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Dr Almuna nodded, and said: ‘Oh, indeed, yes. Such cases are not without precedent, Doctor. But I think I can tell of an even more extraordinary instance of physical sympathy between two brothers …’

Smiling over his cigar, he went on:

* * *

These two brothers, let us call them John and William, they came to me at my clinic in Vienna, in the spring of 1924, before Mr Hitler made it imperative that I leave for foreign parts – even Chicago!

John came with his brother William. It was a plain case, open and shut, of dipsomania. Aha, but not so plain! Because there was such a sympathy between these brothers, William and John, that the weakness of the one affected the other.

William drank at least two bottles of brandy every day. John was a teetotaller – the very odour of alcohol was revolting to him. William smoked fifteen strong cigars a day. John detested the smell of tobacco smoke – it made him sick.

Yet account for this, if you like, gentlemen – William, the drunkard, and the smoker, was a harmless kind of fellow, while his brother John, the total abstainer, the non-smoker, showed every symptom of chronic alcoholism, cirrhosis of the liver, and a certain fluttering of the heart that comes of nicotine poisoning!

I do not suppose that any doctor has had the good luck to have such a case on his hands. There was William, breathing brandy and puffing cigar smoke like a steam engine, in the pink of condition; blissfully semicomatose; happy. And there was John, with a strawberry nose, a face like a strawberry soufflé, eyes like poached egs in pools of blood, fingers playing mysterious arpeggios all over the place – a clear case of alcoholic polyneurotic psychosis – but John had never touched a drop.

It was John who did most of the talking – the one with the strawberry nose. He said: ‘Dr Almuna, for God’s sake, stop him! He’s killing me. He’s killing himself, and he’s killing me.’

William said: ‘Pay no attention, Doc. John’s the man of nerves. Me, I take things easy.’

At this John cried: ‘Nerves! Damn you, William, you’ve torn mine to shreds!’

William said, quite placidly: ‘Give me some brandy, Doctor.’

And then you would have been amazed to see the play of expression on the face of John, the plaintive one. He folded his hands and gripped them tight to stop the tremor; and I have never seen a more remarkable combination of desire and revulsion in a human countenance.

‘Don’t!’ he said; and then: ‘… Well, Doctor, if you think it’s okay …’

Alas, that I should say it – to an inquiring mind, however well-disposed, all men are guinea-pigs. Besides, it might be argued, who was John to say what the suave and comfortable William might, or might not, have? Experimentally, if you like, I gave William three ounces of brandy in a measured glass. It went down like a thimbleful, and he smiled at me – a smile that was pleasant to see.

And believe me or believe me not, his brother John began to retch and hiccup and blink at me with eyes out of focus, while William, having lit a strong cigar, folded his hands on his stomach and puffed smoke!

Sympathy, what? Wow, but with a vengeance!

At last, after a fit of deep coughing, and something like nausea, brother John said: ‘You see, Doctor? Do you see? This is what I have to put up with. William won’t let me work. Do you appreciate that? He won’t let me work!’

Both John and William were evidently men of substance. They had arrived in a custom-built Mercedes-Benz, were tailored by Stolz, and carried expensive jewellery. It is true that William was covered with cigar-ash, and that his platinum watch had stopped in the afternoon of the previous day; but it was impossible not to detect a certain air of financial independence.

John, the strawberry-faced, the tremulous one, he was neat as a pin, prim, dapper. I wish I knew the laundress who got up his linen. He wore a watch-chain of gold and platinum and, on the little finger of his left hand, a gold ring set with a large diamond. There was about two carats of diamond, also, stuck in his black satin tie….

How shall I describe to you this weird mixture of dandyism and unkemptness in John? It was as if someone had disturbed him in the middle of a careful toilet. His clothes were beautifully cut and carefully pressed. You might have seen your face in the mirrors of his shoes. But his hair needed trimming – it came up to the neck in little feathers – and his finger-nails were not very tidy. William was flagrantly, cheerfully – I may even say atavistically – dirty, so as to be an offence to the eye and to the nostrils. Still, he too wore well-cut clothes and jewellery: not diamonds; emeralds. Only rich men can afford to be so elegant or so slovenly.

So I asked: ‘Work, Mr John? Come now, what do you mean by “work”?’

William, rosy and contented, was smiling and nodding in a half-sleep – the picture of health and well-being. And his brother John, who had not touched a drop, was in a state of that feverish animation which comes before the sodden sleep that leads to the black hangover.

He said: ‘Oh, I don’t need to work – I mean, not in point of economy. Mother left us enough, and much more than enough. Don’t you worry about your fee, Doctor——’

‘You leave Mother out of this,’ said William. ‘Little rat. Always picking on Mother, poor old girl. Give us another bit of brandy, Doctor: this is a bore.’

Before I could stop him, William got hold of the bottle and swallowed a quarter of a pint. He was very strong in the hands, and I had to exert myself to take the bottle away from him. After I had locked it up, it was – believe me! – it was poor John who said, in a halting voice: ‘I think I am going to be sick.’ What time William, blissfully chewing the nauseous stump of a dead cigar, was humming ‘O Doña Clara’, or some such trash.

And upon my soul, gentlemen, John joined in, in spite of himself, making what is politely called ‘harmony’:

O Doña Clara, Ich hab’ dich tanzen gesehn, Und deine Schoenheit Hat mich toll gemacht …

Then John stopped, and began to cry.

He said: ‘That’s all he knows, you see? You see what he is? A pig, a vulgar beast. My tastes are purely classical. I adore Bach, I love Mozart, I worship Beethoven. William won’t let me play them. He breaks my records. I can’t stop him. He’s stronger in the hands than I am – exercised them more. Day and night he likes to bang hot jazz out of the piano; and he won’t let me think, he won’t let me work – Doctor, he’s killing me! What am I to do?’

William lit another green cigar and said: ‘Ah, cut it out, will you? … Why, Doc, the other day this one ordered in a record by a guy called Stravinsky, or something.’ He chuckled. ‘It said on the label, Unbreakable. But I bust it over his head; didn’t I, Johnny? Me, I like something with a bit of life in it … rhythm. You know?’

John sobbed. ‘My hobby is painting miniatures on ivory. William won’t let me. He mixes up my paints——’

‘Can’t stand the smell of ’em,’ said William.

‘– Jogs my arm and, if I protest, he hits me. When I want to play music, he wants to go to sleep. Oh, but if I want to sleep and he wants to make a noise, try and stop him!’