Good Medicine - Residency I
Copyright© 2024 by Michael Loucks
Chapter 6: I'm Sure You Can!
June 25, 1989, Circleville, Ohio
"Why didn't you feel it necessary to share your true feelings with me?" Kris asked after Clarissa and Tessa left, and after we'd said evening prayers, and put Rachel to bed.
"Because I didn't feel they were particularly relevant, nor did I feel they affected our relationship in any way. I faithfully attend church, faithfully say daily prayers, was ordained a deacon, even though I was laicized, and I'm a catechist, even if I haven't taught in some time."
"Did Elizaveta know?"
"No. Only two people knew — Clarissa and Lara; Clarissa before I married Elizaveta; and Lara after Elizaveta reposed. And Lara only knew because it came up in the context of a conversation where I referenced Jonah being swallowed by the whale. Lara asked me if I believed that happened and the discussion led to me comparing myself to Doubting Thomas. Clarissa knew because she knew literally everything."
"Because you believe you're soul mates?"
"That was the conclusion we came to, but there was an insurmountable obstacle."
"Just as there was with Angie, yes?"
"Yes. And you know what happened with Elizaveta."
"Are you trying to tell me something?" Kris asked with an arched eyebrow.
"Only that there has been adversity with every young woman with whom I had a deep relationship."
"But isn't that true of all deep relationships?" Kris asked. "Every couple encounters challenges or obstacles and has to overcome them."
"That's true, but I believe I have more baggage than the average spouse."
"If we assume that's true, it's still the case that you chose to be with me. I don't see it, as some might, that I was some kind of consolation prize, rather that you saved the best for last, so to speak. You and I both knew immediately that we were meant to be together. And, I know something important which I didn't know then."
"What's that?"
"That you love me! You even said so! In French!"
"I did, though in context..."
Kris put her finger to my lips, "Did you mean it?"
"Yes."
"Then nothing else matters. I know you believe Angie is your one, true love, that you and Clarissa believe you are each other's soul mate, and that you loved Elizaveta. But none of that interferes with the fact that you chose me and that you love me. And I knew it before you said it."
"You're handling all of this very well," I said.
"If you expected differently, you wouldn't have married me."
"True."
"Is there anything about you that Clarissa knows that I don't know? I mean, besides things which are purely related to being doctors."
I considered, and I didn't think so, except for one very specific set of facts.
"Other than knowing most, if not all, of the girls I dated, no."
Kris smirked, "And by 'dated', you mean 'fucked'?"
I laughed, "No, there's a shorter list she knows of the young women with whom I was intimate. I didn't run to her with 'after action reports', but she was an astute observer."
"I know I've agreed not to ask this question, and I fully understand if you refuse to answer, but you and Angie?"
"A single serious kiss. That kiss was when I had the first inkling of her problem but had zero context to understand what I was observing."
"When did you find out?"
"She wasn't definitively diagnosed until 1984, and that kiss was in the Fall of 1981. The first serious symptoms showed up in Spring 1982, but it took a long time, a couple of breakdowns, erratic behavior, and eventual hospitalization to definitively diagnose her. Looking back from 1985, the signs were obvious, starting in High School, though I didn't meet her until Freshman year at Taft."
"You hoped she'd recover?"
"Yes, though it was unlikely. That said, she did show signs of recovery until the «мудак» (mudak) who was treating her decided to intentionally destroy her." ("asshole")
"And he's still practicing, right?"
"Yes. How we proceed will be discussed when we have dinner with the Stephens on Thursday. I'm positive Mrs. Stephens will agree to proceed with a malpractice claim to the State Medical Licensing Board."
"But you don't think you can win, do you?"
"I suppose it depends on what we consider a victory," I replied. "But we're off track from our conversation."
"I think," Kris said, "that Clarissa is what I've heard described as a 'work wife'."
I laughed, "I've never heard that phrase before!"
"My dad heard it at work about two co-workers. He asked what it meant and then described it for us at dinner that evening as a platonic relationship between a male and female co-worker that takes on aspects of marriage because they spend so much time working together."
"I'm sure Tessa will be amused that Clarissa has a 'work husband'. But you know it's deeper than that."
"I don't think there's a good description that works because 'friends' or even 'dear friends' isn't sufficient. And she was one of your main sources of advice, even after you married Elizaveta. From what I can tell, she's been more circumspect about offering advice with regard to me. I surmise that's because I'm, and please do not take this the wrong way, older and more mature."
"Elizaveta was mature for her age," I countered. "What I would say is that she was naïve, not immature and that her worldview was much, hmm, narrower, I suppose, than yours. We had some struggles at first due to that."
"I surmise that she was uncomfortable with your past behavior?"
"Yes, but that was partly my fault for soft-pedaling how extensive my experience was. That led her to look at all my female friends with a jaundiced eye."
Well, except for Clarissa, because that was something I couldn't reveal to Elizaveta.
Kris smiled, and her eyes twinkled, "I simply assume you've fucked every single female you're friends with and then some!"
"Seriously?" I asked, instantly concerned she might suspect I'd been with Clarissa.
