Tuesday Appointment

By: Margaret Thornfield

The knock went unanswered. Dmitri checked his phone—7:42 a.m. He knocked again, harder this time. The sound echoed in the empty corridor of the Desert Palms Senior Living complex.

"Mrs. Santos?"

Nothing. The morning was already hot, even in the shade of the walkway. Phoenix in September. The pool in the courtyard sat unused, its surface like green glass.

Dmitri had been driving Mrs. Santos to dialysis every Tuesday and Thursday for eight months. Valley Renal Center, twelve miles each way. She always answered on the second knock, always wore the same white cardigan despite the heat, always had exact change for the tip even though he told her the app handled everything.

He tried calling. Straight to voicemail. Her voice on the recording, formal and careful: "You have reached Elena Santos. Please leave a message."

Marcus was in the management office, drinking coffee from a Cardinals mug, scrolling through his tablet. Twenty-six maybe, thin mustache, always looked tired.

"She's not answering," Dmitri said.

"Who?"

"Mrs. Santos. 2B."

Marcus didn't look up. "She's probably sleeping."

"She has dialysis. She never misses."

"Can't just go opening doors. Liability issues. You family?"

"No. I drive her."

"Then definitely can't help you. She doesn't answer, call the police."

"For a welfare check?"

"Yeah."

"How long does that take?"

Marcus shrugged. "Day or two, unless there's immediate danger. You know, visible distress, screaming, smell." He finally looked up. "There a smell?"

"No."

"Then they won't come right away. It's Phoenix. They're busy."

Dmitri stood there. The office smelled like burnt coffee and air conditioning. A fly buzzed against the window.

"Her son," Dmitri said. "In Scottsdale. You have his number?"

Marcus typed something into his tablet. "No emergency contact listed. Just her."

"She told me her son lives in Scottsdale. Big house. Pool."

"Lot of them tell stories." Marcus went back to scrolling. "Last month, Mr. Petersen in 3F said his daughter was coming from Seattle. Waited by the door three days. She's been dead two years."

Outside, the heat was building. Dmitri sat in his Camry with the AC running, watching the fare requests pop up on his phone. Airport run, $42. Tempe to downtown, $18. He declined them all.

Mrs. Santos always talked during rides. Her son Michael, the software engineer. The grandchildren, Emma and Josh. Swimming lessons. Piano recitals. But thinking about it now, she never had photos on her phone. Never asked him to wait while she called them. Never had visitors at the dialysis center.

He'd been in her apartment once, two months ago. She'd been having trouble with her knee, asked him to water her plants while she spent a week at her son's house. Except she'd been back the next day, said plans changed. The apartment had been neat, sparse. A single bed, a small TV, a bookshelf with nursing textbooks from the 1970s. No family photos. Just one picture of a younger woman in a nurse's uniform standing in front of what looked like a Manila hospital.

The spare key was still in his glove compartment, wrapped in a piece of paper with her writing: "Water every three days. Not too much."

He called the dialysis center.

"Valley Renal."

"This is Dmitri. I drive Mrs. Santos. Elena Santos. She has appointment this morning, but she doesn't answer her door."

"Hold please."

Muzak. Then: "Sir? Mrs. Santos is marked as no-show. We've been trying to reach her. These appointments, she can't miss them."

"I know."

"If she doesn't come today, she needs to go to emergency. It's been four days since her last treatment."

"I understand."

He sat there holding the phone. Through the windshield, he could see her door. 2B. The little welcome mat she'd bought at Walgreens. The potted cactus that never needed water.

The key was small, brass, ordinary.

In Ukraine, Dmitri had designed bridges. Small ones mostly, over streams and irrigation canals outside Kharkiv. Nothing famous, nothing that would be remembered. But they stood, they carried weight, they lasted. Here, his engineering degree was worth nothing until the review board decided otherwise. Two years now. Maybe two more. His English was good but not perfect. His references were an ocean away. So he drove.

He'd left his mother in Kharkiv five years ago. Heart attack in her kitchen, quick and quiet. The neighbor found her the next day. He'd been in Warsaw for a conference, couldn't get back in time. The guilt still sat in his chest like a stone.

