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Authors: John Updike

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BOOK: Trust Me
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Carson wondered what dinner party the doctor had been pulled from, at this post-midnight hour, in his timeless jacket and tie. Carson wished to make social amends but was in a poor position to, flat on his back and nearly naked. With a slight smile, the doctor pondered his face, as if to unriddle it, and Carson stared back with pleading helpless hopefulness, mute as a dog, which can only whimper or howl. He was as weary of pain and a state of emergency as he had been, twelve hours before, of his normal life. “I’d like to operate,” the doctor said softly, as if putting forth a suggestion that Carson might reject.

“Oh yes,
please
,” Carson said. “When, do you think?” He was very aware that, though the debauched hour and disreputable surroundings had become his own proper habitat, the doctor was healthy and must have a decent home, a family, a routine to return to.

“Why, right
now
,” was the answer, in a tone of surprise, and this doctor stood and began to take off his coat, as if to join Carson in some sudden, cheerfully concocted athletic event.

Perhaps Carson merely imagined the surgeon’s gesture. Perhaps he merely thought
Bliss
, or really sighed the word aloud. Things moved rapidly. The shifty legal-aid lookalike returned, more comradely now that Carson had received a promotion in status, and asked him to turn on one side, and thrust a needle into his buttock. Then a biracial pair of orderlies coaxed his body from the bed to a long trolley on soft swift wheels; the white curtains were barrelled through; faces, lights, steel door lintels streamed by. Carson floated, feet first, into a room that he recognized, from having seen its blazing
counterpart so often dramatized on films, as an operating room. A masked and youthful population was already there, making chatter, having a party. “There are so many of you!” Carson exclaimed; he was immensely happy. His pain had already ceased. He was transferred from the trolley to a very narrow, high, padded table. His arms were spread out on wooden extensions and strapped tight to them. His wrists were pricked. Swollen rubber was pressed to his face as if to test the fit. He tried to say, to reassure the masked crew that he was not frightened and to impress them with what a “good guy” he was, that somebody should cancel his appointments for tomorrow.

At a point and place in the fog as it fitfully lifted, the surgeon himself appeared, no longer in a tweed jacket but in a lime-green hospital garment, and now jubilant, bending close. He held up the crooked little finger of one hand before Carson’s eyes, which could not focus. “Fat as that,” he called through a kind of wind.

“What size should it have been?” Carson asked, knowing they were discussing his appendix.

“No thicker than a pencil,” came the answer, tugged by the bright tides of contagious relief.

“But when did you sleep?” Carson asked, and was not answered, having overstepped.

Earlier, he had found himself in an underground room that had many stalactites. His name was being shouted by a big gruff youth. “Hey Bob come on Bob wake up give us a little smile that’s the boy Bob.” There were others besides him stretched out in this catacomb, whose ceiling was festooned with drooping transparent tubes; these were the stalactites.
Within an arm’s length of him, another man was lying as motionless as a limestone knight carved on a tomb. Carson realized that he had been squeezed through a tunnel—the arm straps, the swollen rubber—and had come out the other side. “Hey, Bob, come on, give us a smile.
Thaaat’s
it.” He had a tremendous need to urinate; liquid was being dripped into his arm.

Later, after the windy, glittering exchange with the surgeon, Carson awoke in an ordinary hospital room. In a bed next to him, a man with a short man’s sour, pinched profile was lying and smoking and staring up at a television set. Though the picture twitched, no noise seemed to be coming from the box. “Hi,” Carson said, feeling shy and wary, as if in his sleep he had been married to this man.

“Hi,” the other said, without taking his eyes from the television set and exhaling smoke with a loudness, simultaneously complacent and fed up, that had been one of Carson’s former wife’s most irritating mannerisms.

When Carson awoke again, it was twilight, and he was in yet another room, a private room, alone, with a sore abdomen and a clearer head. A quarter-moon leaned small and cold in the sky above the glowing square windows of another wing of the hospital, and his position in the world and the universe seemed clear enough. His convalescence had begun.

In the five days that followed, he often wondered why he was so happy. Ever since childhood, after several of his classmates had been whisked away to hospitals and returned to school with proud scars on their lower abdomens, Carson had been afraid of appendicitis. At last, in his sixth decade, the long-dreaded had occurred, and he had comported himself, he felt, with passable courage and calm.

