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As I was thinking these pointless thoughts, I noticed a queer sensation in my interior, and an odd noise that sounded like a little man was gargling mouthwash in my abdomen. The sensation quickly developed into an awful pain. I doubled over and rested my hand against a streetlamp. What was this? It felt as if all the glands in my body had started secreting battery acid.

Just as suddenly the pain subsided, and feeling light-headed, I groped my way back home.

When I got into my bedroom, the pain returned worse than before. I lay down and shut my eyes with the thought that a twenty-minute nap was all I needed to get over this.

But it was just the beginning.

By the morning I was still unwell. Some crazy sickness had struck me down suddenly, with debilitating stomach cramps, vomiting, then fever. At first I was diagnosed as having the flu, but my mother and I were worried; these were the symptoms I’d had as a child that had led me into the black arms of the terrifying coma. Once again I was confined to bed, and I feared that my brief flicker of light was growing prematurely dim, and every time I shat my pants from the stomach cramps, I shat my pants from fear. There’s no two ways about it. Sickness and fear were making me incontinent. It was while lying in bed that I realized that illness is our natural state of being. We’re always sick and we just don’t know it. What we mean by health is only when our constant physical deterioration is undetectable.

Now I want you to know, I do not agree with the theory that all illness is made in the mind. Whenever someone says that to me, and blames all sickness on “negative thoughts,” I think one of the ugliest, most uncharitable, angriest thoughts in my ugly, uncharitable, angry thought repertoire. I think: I hope to see you at your child’s funeral so you can explain to me how your six-year-old daughter fabricated her own leukemia. Like I said, not nice, but that’s how furious that particular theory makes me. Old age means nothing to those theorists. They think matter decays because it’s down in the mouth.

The problem with people is that they are so in love with their beliefs that their epiphanies have to be absolute and comprehensive or nothing. They can’t accept the possibility that their truths may have only an element of truth in them. It follows, therefore, that it’s possible that some illnesses are born in the mind, and since desperation makes a man still more desperate, I was even willing to consider a supernatural cause for my deteriorating state.

When you’re lying in agony, it gives you some relief to diagnose yourself; you get some of the illusion of power back. But if you know as much about the intricacies of the human body as you do about jet engines, you have to get creative. First, I meditated on plain old simple anxiety. But other than a exhausted concern for my mother and an unease about the possibility of being charged in a police investigation, I really wasn’t that anxious. In truth, the slamming of the cell door in Terry’s face was an enormous relief to me. That cell door signified the end of my days of fretting. I was relieved he was shut away.

The second tier of investigation brought me to the spiritual world. My thinking was this: I had sought to break the bond I had made with my mother, and if this was the cause of my illness, I had psychological and supernatural roots to choose from. Perhaps unconsciously I had made myself sick about it. Maybe my body revolted at the act of betrayal. Or, supernaturally, possibly the link with my mother was so strong, our bond had doomed me to keeping my word. Perhaps I had been suckered into a Polish mother’s curse, and I didn’t know it.

Either way, I was really sick. Name a symptom, I had it: vomiting, diarrhea, stomach cramps, fever, dizziness, shortness of breath, blurry vision, aching joints, groaning muscles, sore toes, chattering teeth, white tongue. I had everything short of bleeding from the eyeballs, and I didn’t doubt that was next. I was so weak, I couldn’t stand up to go to the bathroom. Beside my bed were two white bowls, one for vomit, one for piss and shit. I lay in a stupor, eyeing my half-packed suitcase and watching through a blurry haze a parade of noxious childhood memories pass before my eyes. I was right back where I started! That was the most painful part of being ill again, realizing that I had come full circle, and all I could think about was how I’d squandered my years of good health by just moping around and not climbing Everest.

My mother came into my room with an armful of books and began reading to me again, just like in the old days. Barely alive herself, she sat in the thin light of the lamp and read to me, beginning with an ominous choice, The Man in the Iron Mask. Lying in that dazed state, I had little trouble imagining a similar metallic apparatus constricting my own poor head. She read from morning to night, and after a while began sleeping in Terry’s old bed next to mine, so there was hardly a time that we weren’t together.

Her conversation often drifted to her early life in Shanghai, before she was pregnant with me, when she was still pregnant with possibility. She spoke often of Father Number One and remembered moments of intimacy between them when he stroked her hair while saying her name as if it were a sacred thing. It was the only time she liked the sound of her own name. She told me I had a similar-sounding voice, and one night she asked me to call her by her first name. It made me very uncomfortable, as I was already familiar with the works of Freud, but I did it to make her happy. Then she began unburdening herself by my bedside with lots of awful confessions like this one:

“I feel like I took a wrong turn but went so far down the road I didn’t have the energy to turn back. Please, Martin, you must remember this. It’s never too late to turn back if you make a wrong turn. Even if it takes you a decade to backtrack, you must do it. Don’t get stuck because the road back seems too long or too dark. Don’t be afraid to have nothing.”

And this one:

“I have stayed faithful to your father all these years, even though I don’t love him. Now I see I should’ve fucked around. Don’t let morality get in the way of living your life. Terry killed those men because that’s what he wanted to do with his life. If you need to cheat, cheat. If you need to kill, kill.”

And this:

“I married your father because of fear. I stayed because of fear. Fear has ruled my life. I am not a brave woman. It’s a bad thing to come to the end of your life and discover you are not brave.”

I never knew what to say when my mother unloaded herself in this way. I only smiled into her face that was once a well-tended garden, and patted her bony hands not without some embarrassment, because it is embarrassing to watch a life that scrutinizes itself at the end and realizes all it has to take into death is the shame of not having fully lived.

One day I imagined I was at my execution after a long and costly trial. I thought: On a clear day you can see me dying. I was thinking of Caroline too, that I might never see her again, that she would never understand the width and depth of my feelings. I thought about how I was dying a virgin. Damn. I took a deep breath. There was a repulsive, sickening smell in the air. It was me.

Was I dreaming? I didn’t hear them come in. Standing over me were two men in brown suits, jackets off, sleeves rolled up, sweat dripping into their eyes. One had a jutting-out jaw so extreme I didn’t know whether to shake his hand or his chin. The other one had small eyes set in a small head, and a small nose sitting above a small mouth with lips so thin they looked drawn on by a pencil, a 2B.

“We want to talk to you, Mr. Dean,” the chin said, and that sentence was notable for being the first time in my life I was called Mr. Dean. I didn’t like it. “Can you hear me? What’s wrong with you?”

“Childhood illness,” my mother said.

“Isn’t he a bit old for that?”

“Listen, Mr. Dean. We’d like a statement from you concerning the exact nature of your editing of the book.”