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Pathology by Teresa Tumminello Brader

A thump nudged James into consciousness. Resting on the empire sofa inherited from

Brenda’s grandma, he’d tried to stay awake, but it’d been a long day—and evening. After

work and daycare pickup, he’d gone home to install new porch railings, hammering fresh

boards with satisfying thuds, while Jimmy rolled his dump truck over the concrete floor. A

chicken roasted in the oven, big enough for dinner and weekend leftovers. At bedtime

Jimmy hadn’t really expected his mother to kiss him good-night, just another delaying

tactic, along with a cup of water and the hallway nightlight he’d mostly outgrown. James’s

brain registered another thump—a car door. He burrowed into the throw pillow.


Giggling forced him awake and he unfolded his long legs, pushed his feet into waiting

slippers. He opened his newly stained front door, stepped onto the gallery, and halted at the

sight of his wife. Her head bobbed on her slender neck, her torso wrapped in the arms of

her carpool buddy. Sean spotted James over her shoulder and released her. Brenda tottered

and stumbled back into the man’s arms.


James hastened down the brick steps. “I got this, Sean. Good night.” Brenda grabbed onto

the Japanese magnolia in the front yard. Sean swayed to his dilapidated Corolla at the curb.

James watched the car pull away, its chug-chugging disrupting the dark silence, until it

turned at the corner. Promising to take care of everything, James had encouraged Brenda to

go to med school, her goal before she met him, before she became pregnant and they

married, in that order. Their troubles began with her residency, every shift ending one

block from the hospital at the 24-hour Joe’s Bar. James knew well how Brenda’s initial

aloofness and eventual willingness to please would’ve intrigued and attracted her co-

workers.


She gripped the skinny tree trunk and vomited into the mulch. A delicate hot-pink blossom

landed on her frizzed curls. Unlike other nights when he’d held her long hair away from

her face, James’s hands hung idle. Last night, he’d placed a cup of chamomile in front of

Brenda at his refinished mission table, sat across from her in one of the mismatched dining

chairs. Behind his back, breezes drifted through the window screen. Male crickets called to

the females. Laughing patrons of Mick’s Pub slammed car doors. With no preamble, he

told her their marriage would end if she remained in a surgical residency. James thought

Brenda a chameleon, envisioned her taking on the arrogant colors of a surgeon. She traced

the gold fleur-de-lis on her black mug with a sluggish finger. “I could switch to pediatrics.

Or pathology.” She looked up and James saw alarm in her normally placid face. He knew

dealing with anxious parents of little patients didn’t appeal to her, but that choice was hers.


For Jimmy’s birth, before the local was administered for a c-section, James reiterated to the

surgeon their wishes for a bikini cut. The doctor nodded, turned to the nurses to brag about

his golf game. James then watched in disbelief, seethed in silence, as the man sliced

through Brenda’s skin—vertically. One night, months later, James found Brenda on their

bed, crying with abandon, cradling her belly. He held her until her sobs subsided, lifted her

gown, and snaked his tongue down the scar, under her navel to the top of her pubic bone.


Beneath the leafless tree, Brenda swiped at her mouth. James took her arm and guided her

to the porch steps. “Just saying good bye to everyone,” she mumbled. “That’s all.” She

staggered into their bedroom and flopped sideways across the bed. James pulled off her

shoes. He’d changed the sheets yesterday.


Curling up on the sofa again, James mulled over tomorrow’s game plan: Saturday already.

He’d wake at his usual, breakfast with Jimmy: pancakes with blueberry syrup, their

favorite; a quick catch with his son to get him ready for tee-ball; and then James would

paint his new railings, bright white with green trim. Jimmy would play alongside him, and

they’d talk about front loaders and power shovels.


Originally published by Pequin 2008


Teresa Tumminello Brader was born in New Orleans and lives near Lake Pontchartrain; the city, the estuary, and its denizens are the source of much of her inspiration. Her first book, Letting in Air and Light, a work of hybrid memoir/fiction, is forthcoming from Belle Point Press. Her fiction, poetry, reviews, and essays appear in print anthologies and online at MER, Halfway Down the Stairs, Deep South, Lit Pub, oranges journal, and others.

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