With her legs up in the stirrups, Casey counted the panels in the ceiling. She looked down only far enough to see the frayed shoelaces of her yellow Chucks. In between her legs was the gynecologist, not the one Casey usually saw at the student health center but the only one available on short notice. She felt the speculum inside her vagina as the short-haired doctor looked inside her. Casey finally looked down from her counting game as the doctor removed the speculum and stood.
“I don’t know how to really say this. You’ve had a miscarriage, Casey,” the doctor said, putting aside the blood-covered instrument.
“That is, that’s impossible. I’m not pregnant.” Casey tried to sit up but the doctor stopped her as she moved.
“You were pregnant but unfortunately now you’re not. I’m sorry.” Her gloves were covered in blood and Casey tried not to stare at them.
“I had my period though, how could I be pregnant?” Casey inhaled deeply. She had no idea how this could be true. “I came in because I was having really awful cramps and I started bleeding through my underwear in class.”
“Well, you only seem to have been 12 or so weeks along, so it’s still early. Lots of women may still get a period when they’re pregnant so it can be hard to tell.” She peeled off her gloves and through them in the trash.
“Holy shit,” Casey breathed. “Jesus fucking christ.”
“I’m very sorry, Casey.” The doctor stepped closer and looked at Casey very seriously. “Now, there’s an important matter to discuss. You passed some of the remains of the fetus but from what I can tell, not all of it.”
“Remains?” Casey felt faint as she listened.
“Yes. This is what’s referred to as an incomplete abortion because there seems to be some tissue still in utero. You have two options here. I can prescribe you something and you’ll pass the rest of the tissue at home in the next 24 hours or we can do a D&C right now and remove the remaining tissue through vacuum aspiration. Do you want to think about it for a few minutes?” The doctor looked nervous even though she had done this with hundreds of patients over the years.
“Just get it out,” Casey choked out.
“Are you sure? I mean, do you have any questions?”
“I just want it out now. Please.”
“Okay, I’ll get the nurse and get everything set up. I’ll be right back.” The doctor pulled the curtain around Casey and left the room with the chart.
Casey had no idea how this was happening. Only an hour before she was sitting in Victorian Literature listening to discussion about Victorian women and their masturbation habits. When she felt her uterus cramp, she figured her period had struck and left the room to go to the bathroom. She pulled down her panties and saw her panties soaked in blood and what looked like clots. Something wasn’t right, she could feel it in her bones.Frightened, she quickly walked back into the classroom, slung her bag over her shoulder, and rode her bike to the health center on campus. The nurse told her she would have to make an appointment to see a doctor but upon seeing Casey’s anxious face, the nurse found a gynecologist on duty and escorted Casey to the exam room where she now had her legs spread in the air. It had only been an hour.
The doctor came back in and pulled back the curtain. A young nurse followed behind with a machine that had a hose attached. Casey’s eyes widened as she realized what was about to happen. The doctor and nurse snapped on latex gloves and the nurse handed the doctor a vial and a syringe. The nurse positioned the machine near the exam table and began adjusting dials on it.
“Casey, I’m going to use a local anesthetic to numb the area and then we’re going to begin the procedure. Do you have any questions?” asked the doctor.
“I’m fine. Just get it over with.”
The doctor sat on the stool and filled the syringe with the anesthetic. Casey felt a prick as the needle went in but soon felt numb in her nether regions. The doctor threw away the syringe, threw away her gloves, and gave the nurse directions on what levels to turn the knobs to. Casey heard the machine power on and buzz quietly. The doctor put on a mask and a new set of gloves. The nurse handed her the vacuum portion of the whirring machine and kept her eye on the levels of the machine. Casey had turned white and the doctor looked at her.
“Are you sure you’re ready?” The doctor looked concerned.
“Please just do it.”
