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FOR YOUR PART IN THE DISCOVERY OF ANTIREACTIVE SUBSTANCES TO OVERCOME THE IMMUNOLOGICAL BARRIER TO CARDIAC TRANSPLANTATION AND YOUR INTRODUCTION OF SURGICAL TECHNIQUE TO SUCCESSFULLY PERFORM A HETEROGRAFT OF THE HEART ORGAN INTO THE HUMAN BODY THE NOBEL FOUNDATION OF STOCKHOLM ON BEHALF OF THE ROYAL CAROLINE MEDICO CHIRURGICAL INSTITUTE OF SWEDEN IS PLEASED TO INFORM YOU THAT YOU HAVE TODAY BEEN VOTED THIS YEARS NOBEL PRIZE IN PHYSIOLOGY AND MEDICINE STOP YOUR SHARE OF THE PRIZE WILL BE A GOLD MEDALLION AND A CHEQUE FOR TWENTY FIVE THOUSAND ONE HUNDRED AND FIFTY DOLLARS STOP THE AWARD CEREMONY WILL TAKE PLACE IN STOCKHOLM ON DECEMBER TENTH STOP DETAILS FOLLOW STOP HEARTIEST CONGRATULATIONS STOP

The message was addressed to DOCTOR JOHN GARRETT NUMBER FOUR HILLSIDE TERRACE PASADENA CALIFORNIA…

As usual, the drive from Pasadena on the ever-crowded freeways to the Miracle Mile section of Los Angeles took Dr. John Garrett longer than he had expected. What made the trip even slower, this early afternoon, was the fact that Garrett was deeply engaged with his thoughts, with the new speech that he intended to deliver tonight, and with the rights and wrongs of it.

By the time he had arrived at Western Avenue and Wilshire Boulevard, and parked the black Jaguar (his first lavish purchase, on payments, after his sudden ascent to prominence) in the familiar petrol station, he had made up his mind (no matter what Dr. Keller advised him) that he would present the new speech unedited and unexpurgated.

Striding the short distance to the seven-storey medical building, Garrett observed his reflection several times in shop windows. He was not displeased with what he saw: an arresting, forceful young man of resolution. He had almost forgotten his pleasure, a decade before, when Saralee had shown him an article based on a poll taken by the American Institute of Public Opinion on the average American male, and he had learned that he conformed almost exactly to the norm. According to the statistics, the average American man was five feet nine inches tall, weighed one hundred and fifty-eight pounds, had brown hair, wore spectacles, caught one and one-half colds in winter, smoked cigarettes, drank liquor socially, preferred brunettes to blondes, demanded that his wife be a good companion rather than a good cook, enjoyed baseball above all other spectator sports, liked beefsteak and French fried potatoes more than any other single dish, awoke at six-thirty on weekdays and went to bed by ten at night, and would rather live in California than any place on earth. Incredibly, John Garrett had found that these statistics described him almost exactly-the one exception being that he preferred French fried onion rings to French fried potatoes.

In the past two years, however, John Garrett had taken less pride in regarding himself as average, much to Saralee’s bewilderment at the sudden change of party line. More and more often, Garrett liked to think of himself as a unique entity, special, nonconforming, and somewhat set apart from ordinary specimens of homo Americanus. Whether or not this personal rebellion against the average was due to his recent renown in professional circles, or due to his liberating sessions with Dr. Keller, Garrett could not say. On the other hand, his wife Saralee could say, but she said it only to herself: John deserves to be bigheaded once in a while, because he discovered something that will help ‘the human community’-the last she had read in a magazine-but in her eyes, and most of the time in his own, she suspected, John Garrett was still five feet nine, one hundred and fifty-eight pounds, and hair brown as ever at forty-nine, and he was still as unsure and insecure and dependent upon her as ever, thank God.

Having reached the entry arch of his destination, John Garrett quickened his pace, rapidly climbed the single flight of stairs, and found himself face to face with the glass-paned door that bore the black legend, L. D. KELLER, M. D. As before, he wondered why psychoanalysts did not print PSYCHIATRIST instead of M. D. beside their names, and then decided that as long as there remained so much fear and resultant hostility toward analysts, discretion was the better part of honesty.

