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The doctor rapped sharply on the door with the head of his walking stick, an exquisite rendering in jade of a snarling gargoyle. There was no immediate answer. Warthrop knocked again, three short raps, a pause, then three more: rap-rap-rap… rap-rap-rap.

Silence, but for the wind whispering in the trees and the dry rattle of last fall’s leaves skittering across the weathered boards of the sagging porch. The doctor rested his hands upon his cane and waited with the patience of the Buddha.

“It’s abandoned,” I whispered, a bit relieved.

“No,” he said. “We are unexpected, that is all.”

On the other side of the door I perceived the shuffling footfalls of a painful approach, as if someone very old or lame were coming to answer the doctor’s insistent summons. I heard the loud metallic screech and groan of several bolts being drawn back, and then the door opened a crack, the flickering light of a lamp flooded onto the porch, and standing in the half-open doorway was a withered woman dressed in black, the lamp clenched in her gnarled knuckles, holding the lamp high to illuminate our faces.

“No visitors past nine!” the old woman croaked with toothless mouth.

“This is not a social call,” rejoined Warthrop.

“No visitors past nine!” she snapped harshly, raising her voice, as if the doctor were hard of hearing. “No exceptions!”

“Perhaps you could make one in my case,” said the doctor calmly, holding out his card. “Tell Dr. Starr that Pellinore Warthrop has come to see him.”

“Dr. Starr has retired for the evening,” she said, “with strict instruction he is not to be disturbed.”

“My good woman, I assure you the doctor would not desire that you turn us away.”

“The doctor is asleep.”

“Then wake him!” the doctor cried, losing patience. “My errand is one of the utmost urgency.”

She squinted at the card, her eyes nearly disappearing in the plethora of flesh surrounding them.

“‘Dr. Warthrop,’” she read. “Heh! Dr. Warthrop is dead; I know that for a fact. You must be an imposter.”

“No, I am his son.”

Her mouth moved soundlessly for a moment, and the old eyes darted from the card to his face and back again.

“He never mentioned having a son,” she said at last. “I am certain there are many things of a personal nature he failed to confide in you,” said the doctor dryly. “As I have pointed out, I am here on a matter of extreme importance, so if it’s not too much trouble, could you, in the most expeditious manner in which one of your advancing years is able, relay to your employer my presence and my earnest desire to speak with him, preferably some time before the night becomes the morrow.”

She slammed the door abruptly in our faces. The doctor heaved an exaggerated sigh. As the seconds turned to minutes, he did not move but stood as still as a statue, leaning upon his cane, head bowed, eyes half-closed, as if he were preserving his energy and gathering his wits for an imminent trial.

“Is she coming back?” I said when I could bear it no longer. It felt as if we’d been standing on that porch for hours. He said nothing. I asked again, “Is she coming back?”

“She didn’t throw the bolts,” he said. “Therefore, I am hopeful.”

At last I heard hurried footsteps approach, and the door flew open, revealing an old man-though not quite as ancient as the crone who slumped in the hall a few steps behind him. He had hastily dressed, throwing a dusty frock coat over his nightshirt, but had neglected to address the issue of his bed-matted hair: The wispy white strands hung down nearly to his shoulder, a diaphanous curtain falling over his enormous ears, exposing his mottled scalp. His nose was long and sharp, his rheumy blue eyes small, his chin weak and speckled with stubble.

“Dr. Starr,” said the monstrumologist. “My name is Pellinore Warthrop. I believe you knew my father.”

“It is a pitiful case,” the old man said, lowering his cup with a tremulous hand. The china rattled and a brown tear of tea traced a path down the side of the cup. “Of particular interest to your father.”

“Not only to him,” said the doctor.

We were sitting in the small parlor just off the front hall. The room was like the rest of the house, chilly, ill-lit, and poorly ventilated. A strange, sickly-sweet odor hung in the air. I had noticed it when we’d stepped inside-that and the indistinct, muffled noise of unseen people somewhere in the shadow-stuffed old house: moans, coughs, screams, cries of desperation, cries of anger, cries of fear, and, floating in faint counterpoint to this cacophony, hysterical peals of high-pitched laughter. Both my master and Dr. Starr ignored the offstage bedlam, acknowledging it only in the minor elevation of their voices. I, however, found myself unnerved to the point of distraction and was forced to dip into the very bottom of my well of stoic fortitude to resist asking the doctor if I could wait outside with the horses.

“So you have taken up his odd profession,” ventured the alienist. “I shall be honest with you, Dr. Warthrop: I did not know until this night that he even had a son.”

“My father was an intensely private man,” offered the doctor. “He found human intimacy… distasteful. I was his only child, and I hardly knew him.”

“As is too often the case with a man like your father,” observed Starr. “His work was everything.”

“I always assumed it owed more to the fact that he didn’t like me.”

Dr. Starr laughed, and something rattled deep in his chest.

“Excuse me,” he said. Producing a stained white handkerchief from his pocket, he spat a copious wad of phlegm into the soiled cloth. He brought it within an inch of his watery eyes and carefully examined the contents. He glanced the doctor’s way and gave a rueful smile. “I beg your pardon, Dr. Warthrop. I fear I am dying.”

“What is the diagnosis?” Warthrop asked politely. He was the model of forbearance, but his foot tapped rapidly upon the worn carpeting.

“There is none,” said Starr. “I didn’t say I am. I said I fear that I am.”

“A fear to which all are susceptible from time to time.”

“In my case it is nearly constant. Yet my reluctance to seek a diagnosis increases in direct proportion with the fear.”

“Interesting,” said the doctor without much conviction.

“And unlike your father and, by all appearances, your boy, I have no one to pick up the torch when I am gone.”

“Will Henry is not my ‘boy,”’ Warthrop said.

“No?”

“He is my assistant.”

“Your assistant! He is quite young for such an important position, is he not?” The weak eyes fell upon me, and I at once looked away, the doctor’s words echoing in my ears: You are not to look anyone directly in the eye. If someone should speak to you, you are to say nothing.

“He was pressed upon me by the unfortunate loss of his parents.”

“Ah, a charity case.”

“Far from it. He may be young, but the boy has potential.”

“I am sorry for your loss,” Dr. Starr directed at me, but I refused to raise my head or even nod my appreciation for the condolence. Ignore them, the doctor had admonished. He had not made an exception for the proprietor of Motley Hill Sanatorium.