She might be right, I was thinking, when she said the real difficulty was in doing it. Here was the magnificent opportunity I'd once yearned for, thrust at me on an afternoon as dull as my predictable future. The adventurousness, the enthusiasm of that sophomore could now be combined with the maturity and experience of the practicing physician. I'd be a fool not to try: to be content with the unwonderful.
"From the moment you stepped into this room," I said slowly to the waiting girl, "I've had no thought of questioning either your sincerity or your perseverance, Miss Kellogg."
"You'll do it?" And she began to blush suddenly and irrelevantly.
"Would you mind not boxing me into a corner quite that quickly?"
She laughed by way of apology.
"Let's say, Miss Kellogg, that I will examine the problem in the light of present-day techniques. Which have only been partially successful, mind, on animals." She rose and stretched our her hand to me. I took it and held it briefly, hoping only to express sympathy and respect, not a binding agreement.
"I haven't said yes," I reminded her, alarmed by the look of triumph in her eyes.
"No, but I'm damned sure you will, once you've read all this." And she transferred half a dozen Department of Agriculture pamphlets and other miscellaneous printed documents from her briefcase to my desk. At the door, she turned back, looking contrite.
"I'm sorry about the shocking phraseology I used to attract your attention. I mean, about wanting my brother's child."
I had to laugh. "There's a bit of the showman in the most sedate of us. I'll call you in a few days."
"Grand! I won't call you," and with a warm smile she left.
I heard the street door close, and then Esther had whisked in, staring at me as if I'd changed sex or something. It was obvious that she'd had the intercom key up again.
"You're crazy if you do it, Allison," she said, her large brown eyes very wide.
"I quite agree with you, Esther."
"Of course, you're crazy if you don't at least try," she said, less vehemently, and with a breathiness of enthusiasm that surprised me in my levelheaded nurse.
"I quite agree with you."
"Oh, be quiet, Allison Craft. Have you the least idea of the problems you're going to encounter, or are that Nobel Prize and the AMA citation already blinding you to reality? Women aren't cats... at least not gynecologically."
"Well, in a brief spontaneous thesis or two, I'd say the main problem would be..."
"Be practical, not medical," she snapped.
Esther was herself again. She keeps me out of debt, weasels the income tax down to the last fraction permissible, gets my bills paid on time, copes with hysterical primiparas, new fathers, and doting grandparents, and she's a damned good R.N., too.
"And what are your visible monkey wrenches?" I asked her.
She held up her left hand and counted by the fingers. "Have you considered the moral issue if someone finds out she's giving birth to her brother's child?"
"A different hospital, in another town or state."
"Great time traveling was had by all. Or had you planned to transfer the fertilized egg right here in the cottage hospital before God and his little brother?"
"That's easy to wangle. At night. On an emergency basis. Everyone knows Cecily Kellogg keeps aborting, and keeps trying."
I couldn't let Esther see that she was making me find answers to contingencies I hadn't got around to considering yet. I was still trying to figure out how to flush the fertilized ovum from the womb. Fortunately, Esther doesn't second-guess me as much as she believes she does.
"You have flipped your ever-loving wig," she said, exhibiting an appreciation for current slang that I hadn't known she possessed, "but I'm awfully glad it's the Kelloggs."
"You know them?" I asked, mildly surprised.
"And so you do," she replied, exasperated. "I thought that's why you even considered such a sugar-mad scheme. Peter Kellogg? Professor Peter Kellogg?"
Recognition came: I certainly did know Peter Kellogg. The shock technique Patricia had employed had succeeded in keeping me from associating the name with a face or character. I had heard the campus chatter about Peter Kellogg's brilliant dissertations on English poets of the eighteenth century, and I'd enjoyed his own exquisite verse. As with another notable poet, blindness was only a physical condition, not necessarily a limitation, because Peter Kellogg refused to consider sightlessness a handicap. Although I had never met the man, he and his German shepherd. Wizard, were campus familiars. I had often seen the tall dogged figure as he strode the town streets or college paths. It now occurred to me that I had also seen his wife, Cecily, walking beside him. The picture of the tall couple I had all but decided to help, heaven helping me, was a very pleasurable one in my mind's eye, and I felt a surge of altruistic euphoria. Yes, I could appreciate why the sister was so determined that they should have a child. Surely here was a man who deserved progeny, if only a minor part of his brilliance could be passed along. A thought flitted through my head, causing me a spasm of mirth.
"Well?" demanded Esther, who hates missing a joke.
"The Catholic Church won't like it at all, at all."
"Like what?"
"Usurping the prerogatives of one of the Trinity."
"Okay, Doctor, what's the first step?"
