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That touched me. It did. Here I’d come into the airport with a chip on my shoulder — I’d always been jealous of Philip, the great shining success my father measured me against — thinking my big brother was going to be an asshole and that assholery would rule the day, but it wasn’t like that at all. He was reaching out. He was a doctor. He knew about human foibles and addictions and he knew about his little brother, and he cared, he actually cared. “Yeah,” was all I could manage, but I hoped the quality of my voice conveyed a whole lot more than that.

“Good,” he said, framed in the light from the hallway, his sunken orbits and rucked face and flat, shining eyes giving him a look of wisdom and calm that reminded me of our father on his good days.

“That girl,” I said, inspired by the intimacy of the moment, “the last one that came in today?”

His expression changed. Now it was quizzical, distant, as if he were looking at me through the wrong end of a telescope. “What girl? What are you talking about?”

“The young-looking one in the white parka and furry boots? The last one. The last one in. I was just wondering if, uh, I mean, what her problem was — if she was, you know, coming in for a procedure or whatever…. ”

“Listen, Rick,” he said then, and his voice was back in the deep freeze, “I’m willing to give you a chance here, not only for Dad’s sake but for your own sake too. But there’s one thing I ask — stay away from the patients. And I’m not really asking.”

It was raining the next morning, a cold rain that congealed on the hood of the car and made a cold pudding of the sidewalk out front of the house. I wondered if the weather would discourage the Jesus-thumpers, but they were there, all right, in yellow rain slickers and green gum boots, sunk into their suffering with gratitude. Nobody rushed the car when we turned into the lot. They just stood there, eight of them, five men and three women, and looked hate at us. As we got out of the car, the frozen rain pelting us, I locked eyes across the lot with the bearded jerk who’d gone after the girl in the white parka. I waited till I was good and certain I had his attention, waited till he was about to shout out some hoarse Jesus-thumping accusation, and then I gave him the finger.

We were the first ones at the clinic, what with the icy roads, and as soon as my brother disappeared into the sanctum of his office I went straight to the receptionist’s desk and flipped back the page of the appointment book. The last entry, under four-thirty the previous day, was staring me in the face, neat block letters in blue metalpoint: “Sally Strunt,” it read, and there was a phone number jotted beneath the name. It took me exactly ten seconds, and then I was in the back room, innocently slipping into my lab coat. Sally Strunt, I whispered to myself, Sally Strunt, over and over. I’d never known anyone named Sally — it was an old-fashioned name, a hokey name, Dick and Jane and Sally, and because it was old-fashioned and because it was hokey it seemed perfect for a teenager in trouble in the grim sleety washed-out navel of the Midwest. This was no downtown Amber, no Crystal or Shanna — this was Detroit Sally, and that really appealed to me. I’d seen the face attached to the name, and the mother of that face. Sally, Sally, Sally. Her name sang through my head as I schmoozed with Fred and the nurses and went through the motions of the job that already felt as circumscribed and deadening as a prison sentence.

That night, after dinner, I excused myself and strolled six cold wintry blocks to the convenience store. I bought M&M’s for the boys, some white chocolate for Denise, and a liter of Black Cat malt liquor for myself. Then I dialled Sally’s number from the phone booth out front of the store.

A man answered, impatient, harassed. “Yeah?”

“Sally there?” I said.

“Who’s this?”

I took a stab at it: “Chris Ryan. From school?”

Static. Televised dialogue. The roar of Sally’s name and the sound of approaching feet and Sally’s approaching voice: “Who is it?” And then, into the receiver: “Hello?”

“Sally?” I said.

“Yes?” There was hope in that voice, eagerness. She wanted to hear from me — or from whoever. This wasn’t the voice of a girl concealing things. It was open, frank, friendly. I felt expansive suddenly, connected, felt as if everything was going to be all right, not only for me but for Sally too.

“You don’t know me,” I said quickly, “but I really admire you. I mean, your courage. I admire what you’re doing.”

“Who is this?”

“Chris,” I said. “Chris Ryan. I saw you yesterday, at the clinic, and I really admire you, but I just wanted to know if, uh, if you need anything.”

Her voice narrowed, thin as wire. “What are you talking about?”

“Sally,” I said, and I didn’t know what I was doing or what I was feeling, but I couldn’t help myself, “Sally, can I ask you something? Are you pregnant, or are you—?”

Click. She hung up on me. Just like that.

I was frozen through by the time I got back with the kids’ M&M’s and Denise’s white chocolate, and I’d finished off the beer on the way and flung the empty bottle up under a squat artificial-looking spruce on the neighbor’s lawn. I’d tried Sally twice more, after an interval of fifteen or twenty minutes, but her father answered the first time and when I dialled again the phone just rang and kept on ringing.

A week went by. I scrubbed out test tubes and jars that smelled powerfully of the urine of strange women and learned that Fred didn’t much care for Afro-Americans, Mexicans, Haitians, Cubans, Poles, or Hmong tribesmen. I tried Sally’s number three more times and each time I was rebuffed — threatened, actually — and I began to realize I was maybe just a bit out of line. Sally didn’t need me — she had her father and mother and maybe a gangling big-footed slam-dunking brother into the bargain — and every time I glanced through the blinds in the back room I saw another girl just like her. Still, I was feeling itchy and out of sorts despite all Denise and Philip and my nephews were doing for me, and I needed some sort of focus, a plan, something to make me feel good about myself. They’d warned us about this in rehab, and I knew this was the trickiest stage, the time when the backsliders start looking up their old friends and hanging out on the street corner. But I didn’t have any old friends, not in Detroit, anyway, and the street corner was about as inviting as the polar ice cap. On Saturday night I went out to a bar that looked as if it had been preserved under Plexiglas in a museum somewhere, and I came on to a couple of girls and drank too much and woke up the next morning with a headache.

Then it was Monday and I was sitting at the breakfast table with my brother and my two nephews and it was raining again. Sleeting, actually. I wanted to go back to bed. I toyed with the idea of telling Philip I was sick, but he’d probably insist on inserting the rectal thermometer himself. He sat across from me, expressionless, crunching away at his bran flakes and sunflower seeds, the newspaper spread out before him. Denise bustled around the kitchen, brewing coffee and shoving things into the microwave while the boys and I smeared Eggo waffles with butter and syrup. “So,” I said, addressing my nephews over the pitcher of pure Grade A maple syrup, “you know why the California kids have it all over the Midwestern kids when it comes to baseball?”

Josh looked up from his waffles; Jeff was still on dreamtime.

“Because of this,” I said, gesturing toward the dark windows and the drooling panes. “In L.A. now it’s probably seventy degrees, and when the kids wake up they can go straight out and play ball.”