by Stephen King
Survivor Type
Stephen King
Stephen King: Survivor Type
ELECTRONIC VERSION 1.0 (Apr 02 00). If you find and correct errors in the text, please update the version number by 0.1 and redistribute.
Sooner or later the question comes up in every medical student's career. How much shock-trauma can the patient stand? Different instructors answer the question, in different ways, but cut to its base level, the answer is always another question:
How badly does the patient want to survive?
January 26
Two days since the storm washed me up. I paced the island off just this morning. Some island! It is 190 paces wide at its thickest point, and 267 paces long from tip to tip
So far as I can tell, there is nothing on it to eat.
My name is Richard Pine. This is my diary. If I'm found (when), I can destroy this easily enough. There is no shortage of matches. Matches and heroin. Plenty of both. Neither of them worth doodlysquat here, ha-ha. So I will write. It will pass the time, anyway.
If I'm to tell the whole truth--and why not? I sure have the time!--I'll have to start by saying I was born Richard Pinzetti, in New York's Little Italy. My father was an Old World guinea. I wanted to be a surgeon. My father would laugh, call me crazy, and tell me to get him another glass of wine. He died of cancer when he was forty-six. I was glad.
I played football in high school. I was the best damn football player my school ever produced. Quarterback. I made All-City my last two years. I hated football. But if you're a poor wop from the projects and you want to go to college, sports are your only ticket. So I played, and I got my athletic scholarship.
In college I only played ball until my grades were good enough to get a full academic scholarship. Pre-med. My father died six weeks before graduation. Good deal. Do you think I wanted to walk across that stage and get my diploma and look down and see that fat greaseball sitting there? Does a hen want a flag? I got into a fraternity, too. It wasn't one of the good ones, not with a name like Pinzetti, but a fraternity all the same.
Why am I writing this? It's almost funny. No, I take that back. It is funny. The great Dr. Pine, sitting on a rock in his pajama bottoms and a T-shirt, sitting on an island almost small enough to spit across, writing his life story. Am I hungry! Never mind, I'I1 write my goddam life story if I want to. At least it keeps my mind off my stomach. Sort of.
I changed my name to Pine before I started reed school. My mother said I was breaking her heart. What heart? The day after my old man was in the ground, she was out hustling that Jew grocer down at the end of the block. For someone who loved the name so much, she was in one hell of a hurry to change her copy of it to Steinbrunner.
Surgery was all I ever wanted. Ever since high school. Even then I was wrapping my hands before every game and soaking them afterward. If you want to be a surgeon, you have to take care of your hands. Some of the kids used to rag me about it, call me chickenshit. I never fought them. Playing football was risk enough. But there were ways. The one that got on my case the most was Howie Plotsky, a big dumb bohunk with zits all over his face. I had a paper route, and I was selling the numbers along with the papers. I had a little coming in lots of ways. You get to know people, you listen, you make connections. You have to, when you're hustling the street. Any asshole knows how to die. The thing to learn is how to survive, you know what I mean? So I paid the biggest kid in school, Ricky Brazzi, ten bucks to make Howie Plotsky's mouth disappear. Make it disappear, I said. I will pay you a dollar for every tooth you bring me. Rico brought me three teeth wrapped up in a paper towel. He dislocated two of his knuckles doing the job, so you see the kind of trouble I could have got into.
In med school while the other suckers were running themselves ragged trying to bone up--no pun intended, ha-ha--between waiting tables or selling neckties or buffing floors, I kept the rackets going. Football pools, basketball pools, a little policy. I stayed on good terms with the old neighborhood. And I got through school just fine.
I didn't get into pushing until I was doing my residency. 1 was working in one of the biggest hospitals in New York City. At first it was just prescription blanks. I'd sell a tablet of a hundred blanks to some guy from the neighborhood, and he'd forge the names of forty or fifty different doctors on them, using writing samples I'd also sell him. The guy would turn around and peddle the blanks on the street for ten or twenty dollars apiece. The speed freaks and the nodders loved it.
