It had to be a world without sex, or even love, those very human needs which can destroy promising young lives and rewarding careers. More importantly: Without love there can be no loss; without sex, no sex crimes. A world without even water, which might be used for sprinkling lawns!

There would be no currency of any kind in this idealized place, the need for which kept Robert out of college and forced him to spend his life destroying the creatures he loved, the same kind of work that had killed his father. As a corollary, no animals would be slaughtered or otherwise exploited on his idyllic planet.

His world would be one without God or any form of religion. Such beliefs had prevented Sarah from using birth control devices, and then had stigmatized the 'mixed marriage' in the eyes of the community. Without religion such difficulties could never arise. He may also have reasoned that what happened to Robert's wife and child, and his father as well, argued against the existence of God.

Finally, it had to be a world without schools, without countries, without governments or laws, all of which prot saw as doing little, if anything, to solve Robert's personal and social problems. None of the beings on his idealized planet were driven by the forces of ignorance and greed that, in his eyes, motivate human beings here on Earth.

I was puzzled at first by the question: Given his intolerable situation, why didn't Robert move with his pregnant wife to another part of the state or country, both for work and to escape the local bigotry? It was Giselle, a small town girl herself, who reminded me that young people all over America, trapped by family ties and economic need, accept jobs they abhor and stay put for the rest of their lives, benumbing themselves on their off hours with beer and sports and soap operas. But, despite this dreary prospect, it is possible that without the terrible events of August sixteenth through seventeenth, 1985, Robert and his wife and daughter might have enjoyed a reasonably happy life together. They certainly maintained strong family ties, both with one another and with their respective kin. But something did happen that day, something so devastating as to deal the final blow to Robert's psyche. He called on his alter ego one last time to help him deal with that unspeakable horror.

But this time prot was unable to heal the wounds, at least not anywhere on Earth, where rape and murder are of no more consequence than last night's television shows. In prot's mind the only place where one could deny such horrible crimes was the imaginary world he had created, where. violence and death are not a way of life. A beautiful planet called K-PAX, where life is virtually free of pain and sorrow.

He spent the next five years trying to convince Robert to go there with him. Instead, devastated by grief and guilt, he retreated farther and farther into his own inner world, where even prot could not follow.

Why prot chose to 'return' after exactly that period of time is unclear, particularly in view of the fact that his earlier visits were of much shorter duration. He may have realized that it would take considerable time to convince Robert to accompany him on his return, discovering finally that even the allotted five years wouldn't be enough. In any case prot did, indeed, depart this Earth (for all practical purposes) at the appointed time, and Robert is still with us in Ward 3B.

The staff and patients bring him fruit every day, and recently I brought in a Dalmatian puppy, who never leaves his side except for romps on the back forty, all of which he ignores. Hoping to stimulate his curiosity I tell him about all the new patients who have arrived over the past few years, including a brand-new Jesus Christ, whom Russell welcomed to Ward Two with, 'I was you, once.' Upon arrival all of them are told 'the legend of K-PAX,' which, along with the gossamer thread, brings smiles and hope and makes our job a little easier.

I also keep Robert up to date on the activities of Ernie and Howie, both of whom have been released and are leading highly productive lives, Ernie as a city-employed counselor for the homeless and Howie as a violinist with a New York-based chamber ensemble. The former, who until recently had never even kissed a woman for fear of contamination, is now engaged to be married. Both stop by MPI frequently to say hello to me and to Robert and the other patients, and Howie has performed for all of us on a number of occasions.

I've told him also about the wedding of Chuck and Mrs. Archer, who are happily sharing a room in Ward Two, not because they have to remain on that floor but because they choose to wait there for prot's return. Mrs. A, who is no longer called 'the Duchess,' looks much younger now, but I'm not sure whether it's because of the marriage or her giving up smoking. And about their 'adopting' Maria, who has moved into a convent in Queens and is the happiest novice out there. She is totally free of headaches and insomnia, and none of her secondary identities has put in an appearance since she left the hospital.

