smoke, the acrid ghost of all our concern. When Busner had left for Spain, Audrey Death had still been the most stable of the post-encephalitics — her stuporous state when her older brother had made his once-in-a-century visit had been: Partly shock, Doctor Busner, she told him. It would, I think, have been courteous to’ve at least told me that you had been to see him, as it was I was quite severely shocked — and besides, I’ve nothing to say to Albert De’Ath, we don’t so much as share a given name — the only thing we have in common is the accident of our parentage. If you’ve spent any time with him you have, I daresay, been exposed to his formidable powers of reasoning — capabilities sadly unmatched by any real compassion, let alone warmth. He is the most fearful reactionary. Too much messery, Busner had muttered, and Audrey said: Speak up, young fellow, and Busner said again: I expect he’s had too much of his messery — whereupon the elderly lady laughed, she laughed — a delightful laugh: warm and seductive . .This was the memory he took away with him: of a very thin, hunched and frail patient — that was true — but one in full possession of her senses, perfectly lucid. . and engaged. I do so enjoy, she had said to him, going up to see the musical woman — Missus Down, is it? — she plays, quite coincidentally, an air I remember from girlhood, Brahms’s intermezzo, in A, d’you know it? Busner said, Not off the top of —. And she hummed she hummed, Doo-d’doo, doo d’doo, doo-d’-dooo, doo-d’-dooo, triplets of notes lilting up and down, and he had left her there — a little twitchy, un peu rackety, true, but that was only to be expected . . — He returned to find the most complete disharmony. In the first cell I came to, on the men’s dormitory . .The three old men, Messrs Voss, Ostereich and McNeil, were as inert as when Busner had first seen them: they seemed no longer men at all but. . derelict houses, burnt out and decaying . .their faces rigidly masked, their heads lolling on their necks, their entire musculatures eroding from their frames, so that every part of them slid away. He had attempted, futilely, to arouse them — pulling up an eyelid, calling into the dark and sadly unwashed cavern of an ear. Nothing. Worse than nothing: a sense of a profound absence — not only that there was no sentience in any of the three, but there never had been. . it’d been my dream, perhaps, as much as theirs . .He went into the women’s dormitory and discovered the colossal frame of Leticia Gross still lumped on her reinforced catafalque — but whereas when he had left she had been a troubling presence, what with her bullying and commanding of the nursing staff, now she was a twenty-five-stone absence, a mound of inanition, her petite features seemingly in the process of being reabsorbed by her rolls and dewlaps of flesh. . in a heavy and sluggish wave of rolling dystonia. There was no sign of her cheeky-chappie husband — none of the medical staff were in evidence at all. He went next to Helene Yudkin’s bed, and found there at least some signs of life, but only. . signing once, twice, flicking to the next, signing once, twice again, flicking to the next . .the thumbah and handango of her compulsive traveller’s-cheque-ticcing. . she could not speak, she couldn’t say anything was marvellous any more. . she was lost to me . .At last Busner had met with Hephzibah Inglis hurrying along. What has happened to my enkies? he had challenged her, without any other greeting or pleasantry. . and she looked at me as simply another puffed-up doctor, engorged with my own professional status, rolling over the little people and so spared me nothing: — Your enkies, Doc-tor Busner? Why, all dat foolishness was done put a stop to second you skipped off a-broad. Doctor Whitcomb, he see de dread-ful state of dese poor folk so he took ’em off dat damn fool drug of yours — he took de drugs inall —. He had wrenched himself away from Inglis’s complacent smirk and headed at last for the little niche he had secured for her, with its scrap of view — headed at last towards Audrey Death, cursing himself. . for having ever forgotten her for an instant, for having chosen to ignore my responsibilities as her physician . .and arrived to find that it was all far, far worse than he had feared: she was not only wrenched halfway round in her chair, her eyes fixated on an invisible object above and behind her, but those eyes had flies clustered in them, while her arms and legs had been strapped to that chair. He went straight to the buckles of these straps and began unfastening them. I shouldn’t do dat if I was you, Doc-tor, said Inglis coming up behind him. You don’t know de half of it, when she be freed she go flat-out crazy —. Then he had lost his temper, and begun shouting at her: Don’t you know that the proud boast of this fucking miserable bloody