Casey laid her head back and stared at the ceiling again. She felt tears run down her cheeks as the doctor eased the vacuum inside her. She couldn’t feel anything at all but she felt herself emptying regardless. The machine sounded incredibly loud all of a sudden and Casey hummed and sang to herself softly. Jai guru deva om jai guru deva om became her mantra as she tried not to cry too loudly. After twenty minutes, the noise stopped and Casey was startled at how quickly it was over. The doctor took Casey’s legs out of the stirrups and lowered her paper gown. The nurse gathered the machine’s cords as well as labeled a jar before leaving the room with both objects. Taking off her gloves, the doctor wrote something on Casey’s chart before walking back over to her.
“We’re going to keep you for a half hour, make sure everything’s okay, and then you can go home. Okay?”
“That’s fine, thank you,” Casey replied.
The doctor nodded and left the room. Casey curled up on her left side and pulled her legs in to her chest. She had stopped crying but she just held herself quietly, feeling nothing. She stayed in the same position for the next half hour and when the nurse came back in, she sat up slowly. The nurse scheduled an appointment for her in two weeks to make sure everything had gone alright. She also handed Casey a prescription for a mild painkiller in case she had any discomfort and pamphlets about dealing with the loss of a pregnancy. Casey pulled the curtain around and began to put her jeans and shirt back on, wobbly on her legs. The nurse noticed the wobble from the other side of the curtain.
“Do you need any help?” she asked, ready to pull back the curtain and take charge of the situation.
“I’m okay.” Casey pulled her shirt over her head and picked up her bag. She pulled back the curtain. “See? No problem.”
“Alright. Do you need to call someone to pick you up?”
“I’ll call my boyfriend when I get outside, I don’t have any reception in this building.” Casey had no intention of calling her boyfriend who was in class at the time but knew she would never make it out of the building without lying to these well-meaning women in scrubs.
“Okay. Just make sure he comes as soon as he can so you can rest.” The nurse picked up a plastic bag with what appeared to be some fabric inside. It was Casey’s blood soaked underwear. “I can throw these away if you want, it’s not a problem.”
“No, I’ll take them.” Casey grabbed the bag with her formerly light green underwear and shoved them inside her bag. She wasn’t sure why she wanted them but the last thing she wanted was for this woman to throw them away so nonchalantly.
“If you want to, they’re all yours,” the nurse said, opening the door for Casey. “Our number’s in the pamphlet, call us if anything feels off in the next few days. Otherwise, we’ll see you in two weeks.”
“Thank you.”
Casey walked through the open door and out through the lobby to the elevator. She knew she was being paranoid but she felt everyone’s eyes on her back as she waited for the elevator. The doors soon opened and she stepped inside. Her mind was blank as she rode to the ground floor and walked outside to where she had locked up her bike. She turned the key in the U-lock and opened it, hooking it onto her bag. Knowing better than to get on her bike even in her state of mind, Casey walked her bike by its handlebars all the way through campus to her apartment. For the first time maybe ever, she didn’t run into one person she knew and she thanked the universe for small favors.
She got to her apartment building on the edge of campus and lifted her bike on her shoulder as she climbed the flight of stairs. Unlocking the door, she wheeled her bike inside and leaned it against the wall. She put her bag on the kitchen table, unable to deal with its contents yet. She grabbed a Rolling Rock from her fridge and sat down at her desk. She grabbed an orange Post-It from the corner and a Sharpie and wrote her signature on it. Tearing it off, she drew a little mouse on the next one, tearing it off to stick next to the first one. She took a sip of her beer as she doodled mindlessly for a few minutes. Halfway through her beer, she grabbed her journal and opened it to the next blank page. She picked up her pen and began to write.
Today I lost something I never even knew I had.
Casey looked at what she had written on the page for a while and then closed the journal. Standing up, she grabbed her beer and walked the short distance into her bedroom. She lay back against her pillows and sipped her beer. She couldn’t believe anything about this day or that it wasn’t even over yet. It was only 5 PM and the fall sky was just getting that sort of pink glow that comes before sunset. She wanted the day to be over. Swallowing the last of her beer, she threw the empty bottle next to her on the bed and closed her eyes; she was asleep in minutes.
