1

Three months earlier

I woke with a start, disoriented and coated with sweat. The clock on my bedside table read a quarter to six. I lay wrapped in a tangle of damp sheets, my heart hammering, and knew any chance for more sleep was lost. I waited for my muddy head to clear, then rose to face the task ahead. A steaming bath and a mug of strong, sweet tea did little to calm my nerves. I opened the closet and unzipped a plastic garment bag that held a new grey jacket, matching trousers, and a filmy lavender blouse, all pulled from a clearance rack a week ago. My first snappy outfit in fifty-eight years of living. As I buttoned and zipped, it was as if I were trying on a better life. I imagined myself reborn, liberated from plainness at last. But the mirror set me straight. A scraggy little chicken with a few fine feathers added. What odds. Beauty would be of no use to me today. What I needed was a bit of backbone and all my wits at the ready. Now buck up, old bird.

I turned away from the mirror and looked down at my hands poking out through the cuffs of the jacket. Peasant hands, I always thought. Raw knuckles striped with fine bloody cracks and slashes. A permanent redness from fingertips to wrists, as if they’d been dipped in paint. I accepted them for what they were: my livelihood, the invaluable tools of a cleaning woman. But today they would have a well-earned rest under a slather of thick cream.

I skipped the bus in favour of a taxi—another rare splurge. The driver was mercifully quiet as he steered the car toward the older part of St. John’s, along the narrow streets lined with brightly coloured row houses, then across Duckworth Street, heavy with traffic, past the shops and the cafés and the war memorial, a glimpse of the cold sun-sparkled sea just beyond, before stopping in front of a tower of metal and glass.

Inside the building, people dressed in stylish coats and holding briefcases were huddled in front of the elevators. The thought of squeezing myself in a steel box with strangers made my stomach roll and I opted for the stairs.

The office smelled of freshly brewed coffee. A spare, modern space with white walls and soft lighting where a young woman sat behind a curved desk, her fingers tapping loudly on a computer keyboard. She stopped typing and asked if I had an appointment.

“Frances Delaney. Nine o’clock.”

“Right on time,” she said. “Have a seat and I’ll let her know you’re here.”

I passed my eyes over the magazines laid out on the low glass table in front of me, the usual dated fare except for one with a colourful drawing of a brain on the cover. I reached for it after spying a word I’d never seen before—neurotransmitter. I dug into my bag and wrote it in my little spiral notebook, filing it away for later, when I’d flip through my dog-eared dictionary as I did every time I came across a word I didn’t know, a habit I’d acquired as a child. I’d look it up and underline it, rehearse saying it until I felt it was one of my own. I always put stars beside my favourites. Like frippery and scintillate. By now, I had collected too many to count. My head was chock-full of words, the majority of which I hadn’t once uttered to another soul and probably never would. Still, they were like constant companions, popping up in my mind at every turn.

But this time, neurotransmitter and its mysteries weren’t enough to distract me from the reason for my visit to this white-walled fortress. The air in the office seemed suddenly thin, and my chest grew tight. I eyed the door and started weighing the pros and cons of making a run for it.

“Frances? I’m Dr. Shirley Bell.”

Her voice startled me. She was younger than I expected, probably not yet forty. She had smooth dark skin stretched over high cheekbones and black hair that was twisted into skinny braids that grazed the tops of her shoulders. She extended a hand with short lacquered nails.

“It’s good to meet you,” she said. “Shall we get started?”

She turned and strode down the carpeted hallway toward her office, where she poured two glasses of water from a pitcher on her desk and asked me to take a seat. She reached for a pen, a pad of writing paper, and a blue file folder, then settled herself in a chair facing me.

“Frances, your doctor has explained why she has referred you to a psychiatrist, yes?”

I nodded.

“You look nervous. Are you?”

“Maybe a little.”

“Why is that?”

“Because I expect I’m the only Newfoundlander not keen on talking.”

She smiled. “I’ll try to make this as painless as possible. I already have a lot of information about you.”

Dr. Bell opened the file folder and scanned the papers inside. I feared she would come to a swift opinion of me: a pitiful old halfwit, unhinged and in need of professional persuasion. She’d be dead wrong about that.

She closed the file. “So, Frances, tell me what you know about your diagnosis.”

It had been exactly one month since another young doctor sat next to my hospital bed and gave me two new words for my notebook. I asked her to write them out for me on a scrap of paper after she’d offered her condolences. Her name was lost to me, but her face and voice were carved deep into my memory. The poor woman looked fully distraught, and I suspected she was fairly new to the game of breaking bad news. In the days that followed, I heard the words many times, but I had yet to say them aloud. I took a sip of water.

“Glioblastoma multiforme.” I knew I’d pronounced them correctly, which pleased me.

“And what’s your understanding about your prognosis?”

“It’s an aggressive brain tumour. Ten to twelve months, best case.”

She gave me a sympathetic look. “I’m very sorry that you’ve had such bad news.” She waited a few beats. “Now, our issue is your refusal of the recommended treatment. Tell me about that.”

