Mr. Keane nodded. They passed the church and the school, the row of shops. From the backseat, Mary said, “I think Susan and Annie actually left for school early this morning. They said they wanted to see the juniors get their rings.”

Mr. Persichetti turned a little in his seat. “That’s a first, hey?” he said.

“They’re the big shots this year,” John Keane said. “They think they run the place.” He touched his turn signal, pulled cautiously into the mid-morning traffic. “Next year they’ll be lowly freshmen again.”

“Coeds,” Mr. Persichetti said. He was both poking fun at the word and revealing his pleasure in the thought. “Can you believe it? Those two? College girls.”

“Lord help the professors,” Mary Keane said.

“Lord help the boys,” Mr. Persichetti said with a laugh because girl children went off, but they also came back. They were a comfort in your old age, in your sorrow over lost sons.

The three of them rode silently for a while, looking out at the passing homes.

As they neared the hospital, Mr. Persichetti sat forward, a hand on the dashboard, showing John Keane where to park. “It’s short-term,” he said. “But then when she’s ready you can pull right up to the door.”

Inside, he took them just where they needed to go. In his element, Mary Keane would have said, walking them assuredly through the halls to the desk where the paperwork was waiting and an orderly talking to another nurse looked up and waved and said, “What’s a matter? You’re back already? They didn’t let you in at home?”

“Can’t get enough of this place,” Mr. Persichetti said, laughing. When the nurse said she’d call to have Pauline brought down, Mr. Persichetti waved her away from the phone and took Mary Keane’s arm. “We’ll get her,” he said gently. And to her husband, “We’ll go up and get her. It’ll be easier.”

The floor of the elevator was wet, with streaks of mud, as if people had been coming and going all night. Mr. Persichetti pushed some of the dirt with his shoe and said, “Sheesh,” disapproving. He pushed the button for Pauline’s floor and then looked up at the row of numbers, his hands in the pockets of his Windbreaker. He turned to Mary Keane as the elevator began to rise and said, “I’m the regular mayor of this place, you know,” and then, as if to prove his point, the elevator stopped and the doors slid open and another orderly appeared, a middle-aged black man, pushing a wheelchair in which a pale, dark-haired boy was slumped, his long thin arms raised before his bent head, waving. The black man said, in military parody, “Mr. Persichetti, sir,” and Mr. Persichetti held out a hand. “Darrin, my man,” he said. Then he grabbed the pale, yellowed hand of the boy in the wheelchair, gripped it firmly. “How you doing, Larry?” he said. The boy, head down, neck twisted, his mouth veiled with saliva, said a tortured, “Good. Real good.”

“Behaving yourself?” Mr. Persichetti asked. And the boy drew out a long, “Yes, yes.”

“Yeah, I bet you are,” Mr. Persichetti said sarcastically. He looked up at the orderly and winked, and then at Mary Keane, as if they were all in on some joke the young man would never understand. For a moment, she thought this cruel, or just childish, on Mr. Persichetti’s part, but as the elevator rose again, she saw how he kept the boy’s hand in his, clasping it between both of his own, and then, briefly, tightening his grip before letting go when the doors opened again. Alone with him once more, she said, “I don’t know how you do what you do.” But Mr. Persichetti only shrugged. “Oh, Larry’s a piece of work,” he said, refusing her the larger meaning.

The hallway on Pauline’s floor was no worse and no better than Mary Keane had imagined it would be. There were all the usual hospital smells, food and urine and disinfectant, along with the smell of the old building itself, a subway smell of dust and metal.

Some of the patients were in the hall, tied into wheelchairs. Old women, mostly, or so it seemed, hair streaming and yellowing eyes, glimpses, here and there, of bruised flesh under the limp white and speckled blue of the hospital gowns. “Hello,” one or two of them said as they passed by, Mr. Persichetti with his hand on her elbow. One or two of them called out a name. Mary Keane tried to smile at them all. “Hello,” she said, passing by. “How are you?” A lifetime of friendliness. A shout went up briefly, from one of the rooms, and then a low moaning. At the end of the hall there was a dull window of either smoked glass or grime, black wire inside its frame, and she had a moment of utter disorientation because although she knew they were on an upper floor, that the elevator they had just ridden had risen, she believed, for just a moment (perhaps it was the subway smell of the old tile walls), that they were underground.