When she opened her eyes again, Casey felt warm breath on the back of her neck and an arm sliding around her waist. Her boyfriend Chris was home from class and spooning her like he always did when he found her napping. It was dark outside now and Casey blinked as her eyes adjusted to the dark room. Chris kissed the back of her neck and held her close.
“When did you get here?” Casey said, her cheek flattened against the pillow.
“Just now, I used my key. Altman was an asshole today,” he said to the back of her head. “My research paper on Vachel Lindsay is a mess apparently and he wants an entirely new draft by next week.”
“That sucks. I guess it’ll be a working weekend for you.” Casey didn’t turn to face him.
“Yeah, it will. Do you want me to heat up the chicken from last night for us?” He ran his hand over her abdomen lazily.
“Yeah, that’s good.” At the contact of his hand with her abdomen, she scooted away quickly and got off the bed. He followed after her, picking up the empty bottle of Rolling Rock off the sheets.
“Started early, baby?” He smirked at her and held up the bottle.
“Oh that, yeah. I just needed a drink after class.” She took the bottle from him and walked out of the room.
They went to the kitchen where she tossed the beer bottle into the trash. Chris took the chicken out of the fridge and took the lid off the container a bit before putting it in the microwave for two minutes. Casey leaned against the counter and stared into space as Chris went about putting plates on the small kitchen table and pouring each of them a glass of wine. She only snapped out of her daze when she noticed he was picking up her bag from the table.
“I’ll get that, give it to me,” she snapped, snatching it from his hands.
“I was just going to put it on the couch for you, baby. Don’t worry, I wasn’t mugging you.” He laughed at her reaction and Casey felt embarrassed that she had freaked out.
“Sorry. I’ve just been off today.” She put the bag on the couch and walked back to the table.
“Victorian Lit does that to anyone. I really don’t know how you’re reading Bleak House, that book makes me hate reading,” he said as he sat down and took a sip of his wine.
“It’s not as bad as the last time I read it. It’s not Clarissa at least.” She sat down and picked up her fork.
“Amen to that.”
They ate quietly, chatting occasionally about friends and things they had heard around the English department that day. Casey had two glasses of wine to Chris’s one and soon went to bed complaining of a headache. Chris sat in bed next to her on his laptop checking his email and several blogs he read. He smiled as he saw her curled up on her side next to him, one small foot sticking out from under the blanket. He put his laptop away and turned off the lamp. Reaching his arms around her, he fell asleep quickly.
Casey opened her eyes a few hours later and checked the time on her phone. 3:37 AM. She wiggled free of Chris’s arms and got out of bed. She put on a cardigan that was on her bedroom floor and made her way into the living room and specifically to her desk. She woke up with a pull in her gut to sit there and look through all the things she had brought home with her from the doctor. She picked up her bag and brought it over to the desk where she sat, legs slightly apart. The pamphlets came out first, pastel publications with photos of sad-looking women and lots of talk about grief and the depression that accompanies losing a pregnancy. Casey flipped these over and leafed through them, pretty sure she wasn’t one of these women; she hadn’t even known she was pregnant so it was a surreal feeling of loss when she missed something that had existed inside her without her knowledge. She felt conned and stupid. How could a woman not even be aware of cells forming life inside her? Casey stuck the pamphlets back inside her bag angrily.
She walked to the kitchen and opened the fridge for what was left of their bottle of wine from dinner. She uncorked it and poured herself a glass. Pacing the room, she sipped it slowly as she pushed her toes through the rug. This was the exact reason why she probably had the miscarriage, she thought. She drank almost everyday, always socially, but that had probably been what did this mystery baby in. The pot she smoked occasionally with her friends couldn’t have helped either. Casey finished her glass and poured herself another.
