by John Updike
In the taxi line, Carson felt more comfortable if he stood with a slight hunch. The cool autumn air beat through his suit upon his skin. He must look sick: he was attracting the glances of his fellow-visitors to the city. The two young men whose shoulders had squeezed him for three hours had melted into the many similar others with their attaché cases and tasseled shoes. Carson gave the cabdriver not the address of the manufacturer of reducing and exercise apparatus but that of the hotel where he had a reservation. A sudden transparent wave of nausea, like a dip in the flight of the 747, had suddenly decided him. As he followed the maroon-clad bellhop down the orange-carpeted corridor, not only were the colors nauseating but the planes of wall and floor looked warped, as if the pain that would not break up were transposing him to a set of new coördinates, by the touch of someone’s finger on a terminal keyboard. He telephoned the exercise company from the room, explaining his case to an answering female and making a new appointment for tomorrow morning, just before he was scheduled to see the head accountant of another booming little firm, makers of devices that produced “white noise” to shelter city sleep.
The appointment jam bothered Carson, but remotely, for it would all be taken care of by quite another person—his recovered, risen self. The secretary he had talked to had been sympathetic, speaking in the strangely comforting accent of the region—languid in some syllables, quite clipped in others—and had recommended Maalox. In the motion pictures that had flooded Carson’s childhood with images of the ideal life, people had “sent down” for such things, but during all the travelling of his recent years, from one exiguously staffed accommodation to the next, he had never seen that this could be done; he went down himself to the hotel pharmacy. A lobby mirror shocked him with the image of a thin-limbed man in shirt sleeves, with a pot belly and a colorless mouth tugged down on one side like a dead man’s.
The medicine tasted chalky and gritty and gave the pain, after a moment’s hesitation, an extra edge, as of tiny sandy teeth. His hotel room also was orange-carpeted, with maroon drapes that Carson closed, after peeking out at a bare brown patch of park where amid the fallen leaves some boys were playing soccer; their shouts jarred his membranes. He turned on the television set, but it, too, jarred. Lying on one of the room’s double beds, studying the ceiling between trips to the bathroom, he let the afternoon burn down into evening and thought how misery itself becomes a kind of home. The ceiling had been plastered in overlapping loops, like the scales of a large white fish. For variation, Carson stretched himself out upon the cool bathroom floor, marvelling at the complex, thick-lipped undersides of the porcelain fixtures, and at the distant bright lozenge of foreshortened mirror.
Repeated violent purgations had left undissolved the essential intruder, the hot tarry thing no longer simply spherical in shape but elongating. When vomiting began, Carson had been hopeful. The hope faded with the light. In the room’s shadowy spaces his pain had become a companion whom his constant interrogations left unmoved; from minute to minute it did not grow perceptibly worse, nor did it leave him. He reflected that his situation was a perfect one for prayer; but he had never been religious and so could spare himself that additional torment.
The day’s light, in farewell, placed feathery gray rims upon all the curved surfaces of the room’s furniture—the table legs, the lamp bowls. Carson imagined that if only the telephone would ring his condition would be shattered. Curled on his side, he fell asleep briefly; awakening to pain, he found the room dark, with but a sallow splinter of street light at the window. The soccer players had gone. He wondered who was out there, beyond the dark, whom he could call. His ex-wife had remarried. Of his children, one, the boy, was travelling in Mexico and the other, the girl, had disowned her father. When he received her letter of repudiation, Carson had telephoned and been told, by the man she had been living with, that she had moved out and joined a feminist commune.
He called the hotel desk and asked for advice. The emergency clinic at the city hospital was suggested, by a young male voice that, to judge from its cheerful vigor, had just come on duty. Shaking, lacing his shoes with difficulty, smiling to find himself the hero of a drama without an audience, Carson dressed and delicately took his sore body out into the air. A row of taxis waited beneath the corrosive yellow glare of a sodium-vapor streetlight. Neon advertisements and stacked cubes of fluorescent offices and red and green traffic lights flickered by—glimpses of the city that now, normally, with his day’s business done, he would be roving, looking for a restaurant, a bar, a stray conversation, a possibility of contact with one of the city’s unofficial hostesses, with her green eye-paint and her short skirt and tall boots and exposed knees. He had developed a fondness for such women, even when no deal was struck. Their brisk preliminaries tickled him, and their frank hostility.
