A Hole in the Heart

“We’re all done here. I don’t want to see you again,” said the cardiologist to my daughter as we left his office this morning. “Goodbye. Have a good life.”

She’s been seeing him since she was diagnosed at about six months with a ventricular septum defect—a hole between the lower chambers of her heart.  From the very first visit, we knew it was small. It never affected her development. The doctor never limited her or restricted her physical activities. “I see football players who have this,” he said. And that’s what my husband and I said, too, to each other: “He sees football players who have this.” Still, the doctor wanted to see her, every year at first, then every two, then every three.

In the years between visits, she grew. She loved passionately and she hated passionately. She had no trouble expressing her emotions.

My daughter gave me this ransom-style note when she was about eight.

Around the same time, she gave me this heart-shaped rock she found. Later, when it broke, she was the one who thought to fix it with a band-aid.

“Weren’t your feelings hurt when I said I hated you?” she asked me recently.  Fourteen now, still passionate but better able to moderate her emotions, she sees her young self through eyes that are more adult than child. I told her I never believed her, not for a moment.

“I really believed it when I said it,” she said. “I believed I hated you.”

But I knew her heart. I knew its nature as well as the cardiologist, with all his EKGs and echocardiograms and pulse oximetry, knew its form.

And now the form of her heart has caught up to its nature. The hole has completely closed, which is why her cardiologist doesn’t want to see her again. We left with a printout of her electrocardiogram, a parting gift.

I drove her back to school and went to the office to sign her in. She let me hug her before she headed to history class.

I thought about the hole, now closed, about how her whole life lies ahead of her, wide open, and about how I will never be all done here. No parent ever is.

–Christine MacLean