The thermometer on his dashboard read 102°F.

He knocked one more time. Loud, insistent. An elderly man in 2C opened his door, looked out.

"She's not there," the man said. "Haven't seen her since Sunday."

"Sunday?"

"She was getting her mail. Looked tired."

The man closed his door.

Dmitri stood in the heat. Sweat ran down his back. The key was in his pocket now, its edges sharp against his palm. If he used it, Marcus could report him. Trespassing. Breaking and entering, even with a key. He could lose his Uber account. Without that, he had nothing.

But Mrs. Santos in there, maybe on the floor. Maybe conscious, unable to move. Four days without dialysis. The toxins building in her blood.

He thought about calling his sister in Warsaw. Oksana would tell him to mind his own business. "You're not responsible for everyone, Dima. You can't save people who don't ask to be saved."

But Mrs. Santos had asked, hadn't she? Not directly, but in the way she'd given him the key, trusted him with her plants. The way she always waited by the window for his car, waving from behind the glass.

The lock turned easily.

The apartment was dark, curtains drawn. The AC was off. The air felt thick, stale, but no smell of death. That was something.

"Mrs. Santos?"

The living room was as he remembered. Neat, minimal. The plants on the windowsill were dying.

He found her in the bedroom, on the floor beside the bed. Alive, conscious, but unable to get up. She looked at him with eyes that were both grateful and ashamed.

"I fell," she said. Her voice was hoarse. "Saturday night."

"We need to call ambulance."

"No. Please. Just help me up."

"Mrs. Santos—"

"Elena. My name is Elena."

He knelt beside her. She was smaller than he'd realized, bird-like. Her arm, when he touched it to check for injuries, was cold despite the heat.

"You need hospital. Dialysis."

"I know." She was crying now, silent tears. "I couldn't reach the phone. I kept thinking Michael would come."

"Your son."

She looked at him for a long moment. "There is no Michael."

"I know."

"He died. Twenty-three years ago. Car accident in Los Angeles. Emma and Josh—I made them up. I had no grandchildren. Michael wasn't married."

Dmitri sat on the floor beside her. The carpet was rough, industrial. Through the window, the pool glinted in the morning sun.

"Why?" he asked.

"Because people pity old women with no family. They look at you different. Like you're already gone."

He understood. In his studio apartment in Glendale, he had his own fictions. The engineering consulting he claimed to do on the side. The girlfriend in Warsaw who didn't exist. The plans to bring his mother to America when she'd been dead five years.

"We need to call now," he said.

"They'll put me in a home."

"Maybe not."

"I'm a nurse. Was a nurse. I know how this goes. Old woman, alone, falls in her apartment. Can't care for herself." She closed her eyes. "I came here from Manila forty years ago. Worked at Phoenix General until they closed it. Saved every dollar. Bought this apartment cash. And now."

Dmitri called 911. While they waited, he helped her sit up against the bed. Got her water from the kitchen. She drank slowly, carefully.

"Your plants died," she said.

"They need water."

"Everything does."

The paramedics were kind, professional. They didn't ask Dmitri who he was, assumed family or friend. Marcus appeared as they were loading the gurney, started to say something about unauthorized entry, but stopped when he saw Mrs. Santos's condition.

"Jesus," he said. "How long?"

"Three days," Dmitri lied. No point making it worse.

At the hospital, they wouldn't let him stay with her. Not family. He sat in the waiting room watching CNN on mute. Hurricane in Florida. Fires in California. The usual disasters.

His phone buzzed. Ride request, airport to Surprise. $67 surge pricing. He declined it.

Around two o'clock, a doctor came out. Young, Indian maybe, tired eyes.

"You're here for Mrs. Santos?"

"Yes."

"She's stable. We're running dialysis now. She's dehydrated, malnourished, but she'll recover."

"Good."

"Are you family?"

"Friend. I drive her to appointments."

The doctor nodded. "She needs someone. Social services will want to do an evaluation. At her age, living alone after a fall like this..."

"She's strong."

"That's not always enough."

Dmitri knew he was right. Knew too that strength was sometimes all you had.