The hospital was a surprising distance from the hotel. A vast and glowing pile with many increasingly modern additions, it waited at the end of a swerving drive through a dark park and a neighborhood of low houses. Carson expected to surrender the burden of his body utterly, but instead found himself obliged to carry it through a series of fresh efforts—forms to be filled out, proofs to be supplied of his financial fitness to be ill, a series of waits to be endured, on crowded benches and padded chairs, while his eye measured the distance to the men’s-room door and calculated the time it would take him to hobble across it, open the door to a stall, kneel, and heave away vainly at the angry visitor to his own insides.
The first doctor he at last was permitted to see seemed to Carson as young and mild and elusive as his half-forgotten, travelling son. Both had hair so blond as to seem artificial. His wife, the doctor let it be known, was giving a dinner party, for which he was already late, in another sector of the city. Nevertheless the young man politely examined him. Carson was, he confessed, something of a puzzle. His pain didn’t seem localized enough for appendicitis, which furthermore was unusual in a man his age.
“Maybe I’m a slow bloomer,” Carson suggested, each syllable, in his agony, a soft, self-deprecatory grunt.
There ensued a further miasma of postponement, livened with the stabs of blood tests and the banter of hardened nurses. He found himself undressing in front of a locker so that he could wait with a number of other men in threadbare, backwards hospital gowns to be X-rayed. The robust technician, with his standard bandit mustache, had the cheerful aura of a weight lifter and a great ladies’ (or men’s) man. “Chin here,” he said. “Shoulders forward. Deep breath: hold it. Good boy.” Slowly Carson dressed again, though the clothes looked, item by item, so shabby as to be hardly his. One could die, he saw, in the interstices of these procedures. All around him, on the benches and in the bright, bald holding areas of the hospital’s innumerable floors, other suppliants, residents of the city and mostly black, served as models of stoic calm; he tried to imitate them, though it hurt to sit up straight and his throat ached with gagging.
The results of his tests were trickling along through their channels. The fair-haired young doctor must be at his party by now; Carson imagined the clash of silver, the candlelight, the bare-shouldered women—a festive domestic world from which he had long fallen.
Toward midnight, he was permitted to undress himself again and to get into a bed, in a kind of emergency holding area. White curtains surrounded him, but not silence. On either side of him, from the flanking beds, two men, apparently with much in common, moaned and crooned a kind of tuneless blues. When doctors visited them, they pleaded to get out and promised to be good henceforth. From one side, after a while, came a sound of tidy retching, like that of a cat who has eaten a bird bones and all; on the other side, internes seemed to be cajoling a tube up through a man’s nose. Carson was comforted by these evidences that at least he had penetrated into a circle of acknowledged ruin. He was inspected at wide intervals. Another young doctor, who reminded him less of his son than of the shifty man, a legal-aid lawyer, who had lived with his daughter and whom Carson suspected of inspir
ing and even dictating the eerily formal letter she had mailed her father, shambled in and, after some poking of Carson’s abdomen, shrugged. Then a female physician, dark-haired and fortyish, came and gazed with sharp amusement down into Carson’s face. She had an accent, Slavic of some sort. She said, “You don’t protect enough.”
“Protect?” he croaked. He saw why slaves had taken to clowning.
She thrust her thumb deep into his belly, in several places. “I shouldn’t be able to do that,” she said. “You should go through the ceiling.” The idiom went strangely with her accent.
“It did hurt,” he told her.
“Not enough,” she said. She gazed sharply down into his eyes; her own eyes were in shadow. “I think we shall take more blood tests.”