In the following weeks, I should have seen the psychologist, not Patricia Kellogg. But, as Esther became too fond of remarking, I was so happy butting my stone wall. Except I was certain I'd found the keystone. I augmented the pamphlets and treatises left me by Pat Kellogg with as much material as I could find on all the allied fields - endocrinology, hormones, uterine surgical techniques - and a very interesting study about successful exogenesis in rabbits.
I also went kitty-catching again, having exhumed the notes I'd made on my ill-fated college experiment. Coincident with the shadows of that disappointment was the mocking face of Chuck Henderson. I exorcised that ghost when I successfully transplanted the fertilized ova from a white pedigreed Angora to as nondescript a tabby as I could find. The other three attempts didn't fertilize properly, so I'll pass them without mention. As soon as I was assured the tabby's pregnancy was well advanced, I did a Caesarian and checked the fetuses. They were unarguably those of the Angora, and all five were perfectly formed.
There are, however, more than minor differences between the procreative apparatus of the feline and that of the human female, so that my experiments were merely reruns that proved exogenesis was possible in cats. The successful exogenetic births of sheep and cows in Texas were encouraging, but in the final analysis only added two more species in which this delicate interference with normal conception and pregnancy was possible. One minor physiological variation between humans and cows or sheep was very significant for my purposes: In human females the length of the oviducts before they unite to form the corpus uteri is short, leaving less time and space to catch the fertilized egg before it reaches the endometrium and undergoes impregnation there: at which point there can be no hope of transplantation.
This lack of time and space would prove one of the real barriers to success. It takes approximately twenty-four hours for the fertilized ova to drop from the ovaries through the Fallopian tubes into the suitably stimulated endometrium of the uterus. The sticky bit would be to catch one of Cecily's fertilized ova before it could reach her uterus and put the captured ovum into the equally stimulated uterus of her sister-in-law.
The fertile ova of cows, sheep, and cats had been relatively easy to flush out. To overcome the disadvantage in the human, I planned to use one of the new gossamer-fine plastic films, in the form of a fish-trap-like contrivance (which nearly drove me crazy to fashion). This would fit at the end of the Fallopian tubes and, I hoped, would catch the fertilized ovum. By surgically removing the bag, I could empty its contents into the other womb, unscientifically cross my fingers, and hope! With the use of a new estrogen compound, it would be relatively simple to synchronize the estrous cycles of the two women. Standard dilation and curettage on both uteri would prepare the areas for the best possible results and allow me to place the plastic film at the end of Cecily's tubes. The first D&Cs could be legitimately performed without questions asked. The second and subsequent dilations would, as Esther had remarked, require a little more doing, since both girls would have to be in the same room, under anesthesia, at the same time. This meant the connivance of an amenable anesthesiologist as well as Esther and myself.
That's how Chuck Henderson got to sneak into the act. He was Pat's suggestion, not mine. He already knew of the Plan, she argued. He would be acceptable as an emergency anesthetist at those times when I had to dispense with the regular man. (That also took finagling, but Esther managed it: she never would tell me how.) The moment we contacted Chuck, he was delighted: too delighted, it seemed to me; as if he'd been waiting - breathlessly - to be asked. I was of several minds about including him again, mostly for my own peace of mind, but all reasonable arguments led to his active participation.
The day that Pat and I were able to approach the Kelloggs with a plan of action will remain one of the most stirring memories of my life. I had called Pat, some two and a half weeks after her first visit to me, to say that I had researched sufficiently to approach the principals. I had already confirmed to her my willingness to try. I stressed the "try."
Pat arranged an evening meeting, and we arrived together at the Kelloggs' apartment, myself laden with a heavy briefcase containing twice as much material as Pat had given me. Pat was so nervous that I wondered if she feared that she might be unable to persuade the other two members of the cast to go through with the attempt.
I had to pass an entrance exam myself, executed by Wizard, Peter Kellogg's guide dog, an exceedingly beautiful tan and black specimen with beauty marks at the corners of his intelligent eyes. He stood at the door, sniffed the hand I judiciously extended, gave a sneeze as Pat told him I was a friend, and then retired to lie under the dining room table. I was awed by the inherent power in the apparently docile beast. I was glad I was considered a friend by that 125-pound fellow.
Peter Kellogg had risen as Pat drew me into the room, and Peter introduced me to his tall, too slender brunette wife.
We put off the important announcement with some chit-chat, my appreciative congratulations on his latest verses in The New Yorker, our attempts to find mutual acquaintances. Finally, unable to endure farther inanities, Pat blurted out: "How would you like to be parents?"
Even the dog came alert in the sudden pulsing silence.