He drove back to Desert Palms, let himself into her apartment with the key she'd never asked him to return. Watered the plants, though most were beyond saving. Cleaned out the refrigerator—yogurt two weeks past expiration, half a loaf of molded bread. Put fresh sheets on the bed.

In the bookshelf, between the nursing textbooks, he found a photo album. Pictures of a younger Elena in the Philippines. Wedding photos—she'd never mentioned a husband. A few pictures of a boy who must have been Michael. Dark hair, her same eyes. The photos stopped abruptly in 1999.

His phone rang. Oksana.

"Dima? It's midnight here. Why are you calling?"

He'd forgotten he'd called her earlier, from the hospital parking lot.

"Sorry. It's nothing."

"You sound strange. Are you sick?"

"No. Just tired."

"Are you working too much? These rides, they don't pay enough for you to kill yourself."

"I'm fine."

"Mama would worry about you."

"Mama's dead."

"I know that." Pause. "But she would still worry."

After they hung up, he sat in Mrs. Santos's living room as the afternoon sun slanted through the blinds. The apartment felt different now, less like a secret and more like a life interrupted.

Two days later, she called him from the hospital.

"They want to discharge me tomorrow."

"That's good."

"They've arranged home health. Someone coming three times a week. Meals on Wheels." She sounded defeated. "I'll be a project now."

"You'll be home."

"Can you drive me? I'll pay extra."

"No extra. Regular ride."

The next morning, she was waiting in a wheelchair at the discharge area. The white cardigan despite the heat. Her purse in her lap. She looked smaller, frailer, but her eyes were sharp.

"You saved my life," she said once they were in the car.

"You would have been found."

"Eventually. But not in time."

They drove in silence through Phoenix traffic. Construction on I-17. Detour through surface streets. The city sprawled endlessly, strip malls and subdivisions baking in the sun.

"I have a proposition," she said as they neared Desert Palms.

"What?"

"I need someone to check on me. Daily. The home health people, they're strangers. Marcus is useless. I can pay."

"I'm stranger too."

"No. You used the key. You risked your job. That makes you something else."

"What?"

She thought about it. "I don't know the word. In Tagalog, we say 'kapwa.' Someone who sees you as you are."

Dmitri understood. In Ukrainian, there was a similar concept, though he couldn't translate it either.

"I can't every day. I work."

"When you can then. And still drives to dialysis?"

"Of course."

They pulled into Desert Palms. Marcus was by the pool, testing the water with a long pole. He waved, almost friendly.

Dmitri helped her into the apartment. Everything as he'd left it, but she noticed immediately.

"You cleaned."

"A little."

"The plants are dead."

"Most of them. This one might survive." He indicated a small succulent that showed signs of green.

She sat heavily in her chair. "I'm tired, Dmitri."

It was the first time she'd used his name correctly. Usually it was "Dimitri" or "David."

"Rest. I'll come tomorrow morning. Check on you."

"You don't have to."

"I know."

He was at the door when she spoke again.

"I lied about Michael, but not about being a nurse. I was good at it. Taking care of people."

"I know."

"It's hard when no one needs you anymore."

Dmitri thought about the bridges he'd designed. How they stood whether anyone crossed them or not. How purpose could outlive utility.

"Someone always needs something," he said.

The next months developed a rhythm. Tuesday and Thursday dialysis. Saturday grocery shopping. Random check-ins between other rides. Mrs. Santos—Elena—started paying him for the extra visits, insisted on it. Not much, but enough to matter.

She told him real stories now. Her husband who'd died young from lung cancer. Michael's struggle with drugs before the accident. Her years at Phoenix General, the AIDS epidemic, the crack years, the long shifts that ruined her back. In return, Dmitri told her about Kharkiv. The Soviet years. His father's death in Afghanistan. His mother's garden. The bridges he'd built that might or might not still be standing.

October came, and with it, slightly cooler mornings. Elena was stronger, walking without a cane, cooking again. The home health visitors reduced to once a week.

One Thursday after dialysis, she asked him to stop at Walgreens.

"I need to pick something up."

He waited in the car. She came out with a small bag, wouldn't say what.

The next Saturday, he found a potted orchid on her kitchen table. White, delicate, unlikely to survive in Phoenix.

"For you," she said. "For your apartment."

