DEALBREAKERS by Rachel Dorn

Would you date a dying girl I type in the message box. My thumb hovers over the send button. I hit delete.What are ur dealbreakers I type instead.

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We don’t say terminal anymore, Janessa, my support group leader, says on one of our monthly Zoom calls. We say incurable. Because, you know, people can live a long time with this now. What doesn’t need to be said is that not all of us will.

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In the months after I find out I have an incurable heart and lung disease, I spend a lot of time thinking about a man. All my journal entries mention him. I spend pages dissecting our FaceTime calls, the look he gives me when I say I have to go, his insistence that I call him right back, trying to mine for proof that he really loves me. That I am still lovable, despite this. 

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When I met T, a few months before I got sick, I Googled his name. The first result was a missing person report from several years earlier, accompanied by a thumbnail photo of him smiling in a black sweatshirt. Last seen in the Pine Bluff area on October 31st, the caption said, anyone with information about his whereabouts please contact the Pine Bluff Police Department. I took a screenshot and sent it to my friend: is this a red flag

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The heat in my apartment went out for three days the winter I met him. It was as cold as a Minnesota February gets; I’d been sleeping in my heavy-duty down coat and two pairs of pants, creating a ring of space heaters around my bed. He lived an hour away, across the Wisconsin state line, but he told me he’d come lift my spirits and he did. It was snowing; we ate takeout tacos in bed, drank bubbly from the bottle, curled together under the covers watching The Sopranos on my broken laptop. My bedroom was all windows—nine of them—and I always said it would be the worst place to be if a tornado struck in the night. It was the best place to be when it snowed.

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T made it clear from the start that he was someone who could never be pinned down. The attraction was undeniable, but it was our conversations that thrilled me–a nonstop game of verbal ping pong. I remember thinking I could banter with him for the rest of my life and never get sick of it. At the end of a weekend together, I found a little baggy of mystery pills in the drawer of my nightstand—Valium, maybe, left there by another man—and offered them to him. He swallowed a handful all at once and left. A couple hours later he called me. I’m fucking floatingggg, he said. And that’s how I felt too. Like I was floating.

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T FaceTimes me from a hotel in Los Angeles. He FaceTimes me from a hotel outside of Ruston, Louisiana. He FaceTimes me while driving a Benz through Cherry Hill, New Jersey. In the wake of a breakup with another man, too sick to do much of anything, I’ve moved in with my retired parents. I answer his calls in my childhood bedroom with its teal walls that my sister and I painted when we were kids and our mom never painted back. I live my entire life between these walls now. You gotta get better, he says, so you can run around with me.

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Out of boredom I download a dating app, then delete, then redownload. I’m swiping past people who are doing everything I can’t do; looking for a woman who can be someone I’ll never be again. An adventure partner, a travel buddy, someone to hike the Pacific Crest Trail with. How do I tell them that the most adventurous thing I’ll ever do with them is meet them in person?

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I match with a cardiologist on one of the apps and when he messages me I say I wish my cardiologist looked as good as you and he says lol do you actually have one and I say yeah and he says oh dang do you have an arrhythmia or something and I say nah, pulmonary hypertension and he unmatches me. Relax, I want to say, it’s not contagious.

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I have to call an ambulance one afternoon in July, after the diagnosis but before the meds start working, because my heart is going berserk. 180 beats per minute and I’m struggling to breathe. Four EMTs show up to my parents’ house and one of them is the hottest man I’ve ever seen. In the back of the ambulance I accidentally flash my tits to all four of them while they’re hooking me up to the heart monitor. It’s SVT, one of them says to the others and then the hot one hands me a syringe and tells me to blow into it. We’re gonna go fast, the driver says, turning on the siren as we bolt through the streets of Saint Paul and I’m on a stretcher, blowing into the syringe, over and over, and the hot one tells me I’m doing great and squeezes my hand and I’m thinking am I going to die in the back of this ambulance and I’m thinking this is the most humiliating moment of my entire life and I’m thinking I wonder if he’s single.

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When I tell the men from the apps that I have pulmonary hypertension, after a perfunctory that sucks, I’m sorry their responses depend on whether or not they’ve heard of the disease. If they have, and they know a little bit about it, they invariably ask if I take Viagra (yes, three times a day) and if it you know…does anything (no, not in women). If they don’t know anything and I explain that it’s a pretty debilitating heart disease, they want to know if I can still engage in, um, activities (maybe, not with you).

