Here's one to grow on. And she lay in a bed all day long, blind and senile, wearing large diapers and rubber pants, unable to remember what breakfast had been but able to recite all the Presidents right up to Ike. And so the three generations of them had lived together in that house where he had so recently found the pills (although both grandparents are now long since dead) and at twelve he had been lipping off about something at the breakfast table, he doesn't remember what, but something, and his mother had been washing out her mother's pissy diapers and then running them through the wringer of her ancient washing machine, and she had turned around and laid into him with one of them, and the first snap of the wet, heavy diaper had upset his bowl of Special K and sent it spinning wildly across the table like a large blue tiddlywink, and the second blow had stropped his back, not hurting but stunning the smart talk out of his mouth and the woman now lying shrunken in this bed in this room had whopped him again and again, saying: You keep your big mouth shut, there's nothing big about you right now but your mouth and so you keep it shut until the rest of you grows the same size, and each italicized word was accompanied by a strop of his grandmother's wet diaper! - WHACKO!- and any other smart things he might have had to say just evaporated. There was not a chance in the world for smart talk. He had discovered on that day and for all time that there is nothing in the world so perfect to set a twelve-year-old's impression of his place in the scheme of things into proper perspective as being beaten across the back with a wet grandmother-diaper. It had taken four years after that day to relearn the art of smarting off.

She chokes on the water a little and it frightens him even though he has been thinking about giving her pills. He asks her again if she would like a cigarette and she says:

- If it's not any trouble. Then you better go. Maybe I'll be better tomorrow.

He shakes a Kool out of one of the packages scattered on the table by her bed and lights it. He holds it between the first and second fingers of his right hand, and she puffs it, her lips stretching to grasp the filter. Her inhale is weak. The smoke drifts from her lips.

- I had to live sixty years so my son could hold my cigarettes for me.

- I don't mind.

She puffs again and holds the filter against her lips so long that he glances away from it to her eyes and sees they are closed.

- Mom?

The eyes open a little, vaguely.

- Johnny?

Right.

- How long have you been here?

- Not long. I think I better go. Let you sleep.

- Hnnnnn.

He snuffs the cigarette in her ashtray and slinks from the room, thinking: I want to talk to that doctor. Goddamn it, I want to talk to the doctor who did that.

Getting into the elevator he thinks that the word 'doctor' becomes a synonym for 'man' after a certain degree of proficiency in the trade has been reached, as if it was an expected, provisioned thing that doctors must be cruel and thus attain a special degree of humanity. But

'I don't think she can really go on much longer,' he tells his brother later that night. His brother lives in Andover, seventy miles west. He only gets to the hospital once or twice a week.

'But is her pain better?' Kev asks.

'She says she itches.' He has the pills in his sweater pocket. His wife is safely asleep. He takes them out, stolen loot from his mother's empty house, where they all once lived with the grandparents. He turns the box over and over in his hand as he talked, like a rabbit's foot.

'Well then, she's better.' For Kev everything is always better, as if life moved towards some sublime vertex. It is a view the younger brother does not share.

'She's paralyzed.'

'Does it matter at this point?'

'Of course it matters!' he bursts out, thinking of her legs under the white ribbed sheet.

'John, she's dying.'

'She's not dead yet.' This in fact is what horrifies him. The conversation will go around in circles from here, the profits accruing to the telephone company, but this is the nub. Not dead yet. Just lying in that room with a hospital tag on her wrist, listening to phantom radios up and down the hail. And she's going to have to come to grips with time, the doctor says. He is a big man with a red, sandy beard. He stands maybe six foot four, and his shoulders are heroic. The doctor led him tactfully out into the hall when she began to nod off.

The doctor continues:

- You see, some motor impairment is almost unavoidable in an operation like the 'cortotomy'. Your mother has some movement in the left hand now. She may reasonably expect to recover her right hand in two to four weeks.

- Will she walk?

The doctor looks at the drilled-cork ceiling of the corridor judiciously. His beard crawls all the way down to the collar of his plaid shirt, and for some ridiculous reason Johnny thinks of Algernon Swinburne; why, he could not say. This man is the opposite of poor Swinburne in every way.

- I should say not. She's lost too much ground.

- She's going to be bedridden for the rest of her life?

- I think that's a fair assumption, yes.

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