I could have told her all about it—the burly surgeon I’d met a week before who wanted to cut my head open and dig out what he could, and the other doctor who wanted to pour poison into my veins to buy me a few months. Months that I would spend sick, terrified, alone, and maybe most important, unpaid. I imagined it wasn’t easy to haul a vacuum cleaner around with one foot in the grave, which meant dying was within my budget, languishing was not. But I had decided the less said, the better. Succinct.

“It’s just a delay in the inevitable,” I said. “I’d like to spend what time I have left in a state fit enough to enjoy it.” I was pleased with how calm and steady I sounded. Even better than when I’d spoken the lines to the mirror the night before.

“You understand that without treatment, your life expectancy will almost certainly be shortened?”

“I do.”

She made a note on her yellow pad. “Frances, I have the results from your cognitive testing, and I have the report from the psychologist you saw at the hospital—all of which looks quite thorough to me. I see they’ve ruled out any major mental illness. Your file says that you have no previous psychiatric history, but I can’t see much in here about your relatives. Anyone in your family ever have issues with their mental health?”

A rush of heat spread over me. My new blouse grew sticky on my back, and I wondered what it would cost to dry-clean it. “Not that I know of.”

“Can you tell me a little about your past? Maybe a bit about your upbringing?”

I felt a sudden thrill at the prospect of telling someone about my small life. I also felt the dread of laying myself bare to a stranger, especially one with the power to derail my plans. I steadied my breaths and forced a smile that I hoped looked casual. “There’s not much to tell, really.”

“You prefer we stick to the present?”

“I do.”

She ran through a series of questions that I was now familiar with. Tell me the date, the season, the name of this street. Spell the word world backwards. Remember these three words: ball, pen, telephone. Draw this, name that. Her pen scratched against the paper, tick, tick, tick.

“Have you ever had periods of feeling quite down or depressed?”

I pretended to reflect on it. “No.”

“What about since your diagnosis?”

“No.”

“Any changes in sleep, energy, appetite?”

“Not especially.”

“Any experiences of hearing voices or seeing things that other people don’t seem to see?”

“Certainly not.”

“What about worries and fears?”

“The only worry I have is that they’ll make me have that surgery.”

“Nobody can make you. As long as you are mentally fit to do so, you have the right to refuse treatment.”

“Which is where you come in.”

“Exactly. Frances, I know you’ve answered this question more than once in recent days, but I have to ask again, have you ever had thoughts of suicide?”

On another day I would have asked her if being tired of living was the same thing, but I just shook my head.

She paused briefly and her expression softened. “You mentioned earlier that you live on your own, so I’m wondering about a support system for you. Do you have people who can help you through this?”

“Oh yes. All hands on deck.”

She held my gaze for a few seconds. Something in her eyes registered doubt, and a sickly feeling came over me. By my tally, I’d told her at least three lies, and until then I believed myself to be entirely convincing, but suddenly I feared she had a clear view of every moment of my life, as if it were a film playing across my face. I looked down at my clenched hands, then looked back up and forced another smile.

She wrote a final note and then laid down her pen. “Well, you’re clearly competent to refuse treatment, but you may change your mind, in which case your doctors are prepared to help you in any way they can, as am I. If you notice changes in your mood or anything else of concern, I’m more than happy to see you again. All right?”

I felt my body start to soften and cool down. The faint ringing in my ears fell silent, and I could feel my heart and lungs returning to their regular rhythms.

“So you’re breaking out the sane stamp, are you?”

She laughed and thumped the folder with her fist. “Sane!”

We rose from our chairs and she walked me out. As she shook my hand, she asked, “So what now?”

“Oh, loose ends and all that.”

“I know it won’t be easy, but I wish you all the best.”

As I watched her walk away, I realized she had never taken her eyes off me while we talked, not even when she was writing on her yellow paper. I wondered if she really cared. Maybe she’d just practised compassion in the mirror, honed it into a special skill, the same way she’d learned to write without looking down. I also wondered, if she and I had met years ago, would I have told her my truths and let her do her best to heal me?

I pushed through the glass doors and stepped onto the busy sidewalk. The bustle of downtown always rattled me—the crush of busy people, the traffic, the never-ending din of urban living. I’d never quite warmed to the whirl and twirl of the city. I was still a bay girl at heart. Sea and sky and craggy cliffs were more my speed. Room to roam and be at one with the beauty of the island. Standing in the shadow of that tall building, I may as well have been in the middle of Toronto.

I walked for two blocks, found a bench, and sat down so I could pry the stiff new shoes from my aching feet. I rubbed my soles and each one of my toes until I could feel the blood flowing again, then I pulled a pair of tattered white work sneakers from my bag.

