from Legerdemainia
Copyright 2008 by Ron Sanders
Library Of Congress catalogue no. available
on request
A Deeper Cut
That’s
what they told him, anyway.
He’d
been waiting in line like everyone else, and next thing he knew he was the center
of attention for a ring of bystanders, a pair of old ladies were rubbing his
arms, and the bank manager was asking if he needed an ambulance.
The
worst part, initially, was the embarrassment. But on the drive home an icy fear
crimped the back of his neck, made his shoulders lock up and his elbows seize,
made his hands sweat all over the wheel. What if it happened again? What if it
happened while driving? He could be barreling along nicely, completely absorbed
in the intricacies of lane surfing, and—BAM: dead man. Or find he’d
unconsciously plowed though a crosswalk full of horrified lunchtime toddlers.
Splattered innocence, crippled joy. The image was so appalling
He
pulled over with excessive caution; using only the rear-view mirror lest, in
looking back for even a moment, some inexplicable mini-seizure should send him
hurtling into a compound bloody fireball. Perspiration bathed his face and
chest. He’d always been the healthiest of men; didn’t drink,
didn’t touch drugs, didn’t over-exert. Gradually the tremors
passed. But not the terror; it was a vital shadow in the center of his skull.
“Your
scans are clean,” Dr. Goodman beamed. The clipboard, facing away, would
not elaborate. “I think we can cheerfully write off the cause of this
visit as one of those little anomalies that pop into our lives, shake us up a
bit to give our egos some perspective, and then pop right back out as though
nothing occurred. And who knows? Maybe nothing did. Sometimes nature just drops
the ball for no apparent reason. I like to compare the body to a complex harp
with one or more strings always out of tune, and hard work and healthful living
as the elements that retune those—Mr. Devon?”
Goodman’s
entire demeanor had changed. He
tapped his pencil on the clipboard—thuda-thuda-thud—little alien heartbeats in rubber on pressed
cork. “You’ve heard of narcolepsy, Mr. Devon? Once we’ve
ruled out the obvious—epilepsy, tumor, arrhythmia—we have to rely
on conjecture, which, in a mature practice, comes down to empiricism rather
than guesswork. What I’m trying to say is: symptoms are templates. Narcolepsy is a
known condition, but it’s not a common one. I’m not going to beat
around the bush here. In narcolepsy, the brain’s steady-state waking
electrical activity is abruptly interrupted—the subject goes to sleep on
the spot, rather than drifting away naturally. Why? The current’s been
cut off, the lights shut down. Why?
We don’t know yet; and there’s that dreadful non-answer which
seems, to the anxious layperson, an evasion rather than a helpful response. But
it’s all we’ve got. That, and a medication I’m prescribing.
Don’t worry about the endless string of Latin syllables. Although still
in the experimental stage, it shows tremendous promise in the short-term.
However, there’s a caveat:
you must be prudent in your approach to everyday activities whenever a
recurrence might prove injurious to yourself or to others, and you must curtail
these activities any time you experience symptoms that are in any way out of
the ordin—”
“Mr.
Devon?” Goodman’s smile was frayed around the edges. “Are you
feeling all right now? We were discussing your prescription when you appear to
have remissed momentarily. I’ve checked your vitals and you’re good
as gold. The episode was very brief, yet it absolutely confirms my immediate
diagnosis of narcolepsy.” He nervously drummed his fingers on the
clipboard. “Miss Aines is going to administer a single dose of your
prescription, and you are thereafter not to approach the medication without my
approval over the phone. As I said, it’s experimental, but entirely safe.
Then I want you to go home and take a load off—a load off your mind as
well as your feet. I’d prefer you walk rather than use a cab or bus.
Moderate exercise is always a precursor to healthful recovery.” He pulled
open the door, hesitating halfway. “If you experience a recurrence, or
become morbidly anxious, or entertain any weird, traumatic sense of alienation,
I want you to give me a call right away. Miss Aines will produce my home and
cell numbers as soon as you’ve received your medication and taken that
single dose.” He smiled genially while ushering
Strangest
thing.
How
can a man know what’s going on
around him, behind him, within him—when he can’t see or feel a
thing?
“Sir?”
A thumb peeled back
Two
strong hands gripped his biceps. “You’ll have to remain quiet, sir.
Until you’ve been thoroughly examined you’re under our supervision.
It won’t be long. There’s the hospital now. We’re pulling up
to emergency. Try to stay calm.”
“I
can’t be strapped down. That’s what they want.”
The paramedic rattled a prescription
bottle. “The label reads fifty. The count is forty-nine. I’d call
yours a pretty extreme reaction. Now just relax.”
The
van stopped with the gentlest jolt. A moment later the rear doors swung open,
and the paramedic said, softly, “You’re under restraint only for
your own safety, okay? We can’t have you blacking out and rolling off the
gurney now, can we, Mr.
A
hydraulic whine, a rocking and settling. A new voice said, “Okay to
roll.”
The
bright assault of antiseptic fluorescence made
The
electrical activity,
“Well,
I’m taking him off the
medication, at least for the present, and I don’t give a good holy crap
what you or Lancet have to say on the matter, is that clear enough for you? As
of right now he’s under our care. Your prescription arguably precipitated
this patient’s arrival, and there’s absolutely no reason to believe
it’s mitigating his condition in the least. Fine. You can talk to the
coordinator in the morning. I’m presently handling Mr. Devon, and this
conversation is officially concluded. Now go back to sleep!”
“Mr.
Devon, you’re doing great. You’ve been through a bit of a scare,
but there’s no reason to worry. Your provider has authorized any
necessary procedures, though I’m confident we’ve no cause for
alarm.” He raised
“No,
please . . . give me something that’ll help me stay awake. They’re
getting closer. If I fall asleep they’ll be right back in.”
Dr.
Grant stood quietly, his expression sour. “Who’s getting
closer?”
Facets
of his identity were falling like flakes of dandruff. Memories were being
stripped, copied, filed;
“The
more you fight me,” snarled the security guard, “the harder I fight
back. You got that?” He shoved
“Listen
to me!”
The guard sneered over his shoulder.
“I’ll give you
something.” He pressed the intercom’s call button. “Security
on floor one, east wing. I have a disturbed patient who somehow got out into
the hall. Not a biggie, but Riley and Forbes, I’d like you to
assist.”
The feelers were in. He was going. A great company was in his skull; a kind of delirious clamor and buzzing crescendo.