"No, of course not!" Kris said, laughing. "But that's the behavior you just ascribed to Elizaveta, at least indirectly."
"I guess I did, didn't I?"
"Yes, you did. How did she deal with you treating female patients?"
"Not well, if it involved any kind of intimate exams. She had a difficult time differentiating between medical and sexual contexts and was a bit prudish about sex, except with me in private. Well, after a few days of marriage."
Kris smirked, "What's the American phrase? Having your brains fucked out? That does change one's perspective!"
"You were NOT naïve!"
"No, but I also had zero experience."
"While that's true, you were far better educated and informed. But back to the original topic — do you want to discuss my agnosticism or Clarissa's request?"
"I'm not sure which is more pressing, actually."
"Why? Nothing has changed in my practice or in my faith from the time you met me. And leaving aside the problems with Bishop ARKADY and the discord at Holy Transfiguration, I'm basically back to where I was before Elizaveta reposed. Fundamentally, saying 'I do not know' has no practical effect on the expression of my faith nor on my belief in an eschaton of union with God."
"Heaven?" Kris asked.
"If you mean in the way it's usually conceived as a place, no, I don't believe that. It's a state of being, and I think the ultimate proof of my point, which is a theologoumenon or private theological opinion, is found in the Icon of the Last Judgment, where the same river of fire bathes the saved and the damned. There is no difference between their eternal states except that the saved love God, and the damned do not. It is not a place, but the direct experience of the energies of God."
"That is not what the Church teaches," Kris protested.
"Which is why I said it's a theologoumenon. The church has no dogmatic opinion, and before you ask about the Creed, it says «τοὺς οὐρανούς» (toús ouranoús) in Greek, which can be understood as 'the heavens', which makes sense given the Apostles reported that Christ ascended. You know, like a missile leaving a silo!"
"Oh, stop!" Kris said, laughing and shaking her head.
"Hey, I'm not the one who made that analogy! And you know how pedantic I am!"
"I do," Kris said, rolling her eyes. "But in all seriousness, do you have other theologoumenon?"
"More than you can shake a stick at!" I declared. "But as I've said to the few people with whom I've shared those — in any church-related context, I speak the party line. Lara once asked me about Jonah, and I said that in church, I would unequivocally state that Jonah was swallowed by a whale, and I would say I believe that it literally happened. Outside of church, though, I will only state that it's a metaphor for being swallowed up by the world and allowing it to deter you from your ministry."
"How can you have it both ways?"
"That's basically the same question everyone I've expressed my thinking to asks. It depends on whether I am evaluating with the «νοῦς» (nous), the eyes of the soul, or to use shorthand, as Mike, the scientist and physician. The thing is, that's Orthodox, and we refer to things as 'mysteries', in the sense they are hidden from us, which is the original meaning of the word, not in the sense they are 'mysterious'."
"But if you don't believe..." Kris said, sounding confused.
"I do believe; help my unbelief! I honestly don't think we're going to resolve this tonight because it's such a deep-seated philosophical position that I have only discussed with a few people, and even then, only in a cursory way."
"Father Roman doesn't know?"
"No. We're not there yet. He's doing triage, which has been true from the first time I met him."
"You didn't say what you two discussed."
"My inability to control my passions, to put it politely."
"Being a boy, to put it succinctly," Kris replied.
"Or, as numerous women said to me, mostly in jest, being a pig."
"Mostly in jest?"
"Yes. I did treat the young women with ... let me start over. From a secular and social point of view, I always treated them with respect, I simply took advantage of the multitude of opportunities which presented themselves to a future doctor who played the guitar. Father Roman would, of course, disagree with that assessment that I treated them with respect."
"Because you tempted them into sin?"
"It was a two-way street," I replied. "And not much tempting was necessary on either side. Father Roman's point, and that of the Church, would be that the act of fornication is innately disrespectful to both participants. Father Roman's concern, and it's valid, is that I willfully engaged in fornication when I had the demonstrated ability to remain chaste."
"You were, as they say, a perfect gentleman during our betrothal. And a perfect lover afterwards."
"I was always a perfect gentleman," I replied. "That's what attracted the young women. Please be honest, were you thinking about sex before we married?"
"From the first second I met you!" Kris exclaimed.
"It was mutual! Shall we discuss Clarissa's request?"
"You realize she really wants to conceive naturally, right?"
I nodded, "That was the initial discussion, and had Bishop ARKADY not intervened, that is probably what would have happened. Obviously, that can't happen now."
"Obviously. I don't have a problem with her request, but I think you need to have a clear agreement about it."
"I can't imagine ever disagreeing with Clarissa on anything."
Kris smiled, "Unlike me?"
"Clarissa isn't a socialist!"
Kris smiled, "Nobody's perfect! But in all seriousness, it's not just Clarissa."
"Tessa?"
"And Clarissa's parents. It's not that I expect trouble, but you have to make sure everything is in order, similar to how you did with Rachel and me."
"I'll discuss it with Clarissa, and with Stefan."
"What will he say?"
"Who knows? But it'll be a few years down the road. I'm more interested in what Bishop JOHN will say."