"Pat..." began Peter in gentle admonishment, but Cecily overrode him with a sharp, nearly hysterical "How?"
"Exogenesis," Pat said, expelling the word on a breath.
Peter and Cecily looked at me. I include Peter, because he never did fail to turn his lifeless eyes in the direction of the speaker, a habit most blind people never acquire but one that is very reassuring to the sighted. Peter always tried to avoid embarrassing people.
"I take it that you have arrived at some method of accomplishing exogenesis. Doctor?" Peter asked.
"Dr. Craft believes it can be done." Pat was careful, as I'd insisted she should be, not to present the plan as an established procedure. "There are problems," she said, in a masterpiece of understatement; "much to be discussed..."
"Who's the other mother?" asked Cecily, jumping a giant step ahead.
Peter turned unerringly toward his sister. At Cecily's gasping sob, Wizard gave a low whine. Peter quietly reassured him.
"I had a suspicion you'd been up to something. Pat," he said dryly. "I hardly anticipated something as momentous as this. Smacks of the incestuous, I'd say, doesn't it. Doctor?"
"Peter! How can you even mention such a thing in connection with your sister after she's suggested this... incredible sacrifice?" Cecily's voice quavered, partly from outrage, partly from tears.
"What else can it be called when your own sister proposes to have your child..." he said, smiling slightly as he patted his wife's hand.
My respect for Peter Kellogg's perception rose several notches. He had unerringly touched one of the difficulties, taken it out, laughed at it and let it be put in its place.
"It'll be my child," Cecily said fervently. The terrible child-hunger in her face vividly confirmed all that Pat had told me about Cecily's obsession for a child of her own conception. I had seen that look before, in other eyes, and had been unable to bring hope. What if I could bring hope now? And what would happen to Cecily if we failed?
"It won't, of course, draw anything but prenatal nourishment from its host-mother," I said, resorting to the clinical to hide my emotions. "That is - and I cannot stress this strongly enough, Mrs. Kellogg - if transplantation is possible. You do realize that's a very big if."
Cecily gave a sigh and then smiled impishly at me. "I know, Dr. Craft. I must not permit myself to hope. But don't you see, hope is so vital an ingredient."
I saw Peter's fingers tighten around her hand, and then he turned to me. "What are the chances?"
"Would you believe one out of four cats?" I couldn't bear the tautness of Cecily's face. "Actually, it works out four to one in rabbits, and with livestock experiments in Texas, a ninety-five percent success with cows and sheep."
"Baaaaa," said Cecily, and again she grinned impishly to show that she was in complete control of herself.
"I've prepared some diagrams, and I've a plan of action to propose," I said, and dug into the bulging briefcase.
Several hours later, we had discussed procedure, probabilities, problems from as many angles as four minds could find. I had explained all the relevant medical procedures, some of which seemed brutal, in the apartment of the prospective parents. My eyes were drawn again and again, unwillingly, to Cecily's oval, delicately flushed face. Despite her continued lightness of word and expression, the hope rekindled was heartbreakingly apparent.
Pat moved to sit beside her brother on the couch. As Peter relied on the verbal descriptions, he leaned back so that the two women could crowd over the diagrams and charts spread over the coffee table. Occasionally he seized his wife's hand to calm her; once, as I explained Pat's role, his other hand gripped his sister's shoulder so tightly that she winced a little. His immense patience and incredible perception made him a good focal point for me, and it was easier to speak to his calm, attentive face than to Cecily's.
He and his wife must have already examined the possibility of exogenesis, or had a superior knowledge of biology, for they showed their familiarity with the principles involved.
"Yes, I can see why cats - maybe; sheep and cows, yes. Let's hope there's more of the bovine in you, darling, than the feline," Peter said, summing up.
"Ha! We'll just blanket the target areas until we succeed. And try and try and try," said Cecily staunchly. "I'm more than willing."
"And that, my darling, is exactly what we have to guard against in you."
"Can you endure the disappointments we're likely to encounter, Cecily?" I asked her bluntly. "In view of your previous medical history," and they all knew I meant psychological, "you will have the hardest task."
"Trust the men to have the easy one," said Cecily, lightly giving a mock angry buffet to Peter's arm.
"That's why we're the superior sex," he said, laughing and pretending to duck from expected blows.
"Even if transplantation is successful," I went on, "you must restrain yourself until such time as you actually hold the child..."
"My child..."
"In your arms."
"Hey, don't hold your breath," Pat piped up, for that was what Cecily was doing. She laughed sheepishly with the rest of us.
I left Pat with them after making arrangements with Cecily to come to my office for a preliminary pelvic. Then I'd schedule the initial D&Cs for both women.
