Knowing what you will soon lose makes living even more precious, and the middle-aged man becomes infinitely more concerned with time. I find myself more conscious of light, because light is the most primitive measure of time; I spend as many hours as possible in the country, where the movement of the sun is so much more obvious and poignant than it is in the city. I arrange my social life in different ways, avoiding whenever possible the brittle chatter of cocktail parties, the strained social performances at formal dinners. I try to avoid all fads and fashions and to be skeptical of flattery. I seldom read books when they are published and find myself drawn back to the classics, to a few books that I first read years ago and failed to understand and that now seem to be about my own time on earth. More frequently now, I read history, biographies, memoirs, and journals because they have the effect of lengthening my life backward into the past, and because the complicated stories of other lives layer and multiply my own.
And because living seems more extraordinary than ever, I sleep less. In this, among so many other things, I resemble my father. In the last thirty years of his life (he died at eighty), he rose before dawn, rattling teacups, furious in some inarticulate way if his sons slept late. He never said so, but I’m certain now that the fury was about the waste of living. We have these dwindling hours and days to savor and use; it is almost sinful to occupy them with death’s sweet brother, sleep. Ancl so I am awake. Look (I say to my wife, her hand warm in the chilly dawn): the snow is melting in the fields outside the house. The trees are noisy with birds. The lake is making churning sounds, as the ice breaks and the bass stir at the bottom. In a few more weeks, they’ll be playing the first games of another season, and we can watch a fresh new rookie try to hit the curveball. The world will soon be green again. We’ll read Trollope beside the pond. And around these parts, fruit always ripens in the autumn.
ESQUIRE,
June 1988
REPRIEVE
That evening, when I returned to the hotel room in Miami, the message light was blinking on the telephone like an extra pulse. I sat down wearily on the edge of the bed and dialed the operator. My wife had called. And two sources for the story I was reporting. And my doctor… my doctor? Calling me from New York? The weariness vanished. In fifteen years, he’d never once called me anywhere unless I’d called him first. A week earlier I had submitted to my annual physical. All was normal. But here he was, calling me in a hotel in Miami. I glanced at my watch: a few minutes before 7:00. Probably gone home, but I called his office anyway. He was still there. And he went straight to the point.
“Last week’s chest X ray?” he said. “Well, we looked at it again and there’s something on it we don’t like. …”
I laughed out loud. I’d been expecting some variation of this sentence for years. After all, I was a three-packs-a-day man, and at fifty-something, each year’s physical was a kind of lottery. When it was over, and I was declared healthy, I always thought: Okay, got away with it again. Now, a few days after granting me my latest pass, the doctor was suddenly taking it back.
“What don’t you like?”
“It’s small, a dot really, on the upper part of your right lung.”
“What is it?” I asked.
A pause, and then the doctor said: “When are you coming home?”
I flew home the next day and soon began a new rhythm of days and nights. I had no symptoms of anything: no cough, no rebellious blood, no weakness, no pain; but I swiftly entered the strange and private universe of the sick. My doctor sent me to another man, who specialized in the lungs. He in turn dispatched me to NYU Medical Center for a CAT scan. That propelled me down many bland new corridors to a series of desks where I was asked to pay first and be tested later. This was something new to me in my life in America, and oddly original; it was like a restaurant extorting payment before serving me food. At every step of this process, money came first. There was a wonderfully cynical assumption behind the most elemental contact in this new world: You are all potential deadbeats.
So I paid to have blood taken from my arms, to breathe into various machines, to swallow and be injected with chemicals. The good doctors and the excellent technicians hadn’t devised the system of stand and deliver, of course; it must have evolved over the past few decades in the grand republic we all share with the boys from HUD, the S&L’s, and the Medellin Cartel. Nobody else I told was surprised. But all of this was new to me. I’m one of those fortunate human beings who are almost never physically sick. Over the previous thirty-five years, I had been in a hospital only three times as a patient: for the repair of a broken hand and then a broken cheekbone (both sustained while serving my apprenticeship as a young idiot); and finally for the removal of a small cyst over my right eye. As a reporter, of course, I’d been in dozens of hospitals, in pursuit of the usual portion of human folly and calamity; over the years, I’d served emergency-room death watches on shot cops and raped nuns and wounded presidents of the United States. But such duties were really only paid tours in the region of melodrama. The attendant pain, fear, and odor of death were part of my craft, but not my life. Now I was on a private tour.
“What are you looking for?” I asked at an early point in this process.
The doctor shrugged, smiled, and said: “The truth.”
He meant the truth about the spot on my lung, of course, not some grander insight into the meaning of the world. But even this limited truth wasn’t easy. The spot was the size of a bread crumb and it was high up behind a rib. There were four possibilities: i) lung cancer, caused by smoking an estimated 780,000 cigarettes over the previous three decades; 2) a fungus unique to the American Southwest and northern Mexico, both regions that I’d visited in the past two years; 3) a tumor caused by the asbestos I’d worked on for two months in the Brooklyn Navy Yard when I was sixteen; 4) tuberculosis. I am a fatalist about most things. Naturally, I was certain it was cancer.
“I don’t think so,” said my wife.
“Well, we’ll soon find out.”
It wasn’t that easy. For all of the modern technology, the various experts couldn’t decide precisely what was in my lung. They did one test to see if I’d been exposed recently to tuberculosis; the result was negative. The same was true about the fungus. The asbestos remained a possibility. So, obviously, did cancer. The big possibility. But, still, the doctors weren’t certain. They wanted …the truth. They asked me to undergo a bronchoscopy. This meant I’d stay overnight at the hospital, and then, with a local anesthetic, a tube would be passed down my throat into my lung to get as close as possible to the Thing. I agreed.
In the hospital for the bronchoscopy, I noticed something odd about myself: I had no fear. I’m no braver than the average man, but none of this made me tremble or weep or fall into pools of self-pity. I lost no sleep, either to a runaway imagination or to bad dreams. Of course, a bronchoscopy was hardly a major operation, but it wasn’t a day off either. And it might tell me that I had cancer, a word that seems to fill most Americans with dread. But instead of fear, regrets, or remorse, I found myself living almost entirely in the present tense: This happens, this happens, and this happens. If anything, the lack of fear made me sad. A lifetime of reporting had done its work; I’d been cheated of a basic human reaction.