"Dr. Frederickson," the man said easily, coming around from behind his cart and extending a large, heavily muscled hand. His voice was high-pitched and carried just the trace of a lisp. His grip was firm. "It's a real pleasure to make your acquaintance; I've heard a lot about you. I'm Tommy Carling-one of Garth's nurses."
"I'm pleased to meet you, Mr. Carling."
"Please; call me Tommy."
"My friends, and people who take care of my brother, call me Mongo."
Carling smiled, revealing even, white teeth that looked as if they might have been capped, then pushed the cart next to Garth's bed. "Then I'd better start taking care of your brother, hadn't I, Mongo?"
I watched as Carling checked Garth's pulse, then examined the levels of the fluids in the bottles attached to the tube city that had grown up around Garth's bed. Next, he carefully removed the tubes from Garth's nose and the needles from the implants in his veins. This done, he pulled the sheet down to Garth's waist. He lathered my brother's face with shaving cream, then proceeded to shave him expertly with an old-fashioned bone-handled straight razor, occasionally rinsing the blade in the bowl of soapy water, drying it on a towel he wore draped over his shoulder. Tommy Carling, I thought, had a light, gentle touch, and he seemed fastidious and sincerely caring as he went about the business of tending to Garth. Garth, of course, wasn't about to lodge any complaints, and it was possible that the male nurse was putting on a good show for a relative and visitor-but I didn't think so.
I asked, "Are you permanently assigned to Garth?"
"When I'm on duty," Carling replied, carefully lifting
Garth's nose with his left thumb and forefinger in order to shave his upper lip.
"Good. I like your style."
Carling laughed easily. "My style? I haven't even finished shaving him."
"Still, I like what I see."
"Thank you."
"I hope I'm not in your way."
"Certainly not."
"I wanted to be here early, just in case Garth was. . awake. I guess I was being silly and overoptimistic. I guess you could say Garth is always awake-or always asleep, depending on how you look at it."
"A little optimism never hurt anybody, patient or relative," Carling said as he finished shaving Garth, wiped his face clean with a towel, then splashed on some English Leather cologne. Next, he proceeded to brush Garth's teeth, carefully massaging the gums with the rubber tip of the toothbrush. As he did so, he nodded toward the pass I had clipped to my shirt pocket. "Incidentally," he continued matter-of-factly, "with that ID, it's irrelevant whether or not you get in anybody's way. That particular piece of plastic entitles you to go anywhere you like, any time you like, and do whatever you want, just as long as it doesn't interfere with any patient's treatment. It's heavy."
"This badge is different from the usual visitor's badge?"
Carling laughed as he finished brushing Garth's teeth, then rubbed some astringent on the gums with the tip of his finger. "A regular visitor's pass is green, with a broad yellow stripe across it. It will get you as far as the Day Room downstairs-or into a patient's room only if the patient is absolutely immobile. You'd have an escort from the time you entered the building until you left. That badge you're wearing is a Z-13; God knows why it's designated that, but it is. We call it a brown bomber. It gives you unlimited access to this facility, and also gives you the authority to ask questions of anyone, and get answers. Except for clinical matters, that badge gives you equal authority with the doctors here. That badge makes me, and the other nurses and attendants, your subordinates."
"I didn't know."
"I've only seen a brown bomber three other times in the five years I've been here, and those were worn by an official from D.I.A. headquarters in Washington and two congressmen from a select oversight committee. As far as I know, you're the first relative of a patient ever to be issued one of those. It means you have either a very high security clearance or very powerful friends in very high places. Don't be surprised if it raises a few eyebrows."
So Mr. Lippitt had really taken care of me; perhaps too much so, unwittingly creating enmity and suspicion toward me among the clinic's staff. It could explain Dr. Slycke's attitude.
