"Alexa, your condition has begun worsening. There's a clear aortic murmur now when your pulse goes up. How long can you go on living in denial? You really can't keep on stressing your heart the way you have been. You can have a normal life, but it's got to be low‑key. Don't push your luck."
"Living half a life is so depressing," she'd declared, not entirely sure she meant it. "It's almost worse than none at all."
"Ally, I'm warning you. If you start having chest sensations that don't respond to nitro, call me immediately. I mean that. There's a new drug, Ranolazine, that temporarily shifts your heart over to using glucose as a fuel instead of fatty acids and provides more energy for a given amount of oxygen. It will make the pain back off, but I only want to start you on that as a last resort. That's the final stop before open‑heart surgery and a prosthetic aortic valve."
Day by day, the illusion of normality was getting harder and harder to maintain. She had been playing second violin in an amateur string quartet called the West Village Oldies, but a month ago she'd had to drop out. She didn't have the endurance to practice enough to keep up with the others. Blast. It was having to give up things you love that really hurt.
Still, she was determined to keep a positive attitude. There was your heart, and then there was heart. You had to understand the difference.
She lay back to wait for the alarm and try to compose her mind. This Sunday morning was actually the one day of the year she most dreaded. The anniversary.
It had been back when Steve was still alive. They were living in the Chelsea neighborhood of New York, in a brownstone town house they were renting. The rent was high, but they were doing all right. Steve was a political consultant, who had helped some fledgling candidates overcome the odds and win important elections. In between campaigns here, he also got work in the nominal democracies in Latin America.
She was a partner in a small firm of architects who had all been at Columbia together and decided to team up after graduation and start a business. There were four of them—she was the only woman—and it was a struggle at the beginning. For the first three years they had to live off crumbs tossed their way by the big boys, subcontracts from Skidmore and other giants. They felt like they were a high‑paid version of Manpower, Inc., doing grunt work, designing the interiors of shopping malls in the Midwest and banks in Saudi Arabia, while their prime contractors got to keep all the sexy, big‑budget jobs that called for creativity, like a glass‑and‑steel office tower in L.A.
But then interesting work finally started to trickle in, including a plum job to convert a massive parking garage in Greenwich Village into a luxury condominium. Through a wild coincidence (or luck) she had personally designed the apartment she later ended up buying for herself.
Just when everything seemed to be turning around and going her way, an event happened that stopped her in her tracks. Five years ago on this very day, April 5, her mother, Nina, phoned her at six‑thirty in the morning and, in a trembling voice that still haunted, announced that her father was dead.