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I read a New York Times article about dating with chronic illness and then I read all 277 comments. I’m looking for recognition, some confirmation that I’m not alone. In the midst of people proclaiming that essential oils cured their husband’s chronic Lyme and others arguing over the right time to reveal a disability, a woman with a rare blood cancer shares a story about a date she went on. When she mentioned to her date that sex was risky because an infection could kill her, he was convinced she was exaggerating. He told me he felt so sorry for me that sex could prove problematic, but never mentioned that he felt sorry for me because I had terminal cancer...it soon became apparent that he would rather have incurable cancer than not be able to have sex.

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I wonder if it’s best to play my cards up front, to let them know what they’re getting into before we even match. In my bio I write I have a terminal illness, looking for my A Walk To Remember arc. Then I wonder if this defeats the purpose; anyone who's seen it knows that in that movie Mandy Moore’s character doesn’t reveal she has leukemia until the boy has already professed his love for her. 

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Over text, T and I reminisce about the bad emo music of our youth. He was a star football player in his small Louisiana town, I was a bookish Catholic school girl, shivering in my uniform skirt through long Midwestern winters, but our short-lived emo phases somehow synced up. Remember this one? He sends me a voice note, serenading me, screeching the words to Your Guardian Angel by The Red Jumpsuit Apparatus: I will never let you fall / I’ll stand up with you foreverrr / I’ll be there with you through it allllll

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We all have our baggage, my therapist tells me. I don’t think it makes you undateable. I’ve put on makeup, for the first time in weeks, to meet her in the portal. She starts talking at length about her husband’s struggle with addiction, about how you never really know what you’re getting into with someone anyway, because things change. I look past her, fixating on the unmade bed in the corner of her screen. If you don’t know, you don’t know, but if you do know, you can avoid it, right? 

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I ask the girls in my support group what they do about dating. A lot of them are married and I secretly resent them, but a few of them are single. I don’t, K says with a laugh. She’s the one I relate with most: we’re both in our early 30s, both had to move back in with our parents, both got broken up with by our boyfriends when we got too sick. Maybe it’s possible to have a partner that sticks it out with you, if they love you enough, but getting someone to sign up for this, well, it’s just a whole different thing. Everyone agrees.

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T slipped out of my life as quickly as he slid into it, that first winter. By the time I heard from him again I had a new boyfriend and a mystery illness. I told him about both. Our friendship rekindled, but I kept him at an arm’s length, trying to dim the switch on that light that came on inside me whenever we talked. He was moving out east soon and wanted to see me before he left. I said no, I can’t, I’m with someone. When I started to feel the cracks in my relationship deepen, I told him that too. I don’t think he loves me, I said. Well I love you, he replied.

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In the aftermath of my diagnosis, I tell T that it’s been proven that women who become seriously ill are more likely to be left by their male partners than the other way around. That’s bullshit, he says, most divorces are filed by women. Not in this specific scenario, I say. Men don’t like to be caregivers. I sent him a link to an article about it; there's a picture of the baseball player Albert Pujols, who left his wife after she had brain surgery. That doesn’t count because he’s famous, he says. I say okay and send him another article about women with terminal cancer being left by their partners. You don’t have no cancer man, he says.

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Months earlier, while still searching for answers, I read Meghan O’Rourke’s The Invisible Kingdom, which chronicles her own diagnostic journey with a complex chronic illness. She talked about the shame, as an ill person, of needing other people so much, both in concrete, material ways, and in the need for recognition. I felt a profound sense of betrayal that he did not seem to feel the urgency of my suffering, she wrote of her husband, who rarely accompanied her to doctors’ appointments. It is hard to be the partner of someone ill, at once close to the problem and permanently on the other side of the glass from it. I read these words at night, next to my boyfriend, B, who was trying to understand, but who would always be on the other side of the glass.