Tommy Carling was obviously curious as to how I'd secured my brown bomber-but I didn't feel any great urge to tell him, and he didn't press. Quickly and efficiently, Carling stripped off the top sheet and then removed Garth's pajamas, leaving my brother lying naked on another sheet stretched over a rubber mat. He detached Garth's colostomy bag, dumped it into the toilet, and attached a fresh one to the rubber tube extending out from the gash in Garth's side. He did the same with the urine bag, then proceeded to wash Garth. I smoothed down Garth's thinning, wheat-colored hair, then joined in with the washup, using a second washcloth from the cart, and starting with Garth's feet. There was one striking change in my brother's condition: he had been absolutely rigid when he had collapsed in the Washington hearing room, but his muscles were now completely slack, and his limbs flopped wherever they were placed. Now that the sheet was off, I could see that his head was propped in a face-forward position by two foam rubber supports which had been placed on either side of his jaw. I suddenly felt an overwhelming sense of sadness, futility, and loss; I blinked back tears.
"I don't want any authority over anybody," I said quietly as I worked my way with the soapy washcloth up Garth's legs. "I'd appreciate being kept informed of my brother's treatment and progress, but most of all I just want to be able to be with him."
"You've got it. But, as I said, don't be surprised if you get some strange reactions. It's not only your brown bomber, but the fact that your brother is here in the first place; neither of you works for the D.I.A.-unless we've been lied to, which is what some people around here whose names I won't mention may think."
"Wasn't Dr. Slycke briefed?"
"Of course; all of us were briefed. The fact that Garth was poisoned with NPPD makes him a very special case. Remember, I said some people may be suspicious, but there are always people whose noses get out of joint over changes in routine. Let me tell you, just about everyone is watching Garth with a hell of a lot of curiosity about what happens when-" Carling abruptly stopped speaking and glanced down at me with genuine alarm in his eyes. "I'm sorry, Mongo. I didn't mean to sound insensitive."
"It's all right. I know all about the curiosity, and it's why Garth is here-obviously. Why should anyone think differently?"
"What I'm saying is that not even psychiatrists-maybe especially not psychiatrists-are immune to a touch of paranoia from time to time, so don't be too surprised if you run into it around here."
"I still don't understand. If everyone's been briefed, why should anyone be paranoid about Garth and me?"
"Not so much Garth as you and your brown bomber. The question is how and why you rate such a high security clearance in order to be with him."
For the first time it occurred to me that Mr. Lippitt not only might be open to charges of nepotism, but might actually get into serious difficulties because of his understanding and kindness toward me. I decided it was time to change the subject. "Exactly what are they doing with Garth now, Tommy?"
Carling cleared his throat. "Officially, you're supposed to direct all of your medical questions to Dr. Slycke," he said in a low voice. "Unofficially, I'll tell you that Slycke hasn't designed a therapy program yet."
"Garth isn't getting any medication?"
"Not yet. For now, all they're doing is conducting blood and chemical tests, and observing."
"I understand that I signed a blanket consent form for any and all treatment, including experimental drugs, but I'd like to be kept informed of what's happening; and I'd like to know what they're going to do before they do it."
"You'll have to take that up with Dr. Slycke."
"What about the other psychiatrists on the staff?"
"Slycke has taken personal charge of Garth, so the other doctors will refer you to him."
"
Fair enough. Thanks for the information." I strongly suspected that if Tommy Carling hadn't told me about the privileges I enjoyed with my brown bomber, nobody else would have.
We finished washing Garth, and toweled him off. I combed his hair, then stepped back while the male nurse applied rubbing lotion to my brother's body and massaged him, kneading the muscles and flexing the joints. He dressed him in clean pajamas, made the bed around and under him, then rolled him over on his right side and pulled the clean sheet up to his chin. The whole operation had taken less than a half hour.
"We'll leave him with a little music," Carling said, turning on a small table radio and tuning it to a classical station.
"Why? He can't hear it."
"Why not? Who knows what he can or can't hear?"
