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'I'll go. You don't want to drive now.'

'No, I want to. Really. Can I have your keys?'

He found them and gave them to her.

'I'll pack a bag for us too. Is there anything special you need?'

'Just clothes, a razor maybe.'

She bent and kissed him on the forehead.

'Be careful,' he said.

'I will. I won't be long.'

He watched her go. She stopped at the door and looked back at him and he could tell there was something she wanted to say.

'What?' he said. But she just smiled and shook her head. Then she turned and was gone.

The roads were clear and at this hour, apart from a lonely sand-truck or two, quite deserted. Annie drove south on 87 and then east on 90, taking the same exit the truck had taken the morning before.

There had been no thaw and the car's headlights lit the low walls of soiled snow along the roadside. Robert had fitted the snow tires and they made a low roar on the gritted blacktop. There was a phone-in on the radio, a woman saying how worried she was about her teenage son. She'd recently bought a new car, a Nissan, and the boy seemed to have fallen in love with it. He spent hours sitting in it, stroking it and today she'd walked into the garage and caught him making love to its tailpipe.

'Kinda what you'd call a fixation, huh?' said the show's host, whose name was Melvin. All phone-ins seemed to have these ruthless wiseguy hosts nowadays and Annie could never understand why people kept calling, knowing full well they would get humiliated. Perhaps that was the point. This caller sailed on oblivious.

'Yes, I guess that's what it is,' she said. 'But I don't know what to do about it.'

'Don't do anything,' cried Melvin. 'The kid'll soon get exhausted. Next caller…'

Annie turned off the highway onto the lane that curled up the shoulder of the hill to their house. The road surface here was glistening hard-pack snow and she drove carefully through the tunnel of trees and pulled into the driveway that Robert must have cleared this morning. Her headlights panned across the white clapboard front of the house above her, its gables lost among towering beech trees. There were no lights on inside and the hall walls and ceiling gave a glimpse of blue as the headlights shafted briefly in. An outside light came on automatically as Annie drove around to the back of the house and waited for the door of the basement garage to raise.

The kitchen was how Robert had left it. Cupboard doors hung open and on the table stood the two unpacked grocery bags. Some ice cream in one of them had melted and leaked and was dripping off the table into a small pink lake on the floor. The red light was flashing on the answering machine, showing there were messages. But Annie didn't feel like listening to them. She saw the note Grace had written to Robert and stared at it, somehow not wanting to touch it. Then she turned abruptly and got to work clearing the ice cream and putting away the food that hadn't been spoiled.

Upstairs, packing a bag for Robert and herself, she felt oddly robotic, as if her every action were programmed. She supposed the numbness had something to do with shock or maybe it was some kind of denial.

It was certainly true that when she first saw Grace after the operation, the sight was so alien, so extreme, that she couldn't take it in. She had been almost jealous of the pain it wrought so palpably in Robert. She had seen the way his eyes kept roving over Grace's body, siphoning agony from every intrusion the doctors had made. But Annie just stared. This new version they had made of her daughter was a fact that made no sense at all.

Annie's clothes and hair smelled of the hospital so she undressed and showered. She let the water run down over her for a while then adjusted it till it was almost too hot to bear. Then she reached up and switched the shower head to its most vicious setting so that the water pricked her like hot needles. She closed her eyes and held her face up into it and the pain made her cry out loud. But she kept it there, happy that it hurt. Yes, she could feel this. At least she could feel this.

The bathroom was full of steam when she stepped out of the shower. She wiped the towel across the mirror, only partly clearing it, then dried herself before it, watching the smeared, liquid image of a creature that didn't seem to be her. She had always liked her body, though it was fuller and bigger-breasted than the sylphs who strutted the style pages of her magazine. But the blurred mirror was giving her back a distorted, pink abstraction of herself, like a Francis Bacon painting, and Annie found it so disturbing that she turned off the light and went quickly back into the bedroom.

Grace's room was just as she must have left it the previous morning. The long T-shirt she wore as a nightdress was lying on the end of the unmade bed. There was a pair of jeans on the floor and Annie bent to pick them up. They were the ones that had fraying holes in the knees, patched inside with pieces cut from an old floral-print dress of Annie's. She remembered how she had offered to do it and how hurt she had been when Grace said nonchalantly that she'd rather Elsa do it. Annie did her usual trick and, with just a little hurt flick of an eyebrow, made Grace feel guilty.

'Mom, I'm sorry,' she said, putting her arms around her. 'But you know you can't sew.'

'I can too,' Annie said, turning into a joke what they both knew hadn't been.

'Well, maybe you can. But not as good as Elsa.'

'Not as well as Elsa, you mean.' Annie always picked her up on the way she spoke, adopting her loftiest English accent to do so. It always prompted Grace to come back in flawless Valley Girl.

'Hey Mom, whatever. Like, you know, really.'

Annie folded the jeans and put them away. Then she tidied the bed and stood there, scanning the room, wondering what to take to the hospital. In a sort of hammock slung above the bed were dozens of cuddly toys, a whole zoo of them, from bears and buffalo to kites and killer whales. They came from every corner of the globe, borne by family and friends and now, convening here, took turns in sharing Grace's bed. Each night, with scrupulous fairness, she would select two or three, depending on their size, and prop them on her pillow. Last night, Annie could see, it had been a skunk and some lurid dragon-creature Robert had once brought back from Hong Kong. Annie put them back in the hammock and rummaged to find Grace's oldest friend, a penguin called Godfrey, sent to the hospital by Robert's friends at the office on the day Grace was born. One eye was now a button and he was sagging and faded from too many trips to the laundry. Annie hauled him out and stuffed him in the bag.

She went over to the desk by the window and packed Grace's Walkman and the box of tapes she always took on trips. The doctor had said they should try playing music to her. There were two framed photographs on the desk. One was of the three of them on a boat. Grace was in the middle with her arms around both their shoulders and all of them were laughing. It had been taken five years ago in Cape Cod; one of the happiest vacations they'd ever had. Annie put it in the bag and picked up the other picture. It was of Pilgrim, taken in the field above the stables shortly after they got him last summer. He had no saddle or bridle on him, not even a halter, and the sun gleamed on his coat. His body was pointing away but he had turned his head and was looking right at the camera. Annie had never really studied the photograph before but now that she did she found the horse's steady gaze unsettling.

She had no idea if Pilgrim was still alive. All she knew was from a message Mrs Dyer had left yesterday evening at the hospital, that he'd been taken to the vet's place in Chatham and was to be transferred to Cornell. Now, looking at him in this picture, Annie felt herself reproached. Not for her ignorance of his fate, but for something else, something deeper that she didn't yet understand. She put the picture in the bag, switched off the light and went downstairs.