And after a while I found out just how much of a balls-up the hospital drug room was in. Nobody knew what was coming in or going out. There were people lugging the goodies out by the double handfuls. Not me. I was always careful. I never got into trouble until I got careless--and unlucky. But I'm going to land on my feet. I always do.
Can't write any more now. My wrist's tired and the pencil's dull. I don't know why I'm bothering, anyway. Somebody'll probably pick me up soon.
January 27
The boat drifted away last night and sank in about ten feet of water off the north side of the island. Who gives a rip? The bottom was like Swiss cheese after coming over the reef anyway. I'd already taken off anything that was worth taking. Four gallons of water. A sewing kit. A first-aid kit. This book I'm writing in, which is supposed to be a lifeboat inspection log. That's a laugh. Whoever heard of a lifeboat with no FOOD on it? The last report written in here is August 8, 1970. Oh, yes, two knives, one dull and one fairly sharp, one combination fork and spoon. I'll use them when I eat my supper tonight. Roast rock. Ha-ha. Well, I did get my pencil sharpened.
When I get off this pile of guano-splattered rock, I'm going to sue the bloody hell out of Paradise Lines, Inc. That alone is worth living for. And I am going to live. I'm going to get out of this. Make no mistake about it. I am going to get out of this.
(later)
When I was making my inventory, I forgot one thing: two kilos of pure heroin, worth about $350,000, New York street value. Here it's worth el zilcho. Sort of funny, isn't it? Ha-ha!
January 28
Well, I've eaten if you want to call that eating. There was a gull perched on one of the rocks at the center of the island. The rocks are all jumbled up into a kind of mini-mountain there all covered with birdshit, too. I got a chunk of stone that just fitted into my hand and climbed up as close to it as I dared. It just stood there on its rock, watching me with its bright black eyes. I'm surprised that the rumbling of my stomach didn't scare it off.
I threw the rock as hard as I could and hit it broadside. It let out a loud squawk and tried to fly away, but I'd broken its right wing. I scrambled up after it and it hopped away. I could see the blood trickling over its white feathers. The son of a bitch led me a merry, chase; once, on the other side of the central rockpile, I got my foot caught in a hole between two rocks and nearly fractured my ankle.
It began to tire at last, and I finally caught it on the east side of the island. It was actually trying to get into the water and paddle away. I caught a handful of its tailfeathers and it turned around and pecked me. Then I had one hand around its feet. I got my other hand on its miserable neck and broke it. The sound gave me great satisfaction. Lunch is served, you know? Ha! Ha!
I carried it back to my "camp," but even before I plucked and gutted it, I used iodine to swab the laceration its beak had made. Birds carry all sorts of germs, and the last thing I need now is an infection.
The operation on the gull went quite smoothly, I could not cook it, alas. Absolutely no vegetation or driftwood on the island and the boat has sunk. So I ate it raw. My stomach wanted to regurgitate it immediately. I sympathized but could not allow it. I counted backward until the nausea passed. It almost always works.
Can you imagine that bird, almost breaking my ankle a
nd then pecking me? If I catch another one tomorrow, I'll torture it. I let this one off too easily. Even as I write, I am able to glance down at its severed head on the sand. Its black eyes, even with the death-glaze on them, seem to be mocking me. Do gulls have brains in any quantity'? Are they edible?
January 29
No chow today. One gull landed near the top of the rockpile but flew off before I could get close enough to "throw it a forward pass," ha-ha! I've started a beard. Itches like hell. If the gull comes back and I get it, I'm going to cut its eyes out before I kill it.
I was one hell of a surgeon, as I believe I may have said. They drummed me out. It's a laugh, really: they all do it, and they' re so bloody sanctimonious when someone gets caught at it. Screw you, Jack, I got mine. The Second Oath of Hippocrates and Hypocrites.
I had enough socked away from my adventures as an intern and a resident (that's supposed to be like an officer and a gentleman according to the Oath of Hypocrites, but don't you believe it) to set myself up in practice on Park Avenue. A good thing for me, to; I had no rich daddy or established patron, as so many of my "colleagues" did. By the time my shingle was out, my father was nine years in his pauper's grave. My mother died the year before my license to practice was revoked.