Russell comes to pray with Robert daily. He has recovered completely from the surgical removal of a golf ballsize tumor in his colon, and so far there has been no sign of a recurrence.

Ed is doing well, too. There have been few violent episodes since prot's departure, all minor, and he has been transferred to Ward Two. He spends most of his time working in the flower gardens with La Belle Chatte.

All of them are waiting patiently for prot's return and the journey to K-PAX. Except for Whacky, who was recently reunited with his former fiancee when her husband was returned to prison for a lengthy stay. To my knowledge no one has told Robert about this, but perhaps, as prot undoubtedly would have, he just knows.

Perhaps he knows also that Mrs. Trexler is retired now. On my recommendation she has been seeing a psychoanalyst, and she tells me she is more at peace with herself than she has been in decades.

And that Betty McAllister became pregnant shortly before prot's departure, and is now the mother of triplets. Whether he had anything to do with this I can't say.

Of course I've also told him about my daughter Abby's new job, now that her kids are both in school, as editor of the Princeton-based Animal Rights Forum-prot would have liked that. And about Jenny, now a resident in internal medicine at Stanford, who plans to stay in California to work with AIDS patients in the San Francisco area. Her sexual preference and disinclination to produce grandchildren for us seems of microscopic importance compared to her dedication to helping others, and I am very proud of her, As I am of Freddy, who is appearing at the time of this writing in a Broadway musical. He lives in Greenwich Village with a beautiful young ballerina, and we've seen more of him in the last year than in all those he was an airline pilot combined.

But I'm proudest of all of Will (he doesn't want to be called 'Chip' anymore), who has taken an interest in Bill and Eileen Siegel's daughter and calls her every day, much to the delight of the phone company. I have brought him to the hospital once or twice to show him what his old man does for a living, but when he met Giselle he decided he wanted to become a journalist. We are very close now, much more so than I was with Fred and the girls. For that, as with so many other things, I have prot to thank.

And of course I brag about my two grandsons, whom I get to see quite often-they are Shasta's favorite visitors and who are the smartest and nicest kids I've ever known, with the possible exception of my own children. I'm proud of all of them.

I gave up the chairmanship to Klaus Villers. Despite his decree limiting the number of cats and dogs in the hospital to six per floor he is doing a far better job than I ever could have. Now, unencumbered by all administrative duties and the radio talk show and as much of the other extraneous baggage as possible, I spend my working hours with my patients, and most of my free time with my family. I no longer sing at the hospital Christmas party, but my wife insists I continue to do so in the shower-she says she can't sleep otherwise. We both know I'm no Pavarotti, but I still think I sound a lot like him, and perhaps that's all that matters.

I wish I could tell Robert that Bess is all right, but she has never turned up, nor have the flashlight, mirror, box of souvenirs, etc., and we have no idea as to her whereabouts. If you see a young black woman with a pretty face, perhaps sitting on a park bench hugging herself and rocking, please help her if you can and let us know where she is.

And of course I dearly wish I could tell him where his friend prot has gone. I have played for him all the tapes of our sessions together, but there is no sign of comprehension on his part. I tell him to wait a little longer, that prot has promised to return. He hears all this, curled up on his cot like some chrysalis, without batting an eye. But perhaps he understands.

Will prot ever show up again? And how did he get from his room to Bess's under our very noses? Did this involve a kind of hypnosis on his part, or a similar ability we don't comprehend? We may never know. I fervently wish I could talk with him again, just for a little while, to ask him all the questions I never got the chance to ask before. I still think we could have learned a great deal more from prot and, perhaps, from all our patients. As the cures to many of our physical ailments may be waiting for us in the rain forests, so may the remedies for our social ills lie in the deepest recesses of our minds. Who knows what any of us could do if we were able to concentrate our thoughts with prot's degree of intensity, or if we simply had sufficient willpower? Could we, like him, see ultraviolet light if we wanted to badly enough? Or fly? Or outgrow our 'childhood' and create a better world for all the inhabitants of the EARTH?Perhaps he will return some day. By his own calculations he is due again soon. Giselle,

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