The Paris Review

Mothers as Makers of Death

Stages in pregnancy as illustrated in the nineteenth-century medical text Nouvelles démonstrations d’accouchemens.

I wrote the first draft of my novel Heartbreaker in a ten-day mania in August 2015 with a fist-size bandage over my left ear; beneath it, a track of dark-blue stitches. The smallest bone in the human body, my stapes bone, which is charged with conducting sound in the middle ear, had stopped working. I now had a thin hook of titanium fluttering in my head, and in the on-switch manner of miracles, my hearing returned.

My husband had taken our two young sons on a road trip to a small cabin on the east coast of Canada. I could not lift anything heavy. I had to keep my heart rate low. I could not wash my hair and wore it in a knot shined with grease on top of my head. I turned off my cell phone, unplugged our landline, and disconnected from the Internet. This was my plan: to be unreachable. Didn’t Jonathan Franzen pour cement into his USB port and work in some kind of carpeted hell-mouth of a rental office to finish—which one was it now? Ah yes, Freedom?

My husband could see I had a novel inside me, and it was a commotion,

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