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A month and a half before I got diagnosed, when I was too weak to walk up the stairs to my apartment and didn’t know why yet, B dumped me. It sounds bad, to say it like that, because by then I didn’t blame him. It was my idea. I could tell he felt trapped but was afraid to abandon me, so I gave him permission to and he took it. I was already sick when we met a year earlier and had spent a good chunk of our year together searching for answers—in the fluorescent light of dozens of exam rooms, in the test results tab of my MyChart app, in the archives of niche Reddit forums. Our whole relationship felt like a series of things I wanted to do, but couldn’t, while he hung around on the sidelines of my pain feeling helpless. We might have been right for each other if we’d met under different circumstances, if I’d gotten better instead of worse. But we didn’t, I didn’t. I was heartbroken for a week, and then I was too sick to care.

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In the week between when we decided to break up and when he moved all of his things out of my place, we had sex one last time. For closure. The whole time I wondered if it would be the last time I ever would.

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The thing that nobody warns you about having a heart disease is that it makes it impossible to **** ***, I tweet. I consider bringing this up with my cardiologist, but decide I would rather die horny than tell a 75-year-old man what my heart does when I get aroused.

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A popular Instagram fashion brand is advertising a tiny brass pill canister embossed with the word Viagra. The algorithm shows it to me over and over until eventually I buy it. Beautiful women take Viagra has become my little motto, my bit with friends and family whenever I pop one in their presence. If I’m going to be taking it for the rest of my life, I might as well own it.

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T tells me that before we can have sex again he needs to see me run a mile. Or do a power clean. Your choice, he says, but I’d go with the mile. Less blood pressure action. I know he’s joking, but I know there’s a deeper part of him that’s a little serious. Okay coach, I say. I don’t want to tell him that these things still feel so out of reach.

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Maybe, I think, the reason T is so important to me is because he was the last person to meet me when I was still healthy, the last person who would ever get to know the version of me that could pop a bottle of champagne after midnight and drink the rest on a lazy Saturday morning, the version with energy and verve and dreams for the future, that could plan a trip to Palm Springs on a whim, that didn’t have to take supplemental oxygen on the plane, that didn’t have to take pills four times a day just to stay alive. The version that could get high without sending my heart into overdrive, that could fuck without sending my heart into overdrive. That could do a power clean, or run a mile, and not think twice about it.

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By late August, the meds are starting to work. I can go on walks again, slowly, in the sticky heat. Senator Amy Klobuchar tweets a picture of herself at the Minnesota State Fair, posing with four shirtless firefighters. State Fair pro tip: You don’t want to miss the Minnesota firefighters. The post has millions of views. One of the men in the picture is my EMT, the hot one. I send it to my group chat and nobody can agree who the hot one is. I think it’s obvious.

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In the fall, I suggest to T that he visit me. I haven’t seen him in well over a year, but lately we’ve been talking all the time. He hems and haws and eventually gives me a half-hearted excuse about feeling as if I’m only talking to him because I’m bored, because of my situation, and that if my life hadn’t slowed down like this I wouldn’t even look his way anymore. I can see through it, and I press him, until eventually he admits that my lack of mobility isn’t compatible with his lifestyle of spontaneity and constant travel, that we could never be together because of it. I’m gutted, angry, ashamed. Most of all, as much as I want to believe he’s wrong, to change his mind, I know there’s some truth to his words.

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T was there; when I knew I was sick but everyone else was starting to suspect I might just be crazy, he had a plan for me, an investment in my recovery. Stop eating this, start eating this, everything from scratch, spring water only. You don’t have room to slack, he told me. I rolled my eyes. Deep down, though, I was grateful that someone cared enough to want to help, to not just shrug their shoulders like my doctors had been doing for months. And when my MRI report said myocardial fibrosis and right ventricular hypertrophy and I landed in the hospital, when I lied flat on an operating table with a catheter in my heart and saw the grave expressions on my doctors’ faces, when he texted me how did today go lil mama, when he called me immediately after I told him, when he looked like he might cry on my phone screen, I felt it. But there’s a limit, I’m learning, to what some people can bear.

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I long for a love that is not contingent on how well my body is working, one that understands how this illness makes both spontaneity and planning ahead more difficult, that celebrates the wins and grieves the losses alongside me. In one of my pulmonary hypertension groups, a man is posting updates about his wife’s double lung transplant recovery. She’s up walking today! or Well, we had a bit of a setback. I wonder about my future, if I’ll ever need one. I wonder what it would be like to go through it alone.

