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The joke at Fox Run was that we, the patients, were the foxes and the staff was the hounds. They tried to get us to identify with them by continually informing us of the neighborhood’s attempts to have the hospital shut down; every third day, it seemed, part of the staff would be off somewhere fighting for the life of the institution, testifying before a citizens’ group or a state committee, defending Fox Run from the charges, the thousands of charges made against it. We inmates ranged in age from eighteen to ninety-three; many of us were without family; a large number were without rememberable pasts. We were Oriental, Appalachian, East European, Mexican, black, and most of us would be spending the rest of our lives in this hospital, or in another.

One of the principal complaints of the people who lived around Fox Run was that security was so patchy that patients, supposedly at will, would leave the hospital and wander through the community, peering into windows, shitting in bushes, staring mournfully at the children in shorts and halters. As soon as I learned this, I resolved to escape and soon I had an opportunity. I was mopping the floors in a ward when I heard a supervisor tell an orderly that a fire exit door was jammed and had to be repaired because it could neither open properly nor close. I slyly patrolled the corridors, looking for the defective door. I found it in short order and stood before it, breathing heavily and adjusting to the idea of freedom—of the bright, vast world that stretched out beyond that door.

I waited until the corridor was quiet; I could actually see the light coming through the door, an iridescent strand, EMERGENCY EXIT ONLY was stenciled in red across the door. This is an emergency, I thought to myself, as I pressed on the long lever and pushed. The door wedged open, swinging uncertainly on its broken hinge; the world leapt into view. Then just as suddenly I was grabbed from behind and dragged to a small room that was rumored to exist solely for the corporal punishment of patients and in which I was slapped, shaken, bounced around, and pummeled until I lost consciousness. The supervisor and two orderlies who caught and beat me never reported my attempted escape and I, in turn, never reported them. No one asked me about the cuts, lumps, and bruises that covered my body. It was a month before the pain disappeared and even longer before the limp and the headaches receded. Being beaten like that is so extraordinary, there’s no point in describing it. Those who haven’t been punished like that will never know how it feels, even if a genius describes it, and those who have, know it all too well.

In October, on a Sunday, Ann came to Fox Run. An orderly found me in the men’s fifth-floor television room watching the Bears play the Oakland Raiders. “Visitor,” he said, tapping me viciously on the shoulder with his index finger. I’d been feeling woozy that week. I asked if it was my parents—surprised, because I remembered our huge fight the week before and my asking them not to come to see me for a while. “No, it’s an aunt.” He showed me the white slip in his hand. Date, time, patient’s name. Visitor’s name: Ann Axelrod. Relation: Aunt.

She was waiting for me in the visitors’ room, sitting in a low green chair and studying the posters on the walclass="underline" gauzy photographs of couples walking hand in hand, swans silhouetted on the water, a waterfall, and a huge red and white striped balloon with the words “Up up and away” written on it. There were about twenty other visitors and as many patients, with five orderlies sitting around, looking the scene over.

I saw Ann before she knew I’d come into the room. I waited, giving myself a chance to feel whatever it was that seeing her again would awaken in me. I felt slightly nervous, embarrassed because I knew I didn’t look good and because it’s always embarrassing to be locked up. But other than that, my feelings couldn’t come forward; they remained pressed beneath the overwhelming weight of my circumstances. She’d gained a little weight, but it looked good on her. Her hair was almost solid gray—I don’t think time alone could have changed the color of her hair so radically. She wore a brown skirt and a soft, expensive-looking white blouse. She looked so elegant; I glanced around to see if everyone was noticing her, but no one seemed to.

“Surprise,” I said, dropping down into the chair next to her.

“David,” she said. Her voice suddenly disappeared, like a coin in a magic trick. Was she going to pull it out of my ear? She cleared her throat; color was rising in her face. “I told them I was your aunt.”

“I know.”

“I’m so bad at getting away with things,” she said. “I felt sure I’d get caught in my…”—she glanced around—“…lie. But now that I see you, I think I’ve actually pulled it off.” She smiled. Conspiracy. Triumph.

A surge of emotion ripped through me. All at once, I took Ann’s hand and held it, and then I lifted it slowly to my lips and kissed the back of her cool, faintly tanned hand. My nose was pressing against her; there was a faint cucumbery taste on her skin, and when I finally stopped kissing her and she let her hand drop into her lap, I saw that her hand was wet. I stared at it, hoping she would wipe it dry and horrified that she might.

“I’m in town at the behest of my publisher,” she said, quietly. “Promoting my book.”

“So you finally wrote a book,” I said.

Ann hesitated, nodded. She’d expected me to know. A slight overestimation of her own celebrity. I felt ashamed for her. How dare she think I would know anything.

“I miss a lot of what’s going on in here,” I said.

“Of course. And even if you weren’t here. Maybe ten thousand people in all the world know my name. It’s a small world, the book world.”

“It’s about time you wrote a book. Think of it: a real book.”

“You look OK, David,” she said; “You really do.” She glanced around the room, as if to say: Better than the others, at least. Someone was having a coughing fit, a patient. His family was pounding him on the back to make him stop.

“I saw myself in the mirror yesterday,” I said. “And I thought, ‘Hey boy, you look like someone in a public fucking nuthouse.’”

“You look good. Your voice is deeper.”

“It’s the drugs. It relaxes my face and makes me look old. They give you a lot of drugs here. Remember how we used to love drugs? Well, it’s different here. It’s serious. They have to give them to us or else we’d tear the place down. Burn it. That’s why my voice is so low, too. The drugs. I’m glad you noticed. I wasn’t sure it was true, and I didn’t know who to ask.”

We were silent for a few moments. The cougher was still coughing. An orderly stood with his massive arms folded, watching the family pound the cougher’s back.

“What do you do while you’re here?” Ann asked.

“But I’m always here!”

She looked around, shrugged. “What do you do?”

“Look. I want to ask a favor. Now you’re a famous writer. Why don’t you write a story about me? But not a story. The truth. What happened to me. I’m sorry. I’m forgetting what I’m not supposed to say. But the point is I’m here and it’s been a very long while, don’t you think? My case is sitting on someone’s desk, on the bottom of the pile. Don’t you think a little publicity would help? If you wrote a story to tell the world what’s happened to me, and maybe others like me too. I just need to get out of here. Even if I seem old and different, I’m still alive. I’m still the exact same person. It’s me, Ann. It’s me. It really is. I’m holding on. I’m making it day by day. But I don’t know, I really couldn’t say how much longer I’ll be able to hold out. They want you to change. That’s what it’s all about. I might even do it if I thought they’d let me out after. But knowing how it is I could turn myself into shit and they’d still keep me here.” I grabbed for her hand again but let it go when I saw her eyes were blurred with tears.