"It will die. I don't know how to care for it."

"I'll teach you. Not too much water. Indirect light. Talk to it sometimes."

"Plants don't need talking."

"Everything needs talking."

He took the orchid. It sat on his windowsill in Glendale, next to his laptop where he still occasionally checked engineering forums, looked at jobs he couldn't yet apply for. He watered it carefully, not too much. It lived longer than he expected.

In November, Elena fell again. Not as bad, just bruised her hip. But enough for social services to insist on assisted living. She fought it, lost. Desert Palms had a assisted care wing. Smaller room, constant supervision, scheduled everything.

"It's like being a child," she said. "But a child with arthritis."

Dmitri still drove her to dialysis. The staff knew him now, let him wait inside. He'd bring his laptop, work on problems from engineering textbooks he'd bought used on Amazon. Keeping his mind sharp for when the review board finally made their decision.

One Tuesday in December, rare clouds over Phoenix, Elena didn't come out after treatment. The nurse found him in the waiting room.

"She's having complications. They're taking her to Phoenix General."

"What complications?"

"Her heart. It happens with long-term dialysis patients."

At the hospital, they wouldn't tell him anything. Not family. He waited anyway. Six hours. Seven. Finally, the same young Indian doctor from September.

"She's asking for you."

She was in the cardiac unit, machines everywhere. Looked small in the hospital bed, but alert.

"I'm not going home this time," she said.

"You don't know that."

"I'm a nurse. I know."

She was right. Three days later, early morning, his phone rang. The hospital. She'd died at 4:47 a.m. Quietly, they said. No pain.

They asked about funeral arrangements. Next of kin. He didn't know. Suggested they check with Desert Palms.

Marcus called that afternoon. "You're listed as emergency contact. She changed it last month."

"What?"

"Yeah. Also, she left something for you. In the office."

It was a box. Her photo albums, the real ones. A few pieces of jewelry he'd never seen her wear. An envelope with his name written in her careful handwriting.

Inside, a check for five thousand dollars and a note:

"Dmitri—For your bridge building. Don't argue. I have no one else. Thank you for seeing me. Elena."

Also in the envelope: a business card for a crematorium, prepaid.

The service was small. Dmitri, two nurses from her dialysis center, an old woman from Desert Palms who'd sometimes played cards with her. The crematorium was efficient, professional. After, Dmitri took the ashes.

"Where?" the funeral director asked.

He didn't know. Elena had never said where she wanted to be scattered. Never talked about after.

He kept the urn in his car for a week, driving it around Phoenix as he picked up fares. Airport runs. Bar pickups. Medical appointments. The city went on, indifferent.

Finally, on a Sunday morning, he drove to South Mountain. Hiked up to Telegraph Pass as the sun rose. Phoenix spread below, already hazy with heat despite December. He scattered her ashes there, watching them disappear into the desert wind. Said nothing. What was there to say?

The review board approved his credentials in January. Conditional—he'd need to take some exams, prove equivalency. But it was enough to start applying for engineering jobs. Entry level, but still engineering.

He kept driving Uber while studying for the exams. Still took medical appointments when they came up. Old people mostly, going to dialysis, chemotherapy, routine checkups. He was patient with them, helped with walkers and wheelchairs. Waited when they were slow.

The orchid died in February despite his careful attention. Or maybe because of it. He'd probably overwatered it, despite Elena's warnings. He threw it away, but kept the pot.

In March, he got an interview. Small firm in Tempe, municipal water projects. They offered him a position. Less than he'd made in Ukraine, but enough. He gave notice to Uber.

His last pickup was a medical ride. Elderly man, dialysis center in Mesa. Russian accent.

"You're from where?" the man asked in Russian.

"Kharkiv," Dmitri answered in Russian.

"Ah. I'm from Minsk. Long time ago."

They talked about the old country, the new country, the space between. At the dialysis center, the man struggled with his walker.

"I help," Dmitri said.

"I can manage."

But he couldn't, not really. Dmitri helped him inside, made sure the staff knew he'd arrived.

"You're a good man," the old Russian said.

"Just driver."

"No. More than that."

Driving away, Dmitri thought about Elena. How she'd said something similar once. That he was more than what he seemed. He'd never asked her what she meant.

