This Wednesday evening, the weather was typical for Ohio in November. It was raining, a cold, miserable drizzle that made the streets look slick and black. Mark had come home late from a roofing job, his heavy Carhartt coat soaked through.
He threw it over the kitchen chair and went straight upstairs to take a hot shower.
I noticed the coat was dripping water onto the linoleum floor. I picked it up to hang it over the heat vent in the hallway. As I lifted it, I felt something thick and crinkled in the right breast pocket.
I thought it was a pack of cigarettes. Mark had promised to quit smoking a year ago, and my stomach dropped thinking he had started again. I reached into the pocket and pulled out a small piece of thermal paper.
It was not cigarettes. It was a receipt.
I took it under the yellow light of the hallway closet to read the faded print. The receipt was from Ohio Urology Associates. The transaction date was March 12, 2021.
That was a year before we even started trying for a baby.
I stared at the description of the service. It read: “Post-operative semen analysis. Procedure: Vasectomy follow-up.” The amount paid was a fifty-dollar copay.
My brain did not work for a second. I stood there, staring at the little slip of paper, trying to make the numbers make sense. I thought there must be a mistake. Maybe it was his brother’s receipt. Maybe it was an old bill from years ago.
Then I looked at the address of the urology clinic. It was the exact same medical building as our fertility center. Same parking garage. Same elevators.
Different floor. The urologist was on the third floor. Our fertility specialist was on the fourth.
I felt a cold, oily sickness start in my throat and slide down into my stomach. My legs felt weak, like they could not support my weight. I sat down right there on the floor of the hallway closet, surrounded by old boots and winter coats.
I pulled out my phone. My hands were shaking so badly I dropped it twice on the wood floor. I went to the patient portal for our medical group. Mark and I had shared accounts for our billing, but he had a separate login for his personal medical history.
I knew his password. It was the name of his childhood dog followed by his birth year. He used it for everything.
I typed it in. The screen loaded slowly. I went to the appointments tab. There it was.
January 2021: Consult for elective vasectomy.
February 2021: Bilateral vasectomy procedure.
March 2021: Follow-up lab results.
I clicked on the lab results. The PDF opened up in a clean, white window. The text was bold and clear. “No viable sperm detected. Procedure confirmed successful.”
He knew.
Every single time I sat on the examination table with my feet in the metal stirrups, he knew.