The pacing continued as she weaved past the hall closet. She caught a glimpse of her reflection in the long mirror hanging beside it and stopped. Dark circles under her eyes and her hair looked stringy. She turned to the side to look at her body, running her hand over her abdomen. There was barely any kind of bump. She felt a little bloated in recent weeks but nothing out of this world. She couldn’t believe that a few hours before she had been 12 weeks pregnant. Her body didn’t even look different. There should have been something, some huge sign that she had a fucking baby inside her. It had come and gone as if it had never been there at all. Sniffing back tears, Casey walked back to her desk.
Wine spilled on the desk as she clumsily put the glass down but Casey was too busy searching through her bag to even notice. She dug her arm around until she found the plastic bag with her underwear in it. They were still light green cotton but most of the fabric was covered in dark, dried blood. Tears ran down her face as she looked at them. She wiped her cheek and whimpered as she realized that this was all that was left of her baby. Gulping down her wine, she held the bag in her hands and wondered about this baby, the remains as the doctor said. Not just whether it would have been a boy or a girl, but whether it would have had hair when it was born the way she had or if it would inherit Chris’s green eyes or her small hands. She wondered if it would have been an avid reader the way she and Chris were and whether it would have been clumsy and accident prone like she was. She cried for all of the the things they never got to find out.
Removing the underwear from the bag, Casey set it on the desk and gingerly touched them. She half expected a ghost to jump out, chastising her for not being more aware of her body and herself. Nothing happened. The underwear sat there stained and lonely. The more she looked at them, the angrier she became at herself for not knowing and being so fucking stupid. She was pro-choice and at the age of 21, she would have had an abortion, no matter how much she loved Chris. They would have been ill prepared to raise a child, being two selfish young adults who couldn’t even take care of themselves. She was angry that she had no choice. Things worked out the way they were supposed to but wasn’t she supposed to have that choice? So that if at the last minute she backed out and wanted the baby, she could have had it? She wiped her nose and thought of how nature knew better than to even give someone like her a child; it said no.
She opened to where she had last written in her journal and flattened the spine with her drunken hands. With her pen, she began to write deliberately, with thick, purposeful strokes. She looked down at what she had written and began to sob, moaning slightly with her hands in her head.
He had been hearing cries for a while but thought they were a part of his dreams and just turned over. When he realized that Casey wasn’t in bed anymore however, he bolted straight up and stumbled purposefully into the living room to find her sitting hunched up in her desk chair. He inched close to her and touched her shoulders.
“Case? What’s the matter?” he asked, terrified of what could be upsetting her like this.
“I-I can’t, I’ll be fine, I promise.” Her face was swollen from crying and she wiped at her eyes with the back of her hand. “It’s nothing.”
“This isn’t nothing, something happened. Tell me right now.” His shoulders became tense as his protective nature feared what could have happened to her.
“No, you’ll hate me.”
“I could never hate you, I just need to know what’s wrong. You’re scaring me.” He got to his knees to be at her level. “Please tell me what happened.”
Casey picked up the open journal and shoved it against his chest. He looked confused and she pointed to the page it was open to. He read it and saw two things.
Today I lost something I never knew I had.
Flannery.
“I don’t understand.” Chris looked back up at her and was confused. “What does this mean?”
“I lost our baby, Chris. This afternoon.” Defeated, she looked at him with tired eyes.
“You were pregnant? Why didn’t you tell me?” He was shocked and held the journal in front of him awkwardly.
“I didn’t know either, not until after it happened. They said I was 12 weeks along.” She wiped at her eyes. “I’m sorry.”
“I don’t even know what to say.”
“You can say it, Chris, I know. I killed our baby, this is my fault.”
“How can you even say that? That makes no sense.” He reached for her as she tried to stand and stumbled.
“Don’t touch me, I’m disgusting. I didn’t even know I was fucking pregnant. Women are supposed to know that shit and I had no fucking clue.” She paced as she spoke. “My body and whatever higher power there is knew I’d be a shitty mother and this happened.”
“Baby, that’s insane. This could happen to anyone.” He watched her walk around.