"You're right," I replied, and touched the bandage on my forehead. My wound had begun to throb. "Tommy, you wouldn't have a couple of aspirin around this place, would you?"
"Of course," Carling said, and frowned sympathetically. "Obviously, you've been hurt. You're in pain?"
"I've got a headache."
"May I ask what happened?"
"It was just a stupid accident; I bumped into something sharp."
"I'll be right back," Carling said, and walked quickly from the room.
He was back in less than a minute, carrying a bottle of aspirin, a glass of water, and a small medical kit.
"Tommy," I said, "I don't want a fuss; just a couple of aspirin."
"You look a little pale. When did you hurt yourself?"
"Yesterday."
"Did you get a tetanus shot?"
"Yes," I lied.
"Well, it won't hurt to have a look at it to make sure it isn't oozing, and put on a fresh bandage. Just sit down in the chair there."
Tommy Carling was a persistent healer who obviously didn't like to take no for an answer. I sighed, sat down in the chair next to Garth's bed. Carling loosened the strips of adhesive tape over the thick gauze Veil had applied, then carefully peeled back the bandage.
"Man," Carling said, and grimaced. "That is a nasty cut. You did that by bumping your head?"
"Yeah."
"It looks like someone slashed you with a razor."
"I bumped it hard."
Carling shrugged. "It looks clean," he said, and opened the medical kit. He took out a bottle of peroxide and a gauze pad. "I'll just touch it up a little and put on a fresh bandage."
Carling handed me the bottle of aspirin. I shook out three tablets into my palm, washed them down with the water he had brought. Then I sat still while Carling expertly and gently daubed the wound with peroxide.
"That's an interesting stitching job."
"Mmm."
"Whoever did it did a good job. I don't think you'll have much of a scar. It's an unusual style."
"The scar?" I asked, and allowed myself a small smile.
"The stitches."
"I didn't know there was such a thing as a 'style' in stitching up wounds."
"Oh, yes. Doctors are taught to tie off sutures in a particular way. These sutures are perfectly adequate, but I've never seen knots like these."
"My doctor must fancy himself an individualist."
Carling grunted as he finished washing the wound. Then he quickly applied a fresh, much smaller, bandage.
"Nice job," I said when I examined Carling's handiwork in a small mirror in the bathroom. "Now I don't look like a mummy. Thank you."
"You're welcome," Carling said, closing up the medical kit and putting it on the cart. "I've got to do a meds round now. Want to tag along and see the rest of the clinic?"
"I don't want to raise the paranoia index around here."
"With that Z-13 clipped to your shirt, you can raise anything you like. I thought you might be interested."
"I am."
"Then let's go."
I kissed Garth on the cheek and told him I'd be back in a few minutes, then followed after Tommy Carling. We went to a large, glass-enclosed office near what I assumed was the center of the clinic, where Carling traded in his personal hygiene cart for another, larger cart on which was arrayed a host of tiny paper cups that contained pills of various sizes, shapes, and colors, as well as slightly larger cups with liquid medicine. Each cup was stapled to a file card listing the name of the patient and the medication, along with spaces for the signature of the staff member administering the medication, and the time. There was also a large, frosted pitcher of orange juice.
"As I'm sure you know," Carling said as he rolled the cart out of the office, "this is both a research and care facility. However, for all intents and purposes, we're much more oriented toward care than research-with the notable exception, of course, of your brother. You understand; we know what happened to him, but the fact that he was poisoned with NPPD is descriptive information, not prescriptive. The doctors have to make a determination as to exactly what's wrong with him before they can embark on a treatment program. With most of the other patients, the treatment is rather standard and straightforward-conservative and a bit too Freud-oriented, in my unqualified opinion, but that's the way it is around here. Freudians tend to flock together." He paused, shrugged. "But then, so do psychiatrists of various other persuasions. Don't mind my gossip."