The warmth of the relationship among the three people, along with Pat's extraordinary willingness to attempt this improbability, warmed me all my cold way home in the frigid car. I still didn't quite fathom myself caught up in an event as momentous as this, my abandoned sophomoric dream, might be. No matter: my routine existence took on a hidden relish as I became drawn closer and closer to the three amazing people. Cecily's fervent, oft-repeated "We will! We must!" became my credo, too.
Those memories were as strong and vivid as the acid interview with Cecily's fashion-plate mother. Night had fallen now, and my drink was stale. I had another one, stiffer, for courage.
The preliminary steps had gone without a hitch: by a miracle I didn't wish - yet - to subject too much scientific discussion, the successful transplantation of the fertilized ovum had been accomplished by the third attempt. I had fervently believed that the little plastic film trap would be superior to any form of flushing, but if it hadn't done the trick the third time, I would've been forced by Chuck's arguments to try flushing. Three times he had made the trip across the state to act as anesthetist at odd early hours in our cottage hospital.
"To think I'm being dictated to by a thermometer's variations," he'd growl.
We were lucky, too, in that there were no questions in the minds of the hospital administration. Cecily Kellogg had had three spontaneous abortions within those walls: if she was willing to keep trying to carry to term, the hospital couldn't care less - so long as her bills were paid. Pat showed up in the record as a blood donor. Chuck and I would take Pat home each time directly she came out of the anesthesia to preserve the fiction, while Cecily rested on in the ward. At Chuck's insistence, we both kept complete, chronological records of our procedures, and, for added veracity, punched them in on the staff time clock.
"Remember," he cautioned me more than once, "we will definitely not be able, or want, to keep this a secret. Let's just hope there's no premature slipup."
I recall groaning at this choice of phrase.
"Sorry about that, Ali. I just shudder to think of the holy medical hell that's going to break loose when this gets out."
"We're not doing anything illegal."
He gave me a patient, forbearing look. "No, we're not, Allison, love. But we are doing something that hasn't been done before, and that is always suspect. I grant you the techniques and theories are pretty well known and understood, but no... one... has... done... it on, of all sanctities, the human body." He reverently folded his hands and assumed a pious attitude for a split second. "May I remind you that exogenesis smacks marvelously of the blasphemous?"
"I never considered you to be particularly religious, Chuck."
"Heaven forbid!" He was in one of those contrary moods, which could be allowed a man who'd worked a solid day, driven speedily for 250 miles of wearing highway, assisted at some very tricky surgery, and, at three-thirty in the morning, had to face a return trip of 250 miles. "You're no longer naive, Ali, but for God's sake just equate the State Senate debates on legalized abortion with what we're doing, and think what will fall on our humbled heads."
"Ah, but we're giving life, not taking it."
"A distinction, but you've got asses who balk at heart massage, resuscitation; you know the furor heart and organ transplants made, to save lives."
"I'm thinking of the hundreds of women who are dying to have kids, who could, by proxy, if this works."
"Great! Great! I'm almost glad you've retained your altruism after - how many years in a small town?" He was disgusted with me. "At least I'm here to set your feet on solid earth once in a while. Now I must into my iron chariot and wend my homeward way. I left my poor overworked partner with the probability of three to five deliveries, one of them almost certainly bass-ackward. Before he has a spasm, I hope number three of the G.E. takes. Let me know the minute there's any clinical proof. I will even put you on the short list of those who are permitted to break my slumbers."
He thumped me a little too soundly on the back and departed with a wicked "Fare thee well."
Pat had been a twenty-eight-day regular, almost to the hour, so fifteen days after the third implantation, we held our collective breaths. The next ten days reduced even me to taking tranquilizers. I had to give Cecily the strongest I dared, and I was about to prescribe some for Peter and Wizard. At slightly under four weeks, I gave in and did a pelvic on Pat. The change was definitely apparent. I phoned Chuck. He was in the delivery room, but the nurse promised faithfully to have him call me.
When he rang back, I blurted out the glad news and was taken aback by his total lack of response.
"Sorry, Ali, to sour your big moment," he said so wearily I could almost picture the slump of his lanky body. "Perhaps I'm not as irreligious as I thought. Or perhaps it's just because I delivered a hydrocephalic half an hour ago."
I could sympathize. I'd delivered one as an intern, and it took a long time for me to shake off the shock of that particular abnormality and the illogical sense of guilt I felt, that I had been instrumental in bringing such grief to two perfectly normal, healthy people. Every practicing obstetrician holds his breath as he delivers the child from the womb and unconsciously prays to see the healthy form and condition of a normal baby.