She keeps her eye on the puddle, not turning to McMurphy. “Mr. Sefelt is an epileptic, Mr. McMurphy. This means he may be subject to seizures like this at any time if he doesn’t follow medical advice. He knows better. We’d told him this would happen when he didn’t take his medication. Still, he will insist on acting foolish.”

Fredrickson comes out of the line with his eyebrows bristling. He’s a sinewy, bloodless guy with blond hair and stringy blond eyebrows and a long jaw, and he acts tough every so often the way Cheswick used to try to do — roar and rant and cuss out one of the nurses, say he’s gonna leave this stinkin’ place! They always let him yell and shake his fist till he quiets down, then ask him if you are through, Mr. Fredrickson, we’ll go start typing the release — then make book in the Nurses’ Station how long it’ll be till he’s tapping at the glass with a guilty look and asking to apologize and how about just forgetting those hotheaded things he said, just pigeonhole those old forms for a day or so, okay?

He steps up to the nurse, shaking his fist at her. “Oh, is that it? Is that it, huh? You gonna crucify old Seef just as if he was doing it to spite you or something?”

She lays a comforting hand on his arm, and his fist unrolls.

“It’s okay, Bruce. Your friend will be all right. Apparently he hasn’t been swallowing his Dilantin. I simply don’t know what he is doing with it.”

She knows as well as anybody; Sefelt holds the capsules in his mouth and gives them to Fredrickson later. Sefelt doesn’t like to take them because of what he calls “disastrous side effects,” and Fredrickson likes a double dose because he’s scared to death of having a fit. The nurse knows this, you can tell by her voice, but to look at her there, so sympathetic and kind, you’d think she was ignorant of anything at all between Fredrickson and Sefelt.

“Yeahhh,” says Fredrickson, but he can’t work his attack up again. “Yeah, well, you don’t need to act like it was as simple as just take the stuff or don’t take it. You know how Seef worries about what he looks like and how women think he’s ugly and all that, and you know how he thinks the Dilantin—”

“I know,” she says and touches his arm again. “He also blames his falling hair on the drug. Poor old fellow.”

“He’s not that old!”

“I know, Bruce. Why do you get so upset? I’ve never understood what went on between you and your friend that made you get so defensive!”

“Well, heck, anyway!” he says and jams his fists in his pockets.

The nurse bends over and brushes a little place clean on the floor and puts her knee on it and starts kneading Sefelt back to some shape. She tells the black boy to stay with the poor old fellow and she’ll go send a Gurney down for him; wheel him into the dorm and let him sleep the rest of the day. When she stands she gives Fredrickson a pat on the arm, and he grumbles, “Yeah, I have to take Dilantin too, you know. That’s why I know what Seef has to face. I mean, that’s why I — well, heck—”

“I understand, Bruce, what both of you must go through, but don’t you think anything is better than that?”

Fredrickson looks where she points. Sefelt has pulled back halfway normal, swelling up and down with big wet, rattling breaths. There’s a punk-knot rising on the side of his head where he landed, and a red foam around the black boy’s stick where it goes into his mouth, and his eyes are beginning to roll back into the whites. His hands are nailed out to each side with the palms up and the fingers jerking open and shut, just the way I’ve watched men jerk at the Shock Shop strapped to the crossed table, smoke curling up out of the palms from the current. Sefelt and Fredrickson never been to the Shock Shop. They’re manufactured to generate their own voltage, store it in their spines and can be turned on remote from the steel door in the Nurses’ Station if they get out of line — be right in the best part of a dirty joke and stiffen like the jolt hit square in the small of the back. It saves the trouble of taking them over to that room.

The nurse gives Fredrickson’s arm a little shake like he’d gone to sleep, and repeats, “Even if you take into consideration the harmful effects of the medicine, don’t you think it’s better than that?”

As he stares down at the floor, Fredrickson’s blond eyebrows are raised like he’s seeing for the first time just how he looks at least once a month. The nurse smiles and pats his arm and heads for the door, glares at the Acutes to shame them for gathering around watching such a thing; when she’s gone, Fredrickson shivers and tries to smile.

“I don’t know what I got mad at the old girl about — I mean, she didn’t do anything to give me a reason to blow up like that, did she?”

It isn’t like he wants an answer; it’s more sort of realizing that he can’t put his finger on a reason. He shivers again and starts to slip back away from the group. McMurphy comes up and asks him in a low voice what is it they take?

“Dilantin, McMurphy, an anti-convulsant, if you must know.”

“Don’t it work or something?”

“Yeah, I guess it works all right — if you take it.”

“Then what’s the sweat about taking it or not?”

“Look, if you must know! Here’s the dirty sweat about taking it.” Fredrickson reaches up and grabs his lower lip between his thumb and finger, pulls it down to show gums ragged and pink and bloodless around long shiny teeth. “Your gungs,” he says, hanging onto the lip. “Dilantin gnakes your gungs rot. And a seizure gnakes you grit your teeth. And you—”

There’s a noise on the floor. They look to where Sefelt is moaning and wheezing, just as the black boy draws two teeth out with his taped stick.

Scanlon takes his tray and walks away from the bunch, saying, “Hell of a life. Damned if you do and damned if you don’t. Puts a man in one confounded bind, I’d say.”

McMurphy says, “Yeah, I see what you mean,” looking down into Sefelt’s gathering face. His face has commenced to take on that same haggard, puzzled look of pressure that the face on the floor has.

20

Whatever it was went haywire in the mechanism, they’ve just about got it fixed again. The clean, calculated arcade movement is coming back: six-thirty out of bed, seven into the mess hall, eight the puzzles come out for the Chronics and the cards for the Acutes. in the Nurses’ Station I can see the white hands of the Big Nurse float over the controls.

21

They take me with the Acutes sometimes, and sometimes they don’t. They take me once with them over to the library and I walk over to the technical section, stand there looking at the titles of books on electronics, books I recognize from that year I went to college; I remember inside the books are full of schematic drawings and equations and theories — hard, sure, safe things.

I want to look at one of the books, but I’m scared to. I’m scared to do anything. I feel like I’m floating in the dusty yellow air of the library, halfway to the bottom, halfway to the top. The stacks of books teeter above me, crazy, zig-zagging, running all different angles to one another. One shelf bends a little to the left, one to the right. Some of them are leaning over me, and I don’t see how the books keep from falling out. It goes up and up this way, clear out of sight, the rickety stacks nailed together with slats and two-by-fours, propped up with poles, leaning against ladders, on all sides of me. If I pulled one book out, lord knows what awful thing might result.

I hear somebody walk in, and it’s one of the black boys from our ward and he’s got Harding’s wife with him. They’re talking and grinning to each other as they come into the library.

“See here, Dale,” the black boy calls over to Harding where he’s reading a book, “look here who come to visit you. I tole her it wun’t visitin’ hours but you know she jus’ sweet-talk me into bringin’ her right on over here

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