"What do you think?"
"I have no idea, but it will be interesting, like so much else in my life."
"I can think of something interesting to do now!"
"And whatever might that be?" I asked.
"As if you don't know!"
"Let's go upstairs and see if we can figure it out."
"I'm sure you can!"
June 27, Southern Ohio Correctional Facility, Lucasville, Ohio
"I'm here to see a prisoner, Frank Bush," I said to the guard at the gate to the prison.
"I'll need to see some identification, please."
I handed over my driver's license, along with the chaplaincy ID that I'd received in the mail on Saturday.
"Profession?" he asked.
"Medical doctor," I replied.
"Doctor and clergy?" he asked.
"Lay chaplain," I replied.
"Relation to the prisoner?"
"No blood relation," I replied. "He murdered my friend."
He raised an eyebrow but didn't say anything.
"Are you carrying any weapons, anything that could be used as a weapon, or any contraband?"
"No."
"When I buzz you through, walk straight up the path to the building and go inside. Don't dawdle or step off the path. When you enter the building, approach the desk and present your ID. Have a good day."
"Thank you."
I heard a buzz, pulled the gate door open, walked through, and walked briskly to the door of the building. When I entered, I removed my fedora and approached the Plexiglass window.
"Doctor Michael Loucks to see prisoner Frank Bush," I said, handing over my ID.
"Good morning. I have you on the visitors list. Have you visited a prisoner here in the past?"
"No."
"OK. I need to go through a series of questions with you, you'll need to be searched and then pass through a metal detector. You'll meet the prisoner in the visitor's room; the usual thirty-minute limit is waived for chaplains. As a chaplain, you're permitted to see the prisoner's cell, and to use the chapel. First, state your complete name, spell your last name, and provide your date of birth, place of birth, your full address, and your phone number."
I was tempted to ask if he was unable to read the information on my driver's license, but given I actually wanted to get inside, being a smart ass was not the right approach.
"Michael Peter Loucks; L-O-U-C-K-S; born 02-02-1963 in Rutherford, Ohio," I said, then provided my address and phone number.
"Have you ever been convicted of a felony?"
"No."
"Have you ever been arrested or charged with a felony offense?"
"No."
"Do you associate with known criminals, whether or not they've been convicted?"
"In my job, I treat anyone who presents at the Emergency Department, so I can't say. Outside of the hospital, I don't knowingly associate with anyone who has ever been arrested or who I would call a 'criminal', with one exception — my brother-in-law."
"What was the offense?"
"Statutory rape. He served his sentence and completed his parole."
"When?"
"He was charged in 1981 and released in 1984 after serving about half his sentence."
"And he's married to your sister?"
"Yes. She was the girl involved. They married when she turned eighteen."
"Are you living in the same house?"
"No. They lived in Rutherford, and I live in Circleville, which is north of McKinley."
"Where was he incarcerated?"
"Dayton."
"Name?"
"Paul Reynolds."
"Do you know his birthdate?"
"January 12, 1956."
"One moment."
He walked over to a computer and typed some information, and about two minutes later, he returned.
"OK. Are you carrying with you any firearm, knife, or other weapon, or any implement that could be used as a weapon?"
"The only thing in my pockets are my wallet and keys," I replied. "My stepdad is an attorney and advised me to carry nothing except those with me."
"Good advice. You will need to leave those in a locker. Are you carrying anything else with you? A Bible, prayer book, or other religious items?"
"I wear my baptismal cross around my neck, but otherwise, no."
"OK. I'll keep your ID cards until you're ready to leave and return them, along with your other property. I have a form you need to read and sign. The top part lists the prison rules. If you violate any of them, even in a minor way, you'll be asked to leave. The bottom part lists things which are considered criminal activity. If you violate any of those, you will immediately be arrested and charged. Please initial each line in both sections, then sign and date at the bottom."
I accepted the form and skimmed it, then read through it a second time more carefully. There was nothing in either part that concerned me, so I signed the form, dated it, initialed each line, then slid it back to the guard. The guard compared my signature with my driver's license, then used a paperclip to attach the ID cards to the form.
"When the buzzer sounds," he said, "pull open the door, step through, and wait. Once the first door closes, a second buzzer will sound. Pull open the door in front of you, and step through, then wait for the guard to give you instructions. Do not cross the red tape on the floor without being instructed to do so."
"I understand," I said, then moved over to the door.
The buzzer sounded, and I pulled open the heavy metal door, stepped through, then allowed it to shut behind me. I heard loud clicks as the locks re-engaged, then waited for the buzzer to sound again. When it did, I pulled open the second door of the 'man trap', then stepped through, stopping before I crossed the red tape on the floor.
"Good morning, Sir," the guard said. "Please step to your right, away from the door, and wait."
I did as instructed, and he came over to me with a small basket. I put my wallet and keys in it, having left my watch in the glove compartment of my Mustang, along with my «chotki». He set the basket aside, then had me walk through a metal detector, which pinged.
"What metal do you have on you?" he asked.
"My baptismal cross," I replied.
"Would you show me?"
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