Opening the door, Garrett stepped into the office, then paused to close the door softly behind him. He moved through the empty blond reception room, and entered the spacious main office as unobtrusively as possible. He could see at once that they were all present, sitting, compulsive and neurotic, in the same chairs as ever, and that the session was in full swing. No one turned to greet Garrett as he tiptoed to his chair, for it was understood that he was always late (‘tardiness may often be a resistance to the embarrassment of discussing taboo topics in the presence of others,’ Dr. Keller had once remarked), but now Dr. Keller, from behind his oak fortification of a desk, acknowledged his arrival with the slightest flicker of his eyes.

Garrett sat stiffly a moment, then consulted his watch. The group therapy session always lasted precisely one hour and twenty minutes. Since Garrett paid ten dollars for his weekly attendance, this meant that he was paying twelve and a half cents a minute. Because he had been sixteen minutes late, there remained only one hour and four minutes. The delay had cost him two dollars. Still, there was eight dollars’ worth of time left. He needed part of that time, today, especially today, but there were six others who needed it, too. Perhaps a close search of the faces of his fellow patients, he decided, would tell if their urgency matched his own.

They were seated in a crooked semicircle before Dr. Keller’s desk, and Garrett began reading from left to right. On the beige divan to the far left were Mr. Lovato and Mrs. Perrin. Mr. Lovato, a slight, homosexual artist with a growing reputation for painting children in the chocolate box style of Thomas Gainsborough, sat with his knees awkwardly crossed. Garrett recalled that when he had first come into group therapy four months ago, Mr. Lovato had always sat with his knees pinched together, like a prim parochial-schoolgirl. But a month ago, apparently somewhat liberated by analysis, he had begun to cross his legs in the more masculine manner. Mrs. Perrin, a top-heavy matron in her fifties with purple grey hair, sat with lips compressed, worrying a small handbag with her hands. She was recovering from a nervous breakdown. Although married to a wealthy citizen of Van Nuys, her problem was a neurotic inability to spend a penny, even on the necessities of life, even on laundry or a loaf of bread, without becoming agitated. She rarely spoke, perhaps once in three weeks, but when she did speak, it was about her tiny triumphs in managing a purchase for fifty cents or a dollar.

Garrett shifted his gaze to the next patient, handsome, young Adam Ring, the rising actor, now slumped lazily in the easy chair, monotonously swinging a charm which was a rabbit’s foot. Ring, whose bronzed face in profile resembled that of a head on a Greek coin, was in therapy because of a sexual difficulty. He spoke of it lightly, jokingly, but Dr. Keller was not deceived. Adam Ring’s virility was redoubtable when he seduced young women of foreign race or colour-Oriental, Indian, Mexican, Negro-but his virility was questionable and impaired when confronted by a Caucasian.

Directly to Garrett’s left, in a straight chair, sat the incredible Mrs. Zane. A plain and freckled housewife in her middle thirties, given to gingham and shirtwaisters and a certain helplessness, she had been complaining steadily (at least as long as Garrett had been in the group) of the sexual excesses forced upon her. A Catholic with five youngsters in junior school, she had revealed that her cross was an economically inept husband, too incompetent to hold a job a month. At last, by chance, this husband had obtained a well-paid job with a garment manufacturer. When it had appeared that he would lose this job too, Mrs. Zane had desperately tried to prevent the catastrophe by inviting her husband’s employer, and his wife, to dinner. The result had been that the employer, long disinterested in his mate and bored with golf and high finance, had been sufficiently moved by Mrs. Zane to make her his extracurricular activity. Instead of being fired, Mr. Zane was promoted to chief salesman, at a higher salary, and sent out of the city four times a year on extended trips. In return, although it had never been spelt out in so many words, Mrs. Zane was expected to be receptive to the advances of her husband’s employer. A pliable and generous young woman, Mrs. Zane had not resisted. For the past year, she had entertained her husband’s employer regularly, and because he was insatiable, her view of him was curiously horizontal. Her guilts kept the church confessional busy, and her doubts led her to Dr. Keller.