It was a kickback thing. I had a deal going with half a dozen East Side pharmacists, with two drug supply houses, and with at least twenty other doctors. Patients were sent to me and I sent patients. I performed operations and prescribed the correct post-op drugs. Not all the operations were necessary, but I never performed one against a patient's will. And 1 never had a patient look down at what was written on the prescrip blank and say, "I don't want this." Listen: they'd have a hysterectomy in 1965 or a partial thyroid in 1970, and still be taking painkillers five or ten years later, if you'd let them. Sometimes I did. I wasn't the only one, you know. They could afford the habit. And sometimes a patient would have trouble sleeping after minor surgery. Or trouble getting diet pills. Or Librium. It could alol be arranged. Ha! Yes! If they hadn't gotten it from me, they would have gotten it from someone else.
Then the tax people got to Lowenthal. That sheep. They waved five years in his face and he coughed up half a dozen names. One of them was mine. They watched me for a while, and by the time they landed, I was worth a lot more than five years. There were a few other deals, including the prescription blanks, which I hadn't given up entirely. It's funny, I didn't really need that stuff anymore, but it was a habit. Hard to give up that extra sugar.
Well, I knew some people. I pulled some strings. And I threw a couple of people to the wolves. Nobody I liked, though. Everyone I gave to the leds was a real son of a bitch. Christ, I'm hungry.
January 30
No gulls today. Reminds me of the signs you'd sometimes see on the pushcarts back in the neighborhood, so TOMATOES TODAY. I walked out into the water up to my waist with the sharp knife in my hand. I stood completely still in that one place with the sun beating down on me for four hours. Twice I thought I was going to faint, but I counted backward until it passed. I didn't see one fish. Not one.
January 31
Killed another gull, the same way I did the first. I was too hungry to torture it the way I had been promising myself. I gutted and ate it. Squeezed the tripes and then ate them, too. It's strange how you can feel your vitality surge back I was beginning to get scared there, for a while. Lying in the shade of the big central rockpile, i'd think i was hearing voices. My father. My mother. My ex-wife. And worst of all the big Chink who sold me the heroin in Saigon. He had a lisp, possibly from a partially cleft, palate.
"Go ahead," his voice came out of nowhere. "Go ahead and thnort a little. You won't notith how hungry you are then. It'h beautiful ..." But I've never done dope, not even sleeping pills.
Lowenthal killed himself, did I tell you that? That sheep. He hanged himself in what used to be his office. The way I look at it, he did the world a favor.
I wanted my shingle back. Some of the people I talked to said it could be done--but it would cost big money. More grease than I'd ever dreamed of. I had $40,000 in a safe-deposit box. I decided I'd have to take a chance and try to turn it over. Double or triple it.
So I went to see Ronnie Hanelli. Ronnie and I played football together in college, and when his kid brother decided on internal med, I helped him get a residency. Ronnie himself was in pre-law, how's that for funny? On the block when we were growing up we called him Ronnie the Enforcer because he umped all the stickball games and reffed the hockey. If you didn't like his calls, you had your choice--you could keep your mouth shut or you could eat knuckles. The Puerto Ricans called him Ronniewop. All one word like that. Ronniewop. Used to tickle him. And that guy went to college, and then to law school, and he breezed through his bar exam the first time he took it, and then he set up shop in the old neighborhood, right over the Fish Bowl Bar. I close my eyes and I can still see him cruising down the block in that white Continental of his. The biggest fucking loan shark in the city.
I knew Ronnie would have something for me. "It's dangerous,'' he said. "But you could always take care of yourself. And if you can get the stuff back in, I'll introduce you to a couple of fellows. One of them is a state representative."
He gave me two names over there. One of them was the big Chink, Henry Li-Tsu. The other was a Vietnamese named Solom Ngo. A chemist. For a fee he would test the Chink's product. The Chink was known to play "jokes" from time to time. The "jokes" were plastic bags filled with talcum powder, with drain cleaner, with cornstarch. Ronnie said that one day Li-Tsu's little jokes would get him killed.
