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There was no sign of Alice.

Not long after Irene had started Alateen, they’d talked about cell phones in one of the meetings. It had been back when Alateen meetings were more likely to be “great.” It had been a pretty good meeting, as she remembered. Some girl who was no longer coming had said that she figured this was one hour out of her life she could really dedicate to getting herself straight, and she always turned her cell phone off. Irene had thought that was cool and had made it kind of a rule. She still did it, even though the hour didn’t feel nearly as dedicated. Alateen seemed like one of those things, like diets, where everything great happened at the beginning.

She dug out her phone. She had three texts from Alice.

Call me.

Your mom fell, at ER.

Your mom is ok just hurt her wrist will pick u up asap

Had her mom tripped over something in the house? One of Alice’s goddamn piles of crap? Fuck a bucket but life sucked.

Because of the broken wrist they gave Natalie a prescription for hydrocodone.

Alice maneuvered her through the crowded living room, holding her elbow. Past the pile of clothes waiting to be folded on the couch, and the stacks of magazines, and the pile of empty plastic storage containers, and the box of teal dishes. The painting that Alice had brought home because the frame was good. Alice maneuvered her into the bedroom and sat her on the bed. Alice undressed her, so tenderly, so sweetly, saying over and over, “All right?”

She hurt, and the shock of the fall had further loosened her mind. Her brain was being turned to holes by prions, which she thought of as tiny wires bent like paperclips. They bumped along her neurons and made more and more paperclips, turning the cells to lace.

She could not seem to stop moaning, and sighing.

Alice put a nightgown on her. Natalie didn’t ever wear a nightgown, not since she was girl. Alice had bought her nightgowns of white cotton. Little House on the Prairie nightgowns that hung loose around her. Alice had hung them outside to dry, because the dryer was broken. They smelled of sunlight.

Wasn’t Alice here? Alice wasn’t here.

She sat on the edge of the bed smelling the sunstroked cotton and wondering if she should lie down.

Alice was here. Alice had a glass of water and a pill.

There was the risk that the painkillers would launch her deeper into dementia. Already, nouns fled her. She could not seem to hold them and found herself saying to Alice, “It’s started, there is water, from the sky.” Alice said “rain,” and the word was there. Why lose “rain” but not “sky”? Why nouns? Of course, she wasn’t thinking “nouns.” Just a wordless why. She had known about dementia once, had understood it from outside. Her grandmother had dementia, not Alzheimer’s but something they couldn’t give a name to, something that progressed differently, something that wasn’t Parkinson’s, or nutrition, or drug interaction, or even (they tested for it) syphilis. Something that took away her grandmother’s mind in dribs and drabs over many years but that was, in a strange way, kindly. It didn’t seem so to everyone else, of course. It was terrifying. And exhausting. The way the conversation looped around the same things. The way her grandmother explained over and over that something had happened to her sister, that her sister had fallen right down (gesturing with her hand) like that, and nobody would tell her what had happened. Nobody knew. The sister had been dead for almost forty years. Still, her grandmother didn’t get angry or agitated or wander. At the beginning she had been upset. She had hid the gaps in her memory. Her driving had gotten bad, and she clung to the shoulder of the road and had once taken out a mailbox. Then her grandmother went to an assisted living place and, in some strange way, relaxed. Except for the business about the long-dead sister.

Not so for Natalie. ADP was not kind that way. It jerked her muscles and made her twitch. Walking, her leg would suddenly rise high as if she were marching, knee coming up, foot kicking out. When she tried to sleep, the twitching woke her up, again and again. Sometimes it was that sensation of falling that comes on the edge of sleep. Feelings rose in her, like flights of birds, fluttering and flinging themselves against the bones of her ribcage. Anxiety made manifest. She said she wanted to be here as long as she could for Irene and Alice, but honestly, she got so tired of the knowledge that she was going to die, of never being able to put that burden down, that she craved oblivion. She took the hydrocodone for her wrist pain. There was a reason she knew that she shouldn’t take the hydrocodone, and she could see that Alice knew it, too.

Alice was giving her the pill. Was Alice trying to poison her? She could not hold on to what she saw in Alice’s face. This woman she knew who suddenly seemed strange. She knew her, and she did not. She was afraid, and she tried hanging that fear on Alice’s face and then on the bulky cast on her wrist, so very, very white, but the fear attached to everything and nothing.

She was lying down, and Alice was covering her with a flowered sheet. “Are you cold?” Alice asked.

She was thirsty. Her arm jerked, and her wrist throbbed. She heard herself moaning, but it didn’t seem like her. She certainly had no control over it. Irene stood in the doorway, watching. She looked at Irene.

It went on and on, and Irene wasn’t in the doorway anymore.

The pill tugged at her, finally, pulled her down. She closed her eyes.

It would be nice to say that she dreamed of Irene. Or that she remembered things. She had delirium dreams: the world was out there, and she could access it on a screen against her eyelids, like her smartphone, but every time she moved her eyes, she moved to a different screen. She had made something happen in the world every time she did that, like hitting enter on a computer, and she didn’t know what she was doing. She was causing trouble for everyone, but her eyes kept flicking.

This was not her. This was a remnant. A fossil.

A few weeks before, Natalie had gone out. She drove, not knowing it was the last time she would drive, but knowing that maybe she shouldn’t. She was hungry and nearby in a strip mall was a place that sold hamburgers. It wasn’t a chain, and she had thought it might be better because it wasn’t a place that had been made to be like other places. It was a placed that dreamed of becoming a chain. Its signature, for God’s sake, was a pastrami cheeseburger. It had six tables and white walls and somehow just failed being either retro or current, but at 11:30 it was half full of people. She lived a relentlessly white, liberal life just five or six blocks away, but here on Venice Boulevard, the kids eating their grilled cheese and chicken sandwiches and bacon cheeseburgers were all brown and black. (None of them had ordered the pastrami cheeseburger, and neither did she.) There were lots of places on Venice where liberal white people went. Thai restaurants, and Indian, and even Himalayan (they had yak chili on the menu), but this was not that kind of place. It turned out to be a place where the fries were made from frozen and the bun had sat in a dry steam tray long enough to get a little tough around the bottom. The kids were chattering and goofing for each other, and a sharp-faced girl was being cynical and unimpressed. They paid no attention to a lady with a cane. The guy who fried up her cheeseburger brought it out to her table instead of calling her to the counter. (He wore one of those paper hats that look like boats—retro short order.) He and Natalie were the only white people in the place and she doubted he was the kind of person who ate yak chili. Irene and her friends might “discover” this place, but they would be slumming, and that would be part of the charm. The kids here today were not slumming. They owned this place, it was in their territory, and she had passed through the semipermeable membrane of class. The burger was fresh and the fries, honestly, were better than those things they served at In-N-Out. She read her book and ate her burger carefully.