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A month passed. He couldn't concentrate on his work, he gave up his morning swim, and by now he couldn't look at food. On a Friday afternoon he left work early and took a taxi to the doctor's office without having made an appointment or even a phone call. The only one he phoned was Phoebe, to tell her what he was doing.
"Admit me to a hospital," he told the doctor. "I feel like I'm dying."
The doctor made the arrangements, and Phoebe was at the hospital's information desk when he arrived. By five o'clock he was settled into a room, and just before seven a tall, ta
He saw the surgeon next in the operating room. He'd changed out of the evening clothes into a surgical gown. "You've saved me from a very boring banquet," the surgeon said.
He didn't wake up until the next morning. Standing at the foot of the bed, along with Phoebe, were his mother and father, looking grim. Phoebe, whom they did not know (other than from Cecilia's denigrating descriptions, other than from the telephone tirades ending, "I pity this Little Miss Muffet coming after me – I honestly do pity the vile little Quaker slut!"), had phoned them and they'd immediately driven over from New Jersey. As best he could make out, a male nurse seemed to be having trouble feeding some sort of tube up his nose, or maybe the nurse was trying to extract it. He spoke his first words – "Don't fuck up!" – before falling back into unconsciousness.
His mother and father were seated in chairs when he came around again. They seemed still to be tormented and weighed down by fatigue as well.
Phoebe was in a chair beside the bed holding his hand. She was a pale, pretty young woman whose soft appearance belied her equanimity and steadfastness. She manifested no fear and allowed none in her voice.
Phoebe knew plenty about physical misery because of the severe headaches that she'd dismissed as nothing back in her twenties but that she realized were migraines when they became regular and frequent in her thirties. She was lucky enough to be able to sleep when she got one, but the moment she opened her eyes, the moment she was conscious, there it was – the incredible ache on one side of her head, the pressure in her face and her jaw, and back of her eye socket a foot on her eyeball crushing it. The migraines started with spirals of light, bright spots moving in a swirl in front of her eyes even when she closed them, and then progressed to disorientation, dizziness, pain, nausea, and vomiting. "It's nothing like being in this world," she told him afterward. "There's nothing in my body but the pressure in my head." All he could do for her was to remove the big cooking pot into which she vomited, and to clean it out in the bathroom, and then to tiptoe back into the bedroom and place it beside the bed for her to use when she was sick again. For the twenty-four or forty-eight hours that the migraine lasted, she could not stand another presence in the darkened room, any more than she could bear the thi
"What happened?" he asked her.
"A burst appendix. You had it for some time."
"How sick am I?" he asked weakly.
"There's a lot of peritonitis. There are drains in the wound. They're draining it. You're getting big doses of antibiotics. You're going to pull through. We're going to swim across the bay again."
That was hard to believe. Back in 1943 his father had come close to dying from undiagnosed appendicitis and severe peritonitis. He was forty-two with two young children, and he had been in the hospital – and away from his business – thirty-six days. When he got home, he was so weak he could barely make it up the one little flight to their flat, and after he'd been helped by his wife from the entry-way into the bedroom, he sat on the edge of the bed, where, for the first time in the presence of his children, he broke down and cried. Eleven years earlier, his youngest brother, Sammy, the adored favorite of eight children, had died of acute appendicitis in his third year at engineering school. He was nineteen years old, having entered college at sixteen, and his ambition was to be an aeronautical engineer. Only three of the eight children had got as far as high school, and Sammy was the first and only one to go to college. His friends were the smartest boys in the neighborhood, all of them the children of Jewish immigrants who met regularly at one another's houses to play chess and to talk heatedly about politics and philosophy. He was their leader, a ru
Uncle Sammy, his father, now him – the third of them to have been felled by a burst appendix and peritonitis. While he drifted in and out of consciousness for the next two days, it was not certain whether he would meet Sammy's fate or his father's.
His brother flew in from California on the second day, and when he opened his eyes and saw him at the side of the bed, a big and gentle presence, unperturbed, confident, jolly, he thought, I ca
Howie stayed for four days. In four days he sometimes flew to Manila and Singapore and Kuala Lumpur and back. He had started at Goldman Sachs as a ru
Sending their parents home to rest, Howie joined with Phoebe to see him through the worst of it and prepared to fly out only after receiving the doctor's assurances that the crisis was over. On the last morning, Howie quietly said to him, "You've got a good girl this time. Don't screw it up. Don't let her go."
He thought, in his joy at having survived, Was there ever a man whose appetite for life was as contagious as Howie's? Was there ever a brother as lucky as me?
He was in the hospital for thirty days. The nurses were mostly agreeable, conscientious young women with Irish accents who seemed always to have time to chat a little when they looked in on him. Phoebe came directly from work to have di