Mr. Persichetti stopped briefly at the nurse’s station-she was glad for his hand on her arm-and then he led her down another corridor. She had some guilt that she had not visited Pauline before, not since the night she fell, that Pauline had been alone all these weeks in this place. But she knew too that she could not have done it, in the midst of all that these weeks had held. In this corridor, another woman, her dark skin stretched thinly over her bones, sat in a wheelchair with her head bent into one hand and her long fingers held up over her face, touching her eyes and her mouth. Her other hand, in her lap, was white-palmed, empty. She was the weary image of every sorrow women knew. Seeing her, Mary Keane felt herself absolved, at least briefly, of all she had neglected in these past weeks. Were she to bend down and speak to this woman she would say, “I have buried my child.” She would ask, “And you?”

“Here we are,” Mr. Persichetti said, and with his hand on her arm guided her into Pauline’s room. She was in a chair by another opaque window, crossed with wire. Her hair was longer than she usually kept it, swept back from her face and showing a good line of gray roots, but she looked well, even younger, perhaps-Mary was surprised to see it-than she had that last night at dinner. It might have been that she was more rested, or better fed. It might have been that she was no longer drinking (psychosis brought on by depression and alcoholism, was what they had said), although never in a million years would she have guessed that the drinking was a problem. It might simply have been, Mary Keane was suddenly sure it was true, that Pauline looked better without her makeup. Her complexion, she had always been glad to point out (usually just after Mary had complained about her own), had always been good.

She crossed the room and kissed Pauline on the cheek. There was only the hospital bracelet on her wrist. Not a hint of the broken nose. Or the shock treatment. “You look good,” she told her and Pauline said, as she might of old, “What’s new?”

Mary found herself speaking more loudly than she wanted to, the way you spoke, mostly inadvertently, to an invalid or a child. “We’re going to bring you back to our house, Pauline,” she said, leaning down to her in the chair. “You’re going to stay with us for a while.” Pauline nodded. Mary was surprised to see her fur-collared coat was laid out on the bed. Pauline was dressed in the clothes they had picked up for her when they emptied out her apartment, gray pants and a pale blue sweater, although someone had given her an old white cardigan as well, oversize and somewhat pilly. The only indication, perhaps, that Pauline had been changed.

“I know,” Pauline said. She looked to Mr. Persichetti, standing at the door. “Sam told me all about it.”

Mary turned to look at him over her shoulder. He shrugged, his hands in the pockets of his Windbreaker. “Oh, I’ve been stopping by,” he said. “Checking up on her. Seeing how she’s been doing.” He looked at Mary Keane. “Being the mayor and all,” he said. And then he added softly, “I knew you had your mind on other things.”

“That was good of you,” she said, and wanted to say more, but the floor nurse was bustling in with the wheelchair, shouting instructions, pulling prescriptions from her smock, referring to Pauline in the third person. Mr. Persichetti pushed the wheelchair back to the elevator, Pauline staring straight ahead as they passed through each corridor. “Goodbye,” Mary Keane said to the women who spoke to them. “Take care.” Pausing for a moment when a shuffling old woman suddenly clasped her hand, holding it between her own as Mr. Persichetti had done for the boy on the elevator. This woman was no older than she. Her blue eyes seemed to race back and forth across Mary Keane’s face as she told a nonsense tale-my sista, was all she could get, my motha, my sista-that grew more urgent as it grew more incomprehensible. The floor nurse stepped between them. “That’s enough, now, Marion,” she shouted. Mary Keane said, walking on, “I’ll pray for you.” The name of Saint Dymphna came to mind.

In the elevator, she resisted the memories the whiff of hospital food and of ether wanted to bring. She had been a patient herself only when her children were born, a visitor most recently when Michael had his tonsils out and Jacob had appendicitis and her husband had the surgery for the slipped disk. When her children were born, she recalled, they had marked each homecoming with a bakery cake, thick with sweet icing, and she felt some guilt again that she hadn’t thought to have anything special at home for Pauline.

When they were settled into John Keane’s car, she and Pauline in the backseat, the two men once again up front, Pauline said, “This is very nice of you,” and crossed her hands in her lap. In the pale light of day, she now seemed older without her makeup, with that sad line of gray along her temples and her forehead. Mary planned a trip to the beautician for both of them, lunch afterward, somewhere nice, a stroll through A amp;S. As the car pulled away and into the street, Pauline suddenly sat up, something brief and childlike in her eyes, a spark of fear

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