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Yes. This is what I know. The ward is a factory for the Combine. It’s for fixing up mistakes made in the neighborhoods and in the schools and in the churches, the hospital is. When a completed product goes back out into society, all fixed up good as new, better than new sometimes, it brings joy to the Big Nurse’s heart; something that came in all twisted different is now a functioning, adjusted component, a credit to the whole outfit and a marvel to behold. Watch him sliding across the land with a welded grin, fitting into some nice little neighborhood where they’re just now digging trenches along the street to lay pipes for city water. He’s happy with it. He’s adjusted to surroundings finally. …

“Why, I’ve never seen anything to beat the change in Maxwell Taber since he’s got back from that hospital; a little black and blue around the eyes, a little weight lost, and, you know what? he’s a new man. Gad, modern American science…”

And the light is on in his basement window way past midnight every night as the Delayed Reaction Elements the technicians installed lend nimble skills to his fingers as he bends over the doped figure of his wife, his two little girls just four and six, the neighbor he goes bowling with Mondays; he adjusts them like he was adjusted. This is the way they spread it.

When he finally runs down after a pre-set number of years, the town loves him dearly and the paper prints his picture helping the Boy Scouts last year on Graveyard Cleaning Day, and his wife gets a letter from the principal of the high school how Maxwell Wilson Taber was an inspirational figure to the youth of our fine community.

Even the embalmers, usually a pair of penny-pinching tightwads, are swayed. “Yeah, look at him there: old Max Taber, he was a good sort. What do you say we use that expensive thirty-weight at no extra charge to his wife. No, what the dickens, let’s make it on the house.”

A successful Dismissal like this is a product brings joy to the Big Nurse’s heart and speaks good of her craft and the whole industry in general. Everybody’s happy with a Dismissal.

But an Admission is a different story. Even the best-behaved Admission is bound to need some work to swing into routine, and, also, you never can tell when just that certain one might come in who’s free enough to foul things up right and left, really make a hell of a mess and constitute a threat to the whole smoothness of the outfit. And, like I explain, the Big Nurse gets real put out if anything keeps her outfit from running smooth.

5

Before noontime they’re at the fog machine again but they haven’t got it turned up full; it’s not so thick but what I can see if I strain real hard. One of these days I’ll quit straining and let myself go completely, lose myself in the fog the way some of the other Chronics have, but for the time being I’m interested in this new man — I want to see how he takes to the Group Meeting coming up.

Ten minutes to one the fog dissolves completely and the black boys are telling Acutes to clear the floor for the meeting. All the tables are carried out of the day room to the tub room across the hall — leaves the floor, McMurphy says, like we was aiming to have us a little dance.

The Big Nurse watches all this through her window. She hasn’t moved from her spot in front of that one window for three solid hours, not even for lunch. The day-room floor gets cleared of tables, and at one o’clock the doctor comes out of his office down the hall, nods once at the nurse as he goes past where she’s watching out her window, and sits in his chair just to the left of the door. The patients sit down when he does; then the little nurses and the residents straggle in. When everybody’s down, the Big Nurse gets up from behind her window and goes back to the rear of the Nurses’ Station to that steel panel with dials and buttons on it, sets some kind of automatic pilot to run things while she’s away, and comes out into the day room, carrying the log book and a basketful of notes. Her uniform, even after she’s been here half a day, is still starched so stiff it don’t exactly bend any place; it cracks sharp at the joints with a sound like a frozen canvas being folded.

She sits just to the right of the door.

Soon as she’s sat down, Old Pete Bancini sways to his feet and starts in wagging his head and wheezing. “I’m tired. Whew. O Lord. Oh, I’m awful tired…” the way he always does whenever there’s a new man on the ward who might listen to him.

The Big Nurse doesn’t look over at Pete. She’s going through the papers in her basket. “Somebody go sit beside Mr. Bancini,” she says. “Quiet him down so we can start the meeting.”

Billy Bibbit goes. Pete has turned facing McMurphy and is lolling his head from side to side like a signal light at a railroad crossing. He worked on the railroad thirty years; now he’s wore clean out but still’s functioning on the memory.

“I’m ti-i-uhd,” he says, wagging his face at McMurphy. “Take it easy, Pete,” Billy says, lays a freckled hand on Pete’s knee.

“… Awful tired…”

“I know, Pete” — pats the skinny knee, and Pete pulls back his face, realizes nobody is going to heed his complaint today. The nurse takes off her wrist watch and looks at the ward clock and winds the watch and sets it face toward her in the basket. She takes a folder from the basket.

“Now. Shall we get into the meeting?”

She looks around to see if anybody else is about to interrupt her, smiling steady as her head turns in her collar. The guys won’t meet her look; they’re all looking for hangnails. Except McMurphy. He’s got himself an armchair in the corner, sits in it like he’s claimed it for good, and he’s watching her every move. He’s still got his cap on, jammed tight down on his red head like he’s a motorcycle racer. A deck of cards in his lap opens for a one-handed cut, then clacks shut with a sound blown up loud by the silence. The nurse’s swinging eyes hang on him for a second. She’s been watching him play poker all morning and though she hasn’t seen any money pass hands she suspects he’s not exactly the type that is going to be happy with the ward rule of gambling for matches only. The deck whispers open and clacks shut again and then disappears somewhere in one of those big palms.

The nurse looks at her watch again and pulls a slip of paper out of the folder she’s holding, looks at it, and returns it to the folder. She puts the folder down and picks up the log book. Ellis coughs from his place on the wall; she waits until he stops.

“Now. At the close of Friday’s meeting… we were discussing Mr. Harding’s problem… concerning his young wife. He had stated that his wife was extremely well endowed in the bosom and that this made him uneasy because she drew stares from men on the street.” She starts opening to places in the log book; little slips of paper stick out of the top of the book to mark the pages. “According to the notes listed by various patients in the log, Mr. Harding has been heard to say that she ‘damn well gives the bastards reason to stare.’ He has also been heard to say that he may give her reason to seek further sexual attention. He has been heard to say, ‘My dear sweet but illiterate wife thinks any word or gesture that does not smack of brickyard brawn and brutality is a word or gesture of weak dandyism.’ ”

She continues reading silently from the book for a while, then closes it.

“He has also stated that his wife’s ample bosom at times gives him a feeling of inferiority. So. Does anyone care to touch upon this subject further?”

Harding shuts his eyes, and nobody else says anything. McMurphy looks around at the other guys, waiting to see if anybody is going to answer the nurse, then holds his hand up and snaps his fingers, like a school kid in class; the nurse nods at him.