I folded the page over and over until it was the size of my thumbnail, square upon square upon square. Then I ate it.

I was discharged a week later. The nurses told me that normally a double mastectomy patient went home after three days, but Isaac pulled strings to keep me there longer. I didn’t say anything about it as he handed me my prescriptions in a paper bag, folded over twice and stapled. I shoved the bag into my overnight bag, trying to ignore the rattling sound of the pills. Trying to ignore how heavy the bag was in general. I supposed that it was easier for him to keep an eye on me here rather than at my house.

He moved surgeries around and took the afternoon off to take me home. It annoyed me, and yet I didn’t know what I’d do without him. What did you say to a man who inserted himself as your caretaker without your permission? Stay away from me, what you’re doing is wrong? Your kindness freaks me out? What the hell do you want from me? I didn’t like being someone’s project, but he had his wits and car, and I was laced with painkillers.

I wondered what he did with Nick’s book. Did he toss it in the trash? Put it in his office? Maybe when I got home it would be sitting on my night table like it had never left.

A nurse wheeled me through the hospital to the main doors where Isaac had parked his car. He walked slightly ahead of me. I watched his hands, the fat of his palm beneath his thumb. I was looking for traces of the book on his fingers. Stupid. If I wanted Nick’s words, I should have read them. Isaac’s hands were more than Nick’s book. They’d just reached into my body and cut out my cancer. But I couldn’t stop seeing the book in his hands, the way his fingers lifted the corner of the page before he turned it.

He put on wordless music when we got in his car. That bothered me for some reason. Perhaps I expected him to have something new for me. I tapped my finger on the window as we drove. It was cold out. It would be like this for another few months before the weather would crack, and the sun would start to warm Washington. I liked the feel of the cold glass on my fingertips, like tiny shocks of winter. Isaac carried my bag inside. When I got to my room my eyes found my nightstand. There was a clear rectangle cut in the dust. I felt a pang of something. Grief? I was feeling a lot of grief; I had just lost my br**sts. It had nothing to do with Nick, I told myself.

“I’m making lunch,” Isaac said, standing just outside my room. “Do you want me to bring it up here?”

“I want to shower. I’ll come down after.”

He saw me staring at the bathroom door and cleared his throat. “Let me take a look before you do that.” I nodded and sat down on the edge of my bed, unbuttoning my shirt. When I was finished, I leaned back, my fingers gripping the comforter. You’d think I’d be used to this by now—the constant gawking and touching of my chest. Now that there was nothing there I should feel less ashamed. I was just a little boy as far as what was underneath my shirt. He unwound the bandages from my torso. I felt the air hit my skin and my eyes closed automatically. I opened them, defying my shame, to watch his face.

Blank

When he touched the skin around my sutures I wanted to pull back. “The swelling is down,” he said. “You can shower since the drain is out, but use the antibacterial soap I put in your bag. Don’t use a sponge on the stitches. They can snag.”

I nodded. All things I knew, but when a man was looking at your mangled br**sts he needed something to say. Doctor or not.

I pulled my shirt closed and held it together in a fist.

“I’ll be downstairs if you need me.”

I couldn’t look at him. My br**sts weren’t the only thing torn and ripped. Isaac was a stranger and he had seen more of my wounds than anyone else. Not because I chose him like I did Nick. He was just always there. That’s what scared me. It was one thing inviting someone into your life, choosing to put your head on the train tracks and wait for imminent death, but this—this I had no control over. What he knew, and what he’d seen about me brought so much shame I could barely look him in the eyes. I tiptoed to the bathroom, glancing once more at the nightstand before shutting the door.

Someone could take your body, use it, beat it, treat it like it’s a piece of trash, but what hurts far worse than the actual physical attack is the darkness it injects into you. Rape works its way into your DNA. You aren’t you anymore, you’re the girl who was raped. And you can’t get it out. You can’t stop feeling like it’s going to happen again, or that you’re worthless, or that anyone could ever want you because you’re tainted and used. Someone else thought you were nothing, so you assume that everyone else will as well. Rape was a sinister destroyer of trust and worth and hope. I could fight cancer. I could cut chunks out of my body and inject poison into my veins to fight cancer. But I had no idea how to fight what that man took from me. And what he gave me—fear.

I didn’t look at my body when I undressed and stepped into the shower. It wouldn’t be me in that mirror. Over the last few months my eyes had emptied out, become hollow. When I happened upon my reflection somewhere, it hurt. I stood with my back to the water, like Isaac told me, and my eyes rolled back in my head. This was my first shower since the surgery. The nurses had given me a sponge bath, and one had even washed my hair in the little bathroom. She’d pushed a chair right up against the rim of the sink and had me bend my head back while she massaged little bottles of shampoo and conditioner into my hair. I let the water run over me for at least ten minutes before I had the nerve to reach up and soap the empty place below my collar bone. I felt…nothing.

When I was finished, patted dry and dressed in pajama pants, I called Isaac upstairs. Some of my steri-strips had come loose. I stood quietly as he worked to fit new ones on, my wet hair dripping down my back, my eyes closed. He smelled like rosemary and oregano. I wondered what he was making downstairs. When he was done, I slipped on a shirt and turned my back to him while I buttoned up the front of it. When I turned back around Isaac was holding the hairbrush I’d tossed on the bed. I’d been unsure of how to lift my arms high enough to work out the tangles. Pouring shampoo on my head had been one thing, brushing felt like an impossible feat. He gestured to the stool in front of my vanity.

“You’re so strange,” I said, once I was seated. I was working hard to keep my eyes on his reflection and not look at my face.

He glanced down at me, his strokes gentle and even. His fingernails were square and broad; there was nothing messy or ugly about his hands.