His scar was not the little lateral slit his classmates had
shown him but a rather gory central incision from navel down; he had been opened up wide, it was explained to him, on the premise that at his age his malady might have been anything from ulcers to cancer. The depth of the gulf that he had, unconscious, floated above thrilled him. There had been, too, a certain unthinkable intimacy. His bowels had been “handled,” the surgeon gently reminded him, in explaining a phase of his recuperation. Carson tried to picture the handling: clamps and white rubber gloves and something glistening and heavy and purplish that was his. His appendix had indeed been retrocecal—one of a mere ten percent so located. It had even begun, microscopic investigation revealed, to rupture. All of this retrospective clarification, reducing to cool facts the burning, undiscourageable demon he had carried, vindicated Carson. For the sick feel as shamed as the sinful, as fallen.

The surgeon, with his Ivy League bearing, receded from that moment of extreme closeness when he had bent above Carson’s agony and decided to handle his bowels. He dropped by in the course of his rounds only for brief tutorial sessions about eating and walking and going to the bathroom—all things that needed to be learned again. Others came forward. The slightly amused dark Slavic woman returned, to change his dressing, yanking the tapes with a, he felt, unnecessary sharpness. “You were too brave,” she admonished him, blaming him for the night when she had wanted to inflict more blood tests upon him. The shambling young doctor of that same night also returned, no longer in the slightest resembling the lawyer whom Carson’s daughter had spurned in favor of her own sex, and then the very blond one; there materialized a host of specialists in one department of Carson’s anatomy or another, so that he felt huge, like Gulliver pegged
down in Lilliput for inspection. All of them paid their calls so casually and pleasantly—just dropping by, as it were—that Carson was amazed, months later, to find each visit listed by date and hour on the sheets of hospital services billed to him in extensive dot-matrix printout—an old Centronics 739 printer, from the look of it.

Hospital life itself, the details of it, made him happy. The taut white bed had hand controls that lifted and bent the mattress in a number of comforting ways. A television set had been mounted high on the wall opposite him and was obedient to a panel of buttons that nestled in his palm like an innocent, ethereal gun. Effortlessly he flicked his way back and forth among morning news shows, midmorning quiz shows, noon updates, and afternoon soap operas and talk shows and reruns of classics such as Carol Burnett and
Hogan’s Heroes
. At night, when the visitors left the halls and the hospital settled in upon itself, the television set became an even warmer and more ingratiating companion, with its dancing colors and fluctuant radiance. His first evening in this precious room, while he was still groggy from anesthesia, Carson had watched a tiny white figure hit, as if taking a sudden great stitch, a high-arching home run into the second deck of Yankee Stadium; the penetration of the ball seemed delicious, and to be happening deep within the tiers of himself. He pressed the off button on the little control, used another button to adjust the tilt of his bed, and fell asleep as simply as an infant.

Normally, he liked lots of cover; here, a light blanket was enough. Normally, he could never sleep on his back; here, of necessity, he could sleep no other way, his body slightly turned to ease the vertical ache in his abdomen, his left arm at his side receiving all night long the nurturing liquids of the I.V. tube. Lights always burned; voices always murmured in the
hall; this world no more rested than the parental world beyond the sides of a crib.

In the depths of the same night when the home run was struck, a touch on his upper right arm woke Carson. He opened his eyes and there, in the quadrant of space where the rectangle of television had been, a queenly smooth black face smiled down upon him. She was a nurse taking his blood pressure; she had not switched on the overhead light in his room and so the oval of her face was illumined only indirectly, from afar, as had been the pieces of furniture in his hotel room. Without looking at the luminous dial of his wristwatch on the bedside table, he knew this was one of those abysmal hours when despair visits men, when insomniacs writhe in an ocean of silence, when the jobless and the bankrupt want to scream in order to break their circular calculations, when spurned lovers roll from an amorous dream onto empty sheets, and soldiers abruptly awake to the metallic taste of coming battle. In this hour of final privacy she had awakened him with her touch. No more than a thin blanket covered his body in the warm, dim room.
I forgive you
, her presence said. She pumped up a balloon around his arm, relaxed it, pumped it up again. She put into Carson’s mouth one of those rocket-shaped instruments of textured plastic that have come to replace glass thermometers, and while waiting for his temperature to register in electronic numbers on a gadget at her waist she hummed a little tune, as if humorously to disavow her beauty, that beauty which women have now come to regard as an enemy, a burden and cause for harassment. Carson thought of his daughter.