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WHAT THE BODY WOULD NOT HOLD by Liana Meffert

(Spring)We have to count several times to get the numbers right. There are so many. Superior right buttock, inferior left buttock, and flank, right temple, right chest, left lower leg, and thigh. And when the counts agree, we sit down to call his mother, who doesn't answer, but calls back several minutes later. Whether she believes us or not is beside the point; she hangs up. I hate this. Wouldn't you? We call the medical examiner and the organ donation center, who will in turn call her, and then she will begin to believe, or won't. There isn't a checkbox for grief we don't have time to summon. We move on: ten calls to five numbers that don't pick up and voicemails to call us back, soon. He's dead, he's dead, he's dead. Say it with me now. The heart will flop like a waterless fish in my hands, appendages dangle like fins, going nowhere. The lungs, when full, will balloon from their cage, their smooth surface shining like the back of a whale breaking the ocean surface. You will never forget this. I stop living in my body and become another's. The man crumpled beneath a 300-ton tractor whose heart we cajole for hours, with blood, electricity, and the weight of our own hands backed by whatever it is we have left. And when we had failed, or rather, the odds against us too great, we wear a family's thick suit of grief that chafes in the halls and leaves us breathless climbing stairs. I pass them with my lunch for a hunger that is no one's. I want to say, if I stopped eating every time someone died, I would never eat at all. My death, that is not my death, watches his son lean against a wall in the waiting room and finger the blinds while he calls more family. My death drinks orange juice, tastes the salt of a potato chip, then licks it clean. There is so much I lose track. I stop writing it down and that is my first error, though not my last. It feels like one long sleep, a feverish night, the sweat caked to the back of my old high school T-shirt where a Viking (our mascot) lays plastered to my chest, cracked from laundering and soaked in solidarity. I lose touch again, and again. Where am I? It is afternoon, then evening, then early morning again, and I am asleep, or awake, or going to sleep, or rising to meet the failing sun. The body lives on like a broken rearview window, glittering pieces stuck whole.  (Summer) A hot summer day in the deep end of a swimming pool. A canister of baby formula. The aqua blue settling in his lungs. Gaze of a dead man. The best way to deliver news is the same way we all want to die—quickly. The baby kicks its chubby legs from the car seat in the corner. The grandson in his swim trunks. I was thinking about how we put up walls to survive and now are squeezed between these four that echo heat like a black asphalt street. The stamp of a wet backside on the chair. Excuse yourself. Shut the door and let them scream a hot yowl of grief. It's not the mind that grief goes to first, but the body (like a single nerve grief traverses) that sinks to the floor. The baby screams. A weather barometer sensing tension in the room. No, it's not your fault, no. Say it again for the people in the back. No one moves to quiet the baby. In the corner in the car seat. I was thinking about the four walls that hold a body like water in a pool. The deep blue of a deep end. Another summer day. I never had a journal when I was kid. That's a lie, though; I had tons, having received multiple every birthday from the time I could write until I was fifteen and maybe a few scattered thereafter. I meant I never had a journal I wrote in. Maybe it had to do with the implication of the gift, that my thoughts could be written down and kept safe with a lock and plastic key I could dangle from a wrist or neck—whatever. I never wanted my thoughts to be safe in that way. Outside in the park a group of men are playing basketball, and when I can't discriminate between their yells to pass it here and hey man, you can't fucking block me like that, I cross the street to walk away. Somewhere between 14 holes in a body and a courtside argument under this quiet sun lies the truth, and on this particular Sunday afternoon, I realize I've lost the ability to discriminate between the two. A child tumbles down the slide, two friends (lovers?) sleep side by side on a picnic blanket with twin bags of produce at their feet. A dog barks at something, and the community garden flowers grow taller, droop over the fence like tired smiles, all of them. Eyes still find a summer day cross-legged on the linoleum floor where we drank beer not because there weren't tables, but because we needed something bigger. There were a lot of ideas back then, and they were fragile. We couldn’t let them fall or look too close.  (Fall) A patient is brought in for self-immolation and what has been billed as second-degree burns to his chest with third-degree encircling his neck. (In reality, the burns around his neck cut off just below his ears. These details matter quite a bit; a third-degree burn turns skin into a tourniquet of leather, like a noose around the neck). The man looks resigned in his tattered white Hanes T-shirt. He looks like a man who wanted to die and thought better of it ten seconds too late. He smells of my teenage summer nights. Bonfires on the shore and bad beer you drank just to prove you could be someone else. I was always someone else. The first to plunge into the pitch-black ocean, the white moon winking, cold as ever. "I'm fine," he says, when someone asks. He wants to be someone else. He shivers, his clothes damp with the water he used to put out the fire.My dreams flash big billboard messages, and I wake up wondering what I have missed. Annoyed that I’ve been abandoned to my consciousness. Another catalyst with no plan. My bank accounts are sucked dry; I am 20 weeks pregnant, feeling the surreal swell of my abdomen like a bloated fruit. We are blowing up a circus