permitted a brief visit.

She lay beneath blankets with oxygen support.

Her eyes opened when she heard my voice.

“Hey,” I whispered.

She looked toward me.

“Michael.”

I moved closer.

“How are you feeling?”

She gave a weak smile.

“Like I got hit by a truck.”

I tried to smile.

“You're doing okay.”

Her expression changed.

“Don't.”

I stopped.

She held out her hand.

I took it.

“I'm scared,” she whispered.

I nodded.

“I know.”

“I'm really scared.”

“Me too.”

She gripped my fingers.

“Don't let them forget Grace.”

The words tore through me.

“They won't.”

“Promise.”

I leaned closer.

“I promise I'll remember her.”

A tear slipped down her cheek.

“And tell Rachel I love her.”

“You can tell her yourself.”

She looked at me.

I swallowed.

“But I will.”

She closed her eyes.

For a moment, I thought she had fallen asleep.

Then she whispered, “Michael?”

“Yeah?”

“I'm sorry I couldn't give us the family we wanted.”

I felt something inside me break.

I leaned toward her.

“Emily, you gave us Grace.”

Her eyes opened.

“And you were never supposed to earn my love by giving me children.”

She started crying.

I wiped a tear from her cheek.

“I'm sorry I ever made you feel otherwise.”

She held my hand until the nurse returned.

Then I had to step outside.

At 2:43 a.m., Dr. Morgan came into the family waiting room.

Linda stood immediately.

Rachel rose beside her.

I could tell from the doctor's face that the news was serious.

Emily's infection had caused significant complications.

She needed intensive support.

Her blood pressure had become unstable.

The team was moving her to the intensive care unit.

I stared at the doctor.

“Is she going to die?”

Dr. Morgan looked at all three of us.

Then she said, “We're doing everything appropriate to treat this, but she is critically ill.”

Rachel covered her mouth.

Linda sank into a chair.

I remained standing.

And for the first time since June 13, I realized that love could not bargain with what was happening.

I could stay.

I could pray.

May you like

I could hold her hand whenever I was allowed.

But I could not guarantee that Emily would ever come home.

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