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please ring and walk in. Since I was not myself a patient, I did not ring. I imagined that somehow if I did, Doc Appleton’s accounts would be thrown off, like a check book with an uncashed check from it. In the vestibule of his house there was a cocoa mat and an immense stucco umbrella stand ornamented, higgledy-piggledy, with chips of colored glass. Above the umbrella stand hung a small dark print, frightful to look at, of some classical scene of violence.

The horror of the spectators was so conscientiously dramatized, the jumble of their flung arms and gaping mouths rendered with such an intensity of scratching, the effect of the whole so depressing and dead, that I could never bring myself to focus on what the central event was-my impression was vaguely of a flogging. In the corner of the print, before I snapped my head away as if from the initial impact of pornography, I glimpsed a thick line-a whip?-snaking about a tiny temple etched with spidery delicacy to indicate distance. That some forgotten artist in an irrevocable sequence of hours had labored, doubtless with authentic craft and love, to produce this ugly, dusty, browned, and totally ignored representation seemed to contain a message for me which I did not wish to read. I went into Doc Appleton’s waiting-room on my right. Here old oak furniture padded in cracked black leather lined the walls and encircled a central table laden with battered copies of Liberty and The Saturday Evening Post. A three-legged coat rack like a gaunt witch glowered in one corner and the shelf above its shoulder supported a stuffed crow gone gray with dust. The waiting-room was empty; the door of the consulting-room was ajar and I heard my father’s voice asking, “Could it be hydra venom?”

“Just a minute, George. Who came in?”

With the broad bald face of a yellowish owl Doc Appleton peered out of his office. “Peter,” he said, and like a ray of sunlight the old man’s kindness and competence pierced the morbid atmosphere of his house. Though Doc Appleton delivered me, I first remembered him from a time when I was in the third grade and, worried about my parents’ fights, bullied by older boys coming back from school, ridiculed at recess for my skin whose spots under the stress had spread to my face, I came down with a cold that did not go away. We were poor and therefore slow to call a doctor. On the third day of my fever they called him. I remember I was propped up on two pillows in my parents’ great double bed. The wallpaper and bedposts and picture books on my covers beside me all wore that benevolent passive flatness that comes with enough fever; no matter how I wiped and swallowed, my mouth stayed dry and my eyes stayed moist. Sharp footsteps disciplined the stairs and a fat man wearing a brown vest and carrying a fat brown bag entered with my mother. He glanced at me and turned to my mother and in an acid country voice asked, “What have you been doing to this child?”

There were two strange facts about Doc Appleton: he was a twin, and like me he had psoriasis. His twin was Hester Appleton, who taught Latin and French at the high school. She was a shy thick-waisted spinster, smaller than her brother and gray-haired whereas he was bald. But their brief hook noses were identical and the resemblance was plain. The idea, when I was a child, of these two stately elderly people having popped together from the same mother had an inexhaustible improbability that made them both seem still, in part, infants. Hester lived with the doctor in this house. He had married but his wife had died or disappeared years ago under dark circumstances. He had had a son, Skippy, years older than I but like me an only child; my father had had him in school and the boy had gone on to become a surgeon somewhere in the Midwest, in Chicago, St. Louis, or Omaha.’ Across the mysterious fate of Skippy’s mother there lay this further shadow: Doc Appleton be longed to no church, neither Reformed nor Lutheran, and believed, they said, in nothing. This third strange fact I had picked out of the air. The second, his psoriasis, my mother had revealed to me; until I was born only he and she in the town had been blighted by it. It had kept him, my mother said, from becoming a surgeon, for when the time came for him to roll up his sleeves, the pink scabs would be revealed and the patient on the table in fright might cry, “Physician, heal thyself!” It was a pity, my mother thought, for in her opinion Doc Appleton’s great talent lay in his hands, was manipulative rather than diagnostic. She often described how he had painted and cured a chronic sore throat of hers with one fierce expert swab of a long cotton-tipped stick. She seemed to have thought, at one time in her life, a lot about Doc Appleton.

Now he stooped toward me in the dimness of his waiting-room, his pale round face straining to focus on my brow. He said, “Your skin looks fair.”

“It’s not too bad yet,” I said. “It’s worst in March and April.”

“Very little on your face,” he said. I had thought there was none. He seized my hands-I felt that fierce sureness of touch my mother had felt-and studied my fingernails in the light filtering from the brighter room. “Yes,” he said, “Stippled. Your chest?”

“Pretty bad,” I said, frightened I would have to show him.

He blinked massively and dropped my hands. He was wearing a vest but not a coat and his shirtsleeves above the elbow were clipped by black elastics like narrow bands of mourning. A gold watch-chain formed a shifting pendulous arc across the brown vest of his belly. He wore a stethoscope around his neck. He switched on a light, and an overhead chandelier of brown and orange glass held together by black leading plunged pools of shine onto the wash of magazines on the central table. “You read, Peter, while I finish with your Dad.”

From the consulting-room my father’s voice earnestly called, “Let the kid come in, Doc. I want him to hear what you have to tell me. Whatever happens to me, happens to him.”

I was shy of entering, for fear of finding my father un dressed. But he was fully clothed and sitting on the edge of a small hard chair with stenciled Dutch designs. In this bright room his face looked blanched by shock. His skin looked loose; his little smile had spittle in the corners. “No matter what happens to you in life, kid,” he said to me, “I hope you never come up against the sigmoidoscope. Brrough!”

“Tcha,” Doc Appleton grunted, and lowered his weight into his desk chair, a revolving and pivoting one that seemed to have been contoured for him. His short plump arms with their efficient white hands perched familiarly on the accustomed curve of the carved wooden arms, which culminated in an inner scroll. “Your trouble, George,” he said, “is you have never come to terms with your own body.” To be out of their way, I sat on a high white metal stool beside a table of surgical tools.

“You’re right,” my father said. “I hate the damn ugly thing. I don’t know how the hell it got me through fifty years.”

Doc Appleton removed the stethoscope from around his neck and laid it on his desk, where it writhed and then subsided like a slain rubber serpent. His desk was a wide old rolltop full of bills, pill envelopes, prescription pads, cartoons clipped from magazines, empty phials, a brass letter opener, a blue box of loose cotton, and an omega-shaped silver clamp. His sanctum had two parts: this, the one where his desk, his chairs, his table of surgical tools, his scales, his eye-chart, and his potted plants were situated, and, be yond his desk and a partition of frosted glass, the other, the innermost sanctum, where his medicines were stored on shelves like bottles of wine and jugs of jewels. To here he would retire at the end of a consultation, emerging in time with a little labeled bottle or two, and from here at all times issued a complex medicinal fragrance compounded of candy, menthol, ammonia, and dried herbs. This cloud of healing odor could be sniffed even in the vestibule that contained the mat, the print, and the stucco umbrella stand. The doctor pivoted in his swivel chair and faced us; his bald head was not like Minor Kretz’s, which declared in its glittering knobs the plates and furrows of his skull. Doc Appleton’s was a smooth luminous rise of skin lightly flecked with a few pinker spots that only I, probably, would have noticed and recognized as psoriasis.