"If the treatment of most of the other patients is so straightforward, why couldn't they be put into any good mental hospital, anywhere in the country? Why here, and why all the secrecy?"
"Secrecy about what we do isn't the point so much as the security of the men we're doing it to. All of the patients here were either field operatives or occupied equally sensitive positions. Their mental illness may or may not-usually not-have any connection with the work they did, but they simply carry too many secrets around in their heads to allow them to enter just any hospital and talk to therapists or other staff who don't have the required security clearance."
"Got it."
"Which is not to say that the care here isn't the best; it is. Dr. Slycke and the other psychiatrists are topflight. All of the attendants are R.N.s, well paid, and we like to think we're pretty good. Everyone, psychiatrists and nurses, has been specially trained to deal with the special psychological problems you might expect D.I.A. field operatives to suffer from."
"Garth doesn't fit into that category."
"Your brother doesn't fit into any category; he's a unique case. Here, at last, the doctors don't have to worry about gaining classified information about NPPD."
"Do you have any. . permanent patients? People who never recover?"
"A few," Carling replied quietly. "It's much too early to worry about Garth becoming one of them, Mongo."
We went from room to room, with Carling dispensing the appropriate pills or potions to the various patients. I saw no women, either among the patient population or on the staff. Most of the men were up and about, eating the breakfasts that had been brought to them by the two attendants I had passed on the way in. Some were in bed, others dressed and sitting. Most seemed interested in my presence. Carling always introduced me, and we usually stayed a few minutes in each room to chat.
The tour continued, by way of the elevator, to the floor below us, where there was a fully equipped gym, mini-theater, and a huge game room with everything from chess sets to video arcade games. We went back up, down a corridor which was painted orange and blocked a quarter of the way down by a locked door of thick, wire-reinforced glass. Carling took a set of keys out of his pocket, but made no move to open the door.
"The secure unit," Carling said, turning to me. "We have five men in there now, two of them long-termers. All these men are considered potentially extremely violent, and unpredictable. The unit is completely self-contained; they have their own cafeteria, gym, and game room. The most interesting-and probably most dangerous-man in here is a patient by the name of Marl Braxton. He'll probably want to talk to you."
"Why is he so interesting, and why should he want to talk to me?"
"He's particularly interesting to me b
ecause he's the only patient in here whose file is classified above my level; I have no idea what his background is. Around here, you usually pick up all sorts of personal shit, whether you want to or not, from the patients themselves-but never from Braxton. I suspect even Slycke doesn't know the background information on Braxton, because Braxton's therapist-a Chinese by the name of Dr. Wong-comes in from the outside, three times a week, and he's the only therapist who's not part of the regular staff. All we get is specific treatment information. I know Braxton's a loony because he's here, but you'd never know it to talk to him; Wong's got him stabilized pretty well on a chemotherapy program."
"If he's stabilized on medication, why keep him in the secure unit?"
Carling raised his eyebrows slightly. "Because he kills people."
"Oh."
"By which I mean he's killed a few people in the past. That much I know, because it's essential clinical information. Wherever he was and whatever he was doing, he began suffering severe psychotic breakdowns-and you didn't want to be around when that happened. There was never any warning, which is why I suppose they don't want to take any chances with him. Braxton's a pretty spooky guy."
"How long has he been here?"
Carling shrugged. "I don't know, and I don't have any way of finding out unless Braxton or somebody else tells me. He was here when I was hired. Anyway, he's got a near-genius IQ, and he's extremely well read. If I knew who you were, he will too. He'll be curious-he's curious about everything. He's been through every book in our library, as well as that of the main hospital, and he keeps the people in the interlibrary system working overtime. He's extremely articulate, and about the only time you'll even get a hint that he's not wrapped too tightly is when he starts talking about his 'maid of constant sorrows.' "
"Who's she?"
"Maybe Wong knows. I don't-and as far as I know, nobody else around here does either. She's just somebody he occasionally refers to."
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