Dissolve some Advil in it, ibuprofen — anything.”

She didn’t move. She stood there staring, worrying. “Aren’t you even a little better…?”

Her timidity, which normally aroused strong protective instincts in him, now moved him only to rage. “Ann- Marie, get me some goddamn water, and then take the kids outside or something but keep them the hell away from me!”

She scurried away in tears.

When Ansel heard them go outside into the darkened backyard, he ventured downstairs, walking with one hand clamped on the handrail. She had left the glass on the counter next to the sink, set on a folded napkin, dissolved pills clouding the water. He brought the glass to his lips two-handedly and forced himself to drink. He poured the water into his mouth, giving his throat no choice but to swallow. He got some of it down before gagging on the rest of the contents, coughing onto the sink window overlooking the backyard. He gasped as he watched the splatter drip down the glass pane, distorting his view of Ann-Marie standing behind the kids on the swings, staring off into the darkened sky, breaking her crossed arms only occasionally to push low-swinging Haily.

The glass slipped from his hand, spilling into the sink. He left the kitchen for the living room, dropping onto the sofa there in a kind of a stupor. His throat was engorged and he felt sicker than ever.

He had to return to the hospital. Ann-Marie would just have to make it on her own for a little while. She could do it if she had no choice. Maybe it would even end up being good for her…

He tried to focus, to determine what needed to be done before he left. Gertie came into the doorway, panting softly. Pap entered behind her, stopping near the fireplace, settling down into a crouch. Pap started a low, even growl, and the thumping noise surged in Ansel’s ears. And Ansel realized: the noise was coming from them.

Or was it? He got down off the sofa, moving over toward Pap on his hands and knees, getting closer to hear. Gertie whimpered and retreated to the wall, but Pap held his unrelaxed crouch. The growl intensified in the dog’s throat, Ansel grasping his collar just as the dog tried to back up onto its feet and get away.

Thrum…Thrum…Thrum…

It was in them. Somehow. Somewhere. Some thing.

Pap was pulling and whimpering, but Ansel, a big man who rarely had to use his strength, curled his free arm around the Saint Bernard’s neck, holding him in a canine headlock. He pressed his ear to the dog’s neck, the hair of its fur tickling the inside of his auditory canal.

Yes. A thrumming pulse. Was it the animal’s circulating blood?

That was the noise. The yelping dog strained to get away, but Ansel pressed his ear harder against the dog’s neck, needing to know.

“Ansel?”

He turned fast — too fast, a blinding shot of white pain — and saw Ann-Marie at the door, Benjy and Haily behind her. Haily was hugging her mother’s leg, the boy standing alone, both of them staring. Ansel’s grip relaxed and the dog pulled away.

Ansel was still on his knees. “What do you want?” he yelled.

Ann-Marie stayed frozen in the doorway, in a trance of fear. “I’m…I don’t…I’m taking them for a walk.”

“Fine,” he said. He wilted a little under the gaze of his children, another choke from his throat making him rasp. “Daddy’s fine,” he told them, wiping off spit with the back of his hand. “Daddy’s going to be fine.”

He turned his head toward the kitchen, where the dogs were. All the make-nice thoughts faded under the resurgent thrumming. Louder than before. Pulsating.

Them.

A nauseous shame rose up within him, and he shuddered, then put a fist to his temple.

Ann-Marie said, “I’ll let the dogs out.”

“No!” He caught himself, holding out an open palm to her from where he knelt on the living room floor. “No,” he said, more evenly. He tried to catch his breath, to seem normal. “They’re fine. Leave them in.”

She hesitated, wanting to say more. To do something, anything. But in the end, she turned and went out, pulling Benjy after her.

Ansel used the wall to get to his feet and walk to the first-floor bathroom. He pulled the string light on over the mirror, wanting to stare into his own eyes. Glowering, red-veined eggs of sallow ivory. He swiped perspiration from his forehead and upper lip and opened his mouth to try and look down his own throat. He expected to see inflamed tonsils, or some kind of white-bump rash, but it only looked dark. It hurt to raise his tongue, but he did, looking underneath. The pad beneath was scarlet and sore, and angry red, glowing hot the way a charcoal glows. He touched it and the pain was brain-splittingly raw, riding out along both sides of his jaw, straining the cords in his neck. His throat bucked in protest, issuing a harsh, barking cough that hacked dark specks onto the mirror. Blood, mixed with something white, maybe phlegm. Some spots were closer to black than others, as though he had brought up some solid residue, like rotten bits of himself. He reached for one of those dark nuggets, smearing the chunk off the glass and onto the tip of his middle finger. He brought it to his nose, sniffing it, then rubbed it with his thumb. It was like a discolored clot of blood. He brought it to the tip of his tongue, and before he knew it, he was tasting it. He swirled the small, soft mass inside his mouth, and then, once it dissipated, swiped another spot off the glass, tasting that one too. Not much taste, but there was something about the sensation on his tongue that was almost healing.

He leaned forward, licking the bloody stains off the cool glass. It should have hurt his tongue to do this, but, on the contrary, the soreness in his mouth and throat had abated. Even that most tender part underneath his tongue — the pain was reduced to a tingle. The thrumming sound also faded, though never completely went away. He looked at his reflection in the red-smeared mirror and tried to understand.

This respite was maddeningly brief. The tightness, like having his throat wrung by powerful hands, resurged, and he pulled his gaze away from the mirror, lurching out into the hallway.

Gertie whined and back-stepped down the hall, away from him, trotting into the living room. Pap was scratching at the back door, wanting to get out. When he saw Ansel coming into the kitchen, he scooted away. Ansel stood there, his throat throbbing, then reached into the dogs’ cabinet, pulling down the box of Milk-Bone treats. He jammed one between his fingers, as he usually did, and went into the living room.

Gertie was lying on the wood landing at the bottom of the stairs, paws out, ready to spring away. Ansel sat down on his footstool and waved the treat. “Come on, baby,” he said, in a heartless whisper that grated against his soul.

Gertie’s leathery nostrils flared, sniffing at the scent in the air.

Thrum…thrum…

“Come on, girl. Get your treat.”

She pushed up slowly onto all fours. She took one small step forward, then stopped again and sniffed. She knew instinctively that there was something wrong with this bargain.

But Ansel held the cookie still, which seemed to reassure her. She padded slowly over the rug, head low, eyes alert. Ansel nodded his encouragement, the thrumming intensifying in his head as she approached.

He said, “Come on, Gertie, old girl.”

Gertie came up and swiped the cookie once with her thick tongue, catching some of his finger. She did this again, wanting to trust him, wanting the treat. Ansel brought out his other hand and laid it on top of her head, stroking her as she liked him to. Tears sprang out of his eyes as he did this. Gertie leaned forward to close her teeth on the treat, taking it from his fingers, and that was when Ansel grabbed her collar and fell upon her with all his weight.

The dog struggled beneath him, snarling and trying to bite him, her panic giving his rage a focus. He forced back her lower jaw with his hand, effectively shutting her mouth by raising her head, then brought his mouth to her furry neck.

He tore in. He bit through her silky, slightly greasy coat, opening a wound. The dog howled as he tasted her fur, the texture of her thick soft flesh vanishing quickly under a hot surge of blood. The pain of his biting pushed Gertie into a frenzy beneath him, but Ansel held his grip, forcing the dog’s big head even higher, fully exposing the neck.

He was drinking the dog. Somehow drinking without swallowing. Ingesting. As though there were some new mechanism of which he was not aware working in his throat. He could not understand it; he only understood the

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