tent. And anyway, in real life, a loaded pistol slips from the backside of a pocket for the second time this week, and if that isn’t a sign, I don’t know what is.Time stands still, or rather, it slips through the slats of my fingers. I play with the digital numbers looming over the trauma bay. Crouch down and the 8 loses its horizontal hat, becoming a 4. Close one eye and the 18 becomes a 4. You can take minutes off a life like this. I miss the bakeries back home that shut their doors at 4 pm and run out of the best pastries before noon. They are adamant about the passage of time. Their darkened cafes and belly-up chairs pin me to the ground like a wild animal.I keep telling myself I have to stop running red lights. I will be a better person. I will be nice and smile. I will remember birthdays. I will forgive. I will forget. I won't relive or perseverate on others’ wrongdoings—or my own. I will live a better life. The one I always wanted. The one where I make small talk with the checkout person and learn the name of our mail carrier. I will learn my neighbor's names and remember more than just their dogs. Recycle. To do: Become a person who does not want for so much. A clean kitchen counter. Fresh pair of underwear. A day someone does not die.I fall in love with a man who drives his motorized wheelchair up the center of my street. Two lanes that should be one. No matter, the cars will wait. He has speakers tucked in the undercarriage of his throne that play perennial upbeat 80s music as he hums along and hands out well-wishes like candy. One for you, and you, and you. Sometimes he pulls his friend who gets around on a two-handed engine. The friend hangs on the back with just a few fingers, looking real casual, real cool. They bump to the music, grinning like they stole fun, and let the cars line up behind them, spotlit by headlights.    (Winter)Two buildings up from me, it starts with an asbestos inspection. Weeks later, a second sign appears for a new building permit. It's then I realize the windows have been dark for weeks and the children that played outside in the planter boxes haven't been out to play. Even while telling myself it's because of the rain. Counterevidence mounts. The weather spares the sun occasionally to glance mounds of discarded belongings in the alleyway that spill into the sidewalk. Playsets, a trowel, several pairs of jeans, an overturned ironing board projecting an X into the air, a yellow jumper, bloated white garbage bags: their contents poking through like a cartoon where a creature fights to get out. Overnight it snows, and the belongings are covered with a white sheet the way a body is when you can’t wish anymore. When a lung looks like snow packed in the chest it’s called a “complete whiteout.” A chest is quiet without air, a snowstorm silently brewing. The other lung is collapsed: air has become trapped between his lung and chest wall, and it is collecting, pushing his lung towards his heart, and preventing it from expanding when he breathes.I only see this image after he's been dead for some time. It's early morning and we have called Jennifer, the presumed daughter, whose voicemail is alarmingly cheery like she’s warding off people like me leaving messages like this. I'm glad I hang up when I do because another patient has started smoking in 26B, and security is moving slowly to escort her out as she screams and struggles. Nursing shift changes at 7 am, so the department is at maximum capacity with twice the nurses, half of them carrying warm mugs of coffee, and smelling of freshly washed hair or at least the essence of freshness that reminds me of the staleness on my tongue. They line up in parallel so she can be escorted through, and it's like a sort of sendoff, the woman struggling and yelling that she can walk herself out. Other things I forgot until now: how the patient in the bed in the hallway hiked her gown up to her knees with an air of calculated insouciance to urinate in the highly trafficked thoroughfare. Snow, heavy overnight. The wheelchair that goes by, leaving parallel tracks of urine as if to guide future travelers. Environmental Services—one of my favorite hospital euphemisms—called overhead and orange cones set around her bed like a minor traffic accident. The white spell of silence that hangs when the world holds its breath. How she sat back on the bed, her face indecipherable.  (           )  There's having a bad day, and then there's getting hit by an oncoming truck on your way to see your daughter, who is getting taken off life support. I pick out pieces of glass lodged into your bloodied scalp. The water meant to dislodge the pieces too fine to see drips into your eyes, and you let it run in rivulets down your face. There's I'm so sorry and there is silence, which this is. It's 2 am, and I've been in the hospital for nearly 24 hours. This isn't about me, but I don't know if the sun ever rose yesterday, if the moon became the promise of a waxing gibbous. I'm tethered only by nursing shift changes (always at 7) and the cafeteria, which opens and closes. The smell of brewed coffee from the adjacent cafe with mockingly limited hours, and the omnipresent aroma of Subway—the only 24-hour food option—not quite food, but not quite something else, that wafts inexplicably strongest around 3 am. The hospital is not unlike an airport in this way: it contorts time as you fumble to replace sky-dwelling anchors, pace the halls when it goes quiet, and finger an artificial bonsai with longing. It seems you are the only thing living here, and the connection is tenuous. I stitch up the open wounds still bleeding. You're not on life support, but that fact is far from a consolation prize. Several hours later, when you have moved up to the floor, a code comes overhead, and I run up three flights of stairs to find you silent again. I call your sister who is on her way to your daughter. The line goes quiet until she asks—no, wonders—aloud: "Should I turn around?" And finally, your body breaks. 

