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“That’s enough,” the doctor said, standing up, although all he did was to reach for more cookies. Dostoyevsky in Delano! Of all things.

“You opened a jar,” Mrs. Lundgren said. “The jar was full of pain. It was your jar.”

He felt the room constricting and growing hot, warmed up from its already overheated condition. He felt Gerald overtaking him. It was Gerald who blurted out, “With all due respect, fuck you, ma’am, and you, sir, and good night.”

She laughed, and for a moment the doctor felt himself admiring her. “What a silly person you are,” she said. “Obscenity is not an argument. It is weak-minded. I had thought you would be more thoughtful. After all, you have a medical degree. You have not thought any of this through, not any of it, I can see that now. How shallow is the pool in which you swim. You are therefore self-deluded, cruel, and mean-spirited. I’m sorry to be so blunt, but we are in pain. Isn’t it ironic? Your name being Elijah? And you, a doctor?”

“Now you’re name-calling. I’m not a monster, and neither is my son. Perhaps you are the monster. It’s time for me to leave now. Time to go.”

“Is it time?” She glanced theatrically at her watch. “Perhaps I am a monster. But if I am, I’m a monster in the right army, and you’re in the wrong one.” She was still smiling eerily at him. The smile, fixed and meaningless, appeared to be surgically applied. Inside the walls of the house, the mice, perhaps on a salary, continued to play The Nutcracker. “The doctor is too busy to give us more than a few minutes of his precious time. So we must bid him farewell, Herb.” She turned toward her husband, who seemed to have been mummified in his La-Z-Boy chair.

Who was Herb? It was only at this moment that Elijah realized he had already forgotten the first names of the Lundgrens. They had introduced themselves, what seemed like years ago, but their first names had not stuck. He put on his hat and coat, which had been draped over the newel post, and without another word, walked out to his cold car, thinking that never in his entire life had he had a social encounter like this one, nor would he ever again.

The stars had a spectral clarity in the moonless sky; no wonder people thought of them as the lights emanating from the dead. Shaken, hungry, and sleepy, the doctor took several random right turns until he finally found himself where he wanted to be: on a dirt road between fallow fields with hardly a house in sight. He wanted to be lost, and he was. He turned on the car’s radio and turned it off again after hearing a few bars of atonal orchestral music. On the passenger seat rested a bag of Oreos, a box of Goldfish crackers, Cheetos, and Funyuns.

Rafe had trained in tae kwon do from the time he was a child. He had begged for lessons starting in second grade. The last time the doctor had seen Rafe sparring, the boy jumped so high that his father was startled; Rafe’s moves were perfectly coordinated, and his flexibility seemed impossible. When he did a front rising kick, his extended foot was higher than his face. And fast. He dominated his opponent with a complicated series of kicks, and then he leaped out of range before his opponent could land anything on him. He never retreated. Why was the doctor thinking of that particular match, now? The blank merciless expression on Mrs. Lundgren’s face had reminded the doctor of his son’s face in combat.

In the distance the doctor saw the blinking red light of a radio transmission tower.

When you got down to the heart of things, you found desolation. Even in the midst of joy, you would find it. But you would find joy everywhere too. His son took joy in combat and sometimes laughed in practice sessions. So complicated, the mixture of the two. The doctor reached for the Oreos and ate several. He had attained a new low, or was it a new high, in sleepiness. He felt like fighting the drowsiness, but the drowsiness welcomed him, as any narcotic does, taking him up and away.

Christmas is coming, the doctor thought, the geese are getting fat. A child’s rhyme from elementary school. Please put a penny in the old man’s hat. Why are the geese fat? Who feeds the geese? If you haven’t got a penny…what will do…the doctor heard a sound, without definition, and the road tilted a bit…

Then things were flying around him — the cell phone had escaped from his coat pocket and was airborne in front of him, as were various other items, including the bags of snack food and a clipboard from the front seat — and he heard the sound of crunching or of some huge animal chewing up the car as it rotated and fell down into a ditch, and Elijah, now thoroughly awake, felt his driver’s-side door open (how had that happened?), and he was ejected sideways, having forgotten to buckle his seat belt. Narcolepsy, he thought, with an odd diagnostic lucidity even as he came to rest on a little hill at the side of a field with, he instantly knew from the pain, a broken leg, a fractured tibia. He had always been a crack diagnostician, and even now on his back in the dirt, staring up at the night sky, cookie crumbs on his lips, his skills had not deserted him. How stupid pain is. From below the knee, thanks to the fracture, pain sent its dull, insistent message upstairs to the brain. Pain was like a siren. Pleasure never worked that way. The air had turned very cold.

Now he felt himself shivering rather violently from the cold and shock amid the field’s dirt and snow. He saw the constellations above him wheeling in their eternal rounds, and a great peacefulness took hold of him, like the slow spreading of pleasure under the skin in a vague fog diffusing itself in a warm glow — a fog that lit up the soul. Underneath the peacefulness dwelt the pain. They could coexist.

He sniffed. The temperature was below freezing. He would die of hypothermia out here. No one would see him. He had landed in the middle of nowhere. His right hand was lacerated and was bleeding steadily. But it was perfectly all right, all of it, especially the bleeding.

The image of his son sparring intervened, and he realized that he didn’t want the last faces he ever saw on Earth to be the faces of Herb and Eleanor Lundgren. Yes! He had remembered their names! He tried to sit up, and he looked around: in the distance, across the field directly behind him, stood a farmhouse with a single light at the top of a pole illuminating its driveway. He would have to be Gerald, it seemed, to get over there, and he could do it, and he thanked his wife for imagining Gerald, a combative man, into existence. He began crawling, using his elbows and dragging the rest of his incapacitated body, and he distracted himself from his own loud cries by admiring the sky full of stars indifferent to his situation, and also admiring the plainspoken stupidity of pain burning a hole in his leg. He crawled a certain distance, he didn’t know how far, trying to reduce his cries to groans. What was the point in groaning? No one would hear.

He was in terrible pain but a rather good mood.

Ahead of him, in the field, to the right, out of the cold, out of the dark, out of the emptiness, a bell rang: his cell phone.

He crawled toward it. He dragged along the ground every cell of his corpulent body. By the time he reached the phone, the screen read, “Missed Call.” The phone had been flung, as he himself had been, from the car, and now here it was, a gift from the gods who perhaps did not want him dead after all or had changed their minds, and after grasping the phone and reading the missed-call message — it had been from Democratic Party headquarters, no doubt soliciting a donation — he called home and told Susan what had happened to him and that he loved her, as she cried and shouted and then at last calmed down and told him how much she loved him and always had. Where was he? she demanded. He said he didn’t know and would call the police. He promised to call her back, and then, peering down at the numbers, he called 911. He tried to describe his location to the dispatcher, but he didn’t know the name of the road he had been on, so, between the bursts of imbecilic pain, he did his best to inform her about everything he saw, the blank landscape, the nondescript trees, the constellations above him (he was in shock, he knew), and again luck was with him: he said he thought he could maybe spot a tattered sign in the distance advertising a U-pick apple orchard, and the dispatcher said, oh, all right, yes, she knew where he was, and besides, they could find him using his phone and a GPS track. Stay calm, she told him. Don’t move.