Cover of The Midwife of Miyagi

The Midwife of Miyagi

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Daniel Larusso 50 years old giving birth

Chapter 1: The Impossible Pregnancy

The antiseptic smell of the office was the same as always, but today it felt sharper, like it was cleaning out his sinuses along with the germs. Daniel LaRus stared at a water stain on the ceiling tile, following its brown, feathery edges while cold gel seeped through the paper gown on his abdomen.

“Just a little pressure,” Dr. Reed said, her voice its usual calm monotone. The ultrasound transducer was a blunt, insistent fact against his skin.

On the stool beside him, Amanda held his hand. Her grip was warm and firm, a tether. She’d insisted on coming, calling it “moral support for the mystery bloat.” He’d joked about midlife crises and bad sushi. They’d laughed. They weren’t laughing now.

The only sounds were the hum of the machine and the rustle of Dr. Reed’s blue scrubs as she moved. Then, a new sound filled the room—a fast, rhythmic whooshing, like tiny sails flapping in a gale.

Thu-thump, thu-thump, thu-thump.

Dr. Reed’s hand went perfectly still. The calm monotone vanished. “What on earth…”

Daniel turned his head. The black-and-gray screen was a landscape of static, but in the center was a clear, oval shape. Within it, a tiny, bean-sized form flickered. And in the center of that bean, a bright, persistent flutter.

A heartbeat.

His eyes tracked from the screen to Dr. Reed’s face. Her brow was furrowed so deeply it looked pained. She stared at the image, then down at his exposed belly, then back at the screen. She moved the transducer, pushing harder. The oval shape shifted, but the flutter remained, steadfast, undeniable.

“Daniel,” she said, and her voice was different. Thin. “When you said fatigue, nausea… weight gain… you didn’t mention…” She stopped, swallowed. “Have you experienced any… atypical bleeding? Or discharge?”

“What? No. Jesus, what is it?” His own voice sounded far away.

She didn’t answer. She was measuring, clicking buttons with a staccato urgency. The machine spat out calculations in a bland digital font. Gestational Age: 11 weeks, 2 days. A little line zipped around the tiny bean, defining it. Crown-to-rump length.

“That’s not…” Daniel began, a weak protest dying in his throat.

Amanda let go of his hand and stood up slowly, leaning in toward the screen. Her perfume, something familiar and floral, cut through the antiseptic. “Is that what I think it is?” she whispered.

“It is literally impossible for it to be what it looks like,” Dr. Reed stated, but the statement was hollow, collapsing under the weight of the evidence flickering in front of them. “You are a biological male, Daniel. You do not have a uterus. You do not have ovaries. This… structure…” She gestured at the oval on the screen. “It shouldn’t be able to exist. But it is. And there is a viable fetus within it.”

The world did not narrow, or spin. It simply cracked, very cleanly, right down the middle. On one side was everything he had known to be true for fifty years. On the other was that tiny, fluttering ghost in the machine.

“How?” The word was a croak.

“I have no idea.” Dr. Reed finally pulled the transducer away. The whooshing sound ceased, leaving a silence that roared. She wiped the gel from his skin with a rough paper towel, her movements automatic. “I need to run about a hundred tests. Hormonal panels, advanced imaging, genetic workups. This is… unprecedented.”

Amanda sat back down. She took Daniel’s hand again, lacing her fingers through his. They were icy. She looked from his shell-shocked face to Dr. Reed’s bewildered one, and then a slow, incredulous smile touched her lips. It was the smile she got when she solved a tricky problem at work, a mix of triumph and awe.

“Well,” she said, her voice soft but clear in the stunned quiet. “I guess this means we’re having a baby.”

Daniel looked at her, then at the doctor. Dr. Reed opened her mouth, no doubt to list a dozen reasons why that was a medically irresponsible thing to say, but she closed it again. She looked at the frozen image on the screen, the data, the impossible proof. She looked at Daniel’s face, pale against the white paper pillowcase. She looked at Amanda, who was now squeezing his hand, her thumb tracing circles on his knuckles.

Dr. Reed took a deep breath, the first since the flutter began. She removed her glasses and pinched the bridge of her nose. When she put them back on, her professional demeanor was back, but it was strained, stretched over a colossal, dawning curiosity.

“Okay,” she said, not agreeing, just accepting the next step. “Let’s start with the blood draw. And then we’re going to need a very long talk about… everything.” Her gaze landed on Daniel. “Starting with how, exactly, you’ve been feeling. And we’re going to need to discuss the… genetic father.”

Daniel’s mind, numb and reeling, finally latched onto a solid thought. Not a how. A who. He saw a smile as familiar as his own, a laugh that started in the belly. He felt the ghost of stubble against his cheek. His new husband, Leo. Their honeymoon in Crete two months ago. The impossible, tangled up in the intimate.

He met Amanda’s eyes. She gave a tiny, almost imperceptible nod. They hadn’t told anyone about Leo yet. That was a whole other conversation.

Now it was a medical necessity.

“Right,” Daniel said, his voice scraping back into function. He pushed himself up on his elbows, the paper sheet crinkling. He stared at the blank screen where the phantom had been. “Where do we start?”

“Where do we start?”

Dr. Reed blinked, as if remembering there was a protocol, even for this. “Right. Okay.” She stood, the wheels of her stool screeching. “First, we get you dressed. Then, phlebotomy. I’ll need… gods, I’ll need a lot of blood.” She was talking to herself now, moving toward the computer. “We’ll check hCG levels, obviously, but also a full endocrine panel, karyotyping, look for any… structural anomalies…” She trailed off, typing furiously.

