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“It takes two or three days to be sure of the results. There might be some swelling or itching, but try to leave it alone.” He looks down at the chart, to the notes he has made. He has seen so many young men and women like Alistair, who have come to him at the end of their lives. For a moment, Gail is standing beside him, she is resting her head against his arm. “I’m going to admit you,” he says.

Al lifts his shoulders, then lets them fall. “I figured you might.”

Ansel walks him to his office, then takes the paperwork over to Pauline. He orders a chest X-ray and a blood test, and Pauline phones over for a bed.

He returns to the office with two mugs of coffee. Al is sitting at his desk, facing the computer screen. He is peering at Ansel’s photograph of Gail.

“Your girlfriend?”

Ansel nods.

Al sets the photo back down on the desk. “This morning, instead of coming here, I walked over to Trout Lake. You know where that is?”

Ansel nods at the picture. “Gail is a runner.” He catches himself, but then he continues anyway. “Sometimes she goes there. It’s only a few kilometres from our house.”

“A lake in the middle of the city. Families and kids playing in the water. Lots of people running on the trails. Maybe I’ve even seen your girlfriend. And then me, just sitting on the sand like I own the place. Someone was playing the cello.” He laughs and shakes his head. “There was no way I was going to get up, leave that behind, and come here.”

“I’m glad you came.”

“Well. It started to rain.”

The bed comes through in half an hour. Ansel drops what he’s doing and goes to find Al Cameron, who is making his way through a stack of magazines in the waiting room. Together they walk through the underground corridors towards the hospital reception.

Al trails his hand along the wall as he walks. “What next, then?”

“If it is tb, we’ll get you started on a course of drugs. It’s difficult, because we don’t want to interfere with the meds you’re currently on. If it’s not tb, then it’s something else. You’ve got some time with the radiologist this afternoon. We’ll see.”

Al pats his pocket. “Thank God for health coverage,” he says. “There are thousands of dollars of good drugs pouring through this body.”

At noon, Ansel goes outside and stands on the front steps of the clinic. Beside him, there’s a young man and woman, cigarettes moving from hand to mouth in a circling, fluid gesture. The man breathes out rings of smoke, small and perfect, expanding as they float away from him. The woman smiles. “What luck,” she says, leaning her head against him. He puts his arm tenderly around her waist.

The nerves around Ansel’s eyes begin to tense, and he finds that he has to look away. Lately, all displays of affection have caused this response in him, whether between lovers, between parents and children, or children and grandparents.

Neither he nor Gail had wanted to hang up the phone, and so they continued talking, though her voice seemed to fade in and out, a thread he kept losing.

In a dream that recurs, Ansel catches a plane that night, he arrives in time.

He knows it is impossible, irrational, but he is lifted away from the present, set down in a different timeline. The details of their lives, all the habitual acts, the cherished conversations, continue to accumulate, day after day, into the future.

By the time he arrived in Prince George with Gail’s parents, it was too late to change what had occurred. When he closes his eyes, the city, her body, is blocked out, he turns his memory away from the room in the hospital basement where they’d brought him and Gail’s parents. Instead, he is in the airplane, flying over the Cascade Mountains, looking down on the snow and fog. When the mountains fall away, highways emerge, thin lines moving across the land, unravelling from the towns.

Everything after, the funeral, the interment, blurs into a single moment. He has gone on, returning to work, doing all that is required of him. One part of him moves ahead, the other is lost, and each passing day widens this breach, a knife edge in his body.

He has copies of the coroner’s findings, the radiology report, EKG charts, the hospital records. She had contracted a bacterial infection, a sudden devastating pneumonia. This, the coroner believed, had depleted the oxygen in her bloodstream, triggering a stroke. The paramedics had said that she was peaceful, there was no sign of pain. Night after night, he studies the test results, trying to find the gaps, the detail that might have saved her. He suspects an underlying medical condition, one that would have made her more susceptible, cardiomyopathy or channelopathy, undiagnosed. The charts and details hold a power over him, as if they will shed light not only on her illness but on Gail herself, who she was, everything she once hoped for, what she believed at the end. He has written to the hospital, met with the attending physician, tried to draw a line from the hour she died, back through the night, to the previous day. Lives change in an instant, he knows this. He knows one can never be prepared. But his desire to make sense of her death will not subside. If she had not been released from the hospital, if he had gone to her, if the diary had never fallen into her hands, if someone had found her sooner, if it had not been winter. At night, the avalanche of possibilities comes to him, a weight collapsing against his body, he cannot breathe, cannot weep for all the exits he seeks to find.

After he closes his files that afternoon, he bicycles home. Clouds have moved in, and the rain, hesitant at first, quickly loses its inhibitions and becomes a downpour. He stops briefly at the side of the bike path and switches his generator on. When he begins pedalling, the sound of the machine washes out behind him and his headlight beams into the rain. He and Gail had come across this generator at the secondhand cycle shop on Dunbar Street, attached to an inexpensive bike. She had waxed poetic on the bicycles of Prague and Amsterdam, on the cleverness of using kinetic energy to power headlights, and the wastefulness of batteries. Ansel had buckled under the eloquence of her argument, or so he told her, and shelled out ten bucks for the old wreck that the generator was attached to. They had ridden it home, Gail perched on the back of the bicycle. She had been belting out a song while he pedalled. What song? U2, “Beautiful Day.” Tone deaf, as usual. Afterwards, on the front lawn, they had surgically removed the generator and attached the wires to his own bicycle. Voilà, a bit of Amsterdam in Vancouver.

The bicycle ride home is what saves him. A decade of the same route, down Heather Street, his body swaying past the roundabouts, down the sloping hill to the sea. Even the cars seem to scatter around him.

On Keefer Street, the lights from Chinatown shine a red and yellow river across the wet pavement. Rivulets soak into his shoes, and he feels as if his ankles are underwater. He continues on, past the line of seniors’ homes, towards the high roofs of Strathcona.

When he arrives home, he carries his bicycle up the front stairs. The house is quiet, and it smells of old coffee. Inside the house, Ansel peels off his wet clothes and steps into the shower. The steam hits his lungs and his body fills with warmth.

Gail has her hand on the small of his back. She says, “Pull yourself together, Ans.” He lifts his face towards the streaming water, and she circles her arms around his waist.

“With the kind of day I’ve had?”

She laughs. “You’ll have to prescribe your own drug regimen.”

The air is all fog and heat. She says, “I spent the day in my pyjamas. Reading. Mainlining coffee. Listening to music.”

“There was a man my age. He’s coming to the end.”