We make the trek again to Dartmouth for a surgical consult, the sign-off after surgery. I’ve met numerous members of this team, but not this kind NP, who’s read my history and says, What an ordeal. I’m not expecting these words, and I pause. Last November, when was I first admitted to Dartmouth, I had unplanned surgery. That snowy November night, the surgeon spent so much time with me. Then her Fellow returned and answered my endless questions. In May, I had surgery again. Two bookends – that November night and this sultry summer day. I’ll be treated here for years, but my hope – and none of know squat about the future – is that I’ll never need a surgeon again.

I thank her and the surgical team and student entourage who appeared in all those ER and hospital floor rooms where I stayed – me, the reluctant patient, who tried to negotiate some other outcome than surgery. To my surprise, she’s grateful for my words, too. We try our best but it’s hard to know how we come across to patients. The surgeons who operated on me are trauma surgeons. My surgery was routine, but routine surgeries go south. Mine did not.

Afterwards, my daughter and I stop at Dartmouth College’s Hood Museum. There’s a Georgia O’Keefe painting we want to see and two Monets. The current exhibit has mesmerizing photographs. This is a good day and a good visit. We eat sandwiches in King Arthur Flour’s patio, where so many families have pudgy babies tucked into a parent’s arm. We linger, talking about my mother who would have loved eating here.

So many of those drives on the interstate home, I slept, nodding in and out of conversation. My weak days are long passed, and we keep talking, the interstate edging near the Connecticut River and up on the ridge again. In June’s green, the drive no longer seems so desolate. Traffic here is always sparse. We pass a trailer of hay bales, a pickup with three wheelbarrows.

Enduring cancer turned my world (and my family’s world) inside out. In the first five-day continuous course of chemo, I forced myself to wash every morning. In those days, my hair had not yet fallen out. I was too weak to brush my hair, so I tied it at the nape of my neck. That month, my daughter cut what snarled hair remained. Those miserable uncertain November mornings, how grateful I was for hot water and soap, to have access to a brutal but hugely effective treatment, in a sterile hospital in one of the richest states in a phenomenally country. I made my choices, but I had choices.

In the inside-out world where I am now, I’m ticking through my list: profusely thank my oncologists and surgeons for saving my sometimes-surly life, tend my garden, figure out my youngest’s college bill, finish my book, accept the ravenous roaming woodchucks….. my domestic realm.

In our little end-of-the-road neighborhood, visitors come and go on my back deck, gardens on three sides, the wild pressing in on the fourth. My own nexus.

Everything blooming bows down in the rain:

white irises, red peonies; and the poppies

with their black and secret centers

lie shattered on the lawn.

~ Jane Kenyon