February 1
There was a plane. It flew right across the island. I tried to climb to the top of the rockpile and wave to it. My foot went into a hole. The same damn hole I got it stuck in the day I killed the first bird, I think. I've fractured my ankle, compound fracture. It went like a gunshot. The pain was unbelievable. I screamed and lost my balance, pinwheeling my arms like a madman, but I went down and hit my head and everything went black. I didn't wake up until dusk. I lost some blood where I hit my head. My ankle had swelled up like a tire, and I'd got myself a very nasty sunburn. I think if there had been another hour of sun, it would have blistered.
Dragged myself back here and spent last night shivering and crying with frustration. I disinfected the head wound, which is just above the right temporal lobe, and bandaged it as well as I could. Just a superficial scalp wound plus minor concussion, I think, but my ankle ... it's a bad break, involved in two places, possibly three.
How will I chase the birds now?
It had to be a plane looking for survivors from the Callas. In the dark and the storm, the lifeboat must have carried miles from where it sank. They may not be back this way.
God, my ankle hurts so bad.
February 2
I made a sign on the small white shingle of a beach on the island's south side, where the lifeboat grounded. It took me all day, with pauses to rest in the shade. Even so, I fainted twice. At a guess, I'd say I've lost 25 lbs, mostly from dehydration. But now, from where I sit, I can see the four letters it took me all day to spell out; dark rocks against the white sand, they say HELP in characters four feet high.
Another plane won't miss me.
If there is another plane.
My foot throbs constantly. There is swelling still and ominous discoloration around the double break. Discoloration seems to have advanced. Binding it tightly with my shirt alleviates the worst of the pain, but it's still bad enough so that I faint rather than sleep.
I have begun to think I may have to amputate.
February 3
Swelling and discoloration worse still. I'll wait until tomorrow. If the operation does become necessary, I believe I can carry it through. I have matches for sterilizing the sharp knife, I have needle and thread from the sewing kit. My shirt for a bandage.
I even have two kilos of "painkiller," although hardly of the type i used to prescribe. But they would have tak
en it if they could have gotten it. You bet. Those old blue-haired ladies would have snorted Glade air freshener if they thought it would have gotten them high. Believe it!
February 4
I've decided to amputate my foot. No food four days now. If I wait any longer, I run the risk of fainting from combined shock and hunger in the middle of the operation and bleeding to death. And as wretched as I am, I still want to live. I remember what Mockridge used to say in Basic Anatomy. Old Mockie, we used to call him. Sooner or later, he'd say, the question comes up in every medical student's career: How much shock-trauma can the patient stand'? And he'd whack his pointer at his chart of the human body, hitting the liver, the kidneys, the heart, the spleen, the intestines Cut to its base level, gentlemen, he'd say. the answer is always another question: How badly does the patient want to survive?
I think I can bring it off.
I really do.
I suppose I'm writing to put off the inevitable, but it did occur to me that I haven't finished the story of how I came to be here. Perhaps I should tie up that loose end in case the operation does go badly. It will only take a few minutes, and I'm sure there will be enough daylight left for the operation, for, according to my Pulsar, it's only nine past nine in the morning. Ha!
I flew to Saigon as a tourist. Does that sound strange? It shouldn't. There are still thousands of people who visit there every year in spite of Nixon's war. There are people who go to see car wrecks and cockfights, too.
My Chinese friend had the merchandise. I took it to Ngo, who pronounced it very. high-grade stuff. He told me that Li-Tsu had played one of his jokes four months ago and that his wife had been blown up when she turned on the ignition of her Opel. Since then there had been no more jokes.
I stayed in Saigon for three weeks; I had booked passage back to San Francisco on a cruise ship, the Callas. First cabin. Getting on board with the merchandise was no trouble; for a fee Ngo arranged for two customs officials to simply wave me on after running through my suitcases. The merchandise was in an airline flight bag, which they never even looked at.
