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“As I’ve said many times before, no visible symptoms can be observed in your case,” the doctor said with a long sigh. “It’s not good to dwell on your condition too much. The worst thing for you is marital discord. If you’ve stopped having intercourse with your wife altogether, that could be another cause of marital discord.”

“Surely you’re not going to say I’m imagining it too?!”

“I’m not saying that. You are definitely sick. But anxiety will only make your condition worse. And then you’ll merely grow more anxious. It’s a vicious circle. I don’t want to frighten you, but if that happens, even a regime of complete rest and a change of air won’t work. You need to relax, and try not to get angry. That’s the best cure.”

“But my wife makes me angry. I can’t help it.”

“Will your wife accompany you to the island?”

“Of course.”

“You see, this is your perfect chance for a complete convalescence.” He screwed up his face. “Is there no way you could go alone?”

“You’re joking! I couldn’t leave a skittish woman like that on her own. Who knows what she’d get up to.”

“Distrust between partners, suspicions of infidelity, these are things that can directly aggravate your condition, you see.”

That hit a raw nerve. “Are you saying I’m jealous?” I said loudly. “How can I help it? She’s a wanton woman, I’m telling you!”

“All right, all right. Calm down.” The doctor hurriedly tried to pacify me. “That’s exactly what I mean. You mustn’t allow yourself to become so agitated!”

“Can I have the medicine?”

“Well, if you promise not to waste it, I’ll let you have eight months’ supply. But don’t come to me saying you’ve used it up and could I give you some more. This is all you’re getting. Do you understand?”

“I understand.”

“Serpentina alkaloid,” he said to the nurse before turning back to me. “Whatever you do, don’t take too many. Your blood pressure isn’t very high, so if you exceed the dose it could be life-threatening.”

“Yes, I understand.”

Huh, he’s only trying to frighten me, I thought. Once I’d got the pills I could do what I liked with them!

The rule in my company, Marine Chemical Resources Development, is that, once a decision has been made to send an employee to an island or coastal observation point, the work has to start within a week. But this only applies to single employees. I was given special dispensation of two weeks in which to prepare, as I’m a family man. And on the final afternoon of those two weeks, I boarded a small steam ferry to Pomegranate Island from Cape Ichizen with my wife and child. The ferry crossed to the island and back once a day.

“What? WHAT?! What sort of island is that?!” my wife shouted at the top of her voice as we approached Pomegranate Island. We could now see the whole of the island before us. “What kind of shape do you call that?!”

In the middle of the island was a mountain shaped like an upturned helmet. The top of the mountain was split wide open like a pomegranate exposing its obscene red insides.

“You’ve got to be joking! I can’t live on an island that looks like that!!” my wife shrieked at me in a state of shock. “Why of all places do we have to live on an island that’s got its top split open?”

“How could I have known?!” I shouted back. “I’ve only seen it on the map. Nobody told me Pomegranate Island was an island with its top split open!”

“Aha, ahaha, ahahahaha!” Our son pointed at the island and laughed merrily.

“It’s a volcano, that’s what it is! What are we going to do if it explodes? The whole island will be wiped out!”

“Are volcanoes shaped like that?!”

“It’s a bloody volcano, I tell you! Of course it is!” She started to sob. “What am I going to do? I wish I’d never married you. I had another proposal after we were engaged, I’ll have you know. Now he’s been posted to Europe with his family. What a mistake it was to choose you!!”

“It’s because you say things like that and make me angry that my condition gets worse,” I said slowly, deliberately, breathing deeply to control my rage. “Dr Kawashita has said it many times. Marital discord, and particularly quarrelling, is very bad for my heart. Some of his patients have even died of heart failure during rows with their wives.”

“Well, if you’re so scared of dying, hurry up and divorce me, then! All you ever say is Dr Kawashita this, Dr Kawashita that. He’s nothing but a ruddy quack!”

“He is not a quack!” I screamed. “Do you want me to get angry and die?”

“Are you dying then? ARE YOU?” she screamed back. “Go on then, die! Then I might believe you!”

“H-how… h-h-how-” Her logic was so absurd that I could find no words in reply. “How could you say-” I could hardly breathe. A prickling pain pierced my heart.

“It’s the company that’s trying to kill you by sending you to this island! They want you to die. They’ve no intention of promoting you. Of course they haven’t.” She stamped her heels noisily on the deck.

“Stop… please st-stop.” I clutched my chest and sat on a bench. “My p-pills, please, my p-pills. In the c-cabin. In my bag. In my b-bag.”

She tutted, and peered down at me with a look of disgust on her face.

“Daddy not well again,” said my son.

“Come on, let’s leave him. Let’s go,” she said icily, without expression. She took our son’s hand and hurried off to the after-deck.

I was beside myself with rage. The palpitations started and I stopped breathing altogether.

“Uhhh… uhhh… uhhh…”

Moaning, clawing at the air with fingers bent rigid, I twisted and contorted my body until, at last, I reached the cabin. I opened my bag with fitful hands, took out the medicine bottle and swallowed three tablets without water. The doctor had instructed only two at a time, but two were no longer enough.

Once I’d regained my composure I peered at the bottom of the bottle. There were only four or five tablets left.

Suddenly struck by a feeling of unease, I rummaged around inside the bag. I wanted to make sure the package containing the eight months’ supply was still there.

It wasn’t.

I hastily tossed aside the suitcase and emptied the contents of my wife’s bag all over the cabin. But there was no sign of my medicine.

“Where’s my medicine?” My heart was starting to beat like a drum.

“What’s the matter with you?” my wife asked, looking at me coldly. I’d raced out of the cabin with my hair all over the place.

“My medicine!” I yelled. “The big package with my medicine in it. What have you done with it?”

“How should I know?” She gazed out across the sea. “It’s in your bag, isn’t it?”

“It’s not in my bag. It’s not in yours either. What have you done with it?” I screamed. “WHAT HAVE YOU DONE WITH IT?”

Frightened by my unusually savage appearance, my son clung tightly to his mother.

“Would you keep your voice down? Look, you’re scaring him. And you’re upsetting the other passengers.” Actually, a solitary old woman on the after-deck was the only other passenger.

“Never mind that. You were shouting yourself just now, weren’t you? Answer my question. Where have you put the package with my medicine in it? If I don’t have that medicine, it could hinder my chances of staying alive!”

“It could hin-der his chan-ces of staying a-live, he says,” she repeated to the boy with a snigger. “What grand expressions he uses. Answer his question, he says.” She turned to look at me with spiteful eyes. “Who the hell do you think you’re talking to?”

“I’m sorry. I apologize,” I said more calmly, trying not to accept the provocation. “Could you please tell me what you did with the package?”

“What package.”

“It was about this big, wrapped in brown paper. It had eight months’ supply of medicine in it. I’ve only got four or five tablets left in my bottle. I need to refill it, you see.”