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It was late, but the small hall which held seventy-five was full and the trio had played for more than two hours.

Some nights Leon played with a jazz group at a nightclub called Hot Apples, a short walk from the Kremlin walls.

It had been a nightmare of a day in his office, a nightmare from which he tried to distance himself emotionally, and from which he knew he could partially cleanse himself through music. When he was finished, he would go home, kiss his sleeping son, and go to his bedroom.

Leon was financially comfortable. His reputation was secure among both the newly rich and the old powerful Communists who had managed to make the transition to new power by renouncing the crumbled party and embracing the sham of democracy. Leon was secure.

To help cleanse his conscience, he put in a dozen hours a week at the public hospital, treating whoever came into the emergency room and charging nothing.

The past week had been typical. He had treated one woman who had been struck by a piece of falling concrete from a crumbling building. The woman had died from massive head wounds, as Leon had known she would when she was brought in. It was amazing that she had stayed alive long enough to be brought to the emergency room. About one hundred Muscovites died each year after being struck by falling bricks and concrete. Another dozen died annually after being crushed by huge icicles as they walked down the street. Leon had treated people who had stepped into holes in the sidewalk and suffered broken limbs, people who had drunk contaminated tap water, people who had received deadly shocks of electricity while riding trolley buses, people who had been poisoned by bootlegged vodka, people who had been struck by automobiles driven by motorists who routinely ignored the yellow painted lanes and drove madly, ignoring pedestrians.

Then there were the more bizarre cases he had seen over the past year: the two little boys aged six and five, who had found a hand grenade in Gorky Park and had died of injuries when it exploded while they were playing with it; and the bespectacled young businessman on the way home from work who spotted an odd white Styrofoam box on the ground next to a metal-mesh garbage container. The man had picked up the box to deposit it in the trash, and lifted the lid. The contents of the box were two soft, green claylike masses, the size of small melons. The suspicious and con-scientious young businessman, who had a wife and a three-year-old daughter, had brought the Styrofoam box and its contents to the hospital emergency room where Leon was on duty. Leon had told the young man to place the container on a small stainless steel table with rubber-covered wheels. The container proved to be emitting a high level of radiation. The man had been exposed to the radiation when he opened the box to examine its contents and when he carried it the half mile to the hospital. The man was still being treated half a year later and not doing particularly well. And the police still did not have the slightest idea who might have placed the white Styrofoam box near the trash container.

Leon had come to a passage that always pleased him. It was flowing, beautiful, a moment of salvation in a world of madness.

In his music, in Bach, Mozart, Schumann, and sometimes Brahms, Leon could stop being the confident, wise, supportive physician whom he had made himself into, and inside of whom existed an angry and sometimes frightened man.

Even in the hospital the people of Moscow were not safe. A woman had recently bled to death while giving birth because the power company had, without warning, turned off the hospital’s electricity in a dispute over nonpayment of bills.

The trio was coming to the end of the piece and the end of the concert. Leon did not want it to end. Given the slightest encouragement from the audience, Leon would be willing to give encore after encore throughout the night. He was sure his fellow musicians felt the same.

The horrors would not stop even during the most delicate of passages.

Leon remembered helping to treat the victims of a utility company blunder in which a high-pressure gas line had been attached to a residential neighborhood instead of the industrial plant for which it was intended. Fifteen homes had burst into flames. Fortunately, it happened in the early afternoon, which kept the number of burn victims down.

Leon knew well from the statistics he accessed on his computer that Russians are five times more likely to die from accidents than are Americans. Deaths in Russia exceed births by more than six hundred thousand. Of the boys who are now sixteen, only half would reach the age of sixty, which is a worse rate than a century ago.

The Mozart piece came to an end with Leon’s brief solo, a slow and bittersweet conclusion.

The audience consisted mostly of university students and teachers, with a smattering of old people who attended anything-concerts, lectures, travel films-as long as the evening or afternoon entertainment or enlightenment was free.

The applause was enthusiastic, appreciative, but there was something in it that the musicians frequently sensed. The people before them had decided that the diversion was over. There would be no encores this night. The audience trickled out. A few, as always, almost always the young, approached the trio, thanked them, and asked questions or simply wanted to talk about their own love of music. Part of the trio’s mission, as they saw it, was to listen em-pathetically to those who approached.

Leon adopted his physician’s manner. The others, Lev Bulmasiov and Dmitriova Berg, alternatively beamed and took on serious looks, nodding their heads, saying something that showed the person who had approached that they understood what they were trying to express.

All three-Leon, Lev, and Dmitriova-were Jews. It was the combination of their love for the same genre of music, their mu-tual background as Jews without religion, and their talent that brought them together. Lev was a successful carpenter in his forties who held an advanced degree in electrical engineering, a profession that would have earned him far less than he brought home to his family as a carpenter. Leon knew that Lev did not dislike being a carpenter but would have preferred the profession for which he had been trained and which he loved. Lev’s oboe was his solace. Dmitriova was a medical lab technician at the hospital where Leon did his volunteer work. She was in her twenties, short, approaching a serious weight problem, and very plain with slight recurrent acne. Her compensation for the body and skin that had been given her was her cello, her music. Dmitriova was easily the most talented of the trio and should have been making her living on the concert stage.

But those who managed musicians, while recognizing her talent, were certain that they could not market someone who looked like Dmitriova.

When the last questioner, the one who always lingered until the musicians said they had to leave, had departed, the trio had said good-bye, told each other that the concert had gone well, and went their own ways.

Leon dreaded the next day. He had tried to put it from his mind, but he now had to deal with it. In the morning, he would have to call his cousin Sarah and tell her that she probably needed more surgery, that something had happened, that he wasn’t sure what it was, though he was certain, as was the woman who had been the surgeon on Sarah’s original operation, that an internal examination had to be made. Leon thought the problem was a growing clot of blood in the brain, a clot resulting from the original surgery, which may have weakened a crucial vessel.

Leon had a car and, unlike the other musicians in the trio, he had no instrument to carry. He did not know how they would get home. He had offered Lev and Dmitriova rides on many occasions.