“It broke my heart,” Elaine told me, later. “How that boy was trying to prepare us.” But as I was only beginning to learn about that goddamn disease, there was no way to be prepared for it.
“Oh, there she is—my sister, Emily,” Peter Atkins said, when he finally let us enter the room where his dad lay dying.
The dog, Jacques, was a chocolate Labrador with a gray-white muzzle—an old dog, I could tell, not only by his grizzled nose and jaws, but by how slowly and unsteadily the dog came out from under the hospital bed to greet us. One of his hind legs slipped a little on the floor; his tail wagged only slightly, as if it hurt his hips to wag his tail at all.
“Jacques is almost thirteen,” Peter told Elaine and me, “but that’s pretty old for a dog—and he has arthritis.” The dog’s cold, wet nose touched my hand and then Elaine’s; that was all the old Lab had wanted. There was a subsequent thump when the dog lay down under the bed again.
The girl, Emily, was curled up like a second dog at the foot of her father’s hospital bed. It was probably of some small comfort to Tom that his daughter was keeping his feet warm. It was an indescribable exertion for Atkins to breathe; I knew that his hands and feet would be cold—the circulation to Tom’s extremities was closing down, trying to shunt blood to his brain.
Emily’s reaction to Elaine and me was delayed. She sat up and screamed, but belatedly; she’d been reading a book, which flew from her hands. The sound of its fluttering pages was lost to the girl’s scream. I saw an oxygen tank in the cluttered room—what had been Atkins’s “study,” as his son had explained, now converted for a deathwatch.
I also observed that his daughter’s scream had little effect on Tom Atkins—he’d barely moved in the hospital bed. It probably hurt him to turn his head; yet his bare chest, while the rest of his shrunken body lay still, was vigorously heaving. The Hickman catheter dangled from the right side of Tom’s chest, where it had been inserted under his clavicle; it tunneled under the skin a few inches above the nipple, and entered the subclavian vein below the collarbone.
“These are Dad’s old friends, from school, Emily,” Peter said irritably to his little sister. “You knew they were coming.”
The girl stalked across the room to her far-flung book; when she’d retrieved it, she turned and glared. Emily definitely glared at me; she may have been glaring at her brother and Elaine, too. When the thirteen-year-old spoke, I felt certain she was speaking only to me, though Elaine would try in vain to assure me later, on the train, that Tom’s daughter had been addressing both of us. (I don’t think so.)
“Are you sick, too?” Emily asked.
“No, I’m not—I’m sorry,” I answered her. The girl then marched out of the room.
“Tell Mom they’re here, Emily. Tell Mom!” Peter called after his angry sister.
“I will!” we heard the girl shout.
“Is that you, Bill?” Tom Atkins asked; I saw him try to move his head, and I stepped closer to the bed. “Bill Abbott—are you here?” Atkins asked; his voice was weak and terribly labored. His lungs made a thick gurgling. The oxygen tank must have been for only occasional (and superficial) relief; there probably was a mask, but I didn’t see it—the oxygen was in lieu of a ventilator. Morphine would come next, at the end stage.
“Yes, it’s me—Bill—and Elaine is with me, Tom,” I told Atkins. I touched his hand. It was ice-cold and clammy. I could see poor Tom’s face now. That greasy-looking seborrheic dermatitis was in his scalp, on his eyebrows, and flaking off the sides of his nose.
“Elaine, too!” Atkins gasped. “Elaine and Bill! Are you all right, Bill?” he asked me.
“Yes, I’m all right,” I told him; I’d never felt so ashamed to be “all right.”
There was a tray of medications, and other intimidating-looking stuff, on the bedside table. (I would remember the heparin solution, for some reason—it was for flushing out the Hickman catheter.) I saw the white, cheesy curds of the Candida crusting the corners of poor Tom’s mouth.
“I did not recognize him, Billy,” Elaine would say later, when we were returning to New York. Yet how do you recognize a grown man who weighs only ninety-something pounds?
Tom Atkins and I were thirty-nine, but he resembled a man in his sixties; his hair was not only translucent and thin—what there was of it was completely gray. His eyes were sunken in their sockets, his temples deeply dented, his cheeks caved in; poor Tom’s nostrils were pinched tightly together, as if he could already detect the stench of his own cadaver, and his taut skin, which had once been so ruddy, was an ashen color.
Hippocratic facies was the term for that near-death face—that tightly fitted mask of death, which so many of my friends and lovers who died of AIDS would one day wear. It was skin stretched over a skull; the skin was so improbably hard and tense, you were sure it was going to split.
I was holding one of Tom’s cold hands, and Elaine was holding the other one—I could see Elaine trying not to stare at the Hickman catheter in Atkins’s bare chest—when we heard the dry cough. For a moment, I imagined that poor Tom had died and his cough had somehow escaped his body. But I saw the son’s eyes; Peter knew that cough, and where it came from. The boy turned to the open doorway of the room—where his mother now stood, coughing. It didn’t sound like all that serious a cough, but Sue Atkins was having trouble stopping it. Elaine and I had heard that cough before; the earliest stages of Pneumocystis pneumonia don’t sound too bad. The shortness of breath and the fever were often worse than the cough.
“Yes, I have it,” Sue Atkins said; she was controlling the cough, but she couldn’t stop it. “In my case, it’s just starting,” Mrs. Atkins said; she was definitely short of breath.
“I infected her, Bill—that’s the story,” Tom Atkins said.
Peter, who’d been so poised, was trying to slip sideways past his mother into the hall.
“No—you stay here, Peter. You need to hear what your father has to say to Bill,” Sue Atkins told her son; the boy was crying now, but he backed into the room, still looking at the doorway, which his mom was blocking.
“I don’t want to stay, I don’t want to hear . . .” the boy began; he was shaking his head, as if this were a proven method to make himself stop crying.
“Peter—you have to stay, you have to listen,” Tom Atkins said. “Peter is why I wanted to see you, Bill,” Tom said to me. “Bill has some discernible traces of moral responsibility—doesn’t he, Elaine?” Tom suddenly asked her. “I mean Bill’s writing—at least his writing has discernible traces of moral responsibility, doesn’t it? I don’t really know Bill anymore,” Atkins admitted. (Tom couldn’t say more than three or four words without needing to take a breath.)
“Moral responsibility,” I repeated.
“Yes, he does—Billy takes moral responsibility. I think so,” Elaine said. “I don’t mean only in your writing, Billy,” Elaine added.
“I don’t have to stay—I’ve heard this before,” Sue Atkins suddenly said. “You don’t have to stay, either, Elaine. We can go try to talk to Emily. She’s a challenge to talk to, but she’s better with women than she is with men—as a rule. Emily really hates men,” Mrs. Atkins said.
“Emily screams almost every time she sees a man,” Peter explained; he had stopped crying.
“Okay, I’ll come with you,” Elaine said to Sue Atkins. “I’m not all that crazy about most men, either—I just don’t like women at all, usually.”