The engineering job started in April. Real work again. Calculating loads, drawing plans, solving problems that had solutions. His colleagues were young, American-educated, spoke a language of software he was still learning. But the math was the same. Physics didn't change between countries.

He moved to a better apartment. One bedroom in Tempe, closer to work. Pool in the complex that people actually used. He thought about buying new furniture, but didn't. Not yet.

Sometimes, driving home from work, he'd pass Desert Palms. Never stopped, but always looked. Her unit had someone new now. Different plants in the window.

In September, exactly one year after he'd found her, he drove back to South Mountain. Hiked the same trail to Telegraph Pass. The monsoons had been good that year. The desert was greener than usual. Brittlebush and palo verde. A few wildflowers still hanging on despite the heat.

He'd brought the empty orchid pot, filled now with soil from his new apartment's courtyard. Planted a small succulent he'd bought at Home Depot. Nothing special, but hardy. Desert adapted. He left it there, wedged between two rocks where he'd scattered her ashes.

It would probably die. Even desert plants struggled at that elevation, that exposure. But maybe not. Maybe someone would water it occasionally. Hikers sometimes did that, small acts of care for things that shouldn't survive but did.

Walking back down, he passed an older couple struggling with the steep section. The woman using a cane, the man patient beside her.

"Need help?" Dmitri asked.

"We're fine," the man said. But the woman looked grateful.

"Just walk with us a bit," she said. "In case."

So he did. Slow, careful steps down the rocky trail. The woman talked about their daughter in Portland, their grandchildren. Real or invented, Dmitri couldn't tell. Didn't matter. The stories we tell to strangers, the ones we tell ourselves—sometimes they're the same thing.

At the parking lot, they thanked him. The woman pressed a twenty-dollar bill into his hand.

"No," he said. "Not necessary."

"Take it," she insisted. "Buy yourself lunch."

He took it. Understood it wasn't about the money.

Driving back to Tempe, Phoenix sprawled around him. Strip malls and subdivisions. Dialysis centers and assisted living facilities. All the infrastructure of a city where people came to die in the sun, but lived longer than they expected. Where strangers drove strangers to appointments that kept them alive another day, another week.

His phone, mounted on the dashboard, lit up with a notification. Not Uber—he'd deleted the app. This was from work. Emergency water main break in Scottsdale. They needed someone on site.

He headed north on the 101. Traffic already building even on Sunday. The AC struggled against the September heat. Phoenix hadn't changed. Still too hot, too big, too indifferent.

But he had work to do. Bridges to build, metaphorically anyway. Water to manage in a desert that shouldn't support five million people but did.

At a red light, he thought about Elena's note. "Thank you for seeing me."

He'd framed it, kept it on his desk at work. His colleagues probably thought it was from family. In a way, maybe it was. The family you find in unlikely places. The connections that matter precisely because they shouldn't exist.

The light turned green. He drove on through the heat, the city stretching endlessly ahead, full of people who needed to get somewhere, needed someone to see them, needed more than they'd ever ask for directly.

The water main could wait another few minutes. He stopped at a convenience store, bought a bottle of water and a package of seeds. Wildflower mix, desert variety. Tomorrow, after work, he'd go back to South Mountain. Scatter them near the orchid pot. Most wouldn't germinate. The ones that did probably wouldn't survive summer.

But some might. With enough luck, enough random kindness from passing hikers, some might bloom. Small flowers in an impossible place. It wasn't much of a memorial, but Elena would have understood. Sometimes the smallest gestures were enough. Sometimes all you could do was plant something and hope.

The water main was worse than reported. Old pipe, corroded, flooding an entire block of million-dollar homes. He worked until past midnight, coordinating repairs, calculating pressures, making decisions that mattered in small but crucial ways.

Driving home, exhausted, he passed a woman at a bus stop. Old, alone, holding a medical folder. The buses had stopped running an hour ago.

He almost kept driving. Not his problem anymore. He had a real job now, a real life.

But he pulled over anyway.

"Need a ride?"

She looked suspicious, then desperate. "I have no money."

"Doesn't matter. Where you going?"

"Desert Palms. You know it?"