place was that no hand or foot will be bound here . . — Shall we go on, Doctor Busner? Athena Dukakis asks, and he says, Of course, of course, do forgive me, I was only struck by how. . well, how strange this all is — I mean, you’ve kept the original foundation stone. They stand looking at the white plaque, scanning its incised lettering: THIS FOUNDATION STONE WAS LAIDBY FIELD MARSHAL HIS ROYAL HIGHNESS PRINCE ALBERT. . followed by the list of Commissioners for Lunacy and assorted beneficent dignitaries, at the bottom of which surrounded by scrollwork there is this motto: NO HAND OR FOOT WILL BE BOUND HERE. Some people, Busner says as they leave the fitness centre, might find it rather, well, rather disturbing to be living enclosed by these walls — which in their time have witnessed so much mental distress. Dukakis looks at him critically. Surely, she says, that’s a little hippy-dippy for a psychiatrist, I mean, don’t tell me you’re one of those people who thinks old buildings can have psychic auras. Anyway, they’re lovely buildings now — you can see that. They are strolling between a bushy hedge and the façade of the first range, the brickwork of which has been returned to its original honey colour. The windows are beautifully pristine, and every few yards a cast-iron lamp standard containing an electric bulb has been erected. This is meant to instil in the residents, Busner supposes, a pleasing sense of Victorian civic pride with none of the accompanying low wattage. Hippy-dippy we were, he thinks — and those of us who didn’t float off back to nature, or take to the barricades, took a sort of solace in our own nostalgic Victoriana. He smiles, thinking of the sartorial fripperies of the period — the long white silk scarves, and original tailcoats picked up at flea markets, and the bandsmen’s scarlet coats that could be spotted weaving their way through the crowds at the Isle of Wight festival, gold frogging leaping about in time to Hendrix’s axe-work. Miriam insisted on William Morris floral-patterned wallpaper — while Busner had his own brief flirtation with a handlebar moustache and a velvet smoking jacket. . It must’ve been strange for them, the reawakened, to have swum back to consciousness in a world done up in a travesty of their own childhood, complete with a soundtrack of oompah psychedelia . .As Inglis claimed, the restraints had been necessary, for, when the sixteen hours of Audrey Death’s oculogyric crisis drew to an end, she did not relapse into akinesia but became animated by the most extreme ticcing Busner had ever seen — a Saint Vitus Dance of every part of her: her fingers flicked, her hands spasmed, her arms, legs and neck jerked about wildly — if not prevented from standing she would leap to her feet unsteadily, then canter up and down the ward until she knocked into a wall or a piece of furniture and spun to the floor. It was with the entirely humane aim of preventing her from breaking her brittle bones that she had been restrained. Safely strapped down, she still came out with these. . strange cries, spontaneous jactitations . .Buy! Buy! she had cried, and: Sell! Sell! Disjointed numerical commands had also spilled from her mouth: Give me fourteen-eighty! I’ll take nine! Try seventy-one! Hold four thousand and twenty-two! Go to them for a hundred and nine — Now! And all of this frightening gibberish had been mixed in with a chaotic choreography of tics that, try as he might, the psychiatrist could subject to no analysis, nor perceive any congruence in. He and Mboya had pleaded with Whitcomb to allow them, in Audrey Death’s case at least, to restart the L-DOPA. Given the old woman’s state of extreme agrypnia — a sleeplessness that would not respond to any sedative dose short of a toxic one — the consultant relented. However, even back on the drug, she continued her erratic course, flipping between this extreme rapidity of thought and movement, and periods of increasingly deep catatonia. Over the course of a fortnight or so Busner battled to save his favourite patient, to somehow keep her balanced on this knife-edge of stability. . The tiger’s free, the kangaroo, It’s up to me and up to you . .A miserable and forlorn hope: it had been Mboya who finally insisted that they stop the treatment altogether. . In mercy and justice he said — and he was right . .The final words Audrey Death had spoken before relapsing into a merciful swoon were a string of nonsensical fractions — eighteen over four-point-two, ninety-four over thirteen-point-seven, sixty-six-point-three over thirty-three-point-three recurring — that, even as he accepted the futility of the exercise, Busner had tried to fit into some conceptual framework. Were they, perhaps, the numerical analogue of her brain chemistry’s intro-conversions between the discrete and the continuous, the quantifiable and the relativistic?