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In truth, Perkus felt ill. That was the reason for the jaunt and why he was so vulnerable to dislocation, yet it made him wish to reverse course before he’d taken some irrevocable step. He’d shaved and showered, for the first time in many days, understanding it was likely someone would be examining his undressed body. Then, defensively prideful, he’d donned his best suit, a deep-maroon pinstripe three-piece that would have risked seeming clownish had the vents and pockets not been so impeccably detailed, the fit to his wiry body so trim and modish. The suit wasn’t tailored for Perkus. He’d gotten lucky, found it at the Housing Works Thrift Shop on Seventy-seventh. He made a daylight dandy in the maroon suit, and now, like a lush who’d woken drunk, weaved slightly on the pavement, he couldn’t help it. The sun was bright and the day was bitterly cold. Better to get indoors and face whatever it was he’d gotten himself into. He found the building on Twenty-fifth Street and pushed a button at the intercom, gave his name, was buzzed into the lobby. These were the offices of Strabo Blandiana, the celebrated master of Eastern medicine, who catered almost exclusively to stars-Chase Insteadman had been in his care since that time, ten years past, when he’d qualified as something of a star himself. Chase had induced Strabo to make an exception to his long waiting list for Perkus, then pleaded with Perkus to keep the appointment. Incredibly, Perkus had agreed. Now, at the threshold, he fought every impulse to flee.

Neither Strabo’s candle-scenty reception area nor the gentle, fair-haired, dippily smiling young man who welcomed Perkus to a seat there inspired any hope that Perkus’s prejudices against Eastern medicine might be disappointed. But the vibe, so to speak, was mellow, palliative in itself, and Perkus really didn’t want to be out on the street again too soon. Couldn’t hurt to fill out the clipboard’s two pages of questions on health history and “Present Areas of Complaint”-Perkus laughed to himself that he had plenty of those. He specified “cluster headache, a subvariant of migraine,” not wanting to be mistaken for having fantasized his symptom, and preemptively disdaining any curative gesture that veered too much into fantasy itself. Then defiantly listed caffeine and THC under “Medicines.” Perkus had brewed himself a pot of coffee (Peet’s Colombian roast) and smoked a joint (Watt’s Ice) this morning before walking to the subway, and could feel both medicines still buzzing pleasantly in his bloodstream. He sat alone in the waiting room, apart from the blond kid, who each time Perkus looked up from the clipboard grinned welcome as if for the first time. No sign of other patients, no clue to what was expected of Perkus or what he should expect. Perkus reminded himself he wasn’t into astrological symbols or archetypes of any kind. He had a fucking headache. Actually, it was gone, though this had been one of the cruelest, lasting a week and a half, with barely any oases of relief. In its wake he was enfeebled, that was all, and needed an infusion or two of what he liked to call, only half jokingly, “replacement lipids”-a Jackson Hole vanilla malted and an extra slice of Swiss on his burger deluxe.

When Strabo opened a door Perkus was disarmed utterly. The Romanian was so much younger than Perkus had imagined, and devastating in his calm. Strabo’s personal style was minimalist, hair cropped in a close Caesar, the sleeves of his black turtleneck, some superfine knit, pushed to mid-forearm, revealing on his left a tremendous gold Rolex. No ascetic renunciation of worldly treasure here. Strabo’s gaze penetrated quickly, satisfied itself, and moved on, declining to make a show of hypnotic spookiness. Despite himself, Perkus felt disappointed. Did he rate just a glance? Strabo hadn’t even hesitated over Perkus’s morbid eye.

Strabo Blandiana’s examination room was neither encouragingly medical nor New Agey enough to justify Perkus’s balking. Just a couple of Danish Modern chairs, in which the two now sat as equals, a brushed-steel cabinet on wheels, and beyond it a long, flat daybed covered with a neatly folded sheet. One silver-framed photograph, of an enigmatic orange-glowing ceramic vase against a blank white backdrop. From the moment Strabo opened his mouth no question of negotiation remained. He spoke decisively, each word acute. The tone suggested they’d agreed beforehand never to waste an instant of the other’s time. Perkus’s clipboard results were in evidence nowhere, and the word headache was never spoken.

Strabo explained quickly that Perkus was-surprise! — “out of balance.” He could see that Perkus worked with his mind, and that he did so with the urgency of one who knew that if he faltered in his chosen task no one could possibly carry on in his stead. This sense of special purpose motivated Perkus to accomplish extraordinary things but also made him lonely, and defiantly angry. Strabo surprised Perkus by finding nothing shameful in this: Perkus evidently made use of productive fear and rage. Each insight Strabo offered as if describing the workings of a car, some fine-tuned Porsche or Jaguar, to its interested owner. There was no air of metaphysics. Strabo went on to explain that Perkus’s constitution was strong. If it wasn’t he wouldn’t have made it even this far, nor accomplished what he had. The suggestion being that this Porsche’s owner had brought his car limping into the garage just barely in time. Strabo’s intuition of Perkus’s special accomplishments and challenges allowed Perkus to feel them himself as though for the first time. What burdens he carried! That Perkus couldn’t go on as he had been was simply manifest and true.

Strabo Blandiana paused now, as if catching himself too much showing off what one glance had collected from the subject before him. He might be about to turn to the question of treatment, whatever that consisted of. Perkus was at this point only dazzled. Then Strabo again turned that gaze of total discernment in Perkus’s direction. “You understand,” Strabo said, as if incidentally, “that beneath your anger is really mourning. But you feel you can’t afford to mourn.”

“Mourn who?” said Perkus, feeling a breath disappear, so he had to gulp to replace it. The description seemed to tip him headfirst into self-understanding, as if from a high diving board. But he hadn’t hit the water yet.

Strabo shook his head, refusing the obvious. “Before your parents were taken from you, the loss you felt was already real.” Yes, Perkus’s parents had both died, but how did Strabo know this? Or was this one of those specious bold guesses with which a charlatan secured your confidence? Perkus’s suspicions were aroused, but they were overrun by his hunger to understand what Strabo was on about. What loss?

“You mourn a loss suffered by the world. Something in living memory, but not adequately remembered. You see it as your sole responsibility to commemorate this loss.”

With this astonishing pronouncement, Strabo shifted efficiently and permanently to the practical effort of the Porsche’s maintenance. Was Perkus aware that he breathed only into his upper chest, never into his stomach? This distinction anyone would be likely to have noted a hundred times, but Strabo, with a guiding touch, made Perkus feel the difference. Perkus then tried to reopen the conversation, but Strabo, with a shrug, conveyed the sense that their talk had been conclusive. He deferred to Perkus’s expertise. “You know what you need to do to continue your work, I can’t teach you anything about that. Let’s just get you balanced, and then we’ll discuss strategies for leaving aside the useless pain. When you were younger you could carry more, but it isn’t efficient or necessary now. Please undress and lie under the sheet, I’ll return momentarily.”