Daniel sat up, the gel on his stomach cold and slick. Amanda handed him his shirt, her movements careful, deliberate. He fumbled with the buttons. His fingers felt like sausages, numb and clumsy.

“You okay?” Amanda murmured, her voice for his ears only.

“No,” he said, the simple word a relief. “I’m really, really not.”

She just nodded, taking over buttoning his shirt for him. “That’s fair.”

Dr. Reed led them to a small, bright room with a chair that looked like it belonged in a spaceship. The phlebotomist, a cheerful woman named Lin, hummed as she snapped on her gloves. “Just a little pinch!”

She tied the tourniquet, tapped a vein. Daniel watched the vial fill with dark, crimson blood. His blood. Which was apparently doing things no one’s blood had ever done before. Lin swapped out the vial. Then another. And another.

“Jeez, doc, you draining him dry?” Amanda joked, but her eyes were fixed on the growing line of vials.

“We need baselines for everything,” Dr. Reed said, her arms crossed as she watched. “This is history, right here. Medical history.”

Daniel felt a wave of dizziness that had nothing to do with blood loss. History. He was a freak. A fascinating, unprecedented freak.

When it was finally over, Lin placed a cotton ball on the crook of his arm. “Press firmly.” Her cheer had dimmed, replaced by a professional, masked curiosity. She’d seen the requisition form. She knew.

Back in Dr. Reed’s office, the frozen ultrasound image was still up on the secondary monitor. That little gray bean, haunting them.

“We need to talk about the father,” Dr. Reed said, settling behind her desk. She’d put her glasses back on. “For the genetic picture. Is the… partner… in the picture? Are we able to contact him?”

Daniel and Amanda shared a look. A whole conversation passed between them in a second.

“His name’s Johnny,” Daniel said, the name feeling dangerous in this sterile room.Johnny Lawrence . He’s…I don’t know who is really. We just after Amanda I split up.”

Dr. Reed’s pen paused over her notepad. “I see. Congratulations.” The word was automatic. “And is he… aware of the situation?”

A brittle laugh escaped Daniel. “No. God, no. How would I even… ‘Hey, honey, remember that heartburn I’ve been having?’”

“He’s on a cargo ship run,” Amanda cut in, practical. “Athens to Singapore and back. Spotty satellite connection. He’s due to dock in… twelve days.”

“We need to establish paternity,” Dr. Reed pressed gently. “The genetic implications are… profound. It will help us understand what’s happening here. And, Daniel, for your own health, we need to know everything. Was this… a spontaneous conception? Or were there… procedures?”

Daniel just stared at her. “Procedures? What, like did I waltz into some back-alley clinic and ask for the ‘make me pregnant’ special? Of course it was spontaneous. It was our honeymoon. That’s it.” Heat rose in his cheeks. The intimacy of it, reduced to a clinical question.

“I have to ask.” Dr. Reed didn’t flinch. “The alternative is that a fully developed gestation sac, with a viable fetus, spontaneously implanted in your abdominal cavity, or your peritoneal cavity, or some other structure we have yet to identify, without any surgical intervention or fertility treatments. That doesn’t just bend medical science, Daniel. It shatters it.”

The room was silent. The hum of the computer fan sounded like a distant highway.

“What do we do now?” Daniel asked, his voice small.

“Now,” Dr. Reed said, taking a deep breath. “Now, you go home. You try to process this. I expedite these tests. I consult with some colleagues—discreetly. And you think very hard about how you’re going to tell the father .” She took off her glasses again, leveling her gaze at him. Her eyes were tired, but alight with a fierce, blazing curiosity. “And you come back in two days. We’ll do a more detailed scan. We’ll see how… how things are progressing.”

Standing felt like a monumental task. Amanda helped him up, her hand solid under his elbow.Dr. Reed walked them to the door. Just as Daniel stepped into the bland, beige hallway, she spoke again, her voice s

“Daniel?”

He turned.

“For what it’s worth,” she said, a faint, almost helpless smile touching her lips. “The heartbeat was strong. Perfectly strong.”

He didn’t know what to say to that. Thank you felt insane. He just nodded.

The walk to the car was a blur of fluorescent lights and vinyl flooring. The world outside was shockingly normal. Sunlight. A kid yelling about a melted ice cream cone. Traffic.

Amanda unlocked the car. He slumped into the passenger seat, the weight of it all finally crushing down.

She didn’t start the engine. She just sat there, hands on the wheel. “Okay,” she said, to herself more than to him. “Okay, wow.”

“Yeah.”

“A baby.”

“Apparently.”

“Johnny’s baby.”

A wave of nauseating joy, terror, and profound unreality washed over him. He saw Leo’s smile, his dark, expressive eyes. Would he see a monster? A miracle? A mistake?

“What am I going to tell him?” Daniel whispered, staring at the dashboard.

Amanda finally turned the key, the engine rumbling to life. “You’re gonna tell him the truth. And then we’re all gonna figure out what the hell ‘the truth’ even means.” She pulled out of the lot, merging into the indifferent flow of afternoon traffic. “For now, we’re getting you home. And then I’m making you tea, because you look like you’re about to pass out.”

Daniel leaned his head against the cool window. He didn’t feel the baby. No flutter, no kick. Just a deep, seismic shift in the foundation of his own body. He placed a hand on his stomach, over the soft fabric of his shirt.

Somewhere in there, history was happening.

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