Yet Carson felt she was stalling. There was a sense, from beyond the white curtains, percolating through the voices of nurses and policemen and agitated kin in this emergency room, of something impending in his case, a significant visitation. He closed his eyes for what seemed a second. When he opened them a new man was leaning above him—a tall tutorial man wearing a tweed jacket with elbow patches, a button-down shirt, and rimless glasses that seemed less attachments to his face than intensifications of a general benign aura. His hair was combed and grayed exactly right, and cut in the high-parted and close-cropped style of the Camelot years. Unlike the previous doctors, he sat on the edge of Carson’s narrow bed. His voice and touch were gentle; he explained, palpating, that some appendixes were retrocecal—that is, placed behind the large intestine, so that one could be quite inflamed without the surface sensitivity and protective reflex usual with appendicitis.
Carson wondered what dinner party the doctor had been pulled from, at this post-midnight hour, in his timeless jacket and tie. Carson wished to make social amends but was in a poor position to, flat on his back and nearly naked. With a slight smile, the doctor pondered his face, as if to unriddle it, and Carson stared back with pleading helpless hopefulness, mute as a dog, which can only whimper or howl. He was as weary of pain and a state of emergency as he had been, twelve hours before, of his normal life. “I’d like to operate,” the doctor said softly, as if putting forth a suggestion that Carson might reject.
“Oh yes, please,” Carson said. “When, do you think?” He was very aware that, though the debauched hour and disreputable surroundings had become his own proper habitat, the doctor was healthy and must have a decent home, a family, a routine to return to.
“Why, right now,” was the answer, in a tone of surprise, and this doctor stood and began to take off his coat, as if to join Carson in some sudden, cheerfully concocted athletic event.
Perhaps Carson merely imagined the surgeon’s gesture. Perhaps he merely thought Bliss, or really sighed the word aloud. Things moved rapidly. The shifty legal-aid lookalike returned, more comradely now that Carson had received a promotion in status, and asked him to turn on one side, and thrust a needle into his buttock. Then a biracial pair of orderlies coaxed his body from the bed to a long trolley on soft swift wheels; the white curtains were barrelled through; faces, lights, steel door lintels streamed by. Carson floated, feet first, into a room that he recognized, from having seen its blazing counterpart so often dramatized on films, as an operating room. A masked and youthful population was already there, making chatter, having a party. “There are so many of you!” Carson exclaimed; he was immensely happy. His pain had already ceased. He was transferred from the trolley to a very narrow, high, padded table. His arms were spread out on wooden extensions and strapped tight to them. His wrists were pricked. Swollen rubber was pressed to his face as if to test the fit. He tried to say, to reassure the masked crew that he was not frightened and to impress them with what a “good guy” he was, that somebody should cancel his appointments for tomorrow.
At a point and place in the fog as it fitfully lifted, the surgeon himself appeared, no longer in a tweed jacket but in a lime-green hospital garment, and now jubilant, bending close. He held up the crooked little finger of one hand before Carson’s eyes, which could not focus. “Fat as that,” he called through a kind of wind.
“What size should it have been?” Carson asked, knowing they were discussing his appendix.
“No thicker than a pencil,” came the answer, tugged by the bright tides of contagious relief.
“But when did you sleep?” Carson asked, and was not answered, having overstepped.
Earlier, he had found himself in an underground room that had many stalactites. His name was being shouted by a big gruff youth. “Hey Bob come on Bob wake up give us a little smile that’s the boy Bob.” There were others besides him stretched out in this catacomb, whose ceiling was festooned with drooping transparent tubes; these were the stalactites. Within an arm’s length of him, another man was lying as motionless as a limestone knight carved on a tomb. Carson realized that he had been squeezed through a tunnel—the arm straps, the swollen rubber—and had come out the other side. “Hey, Bob, come on, give us a smile. Thaaat’s it.” He had a tremendous need to urinate; liquid was being dripped into his arm.