It was the end of May, and the swollen buds had finally started to open on the tree branches. One of my first thoughts after the doctor broke the news to me was how lucky I was to have winter forever behind me. Never again would I huddle against the north wind at the bus stop, the blowing snow slicing my cheeks and ice crystals forming in my nose. My last days on this earth would be days of green grass and fresh breezes, cool drizzle and salty fog, and with any luck, a few bouts of sunshine in between. If there was an afterlife, which I doubted, let it be a state of perpetual spring.

My phone dinged, a reminder for my medication. My shield against another seizure, which was how this all began a few months back. The first indication that something was very wrong with me. The pills were large and chalky, and I had nothing to drink. I left the bench and walked toward a small grocery store at the end of the street. I stood in line behind an ancient man buying lottery tickets. He looked closer to death than I was. Now what was that fool going to do if his numbers came up? Maybe he had a brood of youngsters to leave it all to, or maybe it was just a habit he couldn’t let go. The old man asked the clerk for two packs of Camels. I imagined the many years spent with a lit cigarette between his nicotine-stained fingers, and I envied him. I closed my eyes and I could hear the crack and hiss of the match, feel the hot pull of the first drag, see the white plume jetting up as I tilted my head back. It was over two decades since I’d given it up. People congratulated me on my commitment to healthy living, but truthfully, had the price of tobacco stayed within my reach, I’d have smoked two at a time until my last breath.

“Just the water for you, missus?”

“Yes. No, hang on. Give me a pack of Rothmans, please.”

I walked back to the bench and removed the cellophane from the box. I pinched and pulled up a tightly rolled cylinder, placed the speckled orange tip between my lips, struck a match, and drew in the beautifully harsh smoke. It was like coming into a toasty firelit room after being locked out in the cold for twenty years. I sucked the cigarette down to my fingers, the buzz and spin from it as satisfying a sensation as I could ever hope to feel. My phone dinged again, and I dug out the pill bottle.

Another cigarette, then another taxi. I slouched down in the back seat. Through the window, I watched the tops of the buildings whiz past against the bright blue sky. I felt unburdened, almost energized. I asked the driver to stop two streets away from my place and walked the rest of the way.

My apartment was bathed in sunlight, and I realized I’d never seen it in the middle of a workday. It looked larger, edging toward spacious. Perhaps spacious was a stretch, no matter how lovely the light. It was nothing more than a few boxy rooms with a drafty window here and there, a tidy shelter behind a dented metal door at the top of a steep flight of stairs. A living room, a bedroom, a basic kitchen and bathroom, all done on the cheap, but still the best place I’d called home in my adult life. In comparison to the many shabby dwellings where I’d lived, this one was practically luxurious. As much heat and hot water as I pleased. A fridge and stove that worked without fail. A white tub surrounded by white tiles that I kept scrubbed to a sparkle. Tucked away on the top floor of a green clapboard house on a quiet street near the university, the low rent my reward for a decade spent scrubbing the massive Victorian house of my landlord’s elderly mother, Mrs. Heneghan. She’d been dead now for almost five years.

I’d received many things from clients—well-worn clothes, cracked and mismatched dishes, faded sheets and blankets, boxes of books, even a television—all needed and most welcome. Particularly the books, my treasures. But this apartment was a kindness beyond compare for which I was immeasurably grateful to Mrs. Heneghan’s well-raised son. For a year after he’d handed me the key, I lived in constant fear that he’d change his mind and toss me out. Every time I signed the rent check, my hand shook and I offered up a silent plea: please don’t let this month be my last. Now I sent him his money by email using my phone, another hand-me-down. It was a useless relic to the teenage girl whose pigsty of a bedroom I dug my way through several times a week, but a marvel of technology to me.

I peeled off my rumpled clothes, showered, then stood by the open bedroom window wrapped in a towel, a cigarette in one hand and a tumbler of whisky in the other, the first drink I’d had in a very long time. The bottle was part of a Christmas cheer basket given to me by Mr. Heneghan a few years back, and it had been sitting unopened in my kitchen cupboard ever since. A rush of cool air passed over me. The skin on my scalp and chest tingled with it, and the hairs on my arms prickled. I stuck my head out the window, closed my eyes, and drew in a deep breath. I smelled the earth shifting into spring, then a waft of something cooking. Butter and onions. Sounds drifted up from the street below—a baby crying, a radio playing classical music, the idling motor of a parked car, and a siren blaring in the distance. It was almost overwhelming. Maybe this thing in my head had heightened my senses, or maybe I just hadn’t paid attention before now. I wondered what else I’d been missing. I closed the window and stubbed out my cigarette on a chipped saucer.

I pulled on sweatpants and a soft T-shirt, then sat mindlessly in front of the television. How strange and unsettling it was to be so idle at this time of day. I poked around the apartment and found all kinds of chores that needed doing, but I was too tired to fix on any one in particular. Instead, I poured myself another drink and stretched out on the couch. My body was in favour of a nap, but my brain had other ideas about how best to while away an afternoon. Since the moment I was told about the tumour, I’d had little room for a single thought beyond how I would leave this world, but now I found my mind wandering back to how I came in, carefully cracking open the past like a spoon on an egg.