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OBJECT BIOGRAPHIES by Brittany Thomas

We drove to Dorset to be alone, not to hunt fossils.  We drove south to sit in silence, to read books by bayed windows, to feed a tiny wood stove pieces of the year. We let ourselves be washed by the shoreline, our sore city spirits cleansed like frail Victorians suffering hysteria. What more can anyone ask of an English October? Here the Fossil Wardens beg your help: please take what you find. You see, our fossils make their way out of 66 million years of mud and clay to the Jurassic Coast only to fall on the beach and be re-claimed by the tide.  Something calls them forward, calls them home to the sea. And here we interrupt them and call it hunting. Once called snakestones, now called souvenirs.  I took home a palm-sized coiled ammonite, but not one I picked up on the beach. I bought this later, for myself, from the museum gift shop after failing my short stint as a fossil hunter.  You were better; I complained that the sun was in my eyes at every turn.  My ammonite is ribbed like a snail and curls deep into herself as though holding her secrets tightly in her core. She’s an ancient sculpture - geologically ancient - pulled out of deep time. And now she lives with me on my bookshelf, poor thing. I almost want to drive back to Dorset and set her free.  She still smells like salt and sand, like the hundreds of shoals she swam through in her heyday. She was born in a tiny shell which she outgrew by stages, building her new rooms and sealing off old chambers as she went. How nice, to grow in one direction and never haunt your old life. Or how doomed – to carry it on your back forever. The mightiest ammonite laden and lordly as Zeus himself.  Maybe I hoped there would be answers if we bent close to the sand and stones and spent the afternoon searching for petrified molluscs. Maybe we could exchange shame or sadness or loneliness for something as solid as rock. Part of the beach is taken up by the Victorian rubbish dump where you can find broken glass and buttons and bicycle spokes. The ghosts of other lives, just the suggestion of someone’s hedonism.  I was good at collecting trash even if I was bad at collecting fossils.  The woman in the gift shop was kind. The Fossil Wardens polish their ammonites before sale. The gift shop sign says which speaks to you and how do you want to be, later.  Unpolished, erudite, chosen.  We take these things home.

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THE INHERITENCE / LA HERENCIA by Sam Moe

I think we’re all stuck to the Manhattan apartment, its thick coatings of paint intertwined with our veins, which crisscross around the city, glowing in the night, fraying when we argue.

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FARM HANDS by Mark Abdon

The rocking horse was hideous, though. It was the eyes. Wide open and vacant, set too high on that giant head. The foot-pegs had snapped off on Black Friday.

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SWEETNESS by Tina Kimbrell

On the morning that she died, I don’t think I knew that it was the day that we would stop waiting. We were just going to her bedside, as we did. As we had done for days. Suspended in that grief fog, gritty and spinning. 

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