“No, it can’t because other women know. They get that glow or feeling or whatever and I got nothing. I got bloody fucking underwear in the middle of class, that was my first hint that I was three months pregnant.” She picked them up off the desk and shoved them into his hands. “That’s how I knew something was wrong and not even specifically a miscarriage, just that I was bleeding in a way that seemed weird.”
He held the underwear in his hand and stared at them. Even in the dark living room, he could see they were stained with dry, crusty blood. He wanted nothing more than to put them down but couldn’t look away. It reminded him that this had happened and he hadn’t even been there. He gripped them in his left hand, pissed off.
“I should have been there.”
“How? I didn’t even know. I walked into the health center and suddenly they were removing it from me. The remains they called it.” She swallowed back more tears. “It was our little boy or girl.”
He walked over to her and took her in his arms, holding her against his chest. Her tears were warm against his chest and he hugged her tighter as they stood in the middle of the room. He hadn’t let go of her underwear yet but he didn’t even notice. She lifted her chin a little bit towards his face.
“I would have called it Flannery,” she whispered.
“Flannery?” He looked down at her. “Why Flannery?”
“I don’t know, it just came to me a little while ago. That’s what made me really cry hard. I realized it would be nice for a boy or a girl and we both love Flannery O’Connor. It made sense.”
“It does.”
“It made me upset though. It felt more real then. It wasn’t just the remains anymore.” She held onto him. “What are we supposed to do now?”
“What do you mean, baby?” He ran his fingertips along her arm.
“Do we do anything? There’s no body, do we have a funeral? Was it even our baby yet?”
“I don’t know. I’ve obviously never been through this.”
“Me either. I wish I knew what to do. I want to feel better now.” She let go of him and stared at him. “I just want closure.”
He looked at her exhausted but beautiful face and wanted to fix everything that was wrong at that moment and every other moment they would face. He reached for her and realized he was still holding the bloody underwear. He considered them.
“There’s not a body but this is what’s left. What if we buried it?” He held the underwear up.
“We could try that,” she replied, willing to try anything to ease the guilt she had felt since that afternoon.
“Put your shoes and jacket on.” He walked over to the door and stepped into his flipflops.
“Now?” She looked incredulous.
“I don’t think we’ll sleep any other way.” He waited for her to grab her jacket and put on her shoes.
They walked downstairs and into the clammy night. It was cool and slightly drafty. Casey pulled her jacket up around her throat as they walked. Chris led the way, around the block to an abandoned lot that had sat there for as long as Casey had lived in that apartment. They stumbled over roots on the ground and finally came to a stop at a spot near a streetlamp.
“What now?” Casey asked, nervously looking around her.
“We have to bury it I guess.”
“With what?”
“Hm. Well, here, hold this,” he said, handing her the underwear. She held them to her as if they were fragile.
Down on his hands and knees, he used his hands to pull up grass and dirt. He dug with his hands for a good twenty minutes, leaving a decently sized hole. He stood up and wiped his hands on his pants.
“Ready?” he asked her.
“Yes.”
She knelt down and placed the underwear in the hole. She began to cover it with dirt and soon he knelt as well to help her. He swore he heard her whisper that she was sorry over and over again as she buried what was left of their baby. When they finished, they wiped their hands on their clothes and walked away. He looked over his shoulder as they left.
They walked back to the apartment, clasping hands as they made their way up the stairs slowly. Casey unlocked the door and they kicked off their shoes as they entered. They stood at the kitchen sink together and washed their hands of the dirt from the burial. The sun was beginning to rise outside as they stripped down to their underwear. They climbed into bed and she nestled against him, her back to him. He wrapped his arms around her as always and rested his hands on her tummy; she didn’t flinch this time.
“Chris.” She turned her head over her shoulder to look at him.
“Yeah?”
“Do you feel any better now?”
“No.”
“Me either.”
She turned her head away from him again and he held her tighter. Neither one slept a lot that night or any nights for a long time.