Although many nurses administered to him—as he gained strength he managed to make small talk with them even at four in the morning—this particular one, her perfectly black
and symmetrical face outlined like an eclipsed sun with its corona, never came again.

“Walk,” the surgeon urged Carson. “Get up and walk as soon as you can. Get that body moving. It turns out it wasn’t the disease used to kill a lot of people in hospitals, it was lying in bed and letting the lungs fill up with fluid.”

Walking meant, at first, pushing the spindly, rattling I.V. pole along with him. There was a certain jaunty knack to it—easing the wheels over the raised metal sills here and there in the linoleum corridor, placing the left hand at the balance point he thought of as the pole’s waist, swinging “her” out of the way of another patient promenading with his own gangling chrome partner. From observing other patients Carson learned the trick of removing the I.V. bag and threading it through his bathrobe sleeve and rehanging it, so he could close his bathrobe neatly. His first steps, in the moss-green sponge slippers the hospital provided, were timid and brittle, but as the days passed the length of his walks increased: to the end of the corridor, where the windows of a waiting room overlooked the distant center of the city; around the corner, past a rarely open snack bar, and into an area of children’s diseases; still farther, to an elevator bank and a carpeted lounge where pregnant women and young husbands drank Tab and held hands. The attendants at various desks in the halls came to know him, and to nod as he passed, with his lengthening stride and more erect posture. His handling of the I.V. pole became so expert as to feel debonair.

His curiosity about the city revived. What he saw from the window of his own room was merely the wall of another wing of the hospital, with gift plants on the windowsills and here
and there thoughtful bathrobed figures gazing outward toward the wall of which his own bathrobed figure was a part. From the windows of the waiting room, the heart of the city with its clump of brown and blue skyscrapers and ribbonlike swirls of highway seemed often to be in sunlight, while clouds shadowed the hospital grounds and parking lots and the snarl of taxis around the entrance. Carson was unable to spot the hotel where he had stayed, or the industrial district where he had hoped to sell his systems, or the art museum that contained, he remembered reading, some exemplary Renoirs and a priceless Hieronymus Bosch. He could see at the base of the blue-brown mass of far buildings a suspension bridge, and imagined the dirty river it must cross, and the eighteenth-century fort that had been built here to hold the river against the Indians, and the nineteenth-century barge traffic that had fed the settlement and then its industries, which attracted immigrants, who thrust the grid of city streets deep into the surrounding farmland.

This was still a region of farmland; thick, slow, patient, pious voices drawled and twanged around Carson as he stood there gazing outward and eavesdropping. Laconic, semi-religious phrases of resignation fell into place amid the standardized furniture and slippered feet and pieces of jigsaw puzzles half assembled on card tables here. Fat women in styleless print dresses and low-heeled shoes had been called in from their kitchens, and in from the fields men with crosshatched necks and hands that had the lumpy, rounded look of used tools.

Illness and injury are great democrats, and had achieved a colorful cross section. Carson came to know by sight a lean man with cigar-dark skin and taut Oriental features; his glossy shaved head had been split by a Y-shaped gash now held together
by stitches. He sat in a luxurious light-brown, almost golden robe, his wounded head propped by a hand heavy with rings, in the room with the pregnant women and the silver elevator doors. When Carson nodded once in cautious greeting, this apparition said loudly, “Hey, man,” as if they shared a surprising secret. Through the open doorways of the rooms along the corridors, Carson glimpsed prodigies—men with beaks of white bandage and plastic tubing, like those drinking birds many fads ago; old ladies shrivelling to nothing in a forest of flowers and giant facetious get-well cards; and an immensely plump mocha-colored woman wearing silk pantaloons and a scarlet Hindu dot in the center of her forehead. She entertained streams of visitors—wispy, dusky men and great-eyed children. Like Carson, she was an honorary member of the city, and she would acknowledge his passing with a languid lifting of her fat fingers, tapered as decidedly as the incense cones on her night table.

BOOK: Trust Me
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