He almost laughed. "Yeah. I know it."

She got in carefully. Filipina, he thought. Maybe Elena's age, if Elena had lived.

"Thank you," she said. "My daughter was supposed to pick me up. But..." She shrugged.

"It happens."

They drove in silence through the empty streets. At Desert Palms, she tried again to pay him.

"Really, no need."

"You're kind," she said. "Not many kind people anymore."

"There are. Just hard to see sometimes."

She nodded, walked slowly toward the entrance. Apartment 2B, he noticed. Elena's old unit.

He sat in the parking lot for a moment. Full circle, maybe. Or just coincidence in a city full of old people, medical appointments, and failures of connection.

His phone buzzed. Another work emergency, this time in Chandler.

He drove toward it, toward problems he could solve, infrastructure he could maintain. Behind him, Desert Palms settled into darkness, all those lives continuing in small rooms, measured out in medications and meals, visits that came or didn't.

Elena had been wrong about one thing. He hadn't saved her life. She'd saved something in him instead. The part that could still see people as they were, still choose connection over efficiency, still stop for strangers at bus stops even when he didn't have to anymore.

The Chandler problem took until dawn. Another old pipe, another flood, another reminder that everything decayed, everything needed maintenance, everything failed eventually. But that was the work. Not building new bridges anymore, but keeping the old ones standing. Making sure the water flowed where it needed to. Small repairs that let life continue.

Driving home as the sun rose, Phoenix looked almost beautiful. The mountains pink with early light. The city still sleeping, peaceful before the heat took hold.

He'd go to South Mountain that evening, he decided. Plant those seeds. Check on the succulent. It was probably dead, but worth checking. Worth the effort of hope.

His phone rang. Oksana in Warsaw.

"Dima? Why are you awake?"

"Working. You?"

"Can't sleep. Getting old."

"You're forty-five."

"Old enough. Listen, I've been thinking about Mama."

"Why?"

"Her birthday is next week."

He'd forgotten. September 15th. She would have been seventy-eight.

"We should do something," Oksana said. "Light a candle. Something."

"Okay."

"You sound different, Dima. Less sad."

"Do I?"

"Yes. Like you've made peace with something."

Maybe he had. With distance, with solitude, with the strange ways people found each other in cities that shouldn't exist.

"I met someone," he said. Not a lie exactly.

"Oh? Tell me."

"She died."

"Dima!"

"It's okay. She was old. But she was important."

Silence. Then: "I understand. Sometimes the dead are easier to love than the living."

"Sometimes the living are already half-gone. We just pretend otherwise."

"You're getting philosophical. Must be tired."

"Very tired."

"Go sleep. Call me on Mama's birthday. We'll remember together."

After they hung up, he sat in his apartment watching the morning light creep across the walls. The engineering textbooks on his shelf. The framed note from Elena. The empty space where the orchid had been.

Life in Phoenix went on. People needing rides to dialysis. Old women alone in small apartments. Infrastructure failing, getting repaired, failing again. The work of keeping things going in a place that fought against human presence.

He thought about Elena's question once, during a particularly difficult dialysis session. "Why do we try so hard to stay alive?"

He hadn't had an answer then. Still didn't, really. But maybe it wasn't about the answer. Maybe it was about the asking, the witnessing, the small acts of care that said: you matter, your story matters, the truth of your life matters even when you're gone.

His alarm went off. Time to get ready for work. Real work, the kind he'd trained for, waited years for.

But first, he wrote a note to himself: "Tuesday appointment." Not for anyone specific. Just a reminder that some rhythms, once established, shouldn't be broken. That somewhere in Phoenix, someone needed a ride, needed to be seen, needed more than they could ask for.

He'd keep taking those appointments, even if he didn't have to. Especially because he didn't have to.

That was the bridge he was building now. Not steel and concrete spanning physical distance, but something else. Connection across the spaces between people. Small, invisible, essential.

The sun climbed higher. Phoenix woke to another day of impossible heat. Dmitri showered, dressed, drove to work through familiar streets.

At a red light, he saw an elderly man waiting at a bus stop, medical folder in hand.

The light was still red. He had time.

He rolled down the window.

"Need a ride?"