Later, after the windy, glittering exchange with the surgeon, Carson awoke in an ordinary hospital room. In a bed next to him, a man with a short man’s sour, pinched profile was lying and smoking and staring up at a television set. Though the picture twitched, no noise seemed to be coming from the box. “Hi,” Carson said, feeling shy and wary, as if in his sleep he had been married to this man.
“Hi,” the other said, without taking his eyes from the television set and exhaling smoke with a loudness, simultaneously complacent and fed up, that had been one of Carson’s former wife’s most irritating mannerisms.
When Carson awoke again, it was twilight, and he was in yet another room, a private room, alone, with a sore abdomen and a clearer head. A quarter-moon leaned small and cold in the sky above the glowing square windows of another wing of the hospital, and his position in the world and the universe seemed clear enough. His convalescence had begun.
In the five days that followed, he often wondered why he was so happy. Ever since childhood, after several of his classmates had been whisked away to hospitals and returned to school with proud scars on their lower abdomens, Carson had been afraid of appendicitis. At last, in his sixth decade, the long-dreaded had occurred, and he had comported himself, he felt, with passable courage and calm.
His scar was not the little lateral slit his classmates had shown him but a rather gory central incision from navel down; he had been opened up wide, it was explained to him, on the premise that at his age his malady might have been anything from ulcers to cancer. The depth of the gulf that he had, unconscious, floated above thrilled him. There had been, too, a certain unthinkable intimacy. His bowels had been “handled,” the surgeon gently reminded him, in explaining a phase of his recuperation. Carson tried to picture the handling: clamps and white rubber gloves and something glistening and heavy and purplish that was his. His appendix had indeed been retrocecal—one of a mere ten percent so located. It had even begun, microscopic investigation revealed, to rupture. All of this retrospective clarification, reducing to cool facts the burning, undiscourageable demon he had carried, vindicated Carson. For the sick feel as shamed as the sinful, as fallen.
The surgeon, with his Ivy League bearing, receded from that moment of extreme closeness when he had bent above Carson’s agony and decided to handle his bowels. He dropped by in the course of his rounds only for brief tutorial sessions about eating and walking and going to the bathroom—all things that needed to be learned again. Others came forward. The slightly amused dark Slavic woman returned, to change his dressing, yanking the tapes with a, he felt, unnecessary sharpness. “You were too brave,” she admonished him, blaming him for the night when she had wanted to inflict more blood tests upon him. The shambling young doctor of that same night also returned, no longer in the slightest resembling the lawyer whom Carson’s daughter had spurned in favor of her own sex, and then the very blond one; t
here materialized a host of specialists in one department of Carson’s anatomy or another, so that he felt huge, like Gulliver pegged down in Lilliput for inspection. All of them paid their calls so casually and pleasantly—just dropping by, as it were—that Carson was amazed, months later, to find each visit listed by date and hour on the sheets of hospital services billed to him in extensive dot-matrix printout—an old Centronics 739 printer, from the look of it.
Hospital life itself, the details of it, made him happy. The taut white bed had hand controls that lifted and bent the mattress in a number of comforting ways. A television set had been mounted high on the wall opposite him and was obedient to a panel of buttons that nestled in his palm like an innocent, ethereal gun. Effortlessly he flicked his way back and forth among morning news shows, midmorning quiz shows, noon updates, and afternoon soap operas and talk shows and reruns of classics such as Carol Burnett and Hogan’s Heroes. At night, when the visitors left the halls and the hospital settled in upon itself, the television set became an even warmer and more ingratiating companion, with its dancing colors and fluctuant radiance. His first evening in this precious room, while he was still groggy from anesthesia, Carson had watched a tiny white figure hit, as if taking a sudden great stitch, a high-arching home run into the second deck of Yankee Stadium; the penetration of the ball seemed delicious, and to be happening deep within the tiers of himself. He pressed the off button on the little control, used another button to adjust the tilt of his bed, and fell asleep as simply as an infant.
