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Fake or not, it's these kinds of big truths that swarm inside you.

You realize that our mistrust of the future makes it hard to give up the past. We can't give up our concept of who we were. All those adults playing archaeologist at yard sales, looking for childhood artifacts, board games, CandyLand, Twister, they're terrified. Trash becomes holy relics. Mystery Date. Hula Hoops. Our way of getting nostalgic for what we just threw in the trash, it's all because we're afraid to evolve. Grow, change, lose weight, reinvent ourselves. Adapt.

That's what the agent says to me on the StairMaster. He's yelling at me, "Adapt!"

Everything's accelerated except me and my sweaty body with its bowel movements and body hair. My moles and yellow toenails. And I realize I'm stuck with my body, and already it's falling apart. My backbone feels hammered out of hot iron. My arms swing thin and wet on each side of me.

Since change is constant, you wonder if people crave death because it's the only way they can get anything really finished.

The agent's yelling that no matter how great you look, your body is just something you wear to accept your Academy Award.

Your hand is just so you can hold your Nobel Prize.

Your lips are only there for you to air-kiss a talk show host.

And you might as well look great.

It's around the one hundred and twentieth floor you have to laugh. You're going to lose it anyway. Your body. You're already losing it. It's time you bet everything.

This is why when the agent comes to you with anabolic steroids, you say yes. You say yes to the back-to-back tanning sessions. Electrolysis? Yes. Teeth capping? Yes. Dermabrasion? Yes. Chemical peels? According to the agent, the secret to getting famous is you just keep saying yes.

It's in the car coming from the airport the agent shows me his cure for cancer. It's called ChemoSolv. It's supposed to dissolve a tumor, he says and opens his briefcase to take out a brown prescription bottle with dark capsules inside.

This is jumping back a little ways to before I met the stair climbing machine, to my first face-to-face with the agent the night he picks me up at the airport in New York. Before he tells me I'm too fat to be famous yet. Before I'm a product being launched. It's dark outside when my plane first lands in New York. Nothing's too spectacular. It's night, with the same moon as we have back home, and the agent's just a regular man standing where I get off the plane, wearing glasses with his brown hair parted on one side.

We shake hands. A car drives up to the curb outside, and we get in the back. He pinches the crease in each trouser leg to lift it as he steps into the car. How he looks is custom-tailored.

How he looks is eternal and durable. Just meeting him, there's that guilt I feel whenever I buy something impossible to recycle.

"This other cancer cure we have is called Oncologic," he says and hands another brown bottle across to me sitting next to him in the backseat. This is a nice car, the way it's black leather and padded all over inside. The ride is smoother than on the airplane.

It's more dark capsules inside the second bottle, and pasted around the bottle is a pharmacy label the way you always see. The agent takes out another bottle.

"This is one of our cures for AIDS," he says. "This is our most popular one." He takes out bottle after bottle. "Here we have our leading cure for antibiotic-resistant tuberculosis. Here's liver cirrhosis. Here's Alzheimer's. Multiple Neuritis. Multiple Myeloma. Multiple Sclerosis. The rhinovirus," he says, shaking each one so the pills inside rattle, and handing them over to me.

ViralSept, it says on one bottle.

MaligNon, another bottle says.

CerebralSave.

Kohlercaine.

Nonsense words.

These are all same-sized brown plastic bottles with white child-guard caps and prescription labels from the same pharmacy.

The agent comes packaged in a medium-weight gray wool suit and is equipped with only his briefcase. He features two brown eyes behind glasses. A mouth. Clean fingernails. Nothing is remarkable about him except what he's telling me.

"Just name a disease," he says, "and we have a cure ready for it."

He lifts two more handfuls of brown bottles from his briefcase and shakes them. "I brought all these to prove a point."

Every second, the car we're in slides deeper and deeper through the dark into New York City. Around us, other cars keep pace. The moon keeps pace. I say how I'm surprised all these diseases still exist in the world.

"It's a shame," the agent says, "how medical technology is still lagging behind the marketing side of things. I mean, we've had all the sales support in place for years, the coffee mug giveaways to physicians, the feel-good magazine ads, the total product launch, but it's the same old violin in the background. R&D is still years behind. The lab monkeys are still dropping like flies."

His two perfect rows of teeth look set in his mouth by a jeweler.

The pills for AIDS look just like the pills for cancer look just like the pills for diabetes. I ask, So these things really aren't invented?

"Let's not use that word, 'invented,'" the agent says. "It makes everything sound so contrived."

But they aren't real?

"Of course they're real," he says and plucks the first two bottles out of my hands. "They're copyrighted. We have an inventory of almost fifteen thousand copyrighted names for products that are still in development," he says. "And that includes you."

He says, "That's just my point."

He's developing a cure for cancer?

"We're a total concept marketing slash public relations organization," he says. "Our job is to create the concept. You patent a drug. You copyright the name. As soon as someone else develops the product they come to us, sometimes by choice, sometimes not."

I ask him, Why sometimes not?

"The way this works is we copyright every conceivable combination of words, Greek words, Latin, English, what-have-you. We get the legal rights to every conceivable word a pharmaceutical company might use to name a new product. For diabetes alone, we have an inventory of one hundred forty names," he says. He hands me stapled-together pages from out of his briefcase in his lap.

GlucoCure, I read.

InsulinEase.

PancreAid. Hemazine. Glucodan. Growdenase. I turn to the next page, and bottles slip out of my lap and roll along the car floor with the pills inside rattling.

"If the drug company that ever cures diabetes wants to use any combination of words even vaguely related to the condition, they'll have to lease that right from us."

So the pills I have here, I say, these are sugar pills. I twist one bottle open and shake a tablet, dark red and shining, into my palm. I lick it, and it's candy-coated chocolate. Others are gelatin capsules with powdered sugar inside.

"Mock-ups," he says. "Prototypes."

He says, "My point is that every bit of your career with us is already in place, and we've been prophesying your arrival for more than fifteen years."

He says, "I'm telling you this so you can relax."

But the Creedish church district disaster was only ten years ago.

And I put a pill, an orange Geriamazone, in my mouth.

"We've been tracking you," he says. "As soon as the Creedish survival numbers dipped below one hundred, we started the campaign rolling. The whole media countdown over the last six months, that was our doing. It needed some fine-tuning. It wasn't anything specific at first, all the copy is pretty much search-and-replace, fill-in-the-blank, universal-change stuff, but it's all in the can. All we needed was a warm body and the survivor's name. That's where you enter the picture."

From another bottle, I shake out two dozen Inazans and hold them under my tongue until